Hemet City Council
September 24, 2024

17.D

[ Engineering |
MMWMWL
Shekaramiz
CDBGACCESSIBLESlDEWALK/ADA PROJECT
ClP No. 5768 BIDDER'SPROPOSAL(cont’d)

CERTIFICATEREGARDINGCONTRACTOR'SLICENSE

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

State of California Contractor’s License
Combination of Specialty Class 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 license(s) which:
a. Bears the license number(s):
b. Expires on:

Signature of Bidder Date Signature of Bidder Date
Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate of?cersare 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—evaluatethe 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.

HZS
05/31 /26
Inc Dba HZS Construction
A, B, C—8
1039476
8/22/24

17.D

($_‘__._____) ca
__Augu.51__———I
HZS En ineerin .Inc. DBA Construction
i
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amid
(Corporate Seal)
Ann ey -Fac1

CDBGACCESSIBLESIDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL(cont’d)

BIDSECURITYFORMFORBOND
KNOWALLBYTHESEPRESENTS:

That the undersigned
HZS Engineering,Inc. DBA H Z S 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 oblige, in the penal sum of Ten Percent of Total Bid Amount
Dollars 10%)omeaI Bid Amount lawful money of the United States of Ameri 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 [ CDBGACCESSIBLESlDEWALK/ADA PROJECT] CIP No. 5768
THE CONDITIONOF THIS OBLIGATIONlS 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 fullforce and effect.

IN WITNESSWHEREOF, the above bounden parties have executed this instrument this 22nd day of 2014.
(Month)
By: H Z S
Princ al
(Corporate Seal) By L)
Shekaramiz, President
By United Fire & Casualty Company
Surety
By
Kevin P. Reed,

17.D

[state].

CDBGACCESSIBLESIDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL(cont’d)

NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODESECTION7106

NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID The undersigned declares:

I am the 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 is true and correct and that this declaration is executed on date], at city],
Signature of Bidder Date
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.) . H
'
' D Presudent / CEO 035,335?anInc ba HZS
8/22/24
CA
foregoing
Orange
Signature of Bidder Date
/

17.D

Contract Price: $ 333-52000 Date of Completion: 10/20/21 CDBGACCESSIBLESlDEWALK/ADA PROJECT
ClP No. 5768 BIDDER'SPROPOSAL(cont’d)

CONTRACTOR'S REFERENCELIST
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
Contract Price: Date of Completion
Name, Address, and Telephone Numberof Owner's Representative:

Project Name:

Project Name:
ate of Completion:

Name, Address, and Telephone Number of Owner's Representative:
(Attach additional pages as necessary)
Sanborne Ave Street Reconstruction
$ 804,949.00 6/20/21
City of Los Angeles - 200 N Spring Street LA, CA. 90212 Peter Bilkian (213)485-4503 CDBG Mid Valley Street Improvements
6/20/24
City of Carson -801 E. Carson Street - Carson CA. 90745- Victor Lopez (310) 830-7600 Name, Address, and Telephone Number of Owner's Representative:

City of Los Angeles - 200 N Spring Street LA, CA. 90212 Cindy Mejia - (213) 847-4751 |nstallation
$ 129,000.00

17.D

CDBGACCESSIBLESlDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL(cont’d)

DESIGNATIONOF SUBCONTRACI'ORS
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.)
Treesmith
Enterprise-Anaheim , CA. Tree Removal 802705 1000001838

17.D

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CIP No. 5768 BIDDER'SPROPOSAL(cont’d)

BIDDERCERTIFICATIONS

TO BEEXECUTEDBYALLBIDDERSAND SUBMITTEDWITH 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 LaborRelations 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 certi?cate 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.

17.D

1000529847
CDBGACCESSIBLESlDEWALK/ADA PROJECT
CIP No. 5768 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 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), 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]
Subcontractors’ registration numbers are as indicated in Document 00 4314.

CERTIFICATIONREGARDINGPREQUALIFICATIONINFORMATION[OPTIONAL] signature hereunder, as the Contractor, I certify as follows:
a. ctor prequalified for this Project by submitting its Statement of Qualifications, dated (SOQ)
b. [Please or Strikeout the following as inapplicable] Subsequently, on or about and Contactor submitted
further information sup enting for foregoing Statement of Qualifications. c. Allinformation described referred to as the "QualificationInformation." d. Contractor has carefully reviewed al foregoing QualificationInformation e. [Please check and/orcomplete one ofthe
All Prequalification Information remains true correct in all material respects as of the date hereof, as if such information were actu ing submitted to Owner as of the date hereof.

Except as otherwise expressly set forth in separate l Prequalification Information, submitted with the Bid, all Prequalification Info mains true and correct in all material respects as of the date hereof, as if such Ion were

17.D

CDBG LESlDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL(cont’d)
actually being submitted to Owner e date hereof. [Contractor must provide Additional Prequalification Informationas above ifthis item is checked.]

CERTIFICATIONOF
[Insert other Owner-specific certi?cations, if applicable. Otherwise, BIDDER:

Signature of Bidder Date
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate o?‘icersare required.) m 2/ ’ 8/22/24
Signature of Bidder
Shekaramiz
Date

17.D

CDBG Funded
MMo/gn’ub
EXHIBIT B-4
Required Bid Form

CERTIFICATION OF BIDDER

REGARDING NONSEGREGATED FACILITIES
Name of Bidder:

The above named Bidder hereby certi?es that:

I do not maintain or provide for my employees any segregated facilities at any of my establishments, and that I do not permit my employees to perform their services at any location, under my control, where segregated facilities are maintained. As used in this certi?cation, the term “segregated facilities” means any waiting rooms, work areas, rest rooms, wash rooms, restaurants and other eating areas, time clocks, locker rooms or other dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, and housing facilities provided for employees which are segregated by explicit directive or are in fact segregated on the basis of race, color, religion, national origin, or because of habits, local customs, or otherwise.

I further agree to obtain identical certi?cations from all proposed subcontractors prior to the award of subcontracts exceeding $10,000.

Signature:

Name (Print):

Project Name: Sidewalk/ADAproject Capital Improvement Project No. 5768 HZS Engineering Inc Dba HZS Construction
Hamid Shekaramiz
8/26/24

17.D

l. Emgloyment Ognormnities
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EXHIBIT B-6

$200,000 or more
BIDDER CERTIFICATION FOR SECTION 3 COMPLIANCE
(Housing and Community Development Act of 1968)
Project Title:

The undersigned hereby certi?es that he/she has read and understands City of Hemet's Section 3 Af?rmative Action Program as well as Section 3 of the Housing and Community Development Act of 1968, and further certi?es adoption of, and adherence to, said program, and certi?es understanding of the following for all construction contracts over $200,000.

CDBGFunded Sidewalk/ADAproject Capilal Improvement Project Na 5766 $ 947.15500 I understand and agree that in the event that I am awardedthis contract, and in the event that any new employment opportunitiesare created as a result of this CDBG-fundedproject, I will:
a.
was
Contact the US. Department of Housing and UrbanDevelopment (HUD) Section 3 website at to review the list of certi?ed Section 3 persons, WithinCity of Hemet, to be considered for available employment opportunities; and HUD Section 3 Opportunity Portal. Initial Here
at:

Forward to the Department of Housing & Workforce Solutions all detailed job descriptions for new employment opportunitiesand Section 3 reports, in a form, at a place, and at a time as directed by the Department of Housing & Workforce Solutions. Initial Here Present a list, of the number of total labor hours, Section 3 worker labor hours, and Targeted Section 3 worker labor hours expected to be generated ?'om the initial contract and a list of projected number of available positions,to includejob descriptions and wage rates.

Initial Here
Notify Section 3 Coordinator of contractor interests regarding employment of Section 3 workers prior to hiring. Initial Here
Submit a list of core employees (including administrative, clerical, planning, and other positions pertinent to the constructiontrades) at the time of contact award. Initial Here
Post available positions and advertise job Section 3 workers openings at:

Initial Here
Sign the Section 3 Plan. Initial Her
Complete your proposed workforce plan for this project below.

HS
HS
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rtal/

17.D

JOB CATEGORY

PROFESSIONALS

TECHNICIANS

OF F ICE/CLERICAL

CONSTRUCTION BY
TRADE
TRADE
TRADE
TRADE
TRADE
TRADE

APPRENTICE

TRAINING
OTHER

CURRENT

POSITIONS

NUMBER OF

NEW HIRES
IF

AWARDED
BI'D

NUMBER OF NEW HIRES

PROPOSED TO BE
SECTION 3 RESIDENTS
% OF NEW’HIRES TO BE
SECTION 3
Laborers
Operators
100 °/o
50%
50%
100 °/o
100%
72 %
TRADE
Masons

17.D

II. Subcontracting Opgortunities
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EXHIBIT B-6

BIDDER CERTIFICATION FOR SECTION 3 COMPLIANCE
a. I understand and agree that for any and all subcontracting opportunitiesthat may result from this CDBG—fundedproject, I will contact the U.S. Department ofHousing and Urban Development (HUD) Section 3 website at to review the list of certi?ed Section 3 Businesses, within City of Hemet, to be considered for available subcontracting opportunitiesprior to selecting any subcontractor for my bid submittal.

Initial Here
b I understand and agree that any and all sub-contracts and sub—tieragreements resulting from this CDBG-fundedproject are also subject to Section 3 compliance, and therefore, as the General/Prime Contractor, I am responsible to ensure compliance from all subcontractors.

Initial Here
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i. Contact the US. Department of Housing and Urban Development (HUD) Section 3 website at to review the list of certi?ed Section 3 persons, within City of Hemet, to be consideredfor available employment opportunities; and HUD Section 3 Opportunity Portal at: Initial Here
j. F01ward to the Department of Housing & Workforce Solutions all detailed job descriptions for new employment opportunitiesand Section 3 reports, in a form, at a place, and at a time as directed by the Department of Housing & Workforce Solutions.

Initial Here
k. Present a list, of the number of total labor houis, Section 3 worker labor hours, and Targeted Section 3 worker labor hours expected to be generated fromthe initial contract and a list of projected number of available positions, to include job descriptions and wage rates.

Initial Here

1. Notify Section 3 Coordinator of contractor interests regarding employment of Section 3 workers prior to hiring. Initial Here
m. Submit a list of core employees (including administrative, clerical, planning, and other positions pertinent to the constructiontrades) at the time of contact award. Initial Here n. Post available positions and advertise job Section 3 workers openings at:

Here
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H8
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17.D

MWan/L
______ (Type
EXHIBIT B-7
Required Bid Form

BI DER CERTIFICATION ON

FEDERAL CONTRACT QUI MENTS
PROJECT NANIE:

CERTIFICATION:

I hereby certify that I have reviewed and understand the diversified Federal construction contract related requirements imposed on the Contractor(s) of HUDfunded construction projects, including but not limited to the following:
1 The subject project is being ?nanced with Community Development Block Grant ?nds (24 CFR Part 570);

2. This project and all related construction contracts are subject to the US.

Department of Housing and Urban Development’s Federal Labor Standards Provisions (HUD 4010 — revised 06/2009); and
1 This project is subject to all applicable laws and regulations as listed in the General Summary of these Special Federal Provisions; and

2. If my bid is $200,000 or more, this project and allrelated contracts willsubject to Section 3 requirements (12 U.S.C.1701u).

CONTRACTOR’SNAME:

CONTRACTOR’SLICENSE NO.:

ADDRESS
AUTHORIZED REPRESENTATIVE: Name)
(‘ETY OF HEMET
FROG M
CDBG Funded Sidewalk/ADA project Capital Improvement Project No. 5768 HZS Engineering Inc Dba HZS Construction
1403 N. Batavia St Unit 108 , Orange, CA. 92867
Shekaramiz
8/26/24

17.D

EXHIBIT B-8
Required Bid Form

QUESTIONNAIREREGARDING BIDDERS
Bidder has been engaged in the contracting business under the present name of (Date).

Present business address
California Contractor's License No.: Expiration Date:

UEI Number: or CAGE Code
Because this project is Federally-funded, it is necessary to obtain information concerning minority and other group participation for statistical purposes. The US. Department of Housing and Urban Development (HUD) uses this information to determine the degree to which its programs are being utilized by minority business enterprises and targeted group contractors.

A minority enterprise is de?ned by the Federal Government as a business that is ?fty-one percent (51%) or more “minority-owned”. Please check applicable box concerning the ownership of your business:
:I American Indian or Native Alaskan
Asian or Paci?c Islander/Native Hawaiian
Black/African American
Hispanic
White
Hasidic Jews
Other
A woman-owned enterprise is de?ned by the Federal Government as a business that is ?fty— percent (50%) or more woman-owned. Please check applicablebox concerning the ownership of your business:

El Woman/Female owned
A Section 3 Contractor or Subcontractor is a business concern that is more than ?fty-one percent (51%) owned by a low or very low-income person, or a business concern that provides economic opportunities to low and very low-income residents. Please check applicable box concerning the ownership of your HZS Engineering Inc Dba HZS Construction
06/30/25
1403 N. Batavia St Unit 108 , Orange, CA. 92867
Amount of Bid $ 81-1384052
Male owned
[II Section 3 Business concern Non-Section 3 Business concern The United States Department of Housing and Urban Development (HUD) is authorized to solicit the information requested in this form by virtue of Title 12, United States Code, Section I 701 et seq., and other regulations. It will not be disclosed or released outside of HUD without your consent, except as required or permitted by law. 5/17/18.

17.D

EXHIBIT B-9
Required Bid Form

LIST OF SUBCONTRACTORS
FED. I.D.# AMOUNT ADDRES S/PHONE NO.

S UP P LlER8
NAME OF SUPPLIER ADDRESS/PHONENO. CONTRACT AMOUNT
This form is to be completed and submitted with the bid package.

SUBCONTRACTOR
Treesmilh Enterprise-Anaheim, CA 95—3557285 $ 10250.00 1551 Miler St. Anaheim, CA. 92306

17.D

MUST BE COMPLETED BY ALL SUBCONTRACTORS
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HZS Engineering Inc Dba HZS Construction

Required Bid Form for bids
$200,000 or more
SUBCONTRACTORCERTIFICATION FOR SECTION 3 COMPLIANCE
(Housing and Community Development Act of 1968)
Project Title:

Subcontractor:

Contractor/Bidder:

The undersigned hereby certi?es that he/she has read and understands City of Hemet's Section 3 Af?rmative Action Program as well as Section 3 of the Housing and Community Development Act of 1968, and further certi?es adoption of, and adherence to, said program, and certi?es understanding of the following for all prime construction contracts over $200,000:
a. I understand and agree that in the event that I am awarded a subcontract, and in the event that any new employment opportunities are created as a result of this CDBG—fundedproject, I will contact the US. Department of Housing and Urban Development (HUD) Section 3 website at to
review the list of certi?ed Section 3 persons, within City of Hemet, to be considered for available employment opportunities;
Initial Here
b. I will forward to the Department of Housing & Workforce Solutions all detailed job descriptions and Section 3 reports, in a form, at a place, and at a time as directed by the Department of Housing & Workforce Solutions.

Initial IIere
EXHIBIT 8-] 0

17.D

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Complete your proposed workforce plan for this project below:

NUMBER OF
JOB CATEGORY CI'RRENT “E“ "'RF‘S M "BER ODE“"mm
«A.OF NEW "IRES TO BE
POSITIONS "7 PROPOSED To BE
‘ ‘ SECTION 3 AWARDED SECTION 3 RESIDENTS ' ‘ BID

PROFESSIONALS

TECHNICIANS
OFF] (TE/(TLERICAL
CONSTRUCTION 8‘
TRADE
TRADE
TRADE
TRADE
TRADE
TRADE
TRADE

APPRENTICE

TRAINING
OTHER
TOTAL
Subcontractor (Company) Name
AuthorizedRepresentative (Type Name)
Signature:
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17.D

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EXHIBIT 8—6

$200,000 or more
BIDDER CERTIFICATIONFOR SECTION3 COMPLIANCE
(Housing and Community Development Act of 1968)
Project Title Sidewalkand ADA Proiect Amount of Bid
The u hereby certi?es that lie/she has read mct'
.3Af? tion Program as Well as Section 3 of Dev
Act of 1968, and further certi?es adoption of, and a and understanding of thc following for all construction contracts over $200,000.

