Hemet City Council
December 12, 2023

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Sigr(a(ure of B
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SEWER MAINREPLACEMENT
CIP No 5729 BIDDER'SPROPOSAL(cont’d)
actually being submitted to Owner as of the date hereof. [Contractor must provide Additional Prequalification Informationas described above ifthis item is checked.] CERTIFICATIONOF DOWNING CONSTRUCTION, INC.
[Insert other Owner-specific certifications, if applicable. Otherwise, de|ete.] BIDDER:
idder Date Signature of Bidder
KEVINELLIS. PRESIDENT MICHELLELAVANWAYCFO
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate o?icersare required.)

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SEWERMAINREPLACEMENT
CIP No. 5729 BIDDER'SPROPOSAL
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the SEWER MAIN REPLACEMENT,CIP No. 5729, and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, specifications, General Conditions, Special Provisions, General Provisions, Greenbook 2021 as amended and supplemented, technical references, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal.

The undersigned has examined the location of the proposed work and all local and physical conditions and challenges presented by the Project site, is familiar with the plans, specifications, Contract Documents (particularly as delineated above) and the requirements of the Public Works Contract, and also understands that the Project shall be completely constructed in turn-key condition acceptable to the Owner within the Project time requirements for the price of the proposal, including all fees and sales and/or use tax upon any materials so furnished, including any unit prices and additive/deductiveitems. The undersigned has also carefully checked all of the figures given and understands that the Agency will not be responsible for any errors or omissions on the part of the undersigned in submitting this proposal.

Contractor confirms that his/her/itsbid is submitted with respect to the changes to the Contract and/orContract Documents included in all addenda issued by the Owner.

In addition to reaffirming that the changes and information contained in the addenda have been integrated into their proposal, Contractor acknowledges receipt of Addenda No.(s 1 3
The undersigned has examined the current State of California schedule of prevailing wage rates for the types of work to be done on this project (and the Davis-Bacon Act if the Agency uses federal funds for the Project) and agrees to pay not less than these rates.

The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the SEWER MAIN REPLACEMENT,CIP No. 5729 and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, specifications, General Conditions, Special Provisions, General Provisions, Greenbook 2021 as amended and supplemented, technical references, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal.

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SEWER MAINREPLACEMENT
CIP No 5729 BlDDER'SPROPOSAL(cont'd)

BID SCHEDULE
BASEBID — SEWER MAIN REPLACEMENT,CIP No. 5729

EXTENDE

ITEM ESTIMATED UNIT D DESCRIPTION UNIT ITEM
No QUANTITY PRICE AMOUNT
1 Mobilization/ Demobilization(notto $30,0oo_00 $3o,ooo_oo exceed 5%) LS 1
2 $0,300.00 $6,300-00
Traf?cand PedestrianControl LS
3 $4,5oo_oo $4,500.00
WaterQuality Control LS 1
4 $10’00o_00 $10,000.00
FieldOrders LS 1
5 TemporaryConstructionProject $1300-0° $3,600.00
Identi?cationSion EA 2
6 $7,000.00 $7,000.00

CCTV LS
7 $24,000.00 $24,000.00
Bvpass Pumping L8
8 Abandon4"SewerLateral(Gibble $87-00 $943500
Parkl LF 105
9 Abandoninplace6"OrangeBurge $48.00 $11,520.00
(Thompson St.) LF 240
10 $14_oo $35,000.00
Abandon8"SewerMain LF 2500
11 Remove6"OrangeBurge(Thompson $319.00 $19,140.00
St.) LF 60
12 $65.00 $24,700.00
Remove8"SewerMain(Gibble Park) LF 380
13 $8,800.00 $79,200.00
Remove48"Dia.SewerManhole EA 9
14 Furnish&Install4"PVCSDR-35 $243.00 $121,500.00
SewerLateral LF 500
15 Furnish&Install6"PVCSDR-35 $293_oo $67,390.00
SewerLateral LF 230

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SEWER MAIN REPLACEMENT
CIP No 5729 BlDDER'SPROPOSAL(cont’d)
BASEBID — SEWER MAIN REPLACEMENT,CIP No. 5729

EXTENDED

ITEM ESTIMATED UNIT

DESCRIPTION UNIT ITEM
No QUANTITY PRICE AMOUNT
Furnish&install8"PVCSDR-35 $235_oo $7o5,ooo_oo 16 SewerMain LF 3000 17 $18,600.00 $204,600.00
Construct48"Dia.SewerManhole EA 11
13 $1,600.00 $25,600.00
Concreteencasement LF 16
19 $193 $154,786.00
Grind&OverlavACPavement(0.1') SF 80,200
20 $14,600.00 $14,600.00
Strioinoand Sionaoe L8 1
21 $12,500.00 $12,500.00
Replace damaqed TrafficLoops LS 1
22 RemoveandReconstructPCCCurb& $23400 $9,360.00
Gutter LF 40
23 Removeand ReconstructPCC $66.00 $17,s2o_oo
Sidewalk SF 270
24 Removeand ReconstructPCCCross $32.00 $52,800-00
Gutter&Soandrell SF 1650
TOTALBASEBID(numbers) $1 ’55°’°51 '°°
**************************'k*'k******* D
*‘k*************************'k********
*******'k********'k**************
One MillionSix Hundred FiftyThousand and FiftyOne Dollars and No Cents BASEBIDTOTAL (in words)
Contractor's Initials

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SEWERMAIN REPLACEMENT
cup No 5729 BlDDER'SPROPOSAL(cont’d)
In the event of a variation between the unit price and extended total, the unit price will be used and the corrected extension will be considered as the amount bid. If the bid is illegible and cannot be reconciled it will be considered non-responsive and will not be considered for award.

If an additive and/or alternate bid schedule is called for in the Contract Documents, the lowest bid will be determined on the basis of the base bid schedu|e(s) only unless otherwise specified in the Notice Inviting Bids or by Addenda if issued to supersede the Notice inviting Bids on this specific issue.

For a Contract where a deductive bid schedule is called for, the lowest bid will be determined by the total of all bid schedules including the deductive bid schedu|e(s).

Regardless of whether the additive/deductiveor alternates bid items will be considered in determining the low bid, the Agency may elect to include any or none of the additive/ or alternate bid items/schedules, or to otherwise add or remove certain workdeductive from the scope of Work. Accordingly, Contractor warrants that each bid item contains a proportionate share of profit, overhead and other costs and expenses, which will be incurred by the Contractor for the Project.

If equal low bids are received from responsible and responsive bidders the selection shall be made by drawing lots, or other similar random blind method selected by the Agency. If only one responsive bid is received from a responsible bidder the award shall not be made unless the price can be determined to be reasonable based on an analysis by the Agency. The Agency's determination as to the reasonableness of any such bid shall be final.

The Agency reserves the right to reject any or all bids, to waive any irregularity(ies), and to take all bids under advisement for a period of sixty (60) calendar days after the date the bids are publicly opened. Bidder acknowledges that all costs incurred as a result of preparing the proposal shall be the sole responsibility of Bidder. The Notice Inviting Bids and Instructions to Bidders does not create or impose any obligation upon the Agency to enter into a contract.

Allbids received shall be recorded on an abstract (tabulation) of bids, and then made available for public inspection within two business days of bid opening.

The quantities listed in the bid proposal are provided to give a general indication of the scope of the work and for the comparison of bids. No warranty is made, either expressed or implied, that the actual quantities of work to be done will correspond therewith. Item numbers followed by "(S)” are designated as specialty items which will not be included towards the calculation of minimum of 50 percent of work to be performed by Contractor's own forces.

By signing and submitting this bid the Contractor confirms that they are familiar with the work site and all existing conditions that may affect their work and that they have read and agree to all the terms, conditions and requirements contained or referenced herein or in the Contract Documents and that all the aforementioned has been included in the bid prices listed above,

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KirtleyConstr

SEWERMAIN REPLACEMENT
CIP No 5729 BlDDER'SPROPOSAL(cont’d)
including items of work that may not have a specific pay line item and that there shall be no additional costs to the Agency.

WARNING: If an addendum or addenda have been issued by the Agency and not noted above as being received by the bidder, this Bidmay be rejected.

Complete the following:
uction, Inc. dba TK Construction
Legal name of the business, DIRReg. and Contractor License Nos.

Corporation
Business Type (Corporation, Partnership, Sole Proprietor) TK Construction
DBA(if any)
Troy Kirtley - President
Name and title of the owner David King - Vice President Name and title of second partner or officer
P.O. Box 9608, San Bernardino, CA 92427
Business Address
909-473-8739
Telephone number
909-473-3067
Facsimile number
tntkirt|[email protected]
Name and Email address of primary contact
N/A
Company web address

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ature Bi
rtley -
r er

SEWERMAIN REPLACEMENT
CIP No 5729 BlDDER'SPROPOSAL (cont’d)
11/21/2023 11/21/2023
Sign Date Signature of Bidd Date
Trov Ki President David Kind- Vice President
Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate o?icersare required.)

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ide
Bidd r

SEWERMAIN REPLACEMENT
CIP No 5729 BlDDER'SPROPOSAL(cont’d)

CERTIFICATEREGARDINGCONTRACTOR'SLICENSE

1. Contractor is required to possess one of the following State Contractor's License:

State of CaliforniaClass ‘A’Contractor's License
Combination of Specialty Class ‘C’Contractor's Licenses

2. A failure to (1) possess the required license, (2) truthfully set forth the following information, and/or (3) execute this Certificate may render the proposal nonresponsive and permit the City to reject the proposal. (Business and Professions Code Section 7028.15)

3. Contractor declares, under penalty of perjury, that he/she/it possesses the required Contractor's |icense(s) which:
a Bears the license number(s): 811801 - Class A.C-34
b. Expires on: 09/30/2304
11/21/2023 11/21/2023
Date Signature of Date
Trov Kirtlev - Pres nt David Kinci— Vice President
Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate o?icersare required.) This required license determination has been made by the Agency. Any Contractor holding a different license who feels he is qualified to bid on this work must so advise the Agency at least seven (7) days prior to the bid opening. The Agency may conduct a review of the contemplated work to re-evaluate the required license determination. The Agency may in its sole discretion maintain or change the required license determination; Agency's decision as to the required license will be final.

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rs t—
1/21/2023
Bidd
11/21/2023
President

SEWERMAIN REPLACEMENT
CIP No 5729
NOTE:THE FOLLOWINGFORMSHALLBEUSEDINTHECASEOF CHECKACCOMPANYINGBID Accompanying this proposal is a Certified Check or Cashier's Check payable to the order of the City of Hemet, hereinafter referred to as "Agency", for N/A dollars ($ N/A this
amount being 10 percent (10%) of the total amount of the bid. This check shall be returned to the undersigned only if either of the following occurs:

A. Ifsaid Bidshall be rejected by the Agency;
B If said Bid shall be accepted by the Agency and the Undersigned shall execute and deliver a Contract in the form attached hereto (properly completed in accordance with said Bid) and shall furnish bonds required for his/her/itsfaithful performance of said Contract and for the payment of all persons performing labor or furnishing materials in connection therewith, and shall in all other respects perform the Contract created by acceptance of said Bid.

Otherwise, said check shall become the property of the Agency.

Said check shall also become the property of the Agency if the Undersigned shall withdraw his/her/itsbid within the period of sixty (60) calendar days after the date set for the opening thereof, unless otherwise ired by law, and notwithstanding the award of the Contract to a bidder.

Signature Date Signature of er Date
Troy Kirtley - Preside David Kinq - Vice
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate o?icersare required.) BlDDER'SPROPOSAL (cont’d)
See Attached Bid Bond

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SEWERMAIN REPLACEMENT
cu» No 5729 BIDDER'SPROPOSAL(cont’d)

BIDSECURITYFORM FOR BOND
KNOWALLBYTHESEPRESENTS:

That the undersigned
KirtlevConstruction, Inc. dba TK Construction
(Name of Contractor)
as Principal and the undersigned as Surety are held and firmly bound unto Owner, CITYOF HEMET, a political subdivision of the State of California, as obligee, in the penal sum Mm Amount |n words] Ten percent of amount bid
Dollars($ 10% lawful money of the United States of America being at least ten percent (10%) of the aggregate amount of said Principal's base Bid, for the payment of which, well and truly to be made, we bind ourselves, our successors, executors, administrators, and assigns, jointly and severally, firmly by these presents.

WHEREAS,said Principal is submitting a Bidfor Sewer Main Replacement CIP No. 5729 THE CONDITION OF THIS OBLIGATION IS SUCH that if the Bid submitted by the said Principal be accepted and the Contract be awarded to said Principal and said Principal shall within the required periods enter into the Contract so awarded and provide the required Construction Performance Bond, Construction Labor and Material Payment Bond, insurance certificates, and all other endorsements, forms, and documents required under the Instructions to Bidders, then this obligation shall be void, otherwise to remain in full force and effect.

IN WITNESS WHEREOF, the above bounden parties have executed this instrument this 16th day of November 20 23.
(Month)
KirtleyConstruction, nc. dba TK Construction
(Corporate Seal)
Pri pa
By Markel Insurance Company
(Corporate Seal) By
J Attorney-in-Fact

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mean»: :nwou¢§I¢otaKsoi's§¢¢sb~n;aaa'ss:Hu{K&,Ia:aimta+:ueb’a CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 Anotary publicor other officercompleting this certificate verifies onlythe identityofthe individualwho signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validityof that document.

State of California
County of San Bernardino
on before me_ Charity Palmer , Notary Public
Date Here Insert Name and Title of the Officer
personally appeared TFOVKl|"UeV
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose namels) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized Capacity(ies). and that by his/her/their signature(s) on the instrument the person(s). or the entity upon behalf of which the person(s) acted, executed the instrument.

I certify under PENALTYOF PERJURY under the
laws of the State of California that the foregoing
paragraph is true and correct.

WITNESS my hand and of?cial seal.

Signature
P/ace Notary Seal and/or Stamp Above of

OPTIONAL
Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.

Description of Attached Document
Title or Type of Document:

Document Date: Number ofPages:

Signer(s) Other Than Named Above:

Capacity(ies) Claimed by Signer(s)
Signer's Name Signer's Name:

El Corporate Of?cer — Tit|e(s): E1Corporate Of?cer — Tit|e(s):

D Partner— El Limited El General El Partner— III Limited [II General El Individual III Attorney in Fact El Individual El Attorney in Fact 1] Trustee El Guardian of Conservator El Trustee D Guardian of Conservator D Other: El Other:

Signer is Representing: Signer is Representing:
©2017 National Notary Association
99$ $i_@$'é<>5 €t4$55i‘>1 67iF5i95é 5‘-t’~'iR<3Kéi5E@65§$f6%4<~*?¢i#6¢é§6l62i§$??

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Copeland
who provedto me on the basis of satisfactory evidence to be the person(s) within instrument and acknowledged to me that he/she/they executed capacity?cs). and that by his/her/their signature(s) on the instmment the whichthe person(s) acted, executedthe instrument.

CALIFORNIAALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE 1189
A notary public or other of?cer completingthis certi?cate veri?es only the identity of the individualwho signed the document to whichthis certi?cate is attachedand not the truthfulness, accuracy, or validity of that document.

State of California )
County of San Bernardino )
2 3
On NOV1 6 02 before me, Vanessa Notary Public,
personally appeared Cynthia J. YOUHQ
Name(s) of Signer(s)
whose name(s) is/are subscribedto the
the same in his/her/their authorized
person(s), or the entity upon behalf of
I certify under PENALTYOF PERJURY under the
laws of the State of California that the foregoing
paragraphis true and correct.
and seal.

Place Notary Seal Above

OPTIONAL
Though the informationbelow is not requiredby law, it may prove valuable to personsrelying on the document and couldpresent fraudulentand reattachmentof this form to anotherdocument.

Description of Attached Document
Type or Title of Document:

Document Date: Number of Pages:

Signer(s) Other Than Named Above:

Capacity(ies) Claimed by Signer(s) Capacity(ies) Claimed by Signer(s) Signer’s Name Cynthia J. Young Signer’s Name
[:1 Individual I: Individual
:I Corporate Officer — Title(s): I: Corporate Officer — Title(s) 3 Partner: I:ILimitedD General I: Partner: I:LimitedC] General IE Attorney in Fact I: Attomey in Fact
:] Trustee I: Trustee
I:I Guardianor Conservator I: Guardian or Conservator
C] Other: I: Other:

Signer Is Representing: Signer Is Representing:

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PARTME
Cahfa
January 2002
January
Qualmtntionwiththe Sccmtsxryofsmle must be nccumplishcdzls requir n?cr issuancc of this C/ani?ualcof AnLhorily.Fnilum to do SE will he a violationof Insumnre Carla Sumo gmunds re:xavaking this Ccxli?cnlc ofAulhorlly pnrsunII| to un:convcnums npplicnxion condiliom contained hcmin.

STATE OF CALIFORNIA
DE NT OF INSURANCE N9 075.
00 SAN FRANCISCO
Amended
Certificate of Authority
THISISTO CERTIFY-THAI}Pursuant to the InsuranceCodeoftheStateofCalifornia, Markel Insurance Company
of Deerf ie 163: ‘I1 1 iI10_iS , organized underthe
laws of 1 1 1 iI\0iS , subject to its Articles ofIncorporation or otherfundamental organizational documents, is hereby authorizedto transactwithinthe State, subject to all provisions ofthis Certi?cate, thefollowing classesofinsurance: Eire , Marine , Surety, Disability, Plate Glass‘, Liability, W_orkers'—Compensation, Common Carrier Liability, B_oi1er ahaMachilhery, Burglary, Credit, Sprinkler, Team and Vehic1e,~Automobi1ej and t4ie_ce11aneo'us1 as such classes are now or may hereafter bede?nezi inthe Insuranc_eLawsofthe State ofCalifomia . THISCERTIFICATEis expressly conditioned uponthe holderhereofnow and hereafterbeing in ?tllcompliancewithall, and not in violationofany,ofthe applicablelawsandlawfulrequirements made under authority ofthe laws ofthe Stateof mid as loizgassuch lawsorrecjuirements are in e?ect and applicable, and as such laws and requirements now are,» or mayhereafterbe changedor amended.

INWITNESSWHEREOF,e_1j’ective as qf__m.e 15”‘
dayof , , I have hereunto
set my hand andcausedmyo'_;§‘i_cial sealto be a?ixedthis day of ; _Z?21.

NOTICE:
made in the therefor
16th
F031“ 9'34’
(>39 0:) 39391

20.F

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pom: 510028

JOINT LIMITEDPOWER OF ATTORNEY
KNOW ALLMEN BYTHESEPRESENTS:That SureTec Insurance Company, a Corporation duly organized and existing under the laws of the State of Texas and having its principal office in the County of Harris, Texas and Markel Insurance Company (the "Company”),a corporation duly organized and existing under the laws of the state of Illinois, and having its principal administrative office in Glen Allen, Virginia, doesby these presents make, constitute and appoint:

Jay P. Freeman, Cynthia J. Young, Christina Mountz, Adriana Valenzuela Their true and lawful agent(s) and attorney(s)-in—fact, each in their separate capacity if more than one is named above, to make, execute, seal and deliver for and on their own behalf, individually as a surety or jointly, as co—sureties, and as their act and deed any and all bonds and other undertaking in suretyship provided, however, that the penal sum of any one such instrument executed hereunder shall not exceed the sum of:

Fifty Millionand 00/100 Dollars ($50,000,000.00)
This Power of Attorney is granted and is signed and sealed under and by the authority of the following Resolutions adopted by the Board of Directors of SureTec Insurance Company and MarkelInsurance Company:
"RESOLVED,That the President, any Senior Vice President, Vice President, Assistant Vice President, Secretary, Assistant Secretary, Treasurer or Assistant Treasurer and each of them hereby is authorized to execute powers of attorney, and such authority can be executed by use of facsimile signature, which may be attested or acknowledged by any officer or attorney, ofthe company, qualifying the attorney or attorneys named in the given power of attorney, to execute in behalf of, and acknowledge as the act and deed of the SureTec Insurance Company and Markel Insurancecompany, as the case may be, all bond undertakings and contracts of suretyship, and to affix the corporate seal thereto."
INWITNESSWHEREOF, MarkelInsurance Company and SureTec Insurance Company have caused their official seal to be hereunto affixed and these presents to be signed by their duly authorized officers on the 24th day of January , 2023 .

SureTec Insurance Company
SEAL
By: By:

Michael C. Keimig, President Vice President
State of Texas
County of Harris:

On this 24th day of January , 2023 A. D., before me, a Notary Public of the State of Texas, in and for the County of Harris, duly commissioned and qualified, came THEABOVEOFFICERSOF THECOMPANIES,to me personally known to be the individuals and officers described in, who executed the preceding instrument, and they acknowledged the execution of same, and being by me duly sworn, disposed and said that they are the officers ofthe said companies aforesaid, and that the seals affixed to the proceeding instrument are the Corporate Seals of said Companies, and the said Corporate Seals and their signatures as officers were duly affixed and subscribed to the said instrument by the authority and direction of the said companies, and that Resolutions adopted by the Board of Directors of said Companies referred to in the preceding instrument is now in force.

IN TESTIMONYWHEREOF,I have hereunto set my hand, and affixed my OfficialSeal at the County of Harris, the day and year ?rst above written.

McC|ary, Notary Public
commission expires 3/29/2026
We, the undersigned Officers of SureTec Insurance Company and MarkelInsurance Company do herby certify that the original POWER OF ATTORNEYof which the foregoing is a full, true and correct copy is still in full force and effect and has not been revoked. 16th davo 2023 , IN WITNESSWHEREOF, we have hereunto set our hands, and af?xed the Seals of said Companies, on the Markel Insurance Company
By: By:

M. Brent Assistant Secretary
Any Instrument Issued in excess ofthe penalty stated above is totally void and withoutany validity. 510028 For verification of the authority ofthis Power you may call (713)812-0800 on any business day‘ between 8:30 AM and 5:00 PM CST.

JULIEE. MCCLAHY
NotaryPublicStateofTexas
Commission# 12347680-5
Commission ExpiresMarch29,2025
VV

20.F

San Bernardino
11/21/2023

SEWERMAINREPLACEMENT
CIP No 5729 BIDDER'SPROPOSAL (cont’d)

NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODESECTION7106

NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID The undersigned declares:
_ KirtleyConstruction,Inc.

I am the President of dba TK Construction the party making the foregoing bid.

The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder. All statements contained in the bid are true. The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose.

Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the bidder.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on j][2j[2Q23 [date], at [city]. lstate]-
11/21/2023
er Date Signature of Bidder Date
Troy Ki - President David King - Vice President
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.)

20.F

SEWER MAINREPLACEMENT
CIP No 5729 BlDDER'SPROPOSAL (cont’d)
Kirtley Construction, Inc. dba TK Construction

CONTRACTOR'SREFERENCELIST
Attach to this bid a list ofthree (3) projects in the past five (5) years on which the bidder and his subcontractor(s) have successfully constructed and completed projects with the same type (elements), size and complexity of work. The Agency Engineer will make the final determination of whether the projects listed here are of the same type, size and complexity as this project.

Failure of bidder to supply sufficient documentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non—responsive bid and, at the Agency's discretion, said bid will be disqualified. project Name Hillside Avenue Sewer Replacement Project
Contract Price: $500,559.00 Date of Completion Dec ' 2021 Name, Address, and Telephone Number of Owner's Representative:

City of Norco Chad Blais 951-270-5678
2870 Clark Ave., Norco, CA 92860
Project Name Washington Ave. LiftStation Decommissioning & New Sewer Pipeline Contract Price: $413490-O0 ate of Completion: Aug ' 2022 Name, Address, and Telephone Number of Owner's Representative:

Elsinore Valley Municipal Water District Andrea Kraft 951-674-3146 31315 Chaney St., Lake Elsinore, CA 92530
Project Name; Frisbie Park Sewer LiftStation
Contract Price: $1.000.576-00 Date of Completion: Jul)’ ' 2020 Name, Address, and Telephone Number of Owner's Representative City of Rialto Tom Crowley 909-820-2525
150 8. Palm Ave., Rialto. CA 92376
(Attach additional pages as necessary)

20.F

$1.041,470.00

SEWERMAINREPLACEMENT
CIP No 5729 BlDDER'SPROPOSAL (cont’d)

ALLAMERICAN ASPHALT

CONTRACTOR'SREFERENCELIST
Attach to this bid a list of three (3) projects in the past five (5) years on which the bidder and his subcontractor(s) have successfully constructed and completed projects with the same type (elements), size and complexity of work. The Agency Engineer will make the final determination of whether the projects listed here are of the same type, size and complexity as this project.

Failure of bidder to supply sufficient documentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non-responsive bid and, at the Agency's discretion, said bid will be disqualified.

Project Name; PAVEMENT MANAGEMENTPROGRAM
Contract Price: $2.082.099.00 Date of Completion: 12/2022 Name, Address, and Telephone Number of Owner's Representative:

CITYOF HIGHLANDPARK - 27215 BASE LINESTREET, HIGHLAND, CA 92346 CONTACT: AMANDAPEREZ (909) 864-6861
Project Name LOCAL STREET REHABILITATIONPROJECT
Contract Price: Date of Completion: 12/2022
Name, Address, and Telephone Number of Owner's Representative:

CITYOF NORWALK - 12700 NORWALK BLVD, NORWALK, CA 90650
CONTACT: DAMIANROSALES (562) 929-5527
project Name, DALES DR. AND PARKRIDGE AVE STREET MPROVEMENTS Contract Price $1 _025.336_00 Date of Completion: 06/2022 Name, Address, and Telephone Number of Owner's Representative:

CITYOF SANTA CLARITA- 23920 VALENCIA BLVD #120, VALENCIA, CA 91355 CONTACT: JUANA ALFARO (661) 255-4942
(Attach additional pages as necessary)

20.F

SEWERMAINREPLACEMENT
cup No 5729 BlDDER'SPROPOSAL (cont'd)
Cell-Crete Corp.

CONTRACTOR’SREFERENCELIST
Attach to this bid a list of three (3) projects in the past five (5) years on which the bidder and hi s subcontractor(s) have successfully constructed and completed projects with the same type (elements), size and complexity of work. The Agency Engineer will make the final determination of whether the projects listed here are of the same type, size and complexity as this project.

Failure of bidder to supply sufficient documentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non-responsive bid and, at the Agency's discretion, said bid willbe disqualified.

Project Name: Kaiser Murrieta Off Site Improvements
Contract Price: $6,000-00 Date of Completion 7/15/2022
Name, Address, and Telephone Number of Owner's Representative:

Eastern Municipal Water District
Project Name. Lake Perris Bypass Pipeline Relining
Contract Price: $145000-00 ate of Completion: 4/2/2021
Name, Address, and Telephone Number of Owner's Representative:

Metropolitan Water District
700 North Alameda Street Los Angeles, CA 90012
project Name: Lakeview Pipeline Improvements
Contract Price: $102000-00 Date of Completion 4/1/2021
Name, Address, and Telephone Number of Owner's Representative:

Metropolitan Water District
700 North Alameda Street Los Angeles, CA 90012
(Attach additional pages as necessary)

20.F

$5 002.09
$8 225.00
erldi_,.. ...._._.__ _. .__,
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$4 800.00

3. H ._ams“ . M
. mama

SEWER MAINREPLACEMENT
CIP No 5729 B|DDER'S PROPOSAL (cont’d)
Sierra Paci?c Electrical
CONTRACTOR’SREFERENCELIST
Attach to this bid a list ofthree (3) projects in the past five (5) years on which the bidder and hi s subcontractor(s) have successfully constructed and completed projects with the same type (elements), size and complexity of work. The Agency Engineer will make the final determination of whether the projects listed here are of the same type, size and complexity as this project.

Failure of bidder to supply sufficient documentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non-responsive bid and, at the Agency's discretion, said bid will be disqualified.

Project Name: Atwell Sewer Force Main
Contract Price: Date of Completion: 07/20/2023
Name, Address, and Telephone Number of Owner's Representative:

Tri Pointe Homes - 1250 Corona Pointe Ct, Suite 600, Corona, CA 92879 Contact #1909-446-1020
Project Name: Water Main Replacement Proiect
Contract Price: Date of Completion: 08/01/2023
Name, Address, and Telephone Number of Owner's Representative:

Western Municipal Water District - 14205 M an Pkwv. Riverside. CA 92518 Project Name: Mountain Ave Street Resurfaeina Phase 1
Contract Price: Date of Completion: 07/12/2023
Name, Address, and Telephone Number of Owner's Representative:

Contact #: 951-245-7788
(Attach additional pages as necessary)

20.F

Cityof LA Public works of?c

SEWER MAIN REPLACEMENT
CIP No 5729 BlDDER'SPROPOSAL(cont’d)
Underground Builders, Inc. DBA Underground Manholes (AKAUGM) CONTRACT0R’S REFERENCELIST
Attach to this bid a list of three (3) projects in the past five (5) years on which the bidder and hi subcontractor(s) have s successfully constructed and completed projects with the same type (elements), size and complexity of work. The Agency Engineer will make the final determination of whether the projects listed here are of the same type, size and complexity as this project.

Failure of bidder to supply sufficient documentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non-responsive bid and, at the Agency's discretion, said bid will be disqualified. project Name SSRP DAR O6 SZC13218
Contract Price: $1.142.337-00 Date of Completion: 06/2023 Name, Address, and Telephone Number of Owner's Representative:
e
UGM customer Ramona Inc.

