Hemet City Council
February 8, 2022

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IQQS)606- 5900
|‘3COI’IStl'UCt
B|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BysigningandsubmittingthisbidtheContractorconfirmsthattheyarefamiliarwiththeworksiteandallexistingconditionsthatmayaffecttheirworkandthattheyhavereadandagreetoalltheterms,conditionsandrequirementscontainedorreferencedhereinorintheContractDocumentsandthatalltheaforementionedhasbeenincludedinthebidpriceslistedabove,includingitemsofworkthatmaynothaveaspecificpaylineitemandthatthereshallbenoadditionalcoststotheAgency.W ARNING:IfanaddendumoraddendahavebeenissuedbytheAgencyandnotnotedaboveasbeingreceivedbythebidder,thisBidmayberejected.Completethefollowing:FerreiraConstructionCo.Inc.dbaFerreiraCoastalConstructionCo.DIR#10000018R4(‘nntrartnr"<I #985180Legalnameofthebusiness,DIRReg.andContractorLicenseNos.CorporationBusinessType(Corporation,Partnership,SoleProprietor)DBA(ifany)NelsonFerreira-PresidentNameandtitleoftheownerBrandonPensick—VicePresidentNameandtitleofsecondpartnerorofficer10370CommerceCenterDriveSuiteB200RanchoCucamoneaCA91730BusinessAddress Telephonenumber(909)606-7711FacsimilenumberBrandonPensick— boensick(c't>ferreiion.comNameandEmailaddressofprimarycontactwww.ferreiraconstruction.comCo baddress10.19.2021 10.19.2021SignatureofBidder DateSignofBidder DateBrandonPensick-VicePresidentLouPacheco—Secretarv/TreasurerPrintnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateofficersarerequired.)

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B|DDER'SPROPOSAL(Cont'd) Rev.0CITYWIDETRAFFICSIGNALSAFETYUPGRADESSeptember2020CIPNo.5651FederalAidProjectNo.5186(017)CERTIFICATEREGARDINGCONTRACTOR'SLICENSE1.ContractorisrequiredtopossessoneofthefollowingStateContractor'sLicense:StateofCaliforniaClassAContractor'sLicenseCombinationofSpecialtyClassCContractor'sLicenses2.Afailureto(1)possesstherequiredlicense,(2)truthfullysetforththefollowinginformation,and/or(3)executethisCertificatemayrendertheproposalnonresponsiveandpermittheCitytorejecttheproposal.(BusinessandProfessionsCodeSection7028.15)3.Contractordeclares,underpenaltyofperjury,thatpossessestherequiredContractor's|icense(s)which:a.Bearsthelicensenumber(s):985180A,C-10.C-13b.Expireson:07.31.2023

10.19.2021 10.19.2021SignatureofBidder DateSignareofBidder DateBrandonPensick-VicePresidentLouPacheco-Secretarv/TreasurerPrintnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateo?icersarerequired.)ThisrequiredlicensedeterminationhasbeenmadebytheAgency.AnyContractorholdingadifferentlicensewhofeelsheisqualifiedtobidonthisworkmustsoadvisetheAgencyatleastseven(7)dayspriortothebidopening.TheAgencymayconductareviewofthecontemplatedworktore-evaluatetherequiredlicensedetermination.TheAgencymayinitssolediscretionmaintainorchangetherequiredlicensedetermination;Agency'sdecisionastotherequiredlicensewillbefinal.

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B|DDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BIDSECURITYFORMFORCHECKNOTE:THEFOLLOWINGFORMSHALLBEUSEDINTHECASEOFCHECKACCOMPANYINGBIDAccompanyingthisproposalisaCertifiedCheckorCashier'sCheckpayabletotheorderoftheCityofHemet,hereinafterreferredtoas"Agency",fordollars($ ,thisamountbeing10percent(10%)ofthetotalamountofthebid.Thischeckshallbereturnedtotheundersignedonlyifeitherofthefollowingoccurs:A.IfsaidBidshallberejectedbytheAgency;B.IfsaidBidshallbeacceptedbytheAgencyandtheUndersignedshallexecuteanddeliveraContractintheformattachedhereto(properlycompletedinaccordancewithsaidBid)andshallfurnishbondsrequiredforhis/her/itsfaithfulperformanceofsaidContractandforthepaymentofallpersonsperforminglabororfurnishingmaterialsinconnectiontherewith,andshallinallotherrespectsperformtheContractcreatedbyacceptanceofsaidBid.Otherwise,saidcheckshallbecomethepropertyoftheAgency.SaidcheckshallalsobecomethepropertyoftheAgencyiftheUndersignedshallwithdrawhis/her/itsbidwithintheperiodofsixty(60)calendardaysafterthedatesetfortheopeningthereof,unlessotherwiserequiredbylaw,andnotwithstandingtheawardoftheContracttoa rbidder10.19.2021 10.19.2021SignatureofBidder DateSignofBidder DateBrandonPensick-VicePresidentInuParihprn—99rv/TreasurerPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateo?icersarerequired.)

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Dal
BlDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BIDSECURITYFORMFORBONDKNOWALLBYTHESEPRESENTS:ThattheundersignedFerreiraConstructionCo.,Inc.dbaFerreiraCoastalConstructionCo.10370CommerceCenterDrive,SuiteB-200,RanchoCucamonga,CA91730(NameofContractor)asPrincipalandtheundersignedasSuretyareheldandfirmlybounduntoOwner,CITYOFHEMET,apoliticalsubdivisionoftheStateofCalifornia,asobligee,inthepenalsumof(DollarAmountInWords)TenPercentoftheAmountBidDollars(S10%AmountBidIlawfulmoneyoftheUnitedStatesofAmericabeingatleasttenpercent(10%)oftheaggregateamountofsaidPrincipal'sbaseBid,forthepaymentofwhich,wellandtrulytobemade,webindourselves,oursuccessors,executors,administrators,andassigns,jointlyandseverally,firmlybythesepresents.WHEREAS,saidPrincipalissubmittingaBidfor[PROJECTNAMEANDDESCRIPTION]CitywideTraf?cSignalSafetyUpgrades,CIPNo.5651,FederalAidProjectNo.5186(017)THECONDITIONOFTHISOBLIGATIONISSUCHthatiftheBidsubmittedbythesaidPrincipalbeacceptedandtheContractbeawardedtosaidPrincipalandsaidPrincipalshallwithintherequiredperiodsenterintotheContractsoawardedandprovidetherequiredConstructionPerformanceBond,ConstructionLaborandMaterialPaymentBond,insurancecertificates,andallotherendorsements,forms,anddocumentsrequiredundertheInstructionstoBidders,thenthisobligationshallbevoid,otherwisetoremaininfullforceandeffect.INWITNESSWHEREOF,theaboveboundenpartieshaveexecutedthisinstrumentthis19thdayof October 2021.(Month)FerreiraConstructionCo.,Inc.dbaFerreiraCoastalConstructionCo (Corporate_ESe=a|)ByBerkshireHathawaySpecialtyInsuranceCompanyBy1314DouglasStreet,Suite1400,Omaha,NE68102Surety(CorporateSeal) ByMarisolMojica,Attorney—in

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__. _______. _..___ Public
whosenameyf15/2}!subsc‘tothewithininstrufandacknuwladgme he] th executedthesame’?hl r/Irauthorizedcapaci1y(l),andthatbhl r Irslgnatu thelnsirumenttheperson,ortheentityuponbehalfofwhlctheperson}|(acted,executedInstrument. § MARLAK.GIBBMSEMauryPublic- Ca?fnrnla!g SanBemardlnoCWHWCnmmisslnn#216461!MyComm.ExpuesJul7.1025 ?mia,/g./gama
GALF L-PU G CWILCODE§1189
Anotarypublicorotherofficercompletingthiscerti?cateveri?esonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscertificateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.StateofCalifornia)Countyof, SanBernardino)On. October19,2021beforeme,MarlaK.Gihbins.NntarvDate HereInsertNameandTitleoftheOfficerpersonallyappearedBrandonPensickName(s)ofSigner(s)whoprovedtomeonthebasisofsatisfactoryevidencetobethethatontheIcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.WITNESSmyhandandof?cialseal.SignatureSignatureofNotaryPublic PlaceNotarySealAboveOPTTONALThoughthissectionisoptional,completingthisinformationcandeteralterationofthedocumentorfraudulentraattachmentofthisformtoanunintendeddocument.DescriptionofAttachedDocumentTitleorTypeofDocument: DocumentDate:NumberofPages:Signer(s)OtherThanNamedAbove:Capaclty(ies)claimedbySigner(s)Signer'sName: Signer'sName:
j
CorporateOfficer— Title(s): ‘-CorporateOfficer— Title(s):Partner— ELimited:lGeneraliPartner— LimitedCGeneralIndividualAttorneyinFact EIndividualAttorneyinFact‘TrusteeI:GuardianorConservatorI;Trustee_GuardianorConservator1Other: 5Other:SignerIsRepresenting:SignerIsRepresenting:
©2014NationalNotaryAssociation-www.Nationa|Notary.org~1-800-USNOTARY(1-800-876-6827)Item#5907

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BerkshireHathawaySpecialtyInsuranceCompany
ACKNOWLEDGEMENTOFSURETYCOMPANYSTATEOFNewJerseyCOUNTYOFMorris ONTHE19thDAYOFOctober,2021BEFOREMEPERSONALLYAPPEAREDMarisolMoiicaTOMEKNOWN,WHOBEINGBYMEDULYSWORN,DIDDEPOSEANDSAY;THAT(S)HEISTHEATTORNEY-IN-FACTOF,THECORPORATIONTHATEXECUTEDTHEFOREGOINGINSTRUMENT,ANDACKNOWLEDGEDTOMETHATSUCHCORPORATIONEXECUTEDTHESAME.INWITNESSWHEREOF,IHA VEHEREUNTOSETMYHANDANDAFFIXEDMYOFFICIALSEAL.ATMYOFFICEINTHEABOVECOUNTY ,THEDAYANDYEARWRITTENABOVE.

NotaryPublicVinmamA.DraytonNotaryPublicStateofNewJerseyMycommissionexpiresApril9.2026

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mmA1NAwAvsP£uwnusunnucscomlrgug,
'l\l|0NA|.mnzmmrvCOMPANY mMm;1 m¢mmmm
Mmmmgmm1._wg &msuuAum4m;u_u VI‘Elegy!BudSuite
1!1_1._1f?s,$?M?1!IJI}m.im!¢4o.L!4¢LVJgvsey‘
IZIEOFFERVA.DELISIONomyPub“:cummmmalmolMumnunmMycomm.Explmmmmw:9,mt BerkshireHathawaySpecialtyInsurance
Knowallmenbythesepresents,that acorporationexistingunderandbyvirtueofthelawsoftheStateofNebraskaandhavinganof?ceatOneLincolnStreet,23rdFloor,Boston,Massachusetts02111, acorporationexistingunderandbyvirtueofthelawsoftheStateofNebraskaandhavinganof?ceat3024HarneyStreet,Omaha,Nebraska68131and acorporationexistingunderandbyvirtueofthelawsoftheStateofConnecticutandhavinganof?ceat100FirstStamfordPlace,Stamford,Connecticut06902(hereinaftercollectivelythe"Companies”),pursuanttoandbytheauthoritygrantedassetforthherein,doherebyname,constituteandappoint: theirtrueandlawfulattorneyis)-in—facttomake,execute,seal,acknowledge,anddeliver,forandontheirbehalfassuretyandastheiractanddeed,anyandallundertakings,bonds,orothersuchwritingsobligatoryinthenaturethereof,inpursuanceofthesepresents,theexecutionofwhichshallbeasbindingupontheCompaniesasifithasbeendulysignedandexecutedbytheirregularlyelectedofficersintheirownproperpersons.ThisauthorityfortheAttorney-in-Factshallbelimitedtotheexecutionoftheattachedbond(s)orothersuchwritingsobligatoryinthenaturethereof.inwitnesswhereof,thisPowerofAttorneyhasbeensubscribedbyanauthorizedof?ceroftheCompanies,andthecorporatesealsoftheCompanieshavebeenaffixedheretothisdateofDecember20,2018.ThisPowerofAttorneyismadeandexecutedpursuanttoandbyauthorityoftheBylaws,ResolutionsoftheBoardofDirectors,andotherAuthorizationsofBERKSHIREHATHAW AYSPECIALTYINSURANCECOMPANY ,NATIONALINDEMNITYCOMPANYandNATIONALLIABILITY81FIREINSURANCECOMPANY ,whichareinfullforceandeffect,eachreadingasappearsonthebackpageofthisPowerofAttorney,respectively.ThefollowingsignaturebyanauthorizedofficeroftheCompanymayheafacsimile,whichshallbedeemedtheequivalentofandconstitutethewrittensignatureofsuchofficeroftheCompanyforallpurposesregardingthisPowerofAttorney,includingsatisfactionofanysignaturerequirementsonanyandallundertakings,bonds,orothersuchwritingsobligatoryinthenaturethereof,towhichthisPowerofAttorneyapplies.BERKSHIREHATHAW AYSPECIALTYNATIONALINDEMNITYCOMPANY:INSURANCECOMPANY ,NATIONALLIABILITY8:FIREINSURANCECOMPANY , By: ByDavidFields,ExecutiveVicePresidentDavidFields,VicePresident NOTARYStateofMassachusetts,CountyofSuffolk,ss:Onthis20thdayofDecember,2018,beforemeappearedDavidFields,ExecutiveVicePresidentofBERKSHIREHATHAW AYSPECIALTYINSURANCECOMPANYandVicePresidentofNATIONALINDEMNITYCOMPANYandNATIONALLIABILITY&FIREINSURANCECOMPANY ,whobeingdulysworn,saysthathiscapacityisasdesignatedaboveforsuchCompanies;thatheknowsthecorporatesealsoftheCompanies;thatthesealsaf?xedtotheforegoinginstrumentaresuchcorporateseals;thattheywereaf?xedbyorderoftheboardofdirectorsorothergoverningbodyofsaidCompaniespursuanttoitsBylaws,ResolutionsandotherAuthorizations,andthathesignedsaidinstrumentinthatcapacityofsaidCompanies.[NotarySeal] :
' -
NotaryPublicI,RalphTortorella,theundersigned,Of?cerofBERKSHIREHATHAW AYSPECIALTYINSURANCECOMPANY ,NATIONALINDEMNITYCOMPANYandNATIONALLIABILITY8:FIREINSURANCECOMPANY ,doherebycertifythattheaboveandforegoingisatrueandcorrectcopyofthePowerofAttorneyexecutedbysaidCompanieswhichisInfullforceandeffectandhasnotbeenrevoked.INTESTIMONYWHEREOF,seehereuntoaf?xedthesealsofsaidCompaniesthis Of?cer
BHSIC,NICO8:NLFPOA(2018)
BERKSHIREHATHAW AYSPECIALTYINSURANCECOMPANYNATIONALINDEMNITYCOMPANYNATIONALLIABILITY&FIREINSURANCECOMPANPowerOI’Attorney emsm.:.E.m...._B.BmSES5mt. Emusems.mGm.mm1mmm_E.35.:8..=252.3so8S$3.59331EatnS3Fan.3am?iwu.99>m.Ezzattuc$.36...9.: 5__Eu5B£m~m.B6E_S3.S2323m50;EmuAuuhm..__3:_..25..€muE3uucm._...n_.__>«_m.6uaw>EsnEm:u...£5...om€__uEH..aAUn—_§u5m_m:mum5uqnunou$33>u.=3a<5?an...9.5E>..§__.:u£:mu?itu:E.

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SURANCECOMPAMV

NATIONALINDEMNITVCOMPANY
Section4.OfficersAgentsandEmployees:

NATIONALINDEMNITVCOMPANY
AN§ECOMPANV
Section. 'CesAena E Soas:

NATIONALLIABILITV&FIREINSURANCECOMPANY
BERKSHIREHATHAW AYSPECIALTYIN (BYLAWS)ARTICLEV .CORPORATEACTIONS EXECUTIONOFDOCUMENTS:

Section6.(b)ThePresident,anyVicePresidentortheSecretary,shallhavethepowerandauthority:(1)ToappointAttorneys—in—fact,andtoauthorizethemtoexecuteonbehalfoftheCompanybondsandotherundertakings,and(2)ToremoveatanytimeanysuchAttorney-in-factandrevoketheauthoritygivenhim. (BY-LAWS)
A.TheofficersshallbeaPresident,oneormoreVicePresidents,aSecretary,oneormoreAssistantSecretaries,aTreasurer,andoneormoreAssistantTreasurersnoneofwhomshallberequiredtobeshareholdersorDirectorsandeachofwhomshallbeelectedannuallybytheBoardofDirectorsateachannualmeetingtoserveatermofofficeofoneyearoruntilasuccessorhasbeenelectedandquali?ed,mayservesuccessivetermsofoffice,mayberemovedfromofficeatanytimefororwithoutcausebyavoteofamajorityoftheBoardofDirectors,andshallhavesuchpowersandrightsandbechargedwithsuchdutiesandobligationsasusuallyarevestedinandpertaintosuchofficeorasmaybedirectedfromtimetotimebytheBoardofDirectors;andtheBoardofDirectorsortheof?cersmayfromtimetotimeappoint,discharge,engage,orremovesuchagentsandemployeesasmaybeappropriate,convenient,ornecessarytotheaffairsandbusinessofthecorporation. (BOARDRESOLUTIONADOPTEDAUGUST6,2014)
RESOLVED,ThatthePresident,anyVicePresidentortheSecretary,shallhavethepowerandauthorityto(1)appointAttorneys-in—fact,andtoauthorizethemtoexecuteonbehalfofthisCompanybondsandotherundertakingsand(2)removeatanytimeanysuchAttorney-in-factandrevoketheauthoritygiven.

NATIONALLIABILITY&FIREINSUR(BY-LAWS)ARTICLEIVOfficers
A.Theof?cersshallbeapresident,oneormorevicepresidents,oneormoreassistantvicepresidents,asecretary,oneormoreassistantsecretaries,atreasurer,andoneormoreassistanttreasurers,noneofwhomshallberequiredtobeshareholdersordirectors,andeachofwhomshallbeelectedannuallybytheboardofdirectorsateachannualmeetingtoserveatermofofficeofoneyearoruntilasuccessorhasbeenelectedandqualified,mayservesuccessivetermsofoffice,mayberemovedfromofficeatanytimefororwithoutcausebyavoteofamajorityoftheboardofdirectors.Thepresidentandsecretaryshallbedifferentindividuals.Electionorappointmentofanofficeroragentshallnotcreatecontractrights.Theof?cersoftheCorporationshallhavesuchpowersandrightsandbechargedwithsuchdutiesandobligationsasusuallyarevestedinandpertaintosuchofficeorasmaybedirectedfromtimetotimebytheboardofdirectors;andtheboardofdirectorsortheof?cersmayfromtimetotimeappoint,discharge,engage,orremovesuchagentsandemployeesasmaybeappropriate,convenient,ornecessarytotheaffairsandbusinessoftheCorporation. (BOARDRESOLUTIONADOPTEDAUGUST6,2014)RESOLVED,ThatthePresident,anyVicePresidentortheSecretary,shallhavethepowerandauthorityto(1)appointAttorneys-in—fact,andtoauthorizethemtoexecuteonbehalfofthisCompanybondsandotherundertakingsand(2)removeatanytimeanysuchAttorney-in-factandrevoketheauthoritygiven.

BHSIC,NICO8:NLFPOA(2018)

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Suvplus
.8!-37,676 .52A.677 140.930.4116$ 6.236.753.770S 5.667.794.0275 11.755.964.789 19542210 .2.349.682.18 .93.601565 1.75.8,5923.887.071.45223.974.192.453 3480397.780S 6.236.753.7'7OS 5.657.794.028S 11.755.954.739 BERKSHIREHATHAW AYSPECIALTYINSURANCECOMPANY1314DouglasStreet,Suite1400,Omaha,Nebraska68102-1944 ADMITTEDASSETS*
Allotherassets 157 127AdmittedAssets
LIABILITIES&SURPLUS*
UnearnedpremiumsAllotherliabilitiesTotalLiabilitiesTotalPoIicyho|ders'TotalLiabilities8.Surplus "Assets,liabilitiesandsurplusarepresentedonaStatutoryAccountingBasisaspromulgatedbytheNAICand/orthelawsofthecompany'sdomiciliarystate.

TotalinvestedassetsPremium&agentbalances(n 5,475,240.588603,615,50613512222 12/31/2020921323,948372,836,160
$ 5,172,183,338368,086,012umzzm
12/31I201§634,745,558314,117,549
4,313,185,189301.849,144118
12/31/2018463.103.2213241Loss&lossexp.unpaid

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BlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)NON-COLLUSIONAFFIDA VITPUBLICCONTRACTCODESECTION7106NON-COLLUSIONDECLARATIONTOBEEXECUTEDBYBIDDERANDSUBMITTEDWITHBIDTheundersigneddeclares:FerreiraConstructionIamtheVicePresidentofCo.|nc.dbathepartymakingtheforegoingbid. FerreiraCoastalConstructionCo.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.IdeclareunderpenaltyofperjuryunderthelawsoftheStateofCaliforniathattheforegoingistrueandcorrectandthatthisdeclarationisexecutedon10.19.2021date],atRanchoCucamonga[city],CA[state]

10.19.2021SignatureofBidder DateSignatBi DateBrandonPensick—VicePresidentLouPacheco-Secretary/TreasurerPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateo?icersarerequired.)

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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:

Name,5,andTelephoneNumberofOwner'sRepresentative:

ProjectName: ofCompletion:Name,Address,andTelephoneNumberofOwner'sRepresen ProjectName:ContractPrice: teofCompletion:Name,Address,andTelephoneNumberofOwer'sRepresentative:
(Attachadditionalpagesasnecessary)
iémhifrE";:‘iir:'-52:370
‘é>os=\%1‘l><?\VV\c>FP'8{TI:"rM?»’Z0\\€J/\€NT5'4D°O(°£— CDD(V\ouLouo@“"\rum9.ou.c\.‘*1H-°l3|"1‘|9L-:c*_~s'‘’ "
\'LC\'C.Tz?’. us.) - ‘V75-C-l\-Lu-,AV134--rv\s(u‘kc>Sb‘Lz"$“7DZ91'“->9’C_LuQ—\CLJ 1' ateofCompletion:

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310.000whichcvcris-real:-r.Plmlamv l~’udcmIPm‘ccINumber:86OI7 <5I0million
410million
4sIumillion
msuiammn|)0ngiIInl-|A::1|lme PageIDM2In-manlymm
BlDDER'SPROPOSAL(CONT'D) Rev0CITYWIDETRAFFICSIGNALSAFETYUPGRADESSe['!€.erI‘iI\.{:t2020CIPNo.5651FederalAidProjectNo.5186(O17)Exhibit12-BBidder’sListofSubcontractor(DBEandNon-DBE)Part1AsofMarch1,2015Contractors(andsub-contractors)wishingtobidonpublicworkscontractsshallberegisteredwiththeStateDivisionofIndustrialRelationsandcerti?edtobidonPublicWorkscontracts.Pleaseregisterat:https://www.dir.ca.gov/Public-Works/Contractor-RegistrationhtmlInaccordancewithTitle49,Section26.11oftheCodeofFederalRegulations,andSection4104ofthePublicContractCodeoftheStateofCalifornia,asamended,thefollowinginformationisrequiredforeachsub-contractorwhowillperformworkamountingtomorethanonehalfofonepercent(0.5%)oftheTotalBaseBidorthisformforadditional?rms. 51SubcontractorNameandLineItem&DescriptionSubcontractPercentageofContractorDBEDBECertAnnualGrossReceiptsLocation AmountBidItemSub-LicenseNumber(YIN)NumbercontractedDIRRegNumberName: I_I<$ImillinnII <$5millionCity,State: II <$15millionAgeofFirm:vrsName: II <59]millionII <$5millionCity,State: I_I<$15millionofFirm:Name: II <$1millionII <$5millinnCity,State: <$15millionAgeofFinn:vrs.Name: II <$ImillinnII <$5millionCity.State: II <$1omillionI_I<$15millionofFinn:Name: II <$lmillionII <$5millionCity,State: IfI <$l0millinnII <$15millionAgenfFirm:vrs_Name: II <$lmillinnII <$5millioncity,State: I_I<$15millionAgeofFirm:vrsAgency2)Copy-DLAEw/AwardPackageA1-10

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<S|Uxmllinn
<s]umillian
<55millian
410nulliou
BlDDER'SPROPOSAL(CONT’D) RevtiCITYWIDETRAFFICSIGNALSAFETYUPGRADESSeptember2020CIPNo.5651FederalAidProjectNo.5186(017)Exhibit12-BBidder’sListofSubcontractor(DBEandNon-DBE)Part2InaccordancewithTitle49,Section26oftheCodeofFederalRegulations,theBiddershalllistallsubcontractorwhoprovidedaquoteorbidbut toparticipateasasubcontractoronthisproject.Photocopythisformforadditional?rms. FederalProjectNumber:5186(017)SubcontractorNameandLineItem&DescriptionSubcontractPercentageofContractorDBEDBECertAnnualGrossReceiptsLocation AmountBidItemSub-LicenseNumber(Y/N)NumbercontractedDIRRegNumberName: II <$lmillinnI_I<$5millionCity,State: I_l<$l5millionofFirm:Name: II <$1millionl_l<$5millinnCity,State: II <.‘lil5millinnAizeofFinn:vrs.Name: II <$lmillionII <$5millionCity,State: <$15millionAgeofFirm:yrs.Name: II <$1millionCity.State: II <$1omillionI_I<$15millionAizeofFirm:Name: II <$lmillinnII <$5millionCity,State: II <$l0millionII <$l5millionAgeofFirm:vrs.Name: II <$lmillinnLl<$5millionCity,State: II <$l5millinnAgeofFirm:vrs.Page2of2January2019

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Rev.0September2020BlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BIDDERCERTIFICATIONSTOBEEXECUTEDBYALLBIDDERSANDSUBMITTEDWITHBIDTheundersignedBiddercertifiestoOwnerassetforthinsections1through10,below.STATEMENTOFCONVICTIONSBymysignaturehereunder,Iherebyswear,underpenaltyofperjury,thatnomorethanonefinal,unappealablefindingofcontemptofcourtbyaFederalCourthasbeenissuedagainstBidderwithinthepasttwoyearsbecauseoffailuretocomplywithanorderofaFederalCourtortocomplywithanorderoftheNationalLaborRelationsBoard.CERTIFICATIONOFWORKER'SCOMPENSATIONINSURANCEBymysignaturehereunder,astheContractor,IcertifythatIamawareoftheLaborCodeSection3700,whichrequireseveryemployertobeinsuredagainstliabilityforworker'scompensationortoundertakeseIf—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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E.

10.19.2021 10.19.20Signatue
BlDDER'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]1000001634Subcontractors’registrationnumbersareasindicatedinDocument004314.BIDD 21SignatureofBidder Date ofBidder DateBrandonPensick-VicePresidentLouPacheco-Secretarv/TreasurerPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.)