I understandand agree that in the event that I am awarded this contract, and in the event that any new employment opportunitiesare created as a result of this CDBG—fundedproject, l will:
a. Contact the US Department of Housing and Urban Development (HUD) Section 3 website at to review the list of certi?ed Section 3 persons. within City of Hemet, to be consideredfor available employment opportunities;and HUD Section 3 Opportunity Portal. Initial Here
at on b. Forward to the Department of Housing & Workforce Solutions all detailed job descriptions for new employment opportunities and Section 3 reports, in a form, at a place, and at a time as directed by the Department of Housing & Workforce Solutions. Initial Here c. Present a list, of the number ot’tolal labor hours. Section 3 worker labor hours, and Targeted Section 3 worker labor hours expected to be generated from the initial contract and a list of tumber ofavailable positions, to include job descriptions and wage rates.

Initial Here
d. Notify Section 3 Coordinator of contractor interests regarding employment of Section 3 workers prior to hiring. Initial Here
e. Submit a list of core employees (including administrative, clerical, planning, and other positions pertinent to the construction trades) at the time of contact award. Initial Here
f. Post available positions and advertise job Section 3 workers openings at:
$ 947,155.00
Initial Here
Sign the Section 3 Plan. Initial Here
h. Complete your proposed workforce plan Forthis project below 330/

17.D

TR.\

JOB CATEGORY NUMBER OF NUMBER OF NEW HIRES
..7 ‘ ‘
v 0 .
_ . , . :(ISIITIESSS NEW HIRES PROPOSED TO BE
A10P \S?é’I‘Ig‘E
:
1 0 BE
L L H" SECTION 3 RESIDENTS
‘ AWARDED
BID

PROFESSIONALS

TECHNICIANS

OFFICE/CLERICAL
CONSTRI’CTIONBY
TRADE
TRADE
TRADE
TRADE
TRADE
TRADE
TRADE

APPRENTICE
[KING
OTHER
TOTAL
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17.D

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II.

BIDDER CERTIFICATIONFOR SECTION 3 COMPLIANCE
Ormo nities
I understand and agree that for any and all subcontracting opportunitiesthat may result from this CDBG-fundedproject. I will contact the US. Department ofHousing and Urban Development (HUD) Section 3 website at to review the list of certi?ed Section 3 Businesses, within Cit emet. to be considered for available subcontracting opportunitiesprior to selecting any subcontractor for my bid submittal.

Initial Here
I understand and agree that any and all sub-contracts and sub—tieragreements resulting from this CDBG—fundedproject are also subject to Section 3 compliance, and therefore, as the General/Prime Contractor. I am responsible to ensure compliance from all subcontractors. Initial Here
Contact the US. Department of Housing and Urban Development (HUD) Section 3 website at \w.telltaleoxv?sg ion} to review the list ofcerti?ed Section 3 persons. within City of Hemet. to be consideredfor available employment opportunities: and HUD Section 3 Opportunity Portal at: 111.533}.JJ.U_U?illP;-_lltttlu‘='(_‘>i?ll?lut‘t???ilInitial Here Forward to the Department of Housing & Workforce Solutions all detailed job descriptions for new employment opportunities and Section 3 reports, in a form. at a place. and at a time as directed by the Department of Housing & Workforce Solutions.

Initial Here
Present he number of total labor hours, Section 3 worker labor hours, and Targeted Section 3 worker labor hours expected to b: generatedfrom the initial contract and a list of projected number of available positions. to includejob descriptions and wage rates. nitial Here
ion 3 Coordinator of contractor interests regarding employment of Section 3 workers prior to hiring. Initial Here
. Submit a list of core employees (including administrative. clerical, planning, and other positions pertinent to the constructiontrades) at the time of contact award. Initial Here Post available positions and advertise job Section 3 workers openings at: )M ._o_rg Initial Here

17.D

Com plcte your Subcon tracting Plan for this r*"i nu ect below:

AMI-um 0.:
'5 “'E SUBCOWRACTOR IF SlTBCONTRACTORIS SECTION 3. INDICATE SI'BCONTRAC’HS) SECTl('):\’~3 ELIGIBLE? EUGIBLE STATUS
TRADE
\ (:5 OR m
51% OWNER / 30% EMPLOYEE
* Add additionalsheets if necessary
Bidder (Company) Name:

AuthorizedRepresentative (Type Name)
Signature:

Noué
6|
I»
«LL

17.D

W
will not be
CDBGACCESSIBLESlDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the CDBG Accessible Sidewalk/ADAProject, CIP No. 5768, 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 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/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/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 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.

17.D

Sou
CDBGACCESSIBLESlDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL(cont'd)

BIDSCHEDULE
BASEBID-CDBG ACCESSIBLESIDEWALK/ADA PROJECT, CIPNo. 5768

EXTENDE

ITEM ESTIMATED UNIT D
No
DESCRIPTION UNIT QUANTITY PRICE Al
\II'
II'
oE
m
W1 Mobilization (not to exceed 5%) L8 1 I190»
2 Traffic and Pedestrian Control LS 1 CV38»
3 Temporary Construction Project
identification Sign EA 2
I S”
4 Water Quality Control L8 1
Adjust Ex. Manhole to New F.S
5 per Owner Agency Std. & \\ Om,
Specs. EA 1
5 Remove &relocate existing ‘
mailbox EA 1o °° °
7 Adjust Ex. Water Meter \\ o Box/Traff. Box to finish surface EA 6 °
8 Relocate Ex. Signs and Posts EA 17 as?
9 Remove and Replace Exist ADA
Ramp per City Std. EA 29 6°”
10 Construct 4" thick PCC sidewalk
per City Std. SF 12000
11 Construct
Approach
PCC
per Citv
Driveway
Std.

SF
1025 H S—
12 Remove, Uproot and dispose EA
ex. Tree/tree stump. 8
13 Remove & relocate existing LF ‘9‘ a
fence/gate 450
Remove Ex. PCC/AC &
14 Construct New PCC driveway SF H5"
approach per City Std. 520
15 Remove & Dispose Ex. Masonry
Wall/Pilaster EA 4
‘ c“
15 Construct type "A"Curb and 9° Gutter per Citv Std. LF 225

17.D

(numbers)

CDBGACCESSIBLESIDEWALK/ADA PROJECT
CIP NO. 5768 BIDDER'SPROPOSAL(cont’d)
BASEBID- CDBGACCESSIBLESIDEWALK/ADA PROJECT, CIP No. 5768

EXTENDED
NIT ”ISM DESCRIPTION UNIT ?at/lag?ERICEITEM
° AMOUNT
TOTAL BASEBID umbers) 6‘“,1?
**it********************************* END oF BASE BID ITEMS ********************************‘k*** ADDITIVEA BID ITEMSAS FOLLOWS:

ITE EXTENDED ESTIMATED u IT
M DESCRIPTIONOF ITEMS ”LI" PRIIICEITEM

NO QUANT'TY AMOUNT
\ §Mo

TOTAL BIDADDITIVEA
*****************~k************** END oF ADDITIVEA BID ITEMS ********************~k********~k** BASEBIDTOTAL (in words) \
' 10" II°ncI’¢<IWn‘k'(aw. DAM“3:?
Contractor's Initials M
ADDITIVEA BIDITEMSTOTAL (in words) m kn.

Contractor's Initials
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 schedule(s) only unless otherwise Specifie d
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).

17.D

Hok?ngs
CDBGACCESSIBLESlDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL(cont'd)
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/ deductive or alternate bid items/schedules, or to otherwise add or remove certain work 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’sdetermination 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 ofthe 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’sown forces.

By signing and submitting this bid the Contractor confirmsthat 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, 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, DIR Reg. and Contractor License Nos.

LLC — 1000994213- 1074946A-B

17.D

Rd,Suil
www.0rangebluegg
dd
CDBGACCESSIBLESlDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL(cont’d)
LimitedLiability Corporation
Business Type (Corporation, Partnership, Sole Proprietor) OrangeBlue General Contractors
DBA(if any)
Arman Tehrani — Managing Member
Name and title of the owner
Arman Tehrani — Treasurer
Name and title of second partner or of?cer
27071 Cabot 108. Laguna Hills .CA
Business Address
949-317-5700
Telephone number
949-317-1313
Facsimilenumber
Kemberly
Name and Email address of primary contact
Company web ress
08/22/20204 08/22/20204
Signatu Bidder Date Signature of Date
Am r' A!MM Kebmk
Print name and title Print name and title
(If
*A‘M
the Bidderis a corporation two signatures ofcorporate o?‘icersare required.) accountinzft?oranzeblueorg

SEE ATTACHED

17.D

me to
Issmn k

ACKNOWLEDG ENT
A notary public or other of?cer completing this
certi?cate veri?es only the identity of the individual
who signed the document to which this certi?cate is
attached, and not the truthfulness, accuracy, or
valid of that document.

State of California
County of Orange l
On 05’Z:5"297’” before me, Bobby KhakdoustNotary Public (insert name and title of the of?cer)
personally appeared A{\W‘Q’J“Twm0“
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 Californiathat the foregoing paragraph is true and correct.

BOBBYKHAKDOUST
P b'l -Calllarnla WITNESS my hand seal mgru lC my
Comm 2483746
Comm.ExpiresMar5, 2023
Signature (Seal)

17.D

[ Engineering ]
[__—_1
b. 04/30/2025 SEE I
,2; gidder
CDBGACCESSIBLESlDEWALK/ADA PROJECT
ClP No. 5768 BIDDER'SPROPOSAL(cont’d)

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

State of California Class A General Contractor’s License Combination of Specialty Class Contractor’sLicenses

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/itpossesses the required Contractor's license(s) which:
a Bears the license number(s): 1074946 A-3
Expires on:
08/22/20204 08/22/20204
Signatu Bidder Date Signature Date
Arman Tehrani — Managing Member Arman Tehrani — Treasurer Print name and title Print name and title
(Ifthe 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.

ACKNOWLEDG

17.D

validity
w

BUIIVKNAKDOUST
Maury mu: California %1 Dunnecounty
' Cnmml?lan 0"1481746 i
‘4 Mycamm.Exp\resmr5,1023i

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

State of California
County of Orange l
Bobby KhakdoustNotary Public an 08-» 2.6- 2091*
(insert name and title of the of?cer)
personally appeared Ar Tgcl”I“
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 n 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. before me
I certify under PENALTYOF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. - . w.

WITNESS my hand and of?cial seal.

Signature (Seal)

17.D

CDBGACCESSIBLESlDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL (cont'd)

BIDSECURITYFORM FORCHECK
NOTE:THE FOLLOWINGFORM SHALLBEUSED INTHECASEOF CHECKACCOMPANYINGBID Accompanying this proposal is a Certified Check or Cashier’sCheck payable to the order ofthe City of Hemet, hereinafter referred to as “Agency", for oIIars (S I. 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 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
(Ifthe Bidderis a corporation, two signatures ofcorporate officersare required.)

17.D

(s ,7 , )
Jam—é:—
/
7 aREd, Attorney—

CDBGACCESSIBLESIDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL(cont’d)

BIDSECURITYFORM FOR BOND

KNOWALLBYTHESEPRESENTS
That the undersigned
Asad Holdings LLCDBAOrangeBlue General Contractors
(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 oblige, in the penal sum of Ten Percent of Total BidAmount
Dollars (10%IofTotalRidAman‘r 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 [CIPNo. 5768 CDBGAccessibleSidewalk / ADAProject] 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 2024.
(Month)
Asad Holdings LLCDBAOrangeBlue General Contractors
Princi al
(Corporate Seal) By
The Ohio Casualty Insurance Company
Surety
(Corporate Seal) By
Kevin in-Fact

SEE ATTACHED

17.D

CLEAR
saga-gmrazzxx‘m-A‘zg.wxxcrdgmwmxmmmwwaatmw
.be the person whose nam Qaresu
e/they executed[Wein er/thei
instrumennheperso , onhe entity upun
thin in trume tan acknow m
ty angvtja‘tb her/[h
the parse acre , execute
Nora ublic
.mtamvm XLCMWTAf?N$MKWWMWWMMXD
www.mnunalNotagnrg
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE §1189
A notary public or other officer completing this certificate verifies only the identity of the individualwho 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 August 13, 2024 before me, Jessica Tinoco Garcia, Notary Public Date Here Insert Name and Title ofthe Officer
Personally appeared KeVlnP' Reed
Name{s) ofSigner{s)
who proved to me on the basis of satisfactory bscribed to the wi ledged to h
r authorized
capaci eir signature behalf of
which d the instrument.

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

JESSICATINOCOGARCIA
WITNESSmy hand and of?cnalseal.

Notary Public - California
Orange County
Commission# 2400291 Signature
MyComm.Expires Apr 10, 2026
NNA1
Signature of
Place Notary Seal Above

OPTIONAL--
Though this section is optional, completing this informationcan deter alteration ofthe document or fraudulentreattachment ofthis formto an unintended document.

Description of Attached Document
Title or Type of Document Document Date
Number of Pages Signer(s)OtherThan Named Above
Capacity(ies) Claimed by Signer(s)
Signer's Name Signer's Name
Corporate er—Tit|e(s) D Corporate Officer—Title(s)
Partner Limited D General E] Partner Limited General
[2]Individual E Attorney in Fact E] Individual E] Attorney in Fact mTrustee a Guardian or Conservator .Trustee D Guardian or Conservator D Other D Other
Signer ls Representing Signer ls Representing
@2014 National NotaryAssociation 0
0 1—800—USNOTARY(1-800-876-6827)Item #5907

17.D

KNOWNALL 0N5 BYTHESEPRESENTS:ThalThe OhioCasualtyITISWEHGE Company is a Corporationulyorganizedun?ef lhe laws 0| |he Slate at NewHampsh‘ltsuthat LthertyMutual "09 Companyisa amputationdulyorganizedunderUtelawso'me Stale01Massachusettsan WestAmericaninsuranceCompany is a animationdutyotganlzed undermelaws StateOUItdiialIa (hereinom‘eclwelycalledme'COmpallies"), pursuant“) andbyauthorityheret set tom.doesherebyname.wuslilmeandappoint, aly 9! Santa Ann slam a! CA eachindividually altotnay-lrr-(acl seal.acknowledgeand delivet,{of andon“Sbeha?as Sulety anda ad anddeed.any undertakings presentsandshallhe as bindingupon the Companeras ittheyhave hm dulysigned American
W ”'
r M- .g
. 3
_ DavidM. AssistantSecretary 3‘
% ENNSVLVANtA ‘E
g E, MONTGOMERY
,9 E
- On this l-‘Mlt dayor carom 2022 oetoremepersonallyappearedDouroM. knowled theAssistantSecretary Liheny suran 8 a) E Compart—y. the OhioCasualtyCompan .a'noWest'Arnerican tnsuranoaCompany. and that eiitgaut sxmte the torapoinoi uurnent urpos ‘_ g theretnoontarnadbystgnrng onhehaltoithe eorporationsoyltirnsellas a dulyauthorizedolh g) y a:
a
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O
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.E_ resolution tutttoroe ettectreadrnpas l
ARTICLEIV- omcens:Sectiont1 Power!at Attorney 5
.2 Anyothoeror otherotioal nl the Corporationauthorizedto that purposein hidinghy the Chairmanorthe President. and subtectto such limitationas the Chaimtattor the a g 5 Presidentmayplesmhe.shaltappolmsudt attorneys-intactas mayhe necusary toacl moehattoitheCorporationIo mate, execute, seal, adinowtedgaanddellvsrassurety ? ac) any andat undmktngs. oonds.reoogmzanoesand othersuretyohtipatlonsSuchattorneys-intact.subjectto the timrtatronsse| torthintheirrespectrreporters at attorney,snailg : have lullpowerto bindthe Corporationby theirsignatureand dxsmtiottoi any such insuumentsand to attachtheretothe seal oi the Corporation.VWIettso execuled.such a, a) z
lnslmmetttshallhe as bindingas itSignedtrythe Presioentand atteslddto byIhe Secretary. Anyporter or authoritygrantedto any repressntahueor attonrey-intect underthe f E provisionsatthisar?demaybe tevukedat any timabytheBoard.theChairman,tha Presidentorbytheother oromoers gtanlingsuchpowerorauthooty. 3% ARTICLExttt- Executionol Contracts: sectionsSurety Bondsand Unoenakines.

