Hemet City Council
March 14, 2023

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PPENDIX1A

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into
willnotberesponsible
B|DDER'SPROPOSALParkingImprovementsatSimpsonMemorialCenterCIPN0.5736Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentforthePARKINGIMPROVEMENTSATSIMPSONMEMORIALCENTER,CIPNo.5736,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.TheundersignedhasalsocarefullycheckedallofthefiguresgivenandunderstandsthattheAgency foranyerrorsoromissionsonthepartoftheundersignedinsubmittingthisproposal.Contractorcon?rmsthathis/her/itsbidissubmittedwithrespecttothechangestotheContractand/orContractDocumentsincludedinalladdendaissuedbytheOwner.Inadditiontoreaffirmingthatthechangesandinformationcontainedintheaddendahavebeenintegratedtheirproposal,ContractoracknowledgesreceiptofAddendaNo.(s I‘753'?» TheundersignedhasexaminedthecurrentStateofCaliforniascheduleofprevailingwageratesforthetypesofworktobedoneonthisproject(andtheDavis-BaconActiftheAgencyusesfederalfundsfortheProject)andagreestopaynotlessthantheserates.Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentforthePARKINGIMPROVEMENTSATSIMPSONMEMORIALCENTER,CIPNo.5736andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal.

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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BIDDER'SPROPOSAL(cont’d) ANEENCONSTRUCTION,INC BIDSCHEDULEBASEBID—ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736 ITEMNo
10 11
12 13
DESCRIPTIONMobilization(NottoExceed5%ofBid)TrafficandPedestrianControl Clearing,Grubbing,andRemovals
WaterQualityControlTemporaryConstructionProjectIdenti?cationSignFieldOrdersUnclassi?edExcavationRemoveExistingImprovementsandConstructCrossGutterPerofHemetStd.PlanNo.C-213HotMixAsphaltUntreatedBaseRemoveandReplaceType'D'CurbperCityofHemetStd.PlanNo.C-203RemoveandConstructWestADAParking&Ramp(includeswheelstop,Type'D'Curb,PCCPavement,Sidewalk,Ramp,TruncatedDomes,andPedestrianHandrail).RemoveandConstructSouthADAParking&Ramp(includeswheelstop,Type'D'Curb,PCC UNIT
LSLS
EA
CY
SF
TNTN
EA
EA
ESTIMATEDQUANTITY1
1,000
500
940875
25 UNITPRICE

3.000

20.000
2,500

1.500
$10,000
H0
45 139.44
47 50
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EXTENDEDITEMAMOUNT‘Tend-

3.000

20.000
2,500

1.500
$10,000
IID/U0022,500
131,071.25

41.125

1.250

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rail).
(99.1%
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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BIDDER'SPROPOSAL(cont’d) BASEBID—ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736 ITEMNo
13 14
1516
1718
19 DESCRIPTIONPavement,Sidewalk,Ramp,UNIT
TruncatedDomes,andPedestrianRemoveandConstructNorthADAParking&Ramp(includeswheelstop,Type'D'Curb,PCCPavement,Sidewalk,Ramp,EATruncatedDomes,andPedestrianHandAdjustExistingWaterValvetoFinishedSurfaceRemoveandRelocateExistingI.V .C.BoxFurnishandInstallWheelStopStripingandSignage(IncludingADAStripingandSigns)SurveyServices BASEBIDTOTAL(inwords)
Contractor'sInitials
EA
EAEA

ESTIMATEDUNITEDQUANTITYPRICEAMOUNT
1 (?7{00(OQQO
2 500 1000
1 Z$0“1,<0D
5 ‘I50 750
1 10,00010,000
1 10,00010,000
TOTALBASEBIDnumbe/5G
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Bid)
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3,0003,000
ParkingimprovementsatSimpsonMemorialCenter,CIPNo.5736BIDDER'SPROPOSAL(cont'd) —ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736EXTENDEDM"I-:2"DESCRIPTIONUNIT ITEMAMOUNT1Mobilization(NottoExceed5%ofL51 22mm22000 2TrafficandPedestrianControlLS1
3Clearing,Grubbing,andRemovalsL5 1 20.00020.000
4WaterQualityControlL5 1 2500 2500
5UnclassifiedExcavationCY575"59’ 357250‘I10I/J3,7.573RemoveExistingImprovements6andConstructCrossGutterPerSF170100 17-0”CityofHemetStd.PlanNo.C-7213RemoveExistingImprovementsandConstructPCCDriveway 17 204007ApproachPerCityofHemetStd.SFL200PlanNo.C-2088ConstructPCCPavementCY300845 253.500 9UntreatedBase TN52547 24-675
10A_dj_ustExistingWaterValveto EA2 500 1000FinishedSurface11HotMixAsphaltTN45 20° 9-000 12SUFVEVServicesL51 10,0001o_ooo
13StripingandSignage(IncludingLS1 10000 10000ADAStripingandSigns) ' ' TOTALBIDADDITIVE(numbers)‘*3?’SQI

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ParkingImprovementsatSimpsonMemorialCenter,cwNo.5736BlDDER'SPROPOSAL(cont’d) BIDADDITIVETOTAL(inwords)mpzzbj-wt?/‘IQAAllIIVU1/LDW»6DR?I‘~1511».T’°'t°?'HUDollarsand CentsTOTALBIDAMOUNT(innumbers)fortheTOTALPROJECT(BASEBID+BIDADDITIVE)is:@413’p2_l.ZS’TOTALBIDAMOUNT(inwords)fortheTOTALPROJECT(BASEBID+BIDADDITIVE)is:‘LZEDF60 ’‘7‘L°I_D¢é)laZ”’<0CentsContractor'sInitialsIntheeventofavariationbetweentheunitpriceandextendedtotal,theunitpricewillbeusedandthecorrectedextensionwillbeconsideredastheamountbid.lfthebidisillegibleandcannotbereconcileditwillbeconsiderednon-responsiveandwillnotbeconsideredforaward.Ifanadditiveand/oralternatebidscheduleiscalledforintheContractDocuments,thelowestbidwillbedeterminedonthebasisofthebasebidschedule(s)onlyunlessotherwisespecifiedintheNoticeInvitingBidsorbyAddendaifissuedtosupersedetheNoticeInvitingBidsonthisspeci?cissue.ForaContractwhereadeductivebidscheduleiscalledfor,thelowestbidwillbedeterminedbythetotalofallbidschedulesincludingthedeductivebidschedule(s).Regardlessofwhethertheadditive/deductiveoralternatesbiditemswillbeconsideredindeterminingthelowbid,theAgencymayelecttoincludeanyornoneoftheadditive/deductiveoralternatebiditems/schedules,ortootheniviseaddorremovecertainworkfromthescopeofWork.Accordingly,Contractorwarrantsthateachbiditemcontainsaproportionateshareofpro?t,overheadandothercostsandexpenses,whichwillbeincurredbytheContractorfortheProject.lfequallowbidsarereceivedfromresponsibleandresponsivebidderstheselectionshallbemadebydrawinglots,orothersimilarrandomblindmethodselectedbytheAgency.IfonlyoneresponsivebidisreceivedfromaresponsiblebiddertheawardshallnotbemadeunlessthepricecanbedeterminedtobereasonablebasedonananalysisbytheAgency.TheAgency'sdeterminationastothereasonablenessofanysuchbidshallbe?nal.TheAgencyreservestherighttorejectanyorallbids,towaiveanyirregu|arity(ies),andtotakeallbidsunderadvisementforaperiodofsixty(60)calendardaysafterthedatethebidsarepubliclyopened.BidderacknowledgesthatallcostsincurredasaresultofpreparingtheproposalshallbethesoleresponsibilityofBidder.TheNoticeInvitingBidsandInstructionstoBiddersdoesnotcreateorimposeanyobligationupontheAgencytoenterintoacontract.

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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BIDDER'SPROPOSAL(cont’d) Allbidsreceivedshallberecordedonanabstract(tabulation)ofbids,andthenmadeavailableforpublicinspectionwithintwobusinessdaysofbidopening.Thequantitieslistedinthebidproposalareprovidedtogiveageneralindicationofthescopeoftheworkandforthecomparisonofbids.Nowarrantyismade,eitherexpressedorimplied,thattheactualquantitiesofworktobedonewillcorrespondtherewith.Itemnumbersfollowedby”(S)"aredesignatedasspecialtyitemswhichwillnotbeincludedtowardsthecalculationofminimumof50percentofworktobeperformedbyContractor'sownforces.BysigningandsubmittingthisbidtheContractorcon?rmsthattheyarefamiliarwiththeworksiteandallexistingconditionsthatmayaffecttheirworkandthattheyhavereadandagreetoalltheterms,conditionsandrequirementscontainedorreferencedhereinorintheContractDocumentsandthatalltheaforementionedhasbeenincludedinthebidpriceslistedabove,includingitemsofworkthatmaynothaveaspeci?cpaylineitemandthatthereshallbenoadditionalcoststotheAgency.W ARNING:IfanaddendumoraddendahavebeenissuedbytheAgencyandnotnotedaboveasbeingreceivedbythebidder,thisBidmayberejected.

Completethefollowing:

ANEENCONSTRUCTION.INC.,10000,1004775Legalnameofthebusiness,DIRReg.andContractorLicenseNos.CALIFORNIA.CORPBusinessType(Corporation,Partnership,SoleProprietor)N/ADBA(ifany)TAMEFIKHALIL,PRESIDENTNameandtitleoftheownerTAMEFlKHALIL,CEONameandtitleofsecondpartnerorofficer 9860INDIANAA VE.#18RIVERSIDE,CA92503BusinessAddress

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‘
; IM.ofbéidder Signature'-‘of
ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BIDDER'SPROPOSAL(cont'd) 909-913-3024Telephonenumber
N/AFacsimilenumber
TAMERKHALIL,909-913-3024NameandEmailaddressofprimarycontact WWW.ANEENCONSTFlUCT|ON.COMCompany
Signature Date Bidder Date
TAMERKHALIL,CEO TAMERKHALIL,PRESIDENTPrintnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateofficersarerequired.)

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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736B|DDER'SPROPOSAL(cont'd) CERTIFICATEREGARDINGCONTRACTOR'SLICENSE1.ContractorisrequiredtopossessoneofthefollowingStateContractor'sLicenseStateofCaliforniaGeneralContractorTypeBContractor'sLicenseorCombinationofSpecialtyClassContractor'sLicenses2.Afailureto(1)possesstherequiredlicense,(2)truthfullysetforththefollowinginformation,and/or(3)executethisCerti?catemayrendertheproposalnonresponsiveandpermittheCitytorejecttheproposal.(BusinessandProfessionsCodeSection7028.15)3.Contractordeclares,underpenaltyofperjury,thathe/she/itpossessestherequiredContractor'slicense(s)which:a.Bearsthelicensenumber(s):1004775 b.Expireson:

01.25.23 01.25.23Signatureof DateSignatureof Date
TAMERKHALIL,PRESIDENT TAMERKHALIL,CEOPrintnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateofficersarerequired.)ThisrequiredlicensedeterminationhasbeenmadebytheAgency.AnyContractorholdingadifferentlicensewhofeelsheisqualifiedtobidonthisworkmustsoadvisetheAgencyatleastseven(7)dayspriortothebidopening.TheAgencymayconductareviewofthecontemplatedworktore-evaluatetherequiredlicensedetermination.TheAgencymayinitssolediscretionmaintainorchangetherequiredlicensedetermination;Agency'sdecisionastotherequiredlicensewillbe?nal.

06.30.

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Signatur
ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) BIDSECURITYFORMFORCHECKNOTE:THEFOLLOWINGFORMSHALLBEUSEDINTHECASEOFCHECKACCOMPANYINGBIDAccompanyingthisproposalisaCerti?edCheckorCashier'sCheckpayabletotheorderoftheCityofHemet,hereinafterreferredtoas"Agency",for7/'Z6/dollars(S ),thisamountbeing10percent(10%)ofthetotalamountofthebid.Thischeckshallbereturnedtotheundersignedonlyifeitherofthefollowingoccurs:

A.IfsaidBidshallberejectedbytheAgency;B.IfsaidBidshallbeacceptedbytheAgencyandtheUndersignedshallexecuteanddeliveraContractintheformattachedhereto(properlycompletedinaccordancewithsaidBid)andshallfurnishbondsrequiredforhis/her/itsfaithfulperformanceofsaidContractandforthepaymentofallpersonsperforminglabororfurnishingmaterialsinconnectiontherewith,andshallinallotherrespectsperformtheContractcreatedbyacceptanceofsaidBid.Otherwise,saidcheckshallbecomethepropertyoftheAgencySaidcheckshallalsobecomethepropertyoftheAgencyiftheUndersignedshallwithdrawh idwithintheperiodofsixty(60)calendardaysafterthedatesetfortheopeningthereoflessotherwiserequiredbylaw,andnotwithstandingawardoftheContracttoan der ’-2C /.21.ofBidder Date Bidder Date4/fC%/rIPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateo?icersarerequired.)

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WHEREAS.rialCenter,
GrayCasuallySureyComganyinety
PietroMi ~Fact
ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) BIDSECURITYFORMFORBONDKNOWALLBYTHESEPRESENTSThattheundersignedAneenConstruction,Inc(NameofContractor) TenPercentoftheAmountofeBidDollars($10 lawfulmoneyoftheUnitedStatesofAmericabeingatleasttenpercent(10%)oftheaggregateamountofsaidPrincipal'sbaseBid,forthepaymentofwhichwellandsttobemade,webindourselves,oursuccessors,executors,administrators,andassigns,joiandseverally,firmlybythesepresents.saidPrincipalissubmittingaBidforParkingImprovementsatSimpsonMemoCIP5736.THECONDITIONOFTHISOBLIGATION (CorporateSeal)
ByThe &Su(CorporateSeal) cciche,Attorney-inA1—1O

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OALIFORNAALL-PURPOSEACKNOWLEDGMENTCIVILCODE§1189
Anotarypublicorotherof?cercompletingthiscerti?cateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.StateofCalifornia )countyofLosAngeles)7,0beforeme’AngelNunez,NotaryPublicDate HereInsertNameandTitleoftheOf?cerpersonallyappearedPietroMiccicheName(s)ofSigner(s)whoprovedtomeonthebasisofsatisfactoryevidencetobethepersontx)whosenameix)is/Xbésubscribedtothewithininstrumentandacknowledgedtomethathe/xb(e(j0e),(executedthesameinhis/?oxptmnkauthorizedcapacityoels),andthatbyhis/imxl?ttmxsignaturegz)ontheinstrumentthepersonixl,ortheentityuponbehalfofwhichtheperson?)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.WITNESSmyandofficial Public
PlaceNotarySealAboveOPTIONALThoughthissectionisoptional,completingthisinformationcandeteralterationofthedocumentorfraudulentreattachmentofthisformtoanunintendeddocument.DescriptionofAttachedDocumentTitleorTypeofDocument: DocumentDate:NumberofPages:Signer(s)OtherThanNamedAbove:Capaci'ty(ies)ClaimedbySigner(s)Signer’sName: Signer’sName:CorporateOfficer— Title(s):3CorporateOfficer— TitIe(s):""‘Partner— Li DGeneral3Partner— ClLimitedGenerallndividuaiorneyinFact N.IndividualAttorneyinFact_.TrusteeDGuardianorConservator "" "
TrusteeBGuardianorConservatorOther: Other:SignerisRepresenting:SignerisRepresenting ©2014NationalNotaryAssociation-www.NationalNotary.org-1-800-USNOTARY(1-800-876-6827)item#5907

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PreferredBondingServices12/13/202214:381001484039397

GENERALPOWEROFATTORNEY
if ,§
KNOWALLBYTHESEPRESENTS,THATTheGrayInsuranceCompanyandTheGrayCasualty&SuretyCompany,corporationsdulyorganizedandexistingunderthelawsofLouisiana,andhavingtheirprincipalofficesinMetairie,Louisiana,doherebymake,constitute,andappoint:PatriciaZenizo,ElisabeteSalazar,andPietroMiccicheofLosAngeles,CaliforniajointlyandseverallyonbehalfofeachoftheCompaniesnamedaboveitstrueandlawfulAttorney(s)-in-Fact,tomake,execute,sealanddeliver,forandonitsbehalfandasitsdeed,bonds,orotherwritingsobligatoryinthenatureofabond,assurety,contractsofsuretyshipasareormayberequiredorpermittedbylaw,regulation,contractorotherwise,providedthatnobondorundertakingorcontractofsuretyshipexecutedunderthisauthorityshallexceedtheamountof$25,000,000.00.ThisPowerofAttorneyisgrantedandissignedbyfacsimileunderandbytheauthorityofthefollowingResolutionsadoptedbytheBoardsofDirectorsofbothTheGrayInsuranceCompanyandTheGrayCasualty&SuretyCompanyatmeetingsdulycalledandheldonthe26"‘dayofJune,2003.“RESOLVED,thatthePresident,ExecutiveVicePresident,anyVicePresident,ortheSecretarybeandeachoranyofthemherebyisauthorizedtoexecuteapowerofAttorneyqualifyingtheattorneynamedinthegivenPowerofAttorneytoexecuteonbehalfoftheCompanybonds,undertakings,andallcontractsofsurety,andthateachoranyofthemisherebyauthorizedtoattesttotheexecutionofsuchPowerofAttorney,andtoattachthesealoftheCompany;anditisFURTHERRESOLVED.thatthesignatureofsuchofficersandthesealoftheCompanymaybeaffixedtoanysuchPowerofAttomeyortoanycerti?caterelatingtheretobyfacsimile,andanysuchPowerofAttorneyorcertificatebearingsuchfacsimilesignatureorfacsimilesealshallbebindingupontheCompanynowandinthefuturewhensoaffixedwithregardtoanybond,undertakingorcontractofsuretytowhichitisattached.INWITNESSWHEREOF,TheGrayInsuranceCompanyandTheGrayCasualty&SuretyCompanyhavecausedtheirofficialsealstobehereintoaffixed.andthesepresentstobesignedbytheirauthorizedofficersthis4"‘dayofNovember,2022.

By; MichaelT.Gray CullenS.PiskePresident PresidentTheGrayInsuranceCompanyTheGrayCasualty&SuretyCompanyStateofLouisianass:ParishofJeffersonOnthis4"‘dayofNovember,2022,beforeme,aNotaryPublic,personallyappearedMichaelT.Gray,PresidentofTheGrayInsuranceCompany,andCullenS.Piske,PresidentofTheGrayCasualty&SuretyCompany,personallyknowntome,beingdulysworn,acknowledgedthattheysignedtheabovePowerofAttorneyandaffixedthesealsofthecompaniesasofficersof,andacknowledgedsaidinstrumenttobethevoluntaryactanddeed,oftheircompanies.

Leigh»’s-,'enic.er-,N .V .NotaztalgEubhcLeighAnneHenicanOrleansFjl.h0L925,53? NotaryPublic,ParishofOrleansStateofLouisianaans' °l‘”S'3”“MyCommissionisforLifeI,MarkS.Manguno,SecretaryofTheGrayInsuranceCompany,doherebycertifythattheaboveandforgoingisatrueandcorrectcopyofaandeffect.INWITNESSWHEREOF,Ihavesetmyhandand20;}.

I,LeighAnnel-lenican.SecretaryofTheGrayCasualty&SuretyCompany,doherebycertifythattheaboveandforgoingisatrueandcorrecteffect.INWITNESSWHEREOF,Ihavesetmyhand

THEGRAYINSURANCECOMPANYTHEGRAYCASUALTY&SURETYCOMPANY

SELL SELL
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Signat‘iJre
ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BIDDER'SPROPOSAL(cont’d) NON-COLLUSIONAFFIDA VITPUBLICCONTRACTCODESECTION7106NON-COLLUSIONDECLARATIONTOBEEXECUTEDBYBIDDERANDSUBMITTEDWITHBIDTheundersigneddeclares:Iamthe PRESIDENTofANEENCONSTRUCTION,INC.thepartymakingtheforegoingbid.Thebidisnotmadeintheinterestof,oronbehalfof,anyundisclosedperson,partnership,company,association,organization,orcorporation.Thebidisgenuineandnotcollusiveorsham.Thebidderhasnotdirectlyorindirectlyinducedorsolicitedanyotherbiddertoputinafalseorshambid.Thebidderhasnotinanymanner,directlyorindirectly,soughtbyagreement,communication,orconferencewithanyoneto?xthebidpriceofthebidderoranyotherbidder,ortofixanyoverhead,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],atGLENDALEcity],CA [state]_

01.24.23 01.24.23reofBidder Date ofBidder Date
TAMEFIKHALIL,PRESIDENT TAMERKHALIL,CEOPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.)

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KIIOVII.
4th,2
CALFORMAALI.-PURPOSEACEDGENT CIVILCODE§1189
Anotarypublicorotherof?cercompletingthiscerti?cateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.StateofCaliforniaCountyofLosAngelesonJanuarybeforeme,AnaelNunezNotarvPublicDate HereInsertNameandTitleoftheOfficerpersonallyappeared TamerKhalilName(s)ofSigner(s) whoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity(ies),andthatbyhis/her/theirsignature(s)ontheinstrumenttheperson(s),ortheentity‘uponbehalfofwhichtheperson(s)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.WITNESSofficialseal.

SignatureSignature
PlaceNotarySealAboveOPTIONALThoughthissectionisoptional,completingthisinformationcandeteralterationofthedocumentorfraudulentreattachmentofthisformtoanunintendeddocument.DescriptionofAttachedDocumentTitleorTypeofDocument: DocumentDate:NumberofPages:Signer(s)OtherThanNamedAbove:Capacity(ies)ClaimedbySigner(s)Signer’sName: Signer’sName:CorporateOfficer—- Tit1e(s):_CorporateOfficer— Tit|e(s):3Partner— [TlLimitedl?General3IndividualAttorneyinFactTrusteeDGuardianorConservatorOther:SignerisRepresentingSignerisRepresenting:
©2014NationalNotaryAssociation-www.NationalNotary.org-1-800-USNOTARY(1-800-876-6827)item#5907 ANGELNUNEZNotaryPublic-CaliforniaLosAngelesCountyCommission#2321675Comm.ExpiresMar14,202 Partner— LimitedC‘.GeneralIndividuaiE]AttorneyinFactTrusteeDGuardianorConservatorOther:

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390,000
167.000
327.000
ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont'd) CONTRACTOR'SREFERENCELISTAttachtothisbidalistofthree(3)projectsinthepastfive(5)yearsonwhichthebidderandhissubcontractor(s)havesuccessfullyconstructedandcompletedprojectswiththesametype(elements),sizeandcomplexityofwork.TheAgencyEngineerwillmakethe?naldeterminationofwhethertheprojectslistedhereareofthesametype,sizeandcomplexityasthisproject.Failureofbiddertosupplysufficientdocumentationofsimilarelectric,telephone,cableandsanitarysewerundergroundfacilitiesexperienceshallbeconsideredgroundsforanon—responsivebidand,attheAgency'sdiscretion,saidbidwillbedisqualified.ProjectName. PARADISEACRESALLEYDRAINAGE ContractPrice: DateofCompletion:122022
Name,Address,andTelephoneNumberofOwner'sRepresentative:CITYOFLAKEELSINOFIE:130S.MAINST.

CARLOSNOFIV ANI,909.996.3947
ProjectName:BORON&DIVISIONCFIEEKRESTAREAADAContractPrice: DateofCompletion:099" Name,Address,andTelephoneNumberofOwner'sRepresentative:CALTHANSDIST9ENFIICODEJESUS,760.920.8442 ProjectName:CAMINODELNOFITESTREETIMPROVEMENT
ContractPrice: DateofCompletion:06/2022
Name,Address,andTelephoneNumberofOwner'sRepresentative:CITYOFLAKEELSINOFIE,SCOTTRIPPSTINE.951.538.9116 (Attachadditionalpagesasnecessary)

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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont'd) DESIGNATIONOFSUBCONTRACTORSNameofSubcontractorandLocationofPlaceDescriptionofWorkSubcontractor’s DIRRegistrationofBusiness LicenseNo. Number T.MAUSGRADINGANDPA VINGACPLACEMENT992056 1000035934
DENNISJANDA,INC. SURVEYFl.iii}_§(p?§7100001747960'5Cg?mtwwg?Ccaw»))o‘?oog,'3igmo?g-426% (Biddertoattachadditionalsheetsifnecessary)(PUBLICCONTRACTCODE§4100ETSEQ.)

12.F

Rev.(1
ihu?oher211.29
ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BIDDER'SPROPOSAL(cont'd) BIDDERCERTIFICATIONSTOBEEXECUTEDBYALLBIDDERSANDSUBMITTEDWITHBIDTheundersignedBiddercerti?estoOwnerassetforthinsections1through10,belowSTATEMENTOFCONVICTIONSBymysignaturehereunder,Iherebyswear,underpenaltyofperjury,thatnomorethanone?nal,unappealable?ndingofcontemptofcourtbyaFederalCourthasbeenissuedagainstBidderwithinthepasttwoyearsbecauseoffailuretocomplywithanorderofaFederalCourtortocomplywithanorderoftheNationalLaborRelationsBoard.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.

12.F

nglmpr0.5736
SubcpntractorsDivisio
O‘/\9)ntra‘cto!’
[Please
toOwnrasof datehereof.ExceasotherwiseexpreFormation,submtted‘ certifythat,ifawardedtheContractbasedontheundersigned’sBid,theContractwillincludefundssufficienttoallowtheContractortocomplywithallapplicablelocal,state,andfederallawsorregulationsgoverningthelabororservicestobeprovided.IunderstandthatOwnerwillberelyingonthiscertificationifitawardstheContracttotheundersigned. pursuantn2,Part7,Chapter1(commencingwithsection1720)oftheCaliforniaLabor 5 registrationnumberis[pleasecomplete] dated (SOQ)b[Pleasecompleteorstrikeoutthefollowingasinapplicable]Subsequentlyonorabout and ContactorQuali?cations. thept sslysetforthinseparateAdditionalPrequali?cationlnl i withtheBid,allPrequali?cationinformation

12.F

MemorialCenter,0.5736 BlDDER'SPROPOS
eherehficationInformationdescribaboveifthisitemischecked] Aueéwmzwg?ézgé,
>
/M/»«
7'MvW/%44/
Signatu
Bidde
ParkiovementsatSimpsonCIPN AL(cont'd)
thedatehereof,asifsuchdatof.as edCERTIFICATIONOF [MN
BIDDERI—é?-23ofBidder DateSignatureofBidder Date(‘iPrintnameandtitle Printnameandtitle(Iftherisacorporation,twosignaturesofcorporateofficersarerequired.)

12.F

PPENDAW ARDANDCONTRACT

12.F

TOFHEMETL):s:can;‘ass?
?~>9<Ԥ7?

12.F

inadditiontoreaffirmingthatthechangesandinformationcontainedintheaddendahavebeenintegratedintotheirproposal,Contractoracknowledgesreceiptof AddendaNo.(s) dersig rniascheduleptypes 5projec eDavis—Baccncttopayn antheserates abor,materi ipmentforMEMORIALCENTER,CIPNo,5 urtenantWedoneandmaterialstobefur n5J otheNoticeinvitingBieveryAddendum,plansspecifications,GeneralConditions,SpalalPravisvisions,Greenback20185amendedandsupplemented,technicareferenceother documents,allnoes,permitconditiamou ctive/deductiveitem ER'SPtsatSCIPNo.ParkingImprovSALnMemorialCenter
TheunnedhasexaminedthecurrentStateofCalifoofrevailingwageratesfortheofworktobedoneonthit(andth AiftheAgencyusesfederalfundsfortheProject)andagreesotlessthTheundersignedherebyproposestofurnishanyandall! als,andequthePARKINGIMPROVEMENTSATSIMPSON736andapporkinconnectiontherewithsaidworktob nisheditrictconformitywiththeContractIocuments,includingbutnotlimitedt ds,instructionstoBidders,, c ions,GeneralPro a l s,allreferencedd onsandregulations,forthetotalnt(s)andanyunitpricesandadii 5shownonthisproposal.

12.F

MemorialCenter,EiDDER'SPROPOS
T
—
I
MobilizationBid)
TemporaryConstructionIdentificationSign
L5
Improvements
SFCity .
12 V
EA,
ii).

Construct
1L J stop,Type‘Curb,
ParkingImprovementsatSimpsonCIPNo.5736 AL(cont’d)BIDSCHEDULEBASEBIDParkingmprovementsatSimpsonMemorialCenter,CIPNo.5736EXTENDEDH,-“E3”DESCRIPTIONUNIT ITEMAMOUNT1 (NottoExceed5%ofLs2TrafficandPedestrianControlL513Clearing,Grubbing,andRemovalsL5 14WaterQualityControlL515 ProjectEA16FieldOrders 1 $10,000$10,0007UnclassifiedExcavationCY1,000RemoveExisting8andConstructCrossGutterPer 500ofHemetStdPlanNo.C-2139HotMixAsphaltTN94010UntreatedBase TN875RemoveandReplaceType‘D’11CurbperCityofHemetStdPlanLF25No.C-203RemoveandConstructWestADAParking&Ramp(includeswheelstop,Type'DCurb,PCC 1Pavement,Sidewalk,RampTruncatedDomes,andPedestrianHandraRemoveandSouthADA13Parking&Ramp(includeswheelEA'DPCC ‘l?lqd20,[qg26,515z¢,5I5
"I,z-1o‘milel.5qo|,5‘lo

11.3071,1500(.53'1,gaoI11ll‘l,38oLo52,500233815
77:‘l"lo'73,!-Ho
z,L,‘7ao26,700

12.F

Handrail). @
u @ (E?WVam’.":7‘°LI,'I6odrall).