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BIDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)EQUALEMPLOYMENTOPPORTUNITYCERTIFICATION ThebidderFerreiraConstructionCo.Inc.dbaFerreiraCoastalConstructionCo. proposedsubcontractor herebycertifiesthathehasL,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 0 isnotcurrentlyundersuspension,debarment,voluntaryexclusion,ordeterminationofineligibilitybyanyFederalagency;hasnotbeensuspended,debarred,voluntarilyexcludedordeterminedineligiblebyanyFederalagencywithinthepast3years; 0 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(017)NONLOBBYINGCERTIFICATIONFORFEDERAL-AIDCONTRACTS .Y1‘.fsé"”"am.Ew§$?!i?{}
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,anofficeroremployeeofCongress,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.

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Only:
itacessary)
B|DDER'SPROPOSAL(Cont'd)Rev.0CITYWIDETRAFFICSIGNALSAFETYUPGRADESSeptember2020CIPNo.5651FederalAidProjectNo.5186(017)DISCLOSUREOFLOBBYINGACTIVITIESPURSUANTTO31U.S.C.13521 ofFederalAction2.StatusofFederalAction:rtType:a.contract 5a.bid/offer/applicationalgrant b.initialaward b.materialchangecooperativeagreementc.post-awardd. ForMaterialChangeOnly:e. yearquarterf.loan dateoflastreport4.NameofReportingEntity 5.IfReportingEntityinNo.4isSubawardee,EnterNameandAddressofPrime:UPrimeUSubawardeeTier,ifknown CongressionalDistrict, CongressionalDistrict,ifknown6.FederalDepartment/Agency:7.FederalProgramName/Description:

CFDANumber,ifapplicable8.FederalActionNumber,ifknown: 9.AwardAmount,ifknown:

10.a.NameandAddressofLobbyEntity b.IndividualsPerformingServices(including(Ifindividual,lastname,firstname,MI) addressifdifferentfromNo.10a)(lastname,firstname,MI) (attachContinuationSheet(s)11.AmountofPayment(checkallthatapply) 13.ofPayment(checkallthatapply)$ actual|:|planned retainerfee12.FormofPayment(checkallthatapply): c.a.cash d. feeb.in-kind;specify:nature evalue f.other,14.BriefDescriptionofServicesPerformedortobeperformedandDate(s)ofService,of?cer(s),employee(s),ormember(s)contacted,forPaymentIndicatedinItem11:
(attachContinuationSheet(s)ifnecessary)15.ContinuationSheet(s)attached:YesDNoD[6,InformationrequestedthroughthisformisauthorizedbyTitle31U.S.C.Section1352.ThisdisclosureoflobbyingreliancewasplacedSignature;bythetierabovewhenhistransactionwasmadeorenteredinto.Thisdisclosureisrequiredpursuantto31U.S.C.1352.ThisinformationPrintNamewillbereportedtoCongresssemiannuallyandwillbeavailablefor ' publicinspection.Anypersonwhofailsto?letherequireddisclosure,shallbesubjecttoacivilpenaltyofnotlessthan$10,000andnotmoreTltleithan$100,000foreachsuchfailure. TelephoneNo.: Date:AuthorizedforLocalReproductionFederalUse StandardFOITII-LLL

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B|DDER'SPROPOSAL(Cont’d)zzwv.UCITYWIDETRAFFICSIGNALSAFETYUPGRADES.‘%ié:r::‘%r:En.§'::wM26’:CIPNo.5651FederalAidProjectNo.5186(017)INSTRUCTIONSFORCOMPLETIONOFSF-LLL,DISCLOSUREOFLOBBYINGACTIVITIESThisdisclosureformshallbecompletedbythereportingentity,whethersubawardeeorprimeFederalrecipient,attheinitiationorreceiptofcoveredFederalactionoramaterialchangetoprevious?lingpursuanttotitle31U.S.C.section1352.The?lingofaformisrequiredforsuchpaymentoragreementtomakepaymenttolobbyingentityforin?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"thenenterthefullname,address,city,stateandzipcodeoftheprimeFederalrecipient.IncludeCongressionalDistrict,ifknown.6.EnterthenameoftheFederalagencymakingtheawardorloancommitment.Includeatleastoneorganizationlevelbelowagencyname,ifknown.Forexample,DepartmentofTransportation,UnitedStatesCoastGuard.7.EntertheFederalprogramnameordescriptionforthecoveredFederalaction(item1).Ifknown,enterthe?illCatalogofFederalDomesticAssistance(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-90-001."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?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-LLL-InstructionsRev06-04-90<<ENDIF»

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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.TheundersignedhasalsocarefullycheckedallofthefiguresgivenandunderstandsthattheAgencywillnotbeforanyerrorsoromissionsonthepartoftheundersignedinsubmittingthisproposal.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.

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UNIT
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BlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(O17)BASEBIDTOTAL(inwords)DD«..\.Pr\2SContractor'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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BlDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BysigningandsubmittingthisbidtheContractorconfirmsthattheyarefamiliarwiththeworksiteandallexistingconditionsthatmayaffecttheirworkandthattheyhavereadandagreetoalltheterms,conditionsandrequirementscontainedorreferencedhereinorintheContractDocumentsandthatalltheaforementionedhasbeenincludedinthebidpriceslistedabove,includingitemsofworkthatmaynothaveaspecificpaylineitemandthatthereshallbenoadditionalcoststotheAgency.W ARNING:IfanaddendumoraddendahavebeenissuedbytheAgencyandnotnotedaboveasbeingreceivedbythebidder,thisBidmayberejected.Completethefollowing:CaliforniaProfessionalEngineering,Inc.|DIR#1000377609|CSLBLicense#793907Legalnameofthebusiness,DIRReg.andContractorLicenseNosCorporationBusinessType(Corporation,Partnership,SoleProprietor)N/ADBA(ifany)VanNguyen,PresidentNameandtitleoftheownerVanNguyen,SecretaryNameandtitleofsecondpartnerorofficer19062SanJoseAve.LaPuente,CA91748BusinessAddress(626)810-1338Telephonenumber(626)[email protected]/estimating@cpengineeringinc.comNameandEmailaddressofprimarycontactwvvw.cpengineeringincComny 10/18/2021 10/18/2021SignatuBidder DateSi dder DateVanNguyen,Pent VanNguyen,SecretaryPrintnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateo?icersarerequired.)

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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)'793907b.Expireso 023 10/18/2021 10/18/2021Signatureof DateSignatureofder DateVanNguyen,President VanNguyen,SecretaryPrintnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateofficersarerequired.)ThisrequiredlicensedeterminationhasbeenmadebytheAgency.AnyContractorholdingadifferentlicensewhofeelsheisqualifiedtobidonthisworkmustsoadvisetheAgencyatleastseven(7)dayspriortothebidopening.TheAgencymayconductareviewofthecontemplatedworktore-evaluatetherequiredlicensedetermination.TheAgencymayinitssolediscretionmaintainorchangetherequiredlicensedetermination;Agency'sdecisionastotherequiredlicensewillbefinal.

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B|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(O17)BIDSECURITYFORMFORCHECKNOTE:THEFOLLOWINGFORMSHALLBEUSEDINTHECASEOFCHECKACCOMPANYINGBIDAccompanyingthisproposalisaCertifiedCheckorCashier'sCheckpayabletotheorderoftheCityofHemet,hereinafterreferredtoas"Agency",for amountbeing10percent(10%)ofthetotalamountofthebid.Thischeckshallbereturnedtotheundersignedonlyifeitherofthefollowingoccurs:

A.IfsaidBidshallberejectedbytheAgency;B.IfsaidBidshallbeacceptedbytheAgencyandtheUndersignedshallexecuteanddeliveraContractintheformattachedhereto(properlycompletedinaccordancewithsaidBid)andshallfurnishbondsrequiredforhis/her/itsfaithfulperformanceofsaidContractandforthepaymentofallpersonsperforminglabororfurnishingmaterialsinconnectiontherewith,andshallinallotherrespectsperformtheContractcreatedbyacceptanceofsaidBid.Otherwise,saidcheckshallbecomethepropertyoftheAgencySaidcheckshallalsobecomethepropertyoftheAgencyiftheUndersignedshallwithdrawhis/her/itsbidwithintheperiodofsixty(60)calendardaysafterthedatesetfortheopeningthereof,lessotserequiredbylaw,andnotwithstandingawardtheContracttoanr 10/18/2021 10/18/2021Signatuer DateSignatureder DateVanNguyen,President VanNguyen,SecretaryPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.)

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B|DDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESRev,9Septernbezr282$CIPNo.5651FederalAidProjectNo.5186(O17)BIDSECURITYFORMFORBONDKNOWALLBYTHESEPRESENTS:Thattheundersigned CnlifnrniaPrnfnccinnnlFnnin-marinaIrv‘(NameofContractor)asPrincipalandtheundersignedasSuretyareheldandfirmlybounduntoOwner,CITYOFHEMET,apoliticalsubdivisionoftheStateofCalifornia,asobligee,inthepenalsumof(DollarAmount[,1words)TenPercentoftheTotalBidAmountDollars($10%percent(10%)oftheaggregateamountofsaidPrincipal'sbaseBid,forthepaymentofwhich,)lawfulmoneyoftheUnitedStatesofAmericabeingatleastten wellandtrulytobemade,webindourselves,oursuccessors,executors,administrators,andassigns,jointlyandseverally,firmlybythesepresents.WHEREAS,saidPrincipalissubmittingaBidforCitywideTrafficSignalSafetyUpgradesTHECONDITIONOFTHISOBLIGATIONISSUCHthatiftheBidsubmittedbythesaidPrincipalbeacceptedandtheContractbeawardedtosaidPrincipalandsaidPrincipalshallwithintherequiredperiodsenterintotheContractsoawardedandprovidetherequiredConstructionPerformanceBond,ConstructionLaborandMaterialPaymentBond,insurancecertificates,andallotherendorsements,forms,anddocumentsrequiredundertheInstructionstoBidders,thenthisobligationshallbevoid,otherwisetoremaininfullforceandeffect.INWITNESSWHEREOF,theaboveboundenpartieshaveexecutedthisinstrumentthis13thdayofOctober .2021.(Month) Ca E ng,Inc.(CorporateSeal) ByPripalUnitedBvSuretyng,Attorney—in—Fact(CorporateSeal) By SFOQC-?fty

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ALL—PURP()SEACKN()WLEDGMENTStateofCalifornia
_ ‘ SScoumyor$03On 10/13/2021beforeme, P'Tha°Nguyen,NotaryPublic,[)r'\l.Lf.’.,personallyappearedVanNQUYGD,whoprovedtoTheonthebasisofsatisfactoryevidencetobetheperson(s)Whosene'rne(s}is/arest,§bscriE>s:dtothe‘withininstrument.andaclmowtedgedtometiitathe/site/t.l1eyexecutedthesamein111$/tier/tE1ei1‘authorizedcapacityties),andthatbyhis/herr’tt1ei1‘sig,1tatu:re(s)ontheinstrumentthepersonts),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCatifomiathattheforegoingP.1-HA0NGUYENparagraph18trueandcorrect.COMM.#2298866INOTARYPUBLIC0CALIFORNIA8LOSANGELESCOUNTYWITmyhandandofficialseal.

URE.Anotarypublicorotherofficecompletingthiscertificateverifiesonlytheidentiindividualwhosignedthedocumenttowhichthiscertificateisattached.andnotthetruthfulness.accuracv.orvaliditvofthatdocument.P1AC1:N0V ARYSEAE.INABOVESPACE()PTIONALENF()RMATl()NTheinformationbelowisoptional."However,itmayprovevaluabteandcouldpreventfrau<iulez1tattachmentofthisformtoanLmauthorizeddocument.CAPACl'I‘YCLAIMEDBYSEGNER(PRINCIPAL)IJESCREPTIONOFA'i"”§‘AC.HEI)DOCUMENT{:1INDIVIDUAL I BidBondE]CORP()RA"I"J;«:()i=i?r(.:ERPresident°'l“I'I‘LEOR'1“YPE(}FDOCUIVI’i€N'1‘E]'PARTN13'R(§)“m‘‘’‘’[jAT’E‘()RN}3Y-EN-E*ACZ'fJMBLRofMG”G NJ . 1'A.

CUAR.I)tAN'/(:f01NSERV A'i'('>RD1',“.. 10/18/2021E(“P1534 I‘.)A"l‘1€.()i‘~‘l')()C3Ui\/1[:‘.?\?T 0'I‘HE,RSIGNER(PRINCIPAL)ISREPRESENTING:ENAM};OF.Pt:R.S()l\%(S)oxUN11l'Y(I1“:S) 1 2R1Gi-YE‘CaliforniaProfessionalEngineering,Inc. '§‘]'1'LIMBPRiN’.[‘()1-1‘jgSI(iNERg19? A}"AI/3012 N0§".»\R3r',€3(J?\:'1')§.S1.fPP'i,iI.Z$.»-\NI_}1‘ORMSA"tH’i’l‘l‘:.«".r"'WWW3/Al1,1-‘,\.’-«SIERRAC0?v12(l0?«2()("J$\’Al,[\-HY-S[}7,l‘{}{/xINSUR/\NC.'Fj

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£S%§;§n<e.r(:s)Other"fhartNamedAbox/£3:CapacityiiestCiaimedtsySignerts)$ign€2a"sName{ZorparataOfficer~Titie[$):_ , “WWW L3C£)t”f,>Ot’f3‘t&7Officer~ Title?sj:I“:PartrterwLimitedE]Giertereti£11Patttterm:5Limited1.11GeneralEinciividuatAttorneyFactClindividuaiE]AttorneyinFact[:3TrusteeCsiuarciittn:3:Conservator£1TrussteeF3GuardianOfCongervator[iiOthéer: [:3Other‘Sigma‘isReprosentirtg:gignevigzi*2epre§entirag:
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POWEROFATTORNEYUNITEDSTATESFIREINSURANCECOMPANYPRINCIPALOFFICE—MORRISTOWN,NEWJERSEY 07626KNOWALLMENBYTHESEPRESENTS:ThatUnitedStatesFireInsuranceCompany,acorporationdulyorganizedandexistingunderthelawsofthestateofDelaware,hasmade,constitutedandappointed,anddoesherebymake,constituteandappoint:YungT.Mullick,JamesW.Moilanen,IreneLuong,P.AustinNeff,EmilieGeorge,ChristineHoang,DanielleHansoneach,itstrueandlawfulAttorney(s)-In-Fact,with?allpowerandauthorityherebyconferredinitsname,placeandstead,toexecute,acknowledgeanddeliver:Anyandallbondsandundertakingsofsuretyandotherdocumentsthattheordinarycourseofsuretybusinessmayrequire,andtobindUnitedStatesFireInsuranceCompanytherebyas?illyandtothesameextentasifsuchbondsorundertakingshadbeendulyexecutedandacknowledgedbytheregularlyelectedofficersofUnitedStatesFireInsuranceCompanyatitsprincipalof?ce,inamountsorpenaltiesnotexceeding:FiftyMillionDollars($50,000,000).ThisPowerofAttorneylimitstheactofthosenamedthereintothebondsandundertakingsspeci?callynamedtherein,andtheyhavenoauthoritytobindUnitedStatesFireInsuranceCompanyexceptinthemannerandtotheextentthereinstated.ThisPowerofAttorneyrevokesallpreviousPowersofAttorneyissuedonbehalfoftheAttorneys-In-FactnamedaboveandexpiresonJanuary31,2022.ThisPowerofAttorneyisgrantedpursuanttoArticleIVoftheBy-LawsofUnitedStatesFireInsuranceCompanyasnowinfullforceandeffect,andconsistentwithArticleIIIthereof,whichArticlesprovide,inpertinentpart:ArticleIV ,ExecutionofInstruments-ExceptastheBoardofDirectorsmayauthorizebyresolution,theChairmanoftheBoard,President,anyVice-President,anyAssistantVicePresident,theSecretary,oranyAssistantSecretaryshallhavepoweronbehalfoftheCorporation:(a)toexecute,affixthecorporatesealmanuallyorbyfacsimileto,acknowledge,verifyanddeliveranycontracts,obligations,instrumentsanddocumentswhatsoeverinconnectionwithitsbusinessincluding,withoutlimitingtheforegoing,anybonds,guarantees,undertakings,recognizances,powersofattorneyorrevocationsofanypowersofattorney,stipulations,policiesofinsurance,deeds,leases,mortgages,releases,satisfactionsandagencyagreements;(b)toappoint,inwriting,oneormorepersonsforanyorallofthepurposesmentionedintheprecedingparagraph(a),includingaffixingthesealoftheCorporation.ArticleIII,Of?cers,Section3.11,FacsimileSignatures.ThesignatureofanyofficerauthorizedbytheCorporationtosignanybonds,guarantees,undertakings,recognizances,stipulations,powersofattorneyorrevocationsofanypowersofattorneyandpoliciesofinsuranceissuedbytheCorporationmaybeprinted,facsimile,lithographedorotherwiseproduced.Inaddition,ifandasauthorizedbytheBoardofDirectors,dividendwarrantsorchecks,orothernumerousinstrumentssimilartooneanotherinform,maybesignedbythefacsimilesignatureorsignatures,lithographedorotherwiseproduced,ofsuchofficerorofficersoftheCorporationasfromtimetotimemaybeauthorizedtosignsuchinstrumentsonbehalfoftheCorporation.TheCorporationmaycontinuetouseforthepurposeshereinstatedthefacsimilesignatureofanypersonorpersonswhoshallhavebeensuchofficerorofficersoftheCorporation,notwithstandingthefactthathemayhaveceasedtobesuchatthetimewhensuchinstrumentsshallbeissued.INWITNESSWHEREOF,UnitedStatesFireInsuranceCompanyhascausedthesepresentstobesignedandattestedbyitsappropriateofficeranditscorporatesealhereuntoaf?xedthis10"‘dayofMarch,2016.UNITEDSTATESFIREINSURANCECOMPANY AnthonyR.Slimowicz,PresidentStateofNewJersey}CountyofMorris}Onthis10"‘dayofMarch2016,beforeme,aNotarypublicoftheStateofNewJersey,cametheabovenamedofficerofUnitedStatesFireInsuranceCompany,tomepersonallyknowntobetheindividualandofficerdescribedherein,andacknowledgedthatheexecutedtheforegoinginstrumentandaffixedthesealofUnitedStatesFireInsuranceCompanytheretobytheauthorityofhisoffice.SONIASCALA ,§Lku4..a_NOTARYPUBLICOFNEWJERSEYSoniaScala (NotaryPublic)MYCOMMISSIONEXPIRES3/25/2024No.2163686I,theundersignedofficerofUnitedStatesFireInsuranceCompany,aDelawarecorporation,doherebycertifythattheoriginalPowerofAttorneyofwhichtheforegoingisafull,trueandcorrectcopyisstillinforceandeffectandhasnotbeenrevoked.INWITNESSWHEREOF,Ihavehereuntosetmyhandandaf?xedthecorporatesealofUnitedStatesFireInsuranceCompanyonthe13thdayofOctober2021 UNITEDSTATESFIREINSURANCECOMPANY PeterM.Quinn,SeniorVicePresident

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\ '\_V_":|iSTATEOFCALIFORNIADEPARTMENTOFINSURANCESANFRANCISCO 31stday 20O3
dayof ___l§.
daZNOTICE:QualificationwiththeSecretaryofStatemustbeaccomplishedasafterissuanceofthisCertificateofAuthority.Failuretodosowill ofInsumncegroundsforrevokingthisCertificateofAuthoritypursuanttotheconvenantsmadeintheapplicationthereforandtheconditionscontainedherein.FORMCI!-3 USP0039391 N907812
CertificateofAuthority
THISISTOCERTIFYTHAT!PursuanttotheInsuranceCodeoftheStateofCalifornia,UnitedStatesFireInsuranceCompany of Wilmington:Delaware y ,organizedunderthelawsof De1aware ,subjecttoitsArticlesofIncorporationorotherfundamentalorganizationaldocuments,isherebyauthorizedtotransactwithintheState,subjecttoallprovisionsofthisCerti?cate,thefollowingclassesofinsurance:Fire.Mariner surety,Disability,PlateGlass,Liability,Workers‘Compensation,CommonCarrierLiability,BoilerandMachinery,Burglary,Credit,Sprinkler,TeamandVehicle,Automobile,Aircraft,andMiscellaneousassuchclassesarenowormayhereafterbede?nedintheInsuranceLawsoftheStateofCalifornia.THISCERTIFICATEisexpresslyconditionedupontheholderhereofnowandhereafterbeinginfullcompliancewithall,andnotinviolationofany,oftheapplicablelawsandlawfulrequirementsmadeunderauthorityofthelawsoftheStateofCaliforniaaslongassuchlawsorrequirementsareineffectandapplicable,andassuchlawsandrequirementsnoware,ormayhereafterbechangedoramended.

INWITNESSWHEREOF,e?ectiveasofthe,Ihavehereuntosetmyhandandcausedmyofficialsealtobea?ixedthis31st December
torASSt

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10l1BI22
BIDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)NON-COLLUSIONAFFIDA VITPUBLICCONTRACTCODESECTION7106NON—COLLUS|ONDECLARATIONTOBEEXECUTEDBYBIDDERANDSUBMITTEDWITHBIDTheundersigneddeclares. CaliforniaProfessionalEngineeingInc. _IamthePresldenlof I 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],atLaPuente[city],California[state] 10/18/2021Signatureer DateSignatureofBidder DateVanNguyen,President VanNguyen,SecretaryPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.) we

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BlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017) Attachtothisbidalistofthree(3)projectsinthepastfive(5)yearsonwhichthebidderandhissubcontractor(s)havesuccessfullyconstructedandcompletedprojectswiththesametype(elements),sizeandcomplexityofwork.TheAgencyEngineerwillmakethefinaldeterminationofwhethertheprojectslistedhereareofthesametype,sizeandcomplexityasthisproject.Failureofbiddertosupplysufficientdocumentationofsimilarelectric,telephone,cableandsanitarysewerundergroundfacilitiesexperienceshallbeconsideredgroundsforanon—responsivebidand,attheAgency'sdiscretion,saidbidwillbedisqualified.projectName;ThreeTrafficSignalIntersections#3186-4ContractPrice:$678965-00DateofCompletion:August2020Name,Address,andTelephoneNumberofOwner'sRepresentative:MartyRagels—160South10thStreetColton,CA92324(909)270-5065 projectName;TwoTrafficSignalIntersections#19-04/05ContractPrice:$857901-78DateofCompletion:M33’2020Name,Address,andTelephoneNumberofOwner'sRepresentative:CarlosGeronimo-29844HaunRoadMenifee,CA92586(951)723-3722 projectName.MetroGoldlineAt-GradeCrossingMobilityEnhancements#31131IFedAid#CML-5064(083)ContractPrice:$915950-71ateofCompletion:JU'Y2019Name,Address,andTelephoneNumberofOwner'sRepresentative:ArnoldDichosa-100NorthGarfieldAvenue,N306Pasadena,CA91101 (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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BlDDER'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]1000377609Subcontractors’registrationnumbersareasindicatedinDocument004314.BIDDE 10/18/2021 10/18/2021Signature0 er DateSignatureofBidder DateVanN,PresidentVanNguyen,SecretaryPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateo?icersarerequired.)

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BlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)EQUALEMPLOYMENTOPPORTUNITYCERTIFICATION ThebidderCaliforniaProfessionalEngineering,Inc proposedsubcontractor herebycertifiesthathehasL,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;and 0 hasnotbeenindicted,convicted,orhadaciviljudgmentrenderedagainstitbyacourtofcompetentjurisdictioninanymatterinvolvingfraudorofficialmisconductwithinthepast3years.

Ifthereareanyexceptionstothiscertification,inserttheexceptionsinthefollowingspace Exceptionswillnotnecessarilyresultindenialofaward,butwillbeconsideredindeterminingbidderresponsibility.Foranyexceptionnotedabove,indicatebelowtowhomitapplies,initiatingagency,anddatesofaction.

Notes:Providingfalseinformationmayresultincriminalprosecutionoradministrativesanctions.TheabovecertificationispartoftheProposal.SigningthisProposalonthesignatureportionthereofshallalsoconstitutesignatureofthisCertification.

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BlDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017) Theprospectiveparticipantceiti?es,bysigningandsubmittingthisbidorproposal,tothebestofhisorherknowledgeandbelief,that:(I)NoFederalappropriatedfundshavebeenpaidorwillbepaid,byoronbehalfoftheundersigned,toanypersonforin?uencingorattemptingtoin?uenceanofficeroremployeeofanyFederalagency,aMemberofCongress,anof?ceroremployeeofCongress,oranemployeeofaMemberofCongressinconnectionwiththeawardingofanyFederalcontract,themakingofanyFederalgrant,themakingofanyFederalloan,theenteringintoofanycooperativeagreement,andtheextension,continuation,renewal,amendment,ormodificationofanyFederalcontract,grant,loan,orcooperativeagreement.(2)IfanyfundsotherthanFederalappropriatedfundshavebeenpaidorwillbepaidtoanypersonforin?uencingorattemptingtoin?uenceanofficeroremployeeofanyFederalagency,aMemberofCongress,anofficeroremployeeofCongress,oranemployeeofaMemberofCongressinconnectionwiththisFederalcontract,grant,loan,orcooperativeagreement,theundersignedshallcompleteandsubmitStandardForm—LLL,"DisclosureofLobbyingActivities,"inconformancewithitsinstructions.Thiscertificationisamaterialrepresentationoffactuponwhichreliancewasplacedwhenthistransactionwasmadeorenteredinto.Submissionofthiscerti?cationisaprerequisiteformakingorenteringintothistransactionimposedbySection1352,Title31,U.S.Code.Anypersonwhofailstofiletherequiredcerti?cationshallbesubjecttoacivilpenaltyofnotlessthan$10,000andnotmorethan$100,000foreachsuchfailure.Theprospectiveparticipantalsoagreesbysubmittinghisorherbidorproposalthatheorsheshallrequirethatthelanguageofthiscerti?cationbeincludedinalllowertiersubcontracts,whichexceed$l00,000andthatallsuchsubrecipientsshallcertifyanddiscloseaccordingly.