Project Name: EOCWD ID1 C,R 8. A Prnienf #1
Contract Price: $178740-00 Date of Completion: 02/2023
Name, Address, and Telephone Number of Owner's Representative:

UGM Customer T.E. Roberts Inc.
project Name; EVWDSterling Natural Resource Center Del Rosa Gravity Collector Contract Price $37n_n9n_nn Date of Completion: 02/2023
Name, Address, and Telephone Number of Owner's Representative East Vallev Water District
UGM Customer S.P Rados
(Attach additional pages as necessary)

20.F

Superior Pavement Markings Inc.

SEWER MAIN REPLACEMENT
CIP No 5729 BlDDER'SPROPOSAL (cont’d)
Superior Pavement Markings, Inc

CONTRACTOR'SREFERENCELIST
Attach to this bid a list ofthree (3) projects in the past five (5) years on which the bidder and hi s subcontractor(s) have successfully constructed and completed projects with the same type (elements), size and complexity of work. The Agency Engineer will make the final determination of whether the projects listed here are of the same type, size and complexity as this project.

Failure of bidder to supply sufficient documentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non-responsive bid and, at the Agency's discretion, said bid will be disqualified.

Project Name: Mission Road Sewer Main Replacement Project, Alhambra Contract Price $16.746.00 Date of Completion: 02/2023
Name, Address, and Telephone Number of Owner's Representative:

Torres Sanitation Systems Construction Alexandro Torres (323) 518-9012 9617 Otis Street, South Gate CA 90280
project Name; Washington Avenue LiftStation, Wildomar
Contract Price: $2,195.00 Date of Completion: 08/10/2022 Name, Address, and Telephone Number of Owner's Representative:

TK Construction P.O. Box 9608. San Bernardino CA 92427
David Ellison. (909l 473-8739
Project Name: Avenue 48 & Harrison Street Sewer Improvements Contract Price: $23,Z9A.QQ Date of Completion: 08/2022
Name, Address, and Telephone Number of Owner's Representative:

Jones Brothers Construction 85989 Avenue 52. Coachella CA 92236 (Attach additional pages as necessary)

20.F

SEWER MAINREPLACEMENT
CIP No 5729 B|DDER'S PROPOSAL(cont’d)
Rain for Rent - Western Oil?elds
CONTRACTOR’SREFERENCELIST
Attach to this bid a list of three (3) projects in the past five (5) years on which the bidder and hi s
subcontractor(s) have successfully constructed and completed projects with the same type (elements), size and complexity of work. The Agency Engineer will make the fina l determination of whether the projects listed here are of the same type, size and complexity as this project.

Failure of bidder to supply sufficient documentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for non-responsive bid and, at the Agency's discretion, said bid will be disqualified.

Project Name: Jurupa Valley Sewer Upgrade - De Forest Circle 25000 July 4, 2023
Contract Price: Date of Completion
Name, Address, and Telephone Number of Owner's Representative:

Jurupa Community Services District, 11201 Harrell St, Mira Loma CA 951-685-7434
project Name; San Jacinto Valley Raw Water Conveyance Facilities 8in bypass Contract Price: 30,000 ate of Completion: Feb 21’2023
Name, Address, and Telephone Number of Owner's Representative:

EMWD, 2270 Trumble Rd, Perris CA
951-300-7007
project Name: Rainbow Water LiftStation 1 Bypass
Contract Price: 29500 Date of Completion: October 21' 2023 Name, Address, and Telephone Number of Owner's Representative:

Rainbow Water District, 3707, Old Hwy 395, Fallbrook, CA 760-728-1 178
(Attach additional pages as necessary)

20.F

SEWERMAIN REPLACEMENT
CIP No 5729 BlDDER'SPROPOSAL (cont’d)
Joseph E Bonadiman and Associates, Inc.

CONTRACTOR’SREFERENCELIST
Attach to this bid a list of three (3) projects in the past five (5) years on which the bidder and his subcontractor(s) have successfully constructed and completed projects with the same type (elements), size and complexity of work. The Agency Engineer will make the fina l determination of whether the projects listed here are of the same type, size and complexity as this project.

Failure of bidder to supply sufficient documentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non-responsive bid and, at the Agency's discretion, said bid will be disqualified.

Project Name. IVDAIntermediate Zone 24" Transmission Main Project Contract Price: $11,500-00 Date of Completion: NOV- 2018 Name, Address, and Telephone Number of Owner's Representative:

City of San Bernardino Municipal Water Department sub for TK Construction 397 Chandler P|., San Bernardino, CA 92408
project Name; Frisbie Park Sewer LiftStation
Contract Price $4500-00 Date of Completion: APT' 2020
Name, Address, and Telephone Number of Owner's Representative:

City of Rialto Sub for TK Construction
150 S. Palm Ave., Rialto, CA 92376
project Name; Winerhaven Rd. Pipeline Replacement
Contract Price $5.500.00 “ate of Completion: May ‘ 2020 Name, Address, and Telephone Number of Owner's Representative:

Fallbrook Public UtilityDistrict Sub for TK Construction 990 E. Mission Rd., Fallbrook, CA 92028
(Attach additional pages as necessary)

20.F

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SEWERMAINREPLACEMENT
ClPNo 5729 B|DDER'S PROPOSAL(cont’d)
Structures Unlimited

CONTRACTOR'SREFERENCELIST
Attach to this bid a list ofthree (3)projects in the past five (5) years on which the bidder and his subcontractor(s) have successfully constructed and completed projects with the same type will make the final
size and complexity as
(elements), size and complexity of work. The Agency Engineer determination of whether the projects listed here are of the same type, this project.

Failure of bidder to supply sufficient documentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non-responsive bid and, at the Agency's discretion, said bid willbe disquali?ed.

Project Name:

Contract Price: SEN
Name, Address, and Telephone Number of Owner's Representative:
m:'aVK,r ~.

Project Name:

Contract Price: of Completion
Name, Address, and Telephone Number of Owner's Representative:

Project Name
Contract Price: '14? ~ &
Name, Address, and Telephone Number of Owner's Representative:
dmulBlnis 318%.) (.l.<L\YkrRye, Norm ~CP\ qzeeo
Date of Completion
(Attach additional pages as necessary)
of Completion:
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20.F

SEWERMAIN REPLACEMENT
cup No 5729 BlDDER'SPROPOSAL(cont'd)

DESIGNATIONOF SUBCONTRACTORS
Name of Subcontractor
and Location of Place
of Business Percentage of Work License No.

Description and Subcontractor’s DIRRegistration
Number
AllAmerican Asphalt paving
P.O. Box 2229, 0 Corona, CA 92878 7-85 5 267073 1000001051 $3e;|'ECr;tae“::r§'Ave Pipe Abandonment
Monro\,1a_CA 91015 .89% 246404 1000001454
Sierra Paci?c Electrical
2542 Avalon St. Traf?c Loops
Riverside, CA 92509 _65% 264048 100004626
Underground Manholes
7639 McKinley Ave. Manholes
San Bernardino, 0 CA 92410 4.8% 659134 1000010700
Superior Pavement
Markings, Inc. Striping P.O. Box 278
Beaumont, CA 92223 .77% 776305 1000001476
Rain for Rent
Western Oil?elds Sewer Bypass
6400 Fischer Rd.

Riverside, CA 92507 1% 904992 1000007030
Joseph E Bonadiman
and Associates, Inc. - 234 N. Arrowhead Ave Stakmg
B
. §g“92jg‘8a'd'“°= .58% 909172 1000007202
Structures Unlimited Sidewalk/Curb & Gutter
3387 Chicago Ave.

Riverside, CA 92507 2.25% 550710 1000010800
(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE§4100 ETSEQ.)

20.F

Ru. 0
February 2020

SEWER MAIN REPLACEMENT
CIP No 5729 BIDDER'SPROPOSAL(cont’d)

BIDDERCERTIFICATIONS

TO BEEXECUTEDBYALLBIDDERSANDSUBMITTEDWITH BID
The undersigned Bidder certifies to Owner as set forth in sections 1 through 10, below

STATEMENT OF CONVICTIONS
By my signature hereunder, I hereby swear, under penalty of perjury, that no more than one final, unappealable finding of contempt of court by a Federal Court has been issued against Bidder within the past two years because of failure to comply with an order of a Federal Court or to comply with an order of the National Labor Relations Board.

CERTIFICATIONOF WORKER'SCOMPENSATION INSURANCE
By my signature hereunder, as the Contractor, I certify that I am aware of the Labor Code Section 3700, which requires every employer to be insured against liability for worker's compensation or to undertake self-insurance in accordance with the provisions of that Code, and I will comply with such provisions before commencing the performance of the work of this Contract.

Please note that the submittal of this certificate does not relieve Contractor from complying with all of the insurance requirements of the Public Works Agreement and Contract Documents.

CERTIFICATIONOF PREVAILINGWAGE RATESAND RECORDS
By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Section 1773, which requires the payment of prevailing wage on public projects. Contractor and any subcontractors under the Contractor shall comply with Labor Code Section 1776 regarding wage records, and with Labor Code Section 1777.5 regarding the employment and training of apprentices. Contractor is responsible to ensure compliance by any and all subcontractors performing work under this Contract.

CERTIFICATIONOF COMPLIANCEWITH PUBLICWORKS CHAPTEROF LABORCODE By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Sections 1777.1 and 1777.7 Code, and Contractor and Subcontractors are eligible to bid and work on public works projects.

CERTIFICATIONOF NON-DISCRIMINATION
By my signature hereunder, as the Contractor, I certify that there will be no discrimination in employment with regard to race, color, religion, gender, sexual orientation, age or national origin; that all federal, state, and local directives and executive orders regarding non-discrimination in employment will be complied with; and that the principal of equal opportunity in employment will be demonstrated positively and aggressively.

20.F

, , ,2924
Pre alificatio

SEWERMAINREPLACEMENT
cup No 5729 BIDDER'SPROPOSAL(cont’d)

CERTIFICATIONOF NON-DISQUALIFICATION
By my signature hereunder, as the Contractor, I swear, under penalty of perjury, that the below indicated Bidder, any officer of Bidder, or any employee of Bidder who has a proprietary interest in such Bidder, has never been disqualified, removed, or otherwise prevented from bidding on, or completing a Federal, State, or local government project because of a violation of law or safety regulation, except as indicated on the separate sheet attached hereto entitled "Previous Disqua|ifications.” If a statement of ”Previous Disqualifications” is attached, please explain the circumstances.

CERTIFICATIONOF ADEQUACYOF CONTRACTAMOUNT
By my signature hereunder, as the Contractor, pursuant to Labor Code Section 2810(a), I certify that, if awarded the Contract based on the undersigned’s Bid, the Contract will include funds sufficient to allow the Contractor to comply with all applicable local, state, and federal laws or regulations governing the labor or services to be provided. I understand that Owner will be relying on this certification if it awards the Contract to the undersigned.

CERTIFICATIONREGARDINGDIRCONTRACTOR/ SUBCONTRACTORREGISTRATION By my signature hereunder, as the Contractor, I certify that Contractor, and all listed Subcontractors are the subject of current and active contractor registrations pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code.

Contractor's registration number is [please complete] 100000 Subcontractors’registration numbers are as indicated in Document 00 4314.

FICATIONREGARDINGPREQUALIFICATIONINFORMATION[OPTIONAL]
By ure hereunder, as the Contractor, I certify as follows a. Contra ualified for this Project by submitting its Statement of Qualifications, dated (soa)
b. [Please complete the following as inapplicable] Subsequently, on or about and Contactor submitted
further information supple for foregoing Statement of Qualifications c. Allinformation described above is to as the "Qualification Information.” d. Contractor has carefully reviewed all of the ng Qualification Information. e [Please check and/orcomplete one ofthe
All Prequalification Information remains true and all material respects as of the date hereof, as if such information were actually being to Owner as of the date hereof.

Except as otherwise expressly set forth in separate Additional n Information, submitted with the Bid, all Prequalification Information remains and correct in all material respects as of the date hereof, as if such information

20.F

SEWERMAIN REPLACEMENT
CIP No 5729 BlDDER'SPROPOSAL(cont’d)
actually bmitted to Owner as of the date hereof. [Contractor must provide Additional Informationas described above ifthis item is checked.]

CERTIFICATIONOF
[Insert other Owner-specific certifications, if app Otherwise, de|ete.] Bl
11/21/2023 1/2023
Signature Date Signature of Bidder Date
Trov Kirtl - P David Ki - Vice President
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.)

20.F

SEWERMAINREPLACEMENT
CIP No. 5729 B|DDER'S PROPOSAL
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the SEWERMAINREPLACEMENT, CIP No. 5729, and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice lnviting Bids, Instructions to Bidders, every Addendum, plans, specifications, General Conditions, Special Provisions, General Provisions, Greenbook 2021 as amended and supplemented, technical references, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal.

The undersigned has examined the location of the proposed work and all local and physical conditions and challenges presented by the Project site, is familiar with the plans, speci?cations, Contract Docum_ents(particularly as delineated above) and the requirements of the Public Works Contract, and also understands that the Project shall be completely constructed in turn-key condition acceptable to the Owner within the Project time requirements for the price of the proposal, including allfees and sales and/oruse tax upon any materials so furnished, including any unit prices and additive/deductiveitems. The undersigned has also carefully checked all of the figures given and understands that the Agency will not be responsible for any errors or omissions on the part of the undersigned in submitting this proposal.

Contractor confirms that his/her/itsbid is submitted with respect to the changes to the Contract and/orContract Documents includedin all addenda issued by the Owner.

In addition to reaffirming that the changes and information contained in the addenda have been integrated into their proposal, Contractor acknowledges receipt of Addenda #1 #3
The undersigned has examined the current State of Californiaschedule of prevailing wage rates for the types of work to be done on this project (and the Davis-BaconAct if the Agency uses federal funds for the Project) and agrees to pay not lessthan these rates.

The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the SEWER MAIN REPLACEMENT,CIP No. 5729 and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, speci?cations, General Conditions, Special Provisions, General Provisions, Greenbook 2021 as amended and supplemented, technical references, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal.

20.F

SEWER MAINREPLACEMENT
UNIT
PRICE
91,000
28,000
3,100
10,000
2,300
20,350
26,000

6.20 6.20

10.24 152
21 4,225
407
345
CIP No 5729 BIDDER'SPROPOSAL (cont’d)

BIDSCHEDULE
BASEBID- SEWERMAIN REPLACEMENT,CIP No. 5729

ITEM ESTIMATED
No DESCRIPTION UNIT

QUANTITY
1 Mobilization/ Demobilization(otto
exceed5%) L8 1
2 Trafficand PedestrianControl L8 1
3 WaterQualityControl LS 1
4 FieldOrders LS 1
5 TemporaryConstructionProject
Identi?cationSign EA 2
6 CCTV LS 1
7 Bypass Pumping L3 1
3 Abandon4"SewerLateral(Gibble
Park) LF 105
9 Abandoninplace6"OrangeBurge
(Thompson St.) LF 240
10 Abandon8"SewerMain LF 2500
11 Remove6"OrangeBurge(Thompson
St.) LF 60
12 Remove8"SewerMain(Gibble Park) LF 380
13 Remove48"Dia.SewerManhole EA 9
14 Furnish&install4" PVCSDR-35
SewerLateral LF 500
15 Furnish&Install6"PVCSDR-35
SewerLateral LF 230

EXTENDE
D ITEM
AMOUNT
91 ,000
28,000
3,100
10,000
4,600
20,350
26,000
651
1,488
25,600
9,120
7,980
38,025
203,500
79,350

20.F

SEWER MAINREPLACEMENT
CIP No 5729 B|DDER'S PROPOSAL (cont’d)
BASEBID — SEWERMAIN REPLACEMENT,CIP No. 5729
'15:" DESCRIPTION um E;;';g;;}§5ykqg
Furnish&Install8"PVCSDR-35
15 SewerMain LF 3000 23° 34°—°°°
17 Construct48"Dia.SewerManhole EA 11 15750 173250
18 Concreteencasement LF 16 183 Z928
19 Grind&OverlayACPavement(0.1') SF 80,200 2-04 163,608 20 Stripingand Signage L3 1 15000 15000
21 momma damaged TrafficLoops LS 1
9’0O0 9’000
22 Removeand ReconstructPCCCurb& 134 7,350 Gutter LF 40 23 gejrgivolxglekand ReconstructPCC
SF 270 31 8,370
24 SF as
TOTAL BASEBID(numbers) $1’822’73°
*******************************'k**** D OF E B|D MS *********‘k************************** 1:******************************
BASEBID1-01-AL(in words) One MillionEight Hundred Twenty-Two Thousand Seven Hundred Thirty Dollar s
Contractor's Initials

20.F

Rev. ll
Fel\msr\r2021)

SEWER MAINREPLACEMENT
cup No 5729 B|DDER'S PROPOSAL (cont’d)
In the event of a variation between the unit price and extended total, the unit price will be used and the corrected extension will be considered as the amount bid. If the bid is illegible and cannot be reconciled it will be considered non-responsive and will not be considered for award.

If an additive and/oralternate bid schedule is called forin the Contract Documents, the lowest bid will be determined on the basis of the base bid schedu|e(s) only unless otherwise specified in the Notice Inviting Bids or by Addenda if issued to supersede the Notice Inviting Bids on this specific issue.

For a Contract where a deductive bid schedule is called for, the lowest bid will be determined by the total of all bid schedules including the deductive bid schedu|e(s).

Regardless of whether the additive/deductiveor alternates bid items will be considered in determining the low bid, the Agency may elect to include any or none of the additive/ or alternate bid items/schedules, or to otherwise add or remove certain workdeductive from the scope of Work. Accordingly, Contractor warrants that each bid item contains a proportionate share of profit, overhead and other costs and expenses, which will be incurred by the Contractor for the Project.

If equal low bids are received from responsible and responsive bidders the selection shall be made by drawing lots, or other similar random blind method selected by the Agency. If only one responsive bid is received from a responsible bidder the award shall not be made unless the price can be determined to be reasonable based on an analysis by the Agency. The Agency's determination as to the reasonableness of any such bid shall be final.

The Agency reserves the right to reject any or all bids, to waive any irregularity(ies), and to take all bids under advisement for a period of sixty (60) calendar days after the date the bids are publicly opened. Bidder acknowledges that all costs incurred as a result of preparing the proposal shall be the sole responsibility of Bidder. The Notice Inviting Bids and Instructions to Bidders does not create or impose any obligation upon the Agency to enter into a contract.

All bids received shall be recorded on an abstract (tabulation) of bids, and then made available for public inspection within two business days of bid opening.

The quantities listed in the bid proposal are provided to give a general indication of the scope of the work and for the comparison of bids. No warranty is made, either expressed or implied, that the actual quantities of work to be done will correspond therewith. Item numbers followed by "(S)” are designated as specialty items which will not be included towards the calculation of minimum of 50 percent of work to be performed by Contractor's own forces.

By signing and submitting this bid the Contractor confirms that they are familiar with the work site and all existing conditions that may affect their work and that they have read and agree to all the terms, conditions and requirements contained or referenced herein or in the Contract Documents and that all the aforementioned has been included in the bid prices listed above,

20.F

struction Constructio
Preside ,,
10370 Commgrce ggmgr Drive Suite B200 Bangho Cucamonga CA §17§0 stru
St,

W, , ,,

SEWER MAINREPLACEMENT
CIP No 5729 B|DDER'S PROPOSAL (cont’d)
including items of work that may not have a specific pay line item and that there shall be no additional costs to the Agency.

WARNING: If an addendum or addenda have been issued by the Agency and not noted above as being received by the bidder, this Bidmay be rejected.

Complete the following:

Ferreira Con Co. Inc. dba Ferreira Coastal n Co. CSLB985180 Legal name of the business, DIRReg. and Contractor License Nos.

Corporation
Business Type (Corporation, Partnership, Sole Proprietor) DBA(if any)
Nelson Ferreira — nt
Name and title of the owner
Brandon Pensick - Senior Vice President
Name and title of second partner or officer
Business Address
Q00 806 ‘.000
Telephone number
909.606.7711
Facsimile number
Marla Gibbins — m2ibbins@ferreiracon ction.com
Name and Email address of primary contact
www.ferreiracon ruction.com
Company web address

20.F

SEWER MAINREPLACEMENT
CIP No 5729 B|DDER'S PROPOSAL (cont’d)

11.21.2023
Signature of Bidder Date Signature of Bidder Date
Brandon Pensick - Senior Vice President
Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate officersare required.) Rev. 0
February 2020:

20.F

FERRE RA
The undersigned, being the sole Director of FERREIRA CONSTRUCTION CO., INC, a New Jersey corporation (the "Corporation"), pursuant to the provisions of Section 14A:6-16.Corporations, General of the New Jersey Statutes. hereby consents in writing to the adoption of, and does hereby adopt, the following resolutions.to be effective as though adopted by the directors of the Corporation at a meeting duly called and held:

FERREIRA C

CORPORATE RESOLUTION

UNANIMOUSWRITTENCONSENT OF THE DIRECTORS OF FERREIRA
CONSTRUCTIONCO., INC.

IN LIEU OF A MEETING
LET IT BE RESOLVED.that the following persons are officers of the Corporation, the same to serve at the pleasure of the Board:

IN WITNESS WHEREOF, I have set my hand on this 7"‘gayof January, 2021 Nelson
President: Nelson Ferreira
Sr. Vice President/ CFO: Jerry Killian
Sr. Vice President: DictinioGarcia
Sr. Vice President: Nancy Vliet
Sr. Vice President of Field Operations: Brian Delpome Vice President of NY Operations: Tom Groark Vice President of Stuart, Florida Operations: John Ciabattari Vice President of Medley, Florida Operations: Danny Garcia Vice President of Ferreira Coastal Operations Brandon Pensick Vice President of Electrical, Southern Division: Robert Higginbotham Chief Operating Officer of Ferreira Northeast Coastal Operations: Al Marsocci Secretary/Treasurer: Luis Pacheco
LET IT BE FURTHER RESOLVED, the officers of Ferreira Construction Co., Inc. have authority to sign all contracts and bind the corporation.

An Equal Opportunity Employer
31 Tannery Road, Branchburg, NJ 08876 Phone: (908)534-8655 www.ferreiraconstruction.com
Fax: (908) 534-8656

20.F

{vi
2023
This required license determinationhas en m
different licensewho feels he is qualified bid 0
seven (7) days prior to the bid opening. T Age
work to re—evaluatethe required license term

SEWERMAINREPLACEMENT
CIP No 5729 B|DDER'S PROPOSAL(cont’d)

CERTIFICATEREGARDINGCONTRACTOR'SLICENSE

1. Contractor is required to possess one of the following State Contractor's License:

State of CaliforniaClass ‘A’Contractor's License
Combinationof Specialty Class ‘C’Contractor's Licenses

2. A failure to (1) possess the required license, (2) truthfully set forth the followin g
information, and/or (3) execute this Certificate may render the proposal nonresponsive and permit the City to reject the proposal. (Business and ProfessionsCode Section 7028.15)

3. Contractor declares, under penalty of perjury, that he/she/it possesses the required Contractor's license(s) which:
a Bears the license number(s): 985180
b Expireson: n7 mm:
1 .21.

Signature of Bidder Date Signature of Bidder Date
Brandon Pensick - Senior Vice President
Print name and title Print name and title
(If the Bidderis a corporation two signatures ofcorporate o?icersare required.) be ade by the Agency. Any Contractor holding a
to n this work must so advise the Agency at least
he ncy may conduct a review of the contemplated de ination. The Agency may in its sole discretion maintain or change the required license determination; Agency's decision as to the required license will be final.

20.F

SEWER MAIN REPLACEMENT
CIP No 5729 B|DDER'S PROPOSAL (cont’d)
N/A

BID SECURITYFORM FOR CHECK
NOTE: THEFOLLOWINGFORM SHALLBE USEDIN THECASEOF CHECKACCOMPANYINGBID Accompanying this proposal is a Certified Check or Cashier's Check payable to the order of the City of Hemet, hereinafter referred to as "Agency", for dollars (S , this
amount being 10 percent (10%) of the total amount of the bid. This check shall be returned to the undersigned only if either of the following occurs:

A. Ifsaid Bidshall be rejected by the Agency;
B If said Bid shall be accepted by the Agency and the Undersigned shall execute and deliver a Contract in the form attached hereto (properly completed in accordance with said Bid) and shall furnish bonds required for his/her/itsfaithful performance of said Contract and for the payment of all persons performing labor or furnishing materials i connection n therewith, and shall in all other respects perform the Contract created by acceptance of said Bid.

Otherwise, said check shall become the property of the Agency.

Said check shall also become the property of the Agency if the Undersigned shall withdraw his/her/itsbid within the period of sixty (60) calendar days after the date set for the opening thereof, unless otherwise required by law, and notwithstanding the award of the Contract to another bidder.

Signature of Bidder Date Signature of Bidder Date
Print name and title Print name and title
(If the Bidder is a corporation, two signatures ofcorporate o?icersare required.)

20.F

cucamoqga,
10%Amount Bid
T ma Allomey-in-Facl
_21_ _, day of

SEWER MAINREPLACEMENT
cup No 5729 BlDDER'SPROPOSAL(cont'd)

BIDSECURITYFORM FOR BOND
KNOW ALLBYTHESEPRESENTS:

That the undersigned
Ferreira Construction Co. Inc. dba Ferreira Coastal Construction Co., 10370 Commerce Center Drive Suite B-200, Rancho (Name of Contractor)
as Principal and the undersigned as Surety are held and firmly bound unto Owner, CITYOF HEMET, a political subdivision of the State of California, as obligee, in the penal sum of (Dollar Amount In Words) Ten Percent of the Total Amount Bid
Dollars ($ ) lawful money of the United States of America being at least ten percent (10%) of the aggregate amount of said Principal's base Bid,for the payment of which, well and truly to be made, we bind ourselves, our successors, executors, administrators, and assigns, jointly and severally, firmly by these presents.

WHEREAS,said Principal is submitting a Bidfor [PROJECTNAMEAND DESCRIPTION] CIP NO. 5729- Sewer Main Replacement
THE CONDITIONOF THIS OBLIGATIONIS SUCH that if the Bid submitted by the said Principal be accepted and the Contract be awarded to said Principal and said Principal shall within the required periods enter into the Contract so awarded and provide the required Construction Performance Bond, Construction Labor and Material Payment Bond, insurance certificates, and all other endorsements, forms, and documents required under the Instructions to Bidders, then this obligation shall be void, otherwise to remain in full force and effect.

IN WITNESSWHEREOF, the above bounden parties have executed this instrument this November , 20$.
(Month)
Co. Inc. dba Ferreira Coastal Construction Co
(Corporate Seal)
By Berkshire Hathaway Specialty Insurance Company
Surety
(Corporate Seal)
Jaclyn
CA 91730
Rev. 0
February 2029
?rctndcn \CIL- vi cm

20.F

I
who proved to me on the basis of satisfactory evidence to be the person whose name(§)’is/31$ subsc ‘b to the within instrume and acknowledged to me that he/ he/t y execmedthe same i hi r/t irauthorized capacity(i ,and thatb his/l1,¢f/th?rsignatur on the instrumentthe persongia or the entity upon behalf of which the personyyacted, executed the instrument.

GALIFORN A ALL-PURPOSE ACKNOWLEDGMENT CIVILCODE§ 1189
A notary public or other officer completing this certificate verifiesonly the identity of the individualwho signed the document to which this certificateis attached, and not the truthfulness,accuracy, or validityof that document.

State of California
County of San Bernardino
on November 21, 2023 before me, Marla K. Gibbins, Notary Public Date Here Insert Name and Title of the Of?cer
Brandon Pensick
Name(s) of Signer(s)
personally appeared
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph is true and correct.

WITNESS my hand and official seal.

Signature
Signature of Notary Public
Place Notary Seal Above

OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.

Description of Attached Document
Title or Type of Document: Document Date:

Number of Pages: Signer(s) Other Than Named Above:

Capacity(ies) Claimed by Signer(s)
Signer’s Name: Signer’s Name:

Corporate Officer — Title(s): Corporate Officer — Title(s) Partner — C Limited El General = Partner — 3 Limited l_l General individual I Attorney in Fact El Individual ‘ Attorney in Fact Trustee Guardian or Conservator LlTrustee Guardian or Conservator ‘Other: 1 Other:

Signer Is Representing: Signer ls Representing:
©2014 NationalNotaryAssociation - www.Nationa|Notary.org - 1-800—USNOTARY(1-800-876-6827) Item #5907 MARLAK.GIBBINS
NotaryPublic- California
SanBernardinoCounty
Commission# 2364631
Comm.ExpiresJul 202

20.F

BerkshireHathawaySgecialgyInsuranceComgany

ACKNOWLEDGEMENT OFSURETYCOMPANY
STATEOFNewJersey
COUNTYOF Morris
ONTHE21stDAYOFNovember,2023BEFOREMEPERSONALLYAPPEAREDJaclynThomasTOMEKNO WHOBEINGBYMEDULYSWORN,DIDDEPOSEANDSAY;THAT(S)HEIS THEATTORNEY-IN- WN, FACT
O
, THECORPORATIONTHATEXECUTEDTHE F FOREGOI
NG INSTRUMENT, ANDACKNOWLEDGED TOMETHATSUCHCORPORATIONEXECUTEDTHESAME.

INWITNESSWHEREOF,I HAVEHEREUNTOSET MYHANDANDAFFIXEDMYOFFICIALSEAL,AT M Y OFFICEINTHEABOVECOUNTY,THEDAYANDYEARWRITTENABOVE.