Attyothoeroi the Company authorizedtorthatpurposeinwritingbythe ohairmanor the prosioent, d suoieet to suchlimitationsas the ohainnanorthe prestohtmayprescribe shallappointsuch attomeysin-iaot,as maybe necessaryIn act inoehattotthe Company to mak eteorte.seat.aotnwledga and deliveras suretyanyan altundertakings, Hot”!in theirlespec?vepowersotaltnmeyushallhavelul powerInBindthe honos.tecogn'nancesandothersuretyobligations.Suohattonreysln-laotstroiectto the imitations the Company. Whensoexecutedsuchinstrumentsshall e as bl?dingas it Company bythsivslgnalmeand execulton0!anysuch instrumentsand lo altadt lhefalothe seal Certi?cateotnesig atio residen heComony, eating tsuant oith Company. author Secret ppot'nt eys-in tact as maybe necesary oehati e Compa y to make xecuta lady and deliverassu bonds, izanoe surety Authorization— Byunanimousconsentoi the Compan tractors. oonsantathattaosimreorma ante-t mdttc at an eoreta oithe Company, v/rletevetappearing upona certi?edcopyol attonrey Company inconnectonwith retyto shell hindi Comp ywith the sametoroeandeheotasthoughmanuallyattinao.

Rene the detsi TheOhio trhertyMu Ilnsuran mpany West A mpany 91be no»
ioregoinol
the Pew Attorney tedby Compan e?eul a
olrgi
CU ReneeC.Llewellyn,AsslstanlSecretary
PERS
Insura
ofthe
SURETY
This Power ofAttorney limitsthe acts ofthose namedherein, and they have no authorityto bindthe Company except inthe mannerand to the extent hereinstated.

Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company
West American Insurance Company
Certi?cateNo: 8208853-969612

POWER OF ATTORNEY
3‘
n
1912 1919 1991
By
By:
1912 1919 1991
call610—832-8240 ower or V8 utual.com.

Jessica Garcia; Kevin P Reed; Silvia Ortiz; Sonya Silva; Stanley Tutton October 2022
- Notary Teresa Pastella. Public Montgomery County
MycommissionexpiresMarch28.2025 number 1126044
of
LMS-12873 LMICOCIC WAIC MultiCo 02/21
allofthe iftherebe morethanonenamed,itstrue andlawful tomake, execute, andall bonds,recognizancesandothersuretyobligations,inpursuance ofthese bythe presidentand attestedbythe secretary ofthe Companiesintheirownproper persons.

INWITNESSWHEREOF,thisPowerofAttorneyhas been subscribedbyan authorizedof?ceror of?cialofthe Companiesandthecorporateseals oftheCompanieshavebeenaf?xed theretothis 14th dayof
LibertyMutualInsuranceCompany
TheOhioCasualtyInsuranceCompany
West InsuranceCompany
Carey,
StateofP 55 Countyof
Carey,whoac ged himselfto be of MutualIn ce
he, as such, b horizedso to do, n5 forthe p as
cer.

INWITNESSWHEREOF,Ihave hereuntosubscribedmynameandaf?xedmynotarialsealat PlymouthMeeting,Pennsylvania,onthedayandyear?rstabovewritten eresa Notary
This Power of Attorneyis made and executedpursuantto and by of the follo aws ns ofThe OhioCasualty InsuranceCompany, LibertyMutual InsuranceCompany,andWestAmen'canInsuranceCompanywhich 5 are nowin and follows:
an e
e, d
se I
of b
signedbythepresidentandattestedbythe secretary
n n — TheP toft a pu to theBylaws e izes DavidM.Carey, Assistant aryto a suchattorn s to act on ofth n , e , seal, acknow e retyany and allundertakings, recogn s andother obligations.
y'sBoardofD theCompany | ch lyrep edsignature y assistants ry any powerof issuedbythe i su onds, be validand ng uponthe an I, e C. Llewellyn, un gned,AssistantSecretary, CasualtyInsuranceCompany, tua ce Co , and men'canInsuranceCo d o
h certifythatthe nal er of attorney ofwhichthe s a full,true andcorrectcopyof of execu said ies, isinfullforceand n d
has not been revoked
WHEREOF,Ihavehereuntoset myhandandaf?xedthe sealsofsaidCompaniesthis 13th dayof August , 2024

17.D

WhamTMME
.
~ uoasvxmnousOf?clalseal. _ Notary vubm- Cai?amu
' Orange County

ACKNOWLEDG ENT
A notary public or other of?cer completing this
certi?cate veri?es only the identity of the individual
who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
valid of that document.

State of California
County of Orange t
On 08I 2'6a 202“,
before me, Bobby KhakdoustNotary Public
(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 PENALTYOF PERJURY under the laws of the State of Californiathat the foregoing paragraph is true and correct.

WITNESS my hand and
Signature (Seal)

17.D

tr corr ct a d that this
Lawn:-[1:55;, a. .‘ ‘ [s
«A:

CDBGACCESSIBLESlDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL (cont'd)

NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODESECTION7106

NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID The undersigned declares:

Asad Holdings LLC DBA
I am the Managing Member Of OrangeBlue GeneralContractors 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 ofthe bidder.

I declare under penalty of perjury under the laws of the State of California that the foregoing is and declaration is executed on 93145123 [date], at city] tate].
der Date Signatu Bidder Date
I
\ Print name and title Print name and title
\k
(Ifthe Bidderis a corporation, two signatures ofcorporate o?icersare required.) A1—9

SEE ATTACHED

17.D

ACKNOWLEDGMENT
A notary public or other officer completing this
certi?cate veri?es 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 0g”2 before me, Bobby Khakdoust Notary Public
(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 PENALTYOF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. __-.-..._ . .
.1..." 3- WITNESS - aoaevKHAKDOUST my hand and of?CIalseal ”My Pub“: _(inform Orange County
Commission.‘l2483746
Comm.ExpiresMar 5, 2028
Signature (Seal)

17.D

Inge

CDBG ACCESSIBLESIDEWALK/ADAPROJECT
CIP No. 5768 BIDDER'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 ?nal determination of whetherthe projects listed here are ofthe 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; Seal BeachTennis Center Improvement Project — BG2105 Contract Price: 2,075,000 Date of Completion: 1111162024 Name, Address, and Telephone Number of Owner's Representative:

Full building Demolition.Underground Utilities Investigation, Sewer line. Water line. Trenching. Boring. Concrete.storm drain Nick Hardin CCM 714-457-1340 [email protected]
Project Name; Lot 1- Barrier Removal Project — North Orange County Community College District Contract Price: 380:000 Date of Completion: Aug 2023
Name, Address, and Telephone Number of Owner's Representative:

Demo, Grading , Side Walk Concrete, Curb and Gutter, ADA Ramp .Truncated domes. Signage. Asphalt and Striping 714-484-7733
Project Name; Saddleback College Campus Improvement-Sports court-Sub Contract Price: 950,000 ( Agg) __Date of Completion Feb 2023 Name, Address, and Telephone Number of Owner's Representative Max — UCMI DSA Inspector 949-378-0568
{Attach additional pages as necessary)
MW"? ‘rv
‘ e
Capital College aacurso@cvnresscol _ed11

17.D

N4«ktux‘a5

CDBGACCESSIBLESIDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL (cont’d)

DESIGNATION OF SUBCONTRACTORS
Name of Subcontractor
and Location of Place Description and Subcontractor’s DIRRegistration of Business Percentage of Work License No. Number
—:Fk"o \awdq Mt‘.

Q0“; ” c. “50 5
a
' 8 9}? .\(°~ I
\ I066S’S\'\A
AE
/’ Q ,
'deg L2
«'2' k(baA\ 8151’ \p¢;a° K
g
(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE§4100 ETSEQ.)

17.D

PROPOSAL TreesmithEnterp?ses,Inc.

Compensalio dad forjobs imments Ieamnce
All retention to Treesrni! calendar etion of
i111.
www‘rresmithnet
Proposalsubmittedto: Job Name/Location:

Estimator of Project CDBG Funded Accessible Sidewalk/ADAProject Capital Improvement Project No. 5768
City of Hemet
Bid Item #12 — Remove, Uproot and dispose ex. Tree/tree stump Qty 8 @ $1,250.00 Ea. = $10,000.00
*Quotefor tree work is for speci?c and total trees on plans or for tree list provided only, additionalwork quoted separately, no substitutions
*Treesmith is responsible for hauling off and disposing of only green waste material from our removals *Excludes removal of rocks, boulders, concrete, asphalt, irrigation, trash, debris, and other non—plantmaterial *Proposal must be accepted in its entirety unless authorizationfrom Treesmith Enterprises, Inc. *Contact Treesmith Enterprises, Inc. if this proposal is accepted and used for contract *UNION COMPANY
*Traf?c control, posting or noti?cations go_tincluded
*Price includes prevailing wages
* n will be ad that require special safety training requ and security 0 * monies due h will be paid in ?ll] within ninety (90) days of compl contract work *Treesmith is not liable for any unforeseen damage to underground utilities, wiring, gas, water, irrigation lines, etc. *Excludes all back?lls, permits, and property owner noti?cations *Excludes removal of bushes, shrubs, and ground cover material *Excludes non—accessiblestumps or stubs (such as if on hill, slope or if obstructedby undergroundutility lines or on water) *Excludes installation of replacement grass, vegetation and irrigation (landscape restoration) *Excludes dust control and soil erosion control
*Excludes night work
*Treesmith requires a 3 week noti?cation prior to project start date *Treesmith is a SEE-37366 Exp 04—30-26,DBE & UDBE- 35817, DIR #1000001838 Exp 06-30-25 See backfor de?nitions,terms, and conditions. Total :( $10,000.00) Treesmith Representative: Date: 08/26/2024
Roberto Licona - ISA CertifiedArborist WE—10942AT
Thisproposal may be withdrawn by us ifnot accepted in 90 days Work authorization: Allprices. speci?cations, and terms ofthis proposal are satisfactory, understood, and hereby accepted.

Signature Date
1551 N. Miller St. Anahe CA 92806 -(714) 996-6037 -Fax (714)996— 6057 California State Contractors License 802705

17.D

n; (gnu: EvContracmr:

Cancellation:

Completionof Con?gcl:

Leegmrhim
ANSI A300 Tree Care Standard De?nitions:

Smmg Removal:
{gum 9.51§ onlinggncicg
QM
ngn Regair‘
Terms of Pavmem:

Terms and Conditions
It is agreed by and between TreesmithEnterprises,Inc. and the authorizing party (customer and/or customer’s agent) that the following provisions are made as part of this contract:

Treesmith Enterprises,Inc. warrants that it is insuredfor liability resulting from injury to person(s) or property and that all employees are covered by Workers’ Compensation as requiredby law. Certi?cates of coverage are availableupon request.

TreesmithEnterprises,Inc. kindly requests that the authorizing party provide at least 24 hours advance notice of any full or partial work cancellation. Proposals which are not accepted in their entirety are subject to a rebidding process.If a crew has been dispatchedto the job site, the customer will be assessed a mobilizationfee of $150.00 for incurred expenses.

Treesmith Enterprises,Inc. agrees to do its bestto meet any agreed upon performancedates, but shall not be liable in damages or otherwise for delays because of inclement weather, labor, or any other cause beyond its control;nor shall the customer be relieved of completionfor delays.

The authorizing party warrants that all trees listed are located on the customer’s property, and, if not, that the authorizing party has received full permission from the owner to allow Treesmith Enterprises,Inc. to perform the speci?edwork. Should any tree be mistakenly identi?ed as to ownership,the customer agrees to indemnify TreesmithEnterprises, Inc. for any damages or costs incurred from the result thereof.

Safeg: Treesmith Enterprises,Inc. warrants that all arboricultural operationswill follow the latest version of the ANSI 2133.1 industry safety standards. The authorizing party agrees to not enter the work area during arboricultural operations unless authorizedby the crew leader on—site.

The following de?nitions apply to speci?cations detailed in this proposal. clean: Selective pruning to remove one or more of the following parts: dead, diseased, and/or broken branches. Unlessnoted otherwise on this proposal, all cleaning will be of branches linch diameter or greater throughout the entire crown. crown: The leaves and branches of a tree measured from the lowest branch on the trunk to the top of the tree. leader: A dominant or co-dominant, upright stem.
raise: Selective pruning to provide vertical clearance. reduce: Selective pruning to decrease height and/or spread by removing speci?ed branches. restore: Selective pruning to improve the structure, form, and appearanceof trees that have been severely headed, vandalized, or damaged. thin: Selective pruning to reduce density of live branches, usually by removing entire branches. vista pruning: Selective pruning to allow a speci?c view, usually by creating view “windows” through the tree’s crown.

Unless speci?ed in the proposal,stump removal is not included in the price quoted. Grindingsfrom stump removal are not hauled unless speci?ed in this proposal. Surface and subsurface roots beyond the stump are not removed unlessspeci?ed in this proposal.

Any additionalwork or equipment required to completethe work, caused by the authorizing party’s failure to make known or caused by previously unknown foreign material in the trunk,the branches, underground, or any other condition not apparent in estimating the work speci?ed, shall be paid for by the customer on a time and material basis. TreesmithEnterprises, Inc. is not responsiblefor damages to underground sprinklers, drain lines, invisible fences or underground cables unlessthe system(s) are adequately and accurately mapped by the authorizing party and a copy is presented before or at the time the work is performed.

Clean-up shall include removing wood, brush, and clippings, and raking of the entire area affected by the speci?ed work, unless noted otherwise on this proposal.

Treesmith Enterprises,Inc. will attempt to minimize all disturbancesto the customer’s lawn. Lawn repairsare not included in the contract price, unless noted otherwise on this proposal.

Unless otherwise noted in this proposal, the customer agrees to pay the account in full upon completion. Failure to remit full payment within the payment term will result in a ?nance charge of 2.00% per month.

Returned Check Fee: There will be a $25.00 fee charged for all checksreturned to our office for non-suf?cient funds.

17.D

mum...

WAGE (NON UNION)
HOURS ONSlTE]
STAMP
(5145IHOURH'ECH)
(5):

DDUBLEFIME— HOURLV RATE (s175/HouRITECH1
RoadSafe Traffic Systems, Inc.

Item Description
, TRAFFIC CONTROL SYSTEMS - PREVAILING
ZONE 3 (WITHIN31-60 MILES FROM RS CORONA):

PW TYPICAL2 TECHS 2 TRUCKS CREW [UP TO 8

TRAFFIC CONTROL PLANS (EXCLUDES STAMP)
OR

TRAFFIC CONTROL PLAN W/ CIVILENGINEER
STAMP
OR

TRAFFIC CONTROL PLAN W/ TRAFFIC ENGINEER

TRAFFIC CONTROL TECH(S) - PREVAILING

WAGE OVERTIME - HOURLY RATE

TRAFFIC CONTROL TECH PREVAILING WAGE

PORTAL-TO-PORTAL- OVERTIME - HOURLY
RATE ($98/HOUR/TECHI

PORTAL-TO-PORTAL- DOUBLETIME- HOURLY
RATE ($110/HOUR/TECHI
Note: The * indicates taxable items.