NONLOBBYINGCERTIFICATION

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('()M|'|,l-l'I-‘Hlls|-’(>I(MTUmsclUS!»lmm\'INLiM‘nv
FormofI’a_\men!(checkallthata
B|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)

1.TypeofFederalAction:DISCLOSUREOFLOBBYINGACTIVITIES[TIESPURSUANTTO31USC13522.StatusofFederalAction:3.ReportType:a.contract a.bid/offer/applicationa.initialb.grant b.initialaward b.materialchangec.cooperativeagreementc.post-a\vardd.loan ForMaterialChangeOnly:e.loanguarantee yearquarterf.loaninsurance dateoflastreport4.NameandAddressofReportingEntity 5.lfReportingEntityinNo.4isSubawardee,EnterNameandAddressofPrime:PrimeDSubawardeeTier,ifknown N/A CongressionalDistrict,ifknown CongressionalDistrict,ifknown6.FederalDepartment/Agency:7.FederalProgramName/Description:

CFDANumber,ifapplicable8.FederalActionNumber,ifknown 9.AwardAmount,ifknown:N/A N/A

10.a.NameandAddressofLobbyEntity b.IndividualsPerformingServices(including(ifindividual,lastname,firstname,Ml) addressifdifferentfromNo.l0a)(lastname,firstname,Ml)N/A N/A(attachContinuationSheet(s)ifnecessary)11.AmountofPayment(checkallthatapply) 13.TypeofPayment(checkallthatapply)$N/ADactualplanned a.retainerb.one-timefee N/A12. pply):N/A c.commission(1.contingentfeeedeferredf.other,specify14.BriefDescriptionofServicesPerformedortobeperformedamll)atc(s)ofService,includingof?cer(s),emp|0yee(s),ormeniber(s)contacted,forPaymentIndicatedinItem1]:N/A (attachContinuationSheet(s)ifnecessary)15.ContinuationSheet(s)attached:YesDNo[6,liifomiationrequestedthroughthisformisauthorizedbyTitle31USCSection1352ThisdisclosureoflobbyingreliancewasplacedSignaturebythetierabovewhenhistransactionwasmadeorenteredintoThisdisclosureisrequiredpursuantto3lUSCI352Thisinformation_- _VNwillbereportedtoCongressseniiaiinuallyandwillbeavailableforPImtName'anguyenpublicinspectionAnypersonwhofailstofiletherequireddisclosure_ P_dtStshallbesubjecttoacivilpenaltyofnotlessthan$l0,000andnotmoreTitle:reslen' ecrearythan$100,000foreachsuchfailure TelephoneNo626~810-1338Date:10/18/2021AuthorizedforLocalReproductionFedel-3|UseOn StandardForm-LLL

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BlDDER'SPROPOSAL(Cont’d)I1;CITYWIDETRAFFICSIGNALSAFETYUPGRADES5:;III.—».aw:Ir CIPNo.5651FederalAidProjectNo.5186(017)INSTRUCTIONSFORCOMPLETIONOFSF-LLL,DISCLOSUREOFLOBBYINGACTIVITIESThisdisclosureformshallbecompletedbythereportingentity.whethersubawardeeorprimeFederalrecipient,attheinitiationorreceiptofcoveredFederalactionoramaterialchangetoprevious?lingpursuanttotitle31U.S.C.section1352.The?lingofaformisrequiredforsuchpaymentoragreementtomakepaymenttolobbyingentityforin?uencingorattemptingtoinfluenceanof?ceroremployeeofanyagency,aMemberofCongressanofficeroremployeeofCongressoranemployeeofaMemberofCongressinconnectionwithacoveredFederalaction.Attachacontinuationsheetforadditionalinformationifthespaceontheformisinadequate.Completeallitemsthatapplyforboththeinitial?lingandmaterialchangereport.RefertotheimplementingguidancepublishedbytheOf?ceofManagementandBudgetforadditionalinformation.I.IdentifythetypeofcoveredFederalactionforwhichlobbyingactivityisand/orhasbeensecuredtoinfluence,theoutcomeofacoveredFederalaction.2.IdentifythestatusofthecoveredFederalaction.3.Identifytheappropriateclassi?cationofthisreport.Ifthisisafollow-upreportcausedbyamaterialchangetotheinformationpreviouslyreported,entertheyearandquarterinwhichthechangeoccurred.Enterthedateofthelast.previouslysubmittedreportbythisreportingentityforthiscoveredFederalaction.4.Enterthefullname.address_.city,stateandzipcodeofthereportingentity.IncludeCongressionalDistrictifkno\vn.Checktheappropriateclassi?cationofthereportingentitythatdesignatesifitisorexpectstobeaprimeorsubawardrecipient.Identifythetierofthesuba\vardee.e.g.,thefirstsubawardeeoftheprimeisthefirsttier.Suba\vardsincludebutarenotlimitedtosubcontracts,subgrantsandcontractawardsundergrants.5.lftheorganizationfilingthereportinItem4checks"Subawardee"thenenterthefullname.address,city,stateandzipcodeoftheprimeFederalrecipient.IncludeCongressionalDistrict,ifknown.6.EnterthenameoftheFederalagencymakingtheawardorloancommitment.Includeatleastoneorganizationlevelbelowagencyname,ifknown.Forexample,DepartmentofTransportation,UnitedStatesCoastGuard.7.EntertheFederalprogramnameordescriptionforthecoveredFederalaction(itemI).Ifknown,enterthefullCatalogofFederalDomesticAssistance(CFDA)numberforgrants,cooperativeagreements,loansandloancommitments.8.EnterthemostappropriateFederalidentifyingnumberavailablefortheFederalactionidenti?cationinitemI(e.g.,RequestforProposal(RFP)number,InvitationforBid(IFB)number,grantannouncementnumber,thecontractgrant.orloanawardnumber,theapplication/proposalcontrolnumberassignedbytheFederalagency).Includepre?xes.e.g.."RFP-DE-90-00I."9.ForacoveredFederalactionwheretherehasbeenanawardorloancommitmentbytheFederalagency.entertheFederalamountoftheaward/loancommitmentsfortheprimeentityidenti?edinitem4or5.l0.(a)Enterthefullname,address,city,stateandzipcodeofthelobbyingentityengagedbythereportingentityidenti?edinitem4toin?uencedthecoveredFederalaction.(b)Enterthefullnamesoftheindividual(s)performingservicesandincludefulladdressifdifferentfrom10(a).EnterLastName.FirstNameandMiddleInitial(MI).11.Entertheamountofcompensationpaidorreasonablyexpectedtobepaidbythereportingentity(item4)tothelobbyingentity(itemI0).Indicatewhetherthepaymenthasbeenmade(actual)orwillbemade(planned).Checkallboxesthatapply.Ifthisisamaterialchangereport,enterthecumulativeamountofpaymentmadeorplannedtobemade.12.Checktheappropriatebox.Checkallboxesthatapply.Ifpaymentismadethroughanin-kindcontribution,specifythenatureandvalueofthein-kindpayment.I3.Checktheappropriatebox.Checkallboxesthatapply.lfother,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_.totheOfficeofManagementandBudget.PaperworkReductionProject(0348-0046),Washington,D.C.20503. SF-LLL-InstructionsRev06-04»90«ENDlF>>

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25.AwmclAnmunl
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B|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(O17)Exhibit15-GConstructionContractDBECommitment1LocalAgency:CWOfHemet 2ContractDBEGoal:19%3projectDescription:CitywideTrafficSignalSafetyUpgrades4ProjectLocation:CityofHemet5Bidder'sName:C*’=‘”f°”“aPl°fe5Si°“3'E”9l“e9”“9v'“°-6.PrimeCertifiedDBE:la7BidAmount:‘KI-H020?8TotalDollarAmountforALLSubcontractors:3 9TotalNumberofALLSubcontractors:C) “?e?” ciiaiiiionbetitiiiE:i::°;;t;°;:;:‘;‘:20em,‘Eoi’-iiNumber pp Number( p Amount ba||TOl'n|al"FOTeSS|OnaIizngineering,lnC1,2,3,4.. .5618Lighting,PedestrianPushButton,Controller,APSSystem312772522.631ginsgg?evédglcge?::1r§:riri£n%1<Z:r% LocalAgencytoCompletethisSectionuponExecutionofAward *‘54to;>o°321.LocalAgencyContractNumber:22Federa|—AidProjectNumber: 15.TOTALCLAIMEDDBEPARTICIPATION. . IUD°/»23.BidOpeningDate:24.ContractAwardDate: IMPORTANT:IdentifyallDBE?rmsbeingclaimedforcredit,regardlessoftierNamesoftheFirstTierDBESubcontractorsandtheirrespectiveitem(s)ofworklistedabovemustbeconsistent,wherewiththeanditemsoftheworkintheLocalAgencycerti?esthatallDBEcerti?cationsarevalidandinformationonS rList"s yourbidWrittencon?rmationofthisformiscompleteandaccurate. each 10/18/202126.LocalAgencyRepresentative'sSignature27.Date 16 Signature17DateVanNguyen 626-810-133828LocalAgencyRepresentative'sName29.Phone 18Preparer‘sName 19PhonePresident,Secretary30.LocalAgencyRepresentative'sTitle 20.Preparer'sTitleDISTRIBUTION:1.Original-LocalAgency2Copy— CaltransDistrictLocalAssistanceEngineer(DLAE).FailuretosubmittoDLAEwithin30daysofcontractexecutionmayresultinde—ob|igationoffederalfundsoncontract3.Includeadditionalcopywithawardpackage.ADANotice:Forindividualswithsensorydisabilities,thisdocumentisavailableinalternateformatsForinformationcall(916)654-6410orTDD(916)654-3880orwriteRecordsandFormsManagement,1120NStreet,MS—89,Sacramento,CA95814

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BlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)

1.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.TotalDollarAmountfor51¢Subcontractors— Enterthetotaldollaramountforallsubcontractedcontractors.SUM=(DBES+allNon-DBES).Donotincludetheprimecontractorinformationinthiscount.9.Totalnumberof_1?_._Lsubcontractors— 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.DBECerti?cationNumber-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“ContractDBEGoal,”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.

INSTRUCTIONS— CONSTRUCTIONCONTRACTDBECOMMITMENTCONTRACTORSECTION

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BlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)EXHIBIT15-H:PROPOSERICONTRACTORGOODFAITHEFFORTSCostProposalDueDate PE/CEFederal-aidProjectNo(s) BidOpening CONThe (AaencvName)establishedaDisadvantagedBusinessEnterprise(DBE)goalof19%forthiscontract.TheinformationprovidedhereinshowstherequiredgoodfaitheffortstomeetorexceedtheDBEcontractgoal.Proposersorbidderssubmitthefollowinginformationtodocumenttheirgoodfaitheffortswithinfive(5)calendardaysfromcostproposalduedateorbidopening.ProposersandbiddersarerecommendedtosubmitthefollowinginformationeveniftheExhibit10-01: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.):NamesofDBEsSolicitedDateofInitialSolicitationFollowUpMethodsandDatesWeareDBE 5186(O17) Date10/19/2021

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BlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)C.TheitemsofworkmadeavailabletoDBEfirmsincludingthoseunbundledcontractworkitemsintoeconomicallyfeasibleunitstofacilitateDBEparticipation.Itisthebidder'sresponsibilitytodemonstratethatsufficientworktofacilitateDBEparticipationinordertomeetorexceedtheDBEcontractgoal.Itemsof ProposerorBidderBreakdownofAmountPercentageWorkNormallyPerformsItemItems($) Of(Y/N) Contract WeareDBE %%%D.Thenames,addressesandphonenumbersofrejectedDBEfirms,thereasonsforthebidder'srejectionoftheDBEs,thefirmsselectedforthatwork(pleaseattachcopiesofquotesfromthefirmsinvolved),andthepricedifferenceforeachDBEiftheselectedfirmisnotaDBE:Names,addressesandphonenumbersofrejectedDBEsandthereasonsforthebidder'srejectionoftheDBEs:N/A Names,addressesandphonenumbersoffirmsselectedfortheworkabove:N/A E.Efforts(e.g.inadvertisementsandsolicitations)madetoassistinterestedDBEsinobtaininginformationrelatedtotheplans,specificationsandrequirementsfortheworkwhichwasprovidedtoDBEs:WeareDBE F.Efforts(e.g.inadvertisementsandsolicitations)madetoassistinterestedDBEsinobtainingbonding,linesofcreditorinsurance,necessaryequipment,supplies,materials,orrelatedassistanceorservices,excludingsuppliesandequipmenttheDBEsubcontractorpurchasesorleasesfromtheprimecontractororitsaffiliate:WeareDBE

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B|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(O17) G.Thenamesofagencies,organizationsorgroupscontactedtoprovideassistanceincontacting,recruitingandusingDBEfirms(pleaseattachcopiesofrequeststoagenciesandanyresponsesreceived,i.e.,lists,Internetpagedownload,etc.):NameofAgency/OrganizationMethod/DateofContactResultsWeareDBE H.Anyadditionaldatatosupportademonstrationofgoodfaithefforts:WeareDBE

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CITYOFHEMET

I ID NTY ARN

IDNDNA D M
ITYWIR Fl I N FTY
ETEMR 1
Sentember212021
RVERSECOU,CLIFOBACOTRCTOCUENTSC DETAFCSGALSAEUPGRADESCAPTALPROVEETPROJECTNO.5651FEDELDPOJECTO.5186(07)SPBE202 SteveR.Loriso,ActingCityEngineer DateR.C.E.No.64701ThisisaprevailingwageprojectunderthelawsoftheStateofCalifornia,andisalsosubjecttoFederalDavis-Baconwages.

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PNDIAPE

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willnotberesgonsible
th)Q&A1$(<_i2.

BIDDER'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.Inadditiontoreaffirmingthatthechangesandinformationcontainedintheaddendahavebeenintegratedintoeirproposal,ContractoracknowledgesreceiptofAddendaNo.(sTheundersignedsexaminedthecurrentStateofCaliforniascheduleofprevailingwageratesforthetypesofworktobedoneonthisproject(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. $€§w€<am§3»z::”?:@2§

16.E

v.mm.axun»ua.m.y.v.-:.u.«xaar«a-4.4.y.4.an.«o,* gunman-xx-H:an-4:*ak4eie~tmuea«mu::-~w<~kw~pie~1:

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.

UNITESTIMATEDUNITExT1|_E::3EDQUANTITYPRICEAMOUNT‘I2.‘Ital.°"'L5 1 LIZ;°rUI.oo' I2.4.000.'LS1 I16:000-0:100.00EA151
EA253
EA37
EA142600.00 M
EA39
EA1 9.000.00
TOTALBASEBID(numbers)ENDOFBASEBIDITEMS
30:Z00‘00
100'”noI’-H.100.€Ma'oo00\¢€1000-
QJOO-00 .anZ11,7:00
#0
‘$94.

16.E

It
BIDDER'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. “J\‘ “WI\J(‘¢°\‘7=\K\-\FourDo?nrsnvui(‘,¢u

16.E

wholly-OwnedsubsidiaryofEMCOFIGroup,Inc.(NYSEListinq:EME upp@dy
a 1! S.\g21‘>1
B|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BysigningandsubmittingthisbidtheContractorconfirmsthattheyarefamiliarwiththeworksiteandallexistingconditionsthatmayaffecttheirworkandthattheyhavereadandagreetoalltheterms,conditionsandrequirementscontainedorreferencedhereinorintheContractDocumentsandthatalltheaforementionedhasbeenincludedinthebidpriceslistedabove,includingitemsofworkthatmaynothaveaspecificpaylineitemandthatthereshallbenoadditionalcoststotheAgency.W ARNING:IfanaddendumoraddendahavebeenissuedbytheAgencyandnotnotedaboveasbeingreceivedbythebidder,thisBidmayberejected.Completethefollowing:KDCInc./1000001129/550173Legalnameofthebusiness,DIRReg.andContractorLicenseNosCorporationBusinessType(Corporation,Partnership,SoleProprietor)DvnalectricL.A.DBA(ifany)DeanKnupp—COO(KDCInc.dbaDynalectricL.A.isaNameandtitleofthe-ownerOfficerBenMartin—CFONameandtitleofsecondpart-Her-orofficer4462CorporateCenterDrive,LosAlamitos,CA90720-2539BusinessAddress(714)828-7000Telephonenumber(714)484-2389FacsimilenumberDeanKnupp-COOdknna-|a.comNameandEmailaddressofprimarycontacta—|a.comCompanywebaddress SignatureofBier Date derDeanKnupp—COO BenMartin—CFOPrintnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateofficersarerequired.)

16.E

I der D’ / 295/s.\b\\\Y\}.l
B|DDER'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'slicense(s)which:aBearsthelicensenumber(s):550173bExpireson12/31/2022 5gnatureofBid ate er DateDeanKnupp—COO BenMartin-CFOPrintnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateofficersarerequired.)ThisrequiredlicensedeterminationhasbeenmadebytheAgency.AnyContractorholdingadifferentlicensewhofeelsheisqualifiedtobidonthisworkmustsoadvisetheAgencyatleastseven(7)dayspriortothebidopening.TheAgencymayconductareviewofthecontemplatedworktore-evaluatetherequiredlicensedetermination.TheAgencymayinitssolediscretionmaintainorchangetherequiredlicensedetermination;Agency'sdecisionastotherequiredlicensewillbefinal.

16.E

B|DDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BIDSECURITYFORMFORCHECKNOTE:THEFOLLOWINGFORMSHALLBEUSEDINTHECASEOFCHECKACCOMPANYINGBIDAccompanyingthisproposalisaCertifiedCheckorCashier'sCheckpayabletotheorderoftheCityofHemet,hereinafterreferredtoas"Agency",fordollars( ,thisamountbeing10percent(10%)ofthetotalamountofthebid.Thischeckshallbereturnedtotheundersignedonlyifeitherofthefollowingoccurs:A.IfsaidBidshallberejectedbytheAgency;BIfsaidBidshallbeacceptedbytheAgencyandtheUndersignedshallexecuteanddeliveraContractintheformattachedhereto(properlycompletedinaccordancewithsaidBid)andshallfurnishbondsrequiredforhis/her/itsfaithfulperformanceofsaidContractandforthepaymentofallpersonsperforminglabororfurnishingmaterialsinconnectiontherewith,andshallinallotherrespectsperformtheContractcreatedbyacceptanceofsaidBid.Otherwise,saidcheckshallbecomethepropertyoftheAgencySaidcheckshallalsobecomethepropertyoftheAgencyiftheUndersignedshallwithdrawhis/her/itsbidwithintheperiodofsixty(60)calendardaysafterthedatesetfortheopeningthereof,unlessotherwiserequiredbylaw,andnotwithstandingtheawardoftheContracttoanotherbidder.

SignatureofBidder DateSignatureofBidder Date
Printnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.) SeeBidBondattached.

Rev.if}$s2mtember;2{};?i

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....,.._._
demlAidBLIGAT
Caslty
CamilleMailland.

SuretyHarlfoxd,
IBHMRIIN.

BIDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BIDSECURITYFORMFORBONDKNOWALLBYTHESEPRESENTS:ThattheundersignedKDCInc.4462CnrnnrateCenterDrive.LOSAlamitns_CA90720(NameofContractor)*asPrincipalandtheundersignedasSuretyareheldandfirmlybounduntoOwner,CITYOFHEMET,apoliticalsubdivisionoftheStateofCalifornia,asobligee,inthepenalsumof(l_)_(:IIiAmountInWords)TenPercentnftheAmountBidDollars(S10%ofAmt.Bid)lawfulmoneyoftheUnitedStatesofAmericabeingatleasttenpercent(10%)oftheaggregateamountofsaidPrincipal'sbaseBid,forthepaymentofwhich,wellandtrulytobemade,webindourselves,oursuccessors,executors,administrators,andassigns,jointlyandseverally,firmlybythesepresents.*TravelersCasualtyandSuretyCompanyofAmericaWHEREAS,saidPrincipalissubmittingaBidfor[PROJECTNAMEANDDESCRIPTION]CITYWIDETRAFFICSIGNALSAFETYUPGRADES—CIPN0.5651ProjectNo.5186(017)-ElectricalTHECOND|TlONOFTHIS3IONlSSUCHthatiftheBidsubmittedbythesaidPrincipalbeacceptedandtheContractbeawardedtosaidPrincipalandsaidPrincipalshallwithintherequiredperiodsenterintotheContractsoawardedandprovidetherequiredConstructionPerformanceBond,ConstructionLaborandMaterialPaymentBond,insurancecertificates,andallotherendorsements,forms,anddocumentsrequiredundertheInstructionstoBidders,thenthisobligationshallbevoid,otherwisetoremaininfullforceandeffect.INWITNESSWHEREOF,theaboveboundenpartieshaveexecutedthisinstrumentthis1stdayof October 2021.(Month) KDCInc.(CorporateSeal) By 0'0TravelersandCompanyofAmericaByOneTowerSquare,CT06183Surety(CorporateSeal) ByC’6-414Attorney-in-Fact

16.E

Notaiybli
KDCInc.dba:DynglggjricLA
CALIFORNAALL-PURPOSEACKNOWLEDGMENTCIVILCODE§1189
Anotarypublicorotherofficercompletingthiscertificateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscertificateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.StateofCalifornia)Countyof Orange)on10-18-21beforeme,KristenCzuorvn.NotarvPublicDate HereInsertNameandTitleoftheOf?cerpersonallyappearedBenMartinName(s)ofSigner(s)whoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity(ies),andthatbyhis/her/theirsignature(s)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.WITNESSmyhandandofficialsealKRISTENRENEECZUPRYNNotaryPublic-CaliforniaOrangeCounty .Commissionit2360170S'gnature 'MyComm.ExpiresJun7,2025 Signatureof
NNA1
PlaceNotarySealAboveOPTIONALThoughthissectionisoptional,completingthisinformationcandeteralterationofthedocumentorfraudulentreattachmentofthisformtoanunintendeddocument.DescriptionofAttachedDocumentTitleorTypeofDocument:BidBond DocumentDate:10-1-21NumberofPages:1 Signer(s)OtherThanNamedAbove:RitaSaqistanoCapacity(ies)ClaimedbySigner(s)Signer’sName:BenMartin sName:XCorporateOfficer— Title(s):CEQ — Title(s):Partner— Limited[3GeneralPartner— GIndividualAttorneyinFact IndividualinFactTrusteeGuardianorConservatorTrustee nservatorOther:SignerlsRepresenting:. lsRepresenting:
©2014NationalNotaryAssociation-www.NationalNotary.org-1-800-USNOTARY(1-800-876-6827)Item#5907

16.E

TravelersCasualtyRA VEERET ...

RobertRrwasPresident
- -5 @2%]J P.Nowik.NotaryPublic
CasualtyandSuretyCornofandSuretyCompanyTL St.PauFireandarineInsuranceCompanyPOWEROFATTORNEYKNOWALLMENBYTHESEPRESENTS:ThatTravelersCasualtyandSuretyCompanyofAmerica.TravelersCasualtyandsurelyCompany.andSt.PaulFireandMarineInsuranceCompanyarecorporationsdulyorganizedunderthelawsoftheStateofConnecticut(hereincollectivelylledthe"Companies“).andthatthecompaniesdoherebymake.conslituteandappointCamilleMaitland ofUNIONDALE~ .NewYorlr.theirtrueandlawfulAttorriey(s)-in-Facttosign.execute.sealandacknowledgeanyandallbonds,recognizanoes.conditionalundertakingsandotherwritingsobligatoryinthenaturethereofonbehalfoftheCompaniesintheirbusinessofguaranteeingthe?delityofpersons.guaranteeingtheperfonnanceofcontractsandexecutingorguaranteeingbondsandundertakingsrequiredorpermittedinanyactionsorproceedingsallowedbylaw.INWITNESSWHEREOF.theCompanieshavecausedthisinstrumenttobesigned.andtheircorporateseatstobeheretoaf?xed.this21stdayofApril.2021.

StateofConnecticut By:CityofHartfordas. L-Onthisthe21stdayofApril.2021.beforerriepersonallyappearedRobertL.Ranoy.whoacknowledgedhimselftobetheSeniorVicePresidentofeachoftheCompanies,andthathe.assuch.beingauthorizedsotodo.executedtheforegoinginstrumentforthepurposesthereincontainedbysigningonbehalfofsaidCompaniesbyhimselfasadulyauthorizedotticer.INWITNESSWHEREOF.Ihereuntosetmyhandandof?cialseal. [ANYMyCommissionexpirestheaortadayofJune.2023 "ii-NJELIOAnnaThisPowerofAttorneyisgrantedunderandbytheauthorityofthefollowingresolutionsadoptedbytheBoardsofDirectorsofeachofthecompanies.whichresolutionsarenowinfullforceandeffect.readingasfollows:RESOLVED.thattheChairman.thePresident.anyViceChaimian.anyExecutiveVicePresident,anySeniorwoePresident.anyVicePresident.anySecondVicePresident.theTreasurer.anyAssistantTreasurer.theCorporateSecretaryoranyAssistantSecretarymayappointAttonieys-in-FactandAgentstoactforandonbehalfofthecornpanyandmaygivesuchappointeesuchauthorityashisorhercerti?cateofauthoritymayprescribetosignwiththeCompany'snameandsealwiththeCompany'ssealbonds.recognizances.contractsofindemnity.andotherwritingsobligatoryinthenatureofabond.recognizance.orconditionalundertaking.andanyofsaido?icersortheBoardofDirectorsatanytimemayremoveanysuchappointeeandrevokethepowergivenhirriorher.anditisFURTHERRESOLVED,thattheChairman.thePresident.anyWoeChairman.rryExecutiveVicePresident.anySeniorWoePresidentoranyVicePresidentmaydelegatealloranypartoftheforegoingauthoritytooneormoreofficersoremployeesofthisCompany.providedthateachsuchdelegationisinwritingandacopythereofis?ledintheofliceoftheSecretary;anditisFURTHERRESOLVED,thatanybond.recognizance.contractofindemnity.orwritingobligatoryinthenatureofabond.recognizance.orconditionalundertakingshallbevalidandbindingupontheCompanywhen(a)signedbythePresident.anyViceChairman.anyExecutiveVicePresident.anySeniorVicePresidentoranyVicePresident,anySecondVicePresident.theTreasurer.anyAssistantTreasurer.theCorporateSecretaryoranyAssistantSecretaryanddulyattestedandsealedwiththeCompany'sseatbyaSecretaryorAssistantSecretary;or(b)dulyexecuted(underseal.itrequired)byoneormoreAttomeys-in-FactandAgentspursuanttothepowerprescribedinhisorhercerti?cateortheircerti?catesofauthorityorbyoneormoreCompanyoliicerspursuanttoawrittendelegationofauthority;anditisFURTHERRESOLVED.thatthesignatureofeachofthefollowingol?cers:President.anyExecutiveVicePresident.anySenior\IicePresident.anyVicePresident.anyAssistantVicePresident.anySecretary.anyAssistantSecretary.andthesealoftheCompanymaybeaf?xedbyfacsimiletoanyPowerofAttorneyortoanycertificaterelatingtheretoappointingResidentVicePresidents.ResidentAssistantSecretariesorAttorneys-in-Factforpurposesonlyofexecutingandattesrmgbondsandundertakingsandotherwritingsobligatoryinthenaturethereof.andanysuchPowerofAttcmeyorcerti?catebearingsuchfacsimilesignatureorfacsimilesealshallbevalidandbindingupontheCompanyandanysuchpowersoexecutedandcerti?edbysuchfacsimilesignatureandfarsirnitesealshallbevalidandbiidingontheCompanyinthefuturewithrespecttoanybondorunderstandingtowhichitisattached.I.KevinE.Hughes.theundersigned.AssistantSecretaryofeachoftheCompanies.doherebycertifythattheaboveandforegoingisatrueandcorrectcopyofthePowerofAttorneyexecutedbysaidCoriipanies.whichremainsinfullforceandeffect.Datedthis1stdayofOctober.2021. "Tl(7evin"E.Hughes,Ass?tantSecretaryTovediytlrearrtlreirtidtyaltliiisofattbmeygpleuiecallrsatl-Jim.Pleuerdwmtlreabore-nanredarrddredehllsoftlreborrdtnwltkitdrh?owerofltlorneyisatladred.