NotaryPublic

RYAN E GRAY

NOTARY PUBLIC

STATE OF NEW JERSEY
MY COMMISSION EXPIRES JAN. 23, 2028

20.F

BERKSHIREHm-1AwAv SFEEIALW msuggyts mMPANv
NAIJONAI. INDEMNITVCOMPANY
NATIONALunanrrv3. HR: |N§|JI\AN§§ commuv
ln‘I'hn 5 av] .wIsh v. oaldlt IL mvaosunsn-mug an ad ul ll Hui! ol wmmgny.Stale ul Ngw [ugh
BerkshireHathaway SpecialtyInsurance
Know all men by these presents, that a corporation existing under and by virtue of the laws of the State of Nebraska and having an of?ce at One LincolnStreet, 23rd Floor, Boston, Massachusetts 02111, a corporation existing under and by virtue of the laws of the State of Nebraska and having an of?ce at 3024 Harney Street, Omaha, Nebraska 68131 and a corporation existing under and by virtue of the laws of the State of Connecticut and having an of?ce at 100 First Stamford Place, Stamford, Connecticut 06902 (hereinafter collectively the "Companies”), pursuant to and by the authority granted as set forth herein, do hereby name, constitute and appoint:
their true and lawful attorney(s)-in-fact to make, execute, seal, acknowledge, and deliver, for and on their behalf as surety and as their act and deed, any and all undertakings, bonds, or other such writings obligatory in the nature thereof, in pursuance of these presents, the execution of which shall be as binding upon the Companies as ifit has been duly signed and executed by their regularly elected of?cers in their own proper persons. This authority for the Attorney-in-Fact shall be limited to the execution of the attached bond(s) or other such writings obligatory in the nature thereof.

In witness whereof, this Power of Attorney has been subscribed by an authorized officer of the Companies, and the corporate seals of the Companies have been af?xed hereto this date of August 24, 2023. This Power of Attorney is made and executed pursuant to and by authority of the Bylaws, Resolutions ofthe Board of Directors, and other Authorizations of BERKSHIREHATHAWAY SPECIALTY INSURANCECOMPANY, NATIONALINDEMNITYCOMPANYand NATIONALLIABILITY& FIREINSURANCECOMPANY, which are in full force and effect, each reading as appears on the back page of this Power of Attorney, respectively. The following seals of the Companies and signatures by an authorized officer of the Company may be affixed by facsimile or digital format, which shall be deemed the equivalent of and constitute the written signature of such of?cer of the Companies and original seals of the Companies for all purposes regarding this Power of Attorney, including satisfaction of any signature and seal requirements on any and all undertakings, bonds, or other such writings obligatory in the nature thereof, to which this Power of Attorney applies.

NATIONALINDEMNITYCOMPANY,
NATIONALLIABILITY8: FIREINSURANCECOMPANY,

BERKSHIREHATHAWAYSPECIALTY

INSURANCECOMPANY,
By: By:

David Fields, Executive Vice President David Fields,Vice President NOTARY
State of Massachusetts, County of Suffolk,ss: On this 24th day of August, 2023, before me appeared David Fields, Executive Vice President of BERKSHIREHATHAWAYSPECIALTY INSURANCECOMPANYand Vice President of NATIONALINDEMNITYCOMPANYand NATIONALLIABILITY& FIREINSURANCECOMPANY, who being duly sworn, says that his capacity is as designated above for such Companies; that he knows the corporate seals of the Companies; that the seals af?xed to the foregoing instrument are such corporate seals; that they were af?xed by order of the board of directors or other governing body of said Companies pursuant to its Bylaws, Resolutions and other Authorizations, and that he signed said instrument in that capacity of said Companies.
[Notary Seal]
JOHNC.S
Notary Public
I, Ralph Tortorella, the undersigned, Officer of BERKSHIREHATHAWAY SPECIALTYINSURANCECOMPANY,NATIONALINDEMNITY COMPANY and NATIONALLIABILITY& FIREINSURANCECOMPANY, do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies which is in fullforce and effect and has not been revoked. INTESTIMONY WHEREOF,see hereunto af?xed the seals of said Companies this November 21 2023.

Ralph Tortorella, Of?cer
BHSIC,NICO & NLFPOA (2023)
37066

BERKSHIREHATHAWAYSPECIALTYINSURANCECOMPANY

NATIONALINDEMNITYCOMPANY NATIONAL LIABILITY& FIREINSURANCECOMPAN Power Of Attorney
...E -3 B .$3.§ E2 2 .3. -_> an=3.» 3.. .mBm.R1mm=.-.353 out =8 _5o...¢~ so 5 5 venues833 E...» ..B 5 E8: on B355 99. a tzcohzuo nuke: 3: 2 ___...=3 5 2m~....3 SE _:5. <5. .58.. 32,. in $25 :32... 25 .z=..._.8 8.35.... §%82=§.5.= 223.3 ..§.E...un >§.._=m=._ an5 33.5 3.... F522 3 :32 ._..:o a_o_._.u5_=2.2:? 2

20.F

BERKSHIREHATHAWAYSPECIALTYINSURANCECOMPANY

NATIONALINDEMNITYCOMPANY
Sen-ion I1.Officers Agents and Emgloyees:

NATIONALINDEMNITYCOMPANY

NATIONALLIABILITY& FIREINSURANCECOMPANY
Section 1. Officers Agents and Emgloyeesz

NATIONALLIABILITY& FIREINSURANCECOMPANY
(BYLAWS)
ARTICLEv.

CORPORATEACTIONS
EXECUTIONOF DOCUMENTS:

Section 6.(b) The President, any Vice President or the Secretary, shall have the power and authority:
(1) To appoint Attorneys-in-fact, and to authorize them to execute on behalf of the Company bonds and other undertakings, and (2) To remove at any time any such Attorney-in-fact and revoke the authority given him. (BY-LAWS)
A. The officers shall be a President, one or more Vice Presidents, a Secretary, one or more Assistant Secretaries, a Treasurer, and one or more Assistant Treasurers none of whom shall be required to be shareholders or Directors and each of whom shall be elected annually by the Board of Directors at each annual meeting to serve a term of of?ce of one year or until a successor has been elected and quali?ed, may serve successive terms of of?ce, may be removed from of?ce at any time for or without cause by a vote of a majority of the Board of Directors, and shall have such powers and rights and be charged with such duties and obligations as usually are vested in and pertain to such office or as may be directed from time to time by the Board of Directors; and the Board of Directors or the officers may from time to time appoint, discharge, engage, or remove such agents and employees as may be appropriate, convenient, or necessary to the affairs and business of the corporation. (BOARDRESOLUTIONADOPTED AUGUST 6, 2014)
RESOLVED,That the President, any Vice President or the Secretary, shall have the power and authority to (1) appoint Attorneysin-fact, and to authorize them to execute on behalf of this Company bonds and other undertakings and (2) remove at any time any such Attorney-in-fact and revoke the authority given. (BY-LAWS)

ARTICLEIV
Officers
A. The of?cers shall be a president, one or more vice presidents, one or more assistant vice presidents, a secretary, one or more assistant secretaries, a treasurer, and one or more assistant treasurers, none of whom shall be required to be shareholders or directors, and each of whom shall be elected annually by the board of directors at each annual meeting to serve a term of office of one year or until a successor has been elected and quali?ed, may serve successive terms of office, may be removed from office at any time for or without cause by a vote of a majority of the board of directors. The president and secretary shall be different individuals. Election or appointment of an officer or agent shall not create contract rights. The officers ofthe Corporation shall have such powers and rights and be charged with such duties and obligations as usually are vested in and pertain to such office or as may be directed from time to time by the board of directors; and the board of directors or the of?cers may from time to time appoint, discharge, engage, or remove such agents and employees as may be appropriate, convenient, or necessary to the affairs and business of the Corporation.
(BOARDRESOLUTIONADOPTED AUGUST6, 2014)
RESOLVED,That the President, any Vice President or the Secretary, shall have the power and authority to (1) appoint Attorneysin-fact, and to authorize them to execute on behalf of this Company bonds and other undertakings and (2) remove at any time any such Attorney-in-fact and revoke the authority given.

BHSIC,NICO & NLFPOA (2023)

20.F

remium &age
IIother assets 334.073 142.765,038 397.676 5 6.430.049.9537 S 7.199,459.696 3 G.235,753.770

1.065‘221.B44 ‘l.163.l]07.68»1 1.D54,922,210 3 097,839,695 2,789 783,855 Surplux 2.349.632.1915 3,382.I?lJ.299 4.409.675.842 3.587,D71.452 5 6.480,04B.597 S 7.199,459,697 S 6.236.753.770 General Correspondence

BERKSHIRE HATHAWAY SPECIALTY

INSURANCE COMPANY
1314 Douglas Street, Suite 1400, Omaha, Nebraska 68102-1944 ADMITTED ASSETS*
Total invested assets
P nt balances(n
A 217
Admitted Assets 157
LIABILITIES & SURPLUS*
Loss &loss exp. unpaid
Unearnedpremiums
Allother liabilities
Total Liabilities
Total Po|icyholders'
Total Liabilities & Surplus
*
and/or
Assets,
the
liabilitiesand surplus are presented on a StatutoryAccounting Basis as promulgated by the NAIC laws of the company’s domiciliarystate. 5,680,246,
430582,469,494
12/31/2022
12/31/2022
1,495,870,
171536,797,683
$ 6,504,184,
299552,510,359
12/31/2021
12/31/2021
$ 1,142,116,
028484,660,
5,475,240,588
603,615,506
12/31/2020
12l31l2020
921,923,948
372,836,

20.F

eneira Cnnsvuc?on Cu. Inc. dba
.
: :
.
:

Rancho Cucamon a ]

SEWER MAIN REPLACEMENT
CIP No 5729 B|DDER'S PROPOSAL (cont'd)

NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODESECTION7106

NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITH BID The undersigned declares:

I am the Seniorvice President of: the party making the
foregoing bid
The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder. All statements contained in the bid are true. The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose.

Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the bidder.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 11.21.2023 Idate], at ,_cA_&[state]
Signature of Bidder Date Signature of Bidder Date
Brandon Pensick — Senior Vice President
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures of corporate o?icersare required.)

20.F

SEWERMAINREPLACEMENT
CIP No 5729 BlDDER'SPROPOSAL(cont’d)
CONTRACTOR’SREFERENCELIST
Attach to this bid a list of three (3) projects in the past five (5) years on which the bidder and hi s subcontractor(s) have successfully constructed and completed projects with the same type (elements), size and complexity of work. The Agency Engineer will make the fina l determination of whether the projects listed here are of the same type, size and complexity as this project.

Failure of bidder to supply sufficient documentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non-responsive bid and, at the Agency's discretion,said bid will be disqualified.

Project Name; Please see attached
Contract Price: ate of Completion:

Name, Address, and Telephone Number of Owner's Representative:

Project Name:

Contract Price Date of Completion:

Name, Address, and Telephone Number of Owner's Representative:

Project Name:

Contract Price: Date of Completion:

Name, Address, and Telephone Number of Owner's Representative:
(Attach additional pages as necessary)

20.F

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20.F

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20.F

City ub
Ramo
__, _ -R,,
nt

SEWER MAINREPLACEMENT
cup No 5729 BlDDER'SPROPOSAL (cont’d)
Underground Builders, Inc. DBAUnderground Manholes (AKAUGM) CONTRACTOR’SREFERENCELIST
Attach to this bid a list of three (3) projects in the past five (5) years on which the bidder and hi subcontractor(s) have successfully constructed and completed s projects with the same type (elements), size and complexity of work. The Agency Engineer will make the final determination of whether the projects listed here are of the same type, size and complexity as this project.

Failure of bidder to supply sufficient documentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non-responsive bid and, at the Agency's discretion, said bid will be disqualified.

Contract Price: $1,142 837-00 Date of Completion: 06/2023 Name, Address, and Telephone Number of Owner's Representative:
of LA P licworks office
UGMcustomer na lnc.

Project Name: EOCWD ID1 C, & A Proiect #1
Contract Price: $173 740-00 Date of Completion: 02/2023 Name, Address, and Telephone Number of Owner's Representative:

UGMCustomer T.E. Roberts lnc.
project Name; EVWDSterling Natural Resource Center Del Rosa Gravity Collector Contract Price: $370,090.00 Date of Completion: 02/2023 Name, Address, and Telephone Number of Owner's Representative East Vallev Water District
UGMCustomer S.P Rados
(Attach additional pages as necessary)

20.F

Date 7/15/2022
Date
po
orth Alam |eS. CA
Date
Cell-Crete Corporation

SEWERMAINREPLACEMENT
cwNo 5729 BlDDER'SPROPOSAL(cont’d)
CONTRACTOR’SREFERENCELIST
Attach to this bid a list of three (3) projects in the past five (5) years on which the bidder and his subcontractor(s) have successfully constructed and completed projects with the same type (elements), size and complexity of work. The Agency Engineer will make the final determination of whether the projects listed here are of the same type, size and complexity as this project.

Failure of bidder to supply sufficient documentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non-responsive bid and, at the Agency's discretion, said bid will be disqualified.

Project Name Kaiser Murrieta Off Site Improvements
Contract Price: $6v000'O0 of Completion:

Name, Address, and Telephone Number of Owner's Representative:

Eastern Municipal Water District
project Name. Lake Perris Bypass Pipeline Relining
Contract Price: $145900-00 ofComp|etion: 4/2/2021
Name, Address, and Telephone Number of Owner's Representative Metro litan Water District
700 N eda Street Los Ange 90012
project Name: Lakeview Pipeline Improvements
Contract Price: $103000-00 of Completion: 4/1/2021
Name, Address, and Telephone Number of Owner's Representative:

Metropolitan Water District
700 NorthAlameda Street Los Angeles, CA 90012
(Attach additional pages as necessary)

20.F

EBS General Engineering, Inc.

SEWERMAINREPLACEMENT
CIP No 5729

CONTRACTOR'SREFERENCELIST
Attach to this bid a list of three (3) projects in the past five (5) years on which the bidder and his subcontractor(s) have successfully constructed and completed projects with the same type (elements), size and complexity of work. The Agency Engineer will make the final determination of whether the projects listed here are of the same type, size and complexity as this project.

Failure of bidder to supply sufficient documentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non-responsive bid and, at the Agency's discretion, said bid will be disqualified.

Project Name: Please see attached
Contract Price: ate of Completion:

Name, Address, and Telephone Number of Owner's Representative:

Project Name:

Contract Price: Date of Completion:

Name, Address, and Telephone Number of Owner's Representative:

Project Name:

Contract Price: ate of Completion:

Name, Address, and Telephone Number of Owner's Representative:
(Attach additionalpages as necessary)
B|DDER'S PROPOSAL(cont'd)

20.F

Contract
,, Contact
, _ _, Contract
, , Contact
,,,, ,, Contract ,,
_, _, Cantact
, W, ,, Contract
EBS General Engineering, Inc.
2 YEARREFERENCES— PUBLICWORKS
1 Proiect Name
Design-Build Services for City of Long Beach Curb Ramps Owner
City of Long Beach
Princinal Cont:-1 Phone
Ross Cruz, Engineering Bureau (562) 570-7949
Price of Dates
$9,850,550.00 10/2021— On-Going
Tvne of Work
Design and Construction of Non-Compliant Ramps Citywide

2. Proiect Name
Easton Street Sidewalk Improvement Project
Owner
City of Rialto
Principal Phone
Terry Renner, P.E (951) 680-0440
Price of Dates
$688,719.43 8/2021— 3/2022
Tvne of Work
Minor PCC — Sidewalk, Residential Driveways, Ramps, Cross-Gutter, Curb & Gutter, Retaining Wall, PCCSwale, Pilaster with Mortar Cap
3 Proiect Name
ADAImprovements at Pacific Blvd& Vernon Ave
Owner
City of Vernon
Principal Phone
Margarita Beltran, Associate Engineer (323) 974-1735
Price of Dates
$108,610.15 1/2022— 2/2022
Tvne of Work
Minor PCC — Sidewalk, Ramps, Curb & Gutter, Asphalt Paving 4, Proiect Name
Northeast Colony SABINANeighborhood Improvements — Ph Ill Owner
City of Anaheim
Princinal Phone
Joel Jordan, Construction Project Manager (714) 765-5052 Price of Dates
$5,317,919.39 12/2021— 12/2022

20.F

, W. Name
Principal , , , , , , . .
, , , , , , ,
._..,_.. Name
Owner
,, Contact
, ..one
,, ,, Contract , ,._
, .. Work
,..,-_. Na , ,
, ,, Contact Phone
,,, ,, Contract , _.__
. .. Work
. ._,_-. Name
, ,, Contact Phon
,, ,, Contract , _._.

EBS General Engineering,Inc.
2 YEARREFERENCES— PUBLICWORKS
Minor PCC — Curb, Curb & Gutter, Driveway, Cross-Gutter, PCCPavement; Domes, Asphalt Paving
Proiect
Vision Zero — Phase 2D
Owner
City of LosAngeles
Contact Phone
Jesus Arellano, Transportation Engineer Asc. (213) 972-8623 Price of Contract Dates
$1,027,225.00 07/2020— On-Going
Tvne of
Minor PCC— Curb, Curb & Gutter, Driveway, Cross-Gutter, Ramps, PCCPavement; Domes, Asphalt Paving, Curb-O-Let
Proiect
2018-2019 SB-1 Maintenance &Traffic Improvements
City of Riverside
Princinal Ph
Steve Howard, Construction Project Manager (951) 826-5708 Price of Dates
$5,238,400 8/2019— 4/2021
Tvne of
Street Maintenance: Minor PCC,Asphalt Grind & Pave, UtilityAdjusting Proiect me
Omnibus Concrete Repair
Owner
City of Santa Ana
Princinal
Michael Ortiz, Construction Project Manager (714) 647-5624 Price of Dates
$1,357,230.06 6/2020— 3/2021
Tvne of
Minor PCC — Ramps, Sidewalk, Curb & Gutter, Driveways
Proiect
Gas Tax LocalStreet Improvements & Flower Street Sewer Manhole Improvements Owner
City of Santa Ana
Principal e
Michael Ortiz, Construction Project Manager (714) 647-5624 Price of

20.F

, ,, ,,. Name
Principal ,,,,,, ..
, , ,, Contract
, .. Wurk
Principa
,, ,, Contract
,
jT Work
Name
,,, Contact
, , ,. Contract
- -. Work
Phone

10. EBS General Engineering, Inc.
2 YEARREFERENCES— PUBLICWORKS
$2,546,154
Tvne of Work
Street Maintenance: ARHMAsphalt, Coldmill, Minor PCC(V-Gutter, Sidewalk, Driveway Approach, Ramp, Curb & Gutter), UtilityAdjusting
1/2020— 5/2021
Proiect
WildCanyon BlockWall Project
Owner
City of Colton
Contact
Jess Soto, P.E
Price of
$54,936.00
Tvne of
BlockWall, Perforated Drain, Sidewalk Under Drain
Phone
(909) 370-5551
Dates
9/2021- 10/2021
Proiect me
Mid-BlockCrosswalk Installation Project
Owner
City of Redlands
IContact Phone
KyleWagner, Construction Project Manager (909) 253-8698 Price of Dates
$103,499.01 8/2021— 10/2021
Tvne of
Minor PCC— Ramps, Sidewalk
. Proiect
ResidentialStreet Repair Program &Alley Improvement
Owner
City of Santa Ana
Princinal
MichaelOrtiz, Construction Project Manager
Price of Dates
$1,210,079.64 6/2019- 6/2020
Tvne of
Minor PCC — Curb & Gutter, Driveways, Sidewalk, Ramps, Cross Gutter (714) 647-5624

20.F

_..- Street ___, __ ____“___,V “V
, .. Moreno ,,,
, iration
$2.44-4,260 D
, , ,.. Frederick
uan
ecessury)
December 2022
Hardy &Harper, Inc
sewer:MAINREPLACEMENT
cupNo5729 BiDDER'$ PROPOSAL(cont’d)

CONTRACTOR'SREFERENCELIST
Attachto this bid a listof three (3)projectsin the past ?ve (5)years on whichthe bidder and hi subcontractor(s) have successfully constructed and completed projects with the same types (elements), size and complexity of work. The Agency Engineer will make the fina determinationof whether the projects listedhere are of the same type, size and complexityl as this project.

Failureof bidderto supply sufficientdocumentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non-responsive bid and, at the Agency's discretion,said bid willbe disqualified.

Project Name: (‘DRG Imnrovement Pmiect FY 22/23
Contract Price: $490,000 ate of Completion: March 2023
Name,Address,and Telephone Numberof Owner'sRepresentative:

Citv of San 425 S. Mission Drive. San Gabriel, CA 91776 Contact: Mai (626)308-2825
ProjectName: Residential Street Rehahilitatinn
Contract Price: ate of Completion: Februarv 2023
Name, Address, and Telephone Number of Owner's Representative:

Citv of Fullerton: 303 West Commonwealth Ave, Fullerton, CA 92832 Contact: Chavez (714) 932-7506
Project Name: Pavement Rehabi for Various Local Streets CDBG FY 21/22 Contract Price: ate of Completion:

Name, Address, and Telephone Numberof Owner'sRepresentative:
(‘jrv of Vallev: 14177 Street. Moreno Valley. CA 92552
Contact: Nguven (951) 413-3159
(Attach additionalpages as n
1‘v:§.=.v-..$;;t‘yI "

20.F

placement
5 . Dat
: 0/2022
,, ,,,_,..Jt:tion
.._.. ..|| _. _ .. -73.

Superior Pavement Markings Inc

SEWER MAINREPLACEMENT
CIP No 5729 B|DDER'S PROPOSAL(cont’d)

CONTRACTOR'SREFERENCELIST
Attach to this bid a list of three (3) projects in the past five (5) years on which the bidder and his subcontractor(s) have successfully constructed and completed projects with the same type (elements), size and complexity of work. The Agency Engineer will make the final determination of whether the projects listed here are of the same type, size and complexity as this project.

Failure of bidder to supply sufficient documentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non-responsive bid and, at the Agency's discretion, said bid will be disqualified.

Project Name: Mission Road Sewer Main Re Proiect. Alhambra Contract Price: 16 746.00 e of Completion: 02/2023
Name, Address, and Telephone Number of Owner's Representative:

Torres Sanitation Svstems Construction Alexandro Torres (3231 518-9012 9617 Otis Street, South Gate CA 90280
project Name; Washington Avenue LiftStation, Wildomar
Contract Price: $2195.00 Date of Completion 08/1
Name, Address, and Telephone Number of Owner's Representative TK Constrl PO. Box 9608 S2 Bernardino CA 99497
hm/irl F isnn (_Q?9\ 472-2 9
Project Name: Avenue 48 & Harrison Sewer lmnrovem
Contract Price: $23 294 QQ Date of Completion: 08/2022
Name, Address, and Telephone Number of Owner's Representative:

Jones ers Cnn.c.frnr~.tin 85989 Avenue 57 Cnsmhella 92236 (Attach additional pages as necessary)

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SEWER MAINREPLACEMENT
cwNo 5729 BlDDER'SPROPOSAL(cont'd)

DESIGNATIONOF SUBCONTRACTORS
Name of Subcontractor
and Location of Place Description and Subcontractor's DIRRegistration of Business Percentage of Work License No. Number
(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE §4100 ETSEQ.)
Underground Manholes ManhoIes/ 4% #659134 #1000010700
San Bernardino, CA
Cell-Crete Corporation Pipe Abandonment/1% #243404 #1000000262 Monrovia, CA
EBS General Engineering PCC Restoration/ 3% #720016 #1000O05295 Corona, CA
Hardy & Harper, Inc Grind & OverIay/ 7% #215952 #1000000076 Lake Forest, CA
Superior Pavement Marking: Stripingl 1% #776306 #1000001476 Beaumont, CA

20.F

Rev. 0
I
' February 2020

SEWER MAINREPLACEMENT
CIP No 5729 BIDDER'SPROPOSAL (cont'd)

BIDDERCERTIFICATIONS

TO BE EXECUTEDBYALLBIDDERSANDSUBMITTEDWITHBID
The undersigned Bidder certifies to Owner as set forth in sections 1 through 10, below

STATEMENT OF CONVICTIONS
By my signature hereunder, I hereby swear, under penalty of perjury, that no more than one final, unappealable finding of contempt of court by a Federal Court has been issued against Bidder within the past two years because of failure to comply with an order of a Federal Court or to comply with an order of the National Labor Relations Board.

CERTIFICATIONOF WORKER'SCOMPENSATIONINSURANCE
By my signature hereunder, as the Contractor, I certify that I am aware of the Labo Code Section 3700, which requires every employer r to be insured against liability for worker's compensation or to undertake self-insurance in accordance with the provisions of that Code, and I will comply with such provisions before commencing the performance of the work of this Contract.

Please note that the submittal of this certificate does not relieve Contractor from complying with all of the insurance requirements of the Public Works Agreement and Contract Documents.

CERTIFICATIONOF PREVAILINGWAGE RATESAND RECORDS
By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Section 1773, which requires the payment of prevailing wage on public projects. Contractor and any subcontractors under the Contractor shall comply with Labor Code Section 1776 regarding wage records, and with Labor Code Section 1777.5 regarding the employment and training of apprentices. Contractor is responsible to ensure compliance by any and all subcontractors performing work under this Contract.

CERTIFICATIONOF COMPLIANCEWITHPUBLICWORKS CHAPTEROF LABORCODE By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Sections 1777.1 and 1777.7 Code, and Contractor and Subcontractors are eligible to bid and work on public works projects.

CERTIFICATIONOF NON-DISCRIMINATION
By my signature hereunder, as the Contractor, I certify that there will be no discrimination in employment with regard to race, color, religion, gender, sexual orientation, age or national origin; that all federal, state, and local directives and executive orders regarding non-discrimination in employment will be complied with; and that the principal of equal opportunity in employment will be demonstrated positively and aggressively.

A1-13

20.F

SEWER MAINREPLACEMENT
CIP No 5729 BlDDER'SPROPOSAL(cont’d)

CERTIFICATIONOF NON-DISQUALIFICATION
By my signature hereunder, as the Contractor, I swear, under penalty of perjury, that the below indicated Bidder, any officer of Bidder, or any employee of Bidder who has a proprietary interest in such Bidder, has never been disqualified, removed, or otherwise prevented from bidding on, or completing a Federal, State, or local government project because of a violation of law or safety regulation, except as indicated on the separate sheet attached hereto entitled ”Previous Disqualifications.” If a statement of "Previous Disqua|ifications” is attached, please explain the circumstances.

CERTIFICATIONOF ADEQUACYOF CONTRACTAMOUNT
By my signature hereunder, as the Contractor, pursuant to Labor Code Section 2810(a), I certify that, if awarded the Contract based on the undersigned’s Bid, the Contract will include funds sufficient to allow the Contractor to comply with all applicable local, state, and federal laws or regulations governing the labor or services to be provided. I understand that Owner will be relying on this certification if it awards the Contract to the undersigned.

CERTIFICATIONREGARDINGDIRCONTRACTOR/ SUBCONTRACTORREGISTRATION By my signature hereunder, as the Contractor, I certify that Contractor, and all listed Subcontractors are the subject of current and active contractor registrations pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code.

Contractor's registration number is [please complete] 1000001634 Subcontractors’ registration numbers are as indicated in Document 00 4314.

CERTIFICATIONREGARDINGPREQUALIFICATIONINFORMATION [OPTIONAL] N/A By my signature hereunder, as the Contractor, I certify as follows:
a. Contractor prequalified for this Project by submitting its Statement of Qualifications, dated (SOQ).
b. [Please complete or strikeout the following as inapplicable] Subsequently, on or about and Contactor submitted
further information supplementing for foregoing Statement of Qualifications. c. Allinformation described above is referred to as the "Qualification Information.” d. Contractor has carefully reviewed all of the foregoing Qualification Information. e. [Please check and/or complete one ofthe following]
All Prequalification Information remains true and correct in all material respects as of the date hereof, as if such information were actually being submitted to Owner as of the date hereof.

Except as otherwise expressly set forth in separate Additional Prequalification Information, submitted with the Bid, all Prequalification Information remains true and correct in all material respects as of the date hereof, as if such information were W:-xx.0
Fel:-i’ua:“yZ020

20.F

eira Constructio

SEWER MAIN REPLACEMENT
cIP No 5729 BlDDER'SPROPOSAL (cont’d)
actually being submitted to Owner as of the date hereof. [Contractor must provide Additional Prequalification Informationas described above ifthis item is checked.]

CERTIFICATIONOF N/A
[Insert other Owner-specific certifications, if applicable. Otherwise, de|ete.] n Co. Inc. dba Ferreira Coastal Construction Co.

11.21.2023
Signature of Bidder Date Signature of Bidder Date
Brandon Pensick - Senior Vice President
Print name and title Print name and title
(Ifthe Bidderis a corporation, two signatures ofcorporate officersare required.) Rev.@
**

20.F

will not be

17."; y 3

SEWER MAINREPLACEMENT
CIP No. 5729 BlDDER'SPROPOSAL
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the SEWER MAIN REPLACEMENT,CIP No. 5729, and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, specifications, General Conditions, Special Provisions, General Provisions, Greenbook 2021 as amended and supplemented, technical references, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal.

The undersigned has examined the location of the proposed work and all local and physical conditions and challenges presented by the Project site, is familiar with the plans, specifications, Contract Documents (particularly as delineated above) and the requirements of the Public Works Contract, and also understands that the Project shall be completely constructed in turn-key condition acceptable to the Owner within the Project time requirements for the price of the proposal, including all fees and sales and/or use tax upon any materials so furnished, including any unit prices and additive/deductiveitems. The undersigned has also carefully checked all of the figures given and understands that the Agency responsible for any errors or omissions on the part of the undersigned in submitting this proposal.