E?
(I
ParkingimprovementsatSimpsonMemorialCenter,CIPNo.5736
BASEBID—ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736ITEMNo DESCRIPTIONPavement,Sidewak,Ramp,TruncatedDomes,andPedestrianRemoveandConstructNorthADAParking&Rampncludeswheelstop,Type'D'Curb,PCC14Pavement,Sidewalk,Ramp,TruncatedDomes,andPedestrianHan15AdjustExistingWaterValvetoFinishedSurface16RemoveandRelocateExistingl.V .C.Box17FurnishandInstallWheelStop18StripingandSignagencludingADAStripingandSigns)19SurveyServices BASEBIDTOTAL(inwords)
Contractor'sInitials
BIDDER'SPROPOSAL(cont'd)
UN”,ESTIMATEDUNITQUANTITYPRICE
EA1
EA2EA1EA5L51LS1
TOTALBASEBIDnum

EXTENDEDITEMAMOUNT
CentsDollarsZ.‘-“rd

2.65¢2,455C?3108,‘ILo3,150l5.5°°|L,5oo513,900“’

12.F

City
( mbers)
ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BIDDER'SPROPOSAL(cont’d) BIDADDITIVE—ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736ITEM EXTENDEDESTIMATEDUNITDESCRIPTIONUNIT ITEMNo QUANTITYPRICEAMOUNTMobilization(NottoExceed5%of1 . LS1Bid2TrafficandPedestrianControlLS13Clearing,Grubbing,andRemovalsLS14WaterQualityControlLS15UnclassifiedExcavationCY575RemoveExistingImprovements6andConstructCrossGutterPerSF170ofHemetStd.PlanNo.C-213RemoveExistingImprovementsandConstructPCCDriveway7ApproachPerCityofHemetStd.SFL200PlanNo.C-2088ConstructPCCPavementCY3009UntreatedBase TN525AdjustExistingWaterValveto10FinishedSurfaceEA211HotMixAsphaltTN4512SurveyServicesLS113StripingandSignage(IncludingL5 1ADAStripngandSigns)TOTALBIDADDITIVEnu 7° ‘*lL,aoo3‘!|5,l,3O54c1,zoo53?;Lo,5ooéo5,,5ooH5903,130Z00°[,ooo6,Leo5,200wewe530"°

12.F

_1"l\ru-Hw\ru\Eight‘);Jim5-:

J?gd “‘i’9Thl!LThe
—Z’Z4I—
theeventofavariationbetweentheunitpriceandexte heuni icewdthecorrectedextensionwillbeconsideredastheamou bidisi ibleareconcileditwillbeconsiderednon-responsiveandwill deredawarIfanadditiveand/oralternatebidscheduleiscalledtheContractDocuments,thelowebidwillWedeterminedonthebasisofthebasebidsc (5)onlyunlessotherwisespecifiedtheNotice"InvitingBidsorbyAddendaifissuedto edetheNoticeInvitingBidsonthspeci?cissue.

ForaContractwhereadeductivebidscheduleisthetotalofallbidschedulesincludingthededuc 3€;L>z:§cz£<>:/-zr’
CIPNo.5736BIDDER'SPROPOSAL(cont’d)BIDADDITIVETOTAL(inwords) CentsTOTALBIDAMOUNT(innumbers)fortheTOTALPROJECT(BASEBID+BIDADDITIVE)is:

TOTALBIDAMOUNT(inwords)fortheTOTALPROJECT(BASEBID+BIDADDITIVE)isCentsContractor'sInitialsIn ndedtotal,t tprillbeusedan ntbid.lfthellegndcannotbe notbeconsiford.forin sthedule insupers iscalledfor,thelowestbidwillbedeterminedbytivebidscheduIe(s). "ltd.
a go
Fi
»mlDollars
Dollarsand

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nglmpr0,5736
HardyHarperInc. 000000076
Corporation
abulope
orconfirmthatheirworkndthntainedorefere
2 952
arefamiliarwiththeworkeyhavereadandagreetohereinorintheContractricesstedthershal MaasPresident
MichaelMun'aVVicePresident
32RanchoCircleLakeForestCA9263
ParkiovementsatSimpsonMemorialCenter,ClPN BlDDER'SPROPOSAL(cont’d) theactualquantitiesofworktobedonewillcorrespondtherewith.itemnumbersfollowedby”(S)”aredesignatedasspecialtyitemswhichwillnotbeincludedtowardsthecalculationofBysigningandsubmittingthisbidtheContract5 theysiteandallexistingconditionsthatmayaffectt a atthalltheterms,conditionsandrequirementsco r ncedDocumentsandthatalltheaforementionedhasbeenincludedinthebidp liabove,includingitemsofworkthatmaynothaveaspecificpaylineitemandthate ibeno Completethefollowing:& I 15Legalnameofthebusiness,DIRReg.andContractorLicenseNos.BusinessType(Corporation,Partnership,SoleProprietor)N/ADBA(ifany)DanielNameandtitleoftheowner NameandtitleofsecondpartnerorofficerBusinessAddress A1—6

12.F

l4-444-,
714-444-2801
mmurray@harg1andharper
www.hardvandharper,com
7/2023idder
MichaelMurravicePresident KristenPaulineCorporateSecretarvnameandtirerequired.) ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) 7 1851Telephonenumber
Facsimilenumber
MichaelMurrav- .comNameandEmailaddressofprimarycontact
Companywebaddress
1/1 7Signature Date reofB Date.VPrintnameandtitle Printtle(IftheBidderisacorporationtwosignaturesofcorporateofficersa

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:I2/31/2023
seven(7)daysprior bidopening.TheAgencymayconductareviewofthecontemplatedworktoreevaluatequiredlicensedetermination.TheAgencymayinitssolediscretionmaintainorchangequiredlicensedetermination;Agency'sdecisionastotherequiredlicensewillbefinal.

2.Afailureto(1)information,and/or(3)permittheCitytorejectpossesstherequiredlicense,(2)executethisCertificatemayrendetheproposal.(BusinessandProfessitruthfullysetforththefollowingrtheproposalnonresponsiveandonsCodeSection7028.15)3.Contractordeclares,underpenaltyofperjury,thathe/she/itpossessestherequiredContractor'slicensels)vhich:aBearsthelicensenumber(s):215952bExpireson Signature reofdder DateVicePrintnameandtitle Printnameandtitle

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moriaDER'S

N/A N/A ),
attachedhereto(properlycompletedccordncerequiredforhis/her/itsfaithfulperfonce0 saidpersonsperforminglabororfurallotherrespectsperformtheCo anotherbidder.

ParkingImprovementsatSimpsonMeICenter,CIPNo.5736BIDPROPOSAL(cont’d)BIDSECURITYFORMFORCHECK CityofHemet,hereinafterreferredtoas"Agency",for
A.IfsaidBidshallberejectedbytheAgency;B.IfsaidBidshallbeacceptedbytheAgencyandtheUndersignedshallexecuteanddeliveraContractintheform ’ ina awithsaidBid)andshallfurnishbonds rmaf Contractandforthepaymentofall nishingmaterialsinconnectiontherewith,andshallin ntractcreatedbyacceptanceofsaidBid.Otherwise,saidcheckshallbecomethepropertyoftheAgency.if8dN/A N/ASignatureofBidder DateSignatureofBidder DateN/A N/APrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateo?icersarerequired.) {f):tm}<2er7

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AmountIn ords)
/
Cameanx
DwightReilly,Attomey-in~Fact
BondNo.CSBA-22885ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) BIDSECURITYFORMFORBONDKNOWALLBYTHESEPRESENTSThattheundersignedHardy&Harper,lnc.(NameofContractor)asPrincipalandtheundersigned*asSuretyareheldandfirmlybounduntoOwner,CITYOFHEMET,apoliticalsubdivisionoftheStateofCalifornia,asobligee,inthepenalsumof(DollarwTenPercentoftheAmountBidDollars($10%)lawfulmoneyoftheUnitedStatesofAmericabeingatleasttelpercent(10%)oftheaggregateamountofsaidPrincipal'sbaseBid,forthepaymentofwhichwellandtrulytobemade,webindourselves,oursuccessors,executors,administrators,antassigns,jointlyandseverally,firmlybythesepresents.*FidelityandDepositCompanyofMaryland Hardy&Harper,Inc.(CorporateSeal) ByPrincipalMichaelMurray,VicePresidentByFidelitvandDepositofMarylandSurety(CorporateSeal) By WHEREAS,saidPrincipalissubmittingaBidforParkingImprovementsatSimpsonMemorialCenter,CIP5736.THECONDITIONOFTHISOBLIGATIONISSUCHthatiftheBidsubmittedbythesaidPrincipalbeacceptedandtheContractbeawardedtosaidPrincipalandsaidPrincipalshallwithintherequiredperiodsenterintotheContractsoawardedandprovidetherequiredConstructionPerformanceBond,ConstructionLaborandMaterialPaymentBond,insurancecertificates,andallotherendorsements,forms,anddocumentsrequiredundertheInstructionstoBidders,thenthisobligationshallbevoid,otherwisetoremaininfullforceandeffect.

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anam2923 MoraanE.ChurnackNotarvPublic
Mlcha,
whoprovedtomeanthebasisofsatisfactoryevidencetobethepersona!)subscribedtothewithlninstrumentandacknowledgedtomethathe/sue/theyhis/rner/theirauthorizedcapaclty(iee),andthatbyhis/hnr/theirsignature(x)ontheinstrumentortheentityuponbehalfofwhichtheperson(x)acted,executedtheinstrument.IcertifyderPENoftheS eofCaliistruea correct.

MDRGINE.(HURNUCKNotaryPublic-CatitunuaOran]:County
[ionisopt/'0completingfraudulenttachmentof
.j__€_
_ejé___
JLl.(:a_..._.._;__jj
Representing.___{_€
__%_j_Hardy&HarperInc.

CALIFORNIAALL-PURPOSEACKNOWLEDGMENTCIVILCODE§1189
StateofCalifornia)Countyof )On 23. beforeme,Date HereInsertNameandTitleoftheOf?cerpersonallyappearedelMurravName(s)ofSigner(s)whosename(x)is/amexecutedthesameintheperson(a),unALTYOFPERJURYunderthelawstat forniathattheforegoingparagraphndWITNESSmyhandandofficialseal.; 4 Signature Public
PlaceNotarySealAboveOPTIONALThoughthissec nal, thisinformationcandeteralterationofthedocumentorreat thisformtoanunintendeddocument.DescriptionofAttachedDocumentTitleorTypeofDocument:DocumentDate:NumberofPages:Signer(s)OtherThanNamedAbove:Capacity(ies)ClaimedbySigner(s)Signer’sName: Signer’sName:ICorporateOfficer— Titie(s):PrneidnntCorporateOfficer— Titie(s):Partner— LimitedGeneralPartner— LimitedGeneralindividualAttorneyinFact individualAttorneyinFactTrusteeGuardianorConservatorTrusteeGuardianorConservatorOther: Other:Signerls SignerlsRepresenting:

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AdriaBenkert-LanqrellNotary
DwightReilly
ACKNOWLEDGMENTAnotarypublicorotherof?cercompletingthiscerti?cateverifiesonlytheidentityoftheindividuawhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness,ccuracyorvalofthatdocument.StateofCaliforniaCountyof ) On01/1 beforeme,n Publ(insertnameandtitleoftheof?cer)personallyappearedwhoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename(s)is/are paragraphistrueandcorrect.WITNESSmyh ndofficialseal. com*24o3_mNotaryPubllc-callfomlaORANGECOUNTYMyComm.ExpiresMay9,2026 FR33
Signature (Seal)kert-ngre

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setforthnnIhereversesidehcrcofandareherebyceniliedtoInInfullforceande?hclonthedalehcreuf.doherebynaminale,constitute,andnppuinlDanielHUCKABAY ,FrankMORONES.DwightREILLY ,ArturoAY ALA.ShaunnaROZELLEOSTROM.BenjaminWOLFE.ChelseaLEBERATORE.BenSTONG,MichaelD.STONG.R.NAPPI.AdrianLANGRELI.Dforange,California,istrue.andlawfulagentandAttomey-in~FacL.Inmake,execnta,sea]anddeliver.for.andon[Isbehalfassurety,andasitsactanddeed:anyandanbandsandundertakings,andmeexecutionofsucllbondsorundertaidligsinpursuanceufkhcsepresents,shallheasbindinguponsaidCnmpanies.asmyandamply,toallintentsandpurposes.asirmcyhadbarndulyexeculzdandackno\vledg:dbyweregularlyelccted saidVicePresidentdoeawsmumCompanies,
ot‘Novembe
whoexeculedIheprecedmgmsmuncnu,anduknnwledgcdtheexecuunnofsnrnc,andham;bymedulysworn,deposed:mmsaim.thanInc/sheIS:1»;saidmm:arm:Companynrmesmu,andumumsealsaffxcdtonu.pmzedinginstrumEu:CorporateSealsofsnxdCompanies.andamwesaidCorpurz?e BondNo.CSBA—22885ZURICHAMERICANINSURANCECOIVIPANYCOLONIALAMERICANCASUALTYANDSURETYCOMPANYFIDELITYANDDEPOSITCOMPANYOFMARYLANDPOWEROFATTORNEY ZURICHAMERICANINSUANCECOIVIPANYCOLONIALAMERICANCASUALTYANDSURETYCOMPANY ,andFIDELITYANDDEPOSITCOMPANYOFNIARYLAND,this10thday SEAL
ATTEST:ZURICHAJVIERICANINSURANCECOMPANYCOLONIALAMERICANCASUALTYANDSURETYCOMPANYFIDELITYANDDEPOSITCOMPANYOFMARYLAND By:Dawn
StateofMarylandCountyofBaltimore
My
Authenticityofthisbondcanbecon?rmedatbondvalidator.zurichna.comor persons.ThetheBy-L andisnowinforce.INWITNESSWHEREOF,thesaidVice-Presidentl1ashereuntosubscribedhis/hernamesandaffixedtheCorporateSealsofthesaid

SEALSEAL
By:RobertD.MurrayVicePresident
E.BrownSecretary
INTESTIMONYWHEREOF,IhavehereuntosetmyhandandaffixedmyOf?cialSealthedayandyear?rstabovewritten ConstanceA.NotaryPublicCommissionExpires:July9,2023
6-ML/7"’(1.j:«’.1§‘

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President
y,associatioorgaizatioebidderhasatdirctlyombid‘Thedderasn mationganizat
tnersity,hlarati
icePresident
Hardy&Harper,Inc,
yorindirectly,soughtbypriceofthebidderoranyidprice,orofthatofanydderhasnot,directlyorthecontentsthereof,or >
behalfofabiddery,limitedliabilitypapowertoexecute,
/17/2023
KristenPaulinoCorporateSecretary
ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d)NON-COLLUSIONAFFIDA VIT Theundersigneddeclares:IamtheVice of thepartymakingtheforegoingbid.partnership,compann,n ‘
n,orcorporation.Thebidisgenuineandnotcollusiveorsham.Th n e rindirectlyinducedorsolicitedanyotherbiddertoputinafalseorsha bihotinanymanner,directl‘ association,or ion,biddepository,ortoanymemberoragentthereof,toeffectuateacollusiveorshambid,andhasnotpaid,andwillnotpay,anypersonorentityforsuchpurpose.Anypersonexecutingthisdeclarationon thatisacorporation,parhip,jointventure,limitedliabilitycompanrtnership,oranyotherenterebyrepresentsthatheorshehasfull anddoesexecute,thisclecononbehalfofthebidder.foregoingistrueandcorrectandthatthisdeclarationisexecutedon1/17/2023"[date],at Signatureer Date reofBer DatePrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.) A1—11

12.F

Attachtothisbidalistofthree(3)projectsinthepastfive(5)yearsonwhichthebidderandhsubcontractor[s)havesuccessfullyconstructedandcompletedprojectswiththesametyp(elements),sizeandcomplexityofwork.TheAgencyEngineerwillmakethefinaldeterminatioofwhethertheprojectslistedhereareofthesa Failureofbicld0supplysufficientdacumentatio telesanitarysewendergroundfacilitiesexperienc erednon—responsiveand,attheAgency‘:discretio IPleaseseeattachedPastPruiec!References
.' I
ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736B|DDER'SPROPOSAL(cont’d)CONTRACTOR'SREFERENCELIST isenmetype,sizeandcomplexityasthisproject.ert nofsimilarelectric,phone,cableandru eshallbeconsidgroundsforabid n,saidbidwillbedisqualified.ProjectName:ContractPrice DateofCompletionName,Address,andTelephoneNumberofOwner'sRepresentative:

ProjectName:ContractPrice: DateofCompletion:____________._Name,Address,andTelephoneNumberofOwner'sRepresentative:

ProjectName:ContractPrice: DateofCompletionName,Address,andTelephoneNumberofOwner'sRepresentative (Attachadditionalpagesasnecessary)

12.F

HardyHarper, Pro]PROJECTAME.PavcrncnlRehab.ContractCumplcuonSeptemberRcsidxznlmlCulnmclCompleuonuneProspect84 202C0ll|\'liCl
CompletionAprilResidential
Complelion
ConuactColnplelxou:FebrunryVillageCOMYECIComnlelmnI‘:1v::m::n| CoulmclCamplcliou
Completion
Complc?onSeptember2020.202CnmmclComplcliunMnylulpcnnlConlruclComplclmnDate,May Cmnpmiouam:May
Cnmplc?onDme.AprilTm"Conlmc|
ComplcuonCnywxdcCml??lilComplclionum;Arlcriul
Camplelionl\ugus|
& Inc.PastectReferencesOWNER/AGENCYCONTACTAMOUNT&COMPLETIONDATE 2022 1
ManuelFabian(818)[email protected]
2022
Amount:$785,560.002022
2021
2021
2021
2021
CityofGrandTerrace22795BartonRoadGrandTerrace,CA92313CityofDowney11111BrookshireAvenueDowney,CA90241CityofOrange300E.ChapmanAvenueOrange.CA92866CityofSanFernando117MacneilStreetSanFernando,CA91340CityofDowney11111BrookshireAvenueDowney,CA90241CityofJurupaValley8930LimoniteAvenueJurunaValley,CA92509CityofAnaheim200SAnaheimBlvdAnaheim.CA92805CountyofRiverside352514thStreetRiverside.CA92501CityofChinoHills14000CityCenterDriveChinoHills.CA91709LosAngelesCounty900S.FremontAvenueAlhambra.CA91803CityofLornaLinda25541BartonRoadLomaLinda.CA92354CityofNorco2870ClarkAvenueNorco.CA92860CityofIrwindale5050N.IrwindaleAvenueIrwindale,CA91706CityofBrea1CivicCenterCircleBrea.CA92821CityofColton650N.LaCadenaDriveColton,CA92324CityofBurbank301E.OliveAvenueBurbank.CA91502CityofOxnard300WestThirdStreetOxnard,CA93030CityofMorenoValley14177FrederickStreetMorenoValley,CA92552CityofCypress5275OrangeAvenue KamranDadbeh(909)824-6621kdadbehfcilizrandterrace-ca.govDesiGutierrez(562)[email protected](714)[email protected] DesiGutierrez(562)[email protected](951)[email protected](714)[email protected](951)[email protected](909)[email protected](661)947-7173nsanaueé?nwlacountv.2ovJarbThaipejr(909)799-2800ith:[email protected](951)[email protected](626)430-2259lnimentel@,irwindalecagovSteveKooyman(530)318-1066c1mnvman@interwest2rncomJessSotto(909)[email protected](818)[email protected](805)385-8280renee.hatcher@,oxnarca.orgMichaelWolfe(951)[email protected](714)229-6740abanizean@,cvnressca.org NOnBartonRd,VanBuren&ViviendaAveAmount:$570,000.00Date:StreetPavementRehabilitationProject,AreaAmount:$2,875,000.00Date:J 2022SpringRightTurnLaneModi?cationProjectContractAmount:$920,000.00CompletionDate:June2022PicoStreetImprovementProjectContractAmount:$465,000.00CompletionDate:May2022ResidentialStreetPavementRehabilitationProject,Area10ContractAmount:$2,355,000.00CompletionDate:April20221-22CDBGOldMiraLomaPavementRehabilitationProjectAmount:$810,000.00Date:StreetImprovementProject-Lotus&Torry,Group13ContractAmount:$5,806,000.00Date:March2022FisherStreetResurfacingProjectDateCenterDrivePavementRehabilitationProjectAmount:$408,000.00Date:December2021Reconstruction(Sustainable)NorthLACountyAmount:$1,873,929.57Date:November2021PavementRehab.onBartonRd,BrynMawr&OrangeGroveContractAmount:$462,590.00Date:November2021SixthStreetWideningContractAmount:$785,000.00Date:1ResurfacingProjectAmount:$544,311.93Date:Highway/BerrySt.IntersectionImprovementsAmount:$579,648.802021FY20-21AsphaltPavingProjectContractAmount:$2,695,493.642020StreetImprovementProjectContractAmount:$1,253,099.98MaintenanceOverlayProjectPhaseII(Rebid2)Amount:$6,550,000.00Date:November2020PavementRehabilitationProgramFY19-20Amount:$4,080,364.90November2020RehabilitationProject230ContractAmount:$1,042,000.00Date:

12.F

rdyHarper, roj_PRECTAMESlrcclConlrnclComplelionBl”(909)purcl|asing@unmriucagov 10ConlrzclCampluionPrcvcnlnuvc
Complu?aluApril
Colnpl?ion
CumraclCumpluliunom;February
MajorConlmclComplclionAugustRcsudenlinlCommaCarnplchonMnyCi(ysoBurbank, , CompletionMay ‘ Grmd
C0l|lI'11Cl
CcmplcliunMy20COXIIHICIComplcuonAprilArterialCamraclCumplcliananuaryCily Inglewood. Completion
CumplclimlAuEu_sl10|7

OWNER/AGENCY
ofBurbank
Ha&CONTACTArtVela(951)[email protected] EdwinNorris(562)904-7110MarwanN.Youssef(714)548-3460veinhnsnn?wesminster-Ca.20VKristy(951)654-3592kristvfcbtrilakeconsultants.com JasonWilliams(909)[email protected](949)[email protected]£FatanaTemory(714)593-4433fatana.temory@fountainvalleyorg RonDragoo(310)[email protected](818)[email protected] MatthewSinacori(949)[email protected](310)412-5333hhunter??citvo?nglewoodor};TonyAn(626)744-7403 Inc.PastPectReferencesAMOUNT&COMPLETIONDATERehabilitationatVariousLocationsDate:March202019FallPavementRehabilitationProjectAmount:$4,261,000.00Date:October2019 Date:March2019CitywideResidentialStreetImprovementsAmount:$1,452,000.002018DowntownPavementRehabilitationContractAmount:$1,818,000.00CompletionDate:January2019 Residential&CollectorRoadRehabilitationProjectContractAmount:$1,551,000.00CompletionDate:December2018FY2017-18RoadwayRehab.&SidewalkRepairContractAmount:$1,575,125.00ComnletionDate:October2018 2018
Ave.StreetRehabilitationNoSTPL-5118(020)201817PavementManagementProgram17-0032018 Date:J 2018
ofBanningEastRamseyStreetCA92220CityofOntario303East"B"StreetOntario.CA91764CityofPasadena100N.GarfieldAvenuePasadena,CA91101CityofDowney11111BrookshireAvenueDownev.CA90241CityofWestminster8200WestminsterBlvdWestminster.CA92683CityofSanJacinto595S.SanJacintoAvenueSanJacinto.CA92583CityofLancaster44933FernAvenueLancaster.CA93534CityofDiamondBar21810CopleyDriveDiamondBar,CA91765CityofTustin300CentennialWayTustin,CA92780CityofFountainValley10200SlaterAvenueFountainValley,CA92708CityofPomona505SouthGareyAvenuePomona.CA91766CityofRanchoPalosVerdes30940HawthornBlvdRanchoPalosVerdes,CA902751E.OliveAvenueCA91502CityofCovina125E.CollegeStreetCovina,CA91723CityofLancaster44933FernAvenueLancaster,CA93534CityofDanaPoint33282GoldenLanternDanaPoint.CA92629ofInglewood1ManchesterBlvdCA90301CityofPasadena100N.Gar?eldAvenue91101 Braun
TonyAn(626)[email protected]
[email protected]
LuisGaribay(661)723-6110l2aribav@citv0?ancasterorg
PublicWorks(909)[email protected]
ChrisMarcarello(626)[email protected](661)723-6110lgaribav@cityo?ancaster.org [email protected]
NAmount:$1,451,000.00
MaintenanceServicesContractAmount:$2,424,216.00Date:2019CIPNo.18-02ResidentialStreetRehab.ProjectContractAmount:$1,808,000.00 2019
2018Sidewalk,Curb&GutterRepairsContractAmount:$1,976,000.00CompletionDate:December2018 Resurface&Rehab.ofEuclidStfromSlatertoWarnerContractAmount:$1,077,000.00ComuletionDate:Seutember2018StreetImprovementsAmount:$3,839,000.00Date:2018StreetRehabilitationProjectAmount:$2,227,00000Date:Local/ResidentialStreetImprovementProjectContractAmount:$5,333,000.00Date:2018Amount:$3,030,000.00Date:Amount:$2,727,000.00Date:RoadwayResurface&PavementPreservationAmount:$3,993,000.00StreetsandAlleysRehabilitationProjectContractAmount:$2,639,330.06Date:November2017PreventativeMaintenanceofStreets2016ContractAmount:$945,932.59Date:

12.F

--4
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‘=
9A
ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) DESIGNATIONOFSUBCONTRACTORSNameofSubcontractorandLocationofPlaceDescriptionofWorkSubcontractor’sDIRRegistrationofBusiness LicenseNo. Number (Biddertoattachadditionalsheetsifnecessary)(PUBLICCONTRACTCODE§410OETSEQ.) («ScL-Md5-”" 0 33L5“,1oo?o/5'sow“)Drwv.0
5 oooocAuAmriu-\/BFW’C,N 24707c.f||?‘\‘MS\,f,(,,ioF7‘p‘qJh40nv+| 7‘30b]aooo0I17‘. 75«]’r\\7¢'

12.F

ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BIDDER'SPROPOSAL(cont’d) 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.

12.F

ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736B|DDER'SPROPOSAL(cont’d) CERTIFICATIONOFNON-DISQUALIFICATIONBymysignaturehereunder,astheContractor,Iswear,underpenaltyofperjury,thatthebelowindicatedBidder,anyofficerofBidder,oranyemployeeofBidderwhohasaproprietaryinterestinsuchBidder,hasneverbeendisqualified,removed,orotherwisepreventedfrombiddingon,orcompletingaFederal,State,orlocalgovernmentprojectbecauseofaviolationoflaworsafetyregulation,exceptasindicatedontheseparatesheetattachedheretoentitled"PreviousDisqualifications."Ifastatementof”PreviousDisqua|ifications”isattached,pleaseexplainthecircumstances.CERTIFICATIONOFADEQUACYOFCONTRACTAMOUNTBymysignaturehereunder,astheContractor,pursuanttoLaborCodeSection2810(a),Icertifythat,ifawardedtheContractbasedontheundersigned’sBid,theContractwillincludefundssufficienttoallowtheContractortocomplywithallapplicablelocal,state,andfederallawsorregulationsgoverningthelabororservicestobeprovided.IunderstandthatOwnerwillberelyingonthiscertificationifitawardstheContracttotheundersigned.1.CERTIFICATIONREGARDINGDIRCONTRACTOR/SUBCONTRACTORREGISTRATIONBymysignaturehereunder,astheContractor,IcertifythatContractor,andalllistedSubcontractorsarethesubjectofcurrentandactivecontractorregistrationspursuanttoDivision2,Part7,Chapter1(commencingwithsection1720)oftheCaliforniaLaborCode.Contractor'sregistrationnumberis[pleasecomplete]1000000076Subcontractors’registrationnumbersareasindicatedinDocument004314.2 CERTIFICATIONREGARDINGPREQUALIFICATIONINFORMATION[OPTIONAL]Bymysignaturehereunder,astheContractor,Icertifyasfollows:a.ContractorprequalifiedforthisProjectbysubmittingitsStatementofQualifications,datedN/ (SOQ)b.[Pleasecompleteorstrikeoutthefollowingasinapplicable]Subsequently,onorabout and ContactorsubmittedfurtherinformationsupplementingforforegoingStatementofQualifications.c.Allinformationdescribedaboveisreferredtoasthe"QualificationInformation."d.ContractorhascarefullyreviewedalloftheforegoingQualificationInformation.e.[Pleasecheckand/orcompleteoneofthefollowing]N/AAllPrequalificationInformationremainstrueandcorrectinallmaterialrespectsasofthedatehereof,asifsuchinformationwereactuallybeingsubmittedtoOwnerasofthedatehereof.N/AExceptasotherwiseexpresslysetforthinseparateAdditionalPrequalificationInformation,submittedwiththeBid,allPrequalificationInformation N/A

12.F

1/17/2023 1/7/2023
MichaelMu V’President Secretaq
ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) remainstrueandcorrectinallmaterialrespectsasofthedatehereof,asifsuchinformationwereactuallybeingsubmittedtoOwnerasofthedatehereof.[ContractormustprovideAdditionalPrequalificationInformationasdescribedaboveifthisitemischecked.]CERTIFICATIONOFN/A[InsertotherOwner-specificcertifications,ifapplicable.Otherwise,de|ete.] BIDDER
Signatureof Dateatureof Date
1ce KristenPaulino.CorporatePrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.)

12.F

MINUTESOFTHESPECIALMEETJNGOFHARDY&HARPER,INC.

AspecialmeetingofthedirectorsofHARDY&HARPER,INC.washeldattheprincipalofficeofthecorporation,onJanuaryQ,2021,at11:00am.pursuanttothecallmadebytheSecretaryandwrittennoticewaivedbythedirectorsbysigningtheseminutes.

Pursuanttotheprovisionsandbylaws,DANIELMAASasChiefFinancialOf?cerandKRISTENPAULINO,asSecretaryoftheCorporation,presidedoverthemeeting.

ThepurposeofthemeetingwastonominateandelecttwoVice-PresidentsoftheCompany PresentatthemeetingwerealloftheDirectorsoftheCorporation:DANJELMAASKRISTENS.PAULINOTESSAMAAS DANIELMAASwasre-electedPresidentandChiefExecutiveOfficer,KRISTENPAULINOwasre-electedSecretary,TANNERHAMBRIGHTwaselectedVice-PresidentofStrategicDevelopment,andasVice-Presidentheisherebyauthorizedtosigncontractsonbehalfofthecorporation.M[CHAELMURRAYwaselectedVice-President/OperationsManagerforthecorporationwithauthoritytosigncontractsonbehalfofthecorporationandauthorizedtosigncheckingandbankaccountsonbehalfofthecorporationwherethecorporationhasestablishedbankandcheckingaccounts.

12.F

adjourned.

DATED:January3,2o2Q
Therebeingnofurtherbusinessitwasmovedsecondandcarriedthatthemeetingbe DANIEL.