16.E

NASSAU
gZ+olou'I2:274
TtaveleesCasualty;andSuretyCorgganvofAmerica
0 TravelersCasualtyandSuretyComp
calmedInNunuCOlnllllubnFaokuMild!I.

ACKNOWLEDGMENTOFSURETYCOMPANY
STATEOFNEWYORK}COUNTYOF 3
Onthis ,beforemepersonallycameCamilleMaitlandtomeknown.who.beingbyme’dulysworn,diddeposeandsay;thathe/sheresidesinNassauCountyStateofNewYorkthathe/sheistheAttorney-In-Factofthethecorporationdescribedinwhichexecutedtheaboveinstrument;thathe/sheknowsthesealofsaidcorporation;thatthesealaf?xedtosaidinstrumentissuchcorporateseal;thatiswassoaf?xedbytheBoardofDirectorsofsaidcorporation;andthathe/shesignedhis/hernametheretobylikeorder;andtheaf?antdidfurtherdeposeandsaythattheSuperintendentofInsuranceoftheStateofNewYork,haspursuanttoSection1111oftheInsuranceLawoftheStateofNewYork,issuedt anyofAmgica _Z
(Surety)his/hercerti?cateofquali?cationevidencingthequali?cationofsaidCompanyanditssuf?ciencyunderanylawoftheStateofNewYorkassuretyandguarantor,andtheproprietyofacceptingandapprovingitassuch;andthatsuchcerti?catehasrevoked.Nota NYacknowledgement NELLYMRENCHIWICHryPublic-staleofNewYouNo.o1REe21a1sa

16.E

' rnnu‘
CAPITALSTOCK56,480,000
CASHANDINVESTEDCASH S239,403,348UNEARNEDPREMIUMSBONDS 3,831.156,861LOSSESSTOCKS 109,074,035LOSSADMSTMENTEXPENSESINVESTMENTINCOMEDUEANDACCRUED36,856,709COMMISSIONSOTHERINVESTEDASSETS 4,970,512TAXES,LICENSESANDFEESPREMIUMBALANCES 277,853,788OTHEREXPENSESNETDEFERREDTAXASSET 55,188,715CURRENTFEDERALANDFOREIGNINCOMETAXESREINSURANCERECOVERABLE32,553,518REMITTANCESANDITEMSNOTALLOCATEDRECEIV ABLESFROMPARENT,SUBSIDIARIESANDAFFILIATES34,876,347OTHERASSETS 4,155,794POLICYHOLDERDIVIDENDSPROVISIONFORREINSURANCEADV ANCEPREMIUMCEDEDREINSURANCENETPREMIUMSPAY ABLEOTHERACCRUEDEXPENSESANDLIABILITIESTOTALLIABILITIES

CAPITALSTOCKPAIDINSURPLUSOTHERSURPLUSTOTALSURPLUSTOPOLICYHOLDERS TOTALASSETS —5732'5,'I3§T5'27—TOTALLIABILITIES8-SURPLUS

STATEOFCONNECTICUTCOUNTYOFHARTFORDCITYOFHARTFORD
MICHAELJ.DOODY .BEINGDULYSWORN,SAYSTHATHEISVICEPRESIDENT-FINANCE,OFTRA VELERSCASUALTYANDSURETYCOMPANYOFAMERICA,ANDTHATTOTHEBESTOFHISKNOWLEDGEANDBELIEF,THEFOREGOINGISATRUEANDCORRECTSTATEMENTOFTHEFINANCIALCONDITIONOFSAIDCOMPANYASOFTHE31STDAYOFDECEMBER,2020.

SUBSCRIBEDAM)SWORNTOBEFOREMETHIS28THDAYOFMARCH.2021
TRA VELERSCASUALTYANDSURETYCOMPANYOFAMERICAHARTFORD.CONNECTICUT06183FINANCIALSTATEMENTASOFDECEMBER31,2020

AMOUNTSWITHHELDIRETAINEDBYCOMPANYFOROTHERS

RETROACTNEREINSURANCERESERVEASSUMED
SUSANM.WEISSLEDERNolatyPublicMyComIm's.rionlitpire:November30,2022 s1,121,070,3001,003,200,005183,346,67840,305,09313,501,42142,500,5504,005,4048,646,39142,220,25012,353,3047,930,2001,867,51253,102,972800,763500,030 36,480,000433,803,7001,650,750,847,I 1
$4,525,639.62]

16.E

COO dbaDynalectricL.A
B|DDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)NON-COLLUSIONAFFIDA VITPUBLICCONTRACTCODESECTION7106NON-COLLUSIONDECLARATIONTOBEEXECUTEDBYBIDDERANDSUBMITTEDWITHBIDTheundersigneddeclares:KDCInc.Iamthe of ,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.Id thattheforegoing date],atLosAlamitoscity],Californiastate] SignatureofBidder der DateDeanKnupp—COO BenMartin-CFOPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.) eclareunderpenaltyofperjuryunderthelawsoftheStateofCalifornia \

16.E

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BlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)CONTRACTOR’SREFERENCELISTAttachtothisbidalistofthree(3)projectsinthepastfive(5)yearsonwhichthebidderandhissubcontractor(s)havesuccessfullyconstructedandcompletedprojectswiththesametypeTheAgencyEngineerwillmakethefinaldeterminationofwhethertheprojectslistedhereareofthesametype,sizeandcomplexityas(elements),sizeandcomplexityofwork.thisproject.Failureofbiddertosupplysufficientdocumentationofsimilarelectric,telephone,cableandbeconsideredgroundsforasanitarysewerundergroundfacilitiesexperienceshallnon-responsivebidand,attheAgency'sdiscretion,saidbidwillbedisqualified.projectName;BalboaCrossingImprovementProject/7288-2$295,000.00ContractPrice: DateofCompletionName,Address,andTelephoneNumberofOwner'sRepresentative05/30/2021 CityofNewportBeach:100CivicCenterDrive,NewportBeach,CA92660AnnaLuzR.Baldeneqro(949)644-3034MontanaAvenueTrafficSianalUpgrades1055781.00ProjectName:ContractPriceName,Address,andTelephoneNumberofOwner'sRepresentative:CityofSantaMonica:1685MainStreet,SantaMonica,CA90401AndrewMaximus(310)458-4982veBikeLane,VisionZero2AJob#318067$6,420,000ProjectName:ContractPrice:Name,Address,andTelephoneNumberofOwner'sRepresentative:CityofLosAnge|es—Dept.ofTransportation:100N.MainSt.,LosAnqeles,CA90012MatTalag(213)305-0312 (Attachadditionalpagesasnecessary)
teofCompletion:

DateofCompletion:
02/28/2018
10/2020

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Rev.DSnpwlullelznzoBlDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.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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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]1000001129Subcontractors’registrationnumbersareasindicatedinDocument004314.BIDDER:

SignatureofBidder Date dder DateDeanKnupp—COO BenMartin—CFOPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.) \o

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BlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)EQUALEMPLOYMENTOPPORTUNITYCERTIFICATION ThebidderKDCInc.dbaDvnalectricL.A proposedsubcontractor ,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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BIDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)EQUALEMPLOYMENTOPPORTUNITYCERTIFICATION ThebidderKDCIncdbaDvnalectricL_A_proposedsubcontractorDCTrafficCOMFOI 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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B|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)DEBARMENTANDSUSPENSIONCERTIFICATIONTITLE49,CODEOFFEDERALREGULATIONS,PART29 Thebidder,underpenaltyofperjury,certifiesthat,exceptasnotedbelow,he/sheoranyotherpersonassociatedtherewithinthecapacityofowner,partner,director,officer,managerisnotcurrentlyundersuspension,debarment,voluntaryexclusion,ordeterminationofineligibilitybyanyFederalagency;hasnotbeensuspended,debarred,voluntarilyexcludedordeterminedineligiblebyanyFederalagencywithinthepast3years; 0 doesnothaveaproposeddebarmentpending;andhasnotbeenindicted,convicted,orhadaciviljudgmentrenderedagainstitbyacourtofcompetentjurisdictioninanymatterinvolvingfraudorofficialmisconductwithinthepast3years.

Ifthereareanyexceptionstothiscertification,inserttheexceptionsinthefollowingspace.N/A Exceptionswillnotnecessarilyresultindenialofaward,butwillbeconsideredindeterminingbidderresponsibility.Foranyexceptionnotedabove,indicatebelowtowhomitapplies,initiatingagency,anddatesofaction.

Notes:Providingfalseinformationmayresultincriminalprosecutionoradministrativesanctions.TheabovecertificationispartoftheProposal.SigningthisProposalonthesignatureportionthereofshallalsoconstitutesignatureofthisCertification.

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BIDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)NONLOBBYINGCERTIFICATIONFORFEDERAL—AIDCONTRACTS Thiscerti?cationisamaterialrepresentationoffactuponwhichreliancewasplacedwhenthistransactionwasmadeorenteredinto.Submissionofthiscerti?cationisaprerequisiteformakingorenteringintothistransactionimposedbySection1352,Title31,U.S.Code.Anypersonwhofailsto?letherequiredcerti?cationshallbesubjecttoacivilpenaltyofnotlessthan$10,000andnotmorethan$100,000foreachsuchfailure.Theprospectiveparticipantalsoagreesbysubmittinghisorherbidorproposalthatheorsheshallrequirethatthelanguageofthiscerti?cationbeincludedinalllowertiersubcontracts,whichexceed$100,000andthatallsuchsubrecipientsshallcertifyanddiscloseaccordingly.

Theprospectiveparticipantcertifies,bysigningandsubmittingthisbidorproposal,tothebestofhisorherknowledgeandbelief,that:(1) (2)
NoFederalappropriatedfundshavebeenpaidorwillbepaid,byoronbehalfoftheundersigned,toanypersonforin?uencingorattemptingtoin?uenceanofficeroremployeeofanyFederalagency,aMemberofCongress,anof?ceroremployeeofCongress,oranemployeeofaMemberofCongressinconnectionwiththeawardingofanyFederalcontract,themakingofanyFederalgrant,themakingofanyFederalloan,theenteringintoofanycooperativeagreement,andtheextension,continuation,renewal,amendment,ormodi?cationofanyFederalcontract,grant,loan,orcooperativeagreement.IfanyfundsotherthanFederalappropriatedfundshavebeenpaidorwillbepaidtoanypersonforin?uencingorattemptingtoin?uenceanofficeroremployeeofanyFederalagency,aMemberofCongress,anofficeroremployeeofCongress,oranemployeeofaMemberofCongressinconnectionwiththisFederalcontract,grant,loan,orcooperativeagreement,theundersignedshallcompleteandsubmitStandardForm—LLL,"DisclosureofLobbyingActivities,"inconformancewithitsinstructions.

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BlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(O17)

1.TypeofFederalAction:Ea.contract
DISCLOSUREOFLOBBYINGACTIVITIESCOMPLETETHISFORMTODISCLOSELOBBYINGACTIVITIESPURSUANTTo31U.S.C.13522.StatusofFederalAction:rtType:Ea.bid/offer/applicationalb.grant b.initialaward b.materialchangec.cooperativeagreementc.post-awardd.loan ForMaterialChangeOnly:e.loanguarantee N/A yearquarterf.loaninsurance dateoflastreport4.NameandAddressofReportingEntity 5.IfReportingEntityinN0.4isSubawardee,EnterNameandAddressofPrime:EPrimeDSubawardeeTier,ifknown CongressionalDistrict,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) addressifdifferentfromNo.10a)(lastname,?rstname,MI) (attachContinuationSheet(s)ifnecessary)11.AmountofPayment(checkallthatapply) 13.TypeofPayment(checkallthatapply)$ Dactual|:|planned a.retainerb.one-timefee12.FormofPayment(checkallthatapply): c.commissiona.cash (1.contingentfeeb.in-kind;specify:nature edeferredvalue f.other,14.BriefDescriptionofServicesPerformedortobeperformedandDate(s)ofService,includingof?cer(s),employee(s),ormember(s)contacted,forPaymentIndicatedinItem11:
(attachContinuationSheet(s)ifnecessary)15.ContinuationSheet(s)attached:Yes No[6,InfonnationrequestedthroughthisformisauthorizedbyTitle31U.S.C.Section1352.ThisdisclosureoflobbyingreliancewasplacedSignature;bythetierabovewhenhistransactionwasmadeorenteredinto.Thisdisclosureisrequiredpursuantto31U.S.C.1352.ThisinformationPrintNameDwillbereportedtoCongresssemiannuallyandwillbeavailablefor ' publicinspection.Anypersonwhofailsto?letherequireddisclosure_ 0shallbesubjecttoacivilpenaltyofnotlessthan$10,000andnotmoreTl?eithan$100,000foreachsuchfailure. TelephoneNAuthorizedforLocalReproductionFederalUse0 StandardForm-LLL:/I) Date:

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B|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)INSTRUCTIONSFORCOMPLETIONOFSF-LLL,DISCLOSUREOFLOBBYINGACTIVITIESThisdisclosureformshallbecompletedbythereportingentity,whethersubawardeeorprimeFederalrecipient,attheinitiationorreceiptofcoveredFederalactionoramaterialchangetoprevious?lingpursuanttotitle31U.S.C.section1352.The?lingofaformisrequiredforsuchpaymentoragreementtomakepaymenttolobbyingentityforin?uencingorattemptingtoin?uenceanof?ceroremployeeofanyagency,aMemberofCongressanof?ceroremployeeofCongressoranemployeeofaMemberofCongressinconnectionwithacoveredFederalaction.Attachacontinuationsheetforadditionalinformationifthespaceontheformisinadequate.Completeallitemsthatapplyforboththeinitial?lingandmaterialchangereport.RefertotheimplementingguidancepublishedbytheOf?ceofManagementandBudgetforadditionalinformation.1.

10. ll.

12.13.14. 15.16.

IdentifythetypeofcoveredFederalactionforwhichlobbyingactivityisand/orhasbeensecuredtoin?uence,theoutcomeofacoveredFederalaction.IdentifythestatusofthecoveredFederalaction.Identifytheappropriateclassi?cationofthisreport.Ifthisisafollow-upreportcausedbyamaterialchangetotheinformationpreviouslyreported,entertheyearandquarterinwhichthechangeoccurred.Enterthedateofthelast,previouslysubmittedreportbythisreportingentityforthiscoveredFederalaction.Enterthefullname,address,city,stateandzipcodeofthereportingentity.IncludeCongressionalDistrictifknown.Checktheappropriateclassificationofthereportingentitythatdesignatesifitisorexpectstobeaprimeorsubawardrecipient.Identifythetierofthesubawardee,e.g.,the?rstsubawardeeoftheprimeisthefirsttier.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.“ForacoveredFederalactionwheretherehasbeenanawardorloancommitmentbytheFederalagency,entertheFederalamountoftheaward/loancommitmentsfortheprimeentityidenti?edinitem4or5.(a)Enterthefullname,address,city,stateandzipcodeofthelobbyingentityengagedbythereportingentityidentifiedinitem4toin?uencedthecoveredFederalaction.(b)Enterthefullnamesoftheindividual(s)performingservicesandincludefulladdressifdifferentfrom10(a).EnterLastName,FirstNameandMiddleInitial(Ml).Entertheamountofcompensationpaidorreasonablyexpectedtobepaidbythereportingentity(item4)tothelobbyingentity(item10).Indicatewhetherthepaymenthasbeenmade(actual)orwillbemade(planned).Checkallboxesthatapply.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.Thecertifyingofficialshallsignanddatetheform,printhis/hernametitleandtelephonenumber.Publicreportingburdenforthiscollectionofinformationisestimatedtoaverage30minutesperresponse,includingtimeforreviewinginstruction,searchingexistingdatasources,gatheringandmaintainingthedataneeded,andcompletingandreviewingthecollectionofinformation.Sendcommentsregardingtheburdenestimateoranyotheraspectofthiscollectionofinformation,includingsuggestionsforreducingthisburden,totheOf?ceofManagementandBudget,PaperworkReductionProject(0348-0046),Washington,D.C.20503. SF-LLL-InstructionsRev.06-04-90«ENDIF)>

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I

25.AwardAmoum:
*Tobecompletedif1st,2nd,or3rdlowbidderBlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.S186(017)Exhibit15-GConstructionContractDBECommitment1.LocalAgency:CIIVOfHemet 2.ContractDBEGoal:I50/03.ProjectDescription;CitywideTrafficSignalUpgrades4.ProjectLocationV8.I'IOUSlocationsinCIIYOIHemet5.Bidder‘sName:KDCINC.dbaDYHEIIGCTFICLA.6.PrimeCertifiedDBE:Ci7.BidAmount:8.TotalDollarAmountforALLSubcontractors:9.TotalNumberofALLSubcontractors:

I?ézid11.DescriptionofWork,Service,orMaterialsc;r2?'?I:EtIiEon13.DBEContactinformationSupplied (Mustbecertifiedonthedatebidsareopened)Number Number LocalAgencytoCompletethisSectionuponExecutionofAward21.LocalAgencyContractNumber:22.Federal-AidProjectNumber23.BidOpeningDate:24.ContractAwardDate:

15.TOTALCLAIMEDDBEPARTICIPATION
<3:%t.ip<§4::m§>t2rtags

14.DBEDollarAmount
IMPORTANT:IdentifyallDBE?rmsbeingclaimedforcredit,regardlessoftier.NamesoftheFirstTierDBESubcontractorsandtheirrespectiveitem(s)ofworklistedabovemustbeconsistent,whereapplicablewiththenamesanditemsoftheworkintheLocalAgencycerti?esthatallDBEcerti?cationsarevalidandinformationonthisformiscompleteandaccurate. eachlistedDBEisrequired.

27.Date 16.Preparer'sSignature26.LocalAgencyRepresentative'sSignature29.Phone 18.Preparer'sName28.LocalAgencyRepresentative'sName30.LocalAgencyRepresentative'sTitle 20.Preparer'sTitleDISTRIBUTION:1.Original— LocalAgency

17.Date
"SubcontractorList"submittedwithyourbid.Writtencon?rmationof

19.Phone

2.Copy— CaltransDistrictLocalAssistanceEngineer(DLAE).FailuretosubmittoDLAEwithin30daysofcontractexecutionmayresultinde-obligationoffederalfundsoncontract.3.Includeadditionalcopywithawardpackage.ADANotice:Forindividualswithsensorydisabilities,thisdocumentisavailableinalternateformats.Forinformationcall(916)654-6410orTDD(916)654-3880orwriteRecordsandFormsManagement,1120NStreet,MS-89,Sacramento,CA95814.

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B|DDER'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.TotalDollarAmountforALLSubcontractors— 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.DBECerti?cationNumber-EntertheDBE’sCerti?cationIdenti?cationNumber.AllDBEsmustbecerti?edonthedatebidsareopened.13.DBEContactInformation-Enterthename,address,andphonenumberofallDBEsubcontractedcontractors.Also,entertheprimecontractor’snameandphonenumber,iftheprimeisaDBE.14.DBEDollarAmount-Enterthesubcontracteddollaramountoftheworktobeperformedorservicetobeprovided.IncludetheprimecontractoriftheprimeisaDBE.SeeLAPMChapter9forhowtocount?ill/partialparticipation.15.TotalClaimedDBEParticipation-$:Enterthetotaldollaramountsenteredinthe“DBEDollarAmount”column.%:EnterthetotalDBEparticipationclaimed(“TotalClaimedDBEParticipationDollars”dividedbyitem“BidAmount”).Ifthetotal%claimedislessthanitem“ContractDBEGoal,”anadequatelydocumentedGoodFaithEffort(GFE)isrequired(seeExhibit15-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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BlDDER'SPROPOSAL(Cont’d):,AasCITYWIDETRAFFICSIGNALSAFETYUPGRADES; ;CIPN0.5651FederalAidProjectNo.5186(O17)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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*Tobecompletedif1st,2nd,or3rdlowbidderBIDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(O17)EXHIBIT15-H:PROPOSERICONTRACTORGOODFAITHEFFORTSCostProposalDueDate PE/CEFederal—aidProjectNo(s). BidOpeningDate CONThe (AgencyName)establishedaDisadvantagedBusinessEnterprise(DBE)goalof%forthiscontract.TheinformationprovidedhereinshowstherequiredgoodfaitheffortstomeetorexceedtheDBEcontractgoal.Proposersorbidderssubmitthefollowinginformationtodocumenttheirgoodfaitheffortswithinfive(5)calendardaysfromcostproposalduedateorbidopening.ProposersandbiddersarerecommendedtosubmitthefollowinginformationeveniftheExhibit10-01: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.):NamesofDBEsSolicitedDateofInitialSolicitationFollowUpMethodsandDates

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*Tobecompletedif1st,2nd,or3rdlowbidderBlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(O17)C.TheitemsofworkmadeavailabletoDBEfirmsincludingthoseunbundledcontractworkitemsintoeconomicallyfeasibleunitstofacilitateDBEparticipation.Itisthebidder'sresponsibilitytodemonstratethatsufficientworktofacilitateDBEparticipationinordertomeetorexceedtheDBEcontractgoal.Itemsof ProposerorBidderBreakdownofAmountPercentageWorkNormallyPerformsItemItems($) Of(Y/N) Contract %%%%D.Thenames,addressesandphonenumbersofrejectedDBEfirms,thereasonsforthebidder'srejectionoftheDBEs,thefirmsselectedforthatwork(pleaseattachcopiesofquotesfromthefirmsinvolved),andthepricedifferenceforeachDBEiftheselectedfirmisnotaDBE:Names,addressesandphonenumbersofrejectedDBEsandthereasonsforthebidder'srejectionoftheDBEs:

Names,addressesandphonenumbersoffirmsselectedfortheworkabove E.Efforts(e.g.inadvertisementsandsolicitations)madetoassistinterestedDBEsinobtaininginformationrelatedtotheplans,specificationsandrequirementsfortheworkwhichwasprovidedtoDBEs:

F.Efforts(e.g.inadvertisementsandsolicitations)madetoassistinterestedDBEsinobtainingbonding,linesofcreditorinsurance,necessaryequipment,supplies,materials,orrelatedassistanceorservices,excludingsuppliesandequipmenttheDBEsubcontractorpurchasesorleasesfromtheprimecontractororitsaffiliate:

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*Tobecompletedif1st,2nd,or3rdlowbidderBlDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.S186(017) G.Thenamesofagencies,organizationsorgroupscontactedtoprovideassistanceincontacting,recruitingandusingDBEfirms(pleaseattachcopiesofrequeststoagenciesandanyresponsesreceived,i.e.,lists,Internetpagedownload,etc.):NameofAgency/OrganizationMethod/DateofContactResults H.Anyadditionaldatatosupportademonstrationofgoodfaithefforts:

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notberesponsible
as/xsalIonsm2onsex3
BlDDER'SPROPOSALCITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentfortheCITYWIDETRAFFICSIGNALSAFETYUPGRADES,CIPNo.5651,andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,speci?cations,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal.TheundersignedhasexaminedthelocationoftheproposedworkandalllocalandphysicalconditionsandchallengespresentedbytheProjectsite,isfamiliarwiththeplans,speci?cations,ContractDocuments(particularlyasdelineatedabove)andtherequirementsofthePublicWorksContract,andalsounderstandsthattheProjectshallbecompletelyconstructedinturn-keyconditionacceptabletotheOwnerwithintheProjecttimerequirementsforthepriceoftheproposal,includingallfeesandsalesand/orusetaxuponanymaterialssofurnished,includinganyunitpricesandadditive/deductiveitems.Theundersignedhasalsocarefullycheckedallofthe?guresgivenandunderstandsthattheAgencyforanyerrorsoromissionsonthepartoftheundersignedinsubmittingthisproposal.Contractorcon?rmsthathis/her/itsbidissubmittedwithrespecttothechangestotheContractand/orContractDocumentsincludedinalladdendaissuedbytheOwner.Inadditiontoreaffirmingthatthechangesandinformationcontainedintheaddendahavebeenintegratedintotheirproposal,ContractoracknowledgesreceiptofAddendaNo.(s)TheundersignedhasexaminedthecurrentStateofCaliforniascheduleofprevailingwageratesforthetypesofworktobedoneonthisproject(andtheDavis-BaconActiftheAgencyusesfederalfundsfortheProject)andagreestopaynotlessthantheserates.Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentfortheCITYWIDETRAFFICSIGNALSAFETYUPGRADES,CIPNo.5651andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,speci?cations,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal.

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«ax:-ac«»n-n-nu‘-n-n-n-nyeasen-nan-ta-men-nae an-an-nta\4n11o\ttt-at-A-A-1-«A-nwa-axnavttrdmnn-tn BIDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BIDSCHEDULEBASEBID-CITYWIDETRAFFICSIGNALSAFETYUPGRADES,CIPNo.5651EXTENDEDITEMNo DESCRIPTIONUNIT ITEMAMOUNT1Mobilization(NottoExceed5%ofL51 $24.00000$24.00000Bid)2Traf?candPedestrianControlL5 1 $24,000.00$24,000.00RemoveandSalvageExistingMan/HandModule.FurnishandEA151$41550$6274050InstallPedestrianCountdownModule.RemoveandSalvageExistingNon-CompliantPedestrianPushButton.4FurnishandinstallPolaraiN2APSEA253$1,440.00$364,620.00ADACompliantPedestrianPushButtonAssemblywlR10-3iPlacard.FurnishandInstallPolaraAPSPushButtonCentralControlUnitand5InterconnectBoardandallotherEA37$249000$9213000EquipmentNecessaryforaFully ' ' ' ' FunctioningAPSSysteminExistingTraf?cControllerCabinet.RemoveandSalvageExistingHPSSafetyLightFixtureAssembly.FurnishandinstallLEDSafetyLightFixtureAssembly.RemoveandSalvageExistingController.Furnishandinstall7MccainATCexzController(or EA39$5,100.00$198,900.00approvedequal)withOmniSoftwareandEquipmentperPlan.RemoveandSalvageExistingController.FurnishandInstall8McCain2070LXController(or 1 $11,100.00$11,100.00approvedequal)withOmniSoftwareandEquipmentperPlan. 142$828.00$117,576.00
TOTALBASEBID(numbers)35894756-50ENDoFBASEBIDITEMS
EA

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BlDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BASEBIDTOTAL(inwords)Eighthundredninety-fourthousandsevenhundredsixty-sixandfiftydollarsContractor'sInitialsIntheeventofavariationbetweentheunitpriceandextendedtotal,theunitpricewillbeusedandthecorrectedextensionwillbeconsideredastheamountbid.Ifthebidisillegibleandcannotbereconcileditwillbeconsiderednon-responsiveandwillnotbeconsideredforaward.Ifanadditiveand/oralternatebidscheduleiscalledforintheContractDocuments,thelowestbidwillbedeterminedonthebasisofthebasebidschedule(s)onlyunlessotherwisespeci?edintheNoticeInvitingBidsorbyAddendaifissuedtosupersedetheNoticeInvitingBidsonthisspecificissue.ForaContractwhereadeductivebidscheduleiscalledfor,thelowestbidwillbedeterminedbythetotalofallbidschedulesincludingthedeductivebidschedule(s).Regardlessofwhethertheadditive/deductiveoralternatesbiditemswillbeconsideredindeterminingthelowbid,theAgencymayelecttoincludeanyornoneoftheadditive/deductiveoralternatebiditems/schedules,ortootherwiseaddorremovecertainworkfromthescopeofWork.Accordingly,Contractorwarrantsthateachbiditemcontainsaproportionateshareofprofit,overheadandothercostsandexpenses,whichwillbeincurredbytheContractorfortheProject.Ifequallowbidsarereceivedfromresponsibleandresponsivebidderstheselectionshallbemadebydrawinglots,orothersimilarrandomblindmethodselectedbytheAgency.IfonlyoneresponsivebidisreceivedfromaresponsiblebiddertheawardshallnotbemadeunlessthepricecanbedeterminedtobereasonablebasedonananalysisbytheAgency.TheAgency'sdeterminationastothereasonablenessofanysuchbidshallbe?nal.TheAgencyreservestherighttorejectanyorallbids,towaiveanyirregu|arity(ies),andtotakeallbidsunderadvisementforaperiodofsixty(60)calendardaysafterthedatethebidsarepubliclyopened.BidderacknowledgesthatallcostsincurredasaresultofpreparingtheproposalshallbethesoleresponsibilityofBidder.TheNoticeInvitingBidsandInstructionstoBiddersdoesnotcreateorimposeanyobligationupontheAgencytoenterintoacontract.Allbidsreceivedshallberecordedonanabstract(tabulation)ofbids,andthenmadeavailableforpublicinspectionwithintwobusinessdaysofbidopening.Thequantitieslistedinthebidproposalareprovidedtogiveageneralindicationofthescopeoftheworkandforthecomparisonofbids.Nowarrantyismade,eitherexpressedorimplied,thattheactualquantitiesofworktobedonewillcorrespondtherewith.Itemnumbersfollowedby"(S)"aredesignatedasspecialtyitemswhichwillnotbeincludedtowardsthecalculationofminimumof50percentofworktobeperformedbyContractor'sownforces.