Contractor confirms that his/her/itsbid is submitted with respect to the changes to the Contract and/orContract Documents included in all addenda issued by the Owner.

In addition to reaffirming that the changes and information contained in the addenda have been integrated into their proposal, Contractor acknowledges receipt of Addenda No.(s)
The undersigned has examined the current State of California schedule of prevailing wage rates for the types of work to be done on this project (and the Davis-Bacon Act if the Agency uses federal funds for the Project) and agrees to pay not less than these rates.

The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the SEWER MAIN REPLACEMENT, CIP No. 5729 and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, specifications, General Conditions, Special Provisions, General Provisions, Greenbook 2021 as amended and supplemented, technical references, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal.

20.F

SEWER MAINREPLACEMENT
CIP No 5729 B|DDER'S PROPOSAL (cont’d)

BID SCHEDULE
BASE BID — SEWER MAIN REPLACEMENT,CIP No. 5729

ITEM ESTIMATED
No

DESCRIPTION UNIT QUANTITY
1 Mobilization/ Demobilization(notto
exceed5%) LS 1
2 . . Trafficand PedestrianControl LS 1
3 WaterQualitvControl LS
4 FieldOrders LS
5 TemporaryConstructionProject
IdentificationSion EA 2
6 CCTV LS 1
7 BvoassPumoina L8 1
3 Abandon4"SewerLateral(Gibble
Park) LF 105
9 Abandoninplace6"OrangeBurge
(Thompson St.l LF 240
10 Abandon8"SewerMain LF 2500
11 Remove6"OrangeBurge(Thompson
St.l LF 60
12 Remove8"Sewer Main(Gibble Park) LF 380
13 Remove48"Dia.SewerManhole EA 9
14 Furnish&Install4" PVCSDR-35
SewerLateral LF 500
15 Furnish&Install6"PVCSDR-35
SewerLateral LF 230

UNIT EXTENDED
PRICE
ITEM
AMOUNT
335,000.00$343000.oo
I‘/61;/000.03 J(q5/000. oo
725’/900.09 ~$‘2¢jooooo
V/0,000.00
I75/000,0043/0,000.00
If/éjooova4‘/$00040
#/€,ao0.ao$05/goo.09
$35’.00 £292$.00
?g/600 - 00
5‘/0. 00
$25.00 .1?/
Ifoaoo
9”[¢,5oo- DO 1153, goaoo
5/00.00
#139, (00.00
=1/0/
oo0~0o
$15.00
?zsjooo-0°
$30-00 5‘///(00-
oo
5150/poo. oo
17

20.F

2L
M0,

SEWERMAINREPLACEMENT
CIP No 5729 BlDDER'SPROPOSAL (cont’d)
BASEBID — SEWER MAIN REPLACEMENT,CIP N0. 5729

EXTENDED ITEM ESTIMATED UNIT
No DESCRIPTION UNIT
QUANTITY PRICE A“!/|T§lI
F
' h &I t it8" \JIINT PVCSDR-35
15 Mairrlw 8
LF 3000 712750° M2570”0 D
17 ' _ 41 0 000.0 Construct48"Dia.SewerManhole EA 11 #2”?00° 0‘ Z2 ’ 0 1s 5 0 #2 M0. 0 0
Concreteencasement LF 16
ji/Z O I
19 , $0. 00 Grind&OverlayACPavement(0.1') SF 80.200 42 Z5 q 20 if5000.00 5000.92; Stripingand Signage LS / / #/ /
21 0, Replace damaged TrafficLoops L8 1 £2400”“ 420/W 00 22 Removeand ReconstructPCCCurb& .00 ’ Gutter LF 40 £17; ad7/000 00 23 Removeand ReconstructPCC '90 .’/5d00 Sidewalk SF 270 1%5 ‘#6’
24 Removeand ReconstructPCCCross 30/ 00 7/ 500.y;
Gutter&Spandreli SF 1650
TOTAL BASEBID(numbers) W’557/53”‘
************'l¢*********************** :\'********1r************************** *******1:***********************
BASEBIDTOTAL (in Words)
Q/7( W////o/1f'/é/17"//u/7//Y// 5'/‘X2? Sci/(rt 7?0d56'I7//5/by/17L IqU?//f(/ 71/!/7%/V ‘Qt/t’Q//4/ 4'74 Zero (/L’/77’5
Contractor's Initials ;

20.F

fl

SEWER MAINREPLACEMENT
cup No 5729 BlDDER'SPROPOSAL(cont’d)
In the event of a variation between the unit price and extended total, the unit price will be used and the corrected extension will be considered as the amount bid. If the bid is illegible and cannot be reconciled it will be considered non—responsive and will not be considered for award.

If an additive and/oralternate bid schedule is called for in the Contract Documents, the lowest bid will be determined on the basis of the base bid schedule(s) only unless otherwise specified in the Notice Inviting Bids or by Addenda if issued to supersede the Notice Inviting Bids on this specific issue.

For a Contract where a deductive bid schedule is called for, the lowest bid will be determined by the total of all bid schedules including the deductive bid schedule(s).

Regardless of whether the additive/deductiveor alternates bid items will be considered in determining the low bid, the Agency may elect to include any or none of the additive/ or alternate bid items/schedules, or to otherwise add or remove certain workdeductive from the scope of Work. Accordingly, Contractor warrants that each bid item contains a proportionate share of profit, overhead and other costs and expenses, which will be incurred by the Contractor for the Project.

If equal low bids are received from responsible and responsive bidders the selection shall be made by drawing lots, or other similar random blind method selected by the Agency. If only one responsive bid is received from a responsible bidder the award shall not be made unless the price can be determined to be reasonable based on an analysis by the Agency. The Agency's determination as to the reasonableness of any such bid shall be final.

The Agency reserves the right to reject any or all bids, to waive any irregu|arity(ies), and to take all bids under advisement for a period of sixty (60) calendar days after the date the bids are publicly opened. Bidder acknowledges that all costs incurred as a result of preparing the proposal shall be the sole responsibility of Bidder. The Notice Inviting Bids and Instructions to Bidders does not create or impose any obligation upon the Agency to enter into a contract.

All bids received shall be recorded on an abstract (tabulation) of bids, and then made available for public inspection within two business days of bid opening.

The quantities listed in the bid proposal are provided to give a general indication of the scope of the work and for the comparison of bids. No warranty is made, either expressed or implied, that the actual quantities of work to be done will correspond therewith. Item numbers followed by ”(S)” are designated as specialty items which will not be included towards the calculation of minimum of 50 percent of work to be performed by Contractor's own forces.

By signing and submitting this bid the Contractor confirms that they are familiar with the work site and all existing conditions that may affect their work and that they have read and agree to all the terms, conditions and requirements contained or referenced herein or in the Contract Documents and that all the aforementioned has been included in the bid prices listed above,

20.F

EverLeve ngs, IR‘? 1 . CS (A&B)

SEWERMAINREPLACEMENT
cup No 5729 BlDDER'SPROPOSAL(cont’d)
including items of work that may not have a specific pay line item and that there shall be no additional costs to the Agency.

WARNING:If an addendum or addenda have been issued by the Agency and not noted above as being received by the bidder, this Bidmay be rejected.

Complete the following:

Legal name of the business, DIRReg. and Contractor License Nos.

Business Type (Corporation, Partnership, Sole Proprietor) N/A
DBA(ifany)
Name and title of the owner
Name and title of second partner or officer
Business Address
Telephone number
(909) 614-8166
Facsimile number
Name and Emailaddress of primary contact
Company web address
Rev,
February 2620
l Holdi LLC - D 000673396 LB# 1069011
Limited Liability Corporation
Gunnar Lee—Miller, CEO
Craid Roth President/COO
5877 Pine Ave. Suite 240 Chino Hills CA 91709
(909)606-8944
Crai Roth, [email protected]
https2//www.everlevelcorp

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T41/M / )1. 0% hsl13
igna of Sngnatu

SEWER MAINREPLACEMENT
CIP No 5729 B|DDER'S PROPOSAL (cont’d)
S re Bidder Date ?e of Bidder Date
Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate o?icersare required.) Rev. 0
February 2020
Gunnar Lee—Miller, CEO Craig Roth, President/COO

20.F

/1/at/4"/?égr2-, 202 7)
who proved to me on the basis of satisfactory evidence to be the person(3'j whose name(,s7is/ate’ subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/hp?theilrauthorized capacitycies‘),and that by his/her/theirsignaturegsjon the instrument the person(.s'I, or the entity upon behalf of which the persongsfacteci, executed the instrument.

ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual who signed the document to which this certi?cate is
attached, and not the truthfulness, accuracy, or
validity of that document.

State of California _ County of San Bernardino
Maria Elda Flores, Notary Public
(insert name and title of the officer)
————————————————————————— -- Craig Roth
On before me,
personally appeared
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

MARIAELDAFLORES
Notary Public- California
WITNESS my hand and official seal SanBernardinotounty
Commission# 2430065
Comm.ExpiresDec10.2026
Signature (Seal)

20.F

A/o/Miser /5; guns
who proved to me on the basis of satisfactory evidence to be the personmwhose name(x’; is/are subscribed to the within instrument and acknowledged to me that he/we/tpey executed the same in his/bef/tpeirauthorized capacityjies), and that by his/Def/theirsignatureiz) on the instrument the (S7

MINAELDAFLNES
Nnury Publk - Caillamia
SanBcmlminoCmmly §
.3 CunmissianI 143M165
Mytvmm. ExpiresDec10, 2015

ACKNOWLEGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual who signed the document to which this certi?cate is
attached, and not the truthfulness, accuracy, or
validitvof that document.

State of California
County of San Bernardino
Maria Elda Flores,"Notary Public
(insert name and title of the of?cer)
On before me,
personally appeared ----------------- -- Gunnar Lee—Mil|er I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

WITNESS my hand and official seal
Signature (Seal)
If\l\III\I\If\ pclaun , or the entity upon behalf of whic lnvl-In ll |.ll E‘; §6i""0i'i acted, executed -I-L. LI I

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§%/Va
v ¢—7»_z Q‘ \\\\Sil6 ;{gnatu

SEWER MAINREPLACEMENT
ClP No 5729 BlDDER'SPROPOSAL (cont’d)

CERTIFICATEREGARDINGCONTRACTOR'SLICENSE

1. Contractor is required to possess one of the following State Contractor's License:

State of California Class ‘A’Contractor's License
Combination of Specialty Class ‘C’Contractor's Licenses

2. A failure to (1) possess the required license, (2) truthfully set forth the following information, and/or(3) execute this Certificate may render the proposal nonresponsive and permit the City to reject the proposal. (Business and Professions Code Section 7028.15)

3. Contractor declares, under penalty of perjury, that he/she/it possesses the required Contractor's |icense(s) which:
a. Bearsthe license number(s) 1069011: A <9 B
b. Expires on: 9/30/2024
// w—— u -'I
re of Bidder Date Signatu of Bidder Date
Print name and title Print name and title
(If the Bidderis a corporation two signatures ofcorporate o?icersare required.) This required license determination has been made by the Agency. Any Contractor holding a different license who feels he is qualified to bid on this work must so advise the Agency at least seven (7) days prior to the bid opening. The Agency may conduct a review of the contemplated work to re-evaluate the required license determination. The Agency may in its sole discretion maintain or change the required license determination; Agency's decision as to the required license will be final.

Rev.

Fe§2;*u_1aw2020
Gunnar Lee—Miller CEO

20.F

ry evidence to be the person(.s')whose name(,s')is/ape
5126/?aey
his/Der/tbeTr authorized capacityaes). and that by his/her/theirsignature?r) on the instrument the HM
rum sunrum:

NotaryPublic- calilornli
sanBernudluocwnzy i
CommissivnIt 1430065 ‘
Mycnmm. ExpilesDecm.1015

ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual who signed the document to which this certi?cate is
attached, and not the truthfulness, accuracy, or
vali of that document
State of California _ County of San Bernardlno )
on before me, Maria Elda Flores, Notary Public
(insert name and title of the officer)
personally appeared Craig Roth """""""""""""""
" who proved to me on the basis of satisfacto
subscribed to the within instrument and acknowledged to me that he/ executed the same i n
[MM
WITNESS my hand and official seal.

Signature (Seal)
perso or the entity upon behalf of which the person acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

20.F

/i/oi/eméa/5‘,;L0;3
who proved to me on the basis of satisfactory evidence to be the person(sj’whose name?diis/ape’ subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/bet/theirauthorized capacity(ip5j,and that by his/her/their signaturecsfon the instrument the person(,s’),or the entity upon behalf ofwhich the personjs) acted, executed the instrument.

ACKNOWLEGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual who signed the document to which this certi?cate is
attached, and not the truthfulness, accuracy, or
validity of that document.

State of California _ County of San Bernardino )
before me Maria Elda Flores, Notary Public
(insert name and title of the officer)
On
personally appeared Gunnar I-ee'Mi“er """""""""""""""" " I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

MARIAELDAFLORES
NotaryPublic- California WITNESS my hand and official seal SanBemardlnoCounty Commission# 2430065
Comm.ExpiresDec10, 2026
Signature (Seal)

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),

SEWER MAINREPLACEMENT
CIP No 5729 BIDDER'SPROPOSAL (cont’d)

BIDSECURITYFORM FOR CHECK
NOTE: THEFOLLOWINGFORM SHALLBE USEDINTHECASEOF CHECKACCOMPANYINGBID Accompanying this proposal is a Certified Check or Cashier's Check pa e to the order of the City of Hemet, hereinafter referred to as "Agency",for
amount being 10 percent (10%) of the total amount of t
dollars this
d. This check shall be returned to
the undersigned only if either of the following occurs:

A.

Otherwise, said check shall be
Said check shall also beco
his/her/itsbid within
thereof, unless othe
Ifsaid Bidshall be rejected by the Agency
cy and the Undersigned shall execute and
hereto (properly completed in accordance with
uired for his/her/itsfaithful performance of said
ll persons performing labor or furnishing materials i
in all other respects perform the Contract n created by If said Bid shall be accepted by the
deliver a Contract in the form attac
said Bid) and shall furnish bonds
Contract and for the payment
connection therewith, and
acceptance of said Bid.
e the property of the Agency
the property of the Agency if the Undersigned shall withdraw riod of sixty (60) calendar days after the date set for the opening se required by law, and notwithstanding the award of the Contract to another bidder.

Signature of Bidder Date
Print name and title
Signature of Bidder Date
Print name and title
(Ifthe Bidderis a corporation, two signatures of corporate officersare required.)

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,,

SEWERMAIN REPLACEMENT
CIP No 5729 BIDDER'SPROPOSAL(cont'd)

BIDSECURITYFORM FOR BOND
KNOWALLBYTHESEPRESENTS:

That the undersigned
EverLeve| Holding, LLC
(Name of Contractor)
as Principal and the undersigned as Surety are held and firmly bound unto Owner, CITYOF HEMET, a political subdivision of the State of California, as obligee, in the penal sum of (9% Amount In Words) N PERCENT (10%) of the Total Amo Bid---------------- -- --DGH-3-F5-(-$ lawful money of the United States of America being at least ten percent (10%) of the aggregate amount of said Principal's base Bid,for the payment of which, well and truly to be made, we bind ourselves, our successors, executors, administrators, and assigns, jointly and severally, firmly by these presents.

Sewer Main Replacement, CIP No. 5729
WHEREAS,said Principal is submitting a Bidfor [PROJECTNAME AND DESCRIPTION] THE CONDITION OF THIS OBLIGATIONIS SUCH that if the Bid submitted by the said Principal be accepted and the Contract be awarded to said Principal and said Principal shall within the required periods enter into the Contract so awarded and provide the required Construction Performance Bond, Construction Labor and Material Payment Bond, insurance certificates, and all other endorsements, forms, and documents required under the Instructions to Bidders, then this obligation shall be void, otherwise to remain in full force and effect.

IN WITNESSWHEREOF, the above bounden parties have executed this instrument this 7th _ day of November 202?;
(Month)
E olding, LLC
reesuowrl
(Corporate Seal) “O
ipa 3
G
By Great M Insurance
Surety
NOV0 7 2023
N. Hackett, Attorney—in-Fact
(Corporate Seal) By
Rev.

February 2020

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withinins men! and acknowledged to me that hyshelth
executed e same in hislher/their authorized capaci!y(ie and that his/her/their signature(s) on the instrument I C.MAESTAS
Noury runu:- Ca?lornia
crank County
' Cammlsslun: usam ‘ M1CONm, axx?mAn; I. 1017
\'k ran:-%mA
ackett

CALIFORNIAALL-PURPOSE ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

STATE OF CALIFORNIA
County of Orange
On JQM.Q 7 2023
Date
before me, C. Maestas
}
, Notary Public,
Insert Name of Notary exactly as it appears on the of?cial seal personally appeared Edward N. Hackett
Place Notary Seal Above
IVNN
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the tru ey
th s),
by he
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of
the State of California that the foregoing paragraph is true and correct.

Witness my hand official seal
Signature
Public

OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of the form to another document.

Description of Attached Document
Title or Type of Document: EverLeve| Holding, LLC Bid Bond Document Date: NOV0 7 2323
Signer(s) Other Than Named Above: None
Capacity(ies) Claimed by Signer(s)
Signer’s Name: Edward N. H
General
El Individual
Corporate Officer —Tit|e(s):
‘ Partner Limited E
7 Attorney in Fact
|: Trustee
Guardian or Conservator
Other:

Signer is Representing
Topofthumbhere
Number of Pages
Signer’s Name: None
Individual
:| Corporate Officer —TitIe(s):
: Partner [3 Limited El General
_ Attorney in Fact
1: Trustee
|: Guardian or Conservator Topofthumbhere
E Other:

Signer is Representing:

RIGHTTHUMBPRINT R|GHT THUMBPRI
NT

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writing
an I a
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POWER OF ATTORNEY
Great idwest Insurance Company
KNOW ALL MEN BYTHESE PRESENTS, that GREAT MIDWEST INSURANCE COMPANY, a Texas Corporation, with its principal in Houston, TX, does hereby constitute and appoint:

Edward N. Hackett, Christine Maestas
its true and lawful Attorney(s)-In-Fact to make, execute, seal and deliver for, and on its behalf as surety, any and all bonds, undertakings or other obligatory in nature of a bond.

This authority is made under and by the authority of a resolution which was passed by the Board of Directors of GREAT MIDWES INSURANCE COMPANY, on the 15‘day of October, 2018 as follows: T Resolved, that the President, or any of?cer, be and hereby is, authorized to appoint and empower any representative of the Company or other person or persons as Attorney-In-Fact to execute on behalf of the Company any bonds, undertakings, policies, contracts of indemnity or other 5 obligatory in nature of a bond not to exceed Ten Milliondollars ($10,000,000.00), which the Company might execute through its duly elected officers, and affix the seal of the Company thereto. Any said execution of such documents by an Attorney-In-Fact shall be as binding upon the Company as ifthey had been duly executed and acknowledged by the regularly elected officers of the Company. Any Attorney-In-Fact, so appointed, may be removed in the Company's sole discretion and the authority so granted may be revoked as specified in the Power of Attorney.

Resolved, that the signature of the President and the seal of the Company may be affixed by facsimile on any power of attorney granted, d the signature of the Secretary and the seal of the Company may be affixed by facsim le to ny certificate of any such power and any such power or certi?cate bearing such facsimile signature and seal ha be valid nd binding on the Company Any such power so executed and sealed and certificate so executed and sealed shall, with respect to any bond of undertaking to which it IS attached, continue to be valid and binding on the Company.

INWITNESS THEREOF, GREAT MIDWEST INSURANCE COMPANY, has caused this instrument to be signed by its President, and Corporate Seal to be affixed this 11th day of February, 2021.

GREAT MIDWEST INSURANCE COMPANY
coaponms SEAL BY
Mark W. Haushill
President

ACKNOWLEDGEMENT
On this 11th day of February, 2021, before me, personally came Mark W. Haushill to me known, who being duly sworn, did depose and that he is the President of GREAT MIDWESTINSURANCE COMPANY, the corporation described in and which executed the above instrument; he executed said instrument on behalf of the corporation by authority of his office underthe By-laws of said corporation.

CHRISTINABISHOP
Notary Public, State of BY
Comm. Expires 04-14-2025 Christina Bishop
ID131090488 Notary Public

CERTIFICATE
I, the undersigned, Secretary of GREAT MIDWEST INSURANCE COMPANY, A Texas Insurance Company, DO HEREBY CERTIFY original Power ofAttorney of which the foregoing is a true and correct copy, is in fullforce and effect and has not been revoked and the resolutions as set forth are now in force
Signed and Sealed at Houston, TX this 7”‘ Day of N°"e_“_[be', 20 23 conpoam-: SEAL BY
Leslie K.

Secretary
“WARNING: Any person who knowingly and with intent to defraud any insurance company or other person, files and application for insurance of containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits lent insurance act, which is a crime and subjects such person to criminal and civil penalties.

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D RTME 0 INURA
No. 5780-2

STATE OF CALIFORNIA

EPA NT F S NCE

SAN FRANCISCO
Amended
Certi?cate of A thority
THIS IS TO CERTIFY, That,pursuant to the Insurance Code ofthe State ofCalifornia, Great Midwest Insurance Company
ofTexas, organized under the laws ofTexas, subject to its Articles ofIncorporation or otherfundamen organizational documents, tal is hereby authorized to transact within this State, subject to allprovisions ofthis Certi?cate, thefollowing classes ofinsurance:

Fire, Marine, Surety, Disability, Plate Glass, Liability, Workers’ Compensation, Common Carrier Liability, Boiler and Machinery, Burglary, Credit, Sprinkler, Team and Vehicle, Automobile, and Aircraft as such classes are now or may herea?terbe de?nedin the Insurance Laws ofthe State ofCalifornia.

THIS CERTIFICATE is expressly conditionedupon the holder hereofnow and hereafterbeing in fullcompliancewith all, and not in violation ofany, ofthe applicable laws and law?ilrequirements made under authority ofthe laws ofthe State ofCaliforniaas long as such laws or requirements are in e?ectand applicable, and as such laws and requirements now are, or may hereafterbe changed or amended.

IN WITNESS WI-IEREOF,e?ectiveas ofthe 4"’day ofAugust,2015, I have hereunto set my hand and caused my o?icialseal to be a?ixed this 4"’day ofAugust, 2015.

Dave Jones
Insurance Commissioner
By ValerieSarfaty
forNettie Hoge
ChiefDeputy
NOTICE:

Quali?cationwith the Secretary of State must be accomplished as required by the California Corporations Code promptly a?er issuanceofthisCerti?cate ofAuthority. Failureto do so willbe a violationof InsuranceCode section701andwillbegroundsfor revoking this Certi?cate of Authority pursuant to the covenants made in the application therefor and the conditionscontained

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who proved to me on the basis of satisfactory evidence to be the person(s) whose name(.sr)is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/theirauthorized capacitycies‘). and that by his/herltheir signaturecs’) on the instrument the personta‘), or the entity upon behalf of which the persongsv)acted, executed the instrument‘

ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual who signed the document to which this certi?cate is
attached, and not the truthfulness, accuracy, or
validitvof that document.

State of California _ County of San Bernardino
Maria Elda Flores, Notary Public
(insert name and title of the officer)
Craig Roth
On before me,
personally appeared
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
mm ELDAFLORES
. . Nata Publ‘ -Calif s
WITNESS my hand and official seal Sanrgernarldlno c..J’.§?y‘ Commission# 2430065
MyComm.ExpiresDec10, 2026
Signature (Seal)

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/I/,1/qriber/5 $0525
who proved to me on the basis of satisfactory evidence to be the persorwsjwhose name(£r) is/gape sme/gbey
his/he?’/their authorized capaciiy?es), and that by his/):ie‘t7t_be1'i' signature,(2') on the instrument the personjx), or the entity upon behalf of which the person,(s’; acted, executed the instrument.

IMIIAEUIAFLORES
iimry Mil: - cauinmi.

Sannenumino County 2
commissionIimims "
i
=1 Mycomm. expires Decto, me I

ACKNOWLEGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual who signed the document to which this certi?cate is
attached, and not the truthfulness, accuracy, or
validity of that document.

State of California
County of San Bernardino
Maria Elda Flores,‘Notary Public
(insert name and title of the of?cer)
On before me,
personally appeared Gunnar Lee-Miller ---------------------------- -- subscribed to the within instrument and acknowledged to me that he/ executed the same in I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

WITNESS my hand and official seal
Signature (Seal)

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Cahixma
EvetLeve1 Holdings. LLC,
rehaf

SEWERMAIN REPLACEMENT
CIP No 5729 B|DDER'S PROPOSAL (cont'd)

NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODESECTION7106

NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID The undersigned declares:

I am the President/COO of the party making the
foregoing bid.

The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder. All statements contained in the bid are true. The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose.

Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the bidder.

I declare under penalty of perjury under the laws of the State of ifornia that the foregoing is true and correct and that this declaration is executed on date], at [city], [state].
ature of Bidder Date Signatu Bidder Date
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures of corporate officersare required.) ('7@~——- "’”>"?»3 M\
Gunnar Lee—Miller, CEO Craig Roth,

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/Vw/MM/r /5 52.932
who proved to me on the basis of satisfactory evidence to be the person(,s*)’whosename(s) islare’ I
be7ib.2S’
his/herftbefrauthorized capacity?es), and that by his/her7the‘rrsignature(,a-ronthe instrument the personj,s«), or the entity upon behalf of which the person?sf acted, executed the instrument.

ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual who signed the document to which this certi?cate is
attached, and not the truthfulness, accuracy, or
validitvof that document.

State of California
County of San Bernardino 3
before me Maria Elda Flores, Notary Public
(insert name and title of the officer)
Craig Roth
On
personally appeared
subscribed to the within instrument and acknowledged to me that he/s executed the same i n
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
mm ELDAnonzs
. . Not: Publ' - lif Ia WITNESS my hand and official seal smrg‘;',,..,,'§.mca¢.:,::, Commission# 2430065
Comm. Dec10.2026
Sig (Seal)

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who proved to me on the basis of satisfactory evidence to be the person(s') whose name(2') is/gre‘ she/they
his/hzr/theirauthorized capacityaes), and that by his/her/theirsignature(s/)’on the instrument the personpz), or the entity upon behalf of which the person(s’)’acted, executed the instrument.

ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual who signed the document to which this certi?cate is
attached, and not the truthfulness, accuracy, or
validity of that document.

State of California
County of San Bernardino
Maria Elda Flores,"Notary Public
(insert name and title of the of?cer)
before me,
____________________________ --
subscribed to the within instrument and acknowledged to me that he/ executed the same i n
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

MARIAELDAFLORES
NotaryPublic- California
SanBernardlnoCounty
Commission0‘2430065
Comm.ExpiresDec10, 2026
NIH
WITNESS my hand and officialseal.

Signature (Seal)

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California Beat‘ of Transportation — sicmal 5 Lmhtinq S stem, Roadwa Exc

SEWER MAINREPLACEMENT
CIP No 5729 B|DDER'S PROPOSAL (cont’d)

CONTRACTOR'SREFERENCELIST
Attach to this bid a list of three (3) projects in the past five (5) years on which the bidder and his subcontractor(s) have successfully constructed and completed projects with the same type (elements), size and complexity of work. The Agency Engineer will make the final determination of whether the projects listed here are of the same type, size and complexity as this project.

Failure of bidder to supply sufficient documentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non-responsive bid and, at the Agency's discretion, said bid will be disqualified.

Proj
Contract Price: $592 , 000.00 ate of Completion:

Name, Address, and Telephone Number of Owner's Representative:

City of Ventura — 501 Poli St. Ventura, CA 93001
Project Name
Date of Completion
Name, Address, and Telephone Number of Owner's Representative Contract Price: $2, 922, 844 - 00 Date of Completion:

Name, Address, and Telephone Number of Owner's Representative:
(Attach additional pages as necessary)
ectName:Citv of Ventura — Emerqencv Generators, Various Locations Mark Garcia — Project Manager (805)654-7842
Contractprice:

Caltrans — 1120 N. St. Sacramento CA 95814
Adam Zumstein — R.E. (760)920-3406
Project Name: avation
11/15/2023
Caltrans — 1120 N. St. Sacramento CA 95814
District 8 Office — (909)383-4631
7/31/2021
California Dept. of Transportation — Highway 395 Roadway Wideninq

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SEWER MAIN REPLACEMENT
CIP No 5729 B|DDER'S PROPOSAL (c0nt'd)

DESIGNATIONOF SUBCONTRACTORS
Name of Subcontractor
and Location of Place Description and Subcontractor's
of Business Percentage of Work License No.
;{:’i /{?t ézr/‘na( and 01/tr/4),
Cake Forzsv’,an ‘I2 630 é
_ 49 % 2/59 52
7/W ‘/‘/€/'I5s’/
E35 GencralEiylrwflyI C Cg/Io?lracf /06¢
ax? :0!r"’r"’"”“ ’” C’ 72 00/ 4
‘/

9.s'/—277-é6e9 15%
5331/~Cra9¢‘e 57'/30’““"""‘
/35 E Bau'/r0Ao/ /4V€
/Wmrm//21/CA 9/we
éze — 35 7
— 3500
fa/,‘,§,,7,‘a_ ;9roFr.$5’/'ona/
775,Inc_
‘ Jose 44/:

L-. Pucn/-.2,CA 917‘! 5
626- 810-133 8
Ch
4/3 éwd
(rtmao'77’/O4 9753?
$70-étfs -2540
243404
793907

45.79’/‘/0/'nj ,7S/:9/iayé
374/600
0 - 6 7”/0
DIR Registration
Number
07é
490000 57 ? 5’
/ammo 2 6 2.
/
000277507
/00000030g
(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE §410O ETSEQ.)