QUOTATION
1640 Market St Quote Date Quote ID
Corona, CA 92878 8/26/2024 MP240823-2
951‘734'9535 Valid Through: 9/2512024
Fax 951-734-2887
L|C# 930960 C-31
Job Location:

VARIOUS LOCATIONS
HEMET
Quote Created By: Michael Phillips
Price UOM Qty/Day Days Total Qty. Total
0 0 0
$2,150.00 PER/DAY 1 1 1 $2,150.00
$350.00 PER SHEET 1 1 1 $350.00
0 0 0
$650.00 PER SHEET 1 1 1 $650.00
0 0 0
$950.00 PER SHEET 1 1 1 $950.00
0 0 O
0 0 0
0 0 0
O 0 0
Initials Page 1 of 3

17.D

Tec rformtra ntrol setup and to
quip rs onsite based on a ?naliz
reated thou ban
to be r ised city/j
the full daily standard or prevailing wage rates.
- Setup & pickup equipment labor (excludes maintenance) is a 4 hour minimumcharge at 75% of rates. If labor onsite exceeds 4 hours, or if requested for lech(s) to perform maintenance of equipment. fulldaily standard or prevailing wage rates will be charged for each tech onsite. - Labor rates willstart once techls) arrives at jobsite. - Ponal-tu—Portal charges apply on all projects, Portal-to—Portaltravel ly rates wi | app labor
0am, over forty rs pe
rgenci or ho ayst
uble~ti hour rates
ndays ida
charg ppl
req sledl
- Al ourly standard bor rates |
pre iling wage rate RoadSafe
roval reimburs
pena nician wi apply
ment.
prove Traf?
raved raf?c
hours.
ekends
non‘un on, no
ice PW rates i

THIS PROPOSAL MUST BECOMEA BINDING PART OF ANY
SUBCONTRACT.

Quote based on: Produce Traf?c Control Plans for the "Accessible Sidewalk and ADA"project.
2 hs2 Trucks to pe f?c co maintain
e ment up to 8 hou daily, ed and cityapproved Traffic Control Plan.

NOTE: Quote was 0 wi tthe e?t of a city-ap d 0
Control Plan. Quote ev per urisdiction app T
Control Plan and/or conditions of the road onsite.
- Setup & maintenance labor is up to 8 hours onsite, and is based on time will be billed at standard, overtime, and double-time rates. - Overtime hour I ly if exceeds 8 or between
6:00pm and 6:0 hou r week, we ,
eme es lid
- Do me ly willapply if labor exceeds the 12th hour, or labor on Su and hol ys.
- Additional es will a y if night, weekend, or holiday labor is ue
l h la isted above are i nva s. has ability to pr f/when necessary.
- Customer will be responsible for parking fees, hotels, ferry fees. tolls, or similar charges ifthe location of the job requires unavoidable costs.

These items will be billed at cost + 20%.
- In the event that Per Diem & Lodging is required, RoadSafe will get pre-app from contractor for e
- Lunch Ity per ?agger/ tech || ($90 per person) if not allowed proper timely lunch break per CA laws.

Exclusions:
- Any necessary permits.
- Standby Time.
- Any AdditionalMoves.
- No Parking, Public Noti?cations and Mailings unless quoted. - Striping and/or Pavement Markings install or removal of any kind. - Message Boards or Light Plants unless quoted.
- Crash Cushions unless quoted.

Scope: Setup and maintain traf?c control per approved traffic control plan (TCP) 8-hr day Included: Arrow Boards
Excluded: Any Additional Moves
Standby Time
No Parking, Public Notifications and Mailings
Any necessary permits
Initials Page 2 of 3

17.D

I1job from m Rea (ems sche
be 0 Order hour h will rged.
solsheei 3 [sheet lamp Olsh el w/Tra mp (Qty heels).
2 City/Con revisio Addi l pla hour pri r hourly for any is can? and intends
ompan dlor person(
Traf?c Control P implementation by nihers and] spent erfarmed agree to indemn Roadsaie Traffic Systems, inc. cons ts for clai failureto inslall. intain or remove controls or
Quote For: - - Quote ID: MP240823-2 (cont)
Excluded: Striping and/or pavement markings
Add'l Terms Payment due upon receipt.

Payment due upon receipt — Credit application available to open an account for payment terms. cancels less than 12 hours e time dSafe Traffic Sys , Inc. is duled to NSITE, per California Wage 7, a 4 minimumper tec be cha Quote based on regular business hours M-F, night &weekend work subject to over-time rates.

Prevailing Wage Labor Rates at $125.00/pp/hr, $145.00/pp/hr Over-time, $175.00/pp/hr Dbltime.

This quote IS based on Prevailing Wage rates.

If Labor exceeds 8 hours, over-time rates will apply.

Contractor can elect 2 provide breaks for flaggers or can elect to pay for additional flagger to provide proper breaks per CAL-OSHAStandards.

We reserve the right to adjust based on final Traffic Control Plans approved by the City.

Traffic Plan $3 650 wlCivils , $95 e ffic sta 1-6 3
Includes up to nty ns - See tiona n clng fo rates
additional revisions required.

Additional plan hour pricing- $98.18/hr, $147.26/hr Over-time, $196.36/hr Dbl-time. **Fuel Surcharge may apply, not to exceed 10% of truck charges or delivery/pickup charges.

Any job over $5,000 ls mandatory to provide California 20-Day Preliminary Lien Information.

This quote dential d for addressed recipient only and is not to be disclosed to any other c y(s) an 5).

See attached "Master Equipment Rental Contract" made a part hereof.

See attached "ExhibitA - Terms & Conditions - RoadSafe“ made a part hereof.

D|R# 1000531795
Contractor License #930960 C-31
RoadSafe Traf?c Systems, Inc. and consultants have no control over, nor responsibility for, Ian or in ion p by others. Users
ify and ultan ms made regarding ma devices per approved traf?c control plans.

Accepted By:
8/26/2024
Michael Phillips Date Signature Date
RoadSafe Traf?c Systems, Inc.

Print Name
Visit Our Website at www.RoadSafeTraf?c.com
Title
Company
Initials Page 3 of 3

17.D

- tun-17w Pavemen Marking;
‘ Project
prion Qty um Ext Pvice
Superior Pavement Markings, Inc.

PO Box 278
[- Beaumont, CA 92223
_ Phone 951.845.2799
30?“?7:53;): Fax 951.845.6399
nion oca
om 1000001476 Proposal & Contract 46056
SubmitTo: Contact:

OrangeBlue General Contractors Arman Tehrani-Office 949—317 Accessible Sidewalk and ADA Project 27071 Cabot Rd., Suite 108 -5700-Fax 949-317—1313-Direct CDBG Funded - CIP 5768 Laguna Hills, CA 92653 949-317 Hemet
-4870'[email protected]
Date: Estimator
8/26/24 Dale Shults
# Descri Price
8 Relocate Ex. Signs and Posts. 17 EA 349.00 5,933.00
Alt Additive Alternate: Re-lnstall Disturbed Stop Bar & Legend with 15 EA 266.00 3,990.00 Traffic Paint, Color to Match Existing Legend (No Other Legends/Markings are Included)
Alt Additive Alternate: Re-Paint Red Cur 1 LS 1,800.00 1,800.00 NQIE; General contractor or owner of project to accept Superior Pavement Markings insurance limits. Any additional insurance required to be paid by general contractor or owner. Insurance limitsavailable upon request.

NQIE: Executed Contracts as well as Change Orders requested by Owner or Contractor must be signed and returned to Superior with sufficient notice to perform work (Minimum 15 Days). = 0
A mobilization or Move-In is any work accomplished through consecutive shifts. Ifwork is unavailable or not ready for Superior an additional mobilization charge will be incurred.

Traffic control for Superior work areas during Superior work hours only per per W.A.T.C.H. Manual Only.

A Minimum of 1§ Working DamsIs Required Prior To Each Move In. To be cited in Contract.

QuQTE INCLuDE§: Traffic Paint [ ] - Thermoplastic [ ] - Green Bike Lane Material [ ]- RPM's[ ]- Removals [ ]- Sealing [ ]- Signing [ ]- Furnish/Install Overhead/Mast Arm Signs [ ] - Temp Striping [ ] - Curb Painting [ ] — Traffic Control Plans [ ]
NO YES NO, Quoted Upon Request
@ $15 per SF NO NO NO YES, Relocation Only
NO NO See Additive Alternate Above
N0
W. Additional mobilizations at $1,950.00 ea.

17.D

Description Qty Price
by:

Superior Markings. (Subject approval) Pmposal days
MW am “hi" Proposa n m amh
zmeumin accordance wum[he (ems sel By this Proposal use: bckaw Continued...
# um Ext Price
Superior Pavement Markings, Inc. Total $1 1,723.00
Estimator - Pavement Inc. to of?ce valid for 30 from 8/26/2024.

Date Owner/Customer: Print:

PLEASE SIGN AND REMIT THIS 2 PAGE DOCUMENT TO ABOVE ADDRESS. page 2 of 2
All areas to be free and clear off? debris prior to Superior Pavement Markings' crews arriving on-site.All moves and job requirementare mentioned in notes- nothing is implied unless speci?callynoted Not responsible for scheduling othersub‘swork or scheduling con?icts with other subs. We DOT NOT provide shop drawings of any type unless prior arrangements are made. Not responsiblefor removing temporary striping or temporary "tabs", tape or chip seal markers unlessspeci?cally noted Signs on signa l
poles, overhead or truss structures not includedunlessspeci?cally mentioned in proposal Superior Pavement Markings is a unioncompany and alljobs are bid using current union or prevailing wage rates
I/we pt the w 1.Yo orizedto performthe work comprehended here under and I/we agree to pay the said forth. signing /Con I/we agree to the attachedTerms and Conditions.

17.D

-
p avemen Marking;
. Project
Description Qty u Price
Superior Pavement Markings, Inc.

PO Box 278
t Beaumont, CA 92223
' Phone 951.845.2799
3°???27%): Fax 951.845.6399
nio oca
DH 1000001476 Proposal & Contract 46056
SubmitTo: Contact:

OrangeBIue General Contractors Arman Tehrani-Office 949-317 Accessible Sidewalk and ADA Project 27071 Cabot Rd., Suite 108 -5700-Fax 949-317-1313-Direct CDBG Funded - CIP 5768 Laguna Hills, CA 92653 949-317 Hemet
[email protected]
Date: Estimator
8/26/24 Dale Shults
# m Price Ext
8 Relocate Ex. Signs and Posts. 17 EA 349.00 5,933.00
Alt Additive Alternate: Re-Install Disturbed Stop Bar &Legend with 15 EA 266.00 3,990.00 Traffic Paint, Color to Match Existing Legend (No Other Legends/Markings are Included)
Alt Additive Alternate: Re-Paint Red Cur 1 LS 1,800.00 1,800.00 NQIE; General contractor or owner of project to accept Superior Pavement Markings insurance limits. Any additional insurance required to be paid by general contractor or owner. Insurance limits available upon request.

NQIE: Executed Contracts as well as Change Orders requested by Owner or Contractor must be signed and returned to Superior with sufficient notice to perform work (Minimum 15 Days).

Considered = 0
A mobilization or Move-In is any work accomplished through consecutive shifts. Ifwork is unavailable or not ready for Superior an additional mobilization charge willbe incurred.

Traffic control for Superior work areas during Superior work hours only per per W.A.T.C.H. Manual Only.

A Minimumof 15Working Dal: Is Required Prior To Each Move In. To be cited in Contract.

QuQTE INCLuDE§z Traffic Paint [ ] - Thermoplastic [ ] - Green Bike Lane Material [ ]- RPM's [ ]- Removals [ ]- Sealing [ ] - Signing [ ]- Furnish/Install Overhead/Mast Arm Signs [ ] - Temp Striping [ ] - Curb Painting [ ] - Traffic Control Plans [ ]
NO YES NO, Quoted Upon Request
@ $15 per SF NO NO NO YES, Relocation Only
NO NO See Additive Alternate Above
NO
. Additionalmobilizationsat $1,950.00 ea.

17.D

‘Description my
Continued...
# um Price Ext Price
' r P v M r
' Superlo a ement a kings, Inc . Total $113231“)
by
Estimator - Superior Pavement Markings, Inc. (Subject to of?ce approval) Proposal valid for 30 days from 8/26/2024.

Date: OwnerICustomer: Print:

PLEASE SIGN AND REMIT THIS 2 PAGE DOCUMENT TO ABOVE ADDRESS. page 2 of 2
All areas to be free and clear off? debris prior to Superior Pavement Markings' crews arriving on-site.All moves and job requirement are mentionedin notes- nothing is implied unlessspeci?cally noted Not responsible for scheduling other sub's work or scheduling con?icts with othersubs. We DOT NOT provide shop drawings of any type unless prior arrangements are made Not responsiblefor removing temporary striping or temporary "tabs", tape or chip seal markers unlessspeci?cally noted. Signs on signal poles, overhead or truss structures not includedunless specificallymentioned in proposal SuperiorPavement Markings is a union company and alljobs are bid using current unionor prevailingwage rates I/we accept the within proposal. You are authorized to perform the work comprehended here under and I/we agree to pay the said amount in accordancewith the terms set forth. By signing this Proposal/Contractbelow I/we agree to the attachedTerms and Conditions

17.D

Rev. D
‘Februurry2020

CDBGACCESSIBLESIDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL(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 Labor Code Section 3700, which requires every employer to be insured against liability for worker's compensation or to undertake self—insurancein 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.

17.D

(SOQ).

CDBGACCESSIBLESIDEWALK/ADA PROJECT
CIP No. 5768 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 Disqualifications.” If a statement of ”Previous Disqualifications" is attached, please explain the circumstances.

CERTIFICATIONOF ADEQUACYOFCONTRACTAMOUNT
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 willbe 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] 1000994213 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 Statement of Qualifications, dated 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 "QualificationInformation.” d. Contractor has carefully reviewed all of the foregoing QualificationInformation. e. [Please check and/orcomplete one ofthe following]
A” 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

17.D

BID ‘
' / / b1
Signa e ignat
Jinn/V: ?éam/ Wm—

CDBGACCESSIBLESIDEWALK/ADA PROJECT
CIP No. 5768 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
[Insert other Owner-specific certifications, if applicable. Otherwise, delete.] 01/96 21 off/£5
of Bidder Date S of Bidder Date
Print name and title ’41 Print name and title
(Ifthe Bidderis a corporation, two signatures ofcorporate o?‘icersare required.)

SEE ATTACHED

ACKNOWLEDGMENT

17.D

ACKNOWLEDG ENT
A notary public or other of?cer completing this
certi?cate verifies oniythe identity ofthe individual
who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
val of that document.

State of California
County of Orange
On 08" 2.6 ”2-09“, before me, Bobby KhakdoustNotary Public ert name and title of the officer)
f
personally eared TQM‘ 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 PENALTYOF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. . .,_

BOBBYKHAKDOUST
WITNESS my hand and of?cial seal. NotaryPublic-California Orange County
Commissionf 2483746
Comm.ExpiresMar 5, 202!
Signature (Seal)

17.D

EXHIBIT B-4
Required Bid Form

CERTIFICATION OF BIDDER

REGARDING NONSEGREGATED FACILITIES
ProjeCtNam‘az-Accessible Sidewalk and ADA Project - CDBGFunded - CIP 5768 The above named Bidder hereby certi?es that:

I do not maintain or provide for my employees any segregated facilities at any of my establishments, and that I do not permit my employees to perform their services at any location, under my control, Where segregated facilities are maintained. As used in this certi?cation, the term "segregated facilities" means any waiting rooms, work areas, rest rooms, wash rooms, restaurants and other eating areas, time clocks, locker rooms or other dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, and housing facilities provided for employees which are segregated by explicit directiveor are in fact segregated on the basis of race, color, religion, national origin, or because of habits, local customs, or otherwise.

I further agree to obtain identical certi?cations from all proposed subcontractors prlor to the award of subcontracts exceeding $10,000
Signature
Name (Print):

Title: Managing Member
Name of Bidder: Asad Holdings LLC DBA OrangeBlue General Contractors

17.D

w

CITY OF HEMET

AFFIRMATIVE ACTION PROGRAM
ECONOMICOPPORTUNITIESFOR SECTION 3 RESIDENTS
AND
SECTION 3 BUSINESS CONCERNS
The work to be performed under this contract is subject to the requirements of section 3 of the Housing and Urban Development Act of 1968, as amended, 12 U.S.C. l701u (section 3). The purpose of section 3 is to ensure that employment and other economic opportunities generated by HUD assistance or HUD-assisted projects covered by section 3, shall, to the greatest extent feasible, be directed to low- and very low-income persons, particularly persons who are recipients of HUD Assistance for housing.