16.E

address
10/15/21 10/18/213 der f
BlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BysigningandsubmittingthisbidtheContractorconfirmsthattheyarefamiliarwiththeworksiteandallexistingconditionsthatmayaffecttheirworkandthattheyhavereadandagreetoalltheterms,conditionsandrequirementscontainedorreferencedhereinorintheContractDocumentsandthatalltheaforementionedhasbeenincludedinthebidpriceslistedabove,includingitemsofworkthatmaynothaveaspeci?cpaylineitemandthatthereshallbenoadditionalcoststotheAgency.W ARNING:IfanaddendumoraddendahavebeenissuedbytheAgencyandnotnotedaboveasbeingreceivedbythebidder,thisBidmayberejected.Completethefollowing:ServitekElectric,lnc.,1000058315,1035350Legalnameofthebusiness,DIRReg.andContractorLicenseNos.CorporationBusinessType(Corporation,Partnership,SoleProprietor)NIADBA(ifany)GeoffReyes,PresidentNameandtitleoftheownerGeoffReyes,VicePresidentNameandtitleofsecondpartnerorofficer3858LemonAve#243.Walnut.CA91789BusinessAddress(626)227-1650Telephonenumber(626)478-1300FacsimilenumberGeoffReyes,[email protected] serviteke|ectric.comCompanyweb
SignatureofGEOFFREYES,PRESIDENTPrintnameandtitle
DateSignatureBidderGEOFFREYES,VICEPRESIDENTPrintnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateo?icersarerequired.) Date

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aldder
BIDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)CERTIFICATEREGARDINGCONTRACTOR'SLICENSE1.ContractorisrequiredtopossessoneofthefollowingStateContractor'sLicense:StateofCaliforniaClassAContractor’sLicenseCombinationofSpecialtyClassCContractor'sLicenses2.Afailureto(1)possesstherequiredlicense,(2)truthfullysetforththefollowinginformation,and/or(3)executethisCerti?catemayrendertheproposalnonresponsiveandpermittheCitytorejecttheproposal.(BusinessandProfessionsCodeSection7028.15)3.Contractordeclares,underpenaltyofperjury,thathe/she/itpossessestherequiredContractor's|icense(s)which:Bearsthelicensenumber(s):1035350b.Expireson 01/31/2022 10/18/21 10/1DateSignatureof DateGEOFFREYESPRESIDENTGEOFFREYES,VICEPRESIDENTPrintnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateofficersarerequired.)ThisrequiredlicensedeterminationhasbeenmadebytheAgency.AnyContractorholdingadifferentlicensewhofeelsheisqualifiedtobidonthisworkmustsoadvisetheAgencyatleastseven(7)dayspriortothebidopening.TheAgencymayconductareviewofthecontemplatedworktore-evaluatetherequiredlicensedetermination.TheAgencymayinitssolediscretionmaintainorchangetherequiredlicensedetermination;Agency'sdecisionastotherequiredlicensewillbe?nal.

Signatureofidder

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Omobsr18,2021
s|gna:ur|;.-Bldd
B|DDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)NON-COLLUSIONAFFIDA VITPUBLICCONTRACTCODESECTION7106NON-COLLUSIONDECLARATIONTOBEEXECUTEDBYBIDDERANDSUBMITTEDWITHBIDTheundersigneddeclares:IamthePresidentofServitekElectric.Inc..thepartymakingtheforegoingbid.Thebidisnotmadeintheinterestof,oronbehalfof,anyundisclosedperson,partnership,company,association,organization,orcorporation.Thebidisgenuineandnotcollusiveorsham.Thebidderhasnotdirectlyorindirectlyinducedorsolicitedanyotherbiddertoputinafalseorshambid.Thebidderhasnotinanymanner,directlyorindirectly,soughtbyagreement,communication,orconferencewithanyoneto?xthebidpriceofthebidderoranyotherbidder,orto?xanyoverhead,pro?t,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],atWalnutIcifV],California[state]. 10/18/21 10/18/21SignatureofBidder Date of DateGEOFFREYES.PRESIDENTGEOFFREYES.VICEPRESIDENTPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateo?icersarerequired.)

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37080500
$35000.00
BlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)CONTRACT0R'SREFERENCELISTAttachtothisbidalistofthree(3)projectsinthepastfive(5)yearsonwhichthebidderandhissubcontractor(s)havesuccessfullyconstructedandcompletedprojectswiththesametype(elements),sizeandcomplexityofwork.TheAgencyEngineerwillmakethe?naldeterminationofwhethertheprojectslistedhereareofthesametype,sizeandcomplexityasthisproject.Failureofbiddertosupplysuf?cientdocumentationofsimilarelectric,telephone,cableandsanitarysewerundergroundfacilitiesexperienceshallbeconsideredgroundsforanon-responsivebidand,attheAgency'sdiscretion,saidbidwillbedisquali?ed.ProjectName:CONDUITINSTALLATIONSANDFIEWIRINGTRAFFICSIGNALContractPrice: DateofCompletion:Feb26,2021Name,Address,andTelephoneNumberofOwner'sRepresentative:RonChan,505SGarveyAvenue,Pomona,CA91766,(909)620-2286 ProjectName:Verizon5GInfrastructure/undergroundconduit,pullbox,andsurfacerestorationContractPrice:3915gmQQ DateofCompletion:Rnntemhnr9n9nName,Address,andTelephoneNumberofOwner'sRepresentative:JasonMiranda,2840FicusSt,Pomona,CA91766,(909)630-3811 ProjectName:Electrical,FiberOpticContractPrice: DateofCompletion:2019Name,Address,andTelephoneNumberofOwner'sRepresentative:MichaelBearden,1667NorthBatavia,Orange,CA92867,(562)435-2929/(480)408-9513 (Attachadditionalpagesasnecessary)

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Rev.I)
iuplumhmmmB|DDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BIDDERCERTIFICATIONSTOBEEXECUTEDBYALLBIDDERSANDSUBMITTEDWITHBIDTheundersignedBiddercertifiestoOwnerassetforthinsections1through10,below.STATEMENTOFCONVICTIONSBymysignaturehereunder,Iherebyswear,underpenaltyofperjury,thatnomorethanonefinal,unappealable?ndingofcontemptofcourtbyaFederalCourthasbeenissuedagainstBidderwithinthepasttwoyearsbecauseoffailuretocomplywithanorderofaFederalCourtortocomplywithanorderoftheNationalLaborRelationsBoard.CERTIFICATIONOFWORKER'SCOMPENSATIONINSURANCEBymysignaturehereunder,astheContractor,IcertifythatIamawareoftheLaborCodeSection3700,whichrequireseveryemployertobeinsuredagainstliabilityforworker'scompensationortoundertakeself-insuranceinaccordancewiththeprovisionsofthatCode,andIwillcomplywithsuchprovisionsbeforecommencingtheperformanceoftheworkofthisContract.Pleasenotethatthesubmittalofthiscerti?catedoesnotrelieveContractorfromcomplyingwithalloftheinsurancerequirementsofthePublicWorksAgreementandContractDocuments.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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J gg 0/18/21r f ‘
B|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017) CERTIFICATIONOFNON-DISQUALIFICATIONBymysignaturehereunder,astheContractor,Iswear,underpenaltyofperjury,thatthebelowindicatedBidder,anyofficerofBidder,oranyemployeeofBidderwhohasaproprietaryinterestinsuchBidder,hasneverbeendisquali?ed,removed,orotherwisepreventedfrombiddingon,orcompletingaFederal,State,orlocalgovernmentprojectbecauseofaviolationoflaworsafetyregulation,exceptasindicatedontheseparatesheetattachedheretoentitled"PreviousDisqualifications.”Ifastatementof"PreviousDisqua|ifications”isattached,pleaseexplainthecircumstances.CERTIFICATIONOFADEQUACYOFCONTRACTAMOUNTBymysignaturehereunder,astheContractor,pursuanttoLaborCodeSection2810(a),Icertifythat,ifawardedtheContractbasedontheundersigned’sBid,theContractwillincludefundssuf?cienttoallowtheContractortocomplywithallapplicablelocal,state,andfederallawsorregulationsgoverningthelabororservicestobeprovided.IunderstandthatOwnerwillberelyingonthiscertificationifitawardstheContracttotheundersigned.CERTIFICATIONREGARDINGDIRCONTRACTOR/SUBCONTRACTORREGISTRATIONBymysignaturehereunder,astheContractor,IcertifythatContractor,andalllistedSubcontractorsarethesubjectofcurrentandactivecontractorregistrationspursuanttoDivision2,Part7,Chapter1(commencingwithsection1720)oftheCaliforniaLaborCode.Contractor'sregistrationnumberis[pleasecomplete]1000058315Subcontractors’registrationnumbersareasindicatedinDocument004314.BIDD 10/18/21 1SignatuofBidder DateSignatureBidder Date GFOFFFIFVFQPFIFQIDFNT GI=nI=I=RFVFQ\/l(‘.FI=9InI=MTPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateo?icersarerequired.)

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_|ectric
Engineerlng
BIDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(O17)EQUALEMPLOYMENTOPPORTUNITYCERTIFICATION Thebidder ServitekE Inc. proposedsubcontractorKewo herebycerti?esthathehas_ , hasnotjg,participatedinapreviouscontractorsubcontractsubjecttotheequalopportunityclauses,asrequiredbyExecutiveOrders10925,11114,or11246,andthat,whererequired,hehas?ledwiththeJointReportingCommittee,theDirectoroftheOfficeofFederalContractCompliance,aFederalGovernmentcontractingoradministeringagency,ortheformerPresident'sCommitteeonEqualEmploymentOpportunity,allreportsdueundertheapplicable?llingrequirements.

Note:Theabovecerti?cationisrequiredbytheEqualEmploymentOpportunityRegulationsoftheSecretaryofLabor(41CFR60-1.7(b)(1)),andmustbesubmittedbybiddersandproposedsubcontractorsonlyinconnectionwithcontractsandsubcontractswhicharesubjecttotheequalopportunityclause.Contractsandsubcontractswhichareexemptfromtheequalopportunityclausearesetforthin41CFR60-1.5.(Generallyonlycontractsorsubcontractsof$10,000orunderareexempt.)Currently,StandardForm100(EEO-1)istheonlyreportrequiredbytheExecutiveOrdersortheirimplementingregulations.ProposedprimecontractorsandsubcontractorswhohaveparticipatedinapreviouscontractorsubcontractsubjecttotheExecutiveOrdersandhavenotfiledtherequiredreportsshouldnotethat41CFR60—1.7(b)(1)preventstheawardofcontractsandsubcontractsunlesssuchcontractorsubmitsareportcoveringthedelinquentperiodorsuchotherperiodspeci?edbytheFederalHighwayAdministrationorbytheDirector,Of?ceofFederalContractCompliance,U.S.DepartmentofLabor.

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BIDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)DEBARMENTANDSUSPENSIONCERTIFICATIONTITLE49,CODEOFFEDERALREGULATIONS,PART29 Thebidder,underpenaltyofperjury,certi?esthat,exceptasnotedbelow,he/sheoranyotherpersonassociatedtherewithinthecapacityofowner,partner,director,officer,manager:
0 isnotcurrentlyundersuspension,debarment,voluntaryexclusion,ordeterminationofineligibilitybyanyFederalagency; 0 hasnotbeensuspended,debarred,voluntarilyexcludedordeterminedineligiblebyanyFederalagencywithinthepast3years;doesnothaveaproposeddebarmentpending;and 0 hasnotbeenindicted,convicted,orhadaciviljudgmentrenderedagainstitbyacourtofcompetentjurisdictioninanymatterinvolvingfraudorofficialmisconductwithinthepast3years.

Ifthereareanyexceptionstothiscerti?cation,inserttheexceptionsinthefollowingspace.

Exceptionswillnotnecessarilyresultindenialofaward,butwillbeconsideredindeterminingbidderresponsibility.Foranyexceptionnotedabove,indicatebelowtowhomitapplies,initiatingagency,anddatesofaction.

Notes:Providingfalseinformationmayresultincriminalprosecutionoradministrativesanctions.TheabovecertificationispartoftheProposal.SigningthisProposalonthesignatureportionthereofshallalsoconstitutesignatureofthis

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BlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)NONLOBBYINGCERTIFICATIONFORFEDERAL-A]])CONTRACTS 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,theundersignedshallcompleteandsubmitStandardForm-LLL,"DisclosureofLobbyingActivities,"inconformancewithitsinstructions.Thiscerti?cationisamaterialrepresentationoffactuponwhichreliancewasplacedwhenthistransactionwasmadeorenteredinto.Submissionofthiscerti?cationisaprerequisiteformakingorenteringintothistransactionimposedbySection1352,Title31,U.S.Code.Anypersonwhofailsto?letherequiredcerti?cationshallbesubjecttoacivilpenaltyofnotlessthan$10,000andnotmorethan$100,000foreachsuchfailure.Theprospectiveparticipantalsoagreesbysubmittinghisorherbidorproposalthatheorsheshallrequirethatthelanguageofthiscerti?cationbeincludedinalllowertiersubcontracts,whichexceed$100,000andthatallsuchsubrecipientsshallcertifyanddiscloseaccordingly

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COMPLETETHISFORMTODISCLOSI5LOBBYINGACTIVITIESPURSUANTT031Usc.

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B|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)DISCLOSUREOFLOBBYINGACTIVITIES

4. 6.

8. 10.

11. 12.

14. 15.16.

FederalAction:b.grant b.initialawardc.cooperativeagreementc.post-award(1.loane.loanguaranteeN/Af.loaninsuranceNameandAddressofReportingEntityDPrimeDSubawardeeTier,ifknownN/A CongressionalDistrict,ifknownFederalDepartment/Agency:N/AFederalActionNumber,ifknown:N/Aa.NameandAddressofLobbyEntity(Ifindividual,lastname,?rstname,M1)N/A

2.StatusofFederalAction:3a.bid/offer/application
1352rtType:alb.materialchangeNIAForMaterialChangeOnly:yearquarterdateoflastreportIfReportingEntityinNo.4isSubawardee,EnterNameandAddressofPrime:

N/A
N/A
CongressionalDistrict,ifknownFederalProgramNameIDescription:N/ACFDANumber,ifapplicableAwardAmount,ifknown:N/AIndividualsPerformingServices(includingaddressifdifferentfromNo.10a)(lastname,?rstname,MI)N/A (attachContinuationSheet(s)ifnecessary)AmountofPayment(checkallthatapply)$ actualElplannedFormofPayment(checkallthatapply):Ea.cashb.in-kind;specify:naturevalue

13.TypeofPayment(checkallthatapply)a.retainerb.one-timefeec.commissiond.contingentfeeedeferredf.other,BriefDescriptionofServicesPerformedortobeperformedandDate(s)ofService,includingof?cer(s),employee(s),ormember(s)contacted,forPaymentIndicatedinItem11:
(attachCouationSheet(s)ifnecessary)ContinuationSheet(s)attached:YesDNoEInformationrequestedthroughthisformisauthorizedbyTitle31USCSection1352ThisdisclosureoflobbyingreliancewasplacedSignature;bythetierabovewhenhistransactionwasmadeorenteredintoThisdisclosureisrequiredpursuantto31U.S.C.1352.ThisinformationPrintName,willbereportedtoCongresssemiannuallyandwillbeavailablefor ' publicinspection.Anypersonwhofailstofiletherequireddisclosure_ P.dshallbesubjecttoacivilpenaltyofnotlessthan$10,000andnotmoreTl?ei res'emthan$100,000foreachsuchfailure. TelephoneNo_:626-227-1650Date:10/13/2021FederalUse AuthorizedforLocalReproductionStandardForm-LLL

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Rev.0
SememhnI020B|DDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)INSTRUCTIONSFORCOMPLETIONOFSF-LLL,DISCLOSUREOFLOBBYINGACTIVITIESThisdisclosureformshallbecompletedbythereportingentity,whethersubawardeeorprimeFederalrecipient,attheinitiationorreceiptofcoveredFederalactionoramaterialchangetoprevious?lingpursuanttotitle31U.S.C.section1352.The?lingofaformisrequiredforsuchpaymentoragreementtomakepaymenttolobbyingentityforin?uencingorattemptingtoin?uenceanofficeroremployeeofanyagency,aMemberofCongressanof?ceroremployeeofCongressoranemployeeofaMemberofCongressinconnectionwithacoveredFederalaction.Attachacontinuationsheetforadditionalinformationifthespaceontheformisinadequate.Completeallitemsthatapplyforboththeinitial?lingandmaterialchangereport.RefertotheimplementingguidancepublishedbytheOfficeofManagementandBudgetforadditionalinformation.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.EnterthemostappropriateFederalidentifyingnumberavailablefortheFederalactionidentificationinitem1(e.g.,RequestforProposal(RFP)number,InvitationforBid(IFB)number,grantannouncementnumber,thecontractgrant.orloanawardnumber,theapplication/proposalcontrolnumberassignedbytheFederalagency).Includepre?xes,e.g.,"RFP-DE-90-001."9.ForacoveredFederalactionwheretherehasbeenanawardorloancommitmentbytheFederalagency,entertheFederalamountoftheaward/loancommitmentsfortheprimeentityidenti?edinitem4or5.10.(a)Enterthe?illname,address,city,stateandzipcodeofthelobbyingentityengagedbythereportingentityidenti?edinitem4toin?uencedthecoveredFederalaction.(b)Enterthefullnamesoftheindividual(s)performingservicesandinclude?illaddressifdifferentfrom10(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?canddetaileddescriptionoftheservicesthatthelobbyisthasperformedorwillbeexpectedtoperformandthedate(s)ofanyservicesrendered.IncludeallpreparatoryandrelatedactivitynotjusttimespentinactualcontactwithFederalofficials.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«ENDlF))

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B|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)Exhibit15-GConstructionContractDBECommitment1.LocalAgencyCitvofHemet3.ProjectDescription:CitvwideTrafficSicinalSafetvUoarades4.ProjectLOCati0nI445FastFlnridaAveniieHemetCA9954.’!5.BiddersName:ServitekElectric.Inc.8.TotalDollarAmountforALLSubcontractors:$10,000 10‘Bid11.DescriptionofWork,Service,orMaterials12.‘DBEItem Su"ed Certi?cationNumber pp Number#1,4_5_e_7,aAllitemsexcept#2&#3(tobeperformedbyKewo)45918TrafficandPedestrianControl& 42231#2'and#3InsfallatinnnfPedestrian(‘.niintrinwnMndiiln LocalAgencytoCompletethisSectionuponExecutionofAward21.LocalAgencyContractNumber:22.Federal-AidProjectNumber:23.BidOpeningDate:24.ContractAwardDate:

LocalAgencycerti?esthatallDBEcerti?cationsarevalidandinformationonthisformiscompleteandaccurate.26.LocalAgencyRepresentative'sSignature27.Date28.LocalAgencyRepresentative'sName29.Phone30.LocalAgenqiRepresentative's1"itleDISTRIBUTION:1.Original-LocalAgency

6.PrimeCerti?edDBE:cf

2.ContractDBEGoal: 15%

7.BidAmount:$894.766.509.TotalNumberof1;;Subcontractors:

13.DBEContactinformation1g‘0?aBrE(Mustbecerti?edonthedatebidsareopened)AmountGeoftReyes626-227-1650$33476550KewoEngineeringIBrianKewoI(951)[email protected]$10.00000 $894,7665015.TOTALCLAIMEDDBEPARTICIPATION100%
IMPORTANT:identifyallDBE?nnsbeingclaimedforcredit,regardlessoftier.NamesoftheFirstTierDBESubcontractorsandtheirrespectiveitem(s)ofworklistedabovemustbeconsistent,whereapplicablewiththenamesanditemsoftheworkinthe"SubcontractorList"submittedwithyourbid.Writtencon?rmationofeachlisted 10-18-202116. 17.Date(626)227-165018.Preparer'sName 19.PhonePresident20.Preparer'sTitle

2.Copy—CaltransDistrictLocalAssistanceEngineer(DLAE).FailuretosubmittoDLAEwithin30daysofcontractexecutionmayresultinde-obligationoffederalfundsoncontract.3.Includeadditionalcopywithawardpackage.ADANotice:Forindividualswithsensorydisabilities,thisdocumentisavailableinalternateformats.Forinformationcall(916)654-6410orTDD(916)654-3880orwriteRecordsandFormsManagement,1120NStreet,MS-89,Sacramento,CA95814.

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B|DDER'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.TotalDollarAmountforQSubcontractors—-Enterthetotaldollaramountforallsubcontractedcontractors.SUM=(DBEs+allNon-DBEs).Donotincludetheprimecontractorinformationinthiscount.9.TotalnumberofLsubcontractors— Enterthetotalnumberofallsubcontractedcontractors.SUM=(DBEs+allNon-DBEs).Donotincludetheprimecontractorinformationinthiscount.10.BidItemNumber-Enterbiditemnumberforwork,services,ormaterialssuppliedtobeprovided.11.DescriptionofWork,Services,orMaterialsSupplied-Enterdescriptionofwork,services,ormaterialstobeprovided.IndicateallworktobeperformedbyDBEsincludingworkperformedbytheprimec ’sownforces,iftheprimeisaDBE.If100%oftheitemisnottobeperformedorfurnishedbytheDBE,describetheexactportiontobeperformedorfurnishedbytheDBE.SeeLAPMChapter9todeterminehowtocounttheparticipationofDBE?rms.12.DBECertificationNumber-EntertheDBE’sCerti?cationIdenti?cationNumber.AllDBEsmustbecerti?edonthedatebidsareopened.13.DBEContactInformation-Enterthename,address,andphonenumberofallDBEsubcontractedco .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(seeExhibitl5-HDBEInformation—GoodFaithEffortsoftheLAPM).16.Preparer’sSignature-ThepersoncompletingtheDBEcommitmentformonbehalfofthecontractor’s?rmmustsigntheirname.17.Date-EnterthedatetheDBEcommitmentformissignedbythecontract0r’spreparer.18.Preparer’sName-Enterthenameofthepersonpreparingandsigningtheco’sDBEcommitmentform.19.Phone-Entertheareacodeandphonenumberofthepersonsigningthecontractor'sDBEcommitmentform.20.Preparer’sTitle-Entertheposition/titleofthepersonsigningthec ’sDBEcommitmentform.

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ontractor
B|DDER'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'sDBEcommitmentform.29.Phone-Entertheareacodeandphonenmnberofthepersonsigningthec ’sDBEcommitmentform.30.LocalAgencyRepresentativeTitle-Entertheposition/titleoftheLocalAgencyRepresentativecertifyingthecontractor’sDBEcommitmentform.