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)

SEWERMAINREPLACEMENT
CIP No 5729 B|DDER'S PROPOSAL (cont’d)

BIDDERCERTIFICATIONS

TO BEEXECUTEDBYALLBIDDERSANDSUBMITTEDWITHBID
The undersigned Bidder certifies to Owner as set forth in sections 1 through 10, below.

STATEMENTOF CONVICTIONS
By my signature hereunder, I hereby swear, under penalty of perjury, that no more than one final, unappealable finding of contempt of court by a Federal Court has been issued against Bidder within the past two years because of failure to comply with an order of a Federal Court or to comply with an order of the National Labor Relations Board.

CERTIFICATIONOF WORKER'SCOMPENSATIONINSURANCE
By my signature hereunder, as the Contractor, I certify that I am aware of the Labo Code Section 3700, which requires every employer to be insured against r liability for worker's compensation or to undertake self-insurance in accordance with the provisions of that Code, and I will comply with such provisions before commencing the performance of the work of this Contract.

Please note that the submittal of this certificate does not relieve Contractor from complying with all of the insurance requirements of the Public Works Agreement and Contract Documents.

CERTIFICATIONOF PREVAILINGWAGE RATESAND RECORDS
By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Section 1773, which requires the payment of prevailing wage on public projects. Contractor and any subcontractors under the Contractor shall comply with Labor Code Section 1776 regarding wage records, and with Labor Code Section 1777.5 regarding the employment and training of apprentices. Contractor is responsible to ensure compliance by any and all subcontractors performing work under this Contract.

CERTIFICATIONOF COMPLIANCEWITH PUBLICWORKSCHAPTEROF LABORCODE By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Sections 1777.1 and 1777.7 Code, and Contractor and Subcontractors are eligible to bid and work on public works projects.

CERTIFICATIONOF NON-DISCRIMINATION
By my signature hereunder, as the Contractor, I certify that there will be no discrimination in employment with regard to race, color, religion, gender, sexual orientation, age or national origin; that all federal, state, and local directives and executive orders regarding non-discrimination in employment will be complied with; and that the principal of equal opportunity in employment will be demonstrated positively and aggressively.

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SEWER MAINREPLACEMENT
cup No 5729 B|DDER'S PROPOSAL (cont’d)

CERTIFICATIONOF NON-DISQUALIFICATION
By my signature hereunder, as the Contractor, I swear, under penalty of perjury, that the below indicated Bidder, any officer of Bidder, or any employee of Bidder who has a proprietary interest in such Bidder, has never been disqualified, removed, or otherwise prevented from bidding on, or completing a Federal, State, or local government project because of a violation of law or safety regulation, except as indicated on the separate sheet attached hereto entitled ”Previous Disqualifications.” If a statement of "Previous Disqualifications” is attached, please explain the circumstances.

CERTIFICATIONOF ADEQUACYOF CONTRACTAMOUNT
By my signature hereunder, as the Contractor, pursuant to Labor Code Section 2810(a), certify that, if awarded the Contract based on the undersigned’s Bid, the Contract will include funds sufficient to allow the Contractor to comply with all applicable local, state, and federal laws or regulations governing the labor or services to be provided. I understand that Owner will be relying on this certification if it awards the Contract to the undersigned.

CERTIFICATIONREGARDINGDIRCONTRACTOR/ SUBCONTRACTORREGISTRATION By my signature hereunder, as the Contractor, I certify that Contractor, and all listed Subcontractors are the subject of current and active contractor registrations pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code.

Contractor's registration number is [please complete]
Subcontractors’ registration numbers are as indicated in Document 00 4314.

CERTIFICATIONREGARDINGPREQUALIFICATIONINFORMATION [OPTIONAL] By my signature hereunder, as the Contractor, I certify as follows:
a. Contractor prequalified for this Project by submitting its of Qualifications, dated (SOC!)
b. [Please complete or strikeout the following as Subsequently, on or about N/A , N/A and Contactor submitted
further information supplementing for fo ng Statement of Qualifications. c. Allinformation described above is to as the "Qualificationlnformation." d. Contractor has carefully revi all of the foregoing QualificationInformation e. [Please check and/or one ofthe following]
All Prequalifi Information remains true and correct in all material respects as of the date as if such information were actually being submitted to Owner as of the ereof.
as otherwise expressly set forth in separate Additional Prequalification rmation, submitted with the Bid, all Prequalification Information remains true and correct in all material respects as of the date hereof, as if such information were 1000673396

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§{¢k/W1 7'79” ?x\ uugns
Siyétu '5?
, e

SEWER MAINREPLACEMENT
cup No 5729 BlDDER'SPROPOSAL (cont'd)
actually being submitted to Owner as of the date hereof. [Contractor must provide A nal Prequalification Informationas described above ifthis item is checked.]

CERTIFICATIONOF N/A
[Insert other Owner-specific certifications, if applicable. Otherwise, de|ete.] BIDDER:
/«7%~—— /r—r
re of Bidder Date Signature Bi Date
Print name and title Print name and title
(Ifthe Bidderis a corporation, two signatures of corporate o?icersare required.) §=«w5*=s"u,n:—
Gunnar Lee—Miller. CEO Craicr Roth. Pr

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/Vamnéa /5, 20.1?
who proved to me on the basis of satisfactory evidence to be the personcsrfwhose name(s’)”Is/are We/they
his/he?tbefrauthorized cepacity?iss‘), and that by his/bembzi1"signature],a)’on the instrument the persongsf. or the entity upon behalf of which the persomésfacted, executed the instrument.

ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual who signed the document to which this certi?cate is
attached, and not the truthfulness, accuracy, or
validity of that document.

State of California _ County of San Bernardmo )
before me Maria Elda Flores, Notary Public
(insert name and title of the officer)
Craig Roth
On
personally appeared
subscribed to the within instrument and acknowledged to me that he/ executed the same i n
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

MARIAELDAFLORES
NotaryPublic- California
SanBernardinoCounty
Commission5 2430065
Comm.ExpiresDec10, 2026
MM!
WITNESS my hand and official seal.

Signature (Seal)

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_ _ he/she/they executed the same in he?? rlzed capacIty(ies)'. and that by his/be?tjneir si (57 ( . (:9;
¥ MARIAELDAFLORES
Nm?y Public- Callfamh I,
Sanaerurdlno County E
CnmmlishmN2430965
My(mum. ExplmsDec10.ms

ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual who signed the document to which this certi?cate is
attached, and not the truthfulness, accuracy, or
vali of that document.

State of California _ County of San Bernardmo )
before me Maria Elda Flores, Notary Public
(insert name and title of the officer)
personally appeared """"""""" " Gunnar I-ee'Mi”er
who proved to me on the basis of satisfactory evidence to be the perso subscribed to the within instrument and acknowledged to me that his/ autho gnature on the instrument the
person or the entity upon behalf of which the person acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

WITNESS my hand and official seal
Signature (Seal)
6,720.23
whose name is/

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11/15/23,12:45 PM PlanetBids Vendor Portal
Sewer Main Replacement — CIP 5729
Addenda
Email History
https://pbsystem.planetbids.com/portaI/39477/bo/bo-detail/111025# \/NovO1,2023 1 QandASet1
\/Nov09,2023 2 QandASet2
\/Nov13,2023 3 QandASet3
None

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11/15/23, 12:46 PM
Ci?
Q&ADeadline November 74, 2023 3:00 PM (PST)
Set 1 Released via Addendum 1 11/01/2023 3:15 PM (PST)-1 question

1.1 Please let us know where the good faith effort requirements are located in the specs. We don't see any details.

Answer Assuming that this question is referring to Disadvantaged Business Enterprise (DBE), this project does not have any DBEgoal requirements and therefore no DBEgood faith effort requirements.

Set 2 Released via Addendum 211/09/202310259 AM (PST) — 1 question

2.1 The bid proposal documents for this project, A1—14 &15, have a section for SOQ/Pre Quali?cationrequirements Cannot locate anything in the Specs or on Planetbids that says we need pre—quali?ed.The proposal does state this section is "optional?"Can you please con?rm/clarify this information? Answer ASOQ/Pre—Quali?cationwas not required for this project. Please linethrough this section when completing the form.

Set 3 Released via Addendum 311/13/2023 4:56 PM (PST)-1 question

3.1 BidItem 4 is calling for a price for FieldOrders, and there is no price shown. Per the speci?cations that dollar amount is to be set by the City. Please con?rm what that amount should be.

Answer $10,000
https://pbsystem.planetbids.com/portal/39477/bo/bo-detail/111025# 1/1 Q&Afor Sewer Main Replacement - CIP 5729
Sewer |\/lain Replacement — CIP 5729

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I 2-éim//W-I
Gunnar Everlevelcor ‘corn
(909)6 8944 070:

Crai Everlevelcor .com
November 15”‘,2023
City of Hemet
445 East Florida Avenue
Hemet, CA92543
RE:Sewer Main Replacement, CIP NO. 5729
Dear City of Hemet,
EverLevel Holdings, LLChas acknowledged the requirements of providing evidence that the individua|(s) signing the Bid Forms, (Craig Roth, President/COO), and (Gunnar Lee-Miller, CEO), are authorized to bind the legal entity of the Bidder (EverLevel Holdings, LLC).

Gunnar Lee-Miller (CEO),and Craig Roth (President/COO), are authorized to sign this bid proposal binding the Bidder (EverLeve| Holdings, LLC),to the bid, (City of Hemet - Sewer Main Replacement, CIP NO. 5729).

Thank you,
unnar Lee-Miller
CEO
EverLeve| Holdings, LLC
\llI5I’L%
Craig
President/COO
EverLeve| Holdings, LLC
(909) 606-8944
Il«L€"Z3
EverLeve| 5877 Pine Ave., Suite 240 Chino Hills, CA 91709 (909)606-8944 everleve|corp.com

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Aétymm /4;, 20;?
person(;(fwhosename(s’)’ ayé
he/eke/they executed the
his/hzmheir authorized capacity(ies‘), and that by his/be!’/their signatureks) on the instrument the personwj or the entity upon behalf of which the person(.S’)acted, executed the instrument.

ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual who signed the document to which this certi?cate is
attached, and not the truthfulness, accuracy, or
validity of that document.

State of California _ County of San Bernardino
on before me, Maria Elda Flores, Notary Public
(insert name and title of the officer)
personally appeared Craig Roth
who proved to me on the basis of satisfactory evidence to be the is/ subscribed to the within instrument and acknowledged to me that same i n
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

MARIAELDAFLORES
_ _ NotaryPublic-California WITNESS my hand and official seal inocounty # 2430065
Comm. 9%:10, 2026
Signature (Seal)

20.F

San Bernardino
A104/amber /§ /2 /13
who proved to me on the basis of satisfactory evidence to be the person_(s')whose name(s) is/ape’ /shé/they
his/her/theirauthorized capacity?es). and that by hislher/their signature(s) on the instrument the persan,(.e), or the entity upon behalf of which the person(,5r)'acted,executed the instrument.

MARIAELDAFLOIES l NotaryFub{lc—Ca||fom|a F
§ Sin lenurdino canny 3
‘ CanlmlnimI 2430055
‘
I
‘U Mycomm. Explrls on W.1026I

ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual who signed the document to which this certi?cate is
attached, and not the truthfulness, accuracy, or
validity of that document.

State of California
County of )
On before me, Maria Elda Flores,"Notary Public
(insert name and title of the of?cer)
personally appeared """"""""" " Gunnar I-ee'Mi“er """""""""""""""" " subscribed to the within instrument and acknowledged to me that he executed the same i n
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

WITNESS my hand and of?cial seal.

Signature (Seal)

20.F

C£'.~:f:L?
emy for Servige‘
Registr
Effective
10/02/20
/21
/22
731
Roth
J
11/15_/_23, 12:4§ PM
ontractor Information
Legal Entity Name
Everlevel
Legal Entity Type
Corporation
Status
Active
Registration Number
PW—LR—1000673396
Registration effective date
07/01/23
Registration expiration date
06/30/24
Mailing Address
5877 Pine Ave., Suite 240 chino Hills 91709 CA Unit.

Physical Address
5877 Pine Ave., Suite 240 chino Hills 91709 CA Unit.

Email Address
craig@ever|eve|corp.com
Trade Name/DBA
License Number (5)
CSLB:1069011
CSLB:1069011
Legal Entity Information
Corporation Entity Number:

Federal Employment Identification Number:

President Name:

Vice President Name:

Treasurer Name:

Secretary Name:

CEO Name:

Ag
Agent of Service Name:

Agent of Service Mailing Address:

Worker's Compensation
Do you lease employees through Professional Employer Organization (PEO)?:

Registrations
ation History
Date Expiration Date
06/30/21
07/O1 06/30/22
07/01 06/30/23
07/01/23 06/30/24
C—64775
851694
Craig
Gunnar iller
Gunnar —Miller
5877 Pin Ave. Suite 240 Chino Hills,CA
Please provide your current worker's compensation insurance informationbelow:

PEO PEO PEO
PEO |nformationName Phone Email
https2//cadir.my.saIesforce-sites.com/Contractorsearch/registrationsearchDetai|s?id=a1R8y0O0O016GC|EAM No
1/2

20.F

11/1523, 12:4§ P Registrations
Insured by Carrier
Policy Holder Name:

Insurance Carrier:

Policy Number:

Inception date:

Expiration Date:
https://cadir.my.saIesforce-sites.com/Contractorsearch/registrationSearchDetai|s?id=a1R8y0000016GC|EAM EverLeve|
Everest Pr
76000220
01/01/22
01/01/24
2/2

20.F

wen liu-amplm mmm mmm
CONTRACTORSSTATE LICENSE BOAR]
Contractor'sLicenseDetailforLicense#
1069011
DISCLAIMER:A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations.
5 CSLBcomplaintdisclosure is restricted by law(B&P7124.6)lfthis entityi to pub nt disclosureclick on link that will appear below for more information.Clickhere for a de?n isclosa ; Only construction related civiljudgments reported to CSLBare disclosed (BAP 7071 17). y Arbltrationsare not listedunlessthe contractorfails to complywiththe terms. > Due to workload,there may be relevantinformationthat has not yet been entered into the board's licensedatabase.

Data current as ofll/15/202312:46:11 PM
BusinessInformation
Entity LtdLiability
Issue Date 09/21/2020
Expire Date 05/30/2024
LicenseStatus
This license is current and active.

Allinformation below should be reviewed.

Classi?cations
> B — GENERALBUILDING

V A- GENERALENGINEERING
Contractor's Bond Thislicense filed a Contnactor‘sBondwith WESTERNSURETYCOMPANY. Bond Number: 66630629 Bond Amount: $25,000 Effective Date: 05/22/2023 Contractor's Bond History LLCEMPLOVEEIWORKER BOND Thislicense fileda LLCEmployee/lNorker Bondwith SURETECINSURANCECOMPANY. Bond Number: 6005383 Bond Amount: $100,000 Effective Date: 09/10/2020 Bond of Qualifying Individual > The qualifying individualGUNNARLEE-MILLERcerti?ed that he/sheowns 10 percentor more of the voting mbership interest ofthis company; therefore, the Bond ofQualifying Individual uired. Effective Date: 09/21/2020
The qualifying individualCRAIGMICHAELROTHcerti?ed that he/sheowns 10 percent ormore of the voting stock/membershipinterest ofthis company; therefore, the Bond ofQualifying Individualis not required. Effective Date:
5877 PINEAVENUESUITE240 CHINOHILLS,CA91709 BusinessPhoneNumber:(909) 606-8944

EVERLEVELHOLDINGSLLC
BondingInformati

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AccessibilityCeiti?cation

20.F

specification
the Public
constructed
ereby proposesto furnishany and all labor, materials,and LACEMENT,CIP No. 5729, and appurtenantwork in con
and materialsto be furnishedin strict conformity
ut not limitedto the Noticeinviting Bids, instruction
ifications, GeneralConditions, SpecialProvisionsGenera Provisions, mendedand supplemented, technicalreferences, all othe referenced ermit conditionsand regulations, for the total an ountlsl rid any unit uctive items shown on th
examinedthe locationof the proposedworkand
lenges presentedby the Project site, is familiar with the plans, ract Documents(particularlyas delineatedabove) and the requirementsof Contract, and also understandsthat the Project shall be completely rn—key condition acceptable to the Owner within the Project time price of the proposal,including allfees and sales and/oruse tax upon any cl,including any unit prices and additive/deductive items. The undersigned cked all of the figures given and understands that the Agency will ___.__ not be errors or omissionson the part of the undersignedin submitting this

SEWERMAINREPLACEMENTBIDDER'SPROPOSAL
CIPNo. 5729
The undersigned h
equipmenttel’the
sEwER|v|A|N REP
nection therewith,
with the Contract
s to Bidders, every
said work to be done
Documents, including b
Addendum, plans, spec
I l
Greenbook2021 as a
documents, all codes, p
1 3
prices and additive/ded
is proposal.
all localand physical
The undersigned has
conditions and chal
s, Cont
Works
in tu
requirementsfor the
materialsso furnishe
has also carefully che
responsiblefor any
proposal.
is submitted
at his/her/itsbid
ed in all addendaissue
Documentsinclud
d by the OwnerContractor confirmsth
Contract and/orContract
ned in the addendahave
e and informationcontai of Addenda
to reaffirming that the chang
ontractor acknowledges receipt
in addition heir proposal,
been integrated into t
No.(s) 1
The undersignedhas examinedthe current State of Californiascheduleof prevailingwage rates for the types of work to be done on this project (and the Davis-BaconAct if the Agency uses federalfundsfor the Project) and agrees to pay not less than these rates erials, and equipmentfor the
ction therewith,
Contract
Bidders,
eral
nish any and all labor, mat
The undersignedhereby pr
SEWERMAINREPLACEMENT ClP No. 5729 and appurtenantwork in conne ‘
'
' conformity with the
said work to be done and materialsto be
Documents, including but not
'
' ° Bids. ||'|St|’l-|Ctl0|'|5t0
every Addendum, plans, specifica
' l P|‘0ViSi0n5» Ge“
Provisions, Greenbook2021 as amendedand supplemented, erences.3“ Other ations, for the total amount(s)
referenceddocuments, all codes, permit con
'
'
and any unit prices and additive/deductive item

20.F

SEWER MAINREPLACEMENT
CIP No 5729 BIDDER'SPROPOSAL (cont’d)

BIDSCHEDULE
BASE BID — SEWER MAIN REPLACEMENT,CIP No. 5729

ITEM ESTIMATED UNIT
No DESCRIPTION UNIT

QUANTITY PRICE
1 Mobilization/ Demobilization(otto
exceed5%) L8 1 %I900
2 _ , 45,000 Trafficand PedestrianControl LS 1
3 12,000
WaterQuality Control L8 1
4 10,000
FieldOrders LS 1
5 TemporaryConstructionProject 3000
Identi?cationSign EA 2
6 10,000
CCTV LS 1
KO,000
7 -5-5:000.

Bypass Pumping LS 1
3 Abandon4"SewerLateral(Gibble 5_4o
Park) LF 105
9 Abandoninplace6"OrangeBurge 2o_oo
(Thompson St.) LF 240
10 9.00
Abandon8"SewerMain LF 2500
11 Remove6"OrangeBurge(Thompson 920
St.) LF 60
12 40.00
Remove8"SewerMain(GibblePark) LF 380
13 3,500
Remove48"Dia.SewerManhole EA 9
14 Furnish&Install4"PVCSDR-35 355_oo
SewerLateral LF 500
15 Furnish&Install6"PVCSDR-35 375_oo
SewerLateral LF 230

EXTENDE
D ITEM
AMOUNT
10,000
45,000
12,000
10,000
6,000
10,000
$0,000
-55,090..
672.00
4,800
22,500
552.00
15,200
31 ,500
177,500
82,250

20.F

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SEWER MAINREPLACEMENT
CIP No 5729 BIDDER'SPROPOSAL (cont'd)
BASE BID- SEWER MAIN REPLACEMENT,CIP No. 5729
EXTENDED ITEM ESTIMATED UNIT DESCRIPTION UNIT ITEM No QUANTITY PRICE AMOUNT
Furnish&Install8"PVCSDR-35 3o5_oo 915,000 15 SewerMain LF 3000 17 6,500 71,500
Construct48"Dia.SewerManhole EA 11
13 475.00 7,600
Concreteencasement LF 16
19 1.72 137,944
Grind&OverlayACPavement(0.1') SF 80,200
20 16,000 16,000
Striping and Signage L8 1
21 36,000 36,000
Replace damaged TrafficLoops LS 1
22 Removeand ReconstructPCCCurb&
Gutter LF 40 1510.000D‘I I9”
23 Removeand ReconstructPCC
Sidewalk SF 270 36. 00
24 Removeand ReconstructPCCCross
Gutter&Spandrell SF 1650 (‘I1:00 (‘Q1300
TOTAL BASEBID(numbers) I.6632; 35%°°
************************************
BASEBIDTOTAL (in words) Q
Contractor's Initials AA
11'q5°
Mmd %"*‘D

20.F

Rev. 0
February 2020

SEWER MAIN REPLACEMENT
CIP No 5729 B|DDER'S PROPOSAL (cont’d)
In the event of a variation between the unit price and extended total, the unit price will be used and the corrected extension will be considered as the amount bid. If the bid is illegible and cannot be reconciled it will be considered non-responsive and will not be considered for award.

If an additive and/oralternate bid schedule is called for in the Contract Documents, the lowest bid will be determined on the basis ofthe base bid schedu|e(s) only unless otherwise‘ specified in the Notice Inviting Bids or by Addenda if issued to supersede the Notice Inviting Bids on this specific issue.

For a Contract where a deductive bid schedule is called for, the lowest bid will be determined by the total of all bid schedules including the deductive bid schedu|e(s).

Regardless of whether the additive/deductiveor alternates bid items will be considered in determining the low bid, the Agency may elect to include any or none of the additive/ or alternate bid items/schedules, or to otherwise add or remove certain workdeductive from the scope of Work. Accordingly, Contractor warrants that each bid item contains a proportionate share of profit, overhead and other costs and expenses, which will be incurred by the Contractor for the Project.

If equal low bids are received from responsible and responsive bidders the selection shall be made by drawing lots, or other similar random blind method selected by the Agency. If only one responsive bid is received from a responsible bidder the award shall not be made unless the price can be determined to be reasonable based on an analysis by the Agency. The Agency's determination as to the reasonableness of any such bid shall be final.

The Agency reserves the right to reject any or all bids, to waive any irregularity(ies), and to take all bids under advisement for a period of sixty (60) calendar days after the date the bids are publicly opened. Bidder acknowledges that all costs incurred as a result of preparing the proposal shall be the sole responsibility of Bidder. The Notice Inviting Bids and Instructions to Bidders does not create or impose any obligation upon the Agency to enter into a contract.

All bids received shall be recorded on an abstract (tabulation) of bids, and then made available for public inspection within two business days of bid opening.

The quantities listed in the bid proposal are provided to give a general indication of the scope of the work and for the comparison of bids. No warranty is made, either expressed or implied, that the actual quantities of work to be done will correspond therewith. Item numbers followed by ”(S)” are designated as specialty items which will not be included towards the calculation of minimum of 50 percent of work to be performed by Contractor's own forces.

By signing and submitting this bid the Contractor confirms that they are familiar with the work site and all existing conditions that may affect their work and that they have read and agree to all the terms, conditions and requirements contained or referenced herein or in the Contract Documents and that all the aforementioned has been included in the bid prices listed above,

20.F

SEWER MAINREPLACEMENT
CIP No 5729 B|DDER'S PROPOSAL (cont’d)
including items of work that may not have a specific pay line item and that there shall be no additional costs to the Agency.

WARNING: If an addendum or addenda have been issued by the Agency and not noted above as being received by the bidder, this Bidmay be rejected.

Complete the following:

GCI Construction, Inc ; 1000001150 755356
Legal name of the business, DIRReg. and Contractor License Nos.

Corporation
Business Type (Corporation, Partnership, Sole Proprietor) N/A
DBA(if any)
Richard Kay : CFO
Name and title of the owner
AlanAristondo : CEO
Name and title of second partner or officer
1031 Calle Recodo, Suite D San Clemente, CA 92673
Business Address
714.957.0233
Telephone number
714.540.1148
Facsimile number
Alan Aristondo : a|[email protected]
Name and Emailaddress of primary contact
http://gciconstructioninc.com/
Company web address

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ll/LI/73 \l2;L2_3

SEWERMAINREPLACEMENT
cup No 5729 BlDDER'SPROPOSAL(cont’d)
Signature of Bidder Date re of Bidder
Alan Aristondo: CEO Julie Pulley : Secratary
Print name and title Print name and title
(If the Bidder is a corporation two signatures of corporate o?icersare required.) A1-6
Date
I I

20.F

Koosha Rashidian
--nuwag?-“w5W......§
COMM.#2345584 = uamwPUBUC» mnvonma §

ORANGEOOUNTV

ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual who signed the document to which this certi?cate is
attached, and not the truthfulness, accuracy, or
validitvof that document.

State of California
County of Orange )
on November 21, 2023 before me’ Notary Public
(insert name and title of the officer)
personally appeared Alan Aristondo and Julie Pulley
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same i his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the n person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

WITNESS my hand and official seal
Signature (Seal)

20.F

SEWER MAINREPLACEMENT
CIP No 5729 BlDDER'SPROPOSAL (cont'd)

CERTIFICATEREGARDINGCONTRACTOR'SLICENSE

1. Contractor is required to possess one of the following State Contractor's License:

State of California Class ‘A’Contractor's License
Combination of Specialty Class ‘C’Contractor's Licenses

2. A failure to (1) possess the required license, (2) truthfully set forth the following information, and/or (3) execute this Certificate may render the proposal nonresponsive and permit the City to reject the proposal. (Business and Professions Code Section 7028.15)

3. Contractor declares, under penalty of perjury, that he/she/it possesses the required Contractor's |icense(s) which:
a Bears the license number(s): 75535“
b Expires on; 10/31/2024
ll/9,:/13 ll/ll/1’:

Signature of Bidder Date Signature of Bidder Date
Alan Aristondo : CEO Julie Pulley 2Treasurer
Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures of corporate o?icersare required.) This required license determination has been made by the Agency. Any Contractor holding a different license who feels he is qualified to bid on this work must so advise the Agency at least seven (7) days prior to the bid opening. The Agency may conduct a review of the contemplated work to re-evaluate the required license determination. The Agency may in its sole discretion maintain or change the required license determination; Agency's decision as to the required license will be final.

20.F

Construction,
Bond N0. CSBA—25458
SEWER MAIN REPLACEMENT Rev. 0
CIP No 5729 BIDDER'SPROPOSAL(cont’d) February 2020

BIDSECURITYFORM FOR BOND

KNOW ALLBYTHESEPRESENTS
That the undersigned
GCI Inc.
(Name of Contractor)
as Principal and the undersigned as Surety are held and firmly bound unto Owner, CITYOF HEMET, a political subdivision of the State of California, as obligee, in the penal sum of (Dollar Amount In Words) Ten Percent of the Amount of the Bid
Dollars ( 10% I lawful money of the United States of America being at least ten percent (10%) of the aggregate amount of said Principal's base Bid,for the payment of which, well and truly to be made, we bind ourselves, our successors, executors, administrators, and assigns, jointly and severally, firmly by these presents.

WHEREAS,said Principal is submitting a Bidfor |
Sewer Main Replacement Capital Improvement Project No. 5729 THE CONDITIONOF THIS OBLIGATIONIS SUCH that if the Bid submitted by the said Principal be accepted and the Contract be awarded to said Principal and said Principal shall within the required periods enter into the Contract so awarded and provide the required Construction Performance Bond, Construction Labor and Material Payment Bond, insurance certificates, and all other endorsements, forms, and documents required under the Instructions to Bidders, then this obligation shall be void, otherwise to remain in full force and effect.

IN WITNESSWHEREOF, the above bounden parties have executed this instrument this 13th day of November _, 2023.
(Month)
GCI Construction, Inc.
(Corporate Seal) By
Principal
U.S. Specialty Insurance Company
By
VMi g, Attorn n-Fact
(Corporate Seal) By
Cf

20.F

ACKNOWLEDGMENT
A notary public or other of?cer completing this
certificate verifies only the identity of the individual who signed the document to which this certi?cate is
attached, and not the truthfulness, accuracy, or
validitvof that document.