17.D

AFFIRMATIVE ACTION POLICY STATEMENT
The City of Hemet, as the Community Development Block Grant Administrator, shall take Af?rmative Action to insure to the greatest extent feasible that:
1 Contracts for work (involving both construction and non-constructionprojects )
funded from Community Development moneys be awardedto business located in and/or owned in substantialpart by persons residing Withinthe Section 3 covered project area.

2. Lower income residents of said project area are to be provided,to the greatest extent feasible, employment and training opportunities emanating from such contracts .

It will be establishedpolicy to:

1. Enlist the support of community agencies, schools and urnons m the recruitment, hiring and training of low income persons residing within Section 3 project areas.

2. Insure that project area business are afforded a maximum feasible opportunityto bid on contracts.

3. Insure that contractors understand and comply with their obligations under the Act (24 CFR Part 75).

4. Provide a system to periodicallymonitor and evaluate the effectiveness with which the plan is being carried out.

To insure that we continue to meet our obligations and commitments we have developed a Section 3 AffirmativeAction Program. All contractors and sub-contractors are expected to demonstrate a spirit of support and cooperation in the implementationof this program.

The Executive Director of the Community Development Agency will be responsible for the implementation,administration, and monitoring of our policy and program.

Date: February 8, 1988 Supervisor Walt P. Abraham Chairman, Board of Supervisors

17.D

III
II

DEFINITION OF
1 Business concerns located within the Section 3 covered project area: Means those individuals or ?rms located within the relevant Section 3 covered project area as determined, pursuant to 24 CFR 135.5.

2. Business concerns owned in substantialpart by persons residing in the Section3 covered project area: Means those business concerns which are ?fty-one (51) percent or more owned by persons residing within the relevant Section 3 covered project as determined pursuant to 24 CFR 135.5.
3 Contracting party: Means any entity which contracts with a contractor for the performance of work in connection with a Section 3 covered project.

4. Contractor: Means any entitywhich performswork in connectionwith a Sectioncovered project.
5 Lower income resident of the area: A person residing in the Community Development Block Grant project area of the City of Hemet whose annual family income does not exceed eighty (80) percent of the median income. (Calculations are to be based on the median income level as reported by HUD).
6 Project area: In most cases the project area will be bounded by the City limits (or participants' City limits as applicable). However, priority shall be given to persons living within the City's Impact Areas.

SPECIFIC AFFIRMATIVE ACTION STEPS
In orderto comply with Section 3 regulations af?rmative action must be taken. This af?rmative action will be at least as extensive and speci?c as the following:
- Each contractor and sub-contractor shall incorporate in all contracts for work in connection with a Section 3 covered project the following Section 3 Clause:
- Every applicant, recipient, contracting party, contractor, and subcontractor shall incorporate, or cause to be incorporated, in all contracts for work in connection with Section 3 covered project, the following clause (referred to as a Section 3 Clause):

The work to be performed under this contract is on a project assisted under a program providing direct Federal ?nancial assistance from the Department of Housing and Urban Development, and is subject to the requirements of Section 3 of the Housing and Urban Development act of 1968, as amended, 12 USC. 1701u. Section 3 requires that to the greatest extent feasible opportunitiesfor training and employment be given to lower income residents of the project area and contracts for work in connection with the project be awarded to business concerns which are located in, or owned in substantial part by persons residing in the areaPage 487 of 552 of the project.

17.D

The parties to this contract willcomply with the provisions of said Section 3 and the regulations issued pursuant thereto by the Secretary of Housing and Urban Development set forth in 24 CFR 570, and all applicable rules and orders of the Department issued hereunder prior to the execution of this contract. The parties to this contract certify and agree that they are under no contractual or other disability which would prevent them from complying with these requirements.

The contractor will send to each labor organization, or representative or workers, with which he has collective bargaining agreement or other contract, or understanding, if any, a notice advising the said labor organization or workers; representative of his commitments under this Section 3 Clause and shall post copies of the notice in a conspicuous place available to employees and applicants for employment or training.

The contractor will include this Section 3 Clause in every sub-tier contract for work in connection with the project and will, at the direction of the applicant for, or recipient of, the Federal ?nancial assistance, take appropriate action pursuant to the sub-tier contract upon ?nding that the subcontractor is in violation of the regulations issued by the Secretary of Housing, and Urban Development, 24 CFR 570. The contractor will not enter into any subtier contract with any subcontractor where it has notice or knowledge that the latter has been found in violation of regulations under 24 CFR 570 and will not let any subcontract unless the subcontractor has ?rst provided it with a preliminary statement of ability to comply with the requirements of these regulations.

Compliance with the provisions of Section 3, the regulations set forth in 24 CFR 570, and all applicable rules and orders of the Department issued thereunder prior to the execution of the contract, shall be a condition of the Federal ?nancial assistance provided to the project binding upon the applicant or recipient for such assistance, its successors, and assigns.

Failure to ful?ll these requirements shall subject the applicant or recipient, its contractors and subcontractors, its successors, and assigns to those sanctions speci?ed by the grant or loan agreement or contract through which Federal assistance is provided, and to such sanctions as are speci?ed by 24 CFR 135.

All contractors and their subcontractors shall include as part of their bid proposal a copy of their Section 3 Af?rmative Action Plan. The Plan should include the following:
1 A preliminary statement of workforce needs (skilled, semi-skilled, unskilled labor and trainees by category).

2. Goals (in percentage) relative to utilization of lower income persons in project area.
3 Goals relative to the project dollar amount of subcontractors to be awarded to project area business.

17.D

IV
DISSEMINATION OF SECTION 3 PROGRAM POLICY
In order that all contractors of the City of Hemet have a full understanding of the City's position regarding this Section 3 Af?rmative Action Plan the following procedureswill be initialed:
1 All advertisementsand invitations to bid will include the City's Section 3 Af?rrnative Action Plan requirements.

2. All Community DevelopmentBlock Grant contracts will include the City's Section 3 Af?rrnative Action Plan.

3. The Section 3 Grievance Procedure and signs shall be placed at construction sites identifying the project as a Section 3 covered project.

V

PROGRAM EVALUATION
Pursuant to Section 3 requirements (24 CFR 135.72,) the City of Hemet, as Block Grant Administrator, shall assist and actively cooperate with the Department of Housing and Urban Development in insuring the compliance of our contractors and subcontractors.

All contractors shall:
1 Maintain a list of all lower income area residents who have applied whether on their own or on referral from any source.

2. Set forth evidence, acceptable to the Executive Director or the Community Development Agency that its actions were not an attempt to circumvent program requirements, if vacant apprentice or trainee positions in its organization are ?lled immediately prior to undertaking work pursuant to a Section 3 covered project.

VI

COMPLAINT PROCEDURE
Who may ?le a complaint?
The following individuals and business concerns may, personally or through an authorized representative, ?le with the Assistant Secretary a complaint alleging noncompliance with section 3:
1 Any Section 3 resident on behalf of himself or herself, or as a representative of persons similarly situated, seeking employment, training or other economic opportunities generated from the expenditure of Section 3 covered assistance with a recipient or contractor, or by a representative who is not a section 3 resident but who represents one or more Section 3 residents;

17.D

2. Any Section 3 business concern on behalf of itself, or as a representative of other section 3 business concerns similarly situated, seeking contract opportunities generated from the expenditure of Section 3 covered assistance from a recipient or contractor, or by an individual representative of Section 3 business concerns.

Where to ?le a complaint?
A complaint must be ?led with the:

Assistant Secretary for Fair Housing and Equal Opportunity Department of Housing and Urban Development
Washington, DC, 20410.

Questionsregarding Section 3 compliance, procedures for ?ling a complaint, or the City of Hemet's Af?rrnative Action Program, should be addressed to:

Department of Housing & Workforce Solutions
CDBG Program Administrator - Section 3 Program
3403 10thStreet, Suite 300
Riverside, CA 92501
(951) 955-5933

17.D

nt
www.hud.gov/section3
hngs://hudaggs.hud.gov/ngonunityl’ort
www‘rivco'obsgrg
AT

$200,000 or more
BIDDER CERTIFICATION FOR SECTION 3 COMPLIANCE
(Housing and Community Development Act of 1968)
Project Title:

The undersigned hereby certi?es that he/she has read and understands City of Hemet's Section 3 Affirmative Action Program as well as Section 3 of the Housing and Community Development Act 0f1968, and further certi?es adoption of, and adherence to, said program, and certifies understanding of the following for all construction contracts over $200,000.

I understand and agree that in the event that Iam awarded this contract, and in the event that any new employment opportunities are created as a result of this CDBG-funded project, I will:
a.

P‘QQ
Contact the US. Department of Housing and Urban Development (HUD) Section 3 website at to review the list of certi?ed Section 3 persons, within City of Hemet, to be considered for available employment opportunities; and HUD Section 3 Opportunity Portal. AT Initial Here
at: al/
Forward to the Department of Housing & Workforce Solutions all detailedjob descriptions for new employment opportunities and Section 3 reports, in a form, at a place, and at a time as directed by the Department of Housing & Workforce Solutions. AT Initial Here Present a list, of the number of total labor hours, Section 3 worker labor hours, and Targeted Section 3 worker labor hours expected to be generated from the initial contract and a list of projected number of available positions, to include job descriptions and wage rates.

AT Initial Here
Notify Section 3 Coordinator of contractor interests regarding employment of Section 3 workers prior to hiring. AT Initial Here
Submit a list of core employees (includi Lg administrative, clerical, planning, and other positions pertinent to the construction trades) at the time of contact award. AT Initial Here
Post available positions and advertise job Section 3 workers openings at:

AT Initial Here
Sign the Section 3 Plan. Initial Here
Complete your proposed workforce plan for this project below.

Accessible Sidewalk and ADA Project - CDBG Funded - CIP 5768 OfBid;

17.D

JOB CATEGORY

PROFESSIONALS

TECHNICIANS

OFFICE/CLERICAL

CONSTRUCTION BY
TRADE
TRADE
Concrete Mason
TRADE
Labor
TRADE
TRADE
TRADE
TRADE

APPRENTICE

TRAINING
OTHER
TOTAL

CURRENT

POSITIONS
._. ._.

NUMBER OF

NEW HIRES
IF

AWARDED
BID

NUMBER OF NEW HIRES

PROPOSED TO BE
SECTION 3 RESIDENTS
% OF NEW HIRES TO BE
SECTION 3
100%
100%
/

17.D

COMPLIANCE
II. Suhgontragting Opyortunitigs
www.hud.gov/section3
www.hud.gov/scction3
https://hudapps‘hud.gov/OpportunityPonal/
,nitial
www,rivco'obs.org
EXHIBIT B-6

m.

11. BIDDER CERTIFICATION FOR SECTION 3
I understand and agree that for any and all subcontracting opportunitiesthat may result from this CDBG-fundedproject, I will contact the US. Department of Housing and Urban Development (HUD) Section 3 website at to review the list of certi?ed Section 3 Businesses, within City of Hemet, to be considered for available subcontracting opportunitiesprior to selecting any subcontractor for my bid submittal. AT Initial Here
I understand and agree that any and all sub-contracts and sub-tier agreements resulting from this CDBG-funded project are also subject to Section 3 compliance, and therefore, as the General/Prime Contractor, I am responsible to ensure compliance from all AT subcontractors.

Initial Here
Contact the US. Department of Housing and Urban Development (HUD) Section 3 website at to review the list of certi?ed Section 3 persons, within City of Hemet, to be considered for available employment opportunities; and HUD Section 3 Opportunity Portal at: ? Initial Here
Forward to the Department of Housing & Workforce Solutions all detailed job descriptions for new employment opportunities and Section 3 reports, in a form, at a place, and at a time as directed by the Department of Housing & Workforce Solutions.

AT Initial Here
Present a list, of the number of total labor hours, Section 3 worker labor hours, and Targeted Section 3 worker labor hours expected to be generated from the initial contract and a list of projected number of available positions, to include job descriptions and wage rates.

AT Initial Here
Notify Section 3 Coordinator of contractor interests regarding employment of Section 3 workers prior to hiring. AT I Here
Submit a list of core employees (including administrative, clerical, planning, and other positions pertinent to the construction trades) at the time of contact award. AT Initial Here Post available positions and advertise job Section 3 workers openings at:

AT Initial Here

17.D

AccessihleSidewalkand ADA Pro’ect
ndcrsigned and understands City of He 5 Section
malive Ac the Housing and Community elnpmem
of 1968 dherence to. said program, certi?es
erstand
I. Emnlovment0ggarlunities
www .lrudmov/scciim?
Ponall :& Initial?ere
at: hu as://huda )pslhud.gnv/Opporlunilqurlal/
b, Forward to the Department of Housing & Workforce Solutions all detailedjob descriptions clion 3 reports, in a form at a place.and at a time as
WorkforceSolutions. L Initial Here
nd Target
and a list
projected nm
In
d. Nolify Section 3 Coordinator of contra
workers priortolrlring. gig InitialHere
ding administrative, clerical, planning, and other
des) at the lime ofconlacraward, 114 Initial
wwwlrivco'obsnrg
o my
EXHIBIT B—6
Required Bid Form for bids

BIDDERCERTIFICATIONFOR SECTION3 COMPLIANCE
(Housing and Community Development Act of 1968)
Project Title: Amount of Bid:

The u hereby certifies that he/she has read met‘
3 Affl tion Program as well as Section 3 of Dev
Act , and further certi?es adoption of, and a and
und ing of the following for all construction contracts over $200,000.

I understandand agree that in the event that I am awarded this contract, and in the event that any new employment opportunitiesare created as a result of this CDBG-fundedproject, I will:
a. Contact the US. Department of Housing and Urban Development (HUD) Section 3 website at to review the list of certi?ed Section 3 persons,withinCity of Hemet, to be consideredfor available employment opportunities;and HUD Section 3 Opportunity for new employment opportunitiesand Se
directed by the Department of Housing &
c. Present a list, of the number of total labor hours, Section 3 worker labor hours, a ed Section 3 worker labor hours expected to be generated from the initial contract of nber of available positions,to include job descriptions and wage rates. itial Here
ctor interests regarding employment of Section 3
e. Submit a list of core employees (inclu
positionspertinentto the constructiontra
Here
f. Post available positions and advertisejob Section 3 workers openings at:

Initial Here
Sign the Section 3 Plan. Initial Her
Complete-your proposed workforce plan for this project below .=ras

17.D

Uni-4v

JOB CATEGORY

PROFESSIONALS

TECHNICIANS

OFFICE/CLERICAL

CONSTRUCTIONBY
TRADE
TRADE
TRADE
TRADE
TRADE
TRADE
AP
TRADE

PRENTIC E

TRAINING
OTHER

CURRENT

POSITIONS

NUMBEROF

NEW HIRES
IF

AWARDED
BID

NUMBER OF NEW HIRES

PROPOSED TO BE
SECTION 3 RESIDENTS
% OF NEW HIRES TO B
E SECTION3
[Do/

17.D

II. Subcontracting Oggortunities
www.hud.gov/seclionS
w“ \\ .I1ud.x:nv/scclim\3
hu mailman ndenmv/{J >mrluniu l’urlul/ $4
a list, of!
iv—
5w
:hv
\vwwxivun‘ubsmg
EXHIBIT3-6

BIDDER CERTIFICATIONFOR SECTION 3 COMPLIANCE
a. I understandand agree that for any and all subcontracting opportunitiesthat may result from this CDBG-fundedproject, I will contact the US. Department of Housing and Urban Development (HUD) Section 3 website at to review the list of certi?ed Section 3 Businesses, within City of Hemet, to be considered for available subcontracting opportunitiesprior to selecting any subcontractor for my bid Initial Here
b. I understandand agree that any and all sub-contracts and sub-tier agreements resulting from this CDBG-fundedproject are also subject to Section 3 compliance,and therefore, as the General/Prime Contractor, I am responsible to ensure compliance from all subcontractors. Initial Here
i. Contact the US. Department of Housing and Urban Development (HUD) Section 3 website at to review the list of certi?ed Section 3 persons, within City of Hemet, to be consideredfor available employment opportunities; and HUD Section 3 OpportunityPortal at: Initial Here
j. Forward to the Department of Housing & Workforce Solutions all detailedjob descriptions for new employment opportunitiesand Section 3 reports, in a form, at a place, and at a time as directed by the Department of Housing & Workforce Solutions.