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umberI9.2021
(AgencyName)‘heinformF
BIDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)EXHIBIT15-H:PROPOSERICONTRACTORGOODFAITHEFFORTSCostProposalDueDateOctober19.2021PE/CEFederal-aidProjectNo(s)5186(017)BidOpeningDate CONCityofHemetThe establishedaDisadvantagedBusinessEnterprise(DBE)goalof15%forthiscontract.‘I ationprovidedhereinshowstherequiredgoodfaitheffortstomeetorexceedtheDBEcontactgoal.Proposersorbidderssubmitthefollowinginformationtodocumenttheirgoodfaitheffortswithin?ve(5)calendardaysfromcostproposalduedateorbidopening.ProposersandbiddersarerecommendedtosubmitthefollowinginformationeveniftheExhibit10-O1:ConsultantProposalDBECommitmentsorExhibit15-G:ConstructionContractDBECommitmentindicatethattheproposerorbidderhasmettheDBEgoal.Thisformprotectstheproposer’sorbidder’seligibilityforawardofthecontractiftheadministeringagencydeterminesthatthebidderfailedtomeetthegoalforvariousreasons,e.g.,aDBE?rmwasnotcerti?edatbidopening,orthebiddermadeamathematicalerror.ThefollowingitemsarelistedintheSectionentitled"SubmissionofDBECommitment"oftheSpecialProvisions,pleaseattachadditionalsheetsasneededA.ThenamesanddatesofwrittennoticessenttocertifiedDBEssolicitingbidsforthisprojectandthedatesandmethodsusedforfollowingupinitialsolicitationstodeterminewithcertaintywhethertheDBEswereinterested(pleaseattachcopiesofsolicitations,telephonerecords,faxcon?rmations,etc.):Publications DatesofAdvertisementNone None B.ThenamesanddatesofwrittennoticessenttocertifiedDBEssolicitingbidsforthisprojectandthedatesandmethodsusedforfollowingupinitialsolicitationstodetenninewithcertaintywhethertheDBEswereinterested(pleaseattachcopiesofsolicitations,telephonerecords.faxcon?rmations,etc.):NamesofDBEsSolicitedDateofInitialSolicitationFollowUpMethodsandDatesKewoEngineeringCorporationOctober16,2021 EmailOctober18,2021

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BIDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)C.TheitemsofworkmadeavailabletoDBEfirmsincludingthoseunbundledcontractworkitemsintoeconomicallyfeasibleunitstofacilitateDBEparticipation.Itisthebidder'sresponsibilitytodemonstratethatsufficientworktofacilitateDBEparticipationinordertomeetorexceedtheDBEcontractgoal.itemsof ProposerorBidderBreakdownofAmountPercentageWorkNormallyPerformsItemItems($) Of(Y/N) Contract 2TrafficandPedestrianControl#2&#3 Yesanllnstallation?of?idestrian$1o'o0o_o01-12%%%%D.Thenames.addressesandphonenumbersofrejectedDBE?rms,thereasonsforthebidder'srejectionoftheDBEs,the?rmsselectedforthatwork(pleaseattachcopiesofquotesfromthefirmsinvolved),andthepricedifferenceforeachDBEiftheselected?rmisnotaDBE:Names,addressesandphonenumbersofrejectedDBEsandthereasonsforthebidder'srejectionoftheDBEs:None Names,addressesandphonenumbersof?rmsselectedfortheworkabove:KewoEngineeringI13760HuntersFlunCt,Eastvale,CA92880I(951)231-7589 E.Efforts(e.g.inadvertisementsandsolicitations)madetoassistinterestedDBEsinobtaininginformationrelatedtotheplans,specificationsandrequirementsfortheworkwhichwasprovidedtoDBEs:Plansandspecificationsoftheprojectsweresentwiththesolicitationemail F.Efforts(e.g.inadvertisementsandsolicitations)madetoassistinterestedDBEsinobtainingbonding,linesofcreditorinsurance,necessaryequipment,supplies,materials,orrelatedassistanceorservices,excludingsuppliesandequipmenttheDBEsubcontractorpurchasesorleasesfromtheprimecontractororitsaffiliate:None

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BlDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESClPNo.5651FederalAidProjectNo.5186(O17) G.Thenamesofagencies,organizationsorgroupscontactedtoprovideassistanceincontacting,recruitingandusingDBE?rms(pleaseattachcopiesofrequeststoagenciesandanyresponsesreceived,i.e.,lists,Internetpagedownload,etc.):NameofAgency/OrganizationMethodlDateofContactResultsNone None None H.Anyadditionaldatatosupportademonstrationofgoodfaithefforts:Drnnfnfnmniland lettersama?nnhnrl

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B|DDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(O17)BIDSECURITYFORMFORBONDKNOWALLBYTHESEPRESENTS:ThattheundersignedServitekElectric.Inc. (NameofContractor)asPrincipalandtheundersignedasSuretyareheldandfirmlybounduntoOwner,CITYOFHEMET,apoliticalsubdivisionoftheStateofCalifornia,asobligee,inthepenalsumof(DollarAmountInWords)TENPERCENT(10%)oftheTotalAmountBid---Boll-ars-(-S)lawfulmoneyoftheUnitedStatesofAmericabeingatleasttenpercent(10%)oftheaggregateamountofsaidPrincipal'sbaseBid,forthepaymentofwhich,wellandtrulytobemade,webindourselves,oursuccessors,executors,administrators,andassigns,jointlyandseverally,firmlybythesepresents.CITYWIDETRAFFICSIGNALSAFETYUPGRADESWHEREAS,saidPrincipalissubmittingaBidfor'[‘PRO}E€’F'NAI\'/IE'AND'DES€RIPT1ON]"THECONDITIONOFTHISOBLIGATIONISSUCHthatiftheBidsubmittedbythesaidPrincipalbeacceptedandtheContractbeawardedtosaidPrincipalandsaidPrincipalshallwithintherequiredperiodsenterintotheContractsoawardedandprovidetherequiredConstructionPerformanceBond,ConstructionLaborandMaterialPaymentBond,insurancecertificates,andallotherendorsements,forms,anddocumentsrequiredundertheInstructionstoBidders,thenthisobligationshallbevoid,otherwisetoremaininfullforceandeffect.INWITNESSWHEREOF,theaboveboundenpartieshaveexecutedthisinstrumentthis15thdayof October2o21_(Month) (CorporateSeal) ByrincipByGreatMidwestInsuranceCompanySurety OCT15202](CorporateSeal) E‘-

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CALIFONIAALL-PURPOSECETIFICATEOFACKNOWEDGMENTAnotarypublicorothero?icercompletingthiscerti?cateveri?edonlytheidentityoftheindividualwhosignedSltltt,‘OiCdilijolltltlthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.Countyof Orange0CT152021On beforeme.Q.» c _tllcreilhcllnulneumilillenflhcnl'I'luer)pers0nzlll_\/2l]]pCdl‘€(iEdwardN.Hackfrttwhoprovedtomeonthebasisnl"sutisl’zlcturyevidencetobethepcrson(sjwhoselr.une(s.‘)isfurcstlbseribcdtothewithininstrumentandacknowledgedtomethatlleisheftheyexectlledtheSill‘llCinIlisihet-.¥1heh~ztulllorizeclCkt|)2lCily('it.'!?.andthulhy|1i.<r/’rrer/"ti'tL*i1*sigmlltllvfsjontheinstrumentthepemollfs-).ortheentityuponl)e|tzt|I’ot‘wl1ieIlthepcl‘s0n(.x-)ZlC[t2[i.exectltedtheinstrument.Icertifyl|t1(it3l'Pl:lNALl'YOFPERJURYunderthelawsotlheStateul’C21lili)l'nizlthattheforegoingp‘dl‘zlgl‘ilphistrueandcorrect "‘ C.MAESTASCOMM.#229509623WtINl:SSmyhandandot?clalseal. NOgA}§mléBEL'g8?Lr$$N'AgMYCOMM.EXP.JULY24,2023tNntl‘llyS-cult Il\l)[)l'l‘N(-)i\!ANA0I"l'l(')N/U,lNll‘(')RiV‘|A'l'l(‘)N [)|:'.“.iC|{li’HUN0|"TIH5AI|‘!\('iHil)l.)O(_'UMl'.'NI‘ServitekElectlic,IncBidBond(‘Iilleor(laserlplinnullllluellctldueuulcnll 021Stateuml('nulllylnl'ulln;lliutllullslhetheSl:lle:lllt|("ulllll_\'nlleic|i1\‘titlt!tIlll\.'lll5i!_.'IIUll\l]1U|5(I|l{lIL\:||1|)L:;|iu(lintullcIllCll(l|lll)’[3|l|1iiIJlklrztukllmllellglllelllDull:ulllkllilli/.i|li0|1ll1Hhll3Cli\k'Ll&llUthatthe.\iunellf>Ipemuliallly;I]'l|lL‘l||\.'(iuhicllmustalsobethes:1lnctl.ltclhc.lekmmledglncnlisculnplcletl(\L|(iiIi(l|1.llinl‘ullu.lliollI-TheuulurypuhliemustprinthisurhenIl:|n1l.‘il.'iitll|_'l|‘lL‘l|I§withinhisul’i1L'lu:ulnmi.\.-eiunIhllmxulh_v:lct>lnl1l;1.lIu|lllcn_\_’l)lIr|lliCiI1\?|lll'}’ptIi1IlC),PrinttheI1.'Il!lLT(\']t‘li(|I1gUnk:”lhignt-;(\‘)\\i|l)|lClSl\I|ll|i):l|l|)L‘.'lI:uthelimeml‘lltllilll/KIIIUILllltliczllethecurleclslngllllltorpltlrzll[t1lIll.\‘l‘I)ermslllgullincullecllhlim(Inheslte?wyri.-.1-‘m-elmuilelingiill.‘muleelIi-tins,FuilltreInCtIllm'L‘||)iI|(iiL‘.‘||\‘this('r\PA(‘lTYCl./\IMF,DBYTlIF:SIGNERHl_”d|\‘1dLml(S) lntuinmlinnIIl.l_\lendInn,j|e-;lil.ululdueutuenliecurding.U('(ll'p()rdlCOffice!‘ -lllennltnyseali|ll[1l'CSNiA'\llmustbecleln‘.’I|1(i|1l1olm_:tzlphlcallyFL‘|1l(\t|lllI||1iL‘illl[)tL‘.\‘N'lI)l1mustnotetwerlc:clorlines.lr'$L'tIlitnpresslnnmuulges.re-xcnlitIti|MN .-aullieicnlalienpermits.UlilCI\\useelunplctcudiltcmll.leLllu\vlutla_:ui1eillliumUpm.mC|.(S) Sign.‘IltIl‘eufllllcnululypublicmustlnlllcllthesigltntllreontilewiththeutllceatN ___,‘lb‘ theeuuntg.clout... , _ ‘ ‘Am"my‘'1‘"4 atAtltlllllrilailllltnrlnmlmlisnotneqmrellhutl.'1)llitihelptoemulclillnUTI'llS[CC(S) .'l\3i-£ll(l\\iC\iI_.‘.ll1Clllinnotllllsusetlat.’l|l;|L'il1.‘tiIu.ldi|'|'el-:nLdneumcltt[-1other (:1Indicatetitleortype0|altnclletltillflllllflll.lllllnhcl0|pagesumi‘|‘““4ta?lmlimllethectlpllcilyeluillletlhythekig_£l\L'l.lfllwL'i1li|'l1L‘(il,'ll|l:lt'II_\.IE:IcnipmntenIt'lcci'.indicatethetitleti.c.(fl?t).(‘I-‘().SL‘L‘I\.'l;llj.“L-Scclllvlyuuaehthisdocumenttothesignedduutllmml 200$Vcliillll('i\|’.=\V12|f).ll'.‘H(l(l4??3~*).‘<?i\\\\\'l.N()llIl)((|llI$SCh.|'Ol1l lNS'|‘RU("l'|()NSl'()R(‘(JM|‘|.l".'l'|N(i'l'|HSl"()|{:\-1.lH_|m/.u¢nn'Ir((ummI/rmlt/zlumlIn('uJg'/4‘:/'uiuIIllI.\'lmnluliuIn/:I‘.I.L;u'mm‘!/_I'.1:up/JL':lI‘\:1/mm’inI/Ivm!IrII‘_1‘VL.'L'IlmIurn.\‘<',IJmuIL'm/4111111‘/Ct/wIIL'!JI/inIllmm!hepm/1w‘/vmu:/Jluluclandx’III(!('IIL‘(/Inthat./m-Iumw/.Timml)‘:‘1'u'/*inrE:if..'r/Htmuumi.\mIn:l('n"IH‘r/1‘(/1HlI.\fL/(‘of(‘I/4‘/ilwlliu.in\'m'/:I'N\!.rlII(z'\rIII_i:l.’l:'1Il(lli|:‘rn-lw:um’c.(n;rm-mm-r'Iu'u‘u.-m[mg/11‘_minIm/maHuh(IrimIlmummI’-mg;mIilrn'r'/n‘zIg¢-«lammuIuquircthenuhnjrInMr!mun-Il:in_c,»IlmlixI.//¢‘_1,'M'/murmlmjxIn('m‘[,'mm'n/ivnvrrj/ L'i:I_q/humu/mIi:v4I(‘ii/IHr‘il’\‘4:}(hp\'i_«.mw-1P,"mn-r/nu-Atin’1/IILIIIIIUHIum}/iIfI_|'/-u-pru,u'f'Vmluu14:}nurcliuq:tmI¢mm'/AI/Ii.»lbrmruqrr.-'u"cJ.(I'u|cnl(|L.‘.\lII||)ll|)lIulnu.lclu:<|(ltIL'|lll||.‘IllconlinuutliNuml)eI‘ofPz1gesDocumcntDnte1

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D RMEO
No.5780-2STATEOFCALIFORNIAEPATNTFINSUNCESANFRANCISCOAmendedCerti?cateofAuthority THISISTOCERTIFY ,That,pursuanttotheInsuranceCodeoftheStateofCalifornia, GreatMidwestInsuranceCompany
ofTexas,organizedunderthelawsofTexas,subjecttoitsArticlesofIncorporationorotherfundamentalorganizationaldocuments,isherebyauthorizedtotransactwithinthisState,subjecttoallprovisionsofthisCertificate,thefollowingclassesofinsurance:

Fire,Marine,Surety,Disability,PlateGlass,Liability,Workers’Compensation,CommonCarrierLiability,BoilerandMachinery,Burglary,Credit,Sprinkler,TeamandVehicle,Automobile,andAircraft assuchclassesarenowormayherea?erbede?nedintheInsuranceLawsoftheStateofCalifornia.THISCERTIFICATEisexpresslyconditionedupontheholderhereofnowandhereafterbeinginfullcompliancewithall,andnotinviolationofany,oftheapplicablelawsandlaw?ilrequirementsmadeunderauthorityofthelawsoftheStateofCaliforniaaslongassuchlawsorrequirementsareine?ectandapplicable,andassuchlawsandrequirementsnoware,ormayhereafterbechangedoramended.

INWITNESSWHEREOF,effectiveasofthe4"’dayofAugust,2015,Ihavehereuntosetmyhandandcausedmyo?icialsealtobeaffixedthis4"’dayofAugust,2015.

DaveJonesInsuranceCommissioner
By ValerieSarfatyforNettieHogeChiefDeputy
NOTICE:Quali?cationwiththeSecretaryofStatemustbeaccomplishedasrequiredbytheCaliforniaCorporationsCodepromptlyalterissuanceofthisCerti?cateofAuthority.FailuretodosowillbeaviolationofInsuranceCodesection701andwillbegroundsforrevokingthisCerti?cateofAuthoritypursuanttothecovenantsmadeintheapplicationthereforandtheconditionscontained

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POWEROFATTORNEYGreatMidwestInsuranceCompanyKNOWALLMENBYTHESEPRESENTS,thatGREATMIDWESTINSURANCECOMPANY ,aTexasCorporation,withitsprincipalofficeinHouston,TX,doesherebyconstituteandappoint:EdHackett,SeanMcCauley,Jr.,ClaudiaNunez,BenFarley,SamDuckett,ChristineMaestas trueandlawfulAttorney(s)-In-Facttomake,execute,sealanddeliverfor,andonitsbehalfassurety,anyandallbonds,undertakingsorothetingsobligatoryinnatureofabond.ThisauthorityismadeunderandbytheauthorityofaresolutionwhichwaspassedbytheBoardofDirectorsofGREATNSURANCECOMPANY ,onthe15‘dayofOctober,2018asfollows:Resolved,thatthePresident,orriyofficerbeandherebyIS,authorizedtoappontandempowernyrepresentativeoftheCompanyotherpersonorpersonsasAttorney-In-FacttoexecuteonbehalfoftheCompanyanybondsundertakings,policies,contractsofindemnityorotheobligatoryinnatureofabondnottoexceedTenMndollars($0000,000.00)whohtheCompanymightexecutethroughitsdulyelectedofficersandaffixthesealoftheCompanythereto.AnysaidexecutionofsuchdocumentsbyanAttorney—ln—FactshabeasbindrigupontheCompanyasiftheyhadbeendulyexecutedandacknowledgedbytheregularlyelectedofficersoftheCmpanyAnyAttorney-ln—Fact,soapponted,mayberemovedtheCompany’ssolediscretionandtheuthoritysograntedmayberevokedaspecifiedinthePowerofAttorneyResolvedthatthesignatureofthePresidentandtheseaoftheCompnymaybeffixedbyfacsmileonanypoweofattorneygranted,ndthesignatureoftheSecretary,andthesealoftheCompanymaybeaffixedbyfacsimiletoanycertificateofanysuchpoweandanysuchorcertificatebearingsuchfacsimilesignatureandsealhalbevalidridbindngontheCompanyAnysuchpowesoexecutedandsealedcertificatesoexecutedridsealedshallwithrespecttoanybondofundertakingtowhichitisattachedcontinuetobevalidandbindingontheompanyINWITNESSTHEREOF,GREATMIDWESTINSURANCECOMPANY ,hascausedthisinstrumenttobesignedbyitsPresident,anditsrporateSealtobeaffixedthis11thdayofFebruary,2021. GREATMIDWESTINSURANCECOMPANY CORPORATESEAL BY MarkW.HaushillPresidentACKNOWLEDGEMENTOnthis11thdayofFebruary,2021,beforeme,personallycameMarkW.Haushilltomeknown,whobeingdulysworn,diddeposeandaythatheisthePresidentofGREATMIDWESTINSURANCECOMPANY ,thecorporationdescribedinandwhichexecutedtheaboveinstrument;heexecutedsaidinstrumentonbehalfofthecorporationbyauthorityofhisofficeundertheBy-lawsofsaidcorporation CHRISTINABISHOPNotaryPublic,Stateof BYComm.Expires04-I4-2025 ChristinaBishopNotarID131090488 NotaryPublicCERTIFICATEI,theundersigned,SecretaryofGREATMIDWESTINSURANCECOMPANY ,ATexasInsuranceCompany,DOHEREBYCERTIFYoriginalPowerofAttorneyofwhichtheforegoingisatrueandcorrectcopy,isinfullforceandeffectandhasnotbeenrevokedandtheresolutionssetfortharenowinforce.15th OctoberandSealedatHouston,TXthis Dayof 2021 CORPORATESEAL BY LeslieK.SecretaryING:Anypersonwhoknowinglyandwithintenttodefraudanyinsurancecompanyorotheperson,filesandapplicationfornsuranceofclaimntaininganymateriallyfalsenformationoconcealsforthepurposeofmisleading,nformationconcerninganyfactmaterialthereto,commitsudulentnsuranceact,whichisacrimeandsubjectssuchpersontocriminalandcivilpenalties.

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responsible
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B|DDER'SPROPOSALCITYWIDETRAFFICSIGNALSAFETYUPGRADESPNo.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.TheundersignedhasalsocarefullycheckedallofthefiguresgivenandunderstandsthattheAgencywillnotbeforanyerrorsoromissionsonthepartoftheundersignedinsubmittingthisproposal.Contractorconfirmsthathis/her/itsbidissubmittedwithrespecttothechangestotheContractand/orContractDocumentsincludedinalladdendaissuedbytheOwner.Inadditiontoreaffirmingthatthechangesandinformationcontainedintheaddendahavebeenintegratedintotheirproposal,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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B|DDER'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)withOmniSoftwareandEquipmentperPlanRemoveandSalvageExistingController.FurnishandInstallMcCain2070LXController(orapprovedequal)withOmniSoftwareandEquipmentperPlan UNIT
L5L5
EA
EA
EA
EA
EA
EA
TOTALBASEBID(numbers)

ESTIMATEDQUANTITY
151
253
37 142
39 ENDOFBASEBIDITEMS
UNITPRICEEXTENDEDITEMAMOUNT81,000"
550006%’
237,000"
F2000
3”51¢;V00
‘W0;=:9ao0
7&0new
525022S450
777.

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B|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BASEBIDTOTAL(inwords) 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. érvtnhwndvrd.Eveurn\/‘$e\1‘chDo\\L\vsom:/{Yxvomf

16.E

%jj
Secretary
, 90221
BlDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BysigningandsubmittingthisbidtheContractorconfirmsthattheyarefamiliarwiththeworksiteandallexistingconditionsthatmayaffecttheirworkandthattheyhavereadandagreetoalltheterms,conditionsandrequirementscontainedorreferencedhereinorintheContractDocumentsandthatalltheaforementionedhasbeenincludedinthebidpriceslistedabove,includingitemsofworkthatmaynothaveaspecificpaylineitemandthatthereshallbenoadditionalcoststotheAgency.W ARNING:IfanaddendumoraddendahavebeenissuedbytheAgencyandnotnotedaboveasbeingreceivedbythebidder,thisBidmayberejected.Completethefollowing:

DBA(ifany)
Nameandtitleoftheowner
Nameandtitleofsecondpartnerorofficer
BusinessAddress
Telephonenumber
Facsimilenumber
NameandEmailaddressofprimarycontact
Companyad
Signatu Date Bidder Date
Printmeand Printneandtitle(IftheBidderisacorporationtwosignaturesofcorporateo?icersarerequired.) AlfaroCommunicationsConstructionInc./DIR:1000042376/Contractor'sLicense:912727 MavraMartinez/Vice-President&
15614S.AtlanticAve.ComotonCA
(310)669-8949
(31m693-5342
HaidiDaaifi/haidi@a|farocommun
Legalnameofthebusiness,DIRReg.andContractorLicenseNos.CorporationBusinessType(Corporation,Partnership,SoleProprietor)A(‘.(‘.|

16.E

ires
i er
Prin?iameaad
BlDDER'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:Bearsthelicensenumber(s):b.Exp Signatureof DateSignatu Date
title Printandtitle(IftheBidderisacorporationtwosignaturesofcorporateo?icersarerequired.)ThisrequiredlicensedeterminationhasbeenmadebytheAgency.AnyContractorholdingadifferentlicensewhofeelsheisqualifiedtobidonthisworkmustsoadvisetheAgencyatleastseven(7)dayspriortothebidopening.TheAgencymayconductareviewofthecontemplatedworktore-evaluatetherequiredlicensedetermination.TheAgencymayinitssolediscretionmaintainorchangetherequiredlicensedetermination;Agency'sdecisionastotherequiredlicensewillbefinal. /o-.,'Z,|
919797
/ow/4.
05/31/2022

16.E

BlDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(O17)BIDSECURITYFORMFORCHECKNOTE:THEFOLLOWINGFORMSHALLBEUSEDINTHECASEOFCHECKACCOMPANYINGBIDAccompanyingthisproposalisaCertifiedCheckorCashier'sCheckpayabletotheorderoftheCityofHemet,hereinafterreferredtoas"Agency",fordollars(S ),thisamountbeing10percent(10%)ofthetotalamountofthebid.Thischeckshallbereturnedtotheundersignedonlyifeitherofthefollowingoccurs:A.IfsaidBidshallberejectedbytheAgency;B.IfsaidBidshallbeacceptedbytheAgencyandtheUndersignedshallexecuteanddeliveraContractintheformattachedhereto(properlycompletedinaccordancewithsaidBid)andshallfurnishbondsrequiredforhis/her/itsfaithfulperformanceofsaidContractandforthepaymentofallpersonsperforminglabororfurnishingmaterialsinconnectiontherewith,andshallinallotherrespectsperformtheContractcreatedbyacceptanceofsaidBid.Otherwise,saidcheckshallbecomethepropertyoftheAgencySaidcheckshallalsobecomethepropertyoftheAgencyiftheUndersignedshallwithdrawhis/her/itsbidwithintheperiodofsixty(60)calendardaysafterthedatesetfortheopeningthereof,unlessotherwiserequiredbylaw,andnotwithstandingtheawardoftheContracttoanotherbidder.

SignatureofBidder DateSignatureofBidder Date
Printnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateo?icersarerequired.)

16.E

10.0%ofBidAmount
B|DDER'SPROPOSAL(Cont'd) Rev.9CITYWIDETRAFFICSIGNALSAFETYUPGRADESSeptember2928CIPNo.5651FederalAidProjectNo.5186(017)BIDSECURITYFORMFORBONDKNOWALLBYTHESEPRESENTSThattheundersignedAlfaroCommunicationsConstructionInc.(NameofContractor)*EnduranceAssuranceCorporationasPrincipalandtheundersignedasSuretyareheldandfirmlybounduntoOwner,CITYOFHEMET,apoliticalsubdivisionoftheStateofCalifornia,asobligee,inthepenalsumof(DollarAmountInwordslTenPercentoftheTotalBidAmountDollars(S )lawfulmoneyoftheUnitedStatesofAmericabeingatleasttenpercent(10%)oftheaggregateamountofsaidPrincipal'sbaseBid,forthepaymentofwhich,wellandtrulytobemade,webindourselves,oursuccessors,executors,administrators,andassigns,jointlyandseverally,firmlybythesepresents.CITYWIDETRAFFICSIGNALSAFETYIJPGRADESWHEREAS,saidPrincipalissubmittingaBidfor[PROJECTNAMEANDDESCRIPTION]THECONDITIONOFTHISOBLIGATIONISSUCHthatiftheBidsubmittedbythesaidPrincipalbeacceptedandtheContractbeawardedtosaidPrincipalandsaidPrincipalshallwithintherequiredperiodsenterintotheContractsoawardedandprovidetherequiredConstructionPerformanceBond,ConstructionLaborandMaterialPaymentBond,insurancecertificates,andallotherendorsements,forms,anddocumentsrequiredundertheInstructionstoBidders,thenthisobligationshallbevoid,otherwisetoremaininfullforceandeffect.INWITNESSWHEREOF,theaboveboundenpartieshaveexecutedthisinstrumentthis23rddayofSeptember 2021.(Month) AlfaroCommu(CorporateSeal) By
ByuraAssuranceSur(CorporateSeal) Byreuong,
Principal

16.E

-vrf».r.*m:-e:<at»-oiyi?-‘5rxa>>so!i¢*¢*K-rim-§rW‘.1’xS¥l.!2‘6!¥E‘:—.~,-74*.r.-5-xva»:-am:as.-2-ameowuncrv:,rma,n,-tau-.-+2u-can-vxuumssmnu CALIFORNIAACKNOWLEDGMENTC§V%2..CODE§11832%4% f?é?
Artetawptablicor0‘-’.%‘t:”3£‘Qfflsgercompletingttttscertificateveri?esonlytheidentityoftheindividualwhosigmzdtheéocumenttottsltic?this;certificateisattachecl,andnotthetruthfulness,accuracy,ortraiiditgssfthatd0(iltll’%£‘l‘l'[.

State0%CaliforniaCountyof before§~f@r'esinsertNameandTitlesoftheGf,:";‘<:e2rpersepmszléyappeaseci i\3t:ii??€~“.*{.S}:32‘.Sign9:'{s) whoprovedtomeor:tlteioasslsofsatisfetctoty€BVlCit%t‘lCt“~Etobethepersoms)whosen€arT1e“s{s)isiaresubsctiizaedtothewitttininstrumeratandacknowledgedtothathefshe./theyexecutes?thesameinhlsitxerztheirautltorézer?capacimiesl,andthatbyltlsiher/theirsignaturezstontheinstrumentthepersonls),0:“tfleerltityl,li;>Oi“zl:;t~§Ft?sifofwhlcttthepersonisgacted,exectlteedtheirtstrumeartt. lcertifyurzclerPENAE_TYOFPERJURYundertheiawsC2?the?tate{sfCalifarrziathattheforegoing§3a¥§<_§l&pl‘1$3tmeanti§.:0:“rect., WWNESSmyhandandafficiettseal
SigawaturaJ:(OPTZONALConap/eatingtfzisf17fk.>r‘maiIoncandetextcyltemtiorzofthedocumentorfl”(.7L1dUf€?I’li!’€?Qif(7£Z/?I7?€?1?foftfaisformtocmunintendeddocument.