DirectorlSecretary
Director

12.F

EZICESTACONTRACTORSTELICENSEBOARDACTIVELICENSE5952’ myCORPHARDYa.HARPERINC ClallmlrallnnlljAC'82
Exn|:-a?annnlu'12/31/2023www.cs|b"a.gov

12.F

6/23r'22.7:33AM Registrations
ContractorInformationRegistrationHistory_ EffectiveDateExpirationDateLegalEntityNameHARDY8LHARPER,INC.LegalEntityTypeCorporationStatusActiveRegistrationNumber 05/19/151000000076Registrationeffectivedate 05/30/1507/01/22Registrationexpirationdate 06/30/2006/30/23MailingAddress32RanchoCircleLakeForest92630CAUnitedStat...PhysicalAddress32RanchoCircleLakeForest92630CAUnitedStat...EmailAddresscicamen@hardyandharper.comTradeName/DBALicenseNumber(s)CSLB:215952CSLB:215952 06/30/18
06/30/23
:LegalEntityInformation
zCorporationEntityNumber: C0443071FederalEmploymentIdenti?cationNumber:952251022PresidentName: DanT.MaasVicePresidentName: MichaelMurrayTreasurerName:SecretaryName: KristenPaulinoCEOName:
%A9AgentofServiceName: DanTMaasAgentofServiceMailingAddress: 32RanchoCircleLakeForest92630UnitedStatesofAmerica Worker'sCompensation
DoyouleaseemployeesthroughProfessionalEmployerOrganization(PEO)?:NoPleaseprovideyourcurrentworker'scompensationinsuranceinformationbelow:PEOPEOPEOPEO|nformationNamePhoneEmailInsuredbyCarrierPolicyHolderName: HARD;YBLHARPER,INC.InsuranceCarrier: BLICGENERALINSURANCECORFPolicyNumber: 13900Inceptiondate:ExpirationDate:
https2//cadir.secure.force.com/Contractorsearch/registrationSearchDetai|s?id=a1Rt00000048rbiEAA1I1 06/15/1805/09/1706/08/16
07/02/1407/01/1907/01/2007/01/2107/01/22
06/30/19
06/30/1706/30/16
06/30/2106/30/22
OLDREPUA1CV\/o4/1572204/15

12.F

PENDI1APX

12.F

willnotberesgonsime
BIDDER'SPROPOSALParkingImprovementsatSimpsonMemorialCenterCIPN0.5736Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentforthePARKINGIMPROVEMENTSATSIMPSONMEMORIALCENTER,CIPNo.5736,andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesand-additive/deductiveitemsshownonthisproposal.TheundersignedhasexaminedthelocationoftheproposedworkandalllocalandphysicalconditionsandchallengespresentedbytheProjectsite,isfamiliarwiththeplans,specifications,ContractDocuments(particularlyasdelineatedabove)andtherequirementsofthePublicWorksContract,andalsounderstandsthattheProjectshallbecompletelyconstructedinturn—keyconditionacceptabletotheOwnerwithintheProjecttimerequirementsforthepriceoftheproposal,includingallfeesandsalesand/orusetaxuponanymaterialssofurnished,includinganyunitpricesandadditive/deductiveitems.TheundersignedhasalsocarefullycheckedallofthefiguresgivenandunderstandsthattheAgency foranyerrorsoromissionsonthepartoftheundersignedinsubmittingthisproposal.Contractorconfirmsthathis/her/itsbidissubmittedwithrespecttothechangestotheContractand/orContractDocumentsincludedinalladdendaissuedbytheOwner.Inadditiontoreaffirmingthatthechangesandinformationcontainedintheaddendahavebeenintegratedintotheirproposal,ContractoracknowledgesreceiptofAddendaNo.(s)n/aTheundersignedhasexaminedthecurrentStateofCaliforniascheduleofprevailingwageratesforthetypesofworktobedoneonthisproject(andtheDavis—BaconActiftheAgencyusesfederalfundsfortheProject)andagreestopaynotlessthantheserates.Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentforthePARKINGIMPROVEMENTSATSIMPSONMEMORIALCENTER,CIPNo.5736andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal.

12.F

ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BIDDER'SPROPOSAL(cont'd) BIDSCHEDULEBASEBID— ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736EXTENDEDITEM ESTIMATEDUNITDESCRIPTIONUNIT ITEMNo QUANTITYPRICEAMOUNT1Mobilization(NottoExceed5%ofL5 1 18,000_00Bid) 18,000.002TrafficandPedestrianControlLS 1(),o00_0010-00000 3Clearing,Grubbing,andRemovalsLS 10,000.0010900-00
4WaterQualityControlL5 1 5,000.005.000-00
5TemporaryConstructionProjectEA1 2’5o0_0O2,5o0_o0IdentificationSign6FieldOrders LS1 $10,000$10,000 7UnclassifiedExcavationCY1,00075-0075'000'00RemoveExistingImprovements8andConstructCrossGutterPerSF500250012’500'00CityofHemetStd.PlanNo.C-2139HotMixAsphaltTN940145-00136,300.00 10UntreatedBase TN37500-0051500-00RemoveandReplaceType'D'CurbperCityofHemetStd.PlanLF25No.C-203RemoveandConstructWestADAParking&Ramp(includeswheel 20,00o_0020100030stop,Type'D'Curb,PCCEA1Pavement,Sidewalk,Ramp,TruncatedDomes,andPedestrianHandrail).RemoveandConstructSouthADA13Parking&Ramp(includeswheelEA1stop,Type'D'Curb,PCC

75.001,878.00
12 14,000.0014,000.00

12.F

ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'5PROPOSAL(cont’d) BASEBID— ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736EXTENDEDT52"DESCRIPTIONUNIT ITEMAMOUNTPavement,Sidewalk,Ramp,TruncatedDomes,andPedestrianHandrail).RemoveandConstructNorthADAParking&Ramp(includeswheel14‘‘°F’'TV”'°_'°""’-PC‘ EA1 14,500.0014,500.00Pavement,Sidewalk,Ramp,TruncatedDomes,andPedestrianHandrail).15AdjustExistingWaterValveto EA2 650001,300_00FinishedSurface16RemoveandRelocateExistingEA1 31800003180000I.V .C.Box17FurnishandInstallWheelStopEA5 700035O'00 StripingandSignage(Including91000018ADAStripingandSigns)Ls 1 ' ' 9’100'0019SurveyServicesLS 10,000.0010-00090TOTALBASEBID(numbers)405.725-00BASEBIDTOTAL(inwords)FourhundredandSixThousandSevenHundredTwentyFiveIlullaisandZeroCents Contractor'sInitialsW

12.F

ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BIDDER'SPROPOSAL(cont'd) BIDADDITIVE-ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736EXTENDEDITS?DESCRIPTIONUNIT ITEMAMOUNT1Mobilization(NottoExceed5%ofL5 1 10,000_0010,000_00Bid)2Traf?candPedestrianControlL5 1 10-000-0010300-00 Clearing,Grubbing,andRemovalsLS 1o,o0o_0o10,o0o_0o
WaterQualityControlLS1 3000-003’O00'00
Unclassi?edExcavationCY57595.0054.525-00RemoveExistingImprovements6andConstructCrossGutterPerSF17045-00755000CityofHemetStd.PlanNo.C-213RemoveExistingImprovements7andConstructPCCDrivewaySF1,20020_0024,oo0_ooApproachPerCityofHemetStd.PlanNo.C-2088ConstructPCCPavementCY300700-00210,000.00 UntreatedBase TN52575-0039.375-00
10AdjustExistingWaterValveto EA2 75000050000FinishedSurface11HotMixAsphaltTN45550.0029.250-0012SurveyServices L5 1 4'500'O04’500'0013StripingandSignage(IncludingL51ADAStripingandSigns) 200000200000TOTALBIDADDITIVE(numbers)405-90000

12.F

ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BIDDER'SPROPOSAL(cont’d) BIDADDITIVETOTAL(inwords)Fourhundredand?vethousandninehundredD0"aisandZero Cen[S TOTALBIDAMOUNT(innumbeis)for1heTOTALPROJECT(BASEBID+BIDADDITIVE)is:812,625.00TOTALBIDAMOUNT(inI0IIIS)forIh13TOTALPROJECT(BASEBID+BIDADDITIVE)is:EighthundredandtwelvethousandsixhundredtwentyfbveuaHaHdZero CEn[S 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,towaiveanyirregu|arity(ies),andtotakeallbidsunderadvisementforaperiodofsixty(60)calendardaysafterthedatethebidsarepubliclyopened.BidderacknowledgesthatallcostsincurredasaresultofpreparingtheproposalshallbethesoleresponsibilityofBidder.TheNoticeInvitingBidsandInstructionstoBiddersdoesnotcreateorimposeanyobligationupontheAgencytoenterintoacontract.

12.F

ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736B|DDER'SPROPOSAL(cont'd) Allbidsreceivedshallberecordedonanabstract(tabulation)ofbids,andthenmadeavailableforpublicinspectionwithintwobusinessdaysofbidopening.Thequantitieslistedinthebidproposalareprovidedtogiveageneralindicationofthescopeoftheworkandforthecomparisonofbids.Nowarrantyismade,eitherexpressedorimplied,thattheactualquantitiesofworktobedonewillcorrespondtherewith.Itemnumbersfollowedby"(S)”aredesignatedasspecialtyitemswhichwillnotbeincludedtowardsthecalculationofminimumof50percentofworktobeperformedbyContractor'sownforces.BysigningandsubmittingthisbidtheContractorconfirmsthattheyarefamiliarwiththeworksiteandallexistingconditionsthatmayaffecttheirworkandthattheyhavereadandagreetoalltheterms,conditionsandrequirementscontainedorreferencedhereinorintheContractDocumentsandthatalltheaforementionedhasbeenincludedinthebidpriceslistedabove,includingitemsofworkthatmaynothaveaspecificpaylineitemandthatthereshallbenoadditionalcoststotheAgency.W ARNING:IfanaddendumoraddendahavebeenissuedbytheAgencyandnotnotedaboveasbeingreceivedbythebidder,thisBidmayberejected.

Completethefollowing:IEGeneralEngineeringInc.10000430581015380Legalnameofthebusiness,DIRReg.andContractorLicenseNos.CorporationBusinessType(Corporation,Partnership,SoleProprietor) DBA(ifany)VincenzoNanci/PresidentNameandtitleoftheownerVincenzoNancilChiefFinancialOfficerNameandtitleofsecondpartnerorofficer1440BeaumontAvenueSte.A2-130Beaumont,CA92223BusinessAddress

12.F

ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) 951-616-3311Telephonenumber
Facsimilenumber
J0hnnYSedeno [email protected] Companywebaddress
W01/20/2023W01/20/2023SignatureofBidder DateSignatureofBidder DateVmcenzoNam"IPresmentVincenzoNancilChiefFinancialOf?cerPrintnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateofficersarerequired.)

12.F

ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736B|DDER'SPROPOSAL(cont’d) CERTIFICATEREGARDINGCONTRACTOR'SLICENSE1.ContractorisrequiredtopossessoneofthefollowingStateContractor'sLicense:StateofCaliforniaGeneralContractorTypeBContractor'sLicenseorCombinationofSpecialtyClassContractor'sLicenses2.Afailureto(1)possesstherequiredlicense,(2)truthfullysetforththefollowinginformation,and/or(3)executethisCertificatemayrendertheproposalnonresponsiveandpermittheCitytorejecttheproposal.(BusinessandProfessionsCodeSection7028.15)3.Contractordeclares,underpenaltyofperjury,thathe/she/itpossessestherequiredContractor's|icense(s)which:aBearsthelicensenumber(s)'1015380bExpireson:
2 01/20/202301/20/2023SignatureofBidder DateSignatureofBidder DateVl“°9“Z°Nanci/PfesldemVincenzoNancilChiefFinancialOf?cerPrintnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateofficersarerequired.)ThisrequiredlicensedeterminationhasbeenmadebytheAgency.AnyContractorholdingadifferentlicensewhofeelsheisqualifiedtobidonthisworkmustsoadvisetheAgencyatleastseven(7)dayspriortothebidopening.TheAgencymayconductareviewofthecontemplatedworktore-evaluatetherequiredlicensedetermination.TheAgencymayinitssolediscretionmaintainorchangetherequiredlicensedetermination;Agency'sdecisionastotherequiredlicensewillbefinal.

12.F

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[state].

ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736B|DDER'SPROPOSAL(cont'd) NON-COLLUSIONAFFIDA VITPUBLICCONTRACTCODESECTION7106NON-COLLUSIONDECLARATIONTOBEEXECUTEDBYBIDDERANDSUBMITTEDWITHBIDTheundersigneddeclares:IEGeneralEnginInc.Presidentof partymakingtheIamtheforegoingbid.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.IdeclareunderpenaltyofperjuryunderthelawsoftheStateofCaliforniathattheforegoingistrueandcorrectandthatthisdeclarationisexecutedon01/20/2023date],atWildomarcity]California W01/20/2023W01/20/2023SignatureofBidder DateSignatureofBidder DateVincenzoNanciIPresidentVincenzoNancilChiefFinancialOf?cerPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateo?icersarerequired.)

12.F

31’I,496‘00
, ,,000._
ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont'd) CONTRACTOR'SREFERENCELISTAttachtothisbidalistofthree(3)projectsinthepastfive(5)yearsonwhichthebidderandhissubcontractor(s)havesuccessfullyconstructedandcompletedprojectswiththesametype(elements),sizeandcomplexityofwork.TheAgencyEngineerwillmakethefinaldeterminationofwhethertheprojectslistedhereareofthesametype,sizeandcomplexityasthisproject.Failureofbiddertosupplysufficientdocumentationofsimilarelectric,telephone,cableandsanitarysewerundergroundfacilitiesexperienceshallbeconsideredgroundsfornon-responsivebidand,attheAgency'sdiscretion,saidbidwillbedisqualified.ProjectNameRonaldReaganSportsParkContractPrice: DateofCompletion:10/02/2022Name,Address,andTelephoneNumberofOwner'sRepresentative:CityofTemecuia41000MainSt,temeculaca92590LauraBragg951-308-6367projectName:FrontageRdImprovementsContractPrice:440 DateofCompletion:09/2022Name,Address,andTelephoneNumberofOwner'sRepresentative:CityofPerris101NDSt,PerrisCA92570HenryOlivo909-234-6233JeffersonStImprovements307,307ProjectNameContractPrice: DateofCompletion:06/2021Name,Address,andTelephoneNumberofOwner'sRepresentativecityofjndio100CivicCenterMall,lndio,CA92201DanielValenzuela760-541-4274 (Attachadditionalpagesasnecessary)

12.F

ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736B|DDER'SPROPOSAL(cont’d) NameofSubcontractorandLocationofPlaceDescriptionofWorkSubcontractor’sDIRRegistrationofBusiness LicenseNo. NumberOnPointLandsurveyingSurveyLS81331000003100Redlands,CASuperiorPavementSigningandStriping7763061000001476MarkingsWheelStopsBeaumont,CA (Biddertoattachadditionalsheetsifnecessary)(PUBLICCONTRACTCODE§41OOETSEQ.)

12.F

ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) 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,andContractorandSubcontractors-areeligibletobidandworkonpublicworksprojects.CERTIFICATIONOFNON-DISCRIMINATIONBymysignaturehereunder,astheContractor,Icertifythattherewillbenodiscriminationinemploymentwithregardtorace,color,religion,gender,sexualorientation,ageornationalorigin;thatallfederal,state,andlocaldirectivesandexecutiveordersregardingnon-discriminationinemploymentwillbecompliedwith;andthattheprincipalofequalopportunityinemploymentwillbedemonstratedpositivelyandaggressively.

12.F

ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) CERTIFICATIONOFNON-DISQUALIFICATIONBymysignaturehereunder,astheContractor,Iswear,underpenaltyofperjury,thatthebelowindicatedBidder,anyofficerofBidder,oranyemployeeofBidderwhohasaproprietaryinterestinsuchBidder,hasneverbeendisqualified,removed,orotherwisepreventedfrombiddingon,orcompletingaFederal,State,orlocalgovernmentprojectbecauseofaviolationoflaworsafetyregulation,exceptasindicatedontheseparatesheetattachedheretoentitled"PreviousDisqualifications.”Ifastatementof”PreviousDisqualifications”isattached,pleaseexplainthecircumstances.CERTIFICATIONOFADEQUACYOFCONTRACTAMOUNTBymysignaturehereunder,astheContractor,pursuanttoLaborCodeSection2810(a),Icertifythat,ifawardedtheContractbasedontheundersigned’sBid,theContractwillincludefundssufficienttoallowtheContractortocomplywithallapplicablelocal,state,andfederallawsorregulationsgoverningthelabororservicestobeprovided.IunderstandthatOwnerwillberelyingonthiscertificationifitawardstheContracttotheundersigned.1 CERTIFICATIONREGARDINGDIRCONTRACTOR/SUBCONTRACTORREGISTRATIONBymysignaturehereunder,astheContractor,IcertifythatContractor,andalllistedSubcontractorsarethesubjectofcurrentandactivecontractorregistrationspursuanttoDivision2,Part7,Chapter1(commencingwithsection1720)oftheCaliforniaLaborCode.Contractor’sregistrationnumberis[pleasecomplete]1000043053Subcontractors’registrationnumbersareasindicatedinDocument004314.2 CERTIFICATIONREGARDINGPREQUALIFICATIONINFORMATION[OPTIONAL]Bymysignaturehereunder,astheContractor,Icertifyasfollows:N/Aa.Contractorpr>e2ualifiedforthisProjectbysubmittingitsStatementofQualifications,dated (SOQ).b.[Pleasecompltorstrikeoutthefollowingasinapplicable]Subsequently,onor53about X and X.ContactorsubmittedfurtherinformationsupplementingforforegoingStatementofQualifications.c.Allinformationdescribedaboveisreferredtoasthe“Qualificationlnformation."d.ContractorhascarefullyreviewedalloftheforegoingQualificationInformation.e.[Pleasecheckand/orcompleteoneofthefollowing]AllPrequalificationInformationremainstrueandcorrectinallmaterialrespectsasofthedatehereof,asifsuchinformationwereactuallybeingsubmittedtoOwnerasofthedatehereof.ExceptasotherwiseexpresslysetforthinseparateAdditionalPrequalificationInformation,submittedwiththeBid,allPrequalificationInformationA1—].-5

12.F

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Vincenzo
ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BIDDER'SPROPOSAL(cont'd) remainstrueandcorrectinallmaterialrespectsasofthedatehereof,asifsuchinformationwereactuallybeingsubmittedtoOwnerasofthedatehereof.[ContractormustprovideAnalPrequalificationInformationasdescribed‘aboveifthisitemischecked.]CERTIFICATIONOF[InsertotherOwner-specificcertifications,ifapplicable.Otherwise,de|ete.] BIDDERW01/20/2023W01/20/2023SignatureofBidder DateSignatureofBidder Date NanciIPresident VincenzoNancilChiefFinancialOf?cerPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateo?icersarerequired.) A1—16
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12.F

UNITEDCASUALTYAND5U
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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) ThattheundersignedIEGeneralEnoineerina.Inc.(NameofContractor) BidmoneyoftheUnitedStatesofAmericabeingatleasttenpercent(10%)oftheaggregateamountofsaidPrincipal'sbaseBid,forthepaymentofwhich,wellandtrulytobemade,webindourselves,oursuccessors,executors,administrators,andassigns,jointlyandseverally,firmlybythesepresents.

THECONDITIONOFTHISOBLIGATIONISSUCHthatiftheBidsubmittedbythesaidPrincipalbeacceptedandtheContractbeawardedtosaidPrincipalandsaidPrincipalshallwithintherequiredperiodsenterintotheContractsoawardedandprovidetherequiredConstructionPerformanceBond,ConstructionLaborandMaterialPaymentBond,insurancecertificates,andallotherendorsements,forms,anddocumentsrequiredundertheInstructionstoBidders,thenthisobligationshallbevoid,otherwisetoremaininfullforceandeffect.INWITNESSWHEREOF,theaboveboundenpartieshaveexecutedthisinstrumentthis2023.(Month) ng,IBvPricipalBy RETYINSURANCECOMPANYSuretyByGregAngel
BIDSECURITYFORMFORBONDBondNumber:UCSX333X2349
asPrcalandtheundersignedasSuretyareheldandfirmlybounduntoOwner,CITYOFH ticasubdivisionoftheStateofCalifornia,asobligee,inthepenalsumof(DollarinipEMET,apoliIWords)Dollars(S10%ofAmquntBid)lawful E5saidPrincipaissubmittingaBidforParkingImprovementsatSimpsontrCP5736.WHERA,emorialCene,I 26thdayof
(CorporateSeal)

12.F

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itstrueandlax-.'f1.'lAcorn-eyisl-I“.-?act,eachintreirseparatecapacityTi’morethanareisnamedabove,with,fullpowerandauthoriryherebyconferredinitsname,oiaceandstead,toexecuze,a:5<;~.o=.~Eedgeanddeliveranyand.allbands,recugnizances,undertakingsorotherinstrumentsorcontactsofsuretyshiptoincluderiders,amendments,andconsentsofsurety,providingthebondpenaltydoesnotexceed _ThisPowerofAttorneysnailexpirewithoutEtirzheraczianonDecember31‘,2023.ledutterandbyau*.hcr'r:yC‘Ikefollowing"esr.I7felonsadoptedbytheBoardofDirectorsoltheCompaniesatameetingdulycalledThisPowerofA:'.e.rn«2'~jisFancheldontheL"dayo.-lu-.=',‘,1S‘93:

LNVV .‘iNESS‘NHEREOF,theCcmpawashavecaused:l1l5ins't7=.:men€EobesignedandtheircorporatesealstoDehereuntoaffixed,th523rddayofMarch,2022.

R.Chachkes,Treasurer
Comrnonweathof.‘.’lassa:nu:eEsCountyof.'vlioo"es.exss:-Onthis23911<13‘:oiMatrix2022.beforeme,ColleenA.Cochreae,-3notarypubiic,personallyappeared,JoelRChachltes,TreasurerofUnitedCasualtyandSuretylnsuranceCornoany,USCasi‘iryandSurelylr‘5;..'a!‘CECompanyandUnitedSuretyinsuranceCompary,whoprovedtomeonthebasisofsatis?actoryevidencetobethePersonwhosenameissz.-'oscr:bedtothewithininstrumentandacknowledgedtomethatheexecutedthesameinhisauthorzedmpacitxr,andthatbyhissignatureonthe5?S1f:JITlET?Ztrepersonls),ortheentityonbehal‘oiwhichthepersorlslacted,executedtheinstrumentlcer-.‘ii‘yunderPENA_TYOF?‘i:°u’UR‘funoerthelawsc‘meCommonwealthofMassachusettsthattheforegoingparagraphistrueandcorrect.

CorporateSEEi5 RobertF.Thomas,President

POWEROFATTORNEY
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12.F

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12.F

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S20.377,739S24,989,901l7.I68.l77H.373.3l0956,1642,344,907 [£03,732 I323.456257,589388,984539,963,401340,625,558
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UnitedCasualtyandSuretyInsuranceCompanyNewton.MassachusettsStatementofAssets,Liabilities,andSurplusYearEndedDecember31YearEnded221 2020 S9,185,8724.579.9471,070,642318.732121.675310,884370.027103,00447,507316,108,290 $16,615,1614.7442052.600.000104,255523,855,111I,JoelChachkes,ChiefFinancialOfficerandTreasurerofUnitedCasualtyandSuretyInsceCompany,herebycertifythattheaboveisanexactcopyofthe?nancialstatementoftheCompanydatedDecember31,2021,andisatrueandcorrectstatementoftheconditionofUnitedCasualtyandSuretyInsuranceCompanyasofthatdate.INTESTIMONYWHEREOF,IhavesetmyhandandaffixedthesealoftheCompanythis25”‘dayofMarch2022.

AdmittedAssetsCashandShortTermInvestmentsStocksBondsUncollectedPremiums&Agents‘BalancesOtherAssetsToralNetAdmfiledAssetsLiabilitiesFsHeldasCollateralUneamedPremiumLossesO?ierExpensesTaxes,Licenses,andFeesLossAdjustmentExpensesPayabletoParentorA?iliatesCededReinsurancePayableOtherLiab5TotalLiabililies PaidInSurplusUnassignedSurplusConStockLessTreasuryStockTom!CapiialandSurplus S10,006,0753,657,9632,383,868287,722117,377108.46682,14784,6510316,728,269 achkes,ChiefFinancialOf?cerander

12.F

PEND1APIX

12.F

ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736B|DDER'SPROPOSAL(cont'd) BIDSCHEDULEBASEBID— ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736 ITEMNo
10 11
12 13
DESCRIPTIONUNITMobilization(NottoExceed5%of. LSBid)TrafficandPedestrianControlLS Clearing,Grubbing,andRemovalsLS
WaterQualityControlLSTemporaryConstructionProjectIdentificationSign EA FieldOrders LS
UnclassifiedExcavationCYRemoveExistingImprovementsandConstructCrossGutterPerSFCityofHemetStd.PlanNo.C-213HotMixAsphaltTN UntreatedBase TNRemoveandReplaceType'D'CurbperCityofHemetStd.PlanLFNo.C-203RemoveandConstructWestADAParking&Ramp(includeswheelstop,Type'D'Curb,PCC EAPavement,Sidewalk,Ramp,TruncatedDomes,andPedestrianHandrail).RemoveandConstructSouthADAParking&Ramp(includeswheelEAstop,Type'D'Curb,PCC

ESTIMATEDQUANTITY
1,000
500
940
875
25 “.'::,r°FREEAMOUNT$23,795.00$23,795.00
$8,000.00$8,000.00
$55,000.00$55,000.00$5,000.00$5,000.00
$3,500.00$3,500.00
$10,000$10,000
$4000$40,000.00
$30.00$15,000.00
$140-00$131,600.00
$50.00$43,750.00
$50.00$1,250.00
$50,000.00$50,000.00
$35-000-00$35,000.00

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HundredNinetvNineThousandSixHujdredNinetvFiveFour
ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BIDDER'SPROPOSAL(cont'd) BASEBID—ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736ITEMNo 14 15
16 17
18 19
DESCRIPTIONPavement,Sidewalk,Ramp,TruncatedDomes,andPedestrianHandrail);RemoveandConstructNorthADAParking&Ramp(includeswheelstop,Type'D'Curb,PCCPavement,Sidewalk,Ramp,.TruncatedDomes,andPedestrianHandrail).AdjustExistingWaterValvetoFinishedSurfaceRemoveandRelocateExistingI.V .C.BoxFurnishandInstallWheelStopStripingandSignage(IncludingADAStripingandSigns)SurveyServices BASEBIDTOTAL(inwords)
Contractor'sInitials

ESTIMATEDUNITQUANTITY
EA1
EA2EA1
EA5
L5 1
LS1
TOTALBASEBID(numbers)
DollarsandZero

UNITEXTENDEDPRICEITEMAMOUNT
$50,000.00$50,000.00
$500.00$1,000.00
$800.00$800.00
$200.00$1,0O0.00
$15'ooo_oo$15,000.00
$10,000.00$10,000.00
Cents
$499,695.00
Rev,5‘'2"'?_,__‘£,£,Ob».r/rx1F

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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) BIDADDITIVE—ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736EXTENDEDM STIMATEDUNIT[TE DESCRIPTIONUNITE ITEMNo QUANTITYPRICEAMOUNT1lviobilization(NottoExceed5%ofL5 1 $13’500_00$13‘50O_00Bid)2TrafficandPedestrianControlL5 1 $000000$0000003Clearing,Grubbing,andRemovalsLS1 $3o,ooo_oo$3o,ooo_oo 4WaterQualityControlLS1 $3,000_0o$3000005UnclassifiedExcavationCY575$55.00$31152500RemoveExistingImprovements6andConstructCrossGutterPerSF170$4500$7,55o_o0CityofHemetStd.PlanNo.C-213RemoveExistingImprovementsandConstructPCCDriveway7 F ,0 _ApproachPerCityofHemetStd.S 120$3000 $36'O0o‘°0PlanNo.C-2088ConstructPCCPavementCY300$35o_oo$105,000.00 9UntreatedBase TN525$55.00$23_375_oo
10AdjustExistingWaterValveto EA2 $50000$1,000_00FinishedSurface11HotMIXAsphaltTN45$220.00$9'90o_o0 12SurveyServicesL5 1 $8,000.00$8,000.0013StripingandSignage(IncludingL5 1ADAStripingandSigns) $6'000'00$6.000.00TOTALBIDADDITIVE(numbers)$285550-0°

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JM~%
TwoHundredEightySixThousandFiveHundredFiftyDollarsandZero Seven
ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont'd) BIDADDITIVETOTAL(inwords) CentsTOTALBIDAMOUNT(innumbers)fortheTOTALPROJECT(BASEBID+BIDADDITIVE)is:$786,245.00TOTALBIDAMOUNT(inwords)fortheTOTALPROJECT(BASEBID+BIDADDITIVE)isZeroDollarsand CentsContractor'sInitialsIntheeventofavariationbetweentheunitpriceandextendedtotal,theunitpricewillbeusedandthecorrectedextensionwillbeconsideredastheamountbid.Ifthebidisillegibleandcannotbereconcileditwillbeconsiderednon-responsiveandwillnotbeconsideredforaward.Ifanadditiveand/oralternatebidscheduleiscalledforintheContractDocuments,thelowestbidwillbedeterminedonthebasisofthebasebidschedule(s)onlyunlessotherwisespecifiedintheNoticeInvitingBidsorbyAddendaifissuedtosupersedetheNoticeInvitingBidsonthisspecificissue.ForaContractwhereadeductivebidscheduleiscalledfor,thelowestbidwillbedeterminedbythetotalofallbidschedulesincludingthedeductivebidschedu|e(s).Regardlessofwhethertheadditive/deductiveoralternatesbiditemswillbeconsideredindeterminingthelowbid,theAgencymayelecttoincludeanyornoneoftheadditive/deductiveoralternatebiditems/schedules,ortootherwiseaddorremovecertainworkfromthescopeofWork.Accordingly,Contractorwarrantsthateachbiditemcontainsaproportionateshareofprofit,overheadandothercostsandexpenses,whichwillbeincurredbytheContractorfortheProject.Ifequallowbidsarereceivedfromresponsibleandresponsivebidderstheselectionshallbemadebydrawinglots,orothersimilarrandomblindmethodselectedbytheAgency.IfonlyoneresponsivebidisreceivedfromaresponsiblebiddertheawardshallnotbemadeunlessthepricecanbedeterminedtobereasonablebasedonananalysisbytheAgency.TheAgency'sdeterminationastothereasonablenessofanysuchbidshallbefinal.TheAgencyreservestherighttorejectanyorallbids,towaiveanyirregu|arity(ies),andtotakeallbidsunderadvisementforaperiodofsixty(60)calendardaysafterthedatethebidsarepubliclyopened.BidderacknowledgesthatallcostsincurredasaresultofpreparingtheproposalshallbethesoleresponsibilityofBidder.TheNoticeInvitingBidsandInstructionstoBiddersdoesnotcreateorimposeanyobligationupontheAgencytoenterintoacontract.