Initial Here
k. Present he number of total labor hours, Section 3 worker labor hours, and Targeted Section 3 worker labor hours expected to be generated from the initial contract and a list of projectednumber of availablepositions, to includejob descriptions and wage rates.

Initial Here

1. Notify Section 3 Coordinator of contractor interests regarding employment of Section 3 workers prior to hiring. Initial Here m. Submit a list of core employees (including administrative, clerical, planning, and other positions pertinent to the constructiontrades) at the time of contact award. Initial Here n. Post available positions and advertise job Section 3 workers openings at:

Initial Here
submittal.

17.D

Complete you bcontracting projgct
Nu:
“:55ij game A}: ‘3';-
3 $3135.11
M.—
__QL7_¢_LL'1__,
r Su Plan for this below:

AMOUNT OF
'5 THE SUBCONTRACTOR IF SUBCONTRACTOR15 SECTION 3. INDICATE SECTION 3 ELIGIBLE”

SUBCONTRACT(S)
- ELIGIBLESTATUS.

TRADE
YES OR No
51% OWNER / 30% EMPLOYEE
* Add additionalsheets if necessary
Bidder (Company)Name:

AuthorizedRepresentative(Type Name):

Signature:

17.D

M TBE MPLET BY LBNTT
www.hud.gov/section3

$200,000 or more
SUBCONTRACTORCERTIFICATION FOR SECTION 3 COMPLIANCE
(Housing and Community Development Act of 1968)
Project Title: AccessibleSidewalkand ADA Project - CDBGFunded - Subcontractor:

Contractor/Bidder: Asad Holdings LLC DBA OrangeBlue General Contractors
The undersigned hereby certi?es that he/she has read and understands City of Hemet's Section 3 Af?rmative Action Program as well as Section 3 of the Housing and Community Development Act of 1968, and further certi?es adoption of, and adherence to, said program, and certi?es understanding of the following for all prime construction contracts over $200,000:
a. I understand and agree that in the event that I am awarded a subcontract, and in the event that any new employment opportunitiesare created as a result of this CDBG-fundedproject, I will contact the US. Department o?Iousing and Urban Development (HUD) Section 3 website at to
review the list of certi?ed Section 3 persons, within City of Hemet, to be considered for available employment opportunities;
Initial Here
b. I will forward to the Department of Housing & Workforce Solutions all detailed job descriptions and Section 3 reports, in a form, at a place, and at a time as directed by the Department of Housing & Workforce Solutions. rm,

17.D

Complete your pr0posed workforce plan for this project below:

NUMBER OF
JOB CATEGORY CURRENT NEW HIRES NUMBER OF NEW HIRES % OF NEW HIRES TO BE

IF PROPOSED TO BE
POSITIONS AWARDED SECTION 3 RESIDENTS
SECTION3
BID

PROFESSIONALS

TECHNICIANS

OF FICE/ CLERICAL

CONSTRUCTION BY
TRADE
TRADE
TRADE
TRADE
TRADE
TRADE

APPRENTICE

TRAINING
OTHER
TOTAL
Subcontractor (Company) Name
Authorized Representative (Type Name)
Signature

17.D

EXHIBIT 3-10
MUST BE COMPLETED BY ALL SUBCON’I‘RACTORS
Quasi-la]:E! ”K 3912!E
. I
KmA3§EonELQ 39m lug.

Ml” GmmiCoxhu?nr
www.hud.gov/section3
EXHIBIT B-l?

$200,000 or more
SUBCONTRACTORCERTIFICATIONFOR SECTION 3 COMPLIANCE
(Housingand Community Development Act of 1968)
Project Title:

Subcontractor:

Contractor/Bidder:

The undersigned hereby certi?es that he/she has read and 'understandstity of Hemet's Section 3 Af?rmative Action Program as well as Section 3 orthe Housing and Community Development Act of 1968, and further certi?es adoption of, and adherence to, said program, and certifies understanding of the following for all prime construction contracts over$200,000:
a. I understandand agree that in the event that I am awardeda Subcontract,and in the event that any new employment opportunitiesare createdas a result of this CDBG-fundedproject,I will contact the U.S. Department of Housingand Urban Development (HUD) Section 3 website at to‘
review the list of certi?ed Section 3 persons, within City of Hemet, to be consideredfor availableemploymentopportunities;
Initial Here
b. I will forward to the Department of Housing &_Workforce Solutions all detailedjob descriptions and Section 3 reports, in a form, at a place, and at a time as directedby the Department of Housing & Workforce Solutions.

Here

17.D

M342 Tmufn 26l084~443 $3100 1640mmw
EXHIBIT B-9
Required Bid Form

LIST OF SUBC ONTRACTORS
SUBCONTRACTOR FED. I.D.# AMOUNT ADDRESS/PHONENO. ‘95l .734.- qs 35 1378

S UPP LIERS
NAME OF SUPPLIER ADDRESS/PHONENO. CONTRACT AMOUNT
This form is to be completed and submitted with the bid package.

17.D

MUST BE COMPLETED BY ALL SUBCONTRACTORS
BG Funded Accessib|e Sidewalk/ADAPro‘ect agital lmgrovem reject No‘ 5768
www.hud.gov/section3

Required Bid Form for bids
$200,000 or more
SUBCONTRACTORCERTIFICATION FOR SECTION 3 COMPLIANCE
(Housing and Community Development Act of 1968)
Project Title: CD C ent
Subcontractor: Superior Pavement Markings, Inc.

Contractor/Bidder:

The undersigned hereby certi?es that he/she has read and understands City of Hemet's Section 3 Af?rmative Action Program as well as Section 3 of the Housing and Community Development Act of 1968, and further certi?es adoption of, and adherence to, said program, and certi?es understanding of the following for all prime construction contracts over $200,000:
a. I understand and agree that in the event that I am awarded a subcontract, and in the event that any new employment opportunitiesare created as a result of this CDBG-fundedproject, I will contact the US. Department of Housing and Urban Development (HUD) Section 3 website at to
review the list of certi?ed Section 3 persons, within City of Hemet, to be considered for available employment opportunities; N/A
Initial Here
b. I will forward to the Department of Housing & Workforce Solutions all detailed job descriptions and Section 3 reports, in a form, at a place, and at a time as directed by the Department of Housing & Workforce Solutions.

Initial Here
EXHIBIT B-10

17.D

Superior Pavement Markings, |nc.

Complete your proposed workforce plan for this project below:
3 4
16 Pavement Strioer 41
TRADE
TRADE
TRADE
TRADE
3 67
Subcontractor (Company) Name:

Authorized Representative (Type Name): Rebecca Parra
Signature: P658664?6U’Fd
08/26/2024

JOB CATEGORY

PROFESSIONALS

TECHNICIANS

OF FICE/CLERICAL

CONSTRUCTION BY
TRADE
TRADE
TRADE

APPRENTICE

TRAINING
OTHER
TOTAL

CURRENT

POSITIONS

NUMBER OF

NEW HIRES
IF

AWARDED
BID

NUMBER OF NEW HIRES

PROPOSED TO BE
SECTION 3 RESIDENTS
% OF NEW HIRES TO BE
SECTION 3

17.D

DD
CERT TI :

EXHIBIT B-7
Required Bid Form

BI ER CERTIFICATION ON

FE E CONTRACT REQUIREMENTS
PROJECT NAME —AccessibleSidewalkand ADA Project - CDBGFunded - CIP 5768 I hereby certify that I have reviewed and understand the diversi?ed Federal construction contract related requirements imposed on the Contractor(s) of HUDfunded construction projects, including but not limited to the following:
1 The subject project is being ?nanced With Community Development Block Grant funds (24 CFR Part 570);

2. This project and all related construction contracts are subject to the US.

Department of Housing and Urban Development's Federal Labor Standards Provisions (HUD 4010 - revised 06/2009); and
1 This project is subject to all applicable laws and regulations as listed in the General Summary of these Special Federal Provisions; and 2 Ifmy bid is $200,000 or more, this project and all related contracts will subject to Section 3 requirements (12 U.S.C.1701u).

CONTRACTOR'S NAME:

CONTRACTOR'S LICENSE NO 1074946

ADDRES&

AUTHORIZED

SIGNATURE

CITY OF HEMET
Asad Holdings LLC — DBA OrangeBlue general Contractors
27071 Cabot Rd Suit, 108 Laguna Hills , CA
Arman Tehrani Name)

17.D

GARD
(Date
Unit Depanmenl Hon 3
and Urban Dcvelapmenl author nformali
eslcd rm by virtue Tille United Slales Code. Seclian q., and will not EXHIBIT B-8
Required Bid Form

QUESTIONNAIRERE ING BIDDERS
Bidder has been engaged in the contracting business under the present name of since 2022 ).

Present business address is:
85-4198812
California Contractor's License No.’ 1074946 Expiration Date: UI Because this proE1RXYJK4E715ded, it is necessary to obtain in9MWV81concerning minority and other group participation for statistical purposes. The US. Department of Housing and Urban Development (HUD) uses this information to determine the degree to which its programs are being utilized by minority business enterprises and targeted group contractors.

A minority enterprise is de?ned by the Federal Government as a business that is ?fty-one percent (51%) or more "minority-owned". Please check applicable box concerning the ownership of your business:
:| American Indian or Native Alaskan
Asian or Paci?c Islander/Native Hawaiian
Black/African American
Hispanic
White
Hasidic Jews
Other
A woman—ownedenterprise is de?ned by the Federal Government as a business that is ?ftypercent (50%) or more woman-owned. Please check applicable box concerning the ownership of your business:

El Woman/Female owned ‘/ Male
A Section 3 Contractor or Subcontractor is a business concern that is more than ?fty-one percent (51%) owned by a low or very low-income person, or a business concern that provides economic opportunities to low and very low-income residents. Please check applicable box concerning the ownership of your business:
(Section 3 Business concern EINon-Section 3 Business concern The ed States of sin (HUD) is ized to solicit the i on
requ in this f0 of 12, I 701 et se other regulations. It be or released outside of HUD without your consent, except as required or permitted by law‘ OrangeBlue General Contractors
27071 Cabot Rd, Suite 108 Laguna Hills CA 92653

17.D

EXHIBIT B-9
Required Bid Form

LIST OF SUBCONTRACTORS
SUBCONTRACTOR FED. I.D.# AMOUNT

SUPPLIERS
NAME OF SUPPLIER ADDRESS/PHONE NO. CONTRACT AMOUNT
This form is to be completed and submitted with the bid package.

NO.

17.D

Complete your Subcon tracting Plan for this proj ect below:
15 THE SUBCONTRACTOR IF SUBCONTRACTOR IS SECTION 3, INDICATE SECTION 3 ELIGIBLE? ELIGIBLE STATUS.

YES OR NO

AMOUNT OF
SUBCONTRACT($)
TRADE
51 %OWNER / 30% EMPLOYEE
ArLaszg)’ \Ord-v- WI >4
-\—‘(*e'%\t (J‘- 3 Ay o
/
V /
? ”4’3’5 “1w" Ki ¥
’-
* Add additional sheets if necessary
Bidder (Company) Name:

Authorized
Signature:

Asad Holdings LLC

17.D

biz?le sos.ca‘gov
w
FILED
w
biz?le.sos.ca.gov
Secretary of State LLC-12
Statement of Information
(Limited Liability Company)
IMPORTANT — This form can be filed online at
before completing this form.

Filing Fee - $20.00
Copy Fees - First page $1.00; each attachment page $0.50; Certification Fee - $5.00 plus copy fees
22-B78052
In the office of the Secretary of State
of the State of California
MAR22, 2022
This Space For Office Use Only

1. Limited Liability Company Name (Enter the exact name of the LLC. Ifyou registered in California using an alternate name, .)
ASAD HOLDINGS LLC.

2. 12-Digit Secretary of State Entity Number
ifformed outside of California)
202102611099

4. Business Addresses
a. Street Address of Principal Office - Do not list a P.O. Box 27071 Cabot Road, Unit 108
b. MailingAddress of LLC, if different than item 4a
27071 Cabot Road, Unit 108
c. Street Address of California Of?ce, ifItem 4a is not in California Do not list a P.O. Box
27071 Cabot Road, Unit 108 Laguna Hills

5. Manager(s) or Member(s)
a. First Name, if an individual - Do not complete Item 5b Middle Name Last Name Arman Tehrani
b. Entity Name - Do not complete Item 5a

0. Address
27071 Cabot Road, Unit 108
LLC-12(REV12/2021) Page 1 0 f3

CALIFORNIA
City (no abbreviations)
Laguna Hills
City (no abbreviations)
Laguna Hills
City (no abbreviations)
City (no abbreviations)
Laguna Hills

3. State, Foreign Country or Place of Organization (only State Zip Code
CA 92653
State Zip Code
CA 92653
State Zip Code
CA 92653
Suffix
State Zip Code
CA 92653
2021CaliforniaSecretaryofState
If no managers have been appointed or elected.provide the name and address of each member. At least one name and address must be listed. Ifthe manager/member is an individual, complete Items 5a and 50 (leave Item 5b blank ) Ifthe manager/member is an additional managers/members, enter the names(s) and address(es) on Form LLC-12A

17.D

w

6. Service of Process (Must provide either Individual OR Corporation.) INDIVIDUAL—Complete Items 6a and 6b only. Must include agent’s full name and California street address. a. California Agent‘s First Name (if agent is not a corporation) Middle Name Last Name Suffix Siamak Tehrani
b. Street Address (if agent is not a corporation) - Do not enter a City (no abbreviations) State Zip Code P.0. Box
27071 Cabot Road, Unit 108 Laguna Hills CA 92653
CORPORATION — Complete Item 6c only. Only include the name of the registered agent Corporation c. California Registered Corporate Agent’s Name (if agent is a corporation) — Do not complete Item 6a or 6b

7. Type of Business
Describe the type of business or services of the Limited LiabilityCompany Construction

8. Chief Executive Officer, if elected or appointed
a. First Name Middle Name Last Name Suffix
Arman Tehrani
b. Address City (no abbreviations) State Zip Code
27071 Cabot Rd, Unit 108 Laguna Hills CA 92653

9. Labor Judgment
Does a Manager or Member have an outstanding final judgment issued by the Division of Labor Standards Enforcement or a court of law, for which no appeal therefrom is I] Yes No pending, for the violation of any wage order or provision of the Labor Code?

10. By signing, I affirm under penalty of perjury that the information herein is true and correct and that I am authorized by California law to sign.
03/22/2022 Samara Jenkins Business Manager/Accountant
Date Type or Print Name Title Signature
LLC-12 (REV 12/2021) 2021CaliforniaSecretaryofStat Page 2 of 3 e

17.D

Cny Inn 3b Laguna
_________L_
Attachment to 22-B78052
Statement of Information LLC'12A
. . . .. Attachment (Limited LiabilityCompany)
A. Limited Liability Company Name
ASAD HOLDINGSL.L.C.