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at-zscriptianofAttachedDecumen?Title02”TypeofDrttcunlent:SocwentSatezwm _MW¥*~Jt§ml9@:'o%Pas§;e3:SzigrterisiOther‘'?'har1Name-rdAbove:CapacityiéesjCimme?bySlgraeds}$%gm'-swigNarrte: $igraer’s3Name:£3{:{}t§:)<3fa‘E@Officer««Titieis): CarparateOfficer~Tltlelsl:Partner-» [:3Limited£3GerletatlfiPartrterw1:1Limitect[3Genera:individualClAttorneyinFactLEindividualCtAttorneyinFastTrusteetitGuardianorConservater[3?rt:<3tec=21:3GmrdianorCrsttservator33Other 93Qthel’:SignerisRepreselttlngSignetE3;Repfesenting:
l:7»2(3t9NationalNotaryAssorslation
Orange
IreneLuong
J.SMITHNotaryPublic-CaiifcrniaOrangeCountyCommisswnI2358196Comm.Expre-sMay19.1025 J.Smith,NotaryPubliconsep232021Date
US£gnatL::'eofNataryPubffc

16.E

Rlchnrd;‘§\la&.§gnlor(IounsaIRichardAppeI,~,suv-L,$"enIorcounselRica RicamAppaysw/‘Piu?pn. -0 .9 cs":4 ,;),yD_ "‘%‘ ‘"~...,.....‘..-v‘
owntome,whobeingdulysworn.amdeans:andsaymaxhsII_byaumomyMmson *underlhby soleachCvmpanx By, ,-...—
Amyaylor‘Nol uhlmMyCamrmsamnExpireIFICATE
recomadandm
Danie. rte, ramy
NTIDE‘TREASURYDEPARENY‘FFICEorFOREIGNASSETSCONTROLone
M95./Iwww.Ueasum.nov/minutes-camarlsangjn

SOMPOINTERNATIONALPOWEROFATTORNEY
AssuranceEnduranceAmericanInsuranceCompanyBondSafeguard Appel rdAppel

ACKNOWLEDGEMENT
2021
Anyreproductionsarevoid.SuretyClaimsSubmission:Telephone:615-553-9500MailingAddress:SompoInternational;12890LebanonRoad;MountJuliet,TN37122-2870 1043KNOWALLBYTHESEPRESENTS,thatEnduranceAssuranceCorporation,aDelawarecorporation,EnduranceAmericanInsuranceCompany,aDelawarecorporation,LexonInsuranceCompany,aTexascorporation,and/orBondSafeguardInsuranceCompany,aSouthDakotacorporation,each,a"Company"andcollectively,"SompoInternational,"doherebyconstituteandappoint:YungT.Mullick,JamesW.Moilanen,IreneLuong,F.AustinNeff,EmilieGeorge,ChristineHoang,DanielleHansonastrueandlawfulAttorney(s)—ln—Facttomake,execute,seal,anddeliverfor,andonitsbehalfassuretyorco-surety;bondsandundertakingsgivenforanyandallpurposes,alsotoexecuteanddeliveronitsbehalfasaforesaidrenewals,extensions,agreements,waivers,consentsorstipulationsrelatingtosuchbondsorundertakingsprovided,however,thatnosinglebondorundertakingsomade,executedanddeliveredshallobligatetheCompanyforanyportionofthepenalsumthereofinexcessofthesumofONEHUNDREDMILLIONDollars($100,000,000.00).Suchbondsandundertakingsforsaidpurposes,whendulyexecutedbysaidattorney(s)-in—fact,shallbebindingupontheCompanyasfullyandtothesameextentasifsignedbythePresidentoftheCompanyunderitscorporatesealattestedbyitsCorporateSecretaryThisappointmentismadeunderandbyauthorityofcertainresolutionsadoptedbythesoleshareholderofeachCompanybyunanimouswrittenconsenteffectivethe15"‘dayofJune,2019,acopyofwhichappearsbelowundertheheadingentitled“Certi?cate"ThisPowerofAttorneyissignedandsealedbyfacsimileunderandbyauthorityofthefollowingresolutionadoptedbythesoleshareholderofeachCompanybyunanimouswrittenconsenteffectivethe15"‘dayofJune,2019andsaidresolutionhasnotsincebeenrevoked,amendedorrepealed:RESOLVED,thatthesignatureofanindividualnamedaboveandthesealoftheCompanymaybeaffixedtoanysuchpowerofattorneyoranycerti?caterelatingtheretobyfacsimile,andanysuchpowerofattorneyorcerti?catebearingsuchfacsimilesignatureorsealshallbevalidandbindingupontheCompanyinthefuturewithrespecttoanybondorundertakingtowhichitisattachedINWITNESSV\Il-IEREOF,eachCompanyhascausedthisinstrumenttobesignedbythefollowingof?cers,anditscorporatesealtobeaffixedthis15"‘dayofJune,2019 SEAL2002 EAL
Onthis15"‘dayofJune,2019,beforeme,personallycametheabovesignatoriesknoftheCompanies;andthatheexecutedsaidinstrumentonbehalfofeachCompany CERTI,theundersignedOf?cerofeachCompany,DOHEREBYCERTIFYthat:1ThattheoriginalpowerofattorneyofwhichtheforegoingisacopywasdulyexecutedonbehalfofeachCompanyandhasnotsincebeenrevoked,amendedormodi?ed;thattheundersignedhascomparedtheforegoingcopythereofwiththeoriginalpowerofattorney,andthatthesameisatrueandcorrectcopyoftheoriginalpowerofattorneyandofthewholethereof;2ThefollowingareresolutionswhichwereadoptedbythesoleshareholderofeachCompanybyunanimouswrittenconsenteffectiveJune15,2019andsaidresolutionshavenotsincebeenrevoked,amendedormodified:"RESOLVED,thateachoftheindividualsnamedbelowisauthorizedtomake,execute,sealanddeliverforandonbehalfoftheCompanyanyandallbonds,undertakingsorobligationsinsuretyorco-suretywithothers:RICHARDMAPPEL,BRIANJBEGGS,CHRISTOPHERDONELAN,SHARONLSIMS,CHRISTOPHERLSPARRO,MARIANNELVVILBERT;andbeitfurtherRESOLVED,thateachoftheindividualsnamedaboveisauthorizedtoappointattorneys-in-factforthepurposeofmaking,executing,sealinganddeliveringbonds,undertakingsorobligationsinsuretyorco-suretyforandonbehalfoftheCompany" 3Theundersignedfurthercerti?esthattheaboveresolutionsaretrueandcorrectcopiesoftheresolutionsasso ofthewholethereofINWITNESSWHEREOF,Ihavehereuntosetmyhandandaffixedthecorporatesealthis23rddayof NocoverageisprovidedbythisNoticenorcanitbeconstruedtoreplaceanyprovisionsofanysuretybondorothersuretycoverageprovidedThisNoticeprovidesinfonnationconcerningpossibleimpactonyoursuretycoverageduetodirectivesissuedbyOFACPleasereadthisNoticecarefully.TheOfficeofForeignAssetsControl(OFAC)administersandenforcessanctionspolicy,basedonPresidentialdeclarationsof"nationalemergency"OFAChasidentifiedandlistednumerousforeignagents,frontorganizations,terrorists,terroristorganizations,andnarcoticstraffickersas“SpeciallyDesignatedNationalsandBlockedPersons"ThislistcanbelocatedontheUnitedStatesTreasury'swebsite— ns/SDN-List.InaccordancewithOFACregulations,ifitisdeterminedthatyouoranyotherpersonorentityclaimingthebenefitsofanycoveragehasviolatedUSsanctionslaworisaSpeciallyDesignatedNationalandBlockedPerson,asidentifiedbyOFAC,anycoveragewillbeconsideredablockedorfrozencontractandallprovisionsofanycoverageprovidedareimmediatelysubjecttoOFACWhenasuretybondorotherformofsuretycoverageisconsideredtobesuchablockedorfrozencontract,nopaymentsnorpremiumrefundsmaybemadewithoutauthorizationfromOFACOtherlimitationsonthepremiumsandpaymentsmayalsoapply

SOUTHDAKOTAINSURANCECOMPANY

16.E

DEPRM F] RA
Iarses rm/re
(}~é\
No.5082-3
STATEOFCALIFORNIAATENTONSUNCESANFRANCISCOAmendedCerti?cateofAutority THISISTOCERTIFYthat,pursuanttotheInsuranceCodeoftheStateofCalifornia, EnduranceAssuranceCorporation
ofDelaware,organizedunderthelawsofDelaware,subjecttoitsArticlesofIncorporationorother?mdamentalorganizationaldocuments,isherebyauthorizedtotransactwithinthisState,subjecttoallprovisionsofthisCerti?cate,thefollowingclassesofinsurance:

Fire,Marine,Surety,Disability,PlateGlass,Liability,Workers’Compensation,CommonCarrierLiability,BoilerandMachinery,Burglary,Credit,Sprinkler,TeamandVehicle,Automobile,Aircraft,andMiscellaneous assuchc arenowormayherbede?nedintheInsuranceLawsoftheStateofCalifornia.THISCERTIFICATEisexpresslyconditionedupontheholderhereofnowandherea?erbeinginfullcompliancewithall,andnotinviolationofany,oftheapplicablelawsandlaw?xlrequirementsmadeunderauthorityofthelawsoftheStateofCaliforniaaslongassuchlawsorrequirementsareine?ectandapplicable,andassuchlawsandrequirementsnoware,ormayhereafterbechangedoramended CarolFrairforJoelLaucherChiefDeputy
NOTICE:Quali?cationwiththeSecretaryofStatemustbeaccomplishedasrequiredbytheCaliforniaCorporationsCodepromptlya?erissuanceofthisCerti?cateofAuthority.FailuretodosowillbeaviolationofInsuranceCodesection701andwillbegroundsforrevokingthisCerti?cateofAuthoritypursuanttothecovenantsmadeintheapplicationthereforandtheconditionscontaine INWITNESSWHEREOF,e?ectiveasofthe23"’dayofAugust,2016,Ihavehereuntosetmyhandandcausedmyoj?cialsealtobea?ixedthis23”’dayofAugust,2016.

DaveJonesInsuranceCommis?oner
.'Jw.;

16.E

Q:3Aggk AlfaroCommunications,
Corngton[div]. CA [state].

B|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)NON-COLLUSIONAFFIDA VITPUBLICCONTRACTCODESECTION7106NON-COLLUSIONDECLARATIONTOBEEXECUTEDBYBIDDERANDSUBMITTEDWITHBIDTheundersigneddeclares:Iamthe of thepartymakingtheforegoingbid.Thebidisnotmadeintheinterestof,oronbehalfof,anyundisclosedperson,partnership,company,association,organization,orcorporation.Thebidisgenuineandnotcollusiveorsham.Thebidderhasnotdirectlyorindirectlyinducedorsolicitedanyotherbiddertoputinafalseorshambid.Thebidderhasnotinanymanner,directlyorindirectly,soughtbyagreement,communication,orconferencewithanyonetofixthebidpriceofthebidderoranyotherbidder,orto?xanyoverhead,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],at of DateSignatureofer Date
Printandtitle(IftheBidderisacorporation,twosignaturesofcorporateof?cersarerequired.) istrueandcorrectandthatthisdeclarationisexecutedon10/19/2021 Construction,Inc.

16.E

CityofHunlin
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.Proj Proj
(Attachadditionalpagesasnecessary)
(08—1G2104)-ContractPrice: DateofCompletion:$2,999,775.47Name,Address,andTelephoneNumberofOwner'sRepresentative:LawrenceYaacoub,790ViaLata.ColtonCA92324,(213)434-9325 Caltrans(07-306504)ConstructioninLACountyContractPrice: DateofComp$1.910.712.00Name,Address,andTelephoneNumberofOwner'sRepresentative:MichealChou,W.BadilloSt., CA91722,(626)339-1601 ProjectName:gtonBeach(TrafficSignalModificationattheIntersectionofNewiandStreetandEllisAvenue)ContractPrice: DateofCompletion:Name,Address,andTelephoneNumberofOwner'sRepresentative:$289,075.00 JosephFuentes,2000MainStreet,HuntingtonBeachCA92648,(714)536-5259

16.E

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16.E

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BIDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(O17)BIDDERCERTIFICATIONSTOBEEXECUTEDBYALLBIDDERSANDSUBMITTEDWITHBIDTheundersignedBiddercertifiestoOwnerassetforthinsections1through10,belowSTATEMENTOFCONVICTIONSBymysignaturehereunder,Iherebyswear,underpenaltyofperjury,thatnomorethanonefinal,unappeaiablefindingofcontemptofcourtbyaFederalCourthasbeenissuedagainstBidderwithinthepasttwoyearsbecauseoffailuretocomplywithanorderofaFederalCourtortocomplywithanorderoftheNationalLaborRelationsBoard.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

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BIDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017) CERTIFICATIONOFNON-DISQUALIFICATIONBymysignaturehereunder,astheContractor,Iswear,underpenaltyofperjury,thatthebelowindicatedBidder,anyofficerofBidder,oranyemployeeofBidderwhohasaproprietaryinterestinsuchBidder,hasneverbeendisquali?ed,removed,orotherwisepreventedfrombiddingon,orcompletingaFederal,State,orlocalgovernmentprojectbecauseofaviolationoflaworsafetyregulation,exceptasindicatedontheseparatesheetattachedheretoentitled"PreviousDisqualifications."Ifastatementof”PreviousDisqua|ifications”isattached,pleaseexplainthecircumstances.CERTIFICATIONOFADEQUACYOFCONTRACTAMOUNTBymysignaturehereunder,astheContractor,pursuanttoLaborCodeSection2810(a),certifythat,ifawardedtheContractbasedontheundersigned’sBid,theContractwillincludefundssufficienttoallowtheContractortocomplywithallapplicablelocal,state,andfederallawsorregulationsgoverningthelabororservicestobeprovided.IunderstandthatOwnerwillberelyingonthiscerti?cationifitawardstheContracttotheundersigned.CERTIFICATIONREGARDINGDIRCONTRACTOR/SUBCONTRACTORREGISTRATIONBymysignaturehereunder,astheContractor,IcertifythatContractor,andalllistedSubcontractorsarethesubjectofcurrentandactivecontractorregistrationspursuanttoDivision2,Part7,Chapter1(commencingwithsection1720)oftheCaliforniaLaborCode.Contractor'sregistrationnumberis[pleasecomplete]Subcontractors’registrationnumbersareasindicatedinDocument004314.

Signatureof Date Date
nametitle andtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.) BIDDER:u nsConstruction,Inc. /o~——

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[A
BlDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(O17)EQUALEMPLOYMENTOPPORTUNITYCERTIFICATION Inc. 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.

ThebidderAlfaroCommunicationsConstruction

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B|DDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)DEBARMENTANDSUSPENSIONCERTIFICATIONTITLE49,CODEOFFEDERALREGULATIONS,PART29 Thebidder,underpenaltyofperjury,certifiesthat,exceptasnotedbelow,he/sheoranyotherpersonassociatedtherewithinthecapacityofowner,partner,director,officer,manager:
0 isnotcurrentlyundersuspension,debarment,voluntaryexclusion,ordeterminationofineligibilitybyanyFederalagency; 0 hasnotbeensuspended,debarred,voluntarilyexcludedordeterminedineligiblebyanyFederalagencywithinthepast3years; 0 doesnothaveaproposeddebarmentpending;and-hasnotbeenindicted,convicted,orhadaciviljudgmentrenderedagainstitbyacourtofcompetentjurisdictioninanymatterinvolvingfraudorofficialmisconductwithinthepast3years.

Ifthereareanyexceptionstothiscertification,inserttheexceptionsinthefollowingspace.

Exceptionswillnotnecessarilyresultindenialofaward,butwillbeconsideredindeterminingbidderresponsibility.Foranyexceptionnotedabove,indicatebelowtowhomitapplies,initiatingagency,anddatesofaction.

Notes:Providingfalseinformationmayresultincriminalprosecutionoradministrativesanctions.TheabovecertificationispartoftheProposal.SigningthisProposalonthesignatureportionthereofshallalsoconstitutesignatureofthisCertification.

16.E

B|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(O17)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,ormodificationofanyFederalcontract,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

COMPLETETHISFORMTODISCLOSELOBBYINGACTIVITIESPURSUANTTO3]U.S.C.I352

1.Type 3.RepoEa.com 3 Ea.inili
llangeOnly:quarterN/A
L
Only:

BlDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)DISCLOSUREOFLOBBYINGACTIVITIESofFederalAction:2.StatusofFederalAction:rtType:ract a.bid/offer/applicationalb.grant b.initialaward b.materialchangec.cooperativeagreementc.post-awardd.loan ForMaterialCe.loanguarantee yearf.loaninsurance dateoflastreport5.IfReportingEntityinNo.4isSubawardee,EnterNameandAddressofPrime:

CongressionalDistrict,ifknown7.FederalProgramName/Description:

CFDANumber,ifapplicable8.FederalActionNumber,ifknown: 9.AwardAmount,ifknown:

10.a.NameandAddressofLobbyEntity b.IndividualsPerformingServices(including(Ifindividual,lastname,firstname,M1) addressifdifferentfromNo.10a)(lastname,firstname,M1) (attachContinuationSheet(s)ifnecessary)11.AmountofPayment(checkallthatapply)S Dactual a.retainerb.one-timefee12.FormofPayment(checkallthat c.commissiona.cash d.contingentfeeb.in-kind;specify:nature edeferredvalue_ 7 f.other,specify14.BriefDescriptionofServicesPerformedortobeperformedandDate(s)ofService,includingoft'rcer(s),employee(s),ormember(s)contacted,forPaymentIndicatedinItem11:
(attachContinuationSheet(s)ifnecessary)15.ContinuationSheet(s)attached:Yes No[6,InfonnationrequestedthroughthisformisauthorizedbyTitle31U.S.C.Section1352.Thisdisclosureoflobbyingreliancewasplacedsignature;bythetierabovewhenhistransactionwasmadeorenteredinto.Thisdisclosureisrequiredpursuantto31U.S.C.1352.ThisinformationwillbereportedtoCongresssemiannuallyandwillbeavailableforpublicinspection.Anypersonwhofailsto?letherequireddisclosureshallbesubjecttoacivilpenaltyofnotlessthan$10,000andnotmorethan$100,000foreachsuchfailure. TelephoneAuthorizedforLocalReproductionFederalUse StandardForm-LLL N/A
N/A
N/A
N/A
NameandAddressofReportingEntityPrimeDSubawardeeTier,iflmown CongressionalDistrict,ifknown6.FederalDepartment/Agency:

AlfaroCommunicationsConstruction,Inc.

N/A

13.TypeofPayment(checkallthatapply)
ContractAdministrator
[Iplanned“PP|y):

No.: Date:(310)669-894910/19/2021

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New.I.
snpu-.nIu~rmanB|DDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)INSTRUCTIONSFORCOMPLETIONOFSF-LLL,DISCLOSUREOFLOBBYINGACTIVITIESThisdisclosureformshallbecompletedbythereportingentity,whethersubawardeeorprimeFederalrecipient,attheinitiationorreceiptofcoveredFederalactionoramaterialchangetoprevious?lingpursuanttotitle31U.S.C.section1352.The?lingofaformisrequiredforsuchpaymentoragreementtomakepaymenttolobbyingentityforin?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"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-90-00]."9.ForacoveredFederalactionwheretherehasbeenanawardorloancommitmentbytheFederalagency,entertheFederalamountoftheaward/loancommitmentsfortheprimeentityidenti?edinitem4or5.10.(a)Enterthefullname,address,city,stateandzipcodeofthelobbyingentityengagedbythereportingentityidenti?edinitem4toin?uencedthecoveredFederalaction.(b)Enterthefullnamesoftheindividual(s)performingservicesandincludefulladdressifdifferentfrom10(a).EnterLastName,FirstNameandMiddleInitial(MI).I1.Entertheamountofcompensationpaidorreasonablyexpectedtobepaidbythereportingentity(item4)tothelobbyingentity(item10).Indicatewhetherthepaymenthasbeenmade(actual)orwillbemade(planned).Checkallboxesthatapply.Ifthisisamaterialchangereport,enterthecumulativeamountofpaymentmadeorplannedtobemade.12.Checktheappropriatebox.Checkallboxesthatapply.Ifpaymentismadethroughanin-kindcontribution,specifythenatureandvalueofthein-kindpayment.l3.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-LLL-InstructionsRev06-04-90«ENDIF)) A1-18

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25.AwardAmounl’
"Suhcoraclar
B|DDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)Exhibit15-GConstructionContractDBECommitment1.LocalAgency:3.ProjectDescription:4.ProjectLocation:

8.TotalDollarAmountforALLSubcontractors:9.TotalNumberofALLSubcontractors:
“?e?”°' céien33i»n1......::..:;2§::r.::::;r;°.:::::::2.....,‘Eel’?Number pp Number p Amount LocalAgencytocompletethissectionuponExecutionofAward21.LocalAgencyContractNumber:22.Federal-AidProjectNumber:23.BidOpeningDate:24.ContractAwardDate:

15.TOTALCLAIMEDDBEPARTICIPATION
IMPORTANT:IdentifyallDBE?rmsbeingclaimedforcredit,regardlessoftier.NamesoftheFirstTierDBESubcontractorsandtheirrespectiveitem(s)ofworklistedabovemustbeconsistent,whereapplicablewiththenamesanditemsoftheworkintheLocalAgencycerti?esthatallDBEcerti?cationsarevalidandinformationon List"submittedwithyourbid.Writtencon?rmationofthisformiscompleteandaccurate. eachDBEisrequired.26.LocalAgencyRepresentative'sSignature27.Date28.LocalAgencyRepresentative'sName29.Phone 19.Phone30.LocalAgencyRepresentative'sTitle 20.Preparer‘sTitleDISTRIBUTION:1.Original—LocalAgency2.Copy-CaltransDistrictLocalAssistanceEngineer(DLAE).FailuretosubmittoDLAEwithin30daysofcontractexecutionmayresultinde-obligationoffederalfundsoncontract.3.Includeadditionalcopywithawardpackage.ADANotice:Forindividualswithsensorydisabilities,thisdocumentisavailableinalternatefonnets.Forinformationcall(916)654-6410orTDD(916)654-3880orwriteRecordsandFonnsManagement,1120NStreet,MS-B9,Sacramento,CA95814.

A1-19
CityofHemetCITYWIDETRAFFICSIGNALSAFETYUPGRADES
7?0/3,4)/'3Arln/Ibnnmzmmmmmn/ummv00

2.ContractDBEGoal:15%

6.PrimeCerti?edDBE:7.BidAmountInc.
‘Fl2.oMB0Irina
'
ITO3AbggzfAnn)Mitrr?nnnifug99775
%

17.Date(310)18.Preparer'sName

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MA Vl\AACC[Q§MA]|..COM
m
7/9/2021 B2Gnow
Business&ContactInformation

BUSINESSNAMEOWNERADDRESS

PHONEFAXEMAILWEBSITEETHNICITYGENDERCOUNTY
Certi?cationInformation

CERTIFYINGAGENCYCERTIFICATIONTYPECERTIFIEDBUSINESSDESCRIPTION CommodityCodes
Cod DescriptionNAICS238210NAICS237130NAICS237310NAICS237990 AdditionalInformation

WORKDISTRICTS/REGIONSCUCPPUBLICDIRECTORYCERTIFICATIONNUMBER https2//californiaucp.dbesysiem.com
AlfaroCommunicationsConstruction,nc.,DBAACCHugoAlfaro15614S.AtlanticAveCompton,CA90221310669-8949310693-5343 CaucasianMaleLosAngeles(CA)
LosAngelesCountyMetropolitanTransportationAuthorityDBE-DisadvantagedBusinessEnterpriseElecrical,generalcontractor,concreteandlandscaping ElectricalContractorsandotherWiringInstallationContractorsPowerandCommunicationLineandRelatedStructuresConstructionHighway,Street,andBridgeConstructionotherHeavyandCivilEngineeringConstruction LosAngeIes<br>0range<br>Riverside<br>SanBernardino<br>Ventura48013 Certified CLOSEwmoow[7Print

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B|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)INSTRUCTIONS— CONSTRUCTIONCONTRACTDBECOMMITMENT

1.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.TotalDollarAmountforMSubcontractors— Enterthetotaldollaramountforallsubcontractedcontractors.SUM=(DBEs+allNon—DBEs).Donotincludetheprimecontractorinformationinthiscount.9.Totalnumberof£4;subcontractors— 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.DBECerti?cationNumber-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“ContractDBEGoal,”anadequatelydocumentedGoodFaithEffort(GFE)isrequired(seeExhibit15-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.

CONTRACTORSECTION

16.E

B|DDER'SPROPOSAL(Cont'd) rs wCITYWIDETRAFFICSIGNALSAFETYUPGRADES‘ =«t. av~ - CIPNo.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.

16.E

U/0
B|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)EXHIBIT15-H:PROPOSERICONTRACTORGOODFAITHEFFORTSCostProposalDueDate PE/CEFederal-aidProjectNo(s) BidOpeningDate CONestablishedaDisadvantagedBusinessEnterprise(DBE)goalof forthiscontract.TheinformationprovidedhereinshowstherequiredgoodfaitheffortstomeetorexceedtheDBEcontractgoal.Proposersorbidderssubmitthefollowinginformationtodocumenttheirgoodfaitheffortswithin?ve(5)calendardaysfromcostproposalduedateorbidopening.ProposersandbiddersarerecommendedtosubmitthefollowinginformationeveniftheExhibit10-O1:ConsultantProposalDBECommitmentsorExhibit15-G:ConstructionContractDBECommitmentindicatethattheproposerorbidderhasmettheDBEgoal.Thisformprotectstheproposer’sorbidder’seligibilityforawardofthecontractiftheadministeringagencydeterminesthatthebidderfailedtomeetthegoalforvariousreasons,e.g.,aDBE?rmwasnotcerti?edatbidopening,orthebiddermadeamathematicalerror.ThefollowingitemsarelistedintheSectionentitled“SubmissionofDBECommitment”oftheSpecialProvisions,pleaseattachadditionalsheetsasneededA.Thenamesanddatesofwrittennoticessenttocerti?edDBEssolicitingbidsforthisprojectandthedatesandmethodsusedforfollowingupinitialsolicitationstodeterminewithcertaintywhethertheDBEswereinterested(pleaseattachcopiesofsolicitations,telephonerecords,faxcon?rmations,etc.):Publications DatesofAdvertisement B.Thenamesanddatesofwrittennoticessenttocerti?edDBEssolicitingbidsforthisprojectandthedatesandmethodsusedforfollowingupinitialsolicitationstodeterminewithcertaintywhethertheDBEswereinterested(pleaseattachcopiesofsolicitations,telephonerecords,faxcon?rmations,etc.):NamesofDBEsSolicitedDateofInitialSolicitationFollowUDMethodsandDates 51ae(o17)
WeareCertifiedDBE-WemeettheGoal
-
AqencvName)CityofHeme

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B|DDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)C.TheitemsofworkmadeavailabletoDBEfirmsincludingthoseunbundledcontractworkitemsintoeconomicallyfeasibleunitstofacilitateDBEparticipation.Itisthebidder'sresponsibilitytodemonstratethatsuf?cientworktofacilitateDBEparticipationinordertomeetorexceedtheDBEcontractgoal.Itemsof ProposerorBidderBreakdownofAmountPercentageWorkNormallyPerformsItemItems($) Of(Y/N) Contract %%%%D.Thenames,addressesandphonenumbersofrejectedDBEfirms,thereasonsforthebidder'srejectionoftheDBEs,the?rmsselectedforthatwork(pleaseattachcopiesofquotesfromthe?rmsinvolved),andthepricedifferenceforeachDBEiftheselectedfirmisnotaDBE:Names,addressesandphonenumbersofrejectedDBEsandthereasonsforthebidder'srejectionoftheDBEs:

Names,addressesandphonenumbersof?rmsselectedfortheworkabove:

E.Efforts(e.g.inadvertisementsandsolicitations)madetoassistinterestedDBEsinobtaininginformationrelatedtotheplans,speci?cationsandrequirementsfortheworkwhichwasprovidedtoDBEs:

F.Efforts(e.g.inadvertisementsandsolicitations)madetoassistinterestedDBEsinobtainingbonding,linesofcreditorinsurance,necessaryequipment,supplies,materials,orrelatedassistanceorservices,excludingsuppliesandequipmenttheDBEsubcontractorpurchasesorleasesfromtheprimecontractororitsaf?liatez WeareCerti?edDBE-WemeettheGoal
WeareCerti?edDBE-WemeettheGoal
WeareCerti?edDBE-WemeettheGoal
WeareCertifiedDBE-WemeettheGoal
-

16.E

B|DDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017) G.Thenamesofagencies,organizationsorgroupscontactedtoprovideassistanceincontacting,recruitingandusingDBE?rms(pleaseattachcopiesofrequeststoagenciesandanyresponsesreceived,i.e.,lists,Internetpagedownload,etc.):Method/DateofContactResults H.Anyadditionaldatatosupportademonstrationofgoodfaithefforts:

NameofAgency/Organization
-
areCerti?ed- meet

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24800CHRISANTADR.,STE160MISSIONVIEJO,CA92691PHONE(949)461-7000ECHANGET°LLF:r:::22;:2::::::BONDREQUESTFOR[4CompanyNameACCICommunicationBondRequestedBy:HaidiDaai? ContactPhone:(310)669-3949P1-ojectName;CITYWIDETRAFFICSIGNALSAFETYUPGRADESInvitation/Project#:5651 BidPackageItem&#(ProjectOwner:Cit)’°fHemet projectownelnsAddress;445EastFloridaAvenue,Hemet,CA92543Street City StateZipBidDate:10 192021BidTime:3i00PMBondFormRequiredbyOwner?:Yi:iNIfyes,pleasesubmitwithbondrequestBidBond%:10PerformanceBond%:100PaymentBond%:100Numberofcopies:1EstimatedStartDate: TimeforCompletion:60DaysWarrantyPeriod: LiquidatedDamages:$2,000-00JobEstimate/ContractPrice$GeneralJobDescription:

Breakdown:Material:$Labor:$Pro?t&Overhead:$
TotalUncompletedJobsinProgress:$
PleaseListMajorTrades (PleaseindicatetradesyouwillBondBack)BondedI:IYUN2. |:|Y|:|NDYIZIN4. DY|:INIIIYIIIN PleasefaxthisrequestwiththeOwnerrequiredbondformsto:FAX#(949)461-7725Thankyouyourbusiness!