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willnotberesgonsible
B|DDER'SPROPOSALParkingImprovementsatSimpsonMemorialCenterCIPNo.5736Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentforthePARKINGIMPROVEMENTSATSIMPSONMEMORIALCENTER,CIPNo.5736,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.TheundersignedhasalsocarefullycheckedallofthefiguresgivenandunderstandsthattheAgency foranyerrorsoromissionsonthepartoftheundersignedinsubmittingthisproposal.Contractorconfirmsthathis/her/itsbidissubmittedwithrespecttothechangestotheContractand/orContractDocumentsincludedinalladdendaissuedbytheOwner.Inadditiontoreaffirmingthatthechangesandinformationcontainedintheaddendahavebeenintegratedintotheirproposal,ContractoracknowledgesreceiptofAddendaNo.(sTheundersignedhasexaminedthecurrentStateofCaliforniascheduleofprevailingwageratesforthetypesofworktobedoneonthisproject(andtheDavis-BaconActiftheAgencyusesfederalfundsfortheProject)andagreestopaynotlessthantheserates.Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentforthePARKINGIMPROVEMENTSATSIMPSONMEMORIALCENTER,CIPN0.5736andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal.

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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736B|DDER'SPROPOSAL(cont'd) Allbidsreceivedshallberecordedonanabstract(tabulation)ofbids,andthenmadeavailableforpublicinspectionwithintwobusinessdaysofbidopening.Thequantitieslistedinthebidproposalareprovidedtogiveageneralindicationofthescopeoftheworkandforthecomparisonofbids.Nowarrantyismade,eitherexpressedorimplied,thattheactualquantitiesofworktobedonewillcorrespondtherewith.Itemnumbersfollowedby”(S)”aredesignatedasspecialtyitemswhichwillnotbeincludedtowardsthecalculationofminimumof50percentofworktobeperformedbyContractor'sownforces.BysigningandsubmittingthisbidtheContractorconfirmsthattheyarefamiliarwiththeworksiteandallexistingconditionsthatmayaffecttheirworkandthattheyhavereadandagreetoalltheterms,conditionsandrequirementscontainedorreferencedhereinorintheContractDocumentsandthatalltheaforementionedhasbeenincludedinthebidpriceslistedabove,includingitemsofworkthatmaynothaveaspecificpaylineitemandthatthereshallbenoadditionalcoststotheAgency.W ARNING:IfanaddendumoraddendahavebeenissuedbytheAgencyandnotnotedaboveasbeingreceivedbythebidder,thisBidmayberejected.

Completethefollowing:LCREarthwork&Engineering,CorpLegalnameofthebusiness,DIRReg.andContractorLicenseNos.CorporationBusinessType(Corporation,Partnership,SoleProprietor)N/ADBA(ifany)JenniferMendozaPresidentNameandtitleoftheownerJorgeMendozaVicePresidentNameandtitleofsecondpartnerorofficer3200E.GuastiRoadSuite100OntarioCa91761BusinessAddress

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W 0l\b\m2
ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736B|DDER'SPROPOSAL(cont’d) (951)934-3231Telephonenumber(951)602-8022Facsimilenumber JenniferMendozaJennifer@LCRearthworkengineering.comNameandEmailaddressofprimarycontactwvvw.LCRearthworkengineering.netCompanywebaddress der Date ofBidder DateJenniferMendozaPresident J°r9eMe”d°ZaVicePresidentPrintnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateofficersarerequired.)

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Signaturf
ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) CERTIFICATEREGARDINGCONTRACTOR'SLICENSE1.ContractorisrequiredtopossessoneofthefollowingStateContractor'sLicense:StateofCaliforniaGeneralContractorTypeBContractor'sLicenseorCombinationofSpecialtyClassContractor'sLicenses2.Afailureto(1)possesstherequiredlicense,(2)truthfullysetforththefollowinginformation,and/or(3)executethisCertificatemayrendertheproposalnonresponsiveandpermittheCitytorejecttheproposal.(BusinessandProfessionsCodeSection7028.15)3.Contractordeclares,underpenaltyofperjury,thathe/she/itpossessestherequiredContractor'slicense(s)which:aBearsthelicensenumber(s)1048288b.Expireson1261-2024 Date Bidder DateJennMendozaPresidentJorgeMendozaVicePresidentPrintnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateofficersarerequired.)ThisrequiredlicensedeterminationhasbeenmadebytheAgency.AnyContractorholdingadifferentlicensewhofeelsheisqualifiedtobidonthisworkmustsoadvisetheAgencyatleastseven(7)dayspriortothebidopening.TheAgencymayconductareviewofthecontemplatedworktore-evaluatetherequiredlicensedetermination.TheAgencymayinitssolediscretionmaintainorchangetherequiredlicensedetermination;Agency'sdecisionastotherequiredlicensewillbefinal.

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% A//or/zozaalzxa?wSignate
ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736B|DDER'SPROPOSAL(cont’d) BIDSECURITYFORMFORCHECKNOTE:THEFOLLOWINGFORMSHALLBEUSEDINTHECASEOFCHECKACCOMPANYINGBIDAccompanyingthisproposalisaCertifiedCheckorCashier'sCheckpayabletotheorderoftheCityofHemet,hereinafterreferredtoas"Agency",fordollars(S ,thisamountbeing10percent(10%)ofthetotalamountofthebid.Thischeckshallbereturnedtotheundersignedonlyifeitherofthefollowingoccurs A.IfsaidBidshallberejectedbytheAgency;B IfsaidBidshallbeacceptedbytheAgencyandtheUndersignedshallexecuteanddeliveraContractintheformattachedhereto(properlycompletedinaccordancewithsaidBid)andshallfurnishbondsrequiredforhis/her/itsfaithfulperformanceofsaidContractandforthepaymentofallpersonsperforminglabororfurnishingmaterialsinconnectiontherewith,andshallinallotherrespectsperformtheContractcreatedbyacceptanceofsaidBid.Otherwise,saidcheckshallbecomethepropertyoftheAgency.SaidcheckshallalsobecomethepropertyoftheAgencyiftheUndersignedshallwithdrawhis/her/itsbidwithintheperiodofsixty(60)calendardaysafterthedatesetfortheopeningthereof,unlessotherwiserequiredbylaw,andnotwithstandingtheawardoftheContracttoanotherbidder SignatuBidder Date ofBidder DateJenniferMendozaPresidentJ0|'9eMendozaVlcePresidentPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateo?icersarerequired.) 4///4 N//4

12.F

Engineering:
......,
ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) BIDSECURITYFORMFORBONDKNOWALLBYTHESEPRESENTSThattheundersignedLCREarthwork& Corp (NameofContractor)asPrincipalandtheundersignedasSuretyareheldandfirmlybounduntoOwner,CITYOFHEMET,apoliticalsubdivisionoftheStateofCalifornia,asobligee,inthepenalsumof??h“'---"‘ PERCENT110%)oftheTotalAmount‘“'4-—— 'l3Ul'|'a1's'($)'|awfu|moneyoftheUnitedStatesofAmericabeingatleasttenpercent(10%)oftheaggregateamountofsaidPrincipal'sbaseBid,forthepaymentofwhich,wellandtrulytobemade,webindourselves,oursuccessors,executors,administrators,andassigns,jointlyandseverally,firmlybythesepresents.WHEREAS,saidPrincipalissubmittingaBidforParkingImprovementsatSimpsonMemorialCenter,CIP5736.THECONDITIONOFTHISOBLIGATIONISSUCHthatiftheBidsubmittedbythesaidPrincipalbeacceptedandtheContractbeawardedtosaidPrincipalandsaidPrincipalshallwithintherequiredperiodsenterintotheContractsoawardedandprovidetherequiredConstructionPerformanceBond,ConstructionLaborandMaterialPaymentBond,insurancecertificates,andallotherendorsements,forms,anddocumentsrequiredundertheInstructionstoBidders,thenthisobligationshallbevoid,otherwisetoremaininfullforceandeffect.INWITNESSWHEREOF,theaboveboundenpartieshaveexecutedthisinstrumentthis12thdayof January ,ZOE,(Month) LCR&Engineering,Corp(CorporateSeal) Byncipal rGreatMidwestInsuranceCompanyBySurety JAN122023rdN.Hackett,Attorney-in-Fact(CorporateSeal)

12.F

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MARISSAnonmeuezNnlarymu:-CaliforniaSanaemavasnuCoumy
Cummtssvnn»2234791My(mum.Explreson23,2024

ACKNOWLEDGMENT
Anotarypublicorotherofficercompletingthiscertificateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscertificateisattached,andnotthetruthfulness,accuracy,orvalidofthatdocument.StateofCalifornia_Countyof SanBernardino) on beforemeMarissaRodriguez,NotaryPublic(insertnameandtitleoftheofficer)personallyappearedwhoprovedtomeonthebasisof encetoe person(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity(ies),andthatbyhis/her/theirsignature(s)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueand WITNESSmy alseal.

Signature
IVNN
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whoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowtedgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity(ies).andthatbyhis/her/theirsignature(s)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument. swgnctary n:

Bondl\N1‘.ZZU23 :[
, , ,,, Hackett
CALIFORNIAALL-PURPOSEACKNOWLEDGMENTAnotarypublicorotherofficercompletingthiscertificateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscertificateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.STATEOFCALIFORNIA}CountyofOrangeOn 2 beforeme,C.Maestas ,NotaryPublic,Date InsertNameofNotaryexactlyasitappearsontheof?cialsealpersonallyappearedEdwardN.HackettName(s)ofSigner(s) IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.Witnessmyhandandofficialseal.SignaturePlaceNotarySealAbove Publ OPTIONALThoughtheinformationbelowisnotrequiredbylaw,itmayprovevaluabletopersonsrelyingonthedocumentandcouldpreentfraudulentremovalandreattachmentoftheformtoanotherdocument.DescriptionofAttachedDocumentTitleorTypeofDocument:LCRBidJDocumentDate NumberofPagesSigner(s)OtherThanNamedAbove:NoneCapacity(ies)ClaimedbySigner(s)Signer’sName:EdwardN. Signer’sName:NoneIndividual ElIndividualCorporateOfficer—Tit|e(s): :CorporateOfficer—TitIe(S)PartnerELimitedGeneral [IPartnerLimitedIGeneralEAttorneyinFact :AttorneyinFactTrustee :TrusteeGuardianorConservatorTopOfthumbhere:GuardianorConsen/atorTopOfthumbhereOther: :1Other:SignerisRepresenting: SignerisRepresenting

RIGHTTHUMBPRINTRIGHTTHUMBPRINTOFSIGNER OFSIGNER

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otherwrmngsof?cers(:0
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saythat
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Shaunty
POWEROFATTORNEYGreatidwestInsuranceCompanyKNOWALLMENBYTHESEPRESENTS,thatGREATMIDWESTINSURANCECOMPANY ,aTexasCorporation,withitsprincipalofficeinHouston,TX,doesherebyconstituteandappoint:EdwardN.Hackett,ChristineMaestas itstrueandlawfulAttorney(s)-In-Facttomake,execute,sealanddeliverfor,andonitsbehalfassurety,anyandallbonds,undertakingsorotherngsobligatoryinnatureofabond.ThisauthorityismadeunderandbytheauthorityofaresolutionwhichwaspassedbytheBoardofDirectorsofGREATMIDWESTURANCECOMPANY ,onthe15‘dayofOctober,2018asfollows:Resolved,thatthePresident,oranyof?cer,beandherebyis,authorizedtoappointandempoweranyrepresentativeoftheCompanyerpersonorpersonsasAttorney—ln-FacttoexecuteonbehalfoftheCompanyanybonds,undertakings,policies,contractsofindemnityorobligatoryinnatureofabondnottoexceedTenMilliondollars($10,000,000.00),whichtheCompanymightexecutethroughitsdulyelected,andaffixthesealoftheCompanythereto.AnysaidexecutionofsuchdocumentsbyanAttorney-In-FactshallbeasbindinguponthempanyasiftheyhadbeendulyexecutedandacknowledgedbytheregularlyelectedofficersoftheCompany.AnyAttorney-|n—Fact,soappointed,mayberemovedintheCompany’ssolediscretionandtheauthoritysograntedmayberevokedasspecifiedinthePowerofAttorney.Resolved,thatthesignatureofthePresidentandthesealoftheCompanymaybeaffixedbyfacsimileonanypowerofattorneygranted,andthesignatureoftheSecretary,andthesealoftheCompanymaybeaffixedbyfacsimiletoanycertificateofanysuchpowerandanysuchpowerorcerti?catebearingsuchfacsimilesignatureandsealshallbevalidandbindingontheCompany.Anysuchpowersoexecutedandsealedandcertificatesoexecutedandsealedshall,withrespecttoanybondofundertakingtowhichitisattached,continuetobevalidandbindingontheCompany.INWITNESSTHEREOF,GREATMIDWESTINSURANCECOMPANY ,hascausedthisinstrumenttobesignedbyitsPresident,anditsSealtobeaffixedthis11thdayofFebruary,2021 GREATMIDWESTINSURANCECOMPANY oonronareSEAL BY MarkW.HaushillPresidentACKNOWLEDGEMENTOnthis11thdayofFebruary,2021,beforeme,personallycameMarkW.Haushilltomeknown,whobeingdulysworn,diddeposeandthatheisthePresidentofGREATMIDWESTINSURANCECOMPANY ,thecorporationdescribedinandwhichexecutedtheaboveinstrument;heexecutedsaidinstrumentonbehalfofthecorporationbyauthorityofhisofficeundertheBy-lawsofsaidcorporation.

CHRISTINABISHOPPublic,Stateof BYComm.Expires04-14-2025 ChristinaBishopNID131090533 NotaryPublicCERTIFICATEI,theundersigned,SecretaryofGREATMIDWESTINSURANCECOMPANY ,ATexasInsuranceCompany,DOHEREBYCERTIFYtheoriginalPower.ofAttorneyofwhichtheforegoingisatrueandcorrectcopy,isinfullforceandeffectandhasnotbeenrevokedandtheresolutionsassetfortharenowinforce.SignedandSealedatHouston,TXthis12thDayofJanuary2023 CORPORATESEAL BY LeslieK.SecretaryARNING:Anypersonwhoknowinglyandwithintenttodefraudanyinsurancecompanyorotherperson,filesandapplicationforinsuranceofclaimnganymateriallyfalseinformation,orconcealsforthepurposeofmisleading,informationconcerninganyfactmaterialthereto,commitsalentinsuranceact,whichisacrimeandsubjectsyiuchpersontocriminalandcivilpenalties.

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W/A14»;><1%‘
No.5780-2STATEOFCALIFORNIAEPARTMENTOFINSUNCESANFRANCISCOAmendedCerti?cateofAuthority THISISTOCERTIFY ,That,pursuanttotheInsuranceCodeoftheStateofCalifornia, GreatMidwestInsuranceCompany
ofTexas,organizedunderthelawsofTexas,subjecttoitsArticlesofIncorporationorother?tndamentalorganizationaldocuments,isherebyauthorizedtotransactwithinthisState,subjecttoallprovisionsofthisCerti?cate,thefollowingclassesofinsurance:

Fire,Marine,Surety,Disability,PlateGlass,Liability,Workers’Compensation,CommonCarrierLiability,BoilerandMachinery,Burglary,Credit,Sprinkler,TeamandVehicle,Automobile,andAircraft assuchclassesarenowormayhereafterbede?nedintheInsuranceLawsoftheStateofCaliornia.THISCERTIFICATEisexpresslyconditionedupontheholderhereofnowandhereafterbeinginfullcompliancewithall,andnotinviolationofany,oftheapplicablelawsandlawfulrequirementsmadeunderauthorityofthelawsoftheStateofCaliforniaaslongassuchlawsorrequirementsareine?ectandapplicable,andassuchlawsandrequirementsnoware,ormayhereafterbechangedoramended.

INWITNESSWI-IEREOF,e?ectiveasofthe4”‘dayofAugust,2015,Ihavehereuntosetmyhandandcausedmyo?icialsealtobea?ixedthis4”’dayofAugust,2015.

DaveJonesInsuranceCommissioner
By ValerieSarfatyforNettieHogeChiefDeputy
NOTICE:Quali?cationwiththeSecretaryofStatemustbeaccomplishedasrequiredbytheCaliforniaCorporationsCodepromptlya?erissuanceofthisCerti?cateofAuthority.FailuretodosowillbeaviolationofInsuranceCodesection701andwillbegroundsforrevokingthisCerti?cateofAuthoritypursuanttothecovenantsmadeintheapplicationthereforandtheconditionscontainedherein.

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LCREarthwork5EngineeringCorp.
’
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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) NON-COLLUSIONAFFIDA VITPUBLICCONTRACTCODESECTION7106NON-COLLUSIONDECLARATIONTOBEEXECUTEDBYBIDDERANDSUBMITTEDWITHBIDTheundersigneddeclaresIamthePresidentof 'thepartymakingtheforegoingbid.Thebidisnotmadeintheinterestof,oronbehalfof,anyundisclosedperson,partnership,company,association,organization,orcorporation.Thebidisgenuineandnotcollusiveorsham.Thebidderhasnotdirectlyorindirectlyinducedorsolicitedanyotherbiddertoputinafalseorshambid.Thebidderhasnotinanymanner,directlyorindirectly,soughtbyagreement,communication,orconferencewithanyonetofixthebidpriceofthebidderoranyotherbidder,ortofixanyoverhead,profit,orcostelementofthebidprice,orofthatofanyotherbidder.Allstatementscontainedinthebidaretrue.Thebidderhasnot,directlyorindirectly,submittedhisorherbidpriceoranybreakdownthereof,orthecontentsthereof,ordivulgedinformationordatarelativethereto,toanycorporation,partnership,company,association,organization,biddepository,ortoanymemberoragentthereof,toeffectuateacollusiveorshambid,andhasnotpaid,andwillnotpay,anypersonorentityforsuchpurpose.Anypersonexecutingthisdeclarationonbehalfofabidderthatisacorporation,partnership,jointventure,limitedliabilitycompany,limitedliabilitypartnership,oranyotherentity,herebyrepresentsthatheorshehasfullpowertoexecute,anddoesexecute,thisdeclarationonbehalfofthebidder.IdeclareunderpenaltyofperjuryunderthelawsoftheStateofCaliforniathattheforegoingistrueandcorrectandthatthisdeclarationisexecutedon [date],atOntario[city],California[state]. /7Bidder Date ofBidder DateJenniferMendozaPresidentJorgeMendezeVleePresidentPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateo?icersarerequired.)

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Anotarypublicorotherof?cercompletingthiscerti?cateveri?esonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.StateofCaliforniaCounty Subscribedandswornto(oraf?rmed)beforemeonthisayof2 byprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whoappearedbeforeme. DANAM.BOOKERCOMM.#23467722NotaryPublic-California732 SanBernardinoComm.resFeb.1Signature (Seal) OPTIONALINFORMATIONINSTRUCTIONSThewordingofallJuratscompletedinCaiifomiaafterJanuary1,2015mustber'nthefonntE;theDESCRIPTIONOFTHEATTACHEDDOCUMENT ordescriptionofattacheddocument)(Tilleordescriptionofattacheddocumentcontinued) NumberofPagesDocument
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2015Versionwww.NotaryClasses.com800-873-9865
properwording.Inaddition,thenotarymustrequireanoathorai?rmalionfromthedocumentsignerregardingtl1etruthfulnessofthecontentsofthedocument.ihemustb AFTERtheoathor previouslymustbedinfrontofthenotaStateandcountyinformationmustbethestateandcountywherethedocumentsigner(s)personallyappearedbeforethenotarypublic.Dateofnotarizationmustbethedatethesigner(s)personallyappearedwhichmustalsobethesamedatethejuratprocessiscompleted.Printthename(s)ofthedocumentsigner(s)whopersonallyappearatthetimeofnotarization.Signatureofthenotarypublicmustmatchthesignatureonfilewiththeofficeofthecountyclerk.Thenotarysealimpressionmustbeclearandreproducible.Impressionmustnotcovertextorlines.Ismudges,re-sealifasuf?cientareapermits,otherwisecompleteadifferentjuratfonn.~:«Additionalinformationisnotrequiredbutcouldhelptoensurethisjuratisnotmisusedorattachedtoadifferentdocument.~:vIndicatetitleortypeofattacheddocument,numberofpagesanddate.Securelyattachthisdocumenttothesigneddocumentwithastaple.

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ACKNOWLEDGMENT
Anotarypublicorotherofficercompletingthiscertificateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscertificateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.StateofCalifornia_Countyof SanBernardlno) on'\ beforeme,MarissaRodriguez,NotaryPublic(insertnameandtitleoftheofficer)personallyappearedwhoprovedtomeonthebasisofsatisfactoryevidencebetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity(ies),andthatbyhis/her/theirsignature(s)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.IcertifyunderPENALTYOF underthelawsoftheStateofCaliforniathattheforegoingparagraphistrueand WITNESSmyandlseal MARISSARODRIGUEZNotablic-CniaSanardlnotyCommission#2334707Signature (SeaMy — 30“U5.10V‘Vtcu/
Comm.ExpiresOct23,202

12.F

ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) CONTRACTOR'SREFERENCELISTAttachtothisbidalistofthree(3)projectsinthepastfive(5)yearsonwhichthebidderandhissubcontractor(s)havesuccessfullyconstructedandcompletedprojectswiththesametype(elements),sizeandcomplexityofwork.TheAgencyEngineerwillmakethefinaldeterminationofwhethertheprojectslistedhereareofthesametype,sizeandcomplexityasthisproject.Failureofbiddertosupplysufficientdocumentationofsimilarelectric,telephone,cableandsanitarysewerundergroundfacilitiesexperienceshallbeconsideredgroundsforanon-responsivebidand,attheAgency'sdiscretion,saidbidwillbedisqualified.projectName;PleaseseeattachedContractPrice: DateofCompletion:Name,Address,andTelephoneNumberofOwner'sRepresentative:

ProjectName:ContractPrice DateofCompletion:Name,Address,andTelephoneNumberofOwner'sRepresentative:

ProjectNameContractPrice: DateofCompletionName,Address,andTelephoneNumberofOwner'sRepresentative:
(Attachadditionalpagesasnecessary)

12.F

E'F"1.r*vv’I'I(.1_1\‘?—=F:\-T1}.l.:_ as _-.“';_x._'
r-:2»-.:.r.Tmxr:w
Project:Adrress:Contract:Owner:DescritionofWork:ProjectManager:%Completed‘ProjectCompleted:ProjectAddress:DescritionofWork:%CompletedContract:ProjectCompleted:Owner:ProjectManager:Project:Address:DescritionofWork:%CompletedContract:ProjectCompleted:Owner:Project:Address:DescritionofWork:%CompletedContract:ProjectCompleted:Project:Address:ProjectManager:Contract:DescritionofWork:%CompletedProjectCompleted:Owner:Project:Address:ProjectManager:DescritionofWork:%CompletedContractctCompleted PastProjectsRooseveltMSSiteImprovements1200E.AlondraBlvd.ComptonCA $268,000.00ComptonUnifiedSchoolDistrictEarthwork,FineGrading,Asphalt,ConcreteHardscapeandDemolitionStevePedroza—909-743-9070100%05/17/2019-7/5/2019KellyESPlayGroundAsphalt2320E,AlondraBlvd.ComptonCA90221Earthwork,FineGrading,Asphalt,ConcreteHardscapeandDemolition100%$137,250.0007/17/2019-07/26/2019ComptonUnifiedSchoolDistrictStevePedroza—909-743-9070DSACloseoutsforLaurelES1321W.LaurelStCompton,CA90220Earthwork,FineGrading,Asphalt,ConcreteHardscapeandDemolition100%$85,320.0007/22/2019-0809/2019ComptonUnifiedSchoolDistrictDSACloseoutsforCarver,LaurelandMayoElementarySchoolsVariousLocationsEarthwork,FineGrading,Asphalt,ConcreteHardscapeandDemolition100%$250,000 ’
12/15/2019-01/19/2020GeorgeC.PageMuseum5801WilshireBlvd.LosAngeles,CA90036EricCho—562—76—5613 ‘ $180,000.00Earthwork,FineGrading,Asphalt,ConcreteHardscapeandDemolition100%06/01/2020—08/14/2020LADepartmentofPublicWorksRepair&ReplacementAsphalt&TennisCouirtsatEmersonMS635LincolnAve.Pomona,CA91767ellEarthwork,FineGrading,Asphalt,ConcreteHardscapeandDemolition100%$135,000.0009/14/2020-10/O9/2020

12.F

._.._- .___L_4_"_4_" '
Owner:Project;Address:ProjectManager:DescritionofWork:%CompletedContractProjectCompletedOwner:Project:Address:ProjectManager:DescritionofWork:%CompletedContractProjectCompletedProject:Address:ProjectManager:DescritionofWork:%CompletedContractProjectCompleted:Project:Address:ProjectManager;DescritionofWork:%CompletedContractProjectCompleted:Project:Address:ProjectManager:DescritionofWork:%CompletedContractProjectCompleted:

Project:Address:ProjectManager:DescritionofWork:%CompletedContractrProjectCompleted:Project:

PomonaUnifiedSchoolDistrictRepair&ReplacementofDrainageAsphaltEastEntryParking1921ArroyoAve.Pomona,CA91768ellEarthwork,FineGrading,Asphalt,ConcreteHardscapeandDemolition100%$90,000.0008/31/2020-10/09/2020PomonaUnifiedSchoolDistrictRepair&ReplacementAsphaltStaffParkingLot,KinderAreaPlayground/Basketb;24150SunsetCrossingRd.DiamondBar,CA91766ellEarthwork,FineGrading,Asphalt,ConcreteHardscapeandDemolition100%$126,00009/21/2020-10/09/2020TibbyESADAStairs&Gate1400PoplarStreetCompton,CA90222StevePedroza-909-743-9070Earthwork,FineGrading,Asphalt,ConcreteHardscapeandDemolition100%96,000.00L03/23/2020-04/18/2020DMV—BellGardensFieldOffice,AccessBarrierRemovalPhase1801SouthGarfieldAve.BellGardens,CAClintonSierer-916-375-4352Cell:916-216-7806Earthwork,FineGrading,Asphalt,ConcreteHardscapeandDemolition50%$170,000.0001/05/2020-04/11/2021EmergencyFillAsphaltandCrackwithHotLiquidandSealCoatatDominguezHS15301SSanJoseAveComptonCA9022JorgeLMendozaEarthwork,FineGrading,Asphalt,ConcreteHardscapeandDemolition100%$24,500.006/11/2021EmersonESAsphaltsetRedwoodheaderboardsfornewasphaltplace4compactinchesofhotAsphalt1011ECaldwellStComptonCA90221JorgeLMendozaEarthwork,FineGrading,Asphalt,ConcreteHardscapeandDemolition100%$187,000.0010/1/2021JeffersonESSyntheticTurf

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Address:ProjectManager:DescritionofWork:%CompletedContracté—ProjectCompleted:Project:Address:ProjectManager:DescritionofWork:%CompletedContractProjectCompleted:Project:Address:ProjectManager:DescritionofWork:%CompletedContract‘Project’Completed:
3 Project:Address:ProjectManager:DescritionofWork:%CompletedContract’_ProjectCompleted:Project:Address:ProjectManager:DescritionofWork:%CompletedContractProjectCompleted:Project:Address:ProjectManager:DescritionofWork:%CompletedContractProjectCompleted:Project:Address:ProjectManager:DescritionofWork:%CompletedContract 2508E133RDStComptonCA90222JorgeLMendozaEarthwork,FineGrading,Asphalt,ConcreteHardscapeandDemolition100%$108,000.006/6/2020KellyESSyntheticTurf2320EAlondraBlvdComptonCA90221Earthwork,FineGrading,Asphalt,ConcreteHardscapeandDemolition100%$152,500.007/26/2019EmersonESFoundationDemo&PatchBack1011ECaldwellStComptonCA90221JorgeLMendozaEarthwork,FineGrading,Asphalt,ConcreteHardscapeandDemolition100%$26,000.0013-Nov-20WhaleyMSEmergencyWork14401SGibsonAveComptonCA90221JorgeLMendozaEarthwork,FineGrading,Asphalt,ConcreteHardscapeandDemolition100%$17,000.001/4/2020‘WhaleyMSAsphalt14401SGibsonAveComptonCA90221JorgeLMendozaEarthwork,FineGrading,Asphalt,ConcreteHardscapeandDemolition100%$42,500.007/31/2020RepairandReplaceAsphaltandTennisCourtsatEmersonMS1011ECaldwellStComptonCA90221JorgeLMendozaEarthwork,FineGrading,Asphalt,ConcreteHardscapeandDemolition100%$135,000.009/25/2020ChildDevelopmentCenterMayoESRestroomConversion915NMayoAveComptonCA90221JorgeLMendozaEarthwork,FineGrading,Asphalt,ConcreteHardscapeandDemolition100%$14,800.00

12.F

ProjectCompleted: 4/28/2020Project:FosterESAsphaltImprovementAddress:1620NPannesAveComptonCA90221ProjectManager:JorgeLMendozaDescritionofWork:Earthwork,FineGrading,Asphalt,ConcreteHardscapeandDemolition%Completed 100%Contract $35,700ProjectCompleted: 8/4/2020Project:ArterialSidewalkremoval&replacementatvariouslocationsprojectAddress:2780E.WagnerAveAnaheimCA92806ProjectManager:JorgeLMendozaDescritionofWork:Earthwork,FineGrading,Asphalt,ConcreteHardscapeandDemolition%Completed 100%Contract $345,772.00ProjectCompleted: 8/19/2021Project:FortFreemontAlleyReconstructionAddress:MennesAvenueandMissionBlvdJurupaValleyCA92509ProjectManager:JorgeLMendozaDescritionofWork:Earthwork,FineGrading,Asphalt,ConcreteHardscapeandDemolition%Completed 100%Contract $69,136.80ProjectCompleted:
‘
5/21/2021Project:MendozaCenterStarffParkingRenovationAddress:851SHamiltonBlvdPomonaCA91766ProjectManager:JorgeLMendozaDescritionofWork:Earthwork,FineGrading,Asphalt,ConcreteHardscapeandDemolition%Completed 100%Contract $101,000.00ProjectCompleted: 3/26/2021Project:MissionBlvdADAImprovementsAddress:Pyrite&MissionBlvdJurupaValleyCA92509ProjectManager:JorgeLMendozaDescritionofWork:Earthwork,FineGrading,Asphalt,ConcreteHardscapeandDemolition%Completed 100%Contract $253,300.00{ProjectCompleted: 100%Project:RemoveAsphalt,Re-gradefornewAsphalt,place&CompactRooseveltMSAddress:1200EAlondraBlvdComptonCA90221ProjectManager:JorgeLMendozaDescritionofWork:Earthwork,FineGrading,Asphalt,ConcreteHardscapeandDemolition%Completed 100%Contract 197,925.00‘ProjectCompleted: 6/11/2021Project:CarsonLibraryAddress:151ECarsonSt,Carson,CA90745ProjectManager:JorgeLMendozaDescritionofWork:Earthwork,FineGrading,Asphalt,ConcreteHardscapeandDemolition