This Space For Of?ce Use Only
B. 12-Digit Secretary of State File Number C. State or Place of Organization (only ifformed outside of California) 202102611099 CALIFORNIA
D. List of Additional Manager(s) or Member(s) - If the manager/member is an individual, enter the individual's name and address If the manager/member is an entity, enter the entity's name and address. Note: The LLCcannot serve as its own manager or member. . First Name Siamak Tehrani
Address . Zip Code
27071 Cabot Road, Unit 108 CA 92653
Address
Address Zip Code
First Name Middle Name
Entity Name
State Zip Code
Middle Name
State Zip Code
Middle Name
Address State
Entity Name
Address State Zip Code
LLC-12A- Attachment (EST 07/2016) Page 3 of 3
Entity Name
First Name
Entity Name
First Name
Entity Name
Address
First Name
Entity Name
Address
First Name
Entity Name
First Name
Middle Name
breviations)
Hills
Middle Name
City (no abbreviations)
Middle Name
City (no abbreviations)
City (no abbreviations)
City (no abbreviations)
City (no abbreviations)
Middle Name
City (no abbreviations)
Last Name
Last Name
Last Name
Last Name
Last Name
Last Name
Last Name
Suf?x
State
Suffix
State Zip Code
Suf?x
State
Suffix
Suf?x
Suf?x
Zip Code
Suf?x
2016CaliforniaSecretaryofState
www.sos.ca.gov/

17.D

JEESAM
A AD HO DIN LL.
mu;:5. .05 PM GMT
hum.1/: I’VEIRXVJNJE
Unique Entity ID
E1RXYJK4E715
Registration Status
Active Registration
Physical Address
27071 Cabot RD
STE 108
Laguna Hills, California 92653-7025
United States
Doing Business as ASAD HOLDINGS LLC
Congressional District
California 40
Registration Dates
Activation Date
Aug 20, 2024
Entity Dates
Entity Start Date
Jan 15, 2021
Immediate Owner
CAGE
(blank)
Highest Level Owner
CAGE
(blank)
Executive Compensation

CAGE / NCAGE
9MWV8
Expiration Date
Aug 16, 2025
MailingAddress
27071 Cabot Suite 108
STE 108
Laguna Hills, California 92653
United States
DivisionName
(blank)
State / Country of Incorporation
California / United States
Submission Date
Aug 16, 2024
Fiscal Year End Close Date
Dec 31
Legal Business Name
(blank)
Legal Business Name
(blank)
Purpose of Registration
AllAwards
DivisionNumber
(blank)
URL
orangeblue.org
InitialRegistration Date
Jul 25, 2023
ASADHOLDINGSL L C.

In your business or organization's preceding completed ?scal year, did your business or organization (the legal entity to which this speci?c SAM record, represented by a Unique Entity ID, belongs) receive both of the following: 1. 80 percent or more of your annual gross revenues in US. federal contracts, subcontracts, loans, grants, subgrants, and/or cooperative agreements and 2. $25,000,000 or more in annual gross revenues from US. federal contracts, subcontracts, loans, grants, subgrants, and/or cooperative agreements? No
Does the public have access to information about the compensation of the senior executives in your business or organization (the legal entity to which this speci?c SAM record, represented by a Unique Entity ID, belongs) through periodic reports ?led under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 780(d)) or section 6104 of the Internal Revenue Code of 1986? Not Selected
Proceedings Questions
Is your business or organization, as represented by the Unique Entity IDon this entity registration, responding to a Federal procurement opportunity that contains the provision at FAR 52.209-7, subject to the clause in FAR 52.209-9 in a current Federal contract, or applying for a Federal grant opportunity which contains the award term and condition described in 2 C.F.R. 200 Appendix XII? No
Does your business or organization, as represented by the Unique Entity IDon this speci?c SAM record, have current active Federal contracts and/or grants with total value (including any exercised/unexercised options) greater than $10,000,000? Not Selected
Within the last ?ve years, had the business or organization (represented by the Unique Entity IDon this speci?c SAM record) and/or any of its principals, in connection with the award to or performance by the business or organization of a Federal contract or grant, been the subject of a Federal or State (1) criminal proceeding resulting in a conviction or other acknowledgment of fault; (2) civil proceeding resulting in a ?nding of fault with a monetary ?ne, penalty, reimbursement, restitution, and/or damages greater than $5,000, or other acknowledgment of fault; and/or (3) administrativeproceeding resulting in a ?nding of fault with either a monetary ?ne or penalty greater than $5,000 or reimbursement, restitution, or damages greater than $100,000, or other acknowledgment of fault?
Not Selected
2024 1l :12
am. gav/emi 715/careData?sIalus=nu/l Page 1 uf4
Last updated by Arman Tehram'on Aug 16, 2024 a! 07:23 PM GS
GOVQ

17.D

:05 PM GMT
:y/mewns
Last updated by Arman Tehrani an Aug 16. 2024 a! 07:23 PM ASAD HOLDINGSL.L‘C.

Active Exclusions Records?
No
I authorize my entity's non-sensitive information to be displayed in SAMpublic search results:

Yes
Business Types
Entity Structure Entity Type Organization Factors
Corporate Entity (Not Tax Exempt) Business or Organization Limited Liability Company Pro?t Structure
For Pro?t Organization
Socio-Economic Types
Self Certi?ed Small Disadvantaged Business
Check the registrant's Reps 8. Certs. if present, under FAR 52.212-3 or FAR 52.219-1 to determine if the entity is an SBA-certi?ed HUBZone small business concern. Additional small business information may be found in the SBA's Dynamic Small Business Search if the entity completed the SBA supplemental pages during registration.

Accepts Credit Card Payments
No
EFT Indicator
0000
Electronic Funds Transfer
Account Type
Checking
Financial Institution

JPMORGAN CHASE BANK, NA
Automated Clearing House
Phone (U.S.)
9493175700
Fax
(blank)
Remittance Address
Asad Holdings LLC
27071 Cabot Suite 108
STE 108
Laguna Hills, California 92653
United States
EIN
***“'*8812
Tax Year (Most Recent Tax Year)
2021
Address
27071 Cabot Suite 108
Laguna Hills, California 92653
Debt Subject To Offset
No
CAGE Code
9MWV8
Routing Number
*Ht?t27 Account Number
*Htt—kiasz
Email
[email protected]
Type of Tax
Applicable Federal Tax
Name/Title of IndividualExecuting Consent
Managing Member
Signature
Arman Tehrani
Lock Box Number
(blank)
Phone (non-US.)
(blank)
Taxpayer Name
Asad Holdings LLC
TIN Consent Date
Aug 16, 2024
Accounts Receivable POC

9. l I :12 v/enli 715/coreDaIa? Page 512 of 552

17.D

411325.2024 asm cm
kiwi/m: ya no5110(th
Last updated by Arman Tehrani an Aug 16, 2024 a! 07:23 PM ASAD HOLDINGSL.L C.

Arman Tehrani, Mr
a’[email protected]
9493175700
Electronic Business
0 (- Arman Tehrani
[email protected]
9493175700
Government Business
0 r:- Arman Tehrani
[email protected]
9493174870
NAICS Codes
Primary NAICS Codes
Yes 238140
236210
236220
237110
237990
238110
238170
238190
Product and Service Codes
PSC
Y1PC
Y1PZ
Y1QA
IGT Size Metrics
Annual Revenue (from all IGTs)
(blank)
Worldwide
Annual Receipts (in accordance with 13 CFR 121)
$3,000,000.00
Location
Annual Receipts (in accordance with 13 CFR 121)
(blank)
Industry-Specific
Barrels Capacity
(blank)
This entity did not enter the EDI information
27071 Cabot Suite 108
STE 108
Laguna Hills, California 92653
United States
27071 Cabot RD
STE 108
Laguna Hills, California 92653
United States
NAICS Title
Masonry Contractors
Industrial Building Construction
Commercial And Institutional Building Construction
Water And Sewer Line And Related Structures Construction Other Heavy And Civil Engineering Construction
Poured Concrete Foundation And Structure Contractors
Siding Contractors
Other Foundation, Structure, And Building Exterior Contractors PSC Name
Construction Of Unimproved Real Property (Land)
Construction Of Other Non-Building Facilities
Construction Of Restoration Of Real Property (Public 0r Private) Number of Employees (in accordance with 13 CFR 121)
7 Number of Employees (in accordance with 13 CFR 121)
(blank)
Megawatt Hours Total Assets
(blank) (blank)
Yes, this entity appears in the disaster response registry I I :l v/en E7] 5/coreDala ?sralus =nu I] Page 513 of 552

17.D

4.4.25.mg: n: mam
?lmy/hump q/mewm:

Last updated by Arman Tehram'on Aug 16, 2024 at 07:23 PM Yes. this entity require bonding to bid on contracts Bonding Levels Dollars
Construction Aggregate $5,000,000.00
States Metropolitan Statistical Areas
California CA: Orange (blank)
ASADHOLDINGSLL. C
.
1I :12 v/em‘i Page 514 of 552 715/careData .7slan1s=nuII Page 4 4

17.D

APPENDX 1

17.D

responsible
will not be
CDBGACCESSIBLESlDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the CD36 Accessible Sidewalk/ADAProject, CIP No. 5768, 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 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/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/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 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) Addenda18/7/24
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.

17.D

CDBG ACCESSIBLESlDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL (cont’d)
ITEM
No
10 11
12 13
14 15
16 DESCRIPTION
Water Quality Control
Adjust Ex. Manhole to New F.S
per Owner Agency Std. &
Specs.
mailbox
Adjust Ex. Water Meter
Box/Traff. Box to finish surface EA
Der CitvStd.

Construct PCC Driveway
Approach per City Std.
fence/gate
Remove Ex. PCC/AC &
Construct New PCC driveway SF
approach per City Std.

Wall/Pilaster

BID SCHEDULE
UNIT
Mobilization (not to exceed 5%) LS
Traffic and Pedestrian Control LS
Temporary Construction Project
Identification Sign EA
LS
EA
Remove & relocate existing
EA
Relocate Ex. Signs and Posts. EA
Remove and Replace Exist ADA
Ramp per City Std.

Construct 4" thick PCC sidewalk
EA
SF
SF
Remove, Uproot and dispose EA
ex. Tree/tree stump.

Remove & relocate existing LF
Remove & Dispose Ex. Masonry
EA
Construct type "A"Curb and
Gutter per CitvStd. LF

ESTIMATED

QUANTITY
10 17
29 12000
1025
450
520
225
UNIT
PRICE
$66,340
$149,600
$2,000
$7,488
$3,940
$250
$100
$250
$41,432
$31
$39
$3,107
$35
$79
$1063
$105
BASE BID — CDBGACCESSIBLESIDEWALK/ADA PROJECT, CIP No. 5768

EXTENDE
D ITEM
AMOUNT
$66,340
$149,600
$4,000
$7,488
$3,940
$2,500
$600
$4,250
$1,201,528
$372,000
$39,975
$24,856
$15,750
$41,080
$4252
$23625

17.D

(numbers)
«mannanununnnnm‘nn

CDBG ACCESSIBLESIDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL(cont’d)
BASEBID— CDBGACCESSIBLESlDEWALK/ADA PROJECT, CIP No. 5768

EXTENDED

ITEM ESTIMATED UNIT

DESCRIPTION UNIT ITEM
No QUANTITY PRICE AMOUNT
TOTAL BASEBID(numbers
*1:*********************************** END OF BASE BID ITEMS ********************H************** ADDITIVEA BID ITEMS AS FOLLOWS:

ITE EXTENDED

ESTIMATED
M DESCRIPTIONor ITEMS U?" :3"; ITEM
No QUANT'TY AMOUNT
A1

TOTAL BIDADDITIVEA
******************************** END OF ADDITIVEA BID ITEMS BASEBID TOTAL (in words)
Contractor's Initialsggy 3 :

ADDITIVEA BIDITEMSTOTAL (in words)
Contractor's Initials
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 baSiSof 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).

One Million, Nine hundred and Sixty One thousand, Seven hundred and Eighty Four Dollars

17.D

CDBGACCESSIBLESlDEWALK/ADAPROJECT
CIP No. 5768 BIDDER'SPROPOSAL (cont’d)
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 willbe 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, 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.

17.D

SignatuWer
CDBGACCESSIBLESlDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL (cont’d)
Corperation
Business Type (Corporation, Partnership, Sole Proprietor) DBA(if any)
Johnny Martin SFO
Name and title of the owner Haidan Martin CEO/President Name and title of second partner or officer
35176 Avenue E, Yucaipa, CA 92399
Business Address
(909) 918-0072
Telephone number
Facsimile number
German Reyes, [email protected],
Name and Email address of primary contact
Company web address
amW 8/24/
Date Signature of Bidder Date29
Johhny Martin Haidan Martin
Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate officersare required.)

17.D

[___—l
:

IMAM/WWW

CDBG ACCESSIBLESIDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'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 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:

Bears the license number(s)- 891132
b_ Expires on 2/28/2025
WM 5/7/0117
») Date Signature of Bidder Date
Johnny Martin Haidan Martin
Print name and title Print name and title
(If the Bidder is a corporation two signatures of corporate of?cersare 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.

17.D

L
CDBGACCESSIBLESlDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL (cont’d)

BID SECURITYFORM FOR CHECK
NOTE: THE FOLLOWINGFORM SHALLBE USED INTHECASEOF 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 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 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
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.)

17.D

(5
AUSUS‘ _; _
__§pec_|ty__mpa_"x

CDBGACCESSIBLESIDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL(cont'd)

BID SECURITYFORM FOR BOND

KNOWALLBYTHESEPRESENTS
That the undersigned
Martin Construction, 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 oblige, in the penal sum of Ten Percent of amount bid
Dollars 10% 0f bid 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] CDBG FUNDEDACCESSIBLESIDEWALK/ADA PROJECTCAPITALIMPROVEMENTPROJECT NO. 5768 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 20th day of 2024.
(Month)
Martin Construction. Inc.
(Corporate Seal) By
PrinCIpal
U.S. ia Insurance CO
By
Surety
Keith E. Clements

17.D

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"-550000.000 00'" 23'“
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Assl

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: . Keith E. Clements
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 ofAttorney shall expire without further action on April , 2026. 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 Attorney(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions:

Attorn a 9 full p and rity for in the name nd on Comp
and al , n cont , agr ntS or mnity and o condi gatory
for the release of retained percentages and/or ?nal estimates on engin ng an n cont canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney—in—FactShall be binding upon the Company as if Signed 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 attorney or any certi?cate relating thereto by facsimile, and any power of attorney or certi?cate bearing facsimile signature orfacsimile 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 18‘hday of April 2022

AMERICAN CONTRACTORS INDEMNITYCOMPANY TEXAS BONDING OMPANY

UNITED RANCE COMPANY
‘13? State of California
County of Los Angeles By
Daniel P. Aguilar, Vice
Notary veri?es the
IS On this 18"1day of April 2022, before me, Sonia O. Carrejo, a notary public, personally appeared Daniel P Aguilar, Vice President of Ame n Contra Indemnity y, Company, United States y Com U.S. Specialty Ins Com y who pr to me on t of ence to be the person wh ame is d to the within inst and 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 the foregoing paragraph is true and correct WITNESS my hand and of?cial seal.

Signature (seal)
l, Kio Lo, Assistant Secretary American Contractors Indemnity Company, Texas Bonding Company, United States Surety Company and US 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 full force and effect; furthermore, the resolutions of the Boards of Directors, set out in the Power of Attorney are in full force and effect.

In Witness Whereof, I have hereunto set my hand and affixed the seals of said Companies at Los Angeles, California this 20th day
Agency No 9003 - PDF POA
visit tmhcc com/surety for more information

SOMAOCARRUO
NotarvPublic- Calviorma LasAngelesEnunty Commisslunf 13987”! Comm 1:, 1026 August 2024
KioLo;
HCCS
A Public or other of?cer completing this certificate only identity of the individual who signed the documen to which this and not the or of
Corporate Seals
Bond No. Bid Bond
Secretary

17.D

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

State of California _ County of San Dlego
Robert Jayson Sensi
(insert name and title of the of?cer) On before me,
persona||y appeared KeithE. Clements
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 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 ROBERTJAYSONSENSI
COMM.#2461570
NOTARYPUBLICSANCALIFORNlA DIEGOcoumv
MyCommissio ires
(seal) AUGUST29
C801 L350
Signature

17.D

California
v»
My
CDBGACCESSIBLESlDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL (cont'd)

NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODE SECTION7106

NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITH BID The undersigned declares
| am the Johnny Martin of Martin 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 California that the foregoing is true and correct and that this declaration is executed on date], at Yucaipa [city], [state]
81mm WWW
Signatu /‘7 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.) 8/23/2024
re
Johnny Martin Haidan Martin

17.D

: D Various jobs complete
—— War a as y—ears,co
640,000.00
CDBGACCESSIBLESlDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'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 AOZCXRP
Contract Price: $1,100,000-00 Date of Completion: 3/4/24 Name, Address, and Telephone Number of Owner's Representative At&t, Michael Amperano, 3035 Andrita St, Los angeles, CA 90065. (213) 400-7062 Project Name Beverly Hills Restoration on various jobs under a SVA contract with ATT Contract Price ate of Completion:

Name, Address, and Telephone Number of Owner's Representative: is ongoing City of Beverly Hills, Jeff Bartizal, 455 N Roxford Dr, Beverly Hills, CA 90210, (310) 285—2518
Project Name AOZZYKT
Contract Price: Date of Completion: 3/3/2023
Name, Address, and Telephone Number of Owner's Representative:

At&t, Michael Amperano, 3035 Andrita St, Los angeles, CA 90065. (213) 400-7062 (Attach additional pages as necessary)
ntract
Several Millionover a 3 year contract

17.D

CDBG ACCESSIBLESIDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'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
(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE §4100 ETSEQ.)