State of California
County of Riverside )
On November 13. 2023 before me, R- Nappi "N°t3"YPUb“°"
(insert name and title of the officer)
personally appeared Mi°hae' D- St°”9
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same i his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the n person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

WITNESS my hand and official seal NotarYPUb“°'C“‘"°”“a
" RiversideCounty
Commission # 2327975
MyComm.ExpiresJun 7, 2024
Signature (Seal)

20.F

---- Seventy Five Millionand 00/100
( ~ 575 we come )
A Nufary Public nr amer
which this certi?cate is attached. Imlhfulness, accuracy. validity the foregusng 1 luxuryPaul:-Ill I
f Lu mt c..w‘T.I!.u£z’§ ‘
umvmnatm an
~x § Assi Secrelary

TOKIOMARINE
H C C

POWER OF ATTORNEY

AMERICAN CONTRACTORS INDEMNITYCOMPANY TEXAS BONDING COMPANY UNITEDSTATES SURETY COMPANY U.S. SPECIALTY INSURANCE COMPANY KNOW ALL MEN BYTHESE PRESENTS: That American Contractors Indemnity Company, a California corporation, Texas Bonding Company, an assumed name of American Contractors Indemnity Company, United States Surety Company, a Maryland corporation and U.S. Specialty Insurance Company, a Texas corporation (collectively, the “Companies”), do by these presents make, constitute and appoint:

Daniel Huckabay, Arturo Ayala, Dwight Reilly, Shaunna Rozelle Ostrom, Michael D. Stong, Ben Stong, Frank Morones, Adrian Langrell,CheIsea Liberatore and Benjamin Wolfe of Orange, California its true and lawful Attorney(s)-in-fact, each in their separate capacity if more than one is named above, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include riders, amendments, and consents of surety, providing the bond penalty does not exceed Dollars
. This Power of Attorney shall expire without further action on January 315‘,2024. This Power of Attorney is granted under and by authority of the following resolutions adopted by the Boards of Directors of the Companies:

Be it Resolved, that the President, any Vice-President, any Assistant Vice-President, any Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attomey(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions:

Attorney-in-Fact may be given full power and authority for and in the name of and on behalf of the Company, to execute, acknowledge and deliver, any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings, including any and all consents for the release of retained percentages and/or ?nal estimates on engineering and construction contracts, and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney-in-Fact shall be binding upon the Company as ifsigned by the President and sealed and effected by the Corporate Secretary.

Be it Resolved, that the signature of any authorized of?cer and seal of the Company heretofore or hereafter af?xed to any power of attomey or any certi?cate relating thereto by facsimile, and any power of attorney or certi?cate bearing facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached.

INWITNESS WHEREOF, The Companies have caused this instrument to be signed and their corporate seals to be hereto af?xed, this 23'“ day of September, 2021.

AMERICANCONTRACTORS INDEMNITYCOMPANY TEXAS BONDING COMPANY

UNITEDSTATES SURETY COMPANY TY INSURANCE COMPANY
State of California
County of Los Angeles By:

Daniel P. Aguilar, Vice President
of?cer completing this certi?cate veri?es only the identity of the individual who signed the document to and not the or of that document
On this 23rd day of September, 2021, before me, D. Little?eld, a notary public, personally appeared Daniel P. Aguilar, Vice President of American Contractors Indemnity Company, Texas Bonding Company, United States Surety Company and U.S. Specialty Insurance Company who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrumentand acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of California that paragraph is true and correct.

WITNESS my hand and seal.
°' m?m?m.
3?»
Signature (seal) ““ M‘
I, Kio Lo, Assistant American Contractors Indemnity Company, Texas Bonding Company, United States Surety Company and U.S. Specialty Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said Companies, which is still in fullforce and effect; furthermore, the resolutions of the Boards of Directors, set out in the Power of Attorney are in fullforce and effect.

In Vt?tness \lVhereof, I have hereunto set my hand and affixed the seals of said Companies at Los Angeles, California this mhjday 0f . .2923?-
Corporate Seals
Bond No. CSBA-25458
Agency No. 8472 Kio Lo.
visit tmhcc.com/surety for more information
HCCSMANPOAOSIZDZ1
Iuulllu

20.F

All-purpose Acknowledgment If
j§.‘d .§e4;;m‘:|-~(
ll?\IW|ll|W|||l|\\||?||
\||||WH|W||l|\||
WELLS
Ca i ornia
A notary public or other officer completing this certificate verifies only the identity of the individualwho signed the document to which this certi?cate is attached, and not the truthfulness, accuracy, or validity of that document.

State of California
County of
before me, (here insert name and title of
the of?cer),
personally appeared
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

Notary Seal
WITNESS my hand
and official seal.

Signature
For Bank Purposes Only
Description of Attached Document
Type or Title of Document
Document Date Number of Pages
Signer(s) Other Than Named Above
Account Number (if applicable)
FOOl—OOODSG535OCA-O1
DSG5350CA/595577 (Rev 05 - 05/21)
//'a?.@-
xv»

20.F

[ California

SEWER MAIN REPLACEMENT
cup No 5729 BlDDER'SPROPOSAL(cont’d)

NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODESECTION7106

NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID The undersigned declares
I am the CEO of GCI Construction Inc the party making the foregoing bid.

The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder. All statements contained in the bid are true. The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose.

Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the bidder.

I declare under penalty of perjury under the laws of the State of fornia that the foregoing is true and correct and that this declaration is executed on date], at San Clemente city], [state]
2 ll
Signature of Bidder Date of Date
Alan Aristondo: CEO Julie Pulley: Secretary
Print name and title Print name and title
(If the Bidder is a corporation, two signatures of corporate o?icersare required.)

20.F

KooshaRashidian
-xec:agmxsvn.swCDMM.

IHIIRVPUBUC- GAUFOHNII

ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual who signed the document to which this certi?cate is
attached, and not the truthfulness, accuracy, or
validity of that document.

State of California
County of Orange l
Notary Public
(insert name and title of the officer)
on November 21, 2023 before me,
personally appeared AlanAristondo and Julie Pulley
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same i his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the n person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

WITNESS my hand and official seal
Signature (Seal)

20.F

SEWER MAIN REPLACEMENT
cwNo 5729 BlDDER'SPROPOSAL (cont'd)
CONTRACTOR’SREFERENCELIST
Attach to this bid a list of three (3) projects in the past five (5) years on which the bidder and hi s subcontractor(s) have successfully constructed and completed projects with the same type (elements), size and complexity of work. The Agency Engineer will make the final determination of whether the projects listed here are of the same type, size and complexity as this project.

Failure of bidder to supply sufficient documentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non-responsive bid and, at the Agency's discretion, said bid will be disqualified.

Project Name Please See Attached
Contract Price: Date of Completion:

Name, Address, and Telephone Number of Owner's Representative:

Project Name: Please See Attached
Contract Price Date of Completion
Name, Address, and Telephone Number of Owner's Representative Project Name: Please See Attached
Contract Price: Date of Completion:

Name, Address, and Telephone Number of Owner's Representative:
(Attach additional pages as necessary)

20.F

SEWER MAINREPLACEMENT
cw No 5729 BlDDER'SPROPOSAL (cont’d)

DESIGNATIONOF SUBCONTRACTORS
Name of Subcontractor
and Location of Place Description and Subcontractor’s DIR Registration of Business Percentage of Work License No. Number
Los Angeles Signal .35%
Construction. Inc 858974 1000005664
155 N. Eucla Ave. San Dimas
CA 91773
Hardy & Harper Inc 6.7% 215952 1000000076
32 Rancho Circle Lake
Forest, CA 92630
Geo-Cell Solutions, Inc .93% 938053 1000001454
2668 N. Fordham Avenue
Fresno, CA 93727
Manhole Builders.Inc 2.17% 831892 1000012259
25050 MaitriRd, Corona CA
92883
Downstream Sen/ices, Inc .52%
2855 Progress Place 807953 1000004632
Escondido, CA 92029
Chrisp Company 71 °/o 374600 1000000306
43650 Osgood Road
Fremont, CA. 94539
Ll'Iam'DI°"‘ <'\‘\’\>M’V‘°‘i
l—*l7’l° suvierwr An, LL37. m°°0'3 iooo%8‘1‘L(pY)
MbmsoQ-alvqu;C-4' 9269
(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE §4100 ETSEQ.)

20.F

Elev. 0
February 2020

SEWER MAINREPLACEMENT
cup No 5729 BlDDER'SPROPOSAL (cont’d)

BIDDERCERTIFICATIONS

TO BE EXECUTEDBYALLBIDDERSANDSUBMITTEDWITH BID
The undersigned Bidder certifies to Owner as set forth in sections 1 through 10, below

STATEMENT OF CONVICTIONS
By my signature hereunder, I hereby swear, under penalty of perjury, that no more than one final, unappealable finding of contempt of court by a Federal Court has been issued against Bidder within the past two years because of failure to comply with an order of a Federal Court or to comply with an order of the National Labor Relations Board.

CERTIFICATIONOF WORKER'SCOMPENSATION INSURANCE
By my signature hereunder, as the Contractor, I certify that I am aware of the Labo r Code Section 3700, which requires every employer to be insured against liability for worker's compensation or to undertake self-insurance in accordance with the provisions of that Code, and I will comply with such provisions before commencing the performance of the work of this Contract.

Please note that the submittal of this certificate does not relieve Contractor from complying with all of the insurance requirements of the Public Works Agreement and Contract Documents.

CERTIFICATIONOF PREVAILINGWAGE RATESAND RECORDS
By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Section 1773, which requires the payment of prevailing wage on public projects. Contractor and any subcontractors under the Contractor shall comply with Labor Code Section 1776 regarding wage records, and with Labor Code Section 1777.5 regarding the employment and training of apprentices. Contractor is responsible to ensure compliance by any and all subcontractors performing work under this Contract.

CERTIFICATIONOF COMPLIANCEWITH PUBLICWORKS CHAPTEROF LABORCODE By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Sections 1777.1 and 1777.7 Code, and Contractor and Subcontractors are eligible to bid and work on public works projects.

CERTIFICATIONOF NON-DISCRIMINATION
By my signature hereunder, as the Contractor, I certify that there will be no discrimination in employment with regard to race, color, religion, gender, sexual orientation, age or national origin; that all federal, state, and local directives and executive orders regarding non-discrimination in employment will be complied with; and that the principal of equal opportunity in employment will be demonstrated positively and aggressively.

20.F

SEWER MAIN REPLACEMENT
CIP No 5729 BIDDER'SPROPOSAL (cont'd)

CERTIFICATIONOF NON-DISQUALIFICATION
By my signature hereunder, as the Contractor, I swear, under penalty of perjury, that the below indicated Bidder, any officer of Bidder, or any employee of Bidder who has a proprietary interest in such Bidder, has never been disqualified, removed, or otherwise prevented from bidding on, or completing a Federal, State, or local government project because of a violation of law or safety regulation, except as indicated on the separate sheet attached hereto entitled "Previous Disqua|ifications.” If a statement of ”Previous Disqua|ifications” is attached, please explain the circumstances.

CERTIFICATIONOF ADEQUACYOF CONTRACTAMOUNT
By my signature hereunder, as the Contractor, pursuant to Labor Code Section 2810(a), I certify that, if awarded the Contract based on the undersigned’s Bid, the Contract will include funds sufficient to allow the Contractor to comply with all applicable local, state, and federal laws or regulations governing the labor or services to be provided. I understand that Owner will be relying on this certification ifit awards the Contract to the undersigned.

CERTIFICATIONREGARDINGDIRCONTRACTOR/ SUBCONTRACTORREGISTRATION By my signature hereunder, as the Contractor, I certify that Contractor, and all listed Subcontractors are the subject of current and active contractor registrations pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code.

Contractor's registration number is [please complete] 1000001150 Subcontractors’ registration numbers are as indicated in Document 00 4314.

ISOQI
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20.F

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BELASARIOAIDS 1
15900 SANDCANYON

IRVINEGA
949 4453
5 am
)1
SCICONSYRUCTION Inc.

COMFLET RDJEOTSLIST

REPLACEMENT OF PRESSURE REDUCING
MOUNTAINVIEW AVE5 HURONST
RF-1 niessmnAREAuw
conrimnWATERLINE
ELToéoROADsewer:

SAN AdumMARSH

INSTALLATION
Customer Contact I mnation
AVE
92618
5596

MICHAEL DEL CAMPO
75 E OLIVE AVE
|URBANK CA
818 238 5343

MICHEAL BENESH
290 Paularino Avenue Costa Mesa CA 92626
oh (949) 645-8400
fax (949) 548-6516

CITY OF BUENA PARK

JASON TRAN
6650 Beach Blv Buena Park CA

MICHEAL BENESH
290 Paulanno Avenue Costa Mesa. CA 92626 oh (949) 645-8400 fax (949) 548-6516

CITY OF LOMALINDA

JARB THAIPER
25541 BARTON RD

LOMALINDACA

DISTRICT ETHAN NAKANO
1717 E. Miraloma Avenue Placentia. CA 92870 0 714-701-3000

ALEX ESCOBAR
6075 KIMBALLAVE CHINO CA
909 993 1941
MICHAELSINACORI 100 CIVICCENTER DR NEWPORT BEACH CA
949 344 3342

DISTRICT MICHAELLU
15600 AVE
IRVINE CA 92618
949 4453 5596
IRVINE R. DISTRICT MICHAEL LU
IN AVE
949 4453 196

REFERENC FOR
Job I: I Description
Job No. 701 EL TORO ROAD SEWER MA E RAISE TO GRADE PR 12294 Location: EL TORO ROAD

LAKE FOREST CA
Job No. 734 BURBANK GOLF COURSE

SLOPE REPAIR
Localion: DE BEL GOLF CLUB BURBANK CA 91501
Job No. 730 ELDEN PUMP STATION
Localion: ELDEN PUMP STATION
Costa Mesa CA 92625
Job No. 729 MALVERNAVE WATER VAULT
Location: Buena Park. CA
Job No. 716 PAULARINOSIPHON REPAIR
Localion:

PAULARINOAVE Costa Mesa CA 92626
Job No. 713
VALVE
Location:

LOMALINDA CA
Job No 710 MOUNTAINVIEW WATERLINE REPLACEMENT
Location: MOUNTAINVIEW AVE Yorba Linda. CA
Job No 707 LINE VALVE REPLACEMENTS
Location:

IEUA RP1 DIGESTER ONTARIOCA
Job No 705 REPLACEMENT
Location:

CAMEOSHORES NEWPORT BEACH CA
Job No 701 MANHOLE RAISE TO GRADE PR 12294 Location: EL TORO ROAD

LAKE FOREST CA
Job No 699 MONUMENT AND RIPARIAN
Location: RIPARIAN VIEW.

Contract Amt.
$ 46.700.00
$ 280.000 00
$ 204.000 00
S 111.000.00
$ 260,559.00
$ 185.600 00
$ 745325.00
$ 96.0U0.0D
$ 275.914.00
$ 95,800.00
$ 132.000.00
Corn
Oct-23
Dec-23
Feb—23

COMPLETED
Nov—23

COMPLETED

COMPLETED

COMPLETED

COMPLETED

COMPLETED
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FNAKAN( @vIwd com

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LOGANCO

PETER LOGAN
19802 FELCLIFF LN
HUNTINGTONBEACH CA 92646

LAGUNABEACH COUNTY WATER DISTRICT

JOHN KANESHIRO
306 3rd St. Laduna Beach. CA 92651 O 949 494 1041
CITY OF NEWPORT BEACH MICHEALSINACORI 100 CIVICCENTER DR CITYOF NEWPORT BEACH. CA 949 644 3309 EWPORTBEACHCA GOV

SAM NELSON
2870 Clark Avenue Norco. CA 92860 O 951 270 5607

ALEXESCOBAR
6075 KimballAvenue 91709 O 818 439 8668

JNTY WATER DI ITRKCT

JOHN KANESHIRO
306 3rd SI
0 949 494 1041
DISTRICT Ammar Tohmeh
1717 E. Miraloma Avenue
Cesar Ortiz
:.CA
IEL
Jeff Metz 30111 Crc
_aquna N Juel. CA
949-3624: 44
Rhona Ba ev
Temecula. 3984
ACH

EACH CA
A_GOV
South Coast Water District
Job No 696 LAGUNA INN FIRE LINE
Location: 2020 SOUTH COAST HIGHWAY
Laauna Beach. CA
Job No. 693 Valve Replacement Proiect W.0. 8123 Location:

Various Locations in Laduna Beach. CA
Job No. 692 SAND HAUL
Location: BALBOAPIER NEWPORT BEACH
Job No 690 Citv of Norco MDP Lateral N—1G
Location: 7th & Califomia St . Norco. CA
Job No 688 Recharge Basin Clean Up of
llleaal Dumnincr Location: 11396 Beech Avenue. Fontana. CA 92337 Job No 683 Laquna Canvon Frontaqe Road
Pipeline Proiect W.O.2402 Location: Laouna Canvon Rd & Lacruna Canvon Frontage Road Laduna Beach. CA 92651 Job No. 682 Stonehaven Water Main Contract No J-2018-28 Location: Stonehaven Dr 8. Blue Mountain Yorba Linda. CA Job No 681 Waterline Abandonment at Frar Street and Stanton Avenue Location: Buena Park. CA Job No. 680 Niuuel Road Low Flow Drainaqe
Proiect. Cash Contract No 22-02 Location: Niduel Rd & Charles Rd Laquna Niuuel. CA Job No 677 Madison Avenue Potable Water Pipeline Replacement Location: Madison Ave 8. Nick Ln Munieta. CA ob No 671 AND HAUL
ocation: ALBOA PIER

JEWPORT BEACH
Job No. 675
f
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72.800 00
252.750 00

67.258.94
826.685.00

69.00000
394.254 25
563820.50
133 704.00
34 800.00
720 750.00
108 216 55
389 335 20

COMPLETED
Mav-23
Dec—1
Jun—23
Mar—23
Mar-23
Nov-22
Sep-22
JuL22

IN PROGRESS
Jun-22
Aua-22
dunbar(:'D,
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/IICHEAL SINACORI
IITY OF NEWPORT BEACH. CA
949 644 3309 Email: MS|NACOR|@NEWPORTBEACHCA.GOV
IRVINE RANCH WATER DISTRICT Thomas Bonkowski 3512 Michelson Drive In/ine CA 92612
0 949-453-5692
CITY OF NEWPORT BEACH MICHEAL SINACORI 100 CIVIC CENTER DR CITY OF NEWPORT BEACH. CA
949 644 3309 Email: MSINACOR|@NEWPORTBEACHCA.GOV
Trabuco Canvon Water District Lorrie Lausten
32003 Dove Canvon Drive Trabuco Canvon CA 92679
Citv of Norcolonvx Pavina Sam NeIsonNiviana Tran
2870 Clark Avenue Norco. CA 92860 GCI Was a Sub to Onvx IRVINE RANCH WATER DISTRICT Mark Marcacci 3512 MICHEALSONDRIVE IRVINECA 92612
MICHEALSINACORI 100 CIVICCENTER DR CITY OF NEWPORT BEACH. CA 949 644 3309 Email:

TOM BONKOWSKI 3512 MICHEALSONDRIVE
IRVINE CA 92612

LAGUNA BEACH WATER DISTRCT

JOHN KANESHIRO
306 3RD ST
LAGUNABEACH CA 92651 O 949 494 1041
ERDISTRICT TOM BONKOWSKI 3512 MICHEALSONDRIVE
IRVINE CA 92612
949-392-3311
lmorovements Proiecl Location:
\?a Sacramento &
Via Esoinoza Dana Point CA
Job No. 669 SAND HAUL
Location: BALBOAPIER NEWPORT BEACH
Job No. 667 Trunk Sewer Relocation Within San Dieao Creek Near State Route 133 and Spectrum. PR 12125 Location: 29135 Soectrum Irvine. CA Job No. 666 SAND HAUL
Location: BALBOAPIER NEWPORT BEACH
Job No. 665 OC Rescue Mission Service
Relocation
Location: ElToro Rd & Ridueline Rd Lake Forest. CA
Job No 664 HillsideAvenue Pavement Proiecl
Location: Hillside Avenue & Sixth St Norco CA
Job No. 663 55 RELOCATION ON COWAN AVE Location: COWAN AVE & SR 55 FWY

IRVINE CA
Job No. 659 SAND HAUL
Location: BALBOA PIER NEWPORT BEACH
Job No. 657 BAKER WATER TREATMENT PL NT
Location: 50 CIVIC CENTER DR

LAKE FOREST CA
Job No. 655 Fire Hvdrant Renlacement
Proiecl W.O. 8222 Location: VARIOUS LOCATIONS LAGUNA BEACH CA Job No 654
Location: Morse Ave and Gillette Ave
Irvine CA 92614
Job No 653
7,315.25 Mar34.612.00 Mav-22

23.1 11 21 Jan103.678 00 Jun-2
172.850.00 Mar-22
172850.00 Feb-22
94 220 52 Dec-21

98.680 00 Mar-22
397.900 00 Jan-22
272 130.00 Feb-22
66 556.87 Oct-21
BONKOWSK@iMd com
[email protected] uov
<BONKOWSK@_in~d.oom>
snelson(d>ci.norco.ca [email protected]
marcacci(?>,in~d.com

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MESA WATER DISTRICT ROSS VARNIN
1965 Plaoentia Ave Costa Mesa. CA 92627 949 631 1291
MICHEALSINACORI 100 CIVICCENTER DR CITYOF NEWPORT
949 644 3309

CITYOF SAN CLEMENTE AMIRILKHANIPOUR
910 CALLENEGOCIO
SAN CLEMENTECA 92673 949 361 6140
MICHEALSINACORI 100 CIVICCENTER DR CITYOF
949 644 3309 NEWPORTBEACHCA GOV

MICHEALBENESH
290 Paularino Avenue Costa Mesa. CA 92626 oh (949) 645-8400 fax (949) 548-6516
MICHEAL SINACORI 100 CIVIC CENTER DR
949 644 3309 A GOV

MICHEAL BENESH
290 Paularino Avenue

GRANT KEENE
949 677 0668
ERN
949 248 3574
306 3RD ST
JOHN KAI\ 306 3RD
CI41
Location: BALBOA PIER NEWPORT BEACH
Job No 652 MWRF Temp Water and Sewer
Location:
.Iob No 651 Balboa Island Sewer and Water Reoairs Location: BALBOA PIER NEWPORT BEACH .|ob No 648 Ston11 Drain lmorovements Proiect No 10016 Location: N El Camino Real and Camino San Clemente CA 92672 Job No. 646 SAND HAUL
Location: BALBOA PIER NEWPORT BEACH
Job No 644
Iowa Pumo Station Force Main Reolacement Location:

Iowa St Costa Mesa CA 92626
Job No 639 SAND HAUL
Location: BALBOA PIER NEWPORT BEACH
Job No 638
Installation of dual force main on
19th St Costa Mesa Location: 19th St Costa Mesa CA 92627 Job No. 629
20412 Lacuna Canvon Rd Water and Fire Service Installation Location: 20412 Laauna Canvon Rd Laauna Beach CA 92651 Job No. 628 DANA POINT VALVE REPLACEMENTS Location: VARIOUS LOCATIONS DANA POINT CA Job No 627 MONTEREY WATERLINE REPLACEMENT Location: MONTEREY DR

LAGUNA BEACH CA
Job No 626 VALVE REPLACEMENT
Location VARIOUS LOCATIONS LAGUNA BEACH CA
Job No. 616

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180.000.00
249.750.00
110.93612
168.018.00

9.752.535
297,000.00
50,500 00
69,570.00
244,200 00
247.400.0U
1 621.600 00
Sep-21
Nov-2
Jan-22
Jun-21
Oct-21
Jun-21
Nov-21
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Dec-21
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CITY OF NEWPORT BEACH

ROBERT STEIN P E
100 CIVIC CENTER DR

CITY OF NEWPORT BEACH CA
949 644 3309 Email: RSTE|[email protected]
Irvine Ranch Water District Christian Kessler P.M. 15600 Sand Canvon Ave Irvine. CA 92618 oh (949)453-5300 Email: kess|er@in/vd com Emerald Bav Service District Mike Dunbar G M. 600 Emerald Bav Laauna Beach. CA 92651 oh (949)494-8572 Email: mdunbar?ebservicedistrict com

SANCON ENGINEERINGICITY OF NEWPORT BEACH

RYAN HELMUTH
5841 ENGINEER DR HUNTINGTON BEACH CA
714 891 2323
Laauna Beach Water District Dave Rusk. P.M
308 Third St. Laauna Beach. CA 92652 oh (949) 494-1041
fax (949)497-1021

RECONSTRUCTION
Location: 2034 PRESIDENT PL COSTA MESA CA
Job No. 612 BAKER WATER TREATMENT
ENTRANCE IMPROVEMENTS Location: 100 CIVIC CENTER DR

LAKE FOREST CA
Job No 610 NORTH EL CAMINO REAL STORM

DAMAGE REPAIR
Location: N. El Camino Real San Clemente CA 92672
Job No. 608 BALBOA SEWER REPLACEMENT
Location:

NEWPORT BEACH CA
Job No 604 24" STORM DRAIN REHABILITA ION Location: 1 PARK NEWPORT Job No 596 SAND HAUL

LOCEIIDHI EIALBOA PIER NEWPORT BEACH
Job No 590
Location: HOAG HOSPITAL & OLD
Job No 575 Crvslal Cove Pineline Diversion to Domestic Water Location: 3512 Michelson Dr Irvine. CA 92612
Job No. 571 Area 2 & 9 Stonn Drain
Imorovement Location: 546 Bavwood Rd Laauna Beach. CA 92651 Job No 567
Location: VARIOUS LOCATIONS NEWPORT BEACH CA
Job No 569 Citv Hall 6" Suoolv Line Proiect—WO 2345 Location: 505 Forest Ave Laauna Beach. CA 92651 $
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1965 Placentia Avenue Costa Mesa CA 9262 Ph 949-207-5452 ACH
100 Civic Center Drive Newport Beach. CA 9261 Mike Sinacori PE ph (949) 644-3311
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Canvon Pump Station Rehabilitation and Sewer Force Main Replacement 8. 320 Canvon Drive & Wilson Street Costa Mesa
Job No. 561 Bristol Street Sewer Siphon Emerqencv Repair Location: Br1sto| Street. Costa Mesa Job No. 566
Portal No.4 — Manhole 1193 Laguna Beach
Location: 31792 Coast Hichwav
Laguna Beach
Job No. 565 Rattlesnake Trail Improvement
Project — Bid No. 189-29: SP-3885 Location: 7743 E. Lolita.Orance Job No. 563 Hammer Ave. (from Third to Fifth St.) Street Improvement. and Black?ow Device Hammer Ave From Third St.
to Fifth St .Norco
Job No 564
Jahraus Reservoir Water Oualitv Manacement Svstem-W.O 2292 Location: Alta Lacuna Lacuna Beach Job No 559 Sewer Repair - Blumont Street. Lacuna Beach Location: Blumont St.. Lacuna Beach Job No. 562 Sewer Repair - Blumont Street. T&M Location "B" Location: Blumont St.. Lacuna Beach Job No. 555 Valve Replacement Proiect W.O 81 19 Location: 11 Various Locations in Lacuna Beach Job No. 557 Reservoir 2 Fill Line Repairs Contract No. M19-104 Location: Reserservoir 2. 2340 Orance Street Costa Mesa Job No. 560 Buck Gullv-Newport Beach Location:

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Patrick Safari 35 Caion Street. Suite 15-A
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(909) 798-7698
798-7670
‘GIES, INC. Mark Webe: Proi Mar 5841 Enaineer Drive Huntinoton Beach. CA 92649 Fax 714-891-2524

IRVIMF RANCH WA DISTRICT
15600 Sand Canvon Avenue
Irvine. CA 92618 Tom Bonkowski. P.M. ph (9491 453-5692
fax (949) 496-1244
Bmvn Bevans 3801 West Temple Avene Pomona. CA 91768 Construction Manauer C W. Driver 468 North Rosemead Blvd Psasdena. CA 91107
ph (9491 244-0826
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119 E Joseph Street
Email:

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26161 Gordon Road Lauuna Hills.CA
ph (949) 425-3527

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Via Alleure Lift Station Rehabilitation Proiect No. 1718-019 Location: 31772 Via Alleure Trabuco Canvon Job No. 549 FY 17-18 Sewer Lininq Proiect Sancon Job No. T18024 Location: East "D" Street & 11th Street Cclton Job No. 553 California Street Lift Station
Pipino Replacement
Location:

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Job No. 540 Sewer LiftStations
(Corono #1 and Vallev View #8)
Improvement Proiect
Location: Corona #1 - 1230 Sedona Lane. Corona Vallev View #8 - 1388 Vallev View Avenue. Norco Job No 534 Ston11Drain Rehabilitation
Location: Coast Cliff
Job No. 545
Luqonia Avenue Water Pipeline
Replacement Proiect
Proiect No. 71345 Location: Luqonia Avenue and Barbara Lane. Redlands Job No. 551
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Job No. 548 6-Inch Domestic Water Pipeline
Location: 5 Riparian View, Irvine
Job No 474
Cal Polv Pomona Proiect #02141 Location:
3801 West Temple Avenue Pomona
Location:

Location:

Medical Center Road
MissionVieio
Job No 547 Eldewvood Sewer Uosizina PR10095
S 113.069.00
$ 49.025.00
$ 1.311.280 00
$ 246.005.00
$ 308.004 00
$ 135,050 00
$ 326.425.00
$ 1.909.764.00
$ 16,360.00
$ 1,177,790.00
$ 195,558.00
eb. 2019
eb 2019
Dec. 2018
Dec 2018
Nov 2018
Nov. 2018
Nov. 2018
Nov. 2018
Oct. 2018
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VATER DISTRICT Lom'e Laus en P.E_
Trabuco
Canvon Avenue
3-5692
96-1244
Location: 25426 Elderwood Lake Forest
Job No 550 Fire Locations: Lombardv Lane Temple Terrace. Anita Street and Gellevre Street at Brooks Street. Laauna Beach Job No. 529 Oranoewood Avenue Water Qualitv Stonn Drain Improvements Proiect D—1720 Location: Oranaewood Avenue and Katella Avenue. Oranae
Job No. 541 Calle Redondel Stonn Drain
Improvement Proiect
Proiect No. 15005 Location: Calle Redondel. San Clemente Job No. 503 Beach
Maintenance-Contract No. 8309 Locations: Varioius
Job 527 CMSD Corporate Yard Expansion
Proiect No. 325 Location: Fairview Road and W. Wilson. Costa Mesa Job No 535 Emeraencv Debris Basin Cleanout - Burbank
Job No. 530 Flow Meter Installation at Jahraus and Summit Pump Stations Location:

Jahraus St. and Summit Wav
Laquna Beach
Job No. 516 President Pump Station
Sewer Force Main RepIacement- 9516 Location: Oak Street between Monrovia Ave. & Continental Costa Mesa Job No. 515 SAND HAUL
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Job No. 511 El Toro Force Main
Valve Replacement
Job No. 512 Michelson Sewer Force Main
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$
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290 Paularino Avenue Costa Mesa, CA 92626
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ph (949)453-5863
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306 Third Street
.aouna Beach CA 92652
ph 949-494-1041
fax 949-497-1021
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290 Paularino Avenue Costa Mesa. CA 92626 oh (949) 645-8400 fax (949) 548-6516
100 Civic Center Drive
awport Beach. CA 92660 Mike Sinacori 644-3311

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Job No 502 Adams Pump Station Electrical
Improvements Proiect No. 316 Location: Adams Avenue. Costa Mesa Force No. 313 Victoria Street & Harbor Blvd. Costa Mesa Job No 503 Maintenance-Contract No. 8309-1 Location: Femleaf. Seashore St.. Cove Job 509 Eastshore Elementarv School R&R V-Ditch
Location: Eastshore Elementarv
155 Eastshore Dr.. Irvine
Job No. 482 Force Main Replacement for
South Coast Plaza Pump Station
ProiectNo 200—C
Location: South Coast Plaza 3333 Bristol St., Costa Mesa Job No 498
Location:

Laguna Beach
Job No. 497 San Joaquin Marsh Campus Sewer LiftStation Rehabilitation PR 5186 Location: 15 Riparian View, Irvine Job No. 487
2016-2017 Fire Hydrant
Replacement Project
Location:

Upper Rim Rock Road Laguna Beach
Job No. 467 Elden Pump Station Valves and Piping Replacement Proiect No 202 Location: Elden Job No. 499 Balboa Pier Beach Sand Location:

Balboa Pier Newport Beach
Job No. 484 Balboa Island 12-Inch Storm Drair Location: Marine Ave. and Park Ave.