12.F

%CompletedContractlProjectCompleted:Project:Address:ProjectManager:DescritionofWork:%CompletedContractProjectcompleted:Project:Address:ProjectManager:DescritionofWork:%CompletedContract§}ProjectCompleted:Project:Address:ProjectManager:%CompletedContractProjectCompleted:Project:Address:ProjectManager:DescritionofWork:%CompletedContractProjectCompleted:Project:Address:ProjectManager:DescritionofWork:%CompletedContract{ProjectCompleted:Project:Address:ProjectManager:DescritionofWork:%CompletedContractProjectCompleted:
100%$65,000.002/7/2020CentennialHS-Demo/SubGrade/Clear&GrubADAUpgrade2606NCentralAveComptonCA90222JorgeLMendozaEarthwork,FineGrading,Asphalt,ConcreteHardscapeandDemolition100%$171,500.004/22/2022CentennialHighSchoolPhaseB2606NCentralAveComptonCA90222JorgeLMendozaEarthwork,FineGrading,Asphalt,ConcreteHardscapeandDemolition100%$198,800.004/22/2022McKinleyESADAUpgardes14431SStandfordComptonCA90220JorgeLMendoza 100%$128,000.005/8/2022LongfellowESConcreteHarscapeandADARamps1101SDwightAveComptonCA90220JorgeLMendozaEarthwork,FineGrading,Asphalt,ConcreteHardscapeandDemolition100%$24,600.001/8/2022RooseveltMS1200EAlondraBlvdComptonCA90221JorgeLMendozaEarthwork,FineGrading,Asphalt,ConcreteHardscapeandDemolition100%$316,000.002/5/2021EmersonESModular&FireLaneAsphaltPaving1011ECaldwellStComptonCA90221JorgeLMendozaEarthwork,FineGrading,Asphalt,ConcreteHardscapeandDemolition100%$561,000.005/13/2021

12.F

Proje
Project:RooseveltModernizationPhaseB,PacketC-BidNo.06(20-21)FPAddress:701NHuntingtonBlvd.Pomona,CA91768ProjectManager:JorgeLMendoza%Comp|eted 100%Contract $1,003,154.36ProjectComplete:
‘
8/2/2022ProjectBusDropOffAsphaltRemoval&Rep|acment—RalphJBuncheMiddleSchoolAddress:123385.MonaBlvdCompton,CA90222ProjectManager:JorgeLMendozaDescriptionofWork:Earthwork,FineGrading,Asphalt%Comp|eted 100%Contract5 199,440.00ProjectCompleted:
“
8/11/2022Project:BaseballDugoutandCageDemo|ition-ComptonHighSchoolAddress:1200E.AlondraBlvd.Compton,CA90221ProjectManager:JorgeLMendozaDescriptionofWork:Demolition%Comp|eted 100%Contract$ 24,437.00ProjectCompleted: 8/12/2022Project:JeffersonESGradingAsphaltRemoval&ReplacementAddress:2508E.133rdSt.Compton,CA90222ProjectManager:JorgeLMendozaDescriptionofWork:Earthwork,FineGrading,Asphalt%Comp|eted 100%ContractS 199,430.00‘ProjectCompleted:A 8/12/2022Project:MLKESMonumentRelocationandNewConcreteHardscapeAddress:2270E.122bdSt.Compton,CA90222ProjectManager:JorgeLMendozaDescriptionofWork:ConcreteHardscape%Comp|eted 100%Contract$ 122,777.00ProjectCompleted: 8/22/2022Project:ComptonEarlyCollegeHighSchoolAddress:2601N.WilmingtonAve.Compton,CA90222ProjectManager:JorgeLMendozaDescriptionofWork:%Comp|eted 100%ContractS 187,000.00 , ctcoimpletedz3/12/2022Project:MLKExtraConcreteAddress:2270E.122ndSt.Compton,CA90222ProjectManager:JorgeLMendozaDescriptionofWork:ConcreteHardscape

12.F

Complete
Completed:

ProjectCompleted
Pro] mpleted
ProjectCompieted
%Comp|etedContract.Pro'Jec,t=Project:Address:ProjectManager:DescriptionofWork:%Comp|etedContractPrbléct, Project:Address:ProjectManager:DescriptionofWork:ContractProjectAddress:ProjectManager:DescriptionofWork:ContractProjectAddress:ProjectManager:DescriptionofWork:Contract g$
100%$ 17,500.00
M. 08/31/2022HilltopHouseDemolitionProject2022-0820281Highway18AppleValley,CA92307ValerieTurrey-AquinoDemolition 100%$ 152,250.00‘ 10/14/2022AirportRegionalConcourseGate16TaxiwayRepairsCityPProjectNo.21-143400E.TahquitzCanyonwayPalmSprings,CA92262JorgeLMendozaEarthwork,FineGrading,Asphalt105,850.00 2 11/10/2022WRCRW AHouseDemolitionProjectW-30514610RiverRdEastvaleCA92880JorgeLMendozaDemolition $62,730.00 1 , 12/9/2022ResidentialStructureDemolition35110CountyLineRoadYucaipaCA92399JorgeLMendozaDemolition $29,500

12.F

ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) DESIGNATIONOFSUBCONTRACTORSNameofSubcontractorandLocationofPlaceDescriptionofWorkSubcontractor'sDIRRegistrationofBusiness LicenseNo. Number N/A
(Biddertoattachadditionalsheetsifnecessary)(PUBLICCONTRACTCODE§410OETSEQ.)

12.F

Rev.itOctober202.‘:

ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) BIDDERCERTIFICATIONSTOBEEXECUTEDBYALLBIDDERSANDSUBMITTEDWITHBIDTheundersignedBiddercertifiestoOwnerassetforthinsections1through10,belowSTATEMENTOFCONVICTIONSBymysignaturehereunder,Iherebyswear,underpenaltyofperjury,thatnomorethanonefinal,unappealablefindingofcontemptofcourtbyaFederalCourthasbeenissuedagainstBidderwithinthepasttwoyearsbecauseoffailuretocomplywithanorderofaFederalCourtortocomplywithanorderoftheNationalLaborRelationsBoard.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.

12.F

190005939«S .
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complete$4/‘r
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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) 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.IunderstandthatOwnerwillberelyingonthiscerti?cationifitawardstheContracttotheundersigned.1 CERTIFICATIONREGARDINGDIRCONTRACTOR/SUBCONTRACTORREGISTRATIONBymysignaturehereunder,astheContractor,IcertifythatContractor,andalllistedSubcontractorsarethesubjectofcurrentandactivecontractorregistrationspursuanttoDivision2,Part7,Chapter1(commencingwithsection1720)oftheCaliforniaLaborCode.Contractor'sregistrationnumberis[pleasecomplete]Subcontractors’registrationnumbersareasindicatedinDocument004314.2.CERTIFICATIONREGARDINGPREQUALIFICATIONINFORMATION[OPTIONAL]Bymysignaturehereunder,astheContractor,Icertifyasfollows:a.ContractoalifiedforthisProjectbysubmittingitsStatementofQualifications,dated (SOQ)b.[Pleaseorstrikeoutthefollowingasinapplicable]Subsequently,onorabout and .ContactorsubmittedfurtherinformationsupplementingforforegoingStatementofQualifications.c.Allinformationdescribedaboveisreferredtoasthe"Quali?cationInformation.”d.ContractorhascarefullyreviewedalloftheforegoingQualificationInformation.e.[Pleasecheckand/orcompleteoneofthefollowing]AllPrequali?cationInformationremainstrueandcorrectinallmaterialrespectsasofthedatehereof,asifsuchinformationwereactuallybeingsubmittedtoOwnerasofthedatehereof.ExceptasotherwiseexpresslysetforthinseparateAdditionalPrequalificationInformation,submittedwiththeBid,allPrequali?cationInformation

12.F

SignaureBidde
ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) [InsertotherOwner-specificcertifications,ifapplicable.Otherwise,delete.] BIDDER:

Date ofBidder DateJenniferMendozaPresidentJorgeMendozaVicePresidentPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.) remainstrueandcorrectinallmaterialrespectsasofthedatehereof,asifsuchinformationwereactuallybeingsubmittedtoOwnerasofthedatehereof.[ContractormustprovideAdditionalPrequalificationInformationasdescribedaboveifthisitemischecked.]

12.F

ITOFHEMET
133%C}§,‘%m:<u;:1.s«;::‘

CYRVERSIDECOUNTY ,CALFORNABDANDCONTRACTDOCUENTS
ParkingmprovementsatSimpsonMemoriaCenterCAPTALMPROVEENTPROJECTN0.5736December2022 12/20/2022NoahRau,CityEngineer DateR.C.E.No.74686ThisisaprevailingwageprojectunderthelawsoftheStateof

12.F

PPNDIAEX1

12.F

workinconnectherewisaidwork shed rictContra:ocuments, lnvit ids, willnotberesgnnsible
(5)1
B|DDER'SPROPOSALParkingImprovementsatSimpsonMemorialCenterCIPNo.5736Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentforthePARKINGIMPROVEMENTSATSIMPSONMEMORIALCENTER,CIPNo.5736,andappurtenanttionth, tobedoneandmaterialstobefurniinstthetD includingbutnotlimitedtotheNoticeingBInstructionstoBidders,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.TheundersignedhasalsocarefullycheckedallofthefiguresgivenandunderstandsthattheAgency foranyerrorsoromissionsonthepartoftheundersignedinsubmittingthisproposal.Contractorconfirmsthathis/her/itsbidissubmittedwithrespecttothechangestotheContractand/orContractDocumentsincludedinalladdendaissuedbytheOwner.Inadditiontoreaffirmingthatthechangesandinformationcontainedintheaddendahavebeenintegratedintotheirproposal,ContractoracknowledgesreceiptofAddendaNo.TheundersignedhasexaminedthecurrentStateofCaliforniascheduleofprevailingwageratesforthetypesofworktobedoneonthisproject(andtheDavis—BaconActiftheAgencyusesfederalfundsfortheProject)andagreestopaynotlessthantheserates.Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentforthePARKINGIMPROVEMENTSATSIMPSONMEMORIALCENTER,CIPNo.5736andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal.

12.F

ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont'd) BASEBID—ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736 ITEMNo
10 11
12 13

BIDSCHEDULE
DESCRIPTIONMobilization(NottoExceed5%ofBid)TrafficandPedestrianControlClearing,Grubbing,andRemovalsWaterQualityControlTemporaryConstructionProjectIdentificationSignFieldOrdersUnclassifiedExcavationRemoveExistingImprovementsandConstructCrossGutterPerCityofHemetStd.PlanNo.C-213HotMixAsphaltUntreatedBaseRemoveandReplaceType‘D’CurbperCityofHemetStd.PlanNo.C-203RemoveandConstructWestADAParking&Ramp(includeswheelstop,Type'D'Curb,PCCPavement,Sidewalk,Ramp,TruncatedDomes,andPedestrianHandrail).RemoveandConstructSouthADAParking&Ramp(includeswheelstop,Type'D'Curb,PCC UNIT
L5L5
L5
L5
EA
CY
SF
TN
TN
LF
EA
EAA1—2

ESTIMATEDQUANTITY
1,000
500
940
875
25 UNITPRICE
$10,000

EXTENDEDITEMAMOUNT
$10,000
10,000g;»m-{DQSILIQO‘Z7,000230120
‘3/goo3,515‘:24000Z/000
7573000gt)[Q,o00ioq\oZ;wo343H?Z$Z,§oL>
lhoooH:°bO
\Loeo

12.F

$0r\/Ntéamé*;\\«\*RAD\'94vI£Do1
AL
H.000ihooo
[.000Z,000'Z,ooo2,000¢SH75$00“[500H9)00016,000
TOTALBASEBID(numbers)
ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont'd) BASEBID-ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736EXTENDED"I-EMDESCRIPTIONUNIT ITEM° AMOUNTPavement,Sidewalk,Ramp,TruncatedDomes,andPedestrianHandrail).RemoveandConstructNorthADAParking&Ramp(includeswheelstop,Type'D'Curb,PCC14Pavement,Sidewalk,Ramp,EA1TruncatedDomes,andPedestrianHandrail).AdjustExistingWaterValveto15FinishedSurfaceEA2RemoveandRelocateExisting16l.V .C.Box EA117FurnishandInstallWheelStopEA518StripingandSignage(IncludingL5 1ADAStripingandSigns)19SurveyServicesLS1 BASEBIDTOTAL(inwords) Cents
Contractor'sInitialsCOREYR.KIRSCHNER-CEO,PRES,VP,SEC,TREA

12.F

City
‘ GO
jQ77§15725SE/922aSS,Uc>z>91001)251003_§JS¢Do3,500$0SL750US7é§o 39q2,000LL35|3(,,‘§00gg23,9751,0002,0120390{@7907,000,ZOO2/2080 ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736B|DDER'SPROPOSAL(cont’d) BIDADDITIVE-ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736ITEMNo 10 11
1213
7$§§‘E§?i5I?o8&Mobilization(NottoExceed5%ofBidTrafficandPedestrianControlClearing,Grubbing,andRemovalsWaterQualityControlUnclassifiedExcavationRemoveExistingImprovementsandConstructCrossGutterPerofHemetStd.PlanNo.C-213RemoveExistingImprovementsandConstructPCCDrivewayApproachPerCityofHemetStd.PlanNo.C-208ConstructPCCPavementUntreatedBaseAdjustExistingWaterValvetoFinishedSurfaceHotMixAsphaltSurveyServicesStripingandSignage(IncludingADAStripingandSigns) UN"§$'A“l.’-‘J3’ERTLEL5 1LS1L5 1L5 1CY575
SF170
SF1,200
CY300
TN525EA2TN45L5 1L5 1
TOTALBIDADDITIVEumbe

EXTENDEDITEMAMOUNT

12.F

‘Hf\({L\’\UV\A(Lz\Ck?é\(\\(|\'é‘/'Q9Or
ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) BIDADDITIVETOTAL(inwords)
TOTALBIDAMOUNT(innumbers)fortheTOTALPROJECT(BASEBID+BIDADDITIVE)is TOTALBIDAMOUNT(inwords)fortheTOTALPROJECT(BASEBID+BIDADDITIVE)is °°”"a‘*°"‘"““"" COREYR.KIRSCHNER—CEO,PRES,VP,SEC,TREAIntheeventofavariationbetweentheunitpriceandextendedtotal,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. §§€§’%!.{E~29f3:“':w
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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BIDDER'SPROPOSAL(cont’d) Allbidsreceivedshallberecordedonanabstract(tabulation)ofbids,andthenmadeavailableforpublicinspectionwithintwobusinessdaysofbidopening.Thequantitieslistedinthebidproposalareprovidedtogiveageneralindicationofthescopeoftheworkandforthecomparisonofbids.Nowarrantyismade,eitherexpressedorimplied,thattheactualquantitiesofworktobedonewillcorrespondtherewith.Itemnumbersfollowedby"(S)"aredesignatedasspecialtyitemswhichwillnotbeincludedtowardsthecalculationofminimumof50percentofworktobeperformedbyContractor'sownforces.BysigningandsubmittingthisbidtheContractorconfirmsthattheyarefamiliarwiththeworksiteandallexistingconditionsthatmayaffecttheirworkandthattheyhavereadandagreetoalltheterms,conditionsandrequirementscontainedorreferencedhereinorintheContractDocumentsandthatalltheaforementionedhasbeenincludedinthebidpriceslistedabove,includingitemsofworkthatmaynothaveaspecificpaylineitemandthatthereshallbenoadditionalcoststotheAgency.W ARNING:IfanaddendumoraddendahavebeenissuedbytheAgencyandnotnotedaboveasbeingreceivedbythebidder,thisBidmayberejected.

Completethefollowing:ONYXPA VINGCOMPANY ,INC.;1000004798;630360Legalnameofthebusiness,DIRReg.andContractorLicenseNos.CORPORATIONBusinessType(Corporation,Partnership,SoleProprietor)N/ADBA(ifany)COREYR.KIRSCHNER-CEO,PRES,VP,SEC,TREANameandtitleoftheownerN/ANameandtitleofsecondpartnerorofficer2890E.LACRESTAA VE.ANAHEIM,CA92806BusinessAddress

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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BIDDER'SPROPOSAL(cont’d) 714-632-6699Telephonenumber
Facsimilenumber
COREYR.KIRSCHNER-CEO,PRES,VP,SEC,TREANameandEmailaddressofprimarycontactN/ACompanywebaddress 01/25/2023 01/25/2023ofBidder DateSignBidder DateCOREYR.KIRSCHNER- CORR.KIRSCHNER- CEO,PRES,VP,SEC,TREACEO,PRES,VP,SEC,TREAPrintnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateofficersarerequired.)

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I.SignaturefCORE Bi
ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BIDDER'SPROPOSAL(cont’d) CERTIFICATEREGARDINGCONTRACTOR'SLICENSE1.ContractorisrequiredtopossessoneofthefollowingStateContractor'sLicense:StateofCaliforniaGeneralContractorTypeBContractor'sLicenseorCombinationofSpecialtyClassContractor'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):630360;A’C-12 b_Expireson10/31/2023
01/25/2023 01/25/2023Bidder DateSignaturedder DateR.KIRSCHNER— COREYKIRSCHNER— CEO,PRES,VP,SEC,TREACEO,PRES,VP,SEC,TREAPrintnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateofficersarerequired.)ThisrequiredlicensedeterminationhasbeenmadebytheAgency.AnyContractorholdingadifferentlicensewhofeelsheisqualifiedtobidonthisworkmustsoadvisetheAgencyatleastseven(7)dayspriortothebidopening.TheAgencymayconductareviewofthecontemplatedworktore—eva|uatetherequiredlicensedetermination.TheAgencymayinitssolediscretionmaintainorchangetherequiredlicensedetermination;Agency'sdecisionastotherequiredlicensewillbefinal.

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N/AParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) 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.) {E

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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736B|DDER'SPROPOSAL(cont'd) BIDSECURITYFORMFORBONDKNOWALLBYTHESEPRESENTS:ThattheundersignedOnyxPavingCompany,Inc. (NameofContractor)asPrincipalandtheundersignedasSuretyareheldandfirmlybounduntoOwner,CITYOFHEMET,apoliticalsubdivisionoftheStateofCalifornia,asobligee,inthepenalsumofliAmountInWords)TENPERCENTOFTHETOTALAMOUNTBIDDollars(S10%)lawfulmoneyoftheUnitedStatesofAmericabeingatleasttenpercent(10%)oftheaggregateamountofsaidPrincipal'sbaseBid,forthepaymentofwhich,wellandtrulytobemade,webindourselves,oursuccessors,executors,administrators,andassigns,jointlyandseverally,firmlybythesepresents.WHEREAS,saidPrincipalissubmittingaBidforParkingImprovementsatSimpsonMemorialCenter,CIP5736.THECONDITIONOFTHISOBLIGATIONISSUCHthatiftheBidsubmittedbythesaidPrincipalbeacceptedandtheContractbeawardedtosaidPrincipalandsaidPrincipalshallwithintherequiredperiodsenterintotheContractsoawardedandprovidetherequiredConstructionPerformanceBond,ConstructionLaborandMaterialPaymentBond,insurancecertificates,andallotherendorsements,forms,anddocumentsrequiredundertheInstructionstoBidders,thenthisobligationshallbevoid,otherwisetoremaininfullforceandeffect.INWITNESSWHEREOF,theaboveboundenpartieshaveexecutedthisinstrumentthis24thdayofJanuary ,ZOE.(Month) OnyxPavingny,Inc.‘(CorporateSeal) By
HarcoNationalInsuranceCompanySrety(CorporateSeal)SEALBymu stinaRogers, Principal

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CALIFORNIAALL—PURPOSEACKNOWLEDGEMENT
ANotaryPublicorotherofficercompletingthiscerti?cateveri?esonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.

StateofCaliforniaCountyofOrangeOnJAN242023beforeme,AlbertMelendez,NotaryPublic,personallyappearedChristinaRogerswhoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity(ies),andthatbyhis/her/theirsignature(s)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsofStateofCaliforniathattheforegoingparagraphistrueandcorrect.

ALBERTMELENDEZNotaryPublic-CaliforniaOrangeCounty _commission32391461 WllNESSmyhandandofficialsealCamrn.ExniresJar13.2026

SIGNAPLACENOTARYSEALABOVE
Thoughtheinformationbelowisnotrequiredbylaw,itmayprovevaluabletopersonsrelyingonthedocumentandcouldpreventfraudulentremovalandreattachmentofthisformtoanotherdocument.DescriptionofattacheddocumentTitleortypeofdocument DocumentDate umberofPages
Signer(s)OtherthanNamedAbove

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J/mmz.amg,
NularyPublicat (I
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POWEROFATTORNEYHARCONATIONALINSURANCECOMPANYINTERNATIONALFIDELITYINSURANCECOMPANYMembercompaniesofIATInsuranceGroup,Headquartered:4200SixForksRd,Suite1400,Raleigh,NC27609 KNOWALLMENBYTHESEPRESENTS:ThatHARCONATIONALINSURANCECOMPANY ,acorporationorganizedandexistingunderthelawsoftheStateofIllinois,andINTERNATIONALFIDELITYINSURANCECOMPANY ,acorporationorganizedandexistingunderthelawsoftheStateofNewJersey,andhavingtheirprincipalof?ceslocatedrespectivelyinthecitiesofRollingMeadows,IllinoisandNewark,NewJersey,doherebyconstituteandappointMELISSALOPEZ,CHRISTINAROGERS,ALBERTMELENDEZ,JENNIFERC.ANAY A,ERIKJOHANSSON,JOAQUINPEREZTustin,CAtheirtrueandlawfulattorney(s)-in-facttoexecute,sealanddeliverforandonitsbehalfassurety,anyandallbondsandundertakings,contractsofindemnityandotherwritingsobligatoryinthenaturethereof,whichareormaybeallowed,requiredorpermittedbylaw,statute,rule,regulation,contractorothenrvise,andtheexecutionofsuchinstrument(s)inpursuanceofthesepresents,shallbeasbindinguponthesaidHARCONATIONALINSURANCECOMPANYandINTERNATIONALFIDELITYINSURANCECOMPANY ,asfullyandamply,toallintentsandpurposes,asifthesamehadbeendulyexecutedandacknowledgedbytheirregularlyelectedof?cersattheirprincipalof?ces.ThisPowerofAttorneyisexecuted,andmayberevoked,pursuanttoandbyauthorityoftheBy-LawsofHARCONATIONALINSURANCECOMPANYandINTERNATIONALFIDELITYINSURANCECOMPANYandisgrantedunderandbyauthorityofthefollowingresolutionadoptedbytheBoardofDirectorsofINTERNATIONALFIDELITYINSURANCECOMPANYatameetingdulyheldonthe13thdayofDecember,2018andbytheBoardofDirectorsofHARCONATIONALINSURANCECOMPANYatameetingheldonthe13thdayofDecember.2018.“RESOLVED,that(1)theChiefExecutiveOf?cer,President,ExecutiveVicePresident,SeniorVicePresident,VicePresident,orSecretaryoftheCorporationshallhavethepowertoappoint,andtorevoketheappointmentsof,Attorneys-in-Factoragentswithpowerandauthorityasde?nedorlimitedintheirrespectivepowersofattorney,andtoexecuteonbehalfoftheCorporationandaf?xtheCorporation'ssealthereto,bonds,undertakings,recognizances,contractsofindemnityandotherwrittenobligationsinthenaturethereoforrelatedthereto;and(2)anysuchOf?cersoftheCorporationmayappointandrevoketheappointmentsofjoint-controlcustodians,agentsforacceptanceofprocess,andAttorneys-in-factwithauthoritytoexecutewaiversandconsentsonbehalfoftheCorporation;and(3)thesignatureofanysuchOf?ceroftheCorporationandtheCorporation'ssealmaybeaf?xedbyfacsimiletoanypowerofattorneyorcerti?cationgivenfortheexecutionofanybond,undertaking,recognizance,contractofindemnityorotherwrittenobligationinthenaturethereoforrelatedthereto,suchsignatureandsealswhensousedwhetherheretoforeorhereafter,beingherebyadoptedbytheCorporationastheoriginalsignatureofsuchof?cerandtheoriginalsealoftheCorporation,tobevalidandbindingupontheCorporationwiththesameforceandeffectasthoughmanuallyaf?xed."INWITNESSWHEREOF,HARCONATIONALINSURANCECOMPANYandINTERNATIONALFIDELITYINSURANCECOMPANYhaveeachexecutedandattestedthesepresentsonthis31stdayofDecember,2020STATEOFNEWJERSEY STATEOFILLINOISC°UntYOfEssex CountyofCookSEAL SEAL5I904 -'KennethChapman itExecutiveVicePresident,HarcoNationalInsuranceCompany-----andInternationalFidelityInsuranceCompanyOnthis31stdayofDecember,2020,beforemecametheindividualwhoexecutedtheprecedinginstrument,tomepersonallyknown,and,beingbymedulysworn,saidheisthethereindescribedandauthorizedof?cerofHARCONATIONALINSURANCECOMPANYandINTERNATIONALFIDELITYINSURANCECOMPANY;thatthesealsaf?xedtosaidinstrumentaretheCorporateSealsofsaidCompanies;thatthesaidCorporateSealsandhissignatureweredulyaf?xedbyorderoftheBoardsofDirectorsofsaidCompanies.INTESTIMONYWHEREOF,Ihavehereuntosetmyhandaf?xedmyOf?cialSeal,attheCityofNewark,A. NewJerseythedayandyear?rstabovewritten.$01.‘9;"us\.\° NewJerseyII MyCommissionExpiresApril4,2023CERTIFICATIONI,theundersignedof?cerofHARCONATIONALINSURANCECOMPANYandINTERNATIONALFIDELITYINSURANCECOMPANYdoherebycertifythatIhavecomparedtheforegoingcopyofthePowerofAttorneyandaf?davit,andthecopyoftheSectionsoftheBy-LawsofsaidCompaniesassetforthinsaidPowerofAttorney,withtheoriginalson?leinthehomeof?ceofsaidcompanies,andthatthesamearecorrecttranscriptsthereof,andofthewholeofthesaidoriginals,andthatthesaidPowerofAttorneyhasnotbeenrevokedandisnowinfullforceandeffect.INTESTIMONYWHEREOF,Ihavehereuntosetmyhandonthisday,January24th,2023 A02254 Q‘?
EXP.

VER22/2019ePOA
Bond#N/A—BidBond
1984
ShirelleA.Outleya
IreneMartins.AssistantSecretary5|Page 149 of 290

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IN N EJ; _ HqncoNATIONALNEE
HarcoNationalInsuranceComanandInternationalFidelitInsuranceComan SURACGOU /NSUFMSurety
Addendum:Usageofe-Sealande-SignatureforHarcoandIFICSuretyBondFonns HarcoNationalInsuranceCompanyandInternationalFidelityInsuranceCompany(hereinthe”Company”)haveauthorizedournetworkofsuretypartners,asgrantedundertheattachedPowerofAttorney,stipulatedwithinthetermsofasignedAgencyAgreementanddulyappointedbytheCompanyunderaDepartmentofInsuranceappointment(whererequired)withinall50U.S.States,plusU.S.territoriesandpossessions,toaffixanelectonice-sealtoallbonddocumentsasifitwerearaisedcorporateseal.Thisaddendumalsoextendstotheuseofane-signaturebyourappointedsuretypartnersauthorizedundertheCompanyPowerofAttorney.Thisauthorityiseffectiveonthisday,the24thofMay2022andshallremaininplaceindefinitelyunlessanduntilrevokedbytheCompany. ||vu.,Inuauul‘
SEAL sm198-! 1304
4 Authorizedby:KennethChapmanExecutiveVicePresident,Surety

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CALIFORNIAALL-PURPOSEACKNOWLEDGMENTCIVILCODE§1189
Anotarypublicorotherofficercompletingthiscertificateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscertificateisattached,andnotthetruthfulness,accuracy.orvalidityofthatdocument.StateofCaliforniaCountyof OrangeOnJanuary24_2023beforeme, AshlieRlannharrlNntarvPnhlinDate HereInsertNameandTitleoftheOf?cerpersonallyappeared of whoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s:)whosename(x)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/haer/theirauthorizedcapacity(ies),andthatbyhis/hxzr/theirsignature(x)ontheinstrumenttheperson(x),ortheentityuponbehalfofwhichtheperson(x)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.l\S'rlUE3LA"‘CH"RDWITNESSmyhandandofficialsealCOMM.#2279550NotaryPublic-CaliforniaORANGECOUNTYMyCommExpiresMarch3, FRS3
SignaturetureofNotaryPublic
PlaceNotarySealAboveOPTIONALThoughthissectionisoptional,completingthisinformationcandeteralterationofthedocumentorfraudulentreattachmentofthisformtoanunintendeddocument.DescriptionofAttachedDocumentTitleorTypeofDocument: DocumentDate:NumberofPages:Signer(s)OtherThanNamedAboveCapacity(ies)ClaimedbySigner(s)Signer’sName Signer’sName:CorporateOfficer— Title(s) CorporateOfficer— Title(s)Partner— LimitedGeneralPartner— LimitedGeneralIndividualAttorneyinFact IndividualAttorneyinFactTrusteeGuardianorConservatorTrusteeGuardianorConservatorOther: Other:SignerlsRepresenting:SignerlsRepresenting:
©2014NationalNotaryAssociation-www.NationalNotary.org-1-800—USNOTARY(1—800—876-6827)Item#5907

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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BIDDER'SPROPOSAL(cont’d) NON-COLLUSIONAFFIDA VITPUBLICCONTRACTCODESECTION7106714_I@8N:C8EL:iJS|ONDECLARATIONTOBEEXECUTEDBYBIDDERANDSUBMITTEDWITHBIDTheundersigneddeclares:CEO’pREs,vp, ONYXPA VINGIamtheSEC.TREAofCOMPANYINCthepartymakingtheforegoingbid.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.IdeclareunderpenaltyofperjuryunderthelawsoftheStateofCaliforniathatthegistrueandcorrectandthatthisdeclarationisexecutedon01/25/23[date],atMcity],CA state]. 01/25/2023 01/25/2023SignatuBidder DateSignatuBidder DateCOREYR.KIRSCHNER- COREYR.KIRSCHNER-CEO,PRES,VP,SEC,TREACEO,PRES,VP,SEC,TREAPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.)