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Tobe bid
TABLEOFCONTENTSBIDDINGANDCONTRACTDOCUMENTSINSTRUCTIONTOBIDDERSSTANDARDSPECIFICATIONSSPECIALPROVISIONSPartOne-GeneralProvisionsSection1— Terms,Definitions,Abbreviations,andSymbolsSection2—ScopeoftheWorkSection3— ControloftheWorkSection4-ControlofMaterialsSection5— LegalRelationsandResponsibilitiesSection6— ProsecutionandProgressoftheWorkSection7— MeasurementandPaymentSection8— IntentionallyOmittedSection9—MiscellaneousPartTwo— TechnicalProvisionsNoticetoProceedUtilitiesLEDSafetyLightFixturesControllersPedestrianSignalSectionsPedestrianPushButtonAssembliesAPPENDIXAppendix1-BidDocumentsAppendix2—Award&ContractDocumentsAppendix3—CertifiedPayrollFormsAppendix4-Close-outDocumentsAppendix5—ProjectPlansAppendix6—FederalFormsAppendix7— FederalWageRatessubmittedwith 12 1431428291125145156157
T—1T-7T—8T-10T—11

16.E

(S
B|DDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BIDSECURITYFORMFORBONDKNOWALLBYTHESEPRESENTS:Thattheundersigned (NameofContractor)asPrincipalandtheundersignedasSuretyareheldandfirmlybounduntoOwner,CITYOFHEMET,apoliticalsubdivisionoftheStateofCalifornia,asobligee,inthepenalsumofNAmountInWords)Dollars lawfulmoneyoftheUnitedStatesofAmericabeingatleasttenpercent(10%)oftheaggregateamountofsaidPrincipal'sbaseBid,forthepaymentofwhich,wellandtrulytobemade,webindourselves,oursuccessors,executors,administrators,andassigns,jointlyandseverally,firmlybythesepresents.WHEREAS,saidPrincipalissubmittingaBidfor[PROJECTNAMEANDDESCRIPTION]THECONDITIONOFTHISOBLIGATIONISSUCHthatiftheBidsubmittedbythesaidPrincipalbeacceptedandtheContractbeawardedtosaidPrincipalandsaidPrincipalshallwithintherequiredperiodsenterintotheContractsoawardedandprovidetherequiredConstructionPerformanceBond,ConstructionLaborandMaterialPaymentBond,insurancecertificates,andallotherendorsements,forms,anddocumentsrequiredundertheInstructionstoBidders,thenthisobligationshallbevoid,otherwisetoremaininfullforceandeffect.INWITNESSWHEREOF,theaboveboundenpartieshaveexecutedthisinstrumentthisdayof 20(Month) (CorporateSeal) ByPrincipalBvSurety(CorporateSeal) By

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[email protected]
BO
BIDBONDENCLOSEDTO: AlfaroCommunicationsConstruction,Inc.PROJECTOWNER:CityofHemetPROJECTDESCRIPTIONCITYVVIDETRAFFICSIGNALSAFETYUPGRADESBIDDATE:10/19/2021Dearvaluedclient,Enclosedyouwillfindtheabovenotedbidbond,asrequested.WESTRONGLYRECOMMENDTHATYOUCAREFULLYREVIEWALLENCLOSEDBIDDOCUMENTS,INCLUDING,BUTNOTLIMITEDTO,THEDATES,AMOUNTS,JOBDESCRIPTION,PROJECTNUMBER,SIGNATURES,SEALS,NOTARYACKNOWLEDGEMENT,ANDPOWEROFATTORNEYASWELLASANYADDITIONALATTACHMENTS,TOA VOIDTHEPOSSIBILITYOFHA VINGABIDREJECTEDDUETOANERRORBEINGMADEINTHESEDOCUMENTS.Additionally,pleasedoublecheckthatthebidbondformisinfacttheonerequiredbytheObligeeandbecertaintoexecutethebidbondwiththepropersignature(s)andseal(s).Pleasenotethattheapprovaloftheenclosedbidbondmaybeforthcoming,asweareoftenrequiredtoreleasethempriortotheunderwriter’sformalconsent,asameansofhavingthebonddeliveredtoyouexpeditiously.Inadditionand,uponapproval,thebidbondauthorizationisbaseduponyouroriginaljob/engineer'sestimateprovideduponrequestingthebidbondtherefore,SHOULDYOURBIDAMOUNTEXCEEDTHISESTIMATEBY10%ORGREATER,PLEASECONTACTUSFORPROPERAPPROV ALANDCLEARANCEOFTHEESCALATION.BESTOFLUCKTOYOU!Pleasebecertaintosendthebidresultsto orbyfaxto(949)461-7725,promptlyfollowingthebid.Bidders:LOWBIDDER:ZNDBIDDER3”’BIDDER:
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IfyoudidnotplaceintheTOP3Bidders,pleaseindicatewhereyouplaced,andyourbidamount.Shouldyoubelowbidderandthespreadbetweenyourpriceandthesecondbidderexceed10%,pleaseforwardabidspreadexplanationletterasrequiredbytheBondingCompany..Thankyouverymuchandweapologizefortheinconvenience.

16.E

City of Hemet
City Council Meeting

STAFF REPORT

Meeting: City Council Meeting - Feb 08 2022
Department: Finance
Submitted by: Christopher Lopez, City Manager
Lorena Rocha, Finance Director;

☐ Receive and File ☒ Consent Calendar ☐ Business Item ☐ Public Hearing

TITLE:

A Resolution of the City Council of the City of Hemet, California, Authorizing a Three -Year Licensing and Reporting Agreement with GovInvest in the Amount of $107,500 and Authorizing the City Manager to Execute the Agreement, Annual Purchase Orders, and al l Other Supporting Documents Related to the Agreement

RECOMMENDED ACTION:

It is respectfully recommended that the City Council:

Adopt a Resolution of the City Council of the City of Hemet, California, authorizing a Three -Year Licensing and Reporting Agreement with GovInvest in the amount of $107,500 and Authorizing the City Manager to Execute the Agreement, Annual Purchase Orders, and all Other Supporting Documents related to the Agreement.

BACKGROUND:

The City of Hemet has 7 active employee bargaining units plus a handful of employees working through At-Will Agreements. As each Memorandum of Understanding (MOU) nears its expiration date, the bargaining units reach out to the City's negotiating team to begin negotiations. Through the negotiation process, proposals from both sides of the bargaining table must be costed out for feasibility.

In addition, the City has 2 CalPERS Retirement plans for its employees. There is one plan for all sworn safety personnel and another for non-sworn or miscellaneous employees.

The City also has an Other Post Employment Benefits (OPEB) liability that consists of medical, dental, and vision benefits promised to employees who were hired by the City prior to 1998. While the City no longer offers this benefit to employ ees hired from 1998 to present, the City still has an obligation to those retirees who qualified for these plans to receive lifetime medical benefits.

ANALYSIS:

16.F

CalPERS contributions, as well as medical premiums for retirees, are constantly on the rise. The City has actuarial reports prepared for each of these plans on an annual basis. As a result of GASB 68 and GASB 75, additional information must be prepared an d reported on the actuarial reports so the City can accurately report Pension and OPEB obligations on its Government-Wide Financial Statements.

DISCUSSION:

In early 2020, the City was contacted by GovInvest to offer a solution that can assist in costing out proposals and better plan for future Pension and OPEB obligation payments.

GovInvest shared a presentation with City Staff that showed the benefits of their Modules. This presentation has also been made on several occasions to organizations such a s The League of California Cities and the California Society of Municipal Finance Officers.

The modules offered by GovInvest provide a way for Cities and other Agencies to cost out various scenarios in a fraction of the time it currently takes to cost th ese out. It also takes into account how these scenarios can affect future budget years when accounting for things like projected future PERS Unfunded liability payments and trends that may affect these payments. An example of this would be the CalPERS discount rate which is not always met by CalPERS.

City staff proposed a one-year agreement to put the program to work and see if this was truly a benefit to the City. GovInvest agreed to the short term and work began on setting up the modules.

It has been a year since the City contracted with GovInvest. The modules GovInvest offers have proven to be very useful in costing out proposals and planning for the future.

GovInvest and City Staff are very interested in continuing the current partnership. To that end, GovInvest has offered a discounted rate for the preparation of the annual OPEB Actuarial Reports.

This discounted rate will save the City $8,600 over 3 years.

STRATEGIC PLAN INTEGRATION:

GOAL FIVE: ORGANIZATIONAL EFFECTIVENESS
To identify the work needed inside the City organization to effectively provide services to the community and ensure financial stability.

Objective 1: Operate in a financially sustainable manner:

FISCAL IMPACT:

Funding for the first year of this Agreement is available within the existing adopted budget. Funding for subsequent years will be included in the annual budgets for FY22/23 and FY23/24.

ALTERNATIVE(S):

The City Council may choose not to approve this agreement and have City Staff continue costing through spreadsheets and existing reports available.

ATTACHMENT(S):

16.F

Attachment 1: GovInvest Resolution
Attachment 2: GovInvest - Hemet- Renewal Pension_OPEB_Labor and G75 2021-2024 Attachment 3: GovInvest Suite Proposal 2021- City of Hemet 3yr PensionOPEBLaborG75 Attachment 4: GovInvest-Letter of Sole Source- Pension_OPEB_ Labor

16.F

CITY OF HEMET
Hemet, California
RESOLUTION NO. 2022-XXX

A RESOLUTION OF THE CITY

COUNCIL OF THE CITY OF

HEMET, CALIFORNIA

AUTHORIZING A THREE-YEAR

LICENSING AND REPORTING

AGREEMENT WITH

GOVINVEST IN THE AMOUNT
OF $107,500 AND

AUTHORIZING THE CITY

MANAGER TO EXECUTE THE

AGREEMENT, ANNUAL

PURCHASE ORDERS, AND

ALL OTHER SUPPORTING

DOCUMENTS RELATED TO

THE AGREEMENT

WHEREAS, The City of Hemet has 7 active employee
bargaining units plus a handful of employees working
through At-Will Agreements. As each Memorandum of
Understanding (MOU) nears its expiration date, the
bargaining units reach out to the City's negotiating team to begin negotiations. Through this process, proposals from both sides of the bargaining table must be costed out for feasibility; and
WHEREAS, the City has 2 CalPERS Retirement
plans for its employees. There is one plan for all sworn

16.F

safety personnel and another for non-sworn or
miscellaneous employees; and
WHEREAS, The City also has an Other Post
Employment Benefits (OPEB) liability that consists of
medical, dental, and vision benefits promised to employees who were hired by the City prior to 1998. While the City no longer offers this benefit to employees hired from 1998 to present, the City still has an obligation to those retirees who qualified for these plans to receive lifetime medical benefits.; and
WHEREAS, In early 2020, the City was contacted by
GovInvest to offer a solution that can assist in costing out proposals and better plan for future Pension and OPEB
obligation payments. GovInvest shared a presentation with City Staff that showed the benefits of their Modules. This presentation has also been made on several occasions to organizations such as The League of California Cities and the California Society of Municipal Finance Officers; and WHEREAS, The modules offered by GovInvest
provide a way for Cities and other Agencies to cost out various scenarios in a fraction of the time it currently takes to cost these out. It also takes into account how these
scenarios can affect future budget years when accounting for things like projected future PERS Unfunded liability payments and trends that may affect these payments. An

16.F

example of this would be the CalPERS discount rate which is not always met by CalPERS; and
WHEREAS, City staff proposed a one year
agreement to put the program to work and see if this was truly a benefit to the City. GovInvest agreed to the short term and work began on setting up the modules; and
WHEREAS, GovInvest and City Staff are very
interested in continuing the current partnership. To that end, GovInvest has offered a discounted rate for the preparation of the annual OPEB Actuarial Reports. This discounted rate will save the City $8,600 over 3 years.

NOW, THEREFORE, THE CITY COUNCIL OF THE

CITY OF HEMET DOES HEREBY RESOLVE,
DETERMINE, FIND AND RESOLVE: To approve the three-
year License and Reporting Agreement with GovInvest in the amount of $107,500 and authorize the City Manager to
execute the agreement, annual Purchase Orders, and all
other supporting documents related to the agreement.

PASSED, APPROVED AND ADOPTED this 8 th day of
February 2022.

16.F

____________________________
Malcolm Lilienthal,
Mayor
ATTEST: APPROVED
AS TO FORM:
_____________________________
________________________________
John Paul Maier, City Clerk Steven Graham, City
Attorney
State of California )
County of Riverside )
City of Hemet )
I, John Paul Maier, City Clerk of the City of Hemet,
do hereby certify that the foregoing resolution was adopted by the Hemet City Council on the 25th day of January 2022, and was passed by the following vote:

AYES: Council Members:

NOES: Council Member:

ABSTAIN: Council Member:

ABSENT: Council Member:
_________________________________
John Paul Maier, City Clerk

16.F

City of Hemet, CA

Actuarial Services and Technology
Licensing Agreement

SaaS Licensing Agreement

Attention: City of Hemet, CA

Prepared by: Jason Huk

Date: 12.2.2021

16.F

City of Hemet, CA

Actuarial Services and Technology
Licensing Agreement

MASTER SERVICE AGREEMENT

This Master SaaS Services Agreement (“Agreement”) is entered into on this _____ day of _________, 2021(the “Effective Date”) between GovInvest, Inc. (“Company”), and the Customer listed above (“Customer”). This Agreement includes and incorporates each Summary of Services and Implementation, the attached Terms and Conditions and contains, among other things, warranty disclaimers, liability limitations and use limitations. There shall be no force or effect to any different or additional terms of any purchase order, confirmation or similar form, even if signed by the parties before or after the date hereof.

GovInvest Inc. Hemet, CA

By: ______________________________ By: _______________________________ Name: ___________________________ Name: ____________________________ Title: ____________________________ Title: _____________________________ Date: ____________________________ Date: _____________________________

TERMS AND CONDITIONS

1. SAAS SERVICES AND SUPPORT

1.1 Company shall provide the services identified in the Services section of each Summary of Services and Implementation (as defined below) attached to this Agreement (the “Services”)

1.2 Customer and Company shall mutually agree upon the Services to be performed by Company under this Agreement in a written summary of services and implementation (each, a “Summary of Services and Implementation”), in the form attached hereto as Exhibit A. Each Summary of Services and Implementation shall be attached to this Agreement as a sequentially numbered exhibit, and shall expressly be deemed incorporated into this Agreement and subject to all the terms and conditions set forth herein, except as otherwise set forth in the applicable Summary of Services and Implementation. In the event of any conflict between this Agreement and a Services and Implementation, such Services and Implementation shall govern.

1.3 The initial Summary of Services and Implementation is hereto as Schedule 1.

1.4 Subject to the terms of this Agreement, Company will use commercially reasonable efforts to provide Customer the Services in accordance with the Service Level Terms attached hereto as Exhibit B. As part of the registration process, Customer will identify an administrative username and password for Customer’s account. Company reserves the right to refuse registration or cancel passwords it deems inappropriate.

1.5 Subject to the terms hereof, Company will provide Customer with reasonable technical support services in accordance with the terms set forth in Exhibit C.

2. RESTRICTIONS AND RESPONSIBILITIES

2.1 Customer will not, directly or indirectly; reverse engineer, decompile, disassemble or otherwise attempt to discover the source code, object code or underlying structure, ideas, know-how or algorithms relevant to the Services or any software, documentation or data related to or used to provide the Services (“Software”); modify, translate, or create derivative works based on the Services or any Software (except to the extent expressly permitted in writing by Company or authorized within the Services); use the Services or any Software for timesharing or service bureau purposes or otherwise for the benefit of a third party; or remove any proprietary notices or labels.

16.F

City of Hemet, CA

Actuarial Services and Technology
Licensing Agreement

2.2 Further, Customer shall not export or re-export, either directly or indirectly, the Software or any copies thereof in such manner as to violate the export laws and regulations of the United States or any other applicable jurisdiction in effect from time to time (including, without limitation, when such export or re-export requires an export license or other governmental approval without first obtaining such license or approval). Without limiting the foregoing, Customer shall not permit any third parties to access or use the Services in violation of any United States export embargo, prohibition, or restriction.

2.3 Customer hereby agrees to indemnify and hold harmless Company against any damages, losses, liabilities, settlements and expenses (including without limitation costs and attorney’s fees) in connection with any claim or action that arises from Customer’s failure to comply with the terms of this Agreement or otherwise from Customer’s use of Services. Although Company has no obligation to monitor Customer’s use of the Services, Company may do so. Company reserves the right, in its sole discretion, to prohibit or suspend Customer’s use of the Services at any time Company believes such use to be in violation of this Agreement or otherwise harmful to the Service.

2.4 Customer shall be responsible for obtaining and maintaining any equipment and ancillary services needed to connect to, access or otherwise use the Services, including, without limitation, modems, hardware, servers, software, operating systems, networking, web servers and the like (collectively, “Equipment”). Customer shall also be responsible for maintaining the security of the Equipment, Customer account, passwords (including but not limited to administrative and user passwords) and files, and for all uses of Customer account or the Equipment with or without Customer’s knowledge or consent.

3. CONFIDENTIALITY; PROPRIETARY RIGHTS

3.1 One party (the “Receiving Party”) understands that the other party (the “Disclosing Party”) has disclosed or may disclose business, technical or financial information relating to the Disclosing Party’s business (hereinafter referred to as “Proprietary Information” of the Disclosing Party).

Proprietary Information of Company includes non-public information regarding features, functionality and performance of the Service. Proprietary Information of Customer includes non- public data (“Customer Data”) provided by Customer to Company to enable the provision of the Services. The Receiving Party agrees: (i) to take reasonable precautions to protect such Proprietary Information, and (ii) not to use (except in performance of the Services or as otherwise permitted herein) or divulge to any third party any such Proprietary Information. The Disclosing Party agrees that the foregoing shall not apply with respect to any information after five (5) years following the disclosure thereof or any information that the Receiving Party can document (a) is or becomes generally available to the public, without any action by, or involvement of, the Receiving Party or (b) was in its possession or known by it prior to receipt from the Disclosing Party, or (c) was rightfully disclosed to it without restriction by a third party, or (d) was independently developed without use of any Proprietary Information of the Disclosing Party or (e) is required to be disclosed by law. The Receiving Party acknowledges that in the event of a breach of Section 3.1 by the Receiving Party, substantial injury could result to the Disclosing Party and money damages will not be a sufficient remedy for such breach. Therefore, in the event that the Receiving Party engages in, or threatens to engage in, any act which violates Section 3.1, the Disclosing Party will be entitled, in addition to all other remedies which may be available to it under law, to seek injunctive relief (including, without limitation, temporary restraining orders, or preliminary or permanent injunctions) and specific enforcement of the terms of Section 3.1. The Disclosing Party will not be required to post a bond or other security in connection with the granting of any such relief.

16.F

City of Hemet, CA

Actuarial Services and Technology
Licensing Agreement

3.2 Company shall own and retain all rights, title and interest in and to: (i) the Services and Software, together with all improvements, enhancements, modifications, changes, translations, compilation, and derivative works thereto, (ii) any software, applications, inventions or other technology developed in connection with Implementation Services or support, (iii) any analytics generated through Customer’s use of the Services, including but not limited to, any data, materials, information, and reports (“Analytics”) and (iv) all intellectual property rights related to any of the foregoing. Company hereby grants Customer a non-exclusive, non-transferable and non- sublicensable license to access and use the Analytics.

3.3 Notwithstanding anything to the contrary, Company shall have the right to collect and analyze data and other information relating to the provision, use and performance of various aspects of the Services and related systems and technologies (including, without limitation, information concerning Customer Data and data derived therefrom), and Company will be free (during and after the term hereof) to: (i) use such information and data to improve and enhance the Services and for other development, diagnostic and corrective purposes in connection with the Services and other Company offerings, (ii) disclose such data solely in aggregate or other de-identified form in connection with its business, and (iii) disclose, share, license, or resell Analytics to third parties for consideration. No rights or licenses are granted except as expressly set forth herein.

4. PAYMENT OF FEES

4.1 Customer will pay Company the then applicable fees described in the applicable Summary of Services and Implementation in accordance with the terms therein (the “Fees”). If Customer’s use of the Services exceeds the Service Capacity set forth in the applicable Summary of Services and Implementation or otherwise requires the payment of additional fees (per the terms of this Agreement), Customer shall be billed for such usage and Customer agrees to pay the additional fees in the manner provided herein. Company reserves the right to change the Fees or applicable charges and to institute new charges and Fees at the end of the Initial Term or then current Renewal Term, upon thirty (30) days prior notice to Customer (which may be sent by email). If Customer believes that Company has billed Customer incorrectly, Customer must contact Company no later than 60 days after the closing date on the first billing statement in which the error or problem appeared, in order to receive an adjustment or credit. Inquiries should be directed to Company’s customer support department.

4.2 Company may choose to bill through an invoice, in which case, full payment for invoices issued in any given month must be received by Company thirty (30) days after the mailing date of the invoice. Unpaid amounts are subject to a finance charge of 5% per month on any outstanding balance, or the maximum permitted by law, whichever is lower, plus all expenses of collection and may result in immediate termination of Service. Customer shall be responsible for all taxes associated with Services other than U.S. taxes based on Company’s net income.

4.3 Services may be provided outside the scope encompassed within the applicable “Summary of Services and Implementation”. Said services may be subject to additional fees, which are set at $600/hour for executive -level work, $425/ hour for FSA -level work, $300/hour for ASA -level work, $200/hour for analyst work, and reasonable travel expenses. Said services that are subject to additional fees will not be performed without explicit advance consent from Customer.

4.4 Company will char ge additional fees, which are set at $250/hour, if, after the Effective Date, Customer: (i) changes its actuarial assumptions provided to Company, (ii) changes actuaries, (iii) provides Company with data that differs from the initial data provided by Custo mer to the Company, (iv) changes benefit structures, (v) adds additional tiers to its benefits plan, or (vi) merges with another plan.

4.5 Company may incur business license fees that are mandated by Customer. Customer agrees to reimburse Company for said fees.

16.F

City of Hemet, CA

Actuarial Services and Technology
Licensing Agreement

4.6 Company may incur costs for adding Customer as additional insured to Company’s existing insurance policies in order to comply with Customer’s insurance requirements. Customer agrees to reimburse Company for said costs.

4.7 Company may incur costs for providing a waiver of subrogation in relation to Company’s existing insurance policies in order to comply with Customer’s insurance requirements. Customer agrees to reimburse Company for said costs.

5. TERM AND TERMINATION

5.1 Subject to Section 5.3, this Agreement shall commence on the Effective Date and continue for one (1) year (“Initial Term”), and thereafter shall renew for successive additional one (1) year renewal terms (each a “Renewal Term”), unless either party to this Agreement notifies the other in writing at least thirty (30) days prior to the end of the then-current Term that it does not wish to so renew.

The Initial Term and any Renewal Terms are collectively referred to herein as the “Term.”

5.2 Each Summary of Services and Implement ation shall be effective upon the date set forth in such Summary of Services and Implementation and continue the end of the then current Term, and thereafter shall renew for successive additional one (1) year renewal terms, unless either party to this Agreement notifies the other in writing at least thirty (30) days prior to the end of the then - current Term that it does not wish to so renew.

5.3 In addition to any other remedies it may have, either party may terminate this Agreement and/or any Summary of Services and Implementation upon thirty (30) days written notice (or without notice in the case of nonpayment), if the other party materially breaches any of the terms or conditions of this Agreement or such Summary of Services and Implementation. Customer will pay in full for the Services up to and including the last day on which the Services are provided.

All sections of this Agreement and the Summary of Services and Implementation which by their nature should survive termination will survive termination, including, without limitation, accrued rights to payment, confidentiality obligations, warranty disclaimers, and limitations of liability.

6. WARRANTY AND DISCLAIMER
Company shall use reasonable efforts consistent with prevailing industry standards to maintain the Services in a manner which minimizes errors and interruptions in the Services and shall perform the Implementation Services in a professional and workmanlike manner as expressed in Exhibit D. Services may be temporarily unavailable for scheduled maintenance or for unscheduled emergency maintenance, either by Company or by third-party providers, or because of other causes beyond Company’s reasonable control, but Company shall use reasonable efforts to provide advance notice in writing or by e-mail of any scheduled service disruption. However, Company does not warrant that the Services will be uninterrupted or error free; nor does it make any warranty as to the results that may be obtained from use of the Services. EXCEPT AS

EXPRESSLY SET FORTH IN THIS SECTION, THE SERVICES, THE ANALYTICS, AND IMPLEMENTATION SERVICES ARE PROVIDED “AS IS” AND COMPANY DISCLAIMS

ALL WARRANTIES, EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO,

IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE AND NON-INFRINGEMENT.

7. INDEMNITY
Company shall hold Customer harmless from liability to third parties resulting from infringement by the Service of any United States patent or any copyright or misappropriation of any trade secret, provided Company is promptly notified of any and all threats, claims and proceedings related thereto and given reasonable assistance and the opportunity to assume sole control over defense and settlement; Company will not be responsible for any settlement it does not approve in