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ph (714) 701-3105
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CITY OF ACH
100
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910 San 73
IRVINE l iL DISTRICT
100
nnstrucl Vanir Cons Christa De our. PM. 3200 Park
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-0866
100 Civic Newport Patrick Arc nieaa 4-3347
100 Civic Newport 92660
4-3311
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910 Calle auocro
1-6139
1-8316
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ext. 130
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200-B
Costa Mesa
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\4\Jl Ill dbl IVU. usu I-7‘ IL Location:

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Job No. 492
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Job No. 473
No. 14403 Location: Vista
Clemente
Job No. 455
twine Uni?ed School District
No. 1 - ocation: 100 Niahtmist
-vine. CA 92618
Location: Bradlev Land?ll 9081 Tuiunua Avenue Sun Vallev Job No 479 Cameo Shores Fire Hvdrants Location: Cameo Shores and Hampden. Newport Beach Job No. 466 Water Main Replacement Goldenrod Avenue at Coast Hiahwav Newport Beach Job No 465 WRP Sewer Line Upsizinu for M0. Treatment Proiect No. 16208 Location: Avenida Pico & Calle De Los Molir San Clemente Job No. 454 Lincoln Basin Testing Pipeline
Location: Lincoln Avenue & Batavia Street Anaheim
Job No. 463 Reclaimed Line Conversion On-Site (Nurserv) Location:

RSM
$
$
$
$
$
$
247,720.00
766,726.00
39,816.00
748 980 O0
1 544 504.00
225 700.00
5B.250.00
273.170.00

47.750.00
121.246.00
58,812.00
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Nov 2016
Nov 2016
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1425 Soutn Bon View.
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Job No. 460
Job No 450
4321 Walnut Avenue
Riverside Ave Plaza Serena Bon View Ave. Universitv of La Verne Job No. 453
Dana Point
$ 41 .325.00
Auuust 2015
Newport Beach. CA 92660 Mike Sinacori oh (949) 644-3311 Lonie Lausten P.E. 32003 Dove Canvon Drive Trabuco Canvon CA 92679 (949) 858-0277. ext. 130
fax (949) 858-3025
Grea Deist. P.E. 910 Calle Neuocio San Clemente. CA 92673 oh (949) 361-6154 fax (949) 361-8316
Michael Dunbar. PE. 600 Emerald Bav Laauna Beach. CA
oh (949) 494-8572 Enoineer: Rob Hamers &Associates Rob Hamers 234 E. 17th Street. Suite 205 Costa Mesa. CA 92627 oh (949) 548-1192 fax (949) 548-6516
Michael Dunbar. P E. 600 Emerald Bav Lacuna Beach. CA
oh (949)494-8572
Enaineer: Rob Hamers &Associates Rob Hamers E 17th Costa Mesa. CA 92627 oh (949) 548-1192 fax (949) 548-6516
Dario Avenue vvoress.CA 90630
Tuan Pham. P.E. Westminster. CA 92683
Bemard's Brooke Duncan. P.M
Dennis Me venue
33282 GO
Job No 469 Balboa Avenue Water Main Reolacement Location: Balboa Ave. & PCH Newport Beach
Job No. 462 Reclaimed Line Conversion Off-Site Location: Trabuco Canvon Rd and Alta Vista Ranch. RSM Emerqencv Repair of 16" RW
Pine - Proiect No. 24401
San Clemente
Emerald Bav Stonn Drain at #68 Emerald Bav (Beach Sewer Lift Station) Location: 68 Emerald Bav. Laquna Beach Job No. 457 Stonn Drain Improvement at #105-#113 Emerald Bav Location: 105 to #113 Emerald Bav Drive Emerald Bav Laouna Beach Job No 456 Stonn Drain Imorovement Proiect No 115
ocation: 5700 Oranae Avenue Cvoress
ab No. 459 Sorinodale / lroouois Catch Basins Location: Sorinodale St & lroouois Westminster lrvine Hiah School Classroom
Addition—Sanitarv Sewer Service Proiect #600N—3—14-861 Location:

Irvine Hiah School
Irvine CA 92604
Job No. 443 Sewer Main lmnrovements
Contract No UT 1314-06
Coast Hiahwav Stonn Drain Reolacement &Associated Work Coast Hwv. 8. Camino Caoistrano Job No. 449 East Avenida Maddalena
$
$
$
$
72 812.00
29 234 00
25 759 00

59.215 00
153106.00
101.665 00

37.000.00
108,252.00
959.066.00
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March 2016
March 2016
Feb 2016
Feb 2016
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November 15
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306 Third Street Laouna Beach CA 92652
oh 949-494-1041
fax 949-497-1021

TRABUCO CANYON WATER DISTRICT
Lon'ie Lausten P.E. 32003 Dove Canvon Drive Trabuco Canvon CA 92679 (949) 858-0277 ext. 130
fax (949) 858-3025
CITY OF IRVINE KirkStreets Sen P M
One Civic Center Plaza
lwine CA 92623
(949) 724-7554
MOULTON NIGUEL WATER DISTRICT Rav McDowell. P E
26161 Gordon Road Laauna Hills. CA
on(949) 425-3527
fax (949) 643-2489
CITY OF DANA POINT Robert French. PE
33282 Golden Lantem
Dana Point CA 92629 oh (949) 337-0520

CITYOF TUSTIN
Eric Johnson. P.E. 300 Centennial Wav Tustin. CA 92780
oh (714) 573-3320
fax (714)734-8991
Audrev Perrv. PM
18700 Ward Street Fountain Vallev. CA 92708 oh (714) 378-8245 fax (714) 378-3373

COSTA MESA SANITARY DISTRICT
Steve Cano. P.M. 628 W. 19th Street Costa Mesa. CA 92627 oh (949) 645-8400 fax (949) 548-6516

SADDLEBACK COLLEGE
Louis Sessler. Proi Mar 28000 Marduerite Parkwav
Mission Vieio. CA 92692 oh (949) 582-4947
Rev McDowell. P.E
26161 Gordon Road Lacuna Hills.CA
oh (949) 425-3527
fax (949) 643-2489
Steve Cano
628 19l I
Job No. 448 Emeraencv 2-inch PVC Pioeline Renair Rounsevel Tenace Location: Rounsevel Terrace Laauna Beach Job No. 444
2014-2015 Valve & Fire Hvdrant Renlacement Proiect-Phase ll Location: 5 Locations. Citv of Lacuna Beach Job No. 434 Shadow Rock Detention Basin Urban Water Recoverv Proiect Pump Station - Proiect No. 6147-B Location: Shadow Rock Detention Basin
Job No 438 Oranue Countv Great Park
Interim lnfrastmcture Caoital lmnrovement Proiect- CIP No. 371406 Location: Oranoe Countv Great Park Barranca Parkwav & Technoloov Drive. Irvine Job No 428 La Paz I Moulton PW Svstem
Recon?uuration - CIP Proi. No. 2012.034 Location: La Paz Road. Moulton Parkwav. & various locations Lauuna Hills Job No. 437 Zarzito Formosa Storm Drain Emeroencv Reoair Location:

Zarzito St. & Formosa Dr Dana Point
Job No. 425 Williams Street Storm Drain Proi. CIP No 50037 Location: Williams Street .Tustin Job No 431
antiaoo Pioeline Access Prc act Contract No SC-2014-1 Location: Collinsstreet at Tustin Avenue ranoe
Job No. 439 Force President Place. Costa Mesa
Job No. 433
Job No. 429
Contract No. 13-14.037 Location:
wstallation of Backun Power
$64.302
$162.164
$284.316
$521.378
$457.878
$195,596
$850373
$ 99.218 00
$ 68,400 00
5 96,555.00
$63,000
$602972
June 2015
Mav 2015
April 2015
March 2015
Januarv 201
December 14
December 20 4
December 20' 4
November 20 4
Seotember 2014
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fax 949-497-1021
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100 Civic Center Drive Newnort Beach. CA 92660 Mike Sinacori oh (949) 644-3311 TE Ken Knatz. P.E. 910 Calle San Clemente. CA 92673 oh (949) 361-6139 DISTRICT 15600 Sand
Irvine. CA 92618 Alex Murohv. P.E. oh (949) 453-5863
Pravin Dana Dana
as Inc oh (949) 548-1192
CITY OF 5 TE Amirllkhanipour. P.E. 0 Calle San Clemente. CA 92673 oh (949) 361-6140 361

AN CLEMI NTE
liDOU|'. P.E. 0 Calle
oh (949) 361-6140
HARDY 8. Steve Krischner 312 E.
fax 714-441 -2801
. WATER DISTRICT
)ave
Location: Victoria Mendoza and Mesa Drive Costa Mesa
Job No. 421 Crown Vallev Park Water 8. Sewer
lmorovements Cash Contract No. 14-05 Location: Crown Vallev Communitv Park 29751 Crown Valiev Pkvw. Laquna
Job No. 426
Iniaation Services. Meters &
Back?ow - Dover Drive Newport Beach
Job No. 423 Emerald Bav Wateriine
Replacement-1425 KilkennvRoad Location: 1425 Kilkennv Road. Laquna Beac Job No 424 Force Main Renlacement at Mendoza Pump Station Proiect No. 200-A
Location:

Mendoza Drive. Costa Mesa
Job No. 427 Hvdrant Relocation at Comwall & Dover Drive Newnort Beach No. 410 - Reducino Station Rehabilitation Proiect No. 13406 Location: Sannentoso & Riachuelo San Clemente Job 405 - v
PR 11669 Location:
& Seqerstrom Ave.. Santa Ana
Job 416 - Sewer Pump Station Dana Strand
Location:

Dana Point
Job 415 - Avenida Vista Hennosa Emerqencv Water Line Repair Proiect No 24401 Location:

Avenida Vista Hennosa San Clemente
Proiect No 16001 Location:

Camino De Los Mares 8: Avenida Vauuero. San Clemente
Job 400 - Saddleback Church
Parking Lot 8. Site Utilities Location: Saddleback Church 1311 Calle Baiido, San Clemente
Job 396 - Manzanita Drive Waterline lmorovements
uuel
$298 971
19 650.00
$111.694
$90552

11.477.00
$204.6B6
$1 .O87.178
$122,
$134248
$901 ,906
$519,183
$381 .296
August 2014
August 2014
Julv 2014
Julv 2014
.|u|v 2014
Mav 2014
Anril2014
Aoril2014
Anril2014
December 2013
Sentember 2013
Aucrust2013
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-3456
Ken Kna z P.E.
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1-6139
fax (949)
Ken Knatz. P E
ph (949) 361-6139
fax (949) 361-8316
Tuan Pham. P E
3200 Westminster Blvd Westminster CA 92683
ph (714) 548-3456
fax (714) 895-4499
Greo Deist P E. 910 Calle Neoocio
ph (949) 361-6154
fax (949) 361-8316
Brian Jones P M
La Habra CA 90633
fax (562) 905-9643
oh (949) 453-5692
fax (949) 496-1244
Greo Deist P E
910 Calle Neuocio San Clemente. CA 92673
ph (949) 361-6154
fax (949) 361-8316
Nabil S. Henein P. E. 6650 Beach Boulevard Buena Park CA 90622 oh (714) 562-3685 fax(714) 562-3677
John Ballas 15625 E. Stafford Street. Ste. 100
Oh (626) 333-2211
(626)
Location:

Manzanita Drive. Laouna Beach
Job 397-2-Inch PVC Waterline
Improvements-Various Locations Location: various locations in the Citv of Laouna Beach Job 392 - Residential Area 1 Stem Drain Improvements Proiect Location: Westminster Avenue. Beach Blvd.. Paci?c Avenue. 23rd Street. Westminster 395 - Well Treatment Backwash
Pipeline and Vaouero Waterline Replacement-Proi. No 24401 Location: Calle Bahia 8. Ave. Santa Maroarita. and Ave. Vaouero. San Clemente 391 - Vista Cavenla Pressure Reducino Station Rehabilitation Location: at Ave. San Clemente
3B8 - Stonn Drain and Water mprovements for Well No. 4 at Elden F. Gillespie Park McFadden Ave.. Westminster 386 — Alameda Storm Drain Rehabilitation - Proi. No. 10011 Location: Alameda Lane San Clemente
390 - Portola Well Pipeline Proiect- Proi No 2-W-12
Location: Walnut St. 8. Acacia St . La Habra
382 - Modieska Canvon Road Domestic Water Pioeline Reloce on Location: Modieska Canvon Road east of Santiaoo Canvon Road 380 - San Gabriel Force Main Rehabilitation - Proi No 12203 Location: El Camino Real from Ave Cabrillc
to Ave Juninero San Clemente
378 - Storm Drain Replacement a 4695 St Andrews Avenue Proiect No. 600 Potable Water Svstem Booster Pumo Station Location:
$496.581
1 .294.522
Auoust 2013
ADri| 2013
December

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October 201
Julv 2012
12 12
2652
7-1021
-1041
-1021
TER
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3 CITY OF AN l"-I Fl‘ ENTE

CITY OF WESTMINSTER

CITY OF SAN CLEMENTE
San Clemente CA 92673

CITY OF LA HABRA
201 E. La Habra Blvd
oh (562) 905-9792

IRVINE RANCH WATER DISTRICT
15600 Sand Canvon Avenue
Irvine CA 92618 Torn Bonkowski P M.

CITYOF SAN CLEMENTE

CITYOF BUENA PARK

CITYOF INDUSTRY
zitvof Industrv. CA 91744
Location:
87 Mav 2013
Mav 2013

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)5 Forest Avenue
aauna Beach. CA 92651
1 (949)497-0792
ax (949) 497-0771

DSTA MESA SANITARY DISTRICT
Steve Cano P.M
Iosta Mesa. CA 92627
oh (949) 645-8400 Fax (949) 548-6516

SOUTH COAST WATER DISTRICT
Joe Sinacori. P.E.
31592 West Street
Laouna Beach. CA 92607
oh (949) 499-4555
fax (949) 499-4256
15600 Sam
twine. CA 18
-5692
-1244

F ORANGEIOC PUBLIC WORKS
ranae. CA 92865
lohn R Kort. P E.
ranae CA 92865
1000 Fedex Drive
Moon Townshio. PA 15108 General Contractor Questar Construction Greu Manarv 20062 SW Birch Street. Ste 300 Newport Beach. CA 92660 oh (949) 250-0060 fax (949) 250-0070
Joe Sinacori. P.E.
31592 West Street
Lacuna Beach. CA 92607
oh (949) 499-4555
fax (949) 499-4256
:OUNTY OF ORANGE Hiram T Downard
1152 Fruit Street Santa Ana. CA 92701
oh (714) 567-7812
fax (714) 567-7813 General Contractor Bitech constmction Beniamin Kim. P.M.
377 - Canvon Force Main
Location: Wilson St. from Canyon Drive
to Republic, Costa Mesa
357-Circle Wav Storm Drain &
Stairs Reoair-CIP 364 Location: Circle Wav Laouna Beach Location: Mesa Drive in Costa Mesa
365-4A Potable Water Reservoir Site lmorovements Location: Baltic Sea Drive. Dana Point 368-Meter &Valve Vault Lid
Reolacement-PR11358 8. 31358
Location:

Various locations in Irvine.

Newport Beach.
374-Daniger Road Drainage
Improvements
Location: Danioer Road & Coralwood Dr. Cowan Heights
376-Relocation of Water Laterals 8. Fire HvdrantValve
for Daniqer Road Drainage
Location:

Daniger Road & Coralwood Dr. Cowan Heights
353-FedEx Ground Rialto Hub
and Local Citv Exoansion Ph 5
Location: 330 Resource Drive Bloominaton CA
364- Valve Replacements Contract No. 11-01-0055 Location: 16 Locations in the cities of Lacuna Beach. Dana Point. San Clemente 370 - Skvline Drive Storm Drain Phase III
Location: Skvline Dr @ Raouet Hill Santa Ana
$104.54O
$1 .050.702
$293,500
$166.156
$128.579
$83251
$9.938
$921 .031
$347 .327
$115.94O
Julv 2012
Feb 2012
une 2012
June 2012
Ju|V 2012
June 2012
June 2012
Anril 2012
March 2012
March 2012
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DEL AMO CONSTRUCTION. INC.

IRVINE RANCH WATER DISTRICT
KIEWIT
10704 Shoemaker Road

COUNTY OF ORANGEIOC PUBLIC WORKS
1152 E. Fruit Street
oh (714) 567-7829
Proiect Mamt.:

El'\ll(‘.eS
$223.321
$148270
$285383
eb. 2011
229-1489
35 Jstrv CA 9
-221 1
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1-8316
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4-8991
Grea Deist P E. 910 Caiie Neuocio San Clemente CA 92673 oh (949) 361-6154
fax (9491 361-8316
Hank Samarina 4622 Plumosa Drive Yorba Linda CA 92885-0309 (714) 701-3105
fax (714) 777-8304
Kennev Wiiev
23840 Madison Stree: Torrance CA 90505 oh (310) 378-6203 fax (310) 378-4663
15600 Sand Canvon Avenue
Irvine CA 92618 Randv Sundbera. P E
oh (949) 453-5551
fax (949) 496-1244
John Revnolds
Santa Fe Snrinus CA 80670 oh (562) 946-1816
fax (562) 946-3823
Tim Nouven P.E.

Santa Ana. CA 92702-4048
fax (7141 567-7813
Drew Harper 5 Bav Dn've Laciuna Beach. CA 92651
ch (949) 851-1015
Drainacre
Location: Chestnut 8. Viraii Waters Wav. Cur1 Court Citv of industrv 355-Reservoir No 4 Pioeiine Reoiacement Proiect
Location: Avenida Columbo 8. Avenida Salvador San Clemente 354-Mitchell Avenue Stonn Drain - CIP No 50035
Location: Mitchell Ave between Redhill & Newoort Ave Tustin 359-San Gabriel Pump Station Sewer Pine Reoiacement Proi No. 24200 Location: Avenida San Gabriel & El Camino Real San Clemente
337—Emeraencv Pumoout Facilities/Anaheim interconnect Proiect Location:

Six various sites in the Cities of
Yorba Linda 8-Anaheim
352-St. Maraaret‘s Edison
Line Excavate 8. Back?ii
Location St. Maraarefs School 31511 La Novia Avenue San Juan Canistrano 351-Handv Creek Bridae
Distribution Main Crossino
Location: Oranae Park Blvd. & Handv Creek .Oranue
349-Replacement of Bitter
Point Pump Station Proiect
Location:

Bitter Point Pump Station
5810 W. Paci?c Coast Hwv Newport Beach
334-Santiauo Canvon Road Storm Drain Repair
Location: Santiaoo Canvon Road north of Gertner Estate Rd.. Trabuco 314 Vista De Catalina Stonn Drain
Improvement Proiect Location: Vista De Catalina and Vista Del Sol. Larluna Beach $104 379
$276080
$81,463
$342.059
$120,116
$723 602
Jan 2012
Nov. 2011
Nov 2011
Oct. 2011
am.2011
AU.Ci.2011
Aug 2011
June 2011
Anril 2011

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oe Mankawich. P.M.
an Juan Canistrano CA 92675
h (949)493-1171
fax (949) 493-1053

CITY OF ANAHEIM
Michael Fileccia 200 S. Anaheim Blvd Anaheim CA 92805
oh (714) 765-4427
fax (714) 765-4199

CITY OF NEWPORT BEACH
3300 Newport Boulevard Newport Beach CA 92663 Mike Sinacori oh (949) 644-3311 Proiect Mar. C. W Driver Rick Shafer. P.E. 15615 Alton Parkwav. Suite 150 Irvine CA 92618 oh (949) 261-5100
fax (949) 261-5167
Ardith Richev
1370 Adams Avenue
Costa Mesa. CA 92626
oh (714) 438-4673
fax (714) 438-4893
Ilf.

Randv Ran
an Parkwav Suite 150
61-5100
ax (949) 476-2854
5600 Sand Canvon Avenue 8
andv Sundbera
r
(949) 453-5551
ax (949) 496-1244
I264 El Toro Road
auuna Woods CA 92637
ennis Nelson
1 (949) 639-0500
ax (949) 639-0591
_ TORO WATER DISTRICT
4251 Los Alisos Blvd
ake Forest CA 92630
ennis Caffertv
oh (949) 837-7050
ax (949) 837-7092

CALIFORNIA STATE UNIVERSITY
LONG BEACH Mike Kellv
1250 Bell?ower Blvd Lona Beach. CA 90840
ph (562) 985-8160
fax (562) 985-7539
329 Equipping of Eastern Wells CIP No. 08802 Location: Calle Arrovo. San Juan Capistrano Location: 6731 E. Walnut Canvon Road
Anaheim
331 Newport Beach Civic Center 8. Park Proiect Location: Avocado Ave. & San Miguel Dr. Newnort Beach Swina Space-Bid No 1974 Gradino/Site Uti|itieslAspha|t Location: 2701 Fairview Road Costa Mesa Location: Newport Coast Dr. & Sane Hill Newport Beach
in Irvine Business Complex
Proiect No 11449 Location:
328 El Toro Road Stonn Drain
Improvements
Location: Avenida Sevilla. Laquna Woods
317 Reduced High Zone Hvdrat
Improvements Proiect
Location:
306 North DeukmeiianWay
Replace Road 8. Utilities
Location: 1250 Bell?ower Blvd Lona Beach
$842.054
$1 600 744
$247 880
$240.054
$250.250
$224 848
$323282
$425 473
$1.308.551
$238 679
Feb 2011
Dec. 2010
Dec. 2010
Nov. 2010
Nov 2010
Nov 2010
Sept 2010
Julv 2010
Dec 2009
Oct 2009
[email protected]

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17855 Santiaao Blvd. VillaPark. CA
oh (714) 998-1500
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CITY OF SAN CLEMENTE Ken Knatz 910 Calle Neaocio

SOUTH COAST WATER DISTRICT
Joe Sinacori. P.E
31592 West Street
Laquna Beach. CA 92607
oh (949) 499-4555

CITY OF GARDEN GROVE
Samuel Kim
11222 Acacia Avenue
Garden Grove. CA 92843 oh (714)741-5534
fax{714) 741-5578
Ardith Richev
1370 Adams Avenue
Costa Mesa. CA 92626
oh (714) 438-4673
fax (714) 438-4893
14 -2451
MOSES Kha
;er Blvd.
-3232
18 10
-5354
97-1021
Hiram Downard. Rick Allen
1152 E Fmit Street Santa Ana CA 92702-4048
(714)
Villa Park
262 Pines Park Pioeline
Location:
269 Cardinal Circle Sewer Improvements
228
233 District Administration Buildina Complex
327 OCC Student Center Swina Space
Location: Oranue Coast Colleae 1370 Adams Avenue Costa Mesa Structure
(IRWD Zone 4/LAWD Zone 1

8. Toledo
Irvine
236 2006-2007 Proiects
Location: Various locations in the
itv of Laauna Beach
240 Brenan Wav Drainage
$273.617
$408.975
$536 159
$2 402 031
$739,850
$126.419
$260,245
$971 .685
$734 808
S6 647,805.00
$524 681
An?l 2009
Dec 2008
Nov. 2008
Julv 2007
Anril 2009
.uuusl 2010
Auaust 2008
Auuust 2008
Dec: 2007
Dec 2007
Oct. 2007
San Clemente. CA 92673
oh (949) 361-6139
fax (949) 361-8316
3 220
twine. CA
-1500
5-1662
90650
1-4135
Irvine. CA
Location
La Placentia, Calle Campo Revuelta Court Pipe Connec an Pines Park on Camino Capistrano 8-Calle Lorna. Dana Point (Proiect No 781 01 Garden Grove Sanitarv District Location: Cardinal Circle & Trask Avenue Garden Grove UtilitvUnqrade Phase l-Underground Utilities 245 Orange Coast College East/West Utilitv Unarade Phase ll-DemolEar1hworkIGradincI Bid No 1920-Underuround Utilities 296 Oranue Coast Colleae Softball Field Bid No. 1974—Gradina/SiteUtilities/Asnhalt
250 Tustin Librarv
Location: 345 E. Main Street. Tustin
277 Cerritos Colleue - Ph Ill
Location:

Studebaker Rd. south of Alondra Blvd . Norwalk
234 Irvine Station Parkina
Location: Barranca Pkwv 8. Ada. twine
243 Domestic Water Interconnection
Location:

Bake
$1 678.938
$1,016.41?)
$458,784
Nov 2007

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Charles Brown
2001 Grand Avenue Chino HillsCA 91709 364-2856
fax (909) 364-2695
Steve Mav
505 Forest Avenue
497-331 1 497-0771
Avenue 92866
744—5573
92618
261
Blvd
1 496-3708
Caltrans
niversitv Drive 92612
-5167
Tustin
244 Second Harvest Food Bank
Location: 7040 Trabuco
Irvine
Dove Creek & Tick Creek Urban Mater
'ump Stations
Location: End of Bamebura @ Svcamore anvonDr off access road. Trabuco Canvon 239 24-Inch 8. 30-Inch Ston'n Dr; 1 Miraloma Ave & Van Buren St Location:

Miraloma Ave. from Van Buren to Van Ave.to Placentia
223 Urban Runoff Diversions
5 various locations in
Chino
Location: Eucalvotus Ave. 8. Pevton Dr. Chino Hills
Acres Drive
Location: Dr &
aguna Beach
Road 8. Heim
and Storm
Imnrovements
Orange-Olive Rd. & Heim Ave.
ocation: evival & Great Lawn. Irvine
and
ocation:
from Anine Storm Drain
at Red Hill Off-Ramo.Tustin
Location: HillAve NB Off-Ramo @
reeway. Tustin
1 and 62nd Street
$
$435 744
$738 414
$443 610
$2.745.588
679,145.00
$892244
$987980
$1 713296
Oct. 2007
August 2007
April 2007
Jan. 2007
Nov 2006
Dec 2006
2006
Julv 2006
John Curci 1
Oct. 2007
$1 .019.323
aauna Beach
$3,013,132 Feb. 2007 E
- Bid Pka #2 Site Utilities
P E
Location:
ranqe
$1,418,373

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11 44-3318
18 Mar.)
Contract No. 3585 Location: China Cove & Femleaf 62nd St.. Newport Beach K-B
Location: Federation Wav. Irvine
$888 382

20.F

Receipt: 23-275278
Peter Aldana
RiversideCounty
Assessor-County Clerk-Recorder
2724 Gateway Drive
Riverside, CA 92507
(951) 486-7000
wvvw.rivcoacr.org
Product Name Extended

FISH CLERK FISH AND GAME FILINGS
’ $50.00
# Pages 1
Document # E-202301057
FilingType 5
State Fee Prev Charged false
NoCharge Clerk Fee false
F&GClerk Handling Fee $50.00
Total $50.00
Tender (On Account) $50.00
Account# HE -
'
Account Name HE - CITYOF HEMET
Balance $360.00
10/3/23 10:19 AM
Gateway Clerk Page 270 of 303

20.F

ctt.§3I¢yIt State of California - Department of Fish and Wildlife 2023 ENVIRONMENTALDOCUMENT FILINGFEE
- cAsH-REcEIPT
DFW753.5a (REV. 01/01/23) Previously DFG 753.5a
RECEIPT NUMBER:
23—275278
STATECLEARINGHOUSENUMBER(lfapplicable)
SEE INSTRUCTIONSON REVERSE.TYPEOR PRINTCLEARLY.