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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736B|DDER'SPROPOSAL(cont'd) CONTRACTOR'SREFERENCELISTAttachtothisbidalistofthree(3)projectsinthepastfive(5)yearsonwhichthebidderandhissubcontractor(s)havesuccessfullyconstructedandcompletedprojectswiththesametype(elements),sizeandcomplexityofwork.TheAgencyEngineerwillmakethefinaldeterminationofwhethertheprojectslistedhereareofthesametype,sizeandcomplexityasthisproject.Failureofbiddertosupplysufficientdocumentationofsimilarelectric,telephone,cableandsanitarysewerundergroundfacilitiesexperienceshallbeconsideredgroundsforanon—responsivebidand,attheAgency'sdiscretion,saidbidwillbedisqualified.ProjectNamePLEASESEEATTACHEDREFERENCES.ContractPrice: DateofCompletion:Name,Address,andTelephoneNumberofOwner'sRepresentative:
projectName;PLEASESEEATTACHEDREFERENCESContractPrice: DateofCompletion:Name,Address,andTelephoneNumberofOwner'sRepresentative:
projectName:PLEASESEEATTACHEDREFERENCESContractPrice: DateofCompletionName,Address,andTelephoneNumberofOwner'sRepresentative:
(Attachadditionalpagesasnecessary)
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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736B|DDER'SPROPOSAL(cont’d) DESIGNATIONOFSUBCONTRACTORSNameofSubcontractorPlaceDescriptionofWorkSubcontractor’sDIRRegistrationLicenseNo. Number (Biddertoattachadditionalsheetsifnecessary)(PUBLICCONTRACTCODE§4100ETSEQ.) §<‘.:“.::.¥.Q§}<:f:::T5“3‘
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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) DESIGNATIONOFSUBCONTRACTORSNameofSubcontractor?ux!laceDescriptionofWorkSubcontractor’s DIRRegistrationLicenseNo. Number (Biddertoattachadditionalsheetsifnecessary)(PUBLICCONTRACTCODE§4100ETSEQ.)

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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) 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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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) 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.1 CERTIFICATIONREGARDINGDIRCONTRACTOR/SUBCONTRACTORREGISTRATIONBymysignaturehereunder,astheContractor,IcertifythatContractor,andalllistedSubcontractorsarethesubjectofcurrentandactivecontractorregistrationspursuanttoDivision2,Part7,Chapter1(commencingwithsection1720)oftheCaliforniaLaborCode.Contractor'sregistrationnumberis[pleasecomplete]1000004798Subcontractors’registrationnumbersareasindicatedinDocument004314.2 CERTIFICATIONREGARDINGPREQUALIFICATIONINFORMATION[OPTIONAL]Bymysignaturehereunder,astheContractor,Icertifyasfollows:a.ContractorprequalifiedforthisProjectbysubmittingitsStatementofQualifications,dated (SOQ).b.[Pleasecompleteorstrikeoutthefollowingasinapplicable]Subsequently,onorabout and ContactorsubmittedfurtherinformationsupplementingforforegoingStatementofQualifications.c.Allinformationdescribedaboveisreferredtoasthe“QualificationInformation.”d.ContractorhascarefullyreviewedalloftheforegoingQualificationInformation.e.[Pleasecheckand/orcompleteoneofthefollowing]X AllPrequalificationInformationremainstrueandcorrectinallmaterialrespectsasofthedatehereof,asifsuchinformationwereactuallybeingsubmittedtoOwnerasofthedatehereof.ExceptasotherwiseexpresslysetforthinseparateAdditionalPrequalificationInformation,submittedwiththeBid,allPrequalificationInformation

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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) remainstrueandcorrectinallmaterialrespectsasofthedatehereof,asifsuchinformationwereactuallybeingsubmittedtoOwnerasofthedatehereof.[ContractormustprovideAdditionalPrequalificationInformationasdescribedaboveifthisitemischecked.]CERTIFICATIONOI;ONYXPA VINGCOMPANY ,INC.[InsertotherOwner-specificcertifications,ifapplicable.Otherwise,de|ete.] BID 01/25/2023 01/25/2023ofBidder Date reofBidder DateCOREYR.KIRSCHNER- C R.KIRSCHNER- CEO,PRES,VP,SEC,TREACEO,PRES,VP,SEC,TREAPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.)

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?EfE?ENCE§
DAT
CIUA
PROJECTNAME:PA VINGTHEW AY-PHASE3PROJECTDESCRIPTION:CITYWIDESTREETIMPROVEMENTSAPPROXIMATECONSTRUCTIONDATES:2020—2021CONSULTINGCOMPANY:CITYOFMONTEBELLO-1600W.BEVERLYBLVD,MONTEBELLO,CA90640CONTACTPERSON:JAMESENRIQUEZ323-887-1462ORIGINALCONTRACTAMOUNT:$1,929,000FINALCONTRACTAMOUNT:$3,149,848.10IFFINALAMOUNTISDIFFERENTFROMORIGINALAMOUNT,PLEASEEXPLAIN:ADDITIONALSCOPESOFWORKDIDTHEAGENCYFILEANYCLAIMSAGAINSTYOU?N0 PROJECTNAME:PA VEMENTREPAIRPROJECTPROJECTDESCRIPTION:PA VEMENTREPAIRAPPROXIMATECONSTRUCTIONES:JAN2020AGENCY:CITYOFCLAREMONT-207HARV ARDA VE,CLAREMONT,CA91711CONTACTPERSON:ENRIQUEVILLALOBOS909-399-5479ORIGINALCONTRACTAMOUNT:$105,000FINALCONTRACTAMOUNT:$120,727.40IFFINALAMOUNTISDIFFERENTFROMORIGINALAMOUNT,PLEASEEXPLAIN:FIELDQUANTITIESDIFFEREDFROMBIDSCHEDULENTITIES.DIDTHEAGENCYFILEANYCLAIMSAGAINSTYOU?NO PROJECTNAME:2019-2020PA VEMENTREHABILITATIONPROJECTDESCRIPTION:V ARIOUSPA VEMENTREHABILITATIONAPPROXIMATECONSTRUCTIONDATES:MAY2020-SEPTEMBER2020AGENCY:CITYOFARCADIA—240W.HUNTINGTONDR,ARCADIA,CA91007CONTACTPERSON:JANBALANAY626-254-2726ORIGINALCONTRACTAMOUNT:$2,128,000FINALCONTRACTAMOUNT:$1,980,917.60IFFINALAMOUNTISDIFFERENTFROMORIGINALAMOUNT,PLEASEEXPLAIN:AGENCYHADADDITIONALSCOPESINORIGINALBIDTOCOVERFOREXTRAWORK.DIDTHEAGENCYFILEANYCLAIMSAGAINSTYOU?NOONYXPA VINGCOMPANY ,INC.EASTLACRESTAA VE,ANAHEIM,CA92806-TEL(714)632-6699~FAX(714)632-1883

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WN
PROJECTNAME:DESERTVIEWA VENUEPROJECTPROJECTDESCRIPTION:CITYWIDESTREETIMPROVEMENTSAPPROXIMATECONSTRUCTIONDATES:2019AGENCY:CITYOFDESERTHOTSPRINGS-11999PALMDRIVE,DESERTHOTSPRINGS,CA92240CONTACTPERSON:DANIELPORRAS760-329-6411ORIGINALCONTRACTAMOUNT:$741,330.98FINALCONTRACTAMOUNT:$741,330.98IFFINALAMOUNTISDIFFERENTFROMORIGINALAMOUNT,PLEASEEXPLAIN:N/ADIDTHEAGENCYFILEANYCLAIMSAGAINSTYOU?NO ONYXPA VINGCOMPANY ,INC.2890EASTLACRESTAA VE,ANAHEIM,CA92806-TEL(714)632-6699—FAX(714)632- PROJECTNAME:TWEEDYLANESTREETIMPROVEMENTPROJECTPROJECTDESCRIPTION:STREETIMPROVEMENTSAPPROXIMATECONSTRUCTIONDATES:JULY2020AUG2020AGENCY:CITYOFDOWNEY11111BROOKSHIREA VE,D0EY ,CA90241CONTACTPERSON:DESIGUTJERREZ562-622-3468ORIGINALCONTRACTAMOIJNT;$308,000FINALCONTRACTAMOUNT:$308,000IFFINALAMOUNTISDIFFERENTFROMORIGINALAMOUNT,PLEASEEXPLAIN:N/AAGENCYANYCLAIMSAGAINSTYOU?NO PROJECTNAME:CHICAGOA VERECONSTRUCTIONPROJECTPROJECTDESCRIPTION:STREETREHABIILITATIONANDRECONSTRUCTIONAPPROXIMATECONSTRUCTIONDATES:AUG2020-OCT2020AGENCY:RIVERSIDECOUNTYTRANSPORTATIONDEPARTMENT-352514'"STREET,RIVERSIDE,CA92507CONTACTPERSON:MEHRANSANATI951-255-2762ORIGINALCONTRACTAMOUNT:$1,424,000FINALCONTRACTAMOUNT:$1,445,396IFFINALAMOUNTISDIFFERENTFROMORIGINALAMOUNT.PLEASEEXPLAIN:ADD'LSCOPESOFWORKBYAGENCYDIDTHEAGENCYFILEANYCLAIMSAGAINSTYOU?N0 6

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UVE
TAT
PROJECTNAME:2018/19ARTERIALANDMINORSTREETSMAINTENANCEPHASE1&2PROJECTDESCRIPTION:CITYWIDESTREETIMPRMENTSAPPROXIMATECONSTRUCTIONDATES:AUG2020MARCH2021AGENCY:CITYOFRIVERSIDE-3900MAINST,RIVERSIDE,CA92501CONTACTPERSON:STEVENHOW ARD951-826-5311ORIGINALCONTRACTAMOUNT:$5,050,000FINALCONTRACTAMOUNT:N/AIFFINALAMOUNTISDIFFERENTFROMORIGINALAMOUNT,PLEASEEXPLAIN:INPROGRESSCLAIMSAGAINSTYOU?NO PROJECTNAME:FY18-19RESIDENTIALSTREETREHABLIIONPROJECTDESCRIPTION:V ARIOUSSTREETIMPROVEMENTSAPPROXIMATECONSTRUCTIONDATES:07/18/201912/11/2019AGENCY:CITYOFPLACENTIA-401E.CHAPMANA VE,PLACENTIA,CA92870CONTACTPERSON:MASOUDSEPAHI714-920-7604ORIGINALCONTRACTAMOUNT:$606,000FINALCONTRACTAMOUNT:$616,241.42IFFINALAMOUNTISDIFFERENTFROMORIGINALAMOUNT,PLEASEEXPLAIN:C/0DUETOEXISTINGFIELDCONDITIONS.AGAINSTYOU?N0 IIONYXPA VINGCOMINC.2890EASTLACRESTAA VE,ANAHEIM,CA92806-TEL(714)632-6699-FAX(714)632-1883...‘«.‘gun.

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GEPROJECT?EF§R§NCE$
DAT
TAT
PROJECTDESCRIPTION:CITVWIDEPA VEMENTREHABILITATION
TAT
DAT
LARPROJECTNAME:RESIDENTIALSTREETIMPROVEMENTPROJECTPROJECTDESCRIPTION:STREETIMPROVEMENTSAPPROXIMATECONSTRUCTIONES:SEPT2020NOV2020CONSULTINGCOMPANY:CITYOFANAHEIM200S.ANAHEIMBLVD,ANAHEIM,CA92805CONTACTPERSON:KAI.LAMBAZ714-765-6935ORIGINALCONTRACTAMOUNT:$1,711,000FINALCONTRACTAMOUNT:$1,733,320IFFINALAMOUNTISDIFFERENTFROMORIGINALAMOUNT,PLEASEEXPLAIN:C/ODUETOADDITIONALSCOPES PROJECTNAME:PA VEMENTREHABILIIONFORV ARIOUSLOCALSTREETSCDBGFISCALYEAR19/20 APPROXIMATECONSTRUCTIONDATES:JAN2020-MARCH2020CONSULTINGCOMPANY:CITYOFMORENOV ALLEYCONTACTPERSON:QUANGNGUYEN91413-3159ORIGINALCONTRACTAMOUNT:$1,576,000FINALCONTRACTAMOUNTS$1,445,035.72IFFINALAMOUNTISDIFFERENTFROMORIGINALAMOUNT,PLEASEEXPLAIN:REDUCTIONINQUANTITIES PROJECTNAME:FY2017-18RESIDENTIALSTREETSREHABILITATIONPROJECTPROJECTDESCRIPTION:CITYWIDESTREETREHABILIIONAPPROXIMATECONSTRUCTIONES:MARCHZ020-JUNE2020AGENCY:CITYOFWESTCOVINA-1444W.GARVEYA VE5.,WESTCOVINA,CA91790CONTACTPERSON:OKANDEMIRCIOKAN.DEMIRC|@TRANSTECH.ORGORIGINALCONTRACTAMOUNT:$1,009,000FINALCONTRACTAMOUNT:$1,360,000IFFINALAMOUNTISDIFFERENTFROMORIGINALAMOUNT,PLEASEEXPLAIN:SCOPESOFWORKCHANGEDBYAGENCYDIDTHEAGENCYFILEANYCLAIMSAGAINSTYOU?NO ONYXPA VINGCOMPANY ,INC.2890EASTLACRESTAA VE,ANAHEIM,CA92806-TEL(714)632-6699—FAX(714)632-1883

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GENERALCONTRACTORS:

FulimerConstruction1725S.GroveAve.Ontario,CA91761Ph:909-947-9467Fax:909-947-2970Contact:CaseyJones KCSWest,inc.901CorporateCtr,Dr,3"firMontereyPark,CA9174Ph:323-269-0020Fx:323-263-4576Contact:MatthewVawier GMCEngineering,inc.1401WarnerAveTustin,CA92780Ph:760-744-133Fx:714-247-1041Contact:Gennady LusardiConstruction1570LindaVistaDr.SanMarcos,CA92064Ph:760-744-3133Fax:760-744-9064ContactScottStaiey JOBSPERFORMED:

CenterpointeSycamoreBus.ParkHillwoodHoferRanchInterchangeA-ESanMichelleLogisticsTerraFrancesco LOCATION:

MorenoValleyRiversideOntarioSanBernardinoMorenoValleyOntario BPRefineryMaintenanceShopCarson
Edison
FEDEX—OtayMesaTeamNissanEdgeatCampusCarmaxSeabridge
Romoland
SanDiegoOxnardElSegundoOxnardOxnard
ONYXPA VINGCOMPANY ,INC.2890EASTLACRESTAA VE,ANAHEIM,CA92806—TEL(714)632-6699-FAX(714)632-1883 AMOUNT:
$3,137,914.00$999,703.00$603,600.00$1,288,615.00$670,674.00$524,216.00 $896,357.00
$1,623,480.00
$1,335,530.00$669,075.00$541,385.00$606,443.00$329,460.00

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HaagenCompany,LLC EmplrePoloClublndlo $1,036,745.0012302ExposltionBlvdLosAngeles,CA90064Ph:310-820-1200Fx:310-820-1225Contact:ChrisFahey ARCONatlonalconstrucllonCo.scannellFEDEXBurbank$1,125,958.00900N.RockHillRdSt.Louls,MO63119Ph:314-963-0715Fx:314-963-7114Contact:ChrisWllson GrantGeneralContractorsWhlttlerAreaCommunltyWhlttler$625,920.005051AvenldaEnclnasChurchCarlsbad,CA92008 I
CrevlerBMWSantaAna $30,600.00Ph:760-438-7500Fx:760-438-3056Contact:PeteBl.|l'I'OWS ONYXPA VINGCOMPANY ,INC.2890EASTLACRESTAA VE,ANAHEIM,CA92806-TEL(714)632-6699~FAX(714)632-1883

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ASPHALTRUBBERHOTMIXREFERENCE:
_ .._. , ....._.- .. .-.......-. .._.. .._.‘. ,3. IV
IFYOUHA VEANYGUESTION$PLEASEFEELFREETOCONTACTCOREYKIRSCHNERAT714-632-6699ORVIAEMAILATVING.

GENERALCONTRACTORS:Inn:pnnrnnmn.nnnmnmAMmnun
KatellaAve.st.ImprovLosAlamitos$120,000.00VariousProjects R.DOLSONCONSTRUCITON,INC.LldoHouseHotelNewportBeach$193,105.002955MainStreet,3"‘?oorIrvine,CA92614Ph:949-474-2001Fx:949-474-1534Contact:JeremyDunn COREY@ONYXPANET
ONYXPA VINGCOMPANY ,INC.2890EASTLACRESTAA VE,ANAHEIM,CA92806-TEL(714)632-6699-FAX(714)632-1883 GMCENGINEERING,INC.1401rner/we,SteB.Tustln,CA92780Ph:7147-1040Fx:714247-1041Contact:GennadyChlzl

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C??bIEEFEEENCES‘
G§?E§A|.CONTRACO?BEEE?§?CES'
DATEESTABLISHED1/4/90 TAX
PA V (110
14029SPRINGW ATERLN,EASTV ALE,CA92880
RV A
ONYXPA VINGCOMPANY ,INC2890E.LACRESTAA VEANAHEIM,CA92806 PHONE:(714)632-6699FAX:(714)632-1883
PRESIDENT:COREYR.KIRSCHNERBANK:BANKOFTHEWEST
INSURANCEAGENT:WOODGUTMANN8:BOGART
SURETYAGENT:

MATICHCORP.ALLAMERICANKELTERITECORP.VULCANMATERIALSC0.

FULLMERCONSTRUCTIONBYROM-DA VEY ,INC.PACIFICCONST.GROUPERICKSON-HALLCONST.CO.

CREDITREFERENCES
TYPEOFWORK-ASPHALTING CORP.ID.II33-0394344CONTRARSLIC.II630360-A 4501E.LAPALMAA VENUE,ANAHEIM.CA92807PHONE:(714)777-9620BNPLOESSEL 15901REDHILLA VE.,STE.100,TUSTIN,CA92780PHONE:(714)824-8384MICHAELTRAN TURNERSURETYANDINSURANCEBROKERAGE,INC.SHUNCENTRE,STE.730,SANTAANA,CA92707PHONE:(714)915-4032JEREMYPENDERGAST P.O.BOX10,HIGHLAND,CA92346P.O.BOX2229,CORONA,CA9287812231PANGBORNA VE.DOWNEY ,CA16013E.FOOTHILLBLVD,IRWINDALE,CA91702 1725S.GROVEA VE.,ONTARIO,CA9176113220EVENINGCREEKDR.SOUTHII103,SANDIEGO17895SKYPARKCIR.,IRVINE,CA92614500CORPORATEDR.,ESCONDIDO,CA92069ONYXPA VINGCOMPANY ,INC. (909)382-7400SteveMatlch(951)736-7600Carl(562)401-0011Gladys(858)530-9414Debbie (909)947-9467CaseyJones(858)513-7199SteveDavey(949)748-1500MarkBuncly(760)796-7700JustlnSlnnou 2890EASTLACRESTAA VE,ANAHEIM,CA92806—TEL(714)632-6699-FAX(714)632-1883

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CAT
ERICKSON-HALLCONST.CO.500CORPORATEDR.,ESCONDIDO,CA92069 (760)7967700JustinSinnottRESUMECoreyKirschnerhasover20yearsofexperiencebothasanestimatorandCEO.CoreyisanexperiencedestimatorandleadamajorityofthoseyearsbeingtheChiefEstimatorbeforebecomingCEO‘andPresidentofOnyxPavingCompany,Inc.OvertheshortperiodoftimehereatOnyxPaving,Coreyhascompletedover3,000pavingprojects,allowingthecompanytogrossover$50milliondollarsinthepreviousyear.JayKirschner,SeniorProjectManager,holdsaBachelor'sDegreefromChapmanUniversityandhas7yearsofexperienceupholdingthemaintenancesupervisorandleadestimatorpositionforOnyxPaving.Heleadsourteam,withtheprojectmanagersunderhisdirectsupervision,inmanagingourproductionsandcoordinatingourfieldmobilizationsforallprojects.TylerHenry,FieldSuperintendent,servesasthecoreofallfieldrelatedmatters.Hehasover20yearsofpavingexperienceperformingjobsthatstretchesfromSanDiegoCountytoVenturaCounty.TylerhasbeenwithOnyxincompletingallofourPublicWorksprojects.Overseeingtheon-sitelaborers,cemntmasons,andoperatingengineersisoneofhismanyresponsibilities.BACKLOGALLOION:CoreyKirschner,JayKirschner,andTylerHenryovree100%ofallcurrentprojectinattachedbacklog.ES 2890EASTLACRESTAA VE,ANAHEIM,CA92806-TEL(714)632-6699— FAX(714)632-1883ONYXPA VINGCOMPANY ,INC.

12.F

CoreKirschner
TIerHen
CEO/President
SeniorProjectManagerFieldSuperlntendent
CoreyKwschnerJacksonFh?se
KeyIndividualResponsibilities:

Manageoveralloperationsandresourceofcompany- DecisionmakerofcorporationJacksonHulse - Leadprojectmanagementteamwithorganization- Overseeingoverallprojectscheduling,budgeting,anddispatchingonallprojects- Mainpointofcommunicationsbetweencompanyandagencies - Leadandmanageonsitelaborsandoperators- CoordinatedailyoperationsandprojectproductionEnsuringprojectqualityexpectationsaremet 2890EASTLACRESTAA VE,ANAHEIM,CA92806— TEL(714)632-6699— FAX(714)632-1883ONYXPA VINGCOMPANY ,INC.

12.F

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12.F

CONTRACTORSTATELICENSEEDAACTIVELICENSE8 RD
IMnbuI630360Eruycomb
N...ONYXPA VINGCOMPANYINC
CLI|11|$lMNI!A
10/31/2023www.cslb.ca.gov

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Theundeulgneddirector,constitutingtheentireboardofct1reetors(Lhe“Bmrd“)oi OnyxPavingCompany,mm,aCaliforniacorporationShe“Cmpomtt:m").herebytakesthefollowingactions,adoptsthefollowingresolutions,antconsaotsthefollowingbusiness,by writtenoonsontwithoutAmeeting.asofthedataabovewritten,pumttnttoSoctioh307(b)ofthe GeneralCumorationhwoftheStateofCaii?)t'ntaandtheCorporation’:Byimvsr Approx‘g]91'Loangnggtto?tm
WHEREASeitherisoxurentlytheCorporation’:ChiefExecutiveO?icer, ChiefFittehcial“0?'Iccr")withauthoritytoenterintocontractsonbehalfoftho WHEREAS,theCorporationopporiunlntmenta]andnon~govommentolprojects; WIIEREAS,ottercarefulconsideration,theBoardhasti.-.tetrr:inet'lthatthetenorandconditionsofthepropoaedprojecttothefour;ofthebidattachedheretoasEmbjj?(the "Pr'ajeaI’)are]\_1standequitableandfairastotheCorporertlottandthatitisinthebestinterests oftheCorporationanditsstockholdertosubmitthebidandcomptztetheProjactsubjecttothe termsagreettuponbytheportles.

NOW,THEREFOREJEITRESOLVED,theBoardonbehaifoftheCorporationherebyapprovesandrati?estheProjectinallrespects,antiherehyauthorizeanddirecttheCorporationtonegotiate,execute,deliverandperfbrmthetenthsofalldoot'ménts,re‘qulredinconnectionwiththeProject,togetherwithsuchchangestheretoasmaybeappmvedoytheOilioerexecutingthesameonbehctlfoftheCorporation(pttrsuantloLheauthoriutlonprovidedherein),suchapprovaloftheO?loertobeconclusivelyevidenecdbyitsexeputtonanddelivery RESOLVEDFURTHER.thattheO?ioermayexecttteanddelivermyand agreementsandmyandallotherdocumentsandinstruments,nttdtakesue]:furtheraUon maybeneoesoaryorappropriate,fortha?nancingoftheCorporation.

RESOLVEDFURTHER,thattheOfficerherebyauthorized,directed,andempoweredtoexecuteanddeliveranyandallagreemenandanyaudaiiotherdocumentsand instruments,andtakesuchfurthernotionsasmaynecessaryorappropriate,forthe ONYXPA VINGCOMPANY ,INC.License#630360-DIR#1000004798UNANIMOUSWRITTENCONSENTorTHEBOARDOFDIRECTORSOFONYXPA VINGCOMPANY.INC:(E!Californiacorporation)Octoberés,2o2o ,CoreyKitsandOf?cer(theCorporation.?esfrpmtimetolimetobidonVariousgove ofsame.
9 istsbeconsummationoftheProject.

CrestaAve,Anaheim,CA92806-PH:(714)632~6699-FX(7l4)6324883

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RESOLVEDFUR'l_‘HER,thattheOl?cer,inthenauthorized,d.1:ected,andemyowvredtonego?ate,ezgeoutaandparty,anyandalldaoumengswithrespecttothePxvjectand01124:!instrumentsasngnybe reasonablymqumc?,M4theO?icaronhahulfoitheCorpoxutlonlsalihotimd5°?““"5‘° ?mutoexecutereiiowél:0':oktenslnnsorothe:inshu?nentsasmaybunec3~2HBf§’~ R_ESOL\'_ElJ1_VURTE]i‘.R,thatauthoritygivenhmunamzanbeaeemednrronc?andanyandallactsau?gorizedhsxeunderfornmdpm:touxqpassagconhkzesolu??nOW herebyrati?edanda,£?.rmed_.

TheSecretarybeQarporntioni_adgkectgdto?lethecutwiththemihofproceedingsofthaCogncrp?on. maarmCoqzoration.IsI:_erel7}’deliverinlheipplfeablecounter- Consof1
[Signaturepagefollows]
originalexecutedcopyofthis
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COMPANY,ONYXPA VINGINC.L!censa#630360-DIM‘1000004793INWITNESSVVHBREOF.theundersignedhasexecutedthisUnanimousWrittenConsentoftheBoard61‘DirectorsasOfihedatefirstabovewritten CoreyKifschner

12.F

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B|DDER'SPROPOSALParkingImprovementsatSimpsonMemorialCenterCIPN0.5736Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentforthePARKINGIMPROVEMENTSATSIMPSONMEMORIALCENTER,CIPNo.5736,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.TheundersignedhasalsocarefullycheckedallofthefiguresgivenandunderstandsthattheAgencywillnotbensiforanyerrorsoromissionsonthepartoftheundersignedinsubmittingthisproposalContractorconfirmsthathis/her/itsbidissubmittedwithrespecttothechangestotheContractand/orContractDocumentsincludedinalladdendaissuedbytheOwner.Inadditiontoreaffirmingthatthechangesandinformationcontainedintheaddendahavebeenintegratedintotheirproposal,ContractoracknowledgesreceiptofAddendaNo.(s)TheundersignedhasexaminedthecurrentStateofCaliforniascheduleofprevailingwageratesforthetypesofworktobedoneonthisproject(andtheDavis—BaconActiftheAgencyusesfederalfundsfortheProject)andagreestopaynotlessthantheserates.Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentforthePARKINGIMPROVEMENTSATSIMPSONMEMORIALCENTER,CIPNo.5736andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal.

12.F

ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736B|DDER'SPROPOSAL(cont'd) BASEBID-ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736 ITEMNo
10 11
12 13

BIDSCHEDULE
DESCRIPTIONMobilization(NottoExceed5%ofBid)TrafficandPedestrianControl Clearing,Grubbing,andRemovals
WaterQualityControlTemporaryConstructionProjectIdentificationSignFieldOrdersUnclassifiedExcavationRemoveExistingImprovementsandConstructCrossGutterPerCityofHemetStd.PlanNo.C-213HotMixAsphaltUntreatedBaseRemoveandReplaceType‘D’CurbperCityofHemetStd.PlanNo.C-203RemoveandConstructWestADAParking&Ramp(includeswheelstop,Type'D'Curb,PCCPavement,Sidewalk,Ramp,TruncatedDomes,andPedestrianHandrail).RemoveandConstructSouthADAParking&Ramp(includeswheelstop,Type'D'Curb,PCC UNIT
LS
EA
CY
SF
TN
TN
EA
EA

ESTIMATEDQUANTITY
1,000
500
940
875
25 UNITPRICE
$10,000

EXTENDEDITEMAMOUNT
$10,000
Rev.0Ociober2022
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$(eo0o’ '°°9,00000
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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736§IDDER'SPROPOSAL(cont’d) BASEBID-ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736EXTENDEDIIt?DESCRIPTIONUNITERAIIC-EITEMAMOUNTPavement,Sidewalk,Ramp,TruncatedDomes,andPedestrianHandrail).RemoveandConstructNorthADAParking&Ramp(includeswheelstop,Type'D'Curb,PCC14Pavement,Sidewalk,Ramp,EA1TruncatedDomes,andPedestrianHandrail).AdjustExistingWaterValveto15FinishedSurfaceEA216RemoveandRelocateExistingEA1l.V .C.Box17FurnishandInstallWheelStopEA518StripingandSignage(IncludingLs 1ADAStripingandSigns)19SurveyServicesLS 1 TOTALBASEBID(numbers)
BASEBIDTOTAL(inwords) and Cents
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$5%’°°0-as$§“‘&,o0o.av
$1.190-W’2,“-#00.0o
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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont'd) BIDADDITIVE— ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736EXTENDEDITEM ESTIMATEDUNITDESCRIPTIONUNIT ITEMNo QUANTITYPRICEAMOUNTMobilization(NottoExceed5%of1 , L5 1Bid)2TrafficandPedestrianControlLS13Clearing,Grubbing,andRemovalsL5 14WaterQualityControlL5 15UnclassifiedExcavationCY575RemoveExistingImprovements6andConstructCrossGutterPerSF170CityofHemetStd.PlanNo.C-213RemoveExistingImprovementsandConstructPCCDriveway7ApproachPerCityofHemetStd.SFL200PlanNo.C-2088ConstructPCCPavementCY3009UntreatedBase TN525AdjustExistingWaterValveto10FinishedSurfaceEA211HotMixAsphaltTN4512SurveyServicesL5 113StripingandSignage(IncludingL5 1ADAStripingandSigns)TOTALBIDADDITIVE(numbers)

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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BIDDER'SPROPOSAL(cont’d) BIDADDITIVETOTAL(inwords) CentsTOTALBIDAMOUNT(innumbers)fortheTOTALPROJECT(BASEBID+BIDADDITIVE)is:

TOTALBIDAMOUNT(inwords)fortheTOTALPROJECT(BASEBID+BIDADDITIVE)is:

Dollarsand CentsContractor'sInitialsIntheeventofavariationbetweentheunitpriceandextendedtotal,theunitpricewillbeusedandthecorrectedextensionwillbeconsideredastheamountbid.Ifthebidisillegibleandcannotbereconcileditwillbeconsiderednon—responsiveandwillnotbeconsideredforaward.Ifanadditiveand/oralternatebidscheduleiscalledforintheContractDocuments,thelowestbidwillbedeterminedonthebasisofthebasebidschedu|e(s)onlyunlessotherwisespecifiedintheNoticeInvitingBidsorbyAddendaifissuedtosupersedetheNoticeInvitingBidsonthisspecificissue.ForaContractwhereadeductivebidscheduleiscalledfor,thelowestbidwillbedeterminedbythetotalofallbidschedulesincludingthedeductivebidschedu|e(s).Regardlessofwhethertheadditive/deductiveoralternatesbiditemswillbeconsideredindeterminingthelowbid,theAgencymayelecttoincludeanyornoneoftheadditive/deductiveoralternatebiditems/schedules,ortootherwiseaddorremovecertainworkfromthescopeofWork.Accordingly,Contractorwarrantsthateachbiditemcontainsaproportionateshareofprofit,overheadandothercostsandexpenses,whichwillbeincurredbytheContractorfortheProject.Ifequallowbidsarereceivedfromresponsibleandresponsivebidderstheselectionshallbemadebydrawinglots,orothersimilarrandomblindmethodselectedbytheAgency.IfonlyoneresponsivebidisreceivedfromaresponsiblebiddertheawardshallnotbemadeunlessthepricecanbedeterminedtobereasonablebasedonananalysisbytheAgency.TheAgency'sdeterminationastothereasonablenessofanysuchbidshallbefinal.TheAgencyreservestherighttorejectanyorallbids,towaiveanyirregularity(ies),andtotakeallbidsunderadvisementforaperiodofsixty(60)calendardaysafterthedatethebidsarepubliclyopened.BidderacknowledgesthatallcostsincurredasaresultofpreparingtheproposalshallbethesoleresponsibilityofBidder.TheNoticeInvitingBidsandInstructionstoBiddersdoesnotcreateorimposeanyobligationupontheAgencytoenterintoacontract.