LEADAGENCY I_EAoAeENcy EMAIL DATE
CITYOF HEMET THOLYO/\K@HE'V'ETCA-GOV 10/03/2023
COUNTY/STATEAGENCYOF FILING ~ DOCUMENTNUMBER
RIVERSIDE E-202301057

PROJECT TITLE
CIP 5729 SEWER MAINREPLACEMENT

PROJECT APPLICANTNAME PROJECTAPPLICANTEMAIL

I PHONE NUMBER
CITYOI: HEMET. [email protected] (951) 765-3710

PROJECT APPLICANTADDRESS CITY STATE ZIP CODE
445 E. FLORIDAAVE, HEMET CA 92543
PROJECT APPLICANT (Check appropriate box)
LocalPublic Agency E] School District C] Other Special District |’_‘]State Agency [| Private Entity CHECK APPLICABLE FEES: . El Environmental Impact Report (EIR) $3,839.25 $ Cl MitigatedINegative Declaration (MND)(ND) $2,764.00
I $
El Certi?ed Regulatory Program (CRP) document - paymentdue directly to CDFW $1,305.25 $ CI Exempt from fee
CI Notice of Exemption (attach) ' CI CDFWNo Effect Determination (attach) D Fee previously paid‘(attach previously issuedcash receipt copy) [I Water Right Application or Petition Fee (State Water Resources Control Board only) $850.00 $ IX]County documentary handling fee $ $50.00
C] Other $
PAYMENTMETHOD:

CI Cash E Credit D Check Other TOTAL RECEIVED $ $5000

SIGNATURE AGENCY OF FILING PRINTEDNAMEAND TITLE
X IA_ Deputy Cassandra Sandoval
ORlGlNAL-PROJECT APPLICANT I COPY . CDFW/ASB COPY - LEADAGENCY COPY - COUNTY CLERK DFW 753.58 (Rev. 01/01/2023)

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PUBLICWORKS
'FILED/POSTED
NOTICE OF EXEMPTION gggg?vgggaggverside
- Assessor—Count.y Cler-k—Recorder
E-202301057
10/03/2023 10:19 am Fee: 5 50.00
October 2, 2023
TO: Mary Ann Meyer Page 1 of 1

MVERSDECOUNTYCLERK
P 0 BOX 751 "’°'"°"°°‘= BY; Deputy
Riverside, CA92502-0751 I I I I I l I SUBJECT:FILING OF NOTICE OF EXEMPTIONFROM REQUIREMENTS OF THE

CALIFORNIA ENVIRONMENTAL QUALITYACT (CEQA)
PROJECT TITLE: PROJECT-Sewer main replacement
City Project No. 5729
APPLICANT NAME & ADDRESS: City of Hemet
445 E. Florida Ave.

Hemet, CA 92543
PROJECT LOCATIONIAREA: 300 block South Thompson, 2100-2400 block West Florida Ave. (HWY74), 100-200 ‘ block North Kirby Ave.

PROJECT DESCRIPTION: Abandon and replacesewer mains and laterals in various locations as described.

EXEMPT STATUS:

Ministerial (Sec. 21080(b)(1); 15268)
Declared Emergency (Sec. 2180(b)(3); 15269(a))
Emergency Project (Sec. 21080(b)(4); 15269(b)(c)) x Categorical Exemption - (Class 1 Section 15301 (b)) Reasons why project is exempt: There is no possibility that this project will have a significant effect on the . environment as it is an.existing facility that is being maintained or upgraded and is expressly exempted under the above referenced Government Code.

Date of Project Approval: October2, 2023 Date Received for Filing:

APPEAL: . THE DETERMINATION SET FORTH HEREINABOVE SHALL BE FINAL30 DAYS AFTERTHE RENDITION OF SAID DETERMINATIONS UNLESS APPEALEDWITHINSAID TIME. ANYNOTICE OF APPEAL SHALL BE FILED IN COMPLIANCEWITHALLPROVISIONS OF SECTION 90-44 OF THE HEMETMUNICIPALCODE, REGARDINGTHE FILINGOF SUCH APPEALS.
/ Water Wastewater Superintendent __(951)?5—2370
Travis Holyoak Title Telephone Number
445 E. Florida Ave.Hemet, CA92543 I 951-765-23,75

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CONTRACTOR AGREEMENT
By and Between
The City of Hemet,
a California municipal corporation
and
All Cities Engineering, Inc.
a California corporation
AGREEMENT # 2024-038

CITY OF HEMET BID AND CONTRACT DOCUMENTS
CITY OF HEMET CONTRACTOR AGREEMENT # 2024-038
SEWER MAIN REPLACEMENT – CIP 5729
This City of Hemet Contractor Agreement (“Agreement”) is made and entered into for the above referenced Project by and

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between the City of Hemet (“Agency”), and All Cities Engineering, Inc. (“Contractor”) on the 13th day of December, 2023.

In consideration of the mutual covenants and agreements set forth herein, Agency and Contractor have mutually agreed as follows:

1. CONSTRUCTION
The Contractor agrees to do all the Work in connection with the Sewer Main Replacement CIP 5729 to be constructed at Kirby Street from Devonshire Ave to Florida Ave, Gibbel Park from G.P.

Restrooms to Kirby St., Florida Ave from Kirby St. to Gilmore St., and Thompson Street from Acacia to Central Ave, in the City of Hemet, California, including to furnish any and all labor, services, materials and equipment to construct and complete the Project, and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to this Agreement, approved Change Orders, Notice Inviting Bids, Instructions to Bidders, Bidder’s Proposal and Information Required for Bid Submittal, Bid Schedules, Addenda and/or Bulletins, plans, Special Provisions (Specifications), General Conditions, General Provisions, Greenbook 2018 as amended and supplemented, technical references, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductive items, including all work, labor, services, materials and equipment described and
reasonably inferable from documents enumerated in Exhibit “A” attached hereto and incorporated herein by reference (such construction and furnishing of labor, service, materials and equipment hereinafter referred to as the “Work”) in a good workmanlike manner according to any and all applicable best practices to the satisfaction of the Agency. The term Contract Documents shall mean this Agreement, and all of the items enumerated in Exhibit “A” and all change orders or addenda issued by the Agency with respect thereto. Agency must consent in writing to any changes in the scope of Work. Exhibit “A” shall be deemed revised in accordance with any revisions for which Agency’s consent has been issued. Any revisions to the scope of Work for which Agency’s written consent has not provided shall be null and void and done at the risk and sole expense of the Contractor.

2. CONTRACT PRICE

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Agency hereby agrees to pay and the Contractor agrees to accept as full compensation for all Work performed in accordance with these Contract Documents the Contract Price as set forth in Exhibit “B”, Contract Price, attached hereto and incorporated herein by reference. Payments to the Contractor shall be made in the manner described in the Special Provisions.

3. TIME FOR PERFORMANCE
a) Time is of the essence in Contractor’s performance
of the Work for this Agreement. Contractor agrees to diligently pursue the performance and completion of the Work in every detail to the satisfaction of the Agency, exclusive of maintenance periods, within the specified duration set forth in the Notice to Proceed. All timing requirements shall be strictly adhered to unless otherwise modified by the Agency in accordance with the Bid and Contract Documents. If Contractor
b) The Parties estimate that performance of this
Agreement will not exceed the Not to Exceed Amount. Contractor shall notify the Agency in writing whenever it has reason to believe that the costs the Contractor expects to incur under this Agreement in the following sixty (60) days, when added to all costs previously incurred, will exceed eighty percent (80%) of the Maximum Amount specified herein. As part of the notification, the Contractor shall provide the Agency a revised estimate of the total cost of performing this Agreement.

4. DELAYS AND EXTENSIONS OF TIME
Delays and extensions of time will be handled by Agency and Contractor pursuant to the provisions of Section 6-4 of the Special Provisions. However, Contractor must comply with the written notice requirement, as well as timely report back-up information, in strict compliance with the requirements of the provisions of Section 6-4 of the Special Provisions; Contractor’s failure to submit these items within the times specified will constitute a waiver of the extension of time and payment for delay and will be ground for refusal by the Agency to consider such request.

5. LABOR CODE REQUIREMENTS
Pursuant to Labor Code Section 1771.1, the Contractor and all subcontractors shall be registered with the Department of Industrial Relations. Pursuant to Labor Code Section 1771.4, the

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Contractor is hereby notified that this Project is subject to compliance monitoring and enforcement by the Department of Industrial Relations. Contractor, and any subcontractor engaged by Contractor, must pay not less than the specified prevailing rate of per diem wages to all workers employed in the execution of the contract. (Labor Code § 1774.) Contractor is responsible for compliance with Labor Code section 1776 relative to the retention and inspection of payroll records.

Contractor must comply with all provisions of Labor Code section 1775. Under Section 1775, Contractor may forfeit as a penalty to City up to $50.00 for each worker employed in the execution of the Contract by Contractor or any subcontractor for each calendar day, or portion thereof, in which the worker is paid less than the prevailing rates. Contractor may also be liable to pay the difference between the prevailing wage rates and the amount paid to each worker for each calendar day, or portion thereof, for which each worker was paid less than the prevailing wage rate.

Contractor acknowledges and agrees to abide by the provisions of California Labor Code §§ 1720, et seq., as well as 1771, 1773, 1773.1, 1773.2, 1773.6, 1773.7, 1774, 1775 1776 and 1777, pertaining to the obligation to pay prevailing wages with respect to the performance of work (“Prevailing Wage Laws”). Contractor shall defend, indemnify, and hold the City, its elected officials, officers, employees, and agents free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws.

Contractor acknowledges that under California Labor Code sections 1810 et seq., eight hours of labor constitutes a legal day’s work. Contractor will forfeit as a penalty to City the sum of $25.00 for each worker employed in the execution of this Contract by Contractor or any subcontractor for each calendar day during which such worker is required or permitted to work more than 8 hours in any one calendar day and 40 hours in any one calendar week in violation of the provisions of Labor Code section 1810. (Labor Code § 1813.)

6. NON-DISCRIMINATION
Contractor, its officers, agents, employees, and subcontractors may not discriminate in the employment of persons to perform the Work because of the race, religion, creed, color, national origin, ancestry, physical handicap, medical condition, marital

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status, sex or age of such person, except as may be permitted by California Government Code section 12940. Contractor is responsible for compliance with this section.

7. AUTHORIZED AGENCY REPRESENTATIVES
On behalf of the Agency, the City Engineer of the City of Hemet shall be the Agency’s authorized representative in the
interpretation and enforcement of all Work performed in connection with this Agreement. The City Engineer may delegate authority in connection with this Agreement to his/her assigned designees.

8. INDEMNIFICATION
Contractor shall indemnify, defend with legal counsel approved by Agency, and hold harmless Agency, its officers, officials, employees, and volunteers (“Indemnified Parties”) from and against all claims for and actual liabilities, losses, damages, expenses, costs (including without limitation reasonable attorney’s fees, expert fees, and all other costs and fees of litigation) of every nature relating to, arising out of or in connection with Contractor’s, its officers, agents, employees, or subcontractors (or any agency or individual that Contractor shall bear the legal liability thereof) negligence, recklessness or willful misconduct in the performance of work on and/or connected with the Project or its failure to comply with any of its obligations contained in this Agreement, except such loss or damage which is caused by the sole or active negligence or willful misconduct of the Indemnified Parties. Should conflict of interest principles preclude a single attorney from representing both Agency and Contractor, or should Agency otherwise find Contractor’s attorney unacceptable, then Contractor shall reimburse the Agency its costs of defense, including without limitation reasonable attorney’s fees, expert fees, and all other costs and fees of litigation. The Contractor shall promptly pay any final judgment rendered against the Indemnified Parties with respect to claims determined by a trier of fact to have been the result of the Contractor’s negligent, reckless, or wrongful act, omission or performance. It is expressly understood and agreed that the foregoing provisions are intended to be as broad and inclusive as is permitted by the law of the State of California and will survive termination of this Agreement.

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Contractor’s obligations under this section apply regardless of whether or not such claim, charge, damage, demand, action, proceeding, loss, stop notice, cost, expense, judgment, civil fine or penalty, or liability was caused in part or contributed to by Indemnified Parties. However, without affecting the rights of Indemnified Parties under any provision of this Agreement, Contractor shall not be required to indemnify and hold harmless Indemnified Parties for liability attributable to the sole or active negligence or willful misconduct of Indemnified Parties, provided such sole or active negligence or willful misconduct is determined by agreement between the parties or by the findings of a court of competent jurisdiction. In instances where Indemnified Parties are shown to have been solely or actively negligent or to have acted with willful misconduct and where Indemnified Parties’ sole or active negligence or willful misconduct accounts for only a percentage of the liability involved, the obligation of Contractor will be for that entire portion or percentage of liability not attributable to the sole or active negligence or willful misconduct of Indemnified Parties.

9. CLAYTON AND CARTWRIGHT ACT ASSIGNMENTS.

In entering into this Contract or a contract with a subcontractor to supply goods, services, or materials pursuant to this Contract for the Project, Contractor and any or subcontractor is deemed to have offered and agreed to assign to City all rights, title, and interest in and to all causes of action it may have under Section 4 of the Clayton Act (15 U.S.C. Sec. 15) or under the Cartwright Act (Chapter 2, commencing with Section 16700 of Part 2 of Division 7 of the California Business and Professions Code), arising from purchases of goods, services, or materials for the Project. This assignment will be deemed made and will become effective at the time City tenders final payment to Contractor, without further acknowledgement by the Parties.

10. INSURANCE
Contractor agrees to have and maintain in full force and effect during the term of this Agreement the insurance coverages listed in Exhibit “C” (“Insurance”), which is made a part of this Agreement.

Further, by signing below Contractor certifies that he/she/it is aware of the provisions of Section 3700 of the Labor Code, which requires every employer to be insured against liability for Workers’ Compensation or to undertake self-insurance in

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accordance with the provisions of that Code, and agrees to comply with such provisions before commencing the performance of the Work of this Agreement. Additionally, Contractor shall require each subcontractor to comply with the requirements of Section 3700 of the Labor Code, including requiring each subcontractor to execute the following certification:
“I am aware of the provisions of Section
3700 of the Labor Code, which requires
every employer to be insured against
liability for worker’s compensation or to
undertake self-insurance in accordance with
the provisions of that Code, and I will
comply with such provisions before
commencing the performance of the Work
of this Agreement.”

11. ENTIRE AGREEMENT; CONFLICT
The Contract Documents comprise the entire agreement between the Agency and the Contractor with respect to the Work. In the event of conflict between the terms of this Agreement and the bid of the Contractor, then this Agreement shall control and nothing herein shall be considered as an acceptance of the terms of the bid conflicting herewith.

12. PROJECT DOCUMENTATION
All data, drawings, maps, models, notes, books, documents, papers, daily reports, schedules, time and materials tickets, employee time sheets, accounting records and other evidence pertaining to costs incurred, photographs, reports, studies and other documents (collectively, “Project Documents”) prepared, developed or discovered by Contractor in the course of
performing any of the Work under this Contract will become the sole property of City. Upon the expiration or termination of this Contract, Contractor must turn over all original Project Documents to City in its possession, but may retain copies of any of the Project Documents it may desire.

Contractor shall maintain the Project Documents and shall make such materials available at its office at all reasonable times during the term of this Agreement and for three (3) years from the date of final payment under this Agreement any documents not turned over to Agency for inspection by Agency.

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13. FALSE CLAIMS
Contractor acknowledges that if a false claim is submitted to the Agency, it may be considered fraud and Contractor may be subject to criminal prosecution. Contractor acknowledges that the False Claims Act, California Government Code sections 12650, et seq., provides for civil penalties where a person knowingly submits a false claim to a public entity. These provisions include within their scope false claims made with deliberate ignorance of the false information or in reckless disregard of the truth or falsity of the information. In the event the Agency seeks to recover penalties pursuant to the False Claims Act, it is entitled to recover its litigation costs, including attorneys’ fees. Contractor hereby acknowledges that the filing of a false claim may the Contractor to an administrative debarment proceeding wherein Contractor may be prevented from further bidding on public contracts for a period of up to five (5) years.

I have read and understood all of the provisions of this Section 13, above:

(Contractor Initials) (Contractor
Initials)

14. INDEPENDENT CONTRACTOR
Contractor is and will at all times remain as to City a wholly independent contractor and shall not be an employee, agent, partner or joint venture of the Agency. Agency shall have the right to control Contractor insofar as the results of Contractor’s services rendered pursuant to this Agreement; however, Agency shall not have the right to control the means by which Contractor accomplishes such services. Neither the City nor any of its officers, employees, or agents will have control over the conduct of Contractor or any of Contractor’s officers, employees, agents or subcontractors, except as expressly set forth in the Contract Documents. Contractor may not at any time or in any manner represent that it or any of its officers, employees, agents, or subcontractors are in any manner officers, employees, agents or subcontractors of City.

15. LICENSES AND PERMITS

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Contractor must, at Contractor’s sole expense, obtain all necessary permits and licenses required for the Work, and give all necessary notices and pay all fees and taxes required by law, including, without limitation, any business license tax imposed by City. Contractor represents and declares to Agency that it has all licenses, permits, qualifications and approvals of whatever nature which are legally required to practice its profession. In performing the Work, Contractor must comply with all applicable statutes, laws and regulations, including, but not limited to, OSHA requirements and the Hemet Municipal Code.

16. GENERAL PROVISIONS
a) Authority to Execute. Each Party represents and
warrants that all necessary action has been taken by such Party to authorize the undersigned to execute this Contract and to bind it to the performance of its obligations.
b) Assignment. Contractor may not assign this
Contract without the prior written consent of City; which consent may be withheld in the City’s sole discretion since the experience and qualifications of Contractor were material considerations for this Contract.
c) Binding Effect. This Agreement is binding upon the
heirs, executors, administrators, successors and permitted assigns of the Parties.
d) Integrated Contract. This Contract, including the
Contract Documents, is the entire, complete, final and exclusive expression of the Parties with respect to the Work to be performed under this Contract and supersedes all other
agreements or understandings, whether oral or written, between Contractor and City prior to the execution of this Contract. e) Modification of Contract. No amendment to or
modification of this Contract will be valid unless made in writing and approved by Contractor and by the City Council or City Manager, as applicable. The Parties agree that this requirement for written modifications cannot be waived and that any attempted waiver will be void.
f) Counterparts and Facsimile Signatures. This
Contract may be executed in several counterparts, each of which will be deemed an original, and all of which, when taken together,

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constitute one and the same instrument. Amendments to this Contract will be considered executed when the signature of a party is delivered by facsimile transmission. Such facsimile signature will have the same effect as an original signature. g) Waiver. Waiver by any Party of any term,
condition, or covenant of this Contract will not constitute a waiver of any other term, condition, or covenant. Waiver by any Party of any breach of the provisions of this Contract will not constitute a waiver of any other provision, or a waiver of any subsequent breach or violation of any provision of this Contract. Acceptance by City of any Work performed by Contractor will not constitute a waiver of any of the provisions of this Contract.
h) Interpretation. This Contract will be interpreted,
construed and governed according to the laws of the State of California. Each party has had the opportunity to review this Contract with legal counsel. The Contract will be construed simply, as a whole, and in accordance with its fair meaning. It will not be interpreted strictly for or against either party. i) Severability. If any term, condition or covenant of
this Contract is declared or determined by any court of competent jurisdiction to be invalid, void or unenforceable, the remaining provisions of this Contract will not be affected and the Contract will be read and construed without the invalid, void or unenforceable provision.
j) Venue. In the event of litigation between the
Parties, venue in state trial courts will be in the County of Riverside. In the event of litigation in a U.S. District Court, venue will be in the Central District of California, in Riverside. [Signature Page Follows]

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IN WITNESS WHEREOF this Agreement is executed as of the date first written above.

AGENCY:

City of Hemet
By:

Mark Prestwich, City Manager
CONTRACTOR:

All Cities Engineering, Inc.

By:

Name:

Its:

By:

Name:

Its:

ATTEST:

By:

John Maier, City Clerk Contractor’s City Business License No.

APPROVED AS TO FORM:

By:

Steven Graham, City Attorney
State Contractor License No. & Class
DIR Registration No. & Exp
Street Address
City, State, Zip Code
[NOTE: In the event the Contractor is a Corporation, the signatures of two separate persons holding different offices must be provided.]

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EXHIBIT A

CONTRACT DOCUMENTS

1. City of Hemet Contractor Agreement

2. Change Orders issued by Agency, signed by
Contractor and (if necessary) approved by City Council

3. Notice Inviting Bids, Instructions to
Bidders, and Bidder’s Proposal and Information Required for Bid Submittal

4. Bid Schedule(s)

5. Addenda and/or Bulletins

6. Plans

7. Special Provisions (Specifications)

8. General Conditions

9. General Provisions Standard Specifications
for Public Works Construction (“Greenbook”) 2018 edition as amended and supplemented

10. State Standard Specifications

11. State Standard Plans

12. Permits issued by jurisdictional regulatory
agencies

13. Electric, gas, telephone, and cable
television company specifications and standards

14. Notice of Award

15. Notice to Proceed

16. Certificate(s) of Required Insurance and
Worker’s Compensation Insurance

17. Security for Payment (Labor & Materials)
and Performance

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18. Escrow Agreement for Security Deposits
in Lieu of Retention
If there is a conflict between any of the Contract Documents, the documents highest in precedence shall control. The order of precedence of the Contract Documents shall be as provided in Section 3-7.2 of the Special Provisions. Detail drawings shall take precedence over general drawings.

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EXHIBIT B

CONTRACT PRICE
Not to Exceed One Million Two Hundred and Forty-Three
Thousand Four Hundred and Fifty Dollars ($1,243,450.00) The Contract Price for performing all Work described in the Contract Documents, including labor, materials, services, and equipment is the total amount of all lump sum items and of all unit price sums, determined by multiplying the unit price for each item times the actual quantity of each such item, as determined by the Agency.

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EXHIBIT C

INSURANCE

1. General Requirements. Contractor must
procure and maintain in full force and effect during the term of this Contract the following types of insurance with coverage limits complying, at a minimum, with the limits set forth below:

Type of Insurance Limits
Commercial General Liability $5,000,000 per
occurrence/$6,000,000
general
aggregate
Business Automobile Liability $5,000,000 combined single limit
Workers’ Compensation/Employers $1,000,000
per accident or disease
Liability
Surety Bonds As described below
Professional Liability $1,000,000 per
occurrence/$2,000,000 general
aggregate
Contractors’ Pollution Legal Liability $1,000,000
per occurrence/$2,000,000 general
aggregate
If the contractor maintains higher limits than the
minimums shown above, the City requires and shall be
entitled to coverage for the higher limits maintained by the contractor. Any available insurance proceeds in excess of the specific minimum limits of insurance and coverage shall be available to the City.

2. Commercial General Liability Insurance.

Coverage shall be at least as broad as Insurance Services Office Form CG 00 01 covering CGL on an “occurrence”
basis, including products and completed operations,
property damage, bodily injury and personal & advertising

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injury with limits no less than $5,000,000 per occurrence.

If a general aggregate limit applies, either the general aggregate limit shall apply separately to this
project/location or the general aggregate limit shall be twice the required occurrence limit. City and its officers, officials, employees, volunteers, and agents shall be
included as additional insured. Coverage shall be primary as respects the City, and any insurance or self-insurance maintained by the City shall not be required to contribute.

3. Business Auto Coverage. Coverage shall
be at least as broad as Insurance Services Office Form
Number CA 0001 covering Code 1 (any auto), with limits
no less than $5,000,000 per accident for bodily injury and property damage. If Contractor or Contractor’s employees will use personal autos in any way on this Project,
Contractor must provide evidence of hired and non-owned auto liability coverage.

4. Workers’ Compensation. Insurance as
required by the State of California, with Statutory Limits, and Employers’ Liability insurance with a limit of no less than $1,000,000 per accident for bodily injury or disease.

5. Surety Bonds. Contractor shall provide the
following Surety Bonds: (1) Bid bond, (2) performance
bond, (3) payment bond, and (4) maintenance bond. The
Payment Bond and the Performance Bond shall be in a
sum equal to the contract price. If the Performance Bond provides for a one-year warranty a separate Maintenance Bond is not necessary. If the warranty period specified in the contract is for longer than one year a Maintenance
Bond equal to 10% of the contract price is required. Bonds shall be duly executed by a responsible corporate surety, authorized to issue such bonds in the State of California and secured through an authorized agent with an office in California.

6. Professional Liability. For professional
services including design/build, with limits no less than $1,000,000 per occurrence or claim, and $2,000,000 policy aggregate.

7. Contractors’ Pollution Legal Liability
and/or Asbestos Legal Liability and/or Errors and

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Omissions (if project involves environmental hazards) with limits no less than $1,000,000 per occurrence or claim, and $2,000,000 policy aggregate. Contractor shall maintain
continuous coverage through a period no less than three (3) years after completion of the services required by this Contract.

8. Other Insurance. Contractor may be
required to obtain such other insurance coverage as may be required by applicable law or by the City.

9. Excess or Umbrella Liability Insurance
(Over Primary). If an excess or umbrella liability policy is used to meet limit requirements, the insurance must
provide coverage at least as broad as specified for the underlying coverages. Any such coverage provided under
an excess or umbrella liability policy must include a “drop down provision” providing primary coverage above a
maximum $25,000 self-insured retention for liability not covered by primary but covered by the umbrella.

Coverage must be provided on a “pay on behalf” basis,
with defense costs payable in addition to policy limits.

There must be no cross-liability exclusion precluding
coverage for claims or suits by one insured against
another. Coverage must be applicable to City for injury to employees of Contractor, its subcontractors or others
performing work to satisfy Contractor’s obligations under this Contract. The scope of coverage provided is subject to approval of City following receipt of proof of insurance as required herein.

10. Certificates of Insurance and
Endorsements. Prior to commencing any Work under this
Contract, Contractor must file with the Director
Certificates of Insurance and Endorsements evidencing the existence of all insurance required by this Contract, along with such other evidence of insurance or copies of policies as may reasonably be required by City. Such Certificates of Insurance and Endorsements must be in a form approved
by the City Attorney of City. Contractor must maintain
current certificates and endorsements on file with City during the term of this Contract reflecting the existence of all required insurance. Each of the certificates must
expressly provide that no material change in the policy, or termination thereof, will be effective except upon 30 days

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prior written notice to City. The City reserves the right to require complete, certified copies of the insurance
certificates and endorsements.

11. Accessibility of Insurers. Insurance is to
be placed with insurers with a current A.M. Best rating of no less than A: VII, unless otherwise acceptable to the City.

12. Waiver of Subrogation. Contractor
hereby agrees to waive rights of subrogation which any
insurer of Contractor may acquire from Contractor by
virtue of the payment of any loss. Contractor agrees to obtain any endorsement that may be necessary to affect
this waiver of subrogation. The Workers’ Compensation
policy shall be endorsed with a waiver of subrogation in favor of the Entity for all work performed by the
Contractor, its employees, agents and subcontractors.

13. Failure to Maintain Required Insurance.

If Contractor, for any reason, fails to have in place at all times during the term of this Contract all of the required insurance coverage, the Director may obtain such
coverage at Contractor’s expense and deduct the cost
from the sums due Contractor.

14. Subcontractors. Contractor shall require
and verify that all subcontractors maintain insurance
meeting all the requirements stated herein, and
Contractor shall ensure that Entity is an additional insured on insurance required from subcontractors. For CGL
coverage subcontractors shall provide coverage with a
format least as broad as CG 20 38 04 13.

15. Effect of Coverage. The existence of the
required insurance coverage under this Contract will not be deemed to satisfy or limit Contractor’s indemnity
obligations under this Contract. Contractor acknowledges that the insurance coverage and policy limits set forth in this Contract constitute the minimum coverage and policy limits required. Any insurance proceeds available to City in excess of the limits and coverage required by this
Contract, and which is applicable to a given loss, must be made available to City to compensate it for such losses.

16. Special Risks or Circumstances. Entity
reserves the right to modify these requirements, including

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limits, based on the nature of the risk, prior experience, insurer, coverage, or other circumstances.

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PAYMENT BOND
(Bond for Labor and Material)
KNOW ALL PERSONS BY THESE PRESENTS:

1.01 THAT WHEREAS, CITY OF HEMET (Owner) has awarded to All Cities Engineering, Inc. as Principal, dated the 13th day of December, 2023 (the Contract), titled the City of Hemet Sewer Main Replacement - CIP 5729 in the amount of
$1,243,450.00, which Contract is by this reference made a part hereof, for the work of the following Contract:

Sewer Main Replacement - CIP 5729

1.02 AND WHEREAS, Principal is required to furnish a bond in connection with the Contract to secure the payment of
claims of laborers, mechanics, material suppliers, and
other persons as provided by law;

1.03 NOW, THEREFORE, we, the undersigned Principal and
, as Surety, are held and firmly bound
unto Owner in the sum of 100% OF THE CONTRACT PRICE
($1,243,450.00), for which payment well and truly to be made we bind ourselves, our heirs, executors,
administrators, successors, and assigns, jointly and
severally, firmly by these presents.

1.04 THE CONDITION OF THIS OBLIGATION IS SUCH, that if
Principal, or its executors, administrators, successors, or assigns approved by Owner, or its subcontractors shall fail to pay any of the persons named in California Civil Code Section 9100, or amounts due under the State of California Unemployment Insurance Code with respect to work or
labor performed under the Contract, or for any amounts
required to be deducted, withheld, and paid over to the State of California Employment Development Department
from the wages of employees of Principal and
subcontractors pursuant to Section 13020 of the State of California Unemployment Insurance Code with respect to
such work and labor, that Surety will pay for the same in