Ilars
$91,(60.00

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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BIDDER'SPROPOSAL(cont’d) Allbidsreceivedshallberecordedonanabstract(tabulation)ofbids,andthenmadeavailableforpublicinspectionwithintwobusinessdaysofbidopening.Thequantitieslistedinthebidproposalareprovidedtogiveageneralindicationofthescopeoftheworkandforthecomparisonofbids.Nowarrantyismade,eitherexpressedorimplied,thattheactualquantitiesofworktobedonewillcorrespondtherewith.Itemnumbersfollowedby"(S)”aredesignatedasspecialtyitemswhichwillnotbeincludedtowardsthecalculationofminimumof50percentofworktobeperformedbyContractor'sownforces.BysigningandsubmittingthisbidtheContractorconfirmsthattheyarefamiliarwiththeworksiteandallexistingconditionsthatmayaffecttheirworkandthattheyhavereadandagreetoalltheterms,conditionsandrequirementscontainedorreferencedhereinorintheContractDocumentsandthatalltheaforementionedhasbeenincludedinthebidpriceslistedabove,includingitemsofworkthatmaynothaveaspecificpaylineitemandthatthereshallbenoadditionalcoststotheAgency.W ARNING:IfanaddendumoraddendahavebeenissuedbytheAgencyandnotnotedaboveasbeingreceivedbythebidder,thisBidmayberejected.

Completethefollowing:

Legalnameofthebusiness,DIRReg.andContractorLicenseNos
DBA(ifany)
Nameandtitleoftheowner
Nameandtitleofsecondpartnerorofficer
BusinessAddress
veW€§—’v.
dna?alManama
0W!00
VW:PM5 ‘\’awn‘CFOml‘Tkcasur
BusinessType(Corporation,Partnership,SoleProprietor)

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PdtmmcGuezqcla. P (52‘PW/fW€5+vCDmNameandEmailaddressofprimar'ycontaét ww_w.1'9a1v{>\/;/65+.Cmadd
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:Q0v\\\/\c:1_:sf;16\V\'§>l4=€S?£?{€,m-lrgumW AMS<euuL1mz~4 ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) Facsimilenumber
Companywebress
ofBidder Dateature Date
Printnameand Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateofficersarerequired.) 5w1-MOM‘’:‘>\\7)
omline
Telephonenumber
-
Rev.0October2022

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— IRIANNARONDOMANSKIE
, - NataryPublic-CallfarnllLosAngelesCountyE
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’ » Commission4umn
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MyCamm,Explve-sSen7.1025

ACKNOWLEDGMENT
Anotarypublicorotherofficercompletingthiscertificateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness,accuracy,orvaliditvofthatdocument.StateofCaliforniaCountyof LOSANGELES) on1/26/2023beforeme’BRIANNARONDOMANSKI,NOTARYPUBLIC(insertnameandtitleoftheofficer)personallyappearedDONMANGANwhoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity(ies),andthatbyhis/her/theirsignature(s)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.

WITNESSmyhandandofficialseal.

NRA‘Signature (Seal)

12.F

ACKNOWLEDGMENT
Anotarypublicorotherofficercompletingthiscertificateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness,accuracy,orvalofthatdocument.StateofCaliforniaCountyof LOSANGELES3 on1/26/2023beforeme,BRIANNARONDOMANSKI,NOTARYPUBLIC(insertnameandtitleoftheofficer)personallyappearedJAKELEWISwhoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity(ies),andthatbyhis/her/theirsignature(s)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.

WITNESSmyhandandofficialseal BRIANNAR9NDOMANSl(lNotaryPublic-CaliforniaLosAngelesCountyCommission#2374136Comm.ExpiresSep7,2025Signature (Seal)

12.F

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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont'd) CERTIFICATEREGARDINGCONTRACTOR'SLICENSE1.ContractorisrequiredtopossessoneofthefollowingStateContractor'sLicenseStateofCaliforniaGeneralContractorTypeBContractor'sLicenseorCombinationofSpecialtyClassContractor'sLicenses2.Afailureto(1)possesstherequiredlicense,(2)truthfullysetforththefollowinginformation,and/or(3)executethisCertificatemayrendertheproposalnonresponsiveandpermittheCitytorejecttheproposal.(BusinessandProfessionsCodeSection7028.15)3.Contractordeclares,underpenaltyofperjury,thathe/she/itpossessestherequiredContractor'sIicense(s)which:aBearsthelicensenumber(s)bExpireson:
ofBidder reof
Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateo?icersarerequired.)ThisrequiredlicensedeterminationhasbeenmadebytheAgency.AnyContractorholdingadifferentlicensewhofeelsheisqualifiedtobidonthisworkmustsoadvisetheAgencyatleastseven(7)dayspriortothebidopening.TheAgencymayconductareviewofthecontemplatedworktore—eva|uatetherequiredlicensedetermination.TheAgencymayinitssolediscretionmaintainorchangetherequiredlicensedetermination;Agency'sdecisionastotherequiredlicensewillbefinal. (MoCNQVL!Hwzs
TD€w\Mmm.\0m‘o(m+Printnameandtitle

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nmmIGNDOMANSKINnurymu:- Cll?nrnlaLuAngelaCounty¥

ACKNOWLEDGMENT
Anotarypublicorotherofficercompletingthiscertificateveri?esonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.StateofCalifornia on1/26/2023beforeme,BRIANNARONDOMANSKI,NOTARYPUBLIC(insertnameandtitleoftheofficer)personallyappearedDONMANGANwhoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity(ies),andthatbyhis/her/theirsignature(s)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.lcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.

WITNESSmyhandandofficialseal
Signature (Seal)

12.F

ammIDNDOMANSXINularymu:- CalimvnuLosAngelesCounty

ACKNOWLEDGMENT
Anotarypublicorotherof?cercompletingthiscertificateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness,accuracy,orvaliditvofthatdocument.StateofCalifornia on1/26/2023beforeme’BRIANNARONDOMANSKI,NOTARYPUBLIC(insertnameandtitleoftheofficer)personallyappearedJAKELEWISwhoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity(ies),andthatbyhis/her/theirsignature(s)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.

WITNESSmyhandandofficialseal.

NNAIWNNre (Seal)

12.F

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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) 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,andnotwithstandingtheawardoftheContracttorbidder. ofBidder reB
Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.)

12.F

LamgexesCaunryCammisswn:mamMyComm.ExpiresSep7.ms

ACKNOWLEDGMENT
Anotarypublicorotherof?cercompletingthiscertificateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness,accuracy,orvaliditvofthatdocument.StateofCalifornia on1/26/2023beforeme’BRIANNARONDOMANSKI,NOTARYPUBLIC(insertnameandtitleoftheofficer)personallyappearedDONMANGANwhoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity(ies),andthatbyhis/her/theirsignature(s)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.

WITNESSmyhandandofficialseal
NNA1Signature (Seal)

12.F

LosAngelesCuunly§Cnmmisxian41174135
‘. ‘ IRIANNAKONDDMANSKIF7'_ NotaryPublic-Calilarnla

ACKNOWLEDGMENT
Anotarypublicorotherofficercompletingthiscertificateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.StateofCaliforniaCountyof LOSANGELES1/26/2023BRIANNARONDOMANSKI,NOTARYPUBLICOn beforeme,(insertnameandtitleoftheof?cer)personallyappearedJAKELEWISwhoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity(ies),andthatbyhis/her/theirsignature(s)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.

WITNESSmyhandandofficialseal.

NNMSignature (Seal)

12.F

, te.. ,_... _... _, ,,, ,,,, -...__
10%ofbidamount
ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont'd) BIDSECURITYFORMFORBONDKNOWALLBYTHESEPRESENTS:ThattheundersignedPavewestIncorporated(NameofContractor)asPrincipalandOldRepublicSuretyCompanyasSuretyareheldandfirmlybounduntoOwner,CITYOFHEMET,apoliticalsubdivisionoftheStateofCalifornia,asobligee,inthenenalsumofnnercent(10%)ofthetotalamountofbidDollars($ )lawfulmoneyoftheUnitedStatesofAmericabeingatleasttenpercent(10%)oftheaggregateamountofsaidPrincipal'sbaseBid,forthepaymentofwhich,wellandtrulytobemade,webindourselves,oursuccessors,executors,administrators,andassigns,jointlyandseverally,firmlybythesepresents.WHEREAS,saidPrincipalissubmittingaBidforParkingImprovementsatSimpsonMemorialCenter,CIP5736.BidDate:January26,2023THECONDITIONOFTHISOBLIGATIONISSUCHthatiftheBidsubmittedbythesaidPrincipalbeacceptedandtheContractbeawardedtosaidPrincipalandsaidPrincipalshallwithintherequiredperiodsenterintotheContractsoawardedandprovidetherequiredConstructionPerformanceBond,ConstructionLaborandMaterialPaymentBond,insurancecertificates,andallotherendorsements,forms,anddocumentsrequiredundertheInstructionstoBidders,thenthisobligationshallbevoid,otherwisetoremaininfullforceandeffect.INWITNESSWHEREOF,theaboveboundenpartieshaveexecutedthisinstrumentthis13;};dayofJanuarv .2023.(Month)PavewestIncorporated (CorporateSeal)
OldRepublicSuretyCompany
(CorporateSeal) ByMichaelW.Thomas,Attorney—in—Fact
MaVlrPa€S

12.F

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Anotarypublicorotherofficercompletingthiscertificateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscertificateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.

StateofCalifornia}CountyofSanDiego }OnJanuary13.2023beforeme,AudRod PublicpersonallyappearedMichaelW.Thomaswhoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity(ies),andthatbyhis/her/theirsignature(s)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect. AUDREYRODRIGUEZWITNESSmyhandandof?cialseal. NotaryPublic-Ca“‘°"“iSanDiegoCountyCommissionii2413412Comm.ExpiresSep2.2026Notary (NotaryPublicSeal) ADDITIONALOPTIONALINFORMATIONINSTRUCTIONSFORCOMPLETINGTHTSFORMDESCRIPTIONorTHEATTACHEDDOCUMENTwordingdoesnotrequiretheCalifornianotarytoviolateCalifornianotarylaw.(Titleordescriptionofattacheddocument)0StateandCountyinformationmustbetheStateandCountywherethedocumentsigner(s)personallyappearedbeforethenotarypublicforacknowledgment.-Dateofnotarizationmustbethedatethatthesigrier(s)personallyappearedwhich(Titleordes°rTptl°"°fattacheddocumentcontinued)mustalsobethesamedatetheacknowledgmentiscompleted0ThenotarypublicmustprinthisorhernameasitappearswithinhisorherNumberOfPages_ DOCUmentDatemcommissionfollowedbyacommaandt.henyourtitle(notarypublic).0Printthena.rne(s)ofdocumentsigner(s)whopersonallyappearatthetimeofnotarization.CAPACITYCLAIMEDBYTHES|GNER0Indicatethecorrectsingular.orpluralformsbycrossingoffincorrectforms(i.e... he/she/they,—is/ane)orcirclingthecorrectforms.FailuretocorrectlyindicatethisInd“/ldual(5) informationmayleadtorejectionofdocumentrecording.CorporateOff-|Cel' IThenotarysealimpressionmustbeclearandphotographicallyreproduciblenmustnotcovertextorlines.Ifse smudges,re-sealifa(Ime) areapermits,otherwisecompletead wledgmentform.Partner(s) 0Signatureofthenotarypublicmustmatchthesignatureon?lewiththeofficeof_ thecountyclerk.Attorney-in-Fact'2'AdditionalinformationisnotrequiredbutcouldhelptoensurethisTru3tee(s) acknowledgmentisnotmisusedorattachedtoadifferentdocument.other 4-Indicatetitleortypeofattacheddocument,numberofpagesanddate.'1'Indicatethecapacityclaimedbythesigner.Iftheclaimedcapacityisacorporateof?cer,indicatethetitle(i.e.CEO,CFO,Secretary).2015VersionWwW_Notary(;|aSSeS_c0m300-373-9355ISecurelyattachthisdocumenttothesigneddocumentwithastaple.

12.F

‘I,OLDREPUBLICSURETYCOMPANY POWEROFATTORNEYKNOWALLMENBYTHESEPRESENTS:ThatOLDREPUBLICSURETYCOMPANY ,aVl?sconsinstockinsurancecorporation,doesmake,constituteandappoint:BrookeLaFrenz,michaelW.Thomas,GladysRogers,AudreyRodriguez,LanyD.CogdillofSanDiego,CAitstrueandlawfulAttorney(s)-in-Fact,withfullpowerandauthorityforandonbehalfofthecompanyassurety,toexecuteanddeliverandaf?xthesealofthecompanythereto(ifasealisrequired),bonds,undertakings,recognizancesorotherwrittenobligationsinthenaturethereof,(otherthanbailbonds,bankdepositorybonds,mortgagedeficiencybonds,mortgageguarantybonds,guaranteesofinstallmentpaperandnoteguarantybonds,self-insuranceworkerscompensationbondsguaranteeingpaymentofbene?ts,asbestosabatementcontractbonds,wastemanagementbonds,hazardouswasteremediationbondsorblacklungbonds),asfollows:ALLWRITTENINSTRUMENTS andtobindOLDREPUBLICSURETYCOMPANYthereby,andalloftheactsofsaidAttorneys-in-Fact,pursuanttothesepresents,arerati?edandcon?rmed.ThisappointmentismadeunderandbyauthorityoftheboardofdirectorsataspecialmeetingheldonFebruary18,1982.ThisPowerofAttorneyissignedandsealedbyfacsimileunderandbytheauthorityofthefollowingresolutionsadoptedbytheboardofdirectorsoftheOLDREPUBLICSURETYCOMPANYonFebruary18,1982.RESOLVEDthat,thepresident,anyvice-presidentorassistantvicepresident,inconjunctionwiththesecretaryoranyassistantsecretary,mayappointattorneys-in-factoragentswithauthorityasde?nedorlimitedintheinstrumentevidencingtheappointmentineachcase,forandonbehalfofthecompanytoexecuteanddeliverandaf?xthesealofthecompanytobonds,undertakings,recognizances,andsuretyshipobligationsofallkinds;andsaidof?cersmayremoveanysuchattorney-in-factoragentandrevokeanyPowerofAttorneypreviouslygrantedtosuchperson.RESOLVEDFURTHER,thatanybond,undertaking,recognizance,orsuretyshipobligationshallbevalidandbindingupontheCompany(i)whensignedbythepresident,anyvicepresidentorassistantvicepresident,andattestedandsealed(ifasealberequired)byanysecretaryorassistantsecretary;or(ii)whensignedbythepresident,anyvicepresidentorassistantvicepresident,secretaryorassistantsecretary,andcountersignedandsealed(ifasealberequired)byadulyauthorizedattorney-in-factoragent;or(iii)whendulyexecutedandsealed(ifasealberequired)byoneormoreattorneys-in-factoragentspursuanttoandwithinthelimitsoftheauthorityevidencedbythePowerofAttorneyissuedbythecompanytosuchpersonorpersons.RESOLVEDFURTHERthatthesignatureofanyauthorizedof?cerandthesealofthecompanymaybeaf?xedbyfacsimiletoanyPowerofAttorneyorcerti?cationthereofauthorizingtheexecutionanddeliveryofanybond,undertaking,recognizance,orothersuretyshipobligationsofthecompany;andsuchsignatureandsealwhensousedshallhavethesameforceandeffectasthoughmanuallyaf?xed.INWITNESSWHEREOF,OLDREPUBLICSURETYCOMPANYhascausedthesepresentstobesignedbyitsproperof?cer,anditscorporatesealtobeaf?xedthis23rddayof March2020 OLDREPUBLICSURETYCOMPANYcoupon”;SEALI081* PresidentSTATEOFWISCONSIN,COUNTYOFW AUKESHA—SSOnthis23rddayof MarchL20,personallycamebeforeme, AlanPBVIICand KarenJHaffner,tomeknowntobetheindividualsandof?cersoftheOLDREPUBLICSURETYCOMPANYwhoexecutedtheaboveinstrument,andtheyeachacknowledgedtheexecutionofthesame,andbeingbymedulysworn,didseverallydeposeandsay:thattheyarethesaidof?cersofthecorporationaforesaid,andthatthesealaf?xedtotheaboveinstrumentisthesealofthecorporation,andthatsaidcorporatesealandtheirsignaturesassuchof?cersweredulyaf?xedandsubscribedtothesaidinstrumentbytheauthorityoftheboardofdirectorsofsaidcorporation.

NotaryPublicMyCommissionExpires:Seotember28.2022CERTIFICATE (Expirationofnotary'scommissiondoesnotinvalidatethisinstrument)I,theundersigned,assistantsecretaryoftheOLDREPUBLICSURETYCOMPANY ,aV\?sconsincorporation,CERTIFYthattheforegoingandattachedPowerofAttorneyremainsinfullforceandhasnotbeenrevoked;andfurthennore,thattheResolutionsoftheboardofdirectorssetforthinthePowerofAttorney,arenowinforce. 13th Januany2023740051J SignedandsealedattheCityofBrook?eld,WIthis dayof , _:_ OD
ORSC22262(3-06)
VENBROOKPage 197 of 290

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‘ _ IRIANNARONDOMANSKIEMaurymu:~CahlnrninLunngetesCounty ‘ ,4. camm|ssiuns237uaa
i
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MyComm.D(uIresSep7.Z015E

ACKNOWLEDGMENT
Anotarypublicorotherof?cercompletingthiscerti?cateveri?esonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness,accuracy,orvaliofthatdocument.Sttorr' of'°""aLOSANGELES)
on1/25/2023beforeme,BRIANNARONDOMANSKI,NOTARYPUBLIC(insertnameandtitleoftheof?cer)personallyappearedDONMANGANwhoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity(ies),andthatbyhis/her/theirsignature(s)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.

WITNESSmyhandandof?cialseal
IVNNSignature (Seal)

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ammuRONDOIMNSNNotarymun:~CalllurnlaLnsAngelesCounty 5
‘ '*«4.,_ camnmonn1:7uas
‘
m- MyComm‘ExpiresSap1.2015

ACKNOWLEDGMENT
Anotarypublicorotherof?cercompletingthiscerti?cateveri?esonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness,accuracy,orvalidofthatdocument.Sttrcrr' Cfu?t‘;ofa'°""aLOSANGELES,on1/25/2023beforeme,BRIANNARONDOMANSKI,NOTARYPUBL(insertnameandtitleoftheof?cer)personallyappearedJAKELEWISwhoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity(ies),andthatbyhis/her/theirsignature(s)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.

WITNESSmyhandandof?cialseal.

Signature (Seal)

12.F

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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BIDDER'SPROPOSAL(cont’d) NON-COLLUSIONAFFIDA VITPUBLICCONTRACTCODESECTION7106NON—COLLUS|ONDECLARATIONTOBEEXECUTEDBYBIDDERANDSUBMITTEDWITHBIDTheundersigneddeclaresIamthe thepartymakingtheforegoingbid.Thebidisnotmadeintheinterestof,oronbehalfof,anyundisclosedperson,partnership,company,association,organization,orcorporation.Thebidisgenuineandnotcollusiveorsham.Thebidderhasnotdirectlyorindirectlyinducedorsolicitedanyotherbiddertoputinafalseorshambid.Thebidderhasnotinanymanner,directlyorindirectly,soughtbyagreement,communication,orconferencewithanyonetofixthebidpriceofthebidderoranyotherbidder,ortofixanyoverhead,profit,orcostelementofthebidprice,orofthatofanyotherbidder.Allstatementscontainedinthebidaretrue.Thebidderhasnot,directlyorindirectly,submittedhisorherbidpriceoranybreakdownthereof,orthecontentsthereof,ordivulgedinformationordatarelativethereto,toanycorporation,partnership,company,association,organization,biddepository,ortoanymemberoragentthereof,toeffectuateacollusiveorshambid,andhasnotpaid,andwillnotpay,anypersonorentityforsuchpurpose.Anypersonexecutingthisdeclarationonbehalfofabidderthatisacorporation,partnership,jointventure,limitedliabilitycompany,limitedliabilitypartnership,oranyotherentity,herebyrepresentsthatheorshehasfullpowertoexecute,anddoesexecute,thisdeclarationonbehalfofthebidder.IdeclareunderpenaltyofperjuryunderthelawsoftheStateofCaliforniathattheforegoingistrueandcorrectandthatthisdeclarationisexecutedon [date],atCitv]. reofBidder DateSignof
nameandtitl Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateo?icersarerequired.) \

12.F

J BRKANNARONDOIMRSKIINnlaryPuhiic-California§ 3 LbsAngelesCuunly ax;-M
‘ Commission42374115Mycomm.maresSep7.ms

ACKNOWLEDGMENT
Anotarypublicorotherofficercompletingthiscertificateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness,accuracy,orvalidofthatdocumentStateofCaliforniaCountyof LOSANGELES3 1/26/2023BRIANNARONDOMANSKI,NOTARYPUBLICOn beforeme,(insertnameandtitleoftheofficer)personallyappearedDONMANGANwhoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity(ies),andthatbyhis/her/theirsignature(s)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.

WITNESSmyhandandofficialseal
IVNNS re (Seal)

12.F

ACKNOWLEDGMENT
Anotarypublicorotherofficercompletingthiscertificateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.StateofCaliforniaCountyof LOSANGELES on1/26/2023beforeme,BRIANNARONDOMANSKI,NOTARYPUBLIC(insertnameandtitleoftheofficer)personallyappearedJAKELEWISwhoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity(ies),andthatbyhis/her/theirsignature(s)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect. - smwRONDOMANSKIWITNESSmyhandandof?cialseal NomypububCammilLosAngelesCountyCommission#2374186Comm.ExpiresSep7,2025Signature (Seal)

12.F

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GRADING,ASPHALTPA VING,CONCRETEKcREPAIR,CRUST-HNG401S.HARBORBLVD.,F385il&LAHABRA,CA9o631+lfPHONE:(562)694-3113¥FAx:(562)694-6263 MINUTESOFASPECIALMEETINGOFTHEBOARDOFDIRECTORSOFPA VEWEST,INC.HELDAT9:30A.M.,SEPTEMBER5,2014ATLAHABRA,CALIFORNIA PresenfwasfhefollowingDirecfor:RichardT.ManganTheonlyifemofbusinessonfheagendawasfhedesignafionandaufhorizafionofcerfainOfficersofTheCorporafionTosignbidoffers,consfrucfionconfracfs,prequa|ificafion‘s,powersofafforneyandofherlegallybindingdocumenfswhichmayrequireexecufioninThenormalcourseofbusiness.ThefollowingresolufionasproposedandadopfedbyunanimousconsenfoffheDirecforpresenf:RESOLVEDTHATTHEFOLLOWINGOFFICERSOFPA VEWEST,INC.BEANDTHEYHEREBYAREDESIGNATED,EMPOWEREDANDAUTHORIZEDTOSIGNANDEXECUTECONTRACTBIDS,PRE—QUALIFICATIONS,CONSTRUCTIONCONTRACTS,POWERSOFATTORNEYANDOTHERMISCELLANEOUSLEGALDOCUMENTSTHATREQUIREEXECUTIONINTHENORMALCOURSEOFTHECONSTRUCTIONBUSINESS:DonaldMangan,Presidenf,Treasurer_RichardMangan,VicePresidenfandCFOJacobLewis,SecrefaryINWITNESSWHEREOF,fheundersigned,beingfhesoleDirecforoffhisCorporafion,hasexecufedfhisacfionandadopfedThisresolufionbyunanimouswriffenconsenf,evidencedbyfhesignafurehereinbelow.ThisacfionandresolufionshallbecomeeffecfiveasofandonThedafesefforfhabove.

12.F

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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) CONTRACTOR’SREFERENCELISTAttachtothisbidalistofthree(3)projectsinthepastfive(5)yearsonwhichthebidderandhissubcontractor(s)havesuccessfullyconstructedandcompletedprojectswiththesametype(elements),sizeandcomplexityofwork.TheAgencyEngineerwillmakethefinaldeterminationofwhethertheprojectslistedhereareofthesametype,sizeandcomplexityasthisproject.Failureofbiddertosupplysufficientdocumentationofsimilarelectric,telephone,cableandsanitarysewerundergroundfacilitiesexperienceshallbeconsideredgroundsforanon—responsivebidand,attheAgency'sdiscretion,saidbidwillbedisqualified.ProjectName:ContractPrice: teofCompletion:Name,Address,andTelephoneNumberofOwner'sRepresentative:

ProjectName DateofCompletionName,Address,andTelephoneNumberofOwner'sRepresentative ProjectNameContractPrice: ateofCompletionName,Address,andTelephoneNumberofOwner'sRepresentative:
(Attachadditionalpagesasnecessary)
DU3R
in Bi‘N0Lo.00I‘/H.San «HODMC1ndlCHWWLair202m0%]2010CnamzOnJohooiism/Lowe;7,7, F
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ContractPrice:
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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BIDDER'SPROPOSAL(cont’d) DESIGNATIONOFSUBCONTRACTORSNameofSubcontractorandLocationofPlaceDescriptionofWorkSubcontractor’sDIRRegistrationofBusiness LicenseNo. Number (Biddertoattachadditionalsheetsifnecessary)(PUBLICCONTRACTCODE§410OETSEQ.) N/A

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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BIDDER'SPROPOSAL(cont'd) 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.

12.F

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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BIDDER'SPROPOSAL(cont'd) 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.1 CERTIFICATIONREGARDINGDIRCONTRACTOR/SUBCONTRACTORREGISTRATIONBymysignaturehereunder,astheContractor,IcertifythatContractor,andalllistedSubcontractorsarethesubjectofcurrentandactivecontractorregistrationspursuanttoDivision2,Part7,Chapter1(commencingwithsection1720)oftheCaliforniaLaborCode.Contractor'sregistrationnumberis[pleasecomplete]Subcontractors’registrationnumbersareasindicatedinDocument004314.2.CERTIFICATIONREGARDINGPREQUALIFICATIONINFORMATION[OPTIONAL]Bymysignaturehereunder,astheContractor,Icertifyasfollows:a.ContractorprequalifiedforthisProjectbysubmittingitsStatementofQualifications,dated (SOQ).b.[Pleasecompleteorstrikeoutthefollowingasinapplicable]Subsequently,onorabout and ContactorsubmittedfurtherinformationsupplementingforforegoingStatementofQualifications.Allinformationdescribedaboveisreferredtoasthe"Qualificationlnformation."ContractorhascarefullyreviewedalloftheforegoingQualificationInformation.[Pleasecheckand/orcompleteoneofthefollowing]AllPrequalificationInformationremainstrueandcorrectinallmaterialrespectsasofthedatehereof,asifsuchinformationwereactuallybeingsubmittedtoOwnerasofthedatehereof.ExceptasotherwiseexpresslysetforthinseparateAdditionalPrequalificationInformation,submittedwiththeBid,allPrequalificationInformation '\U(>0w“1*rz3

12.F

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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BIDDER'SPROPOSAL(cont’d) remainstrueandcorrectinallmaterialrespectsasofthedatehereof,asifsuchinformationwereactuallybeingsubmittedtoOwnerasofthedatehereof.[ContractormustprovideAdditionalPrequalificationInformationasdescribedaboveifthisitemischecked.]CERTIFICATIONOF[InsertotherOwner-specificcertifications,ifapplicable.Otherwise,delete.] BID
ofBidder DateSignatuofB Date
Printnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.) E}
9PA

12.F

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ACKNOWLEDGMENT
Anotarypublicorotherofficercompletingthiscertificateveri?esonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.StateofCaliforniaCountyof ) On beforeme,(insertnameandtitleofeof?cerpersonallyappearedwhoprovedtomeonthebasisofsatisfactorytobetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity(ies),andthatbyhis/her/theirsignature(s)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.

WITNESSmyhandandofficialseal
NM1Signature (Seal)

12.F

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ACKNOWLEDGMENT
Anotarypublicorotherofficercompletingthiscerti?cateveri?esonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness,accuracy,orvaliofthatdocument.StateofCaliforniaCountyof ) On beforeme,(insertnameandtitleofthepersonallyappearedwhoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity(ies),andthatbyhis/her/theirsignature(s)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.

WITNESSmyhandandofficialseal. BRIANNARONDOMANSKINotaryPublic-CaliforniaLosAngelesCountyCommission4‘2374186Comm.ExpiresSep7,2025Signature (Seal) C)

12.F

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BIDDER'SPROPOSALParkingImprovementsatSimpsonMemorialCenterCIPN0.5736Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentforthePARKINGIMPROVEMENTSATSIMPSONMEMORIALCENTER,CIPNo.5736,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.TheundersignedhasalsocarefullycheckedallofthefiguresgivenandunderstandsthattheAgency foranyerrorsoromissionsonthepartoftheundersignedinsubmittingthisproposal.Contractorconfirmsthathis/her/itsbidissubmittedwithrespecttothechangestotheContractand/orContractDocumentsincludedinalladdendaissuedbytheOwner.Inadditiontoreaffirmingthatthechangesandinformationcontainedintheaddendahavebeenintegratedintotheirproposal,ContractoracknowledgesreceiptofAddendaNo.(slITheundersignedhasexaminedthecurrentStateofCaliforniascheduleofprevailingwageratesforthetypesofworktobedoneonthisproject(andtheDavis-BaconActiftheAgencyusesfederalfundsfortheProject)andagreestopaynotlessthantheserates.Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentforthePARKINGIMPROVEMENTSATSIMPSONMEMORIALCENTER,CIPNo.5736andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal.

12.F

1/23/23,9:53AM P|anetBidsVendorPortal
ParkingImprovementsatSimpsonMemorialCenter—Cl...

QandASet1hasbeenreleasedforthisproject
None
https://pbsystem.planetbids.comlpoital/39477/bo/bo-detail/100805#bidAddendaAndEmai|s1/ Addenda
EmailHistory
Jan23,202301232023-01QandASet

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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736B|DDER'SPROPOSAL(cont’d) BASEBID-ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736 ITEMNo
10 11
12 13

BIDSCHEDULE
DESCRIPTIONMobilization(NottoExceed5%ofBid)TrafficandPedestrianControl Clearing,Grubbing,andRemovals
WaterQualityControlTemporaryConstructionProjectIdentificationSignFieldOrdersUnclassifiedExcavationRemoveExistingImprovementsandConstructCrossGutterPerCityofHemetStd.PlanNo.C-213HotMixAsphaltUntreatedBaseRemoveandReplaceType‘D’CurbperCityofHemetStd.PlanNo.C-203RemoveandConstructWestADAParking&Ramp(includeswheelstop,Type'D'Curb,PCCPavement,Sidewalk,Ramp,TruncatedDomes,andPedestrianHandrail).RemoveandConstructSouthADAParking&Ramp(includeswheelstop,Type'D'Curb,PCC UNIT
L5L5
EA
CY
SF
TN
TN
EA
EA

ESTIMATEDQUANTITY
1,000
500
940
875
25 UNITPRICE
$10,000

EXTENDEDITEMAMOUNT
$10,000

26.0002,0002,0005,0005,0002,0002/000i,C0OL000
IIIm,r:oO22.50(1,250132/24,0803530,6925’7:1,575

12.F

ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) BASEBID— ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736EXTENDEDlTNE2/lDESCRIPTIONUNIT ITEMAMOUNTPavement,Sidewalk,Ramp,TruncatedDomes,andPedestrianHandrail).RemoveandConstructNorthADAParking&Ramp(includeswheelstop,Type'D'Curb,PCC14Pavement,Sidewalk,Ramp,EA1TruncatedDomes,andPedestrianHandrail).AdjustExistingWaterValveto15FinishedSurfaceEA2RemoveandRelocateExisting16l.V .C.Box EA1 17FurnishandInstallWheelStopEA5
18StrIpIng_andSignage(IncludingL5 1ADAStripingandSigns)19SurveyServicesL5 1 TOTALBASEBID(numbers)
BASEBIDTOTAL(inwords) Cents
Contractor'sInitials
Dollarsand1“1lr€
3,ooo38,we
251)£502,0002,0034(9,51309,500I5,000/5,0004$5,«77.Coucarra'£600)Zwndrro’Jwmtq?’/E’do/lac;@0

12.F

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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736B|DDER'SPROPOSAL(cont'd) BIDADDITIVE— ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736 ITEMNo
10 11
1213
DESCRIPTIONUNITMobilization(NottoExceed5%of. LSBid)TrafficandPedestrianControlLS Clearing,Grubbing,andRemovalsLS
WaterQualityControlLS
UnclassifiedExcavationCYRemoveExistingImprovementsandConstructCrossGutterPerSFCityofHemetStd.PlanNo.C-213RemoveExistingImprovementsandConstructPCCDrivewaySApproachPerCityofHemetStdFPlanNo.C-208ConstructPCCPavementCY UntreatedBase TNAdjustExistingWaterValveto EAFinishedSurfaceHotMixAsphaltTN SurveyServicesLSStripingandSignage(IncludingLSADAStripingandSigns)TOTALBIDADDITIVEnumbers)

ESTIMATEDQUANTITY
575
170
1,200
300
525
45 UNITPRICEEXTENDEDITEMAMOUNTz§,DoO2,0002,0005,000&‘,C>OO2, 2,cooor37,322-5733.825I2ILL,4008702(0l,CC(>3912,373250500/325,02405,0005,0002,0002,0Cr>

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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BIDDER'SPROPOSAL(cont’d) BIDADDITIVETOTAL(inwords)
TOTALBIDAMOUNT(innumbers)fortheTOTALPROJECT(BASEBID+BIDADDITIVE)is:

TOTALBIDAMOUNT(inwords)fortheTOTALPROJECT(BASEBID+BIDADDITIVE)is:

Dollarsand CentsContractor'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.

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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BIDDER'SPROPOSAL(cont’d) Allbidsreceivedshallberecordedonanabstract(tabulation)ofbids,andthenmadeavailableforpublicinspectionwithintwobusinessdaysofbidopening.Thequantitieslistedinthebidproposalareprovidedtogiveageneralindicationofthescopeoftheworkandforthecomparisonofbids.Nowarrantyismade,eitherexpressedorimplied,thattheactualquantitiesofworktobedonewillcorrespondtherewith.Itemnumbersfollowedby"(S)”aredesignatedasspecialtyitemswhichwillnotbeincludedtowardsthecalculationofminimumof50percentofworktobeperformedbyContractor'sownforces.BysigningandsubmittingthisbidtheContractorconfirmsthattheyarefamiliarwiththeworksiteandallexistingconditionsthatmayaffecttheirworkandthattheyhavereadandagreetoalltheterms,conditionsandrequirementscontainedorreferencedhereinorintheContractDocumentsandthatalltheaforementionedhasbeenincludedinthebidpriceslistedabove,includingitemsofworkthatmaynothaveaspecificpaylineitemandthatthereshallbenoadditionalcoststotheAgency.W ARNING:IfanaddendumoraddendahavebeenissuedbytheAgencyandnotnotedaboveasbeingreceivedbythebidder,thisBidmayberejected.

Legalnameofthebusiness,DIRReg.andContractorLicenseNos.

BusinType(Corporation,Partnership,SoleProprietor)
Nameandtitleoftheowner
BusinessAddress
Completethefollowing:RoadwayEngineering&ConstructionCorp.,1000807140,1o7314'5-CmggA49) PresidentAivarezSecretary
DBA(ifany)Alvare
NameandtitleofsecondpartnerorofficerAve?Perris,CA9257

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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) Facsimilenumber \\\“"ll;
2NameandEmailaddressofprimarycontact E5,
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SignatureofBid Date Date
Printnameandtitle Printnameandtitle(I_ftheBidderisacorporationtwosignaturesofcorporateofficersarerequired.) H
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Telephonenumber
Cdmpanywebddre?J—‘
SignatureofBidder
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Directors Engineering
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EricAlvarez.theChairman,thenouxlinedthepurpuseofthemeetingwastodiscussseveralitemsthathadcometotheattentionofmanagement,whichtheChairmanfeltrequiredBoard unanimo
oration,
Engineexing
21 ee2 0str00MinutesofRegularBoardofDirectorsMeetingAmeetingoftheBoardof ofRoadway&ContractingInc.washeldonFebruary'01,2021,atthefollowingaddress:18800LakepointeDriveRiverside,California92503TheSecretaryofRoadwayEngineering&ConstructionCorp.calledtherollandthefoilDirectorswerepresent:EricAlvarezSimonetteJ.Alvarez ...allbeingDirectorsofRoadwayEngineering&ConstructionCorp..TheSecretarythennotedthataNoticeofthetimeandplaceofthemeetinghadbeensenttoeachoftheDirectorsinaccordancewiththeprovisionssetforthintheby-lawsofRoadway&ConstructionCorp.. consideration.TheChairmanthenstatedthatthenextorderofbusinesswastheauthorizationofapersonto-executecontractsonbehalfoftheCorporation.Afterconsideration,anduponmotiondulymadeandseconded,itwasuslyz RESOLVED,thattheSecretaryoftheCorpEricAlvarez,isherebyauthorizedtoexecutecontractsonbehalfofthecorporation.

Therebeingnofurtherbusiness,themeetingoftheboardofDirectorsforRoadway&C Inc.wasthenadjourned.Dated: 20Z5

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Contractor'sLicenseDetailforLicense#1073145DISCLAIMER:AlicensestatuscheckprovidesinformationtakenfromtheCSLBlicensedatabase.Beforerelyingonthisinformation,youshouldbeawareofthefollowinglimitations.

Datacurrentasof1/26/20238:38:03AMBusinessinformation
ROADW AYENGINEERING8:CONSTRUCTIONCORP3121INDIANDRPERRIS,CA92571BusinessPhoneNumber:(95l)940-0045 LicenseStatus
Classifications
BondingInformation
ThequalifyingindividualERlCALV AREZcertifiedthathe/sheowns10percentormoreofthevotingstock/membershipinterestofthiscompany;therefore,theBondofQualifyingindividualisnotrequiredEffectiveDate:02/01/2021Workers‘Compensation Other
PPersonnellistedonthislicense(currentordisassociated)arelistedonotherlicenses » CSLBcomplaintdisclosureisrestrictedbylaw[ llfthisentityissubjecttopubliccomplaintdisclosureclickonlinkthatwillappearbelowformoreB84?71246 Home
informationClickfurade?nitiunofdisclosableactions.OnlyconstructionrelatedciviliudgrnentsreportedtoCSL6aredisclasedl)ArbitrationsarenutlistedunlessthecontractorfallstocomplywiththetermsDuetaworkload,theremayberelevantlnformatlonthathasnutyetbeenenterediniutheboard'slicensedatabase here B&P707117
EntityCorporationIssueDate02/01/2021ExpireDateoz/2a(zu2s A-GENERALENGINEERINGB— NG
Contractor'sBondThislicense?ledaContractor'sBondwithBondNumber:65364303BondAmount:$25,000EffectiveDate:01/01/2023 WESFERNSUREFYCOMPANY .

Contractor‘:BondHistory
ThislicensehasworkerscompensationinsurancewiththePolicyNumber:7600017355221EffectiveDate:03/01/2022ExpireDate:03/01/2023

EVERESTPREMIERINSURANCECOMPANY
Workers‘CompensationHistory

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12.F

ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) CERTIFICATEREGARDINGCONTRACTOR'SLICENSE1.ContractorisrequiredtopossessoneofthefollowingStateContractor'sLicense:StateofCaliforniaGeneralContractorTypeBContractor'sLicenseorCombinationofSpecialtyClassContractor'sLicenses2.Afailureto(1)possesstherequiredlicense,(2)truthfullysetforththefollowinginformation,and/or(3)executethisCertificatemayrendertheproposalnonresponsiveandpermittheCitytorejecttheproposal.(BusinessandProfessionsCodeSection7028.15)3.Contractordeclares,underpenaltyofperjury,thatshe/itpossessestherequiredContractor's|icense(s)which:aBearsthelicensenumber(s)bExpireson:

SignatureofBid DateSignatureof Date
Printnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateo?icersarerequired.)ThisrequiredlicensedeterminationhasbeenmadebytheAgency.AnyContractorholdingadifferentlicensewhofeelsheisqualifiedtobidonthisworkmustsoadvisetheAgencyatleastseven(7)dayspriortothebidopening.TheAgencymayconductareviewofthecontemplatedworktore-evaluatetherequiredlicensedetermination.TheAgencymayinitssolediscretionmaintainorchangetherequiredlicensedetermination;Agency'sdecisionastotherequiredlicensewillbefinal. 1073145or?/:)'7,0
D2®’ZO3
Preside” SecretaryEric;

12.F

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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) BIDSECURITYFORMFORCHECKNOTE:THEFOLLOWINGFORMSHALLBEUSEDINTHECASEOFCHECKACCOMPANYINGBIDAccompanyingthisproposalisaCertifiedCheckorCashier'sCheckpayabletotheorderoftheCityofHemet,hereinafterreferredtoas"Agency",fordollars(5 ),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,twosignaturesofcorporateofficersarerequired.) Mn Nln

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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736BlDDER'SPROPOSAL(cont’d) BIDSECURITYFORMFORBONDKNOWALLBYTHESEPRESENTSThattheundersignedRoadwayEngineering&ConstructionCorp(NameofContractor)NationwideMutualInsuranceasPrincipalandtheundersignedSuretyareheldandfirmlybounduntoOwner,CITYOFHEMET,apoliticalsubdivisionoftheStateofCalifornia,asobligee,inthepenalsumof(D_cJII:=I_rAmount[,1words) TenpercentofamountbidDollars($10%IlawfulmoneyoftheUnitedStatesofAmericabeingatleasttenpercent(10%)oftheaggregateamountofsaidPrincipal'sbaseBid,forthepaymentofwhich,wellandtrulytobemade,webindourselves,oursuccessors,executors,administrators,andassigns,jointlyandseverally,firmlybythesepresents.WHEREAS,saidPrincipalissubmittingaBidforParkingImprovementsatSimpsonMemorialCenter,CIP5736.THECONDITIONOFTHISOBLIGATIONISSUCHthatiftheBidsubmittedbythesaidPrincipalbeacceptedandtheContractbeawardedtosaidPrincipalandsaidPrincipalshallwithintherequiredperiodsenterintotheContractsoawardedandprovidetherequiredConstructionPerformanceBond,ConstructionLaborandMaterialPaymentBond,insurancecertificates,andallotherendorsements,forms,anddocumentsrequiredundertheInstructionstoBidders,thenthisobligationshallbevoid,otherwisetoremaininfullforceandeffect.INWITNESSWHEREOF,theaboveboundenpartieshaveexecutedthisinstrumentthis19”‘dayof January ,2055.(Month)RoadwayEngineering&ConstructionCorpll“ Sea ByPrincipalE 3yNationwideMutualInsuranceCompany5 SuSea By”lHnl\ iaJ Attorney-in-Fact cAlvarez

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ALL-PURPOSECERTIFICATEOFACKNOWLEDGMENT
Anotarypublicorotherofficercompletingthiscertificateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscertificateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.

StateOfCalifornia)CountyofRiverside)OnpersonallyappearedEricAlVal'9Zbeforeme,SarahMaeSUrieta,NotaryPublic(HereinsertnameandtitleOftheof?cer) whoprovedtomeonthebasisofsatisfactoryevidencetobethepersonkr)whosename(s)(@aresubscribedtothewithininstrumentandacknowlt??she/theyexecutedthesameintl@her/theirauthorizedcapatomethat),andthatbyher/theirsignaturel-59ontheinstrumenttheperson(s-),ortheentityuponbehalfofwichtheperson(s)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.WITNESSmyhanandofficialseal Signature (Seal)

ADDITIONALOPTIONALINFORMATIONDESCRIPTIONOFTHEATTACHEDDOCUMENT (Titleordescriptionofattacheddocumentcontinued)NumberofPagesDocumentDate CAPACITYCLAIMEDBYTHESIGNERIndividual(s)1CorporateOfficerPresident(Title)Partner(s)Attorney—in-FactTrustee(s)Other2015Versionwww.NotaryClasses.com800-873-9865 SARAHMAESANPEDROllRlE'l'f‘.i.COMM.#2363148NotaryPublic-CaliforniaSanBernardinoCounty-* Comm.June2025
R01
INSTRUCTIONSFORCOMPLETINGTHISFORMThisformcomplieswithcurrentCaliforniastatutesregardingnotarywordingand,ifneeded,shouldbecompletedandattachedtothedocument.Acknoliiiedgents?omotherstatesmaybecompletedfordocumentsbeingsenttothatstatesolongasthewordingdoesnotrequiretheCalifornianotarytoviolateCalifornianotarylaw.StateandCountyinformationmustbetheStateandCountywherethedocumentsigner(s)personallyappearedbeforethenotarypublicforacknowledgment.Dateofnotarlzationmustbethedatethatthesigner(s)personallyappearedwhichmustalsobethesamedatetheacknowledgmentiscompleted.Thenotarypublicmustprinthisorhernameasitappearswithinhisorhercommissionfollowedbyacommaandthenyourtitle(notarypublic).Printthename(s)ofdocumentsigner(s)whopersonallyappearatthetimeofnotarization.Indicatethecorrectsingularorpluralformsbycrossingoffincorrectforms(i.e.he/she/t-hey,—is/afe)orcirclingthecorrectforms.Failuretocorrectlyindicatethisinformationmayleadtorejectionofdocumentrecording.Thenotarysealimpressionmustbeclearandphotographicallyreproducible.Impressionmustnotcovertextorlines.Ifsealimpressionsmudges,re-sealifasufficientareapermits,otherwisecompleteadifferentacknowledgmentform.Signatureofthenotarypublicmustmatchthesignatureon?lewiththeofficeofthecountyclerk.'2‘Additionalinformationisnotrequiredbutcouldhelptoensurethisacknowledgmentisnotmisusedorattachedtoadifferentdocument.9Indicatetitleortypeofattacheddocument,numberofpagesanddate.'2'Indicatethecapacityclaimedbythesigner.Iftheclaimedcapacityisacorporateofficer,indicatethetitle(i.e.CEO,CFO,Secretary).Securelyattachthisdocumenttothesigneddocumentwithastaple (T?1e'ordescriptionofétlaheddbcument)
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12.F

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CALIFORNIAALL-PURPOSEACKNOWLEDGEMENT
Anotarypublicorotherofficercompletingthiscertificateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscertificateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.StateofCaliforniass.CountyofSanBernardinoJAN192023On beforeme, RebeccaElizabethNotarvPublicNameandTitleofOfficer(e.g.,"JaneDoe,NotaryPublic")personallyappeared nthiaJ.YounofSigner(s)whoprovedtomeonthebasisofsatisfactoryevidencetobethepersonwhosenameissubscribedtothewithininstrumentandacknowledgedtomethatsheexecutedthesameinherauthorizedcapacity,andthatbyhersignatureontheinstrumenttheperson,ortheentityuponbehalfofwhichthepersonacted,executedtheinstrument.“'°°"'“E*°"°"°5’°3’2“ IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.TNESSmyh officialseal ofNotary
OPTIONALThoughtheinformationbelowisnotrequiredbylaw,itmayprovevaluabletopersonsrelyingonthedocumentandcouldpreventfraudulentremovalandreattachmentofthisformtoanotherdocument.DescriptionofAttachedDocumentTitleorTypeofDocumDocumentDate: NumberofPages:Signer(s)OtherThanNamedAbove:Capacity(ies)ClaimedbySigner(s)Signer'sNamD|ndiV]dua| TopofthumbhereI'_'ICorporateOfficerTitle3Partner--ClLimitedCIGeneralIIIAttorney-in-FactElTrusteeIIGuardianorConservatorOther:SignerisRepresenting

RTTHUMBPRINTOFSIGNER

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STATEOFCALIFORNIADEPARTMENT:OFINSURANCESANFRANCISCOAMENDEDCerti?cateofAuthoritv THISIsTOCERTDFY ,That,pursuanttotheInsuranceCodeoftheStateofCalifornia,NATIONWIDEMUTUALINSURANCECOMPANY ofCOLUMBUS,OHIO ,organizedunderthelawsof01-IIO ,subjecttoitsArticlesofIncorporationorotherfundamentalorganizationaldocuments,isherebyauthorizedtotransactwithinthisState,subjecttoallprovisionsofthisCerti?cate,thefollowingclassesofinsurance:FIRE,MARINE,SURETY ,DISABILITY ,PLATEGLASS,LIABILITY ,WORICMEIWSCOMPENSATION,COMMONCARRIERLIABILITY ,BOILERANDMACHINERY ,BURGLARY ,SPRINKLER,TEAMANDVEHICLE,AUTOMOBILE,AIRCRAFTandMISCELLANEOUSinsurance,assuchclassesarenowormayhereafterbede?nedintheInsuranceLawsoftheStateofCalifornia.THISCE.R'1'IFICA'I'Eisexpresslyconditionedupontheholderhereofnowandhereafterbeinginfullcompliancewithall,andnotinviolationofany,oftheapplicablelawsandlawfulrequirementsmadeunderauthorityofthelawsoftheStateofCaliforniaaslongassuchlawsorrequirementsareine?ectandapplicable,andassuchlawsandrequirementsnoware,ormayhereafterbechangedoramended.INWrrmzssWHEREOF,e?ectioeasofthe18']-‘HclayAPRIL19-13.,Ihavehereuntosetmyhandandcausedmyofficialsealtobea?ixed+1“-so18TH RICHARDSDBARGERBy 0FABERDepu1yQuali?cationwiththeSecretaryofStatemustbeaccomplishedasrequiredbytheCaliforniaCorporationsCodepromptlyafterissuanceofthisCerti?cateof FailuretodosowillbeaviolaiiouofIns.CodeSec.701andwillbegroundsforrevokingthisCerti?cateofAuthoritypu.rsua.uttothecovenantsmadeintheapplicationthereforandthe00 containedherein.

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WTNESSWHEREOF,Ihave' 2923.
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PowerofAttorney
KNOWALLMENBYTHESEPRESENTSTHAT:NationwideMutualInsuranceCompany,anOhiocorporationhereinafterreferredtoseverallyasthe"Company?andcollectivelyas“theCompanies”doesherebymake,constituteandappoint:ADRIANAV ALENZUELA;CHRISTINAMOUNTZ;CYNTHIAJYOUNG;JAYPFREEMAN; eachintheirindividualcapacity.itstrueandlawfulattomey-in-fact,withfullpowerandauthoritytosign.seal.andexecuteonitsbehalfanyandallbondsandundertakings.andotherobligatoryinstrumentsofsimilarnature.inpenaltiesnotexceedingthesumofUNLIMITEDandtobindtheCompanythereby.asfullyandtothesameextentasifsuchinstrumentsweresignedbythedulyauthorizedof?cersoftheCompany;andallactsofsaidAttomeypursuanttotheauthoritygivenareherebyrati?edandconfimred.ThispowerofattorneyismadeandexecutedpursuanttoandbyauthorityofthefollowingresolutiondulyadoptedbytheboardofdirectorsoftheCompany:“RESOLVED,thatthepresident.oranyvicepresidentbe.andeachherebyis,authorizedandempoweredtoappointattomeys-in-factoftheCompany.andtoauthorizethemtoexecuteanddeliveronbehalfoftheCompanyanyandallbonds,fonns.applications,memorandums,undertakings.recognizances,transfers.contractsofindemnity.policies,contractsguaranteeingthe?delityofpersonsholdingpositionsofpublicorprivatetmst,andotherwritingsobligatoryinnaturethatthebusinessoftheCompanymayrequire;andtomodifyorrevoke.withorwithoutcause.anysuchappointmentorauthority;provided,however,thattheauthoritygrantedherebyshallinnowaylimittheauthorityofotherdulyauthorizedagentstosignandcountersignanyofsaiddocumentsonbehalfoftheCompany.”“RESOLVEDFURTHER.thatsuchattomeys-in-factshallhavefullpowerandauthoritytoexecuteanddeliveranyandallsuchdocumentsandtobindtheCompanysubjecttothetermsandlimitationsofthepowerofattorneyissuedtothem.andtoaf?xthesealoftheCompanythereto;provided,however,thatsaidsealshallnotbenecessaryforthevalidityofanysuchdocuments.“ThispowerofattorneyissignedandsealedunderandbythefollowingbylawsdulyadoptedbytheboardofdirectorsoftheCompany.ExecutionofInstmments.Anyvicepresident.anyassistantsecretaryoranyassistanttreasurershallhavethepowerandauthoritytosignorattestallruments,contracts.orotherpapersinconnectionwiththeoperationofthebusinessofthecompanyinadditiontothechainnanoftheboard,thechiefexecutiveof?cer.president.treasurerorsecretary;provided.however.thesignatureofanyofthemmaybeprinted.engraved.orstampedonanyapproveddocument.contract.instrument.orotherpapersoftheCompany.INWITNESSWHEREOF,theCompanyhascausedthisinstnrmenttobesealedanddulyattestedbythesignatureofitsof?certhe20thdayofAugust.2021.

AntonioC.Albanese,VicePresidentofNationwideMutualInsuranceCompanyACKNOWLEDGMENTSTATEOFNEWYORKCOUNTYOFNEWYORK:ssOnthis20thdayofAugust.2021.beforemecametheabove-namedof?cerfortheCompanyaforesaid.tomepersonallyknowntobetheof?cerdescribedinandwhoexecutedtheprecedinginstrument.andheacknowledgedtheexecutionofthesame,andbeingbymedulysworn.deposesandsays.thatheistheof?ceroftheCompanyaforesaid.thatthesealaf?xedheretoisthecorporatesealofsaidCompany.andthesaidcorporatesealandhissignatureweredulyaf?xedandsubscribedtosaidinstrumentbytheauthorityanddirectionofsaidCompany.

StephanieRubinoMcArthurNotaryPublic.StateofNewYorkNo.D2MC6270117Quali?edinNewYorkCountyCommissionExpiresOctober19.2024CERTIFICATEI.LauraB.Guy,AssistantSecretaryoftheCompany.doherebycertifythattheforegoingisafull,trueandcorrectcopyoftheoriginalpowerofattorneyissuedbytheCompany;thattheresolutionincludedthereinisatrueandcorrecttranscriptfromtheminutesofthemeetingsoftheboardsofdirectorsandthesamehasnotbeenrevokedoramendedinanymanner;thatsaidAntonioC.Albanesewasonthedateoftheexecutionoftheforegoingpowerofattorneythedulyelectedof?ceroftheCompany.andthecorporatesealandhissignatureasof?cerweredulyaffixedandsubscribedtothesaidinstrumentbytheauthorityofsaidboardofdirectors;andtheforegoingpowerofattorneyisstillinfullforceandeffect.IN hereuntosubscribedmynameasAssistantSecretary.andaf?xedthecorporatesealofsaidCompanythis19thdayof§(a.w¢a.3-C9v\5..AssistantSecretaryBDJ1(08-21)00 NalaryPublicMyCammlsslonExplnas2024

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4 ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736B|DDER'SPROPOSAL(cont'd) NON-COLLUSIONAFFIDA VITPUBLICCONTRACTCODESECTION7106NON-COLLUSIONDECLARATIONTOBEEXECUTEDBYBIDDERANDSUBMITTEDWITHBIDTheundersigneddeclares: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.IdeclareunderpenaltyofperjuryunderthelawsoftheStateofCaliforniathattheforegoingistrueandcorrectandthatthisdeclarationisexecutedon [date],at[city], state].

SignatureofB Date Date
Printnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.) RoadwayEngineering&ConstructionCorpPresident
EricAlvarez- president secretarySignatureofBidderAlvarez. 0i'?J(v'’L07/

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ALL-PURPOSECERTIFICATEOFACKNOWLEDGMENT
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Anotarypublicorotherofficercompletingthiscertificateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscertificateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.

StateOfCalifornia)CountyofRiverside)On beforeme,SarahMae8Urieta,NotaryPublic(Hereinsertnameandtitleoftheof?cer) personallyappearedEricA'V9|'eZwhoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename$)®aresubscribedtothewithininstrumentandacknowltomethatt?§she/theyexecutedthesamein?§her/theirauthorizedcapa),andthatbyher/theirsignaturefs-)ontheinstrumenttheperson(s),ortheentityuponbehalfofwichtheperson(s)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.SARAHMAESANPEDROURIETACOMM.#2363l48NotaryPublic-CaliforniaSanBernardinoCountyJune2025WITNESSmyhandandofficialseal NRO1LGHN
Signature (Seal)INSTRUCTIONSFORCOMPLETINGTHISFORMThisformcomplieswithcurrentCaliforniastatutesregardingnotarywordingand,DESCRIPTIONOFTHEATTACHEDDOCUMENTifneeded,shouldbecompletedandattachedtothedocument.Acknolwedgents?omotherstatesmaybecompletedfordocumentsbeingsenttothatstatesolongasthewordingdoesnotrequiretheCalifornianotarytoviolateCalifornianotarylaw.-StateandCountyinformationmustbetheStateandCountywherethedocumentsigner(s)personallyappearedbeforethenotarypublicforacknowledgment.-Dateofnotarizationmustbethedatethatthesigner(s)personally‘appearedwhich(Titleordescriptionofattacheddocumentcontinued)mustalsobethesamedatetheacknowledgmentiscompleted.-ThenotarypublicmustprinthisorhernameasitappearswithinhisorherNumberofPagesj DocumentDate commissionfollowedbyacommaandthenyourtitle(notarypublic).0Printthename(s)ofdocumentsigner(s)whopersonallyappearatthetimeofnotarization.CApAC|TYCLAIMEDBYTHESIGNERIIndicatethecorrectsingular.orpluralformsbycrossingoffincorrectforms(i.e... he/she/they:15/are)orcirclingthecorrectforms.FailuretocorrectlyindicatethisIndwldual(5) informationmayleadtorejectionofdoctunentrecording.VCorporate -Thenotarysealimpressionmustbeclearandphotographicallyreproducible.Impressionmustnotcovertextorlines.Ifsealimpressionsmudges,re-sealifasufficientareapermits,otherwisecompleteadifferentacknowledgmentform.0Signatureofthenotarypublicmustmatchthesignatureon?lewiththeof?ceofPartner(s)_ thecountyclerk.Attorney-rn-Fact~2~AdditionalinformationisnotrequiredbutcouldhelptoensurethisTrustee(s) acknowledgmentisnotmisusedorattachedtoadifferentdocument.other 4*Indicatetitleortypeofattacheddocument,numberofpagesanddate.'2'Indicatethecapacityclaimedbythesigner.Iftheclaimedcapacityisacorporateof?cer,indicatethetitle(i.e.CEO,CFO,Secretary).2015VersionWWWNotaryclassescom300-373-9555-Securelyattachthisdocumenttothesigneddocumentwithastaple Pv(Ti?eordescriptionofattacheddocume)n't

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ParkingImprovementsatSimpsonMemorialCenter,CIPNo.5736B|DDER'SPROPOSAL(cont’d) CONTRACTOR'SREFERENCELISTAttachtothisbidalistofthree(3)projectsinthepastfive(5)yearsonwhichthebidderandhissubcontractor(s)havesuccessfullyconstructedandcompletedprojectswiththesametype(elements),sizeandcomplexityofwork.TheAgencyEngineerwillmakethefinaldeterminationofwhethertheprojectslistedhereareofthesametype,sizeandcomplexityasthisproject.Failureofbiddertosupplysufficientdocumentationofsimilarelectric,telephone,cableandsanitarysewerundergroundfacilitiesexperienceshallbeconsideredgroundsforanon—responsivebidand,attheAgency'sdiscretion,saidbidwillbedisqualified.ProjectName:ContractPrice: DateofCompletionName,Address,andTelephoneNumberofOwner'sRepresentative:

ProjectName:ContractPrice: DateofCompletionName,Address,andTelephoneNumberofOwner'sRepresentative:

ProjectName:ContractPrice: DateofCompletionName,Address,andTelephoneNumberofOwner'sRepresentative:
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