17.D

CDBG ACCESSIBLESlDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL (cont'd)

BIDDERCERTIFICATIONS

TO BE EXECUTEDBYALLBIDDERSAND SUBMITTEDWITH BID
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 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.

17.D

CDBGACCESSIBLESlDEWALK/ADA PROJECT
CIP No. 5768 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 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(3), 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] 1000023358 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 Statement of Qualifications, dated (500)
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/orcomplete 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

17.D

CDBGACCESSIBLESIDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL(cont’d)
actually being submitted to Owner as of the date hereof. [Contractor must provide AdditionalPrequalification Informationas described above ifthis item is checked.]

CERTIFICATIONOF
[Insert other Owner-specific certifications, if applicable. Otherwise, delete.] BIDDER:

Signature of Bidder Date Signature of Bidder Date
Print name and title Print name and title
(If the Bidderis a corporation, two signatures ofcorporate officersare required.)

17.D

1 Project No. 5768

CONTRACTOR AGREEMENT
By and Between
The City of Hemet,
a California municipal corporation
and
Aneen Construction, Inc.
a California corporation
AGREEMENT # 2025-032

17.D

2 Project No. 5768

CITY OF HEMET BID AND CONTRACT DOCUMENTS
CITY OF HEMET CONTRACTOR AGREEMENT # 2025-032
CDBG Accessible Sidewalk/ADA Project - CIP 5768
This City of Hemet Contractor Agreement (“Agreement”) is made and entered into for the above referenced Project by and between the City of Hemet (“Agency”), and Aneen Construction, Inc. (“Contractor”) on the 25th day of September, 2024.

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 CDBG Accessible Sidewalk/ADA Project - CIP 5768 to be constructed at various locations listed as, Location of Work, in the Notice Inviting Bids, 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
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.

17.D

3 Project No. 5768

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 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.

17.D

4 Project No. 5768
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 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

17.D

5 Project No. 5768
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.

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 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

17.D

6 Project No. 5768
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.

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)

17.D

7 Project No. 5768

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
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.

17.D

8 Project No. 5768
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, 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]

17.D

9 Project No. 5768
IN WITNESS WHEREOF this Agreement is executed as of the date first written above.

AGENCY:

City of Hemet
By:

Mark Prestwich, City Manager
CONTRACTOR:

Aneen Construction, 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.]

17.D

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

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.

17.D

EXHIBIT B

CONTRACT PRICE
Not to Exceed $477,907.00
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.

17.D

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 $2,000,000 per occurrence/$4,000,000 general aggregate
Business Automobile Liability $2,000,000 combined single limit Workers’ Compensation/Employers $1,000,000 per accident or disease Liability
Surety Bonds As described below
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 injury with limits no less than $2,000,000 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 $2,000,000 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.

17.D

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

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

8. 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 crossliability 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.

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

10. 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.

11. 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.

17.D

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.

12. 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.

13. 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.

14. 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.

15. Special Risks or Circumstances. Entity reserves the right to modify these requirements, including limits, based on the nature of the risk, prior experience, insurer, coverage, or other circumstances.

17.D

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

1.01 THAT WHEREAS, CITY OF HEMET (Owner) has awarded to Aneen Construction, Inc. as Principal, dated the 25th day of September, 2024 (the Contract), titled the City of Hemet CDBG Accessible Sidewalk/ADA Project - CIP 5768 in the amount of $477,907.00, which Contract is by this reference made a part hereof, for the work of the following Contract:

CDBG Accessible Sidewalk/ADA Project - CIP 5768

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 ($477,907.00), 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 an amount not exceeding the sum specified in this bond, plus reasonable attorneys’ fees, otherwise the above obligation shall become and be null and void.

1.05 This bond shall inure to the benefit of any of the persons named in California Civil Code Section 9100, as to give a right of action to such persons or their assigns in any suit brought upon this bond. The intent of this bond is to comply with the California Mechanic’s Lien Law.

1.06 Surety, for value received, hereby expressly agrees that no extension of time, change, modification, alteration, or addition to the undertakings, covenants, terms, conditions, and agreements of the Contract, or to the work to be performed thereunder, shall in any way affect the obligation of this bond; and it does hereby waive notice of any such extension of time, change, modification, alteration, or addition to the undertakings, covenants, terms, conditions, and agreements of the Contract, or to the work to be performed thereunder.

17.D

1.07 Surety’s obligations hereunder are independent of the obligations of any other surety for the payment of claims of laborers, mechanics, material suppliers, and other persons in connection with Contract; and suit may be brought against Surety and such other sureties, jointly and severally, or against any one or more of them, or against less than all of them without impairing Owner’s rights against the other.

1.08 Correspondence or claims relating to this bond shall be sent to Surety at the address set forth below.

IN WITNESS WHEREOF, we have hereunto set our hands this day of , 20___.

CONTRACTOR AS PRINCIPAL SURETY
Company: (Corp. Seal) Company: (Corp. Seal)
Signature Signature
Name Name
Title Title
Street Address Street Address
City, State, Zip Code City, State, Zip Code

END OF DOCUMENT

17.D

CONSTRUCTION PERFORMANCE BOND
THIS CONSTRUCTION PERFORMANCE BOND (Bond) is dated September 25th, 2024 is in the amount of $477,907.00 (Penal Sum), which is 100% of the Contract Sum and is entered into by and between the parties listed below to ensure the faithful performance of the Contract identified below. This Bond consists of this page and the Bond Terms and Conditions, Paragraphs 1 through 14 attached to this page. Any singular reference to Aneen Construction, Inc. (Contractor), (Surety), CITY OF HEMET (Owner), or other
party shall be considered plural where applicable.

CONTRACTOR: SURETY:

Aneen Construction, Inc.

Address Principal Place of Business
City/State/Zip City/State/Zip
CONSTRUCTION CONTRACT: CDBG Accessible Sidewalk/ADA Project - CIP 5768, dated September 25th, 2024, in the amount of $477,907.00.

CONTRACTOR AS PRINCIPAL SURETY
Company: (Corp. Seal) Company: (Corp. Seal)
Signature: Signature:

Name: Name:

Title: Title:

17.D

BOND TERMS AND CONDITIONS

1. Contractor and Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors and assigns to Owner for the complete and proper performance of the Construction Contract, which is incorporated herein by reference.

2. If Contractor completely and properly performs all of its obligations under the Construction Contract, Surety and Contractor shall have no obligation under this Bond.

3. If there is no Owner Default, Surety’s obligation under this Bond shall arise after:

3.1 Owner provides Surety with written notice that Owner has declared a Contractor Default under the Construction Contract pursuant to the terms of the Construction Contract; and

3.2 Owner has agreed to pay the Balance of Contract Sum:

3.2.1 To Surety in accordance with the terms of this Bond and the Construction Contract; or

3.2.2 To a Contractor selected to perform the Construction Contract in accordance with the terms of this Bond and the Construction Contract.

4. When Owner has satisfied the conditions of Paragraph 3 above, Surety shall promptly (within 40 Days) and at Surety’s expense elect to take one of the following actions:

4.1 Arrange for Contractor, with consent of Owner, to perform and complete the Construction Contract (but Owner may withhold consent, in which case the Surety must elect an option described in Paragraphs 4.2, 4.3 or 4.4 below); or

4.2 Undertake to perform and complete the Construction Contract itself, through its agents or through independent contractors or Construction entities; provided, that Surety may not select Contractor as its agent or independent contractor or Contractor without Owner’s consent; or

4.3 Undertake to perform and complete the Construction Contract by obtaining bids from qualified contractors or Construction entities acceptable to Owner for a contract for performance and completion of the Construction Contract and, upon determination by Owner of the lowest responsive and responsible Bidder, arrange for a contract to be prepared for execution by Owner and the contractor or Contractor selected with Owner’s concurrence, to be secured with performance and payment bonds executed by a qualified surety equivalent to the bonds issued on the Construction Contract; and, if Surety’s obligations defined in Paragraph 6 below, exceed the Balance of Contract Sum, then Surety shall pay to Owner the amount of such excess; or

17.D

4.4 Waive its right to perform and complete, arrange for completion, or obtain a new contractor or Contractor, and with reasonable promptness under the circumstances and, after investigation and consultation with Owner, determine in good faith its monetary obligation to Owner under Paragraph 6 below, for the performance and completion of the Construction Contract and, as soon as practicable after the amount is determined, tender payment therefor to Owner with full explanation of the payment’s calculation. If Owner accepts Surety’s tender under this Paragraph

4.4 above, Owner may still hold Surety liable for future damages then unknown or unliquidated resulting from the Contractor Default, as agreed by Owner and Surety at the time of tender. If Owner disputes the amount of Surety’s tender under this Paragraph 4.4 above, Owner may exercise all remedies available to it at law to enforce Surety’s liability under Paragraphs 6 and 6.3 below.

5. At all times Owner shall be entitled to enforce any remedy available to Owner at law or under the Construction Contract including, without limitation, and by way of example only, rights to perform work, protect Work, mitigate damages, advance critical Work to mitigate schedule delay, and coordinate Work with other consultants or contractors.

6. If Surety elects to act under Paragraphs 4.1, 4.2 or 4.3 above, within the time period provided in Paragraph 4, above, and complies with its obligations under this Bond, Surety’s obligations under this Bond are commensurate with Contractor’s Construction Contract obligations. Surety’s obligations include, but are not limited to:

6.1 Contractor’s obligations to complete the Construction Contract and correct Defective Work;

6.2 Contractor’s obligations to pay liquidated damages; and

6.3 To the extent otherwise required of Contractor under the Construction Contract, Contractor’s obligations to pay additional legal, design professional, and other costs not included within liquidated damages resulting from Contractor Default (but excluding attorney’s fees incurred to enforce this Bond).

7. If Surety does not elect to act under Paragraphs 4.1, 4.2, 4.3, or 4.4, above, within the time period provided in Paragraph 4, above, or comply with its obligations under this Bond, then Surety shall be deemed to be in default on this Bond ten Days after receipt of an additional written notice from Owner to Surety demanding that Surety perform its obligations under this Bond. Such Surety default shall be independent of the Contractor Default. To the extent Surety’s independent default causes Owner to suffer damages including, but not limited to, delay damages, which are different from, or in addition to (but not duplicative of) damages which Owner is entitled to receive under the Construction Contract, Surety shall also be liable for such damages. In the event any Surety obligation following its independent default is inconsistent or conflicts with California Civil Code Section 2809, or any other law which either prohibits, restricts, limits or modifies in any way any obligation of a surety which is larger in amount or in any other respect more burdensome than that of the principal, Surety hereby waives the provisions of such laws to that extent.

17.D

8. If Surety elects to act under Paragraphs 4.1, 4.3 or 4.4 above, within the time period provided in Paragraph 4, above, and complies with all obligations under this Bond, Surety’s monetary obligation under this Bond is limited to the Penal Sum.

9. No right of action shall accrue on this Bond to any person or entity other than Owner or its successors or assigns.

10. Surety hereby waives notice of any change, alteration or addition to the Construction Contract or to related subcontracts, design agreements, purchase orders and other obligations, including changes of time, and of any Owner action in accordance with Paragraph 5 above. Surety consents to all terms of the Construction Contract, including provisions on changes to the Contract. No extension of time, change, alteration, Modification, deletion, or addition to the Contract Documents, or of the Work (including services) required thereunder, or any Owner action in accordance with Paragraph 5 above shall release or exonerate Surety on this Bond or in any way affect the obligations of Surety on this Bond, unless such action is an Owner Default.

11. Any proceeding, legal or equitable, under this Bond shall be instituted in any court of competent jurisdiction where a proceeding is pending between Owner and Contractor regarding the Construction Contract, or in the Superior Court of the County of Riverside, California, or in a court of competent jurisdiction in the location in which the Work is located. Communications from Owner to Surety under Paragraph 3.1 above shall be deemed to include the necessary agreements under Paragraph 3.2 above unless expressly stated otherwise.

12. All notices to Surety or Contractor shall be mailed or delivered (at the address set forth on the signature page of this Bond), and all notices to Owner shall be mailed or delivered as provided in Section 1-7.1.10 of the Special Provisions. Actual receipt of notice by Surety, Owner or Contractor, however accomplished, shall be sufficient compliance as of the date received at the foregoing addresses.

13. Any provision in this Bond conflicting with any statutory or regulatory requirement shall be deemed deleted here from and provisions conforming to such statutory requirement shall be deemed incorporated herein.

14. Definitions

14.1 Balance of Contract Sum: The total amount payable by Owner to Contractor pursuant to the terms of the Construction Contract after all proper adjustments have been made under the Construction Contract, for example, deductions for progress payments made, and increases/decreases for approved Modifications to the Construction Contract.

14.2 Construction Contract: The agreement between Owner and Contractor identified on the signature page of this Bond, including all Contract Documents and changes thereto.

17.D

14.3 Contractor Default: Material failure of Contractor, which has neither been remedied nor waived, to perform or otherwise to comply with the terms of the Construction Contract, limited to “default” or any other condition allowing a termination for cause as provided in Section 6-7.3 of the Special Provisions).

14.4 Owner Default: Material failure of Owner, which has neither been remedied nor waived, to pay Contractor progress payments due under the Construction Contract or to perform other material terms of the Construction Contract, if such failure is the cause of the asserted Contractor Default and is sufficient to justify Contractor termination of the Construction Contract.

END OF DOCUMENT

17.D

City of Hemet
City Council Meeting

STAFF REPORT
Meeting: City Council Meeting - Sep 24 2024
Department: Public Works
Submitted by: Noah Rau, Acting City Manager
Jilleen Ferris, Deputy Public Works Director/Assistant City Engineer; ☐ Receive and File ☐ Consent Calendar ☐ Business Item ☐ Public Hearing TITLE:

A Resolution of the City Council of the City of Hemet, California, Awarding Vance Corporation the Fiscal Year 2023/2024 SB1 Pavement Rehabilitation Project, CIP 5765, in the Amount of $2,158,149, Waiving any Minor Bid Irregularities, Authorizing the City Manager to Execute all Contract Documents; Approving Additional Construction Expenditures Not to Exceed 10% of the Contract Amount or Approximately $215,815; Approving Materials Testing in the Amount of $30,000; Authorizing the Administrative Services Director to Appropriate an Additional $293,963 of Fund Balance from Fund 221 Highway Users Tax Account (HUTA) to Fund the Total Project Cost; and Authorizing the City Clerk to Record the Notice of Completion upon Acceptance of the Work by the City Engineer
RECOMMENDED ACTION:

It is respectfully recommended that the City Council:

Adopt a Resolution of the City Council of the City of Hemet, California, Awarding Vance Corporation the Fiscal Year 2023/2024 SB1 Pavement Rehabilitation Project, CIP 5765, in the Amount of $2,158,149, Waiving any Minor Bid Irregularities, Authorizing the City Manager to Execute all Contract Documents; Approving Additional Construction Expenditures Not to Exceed 10% of the Contract Amount or Approximately $215,815; Approving Materials Testing in the Amount of $30,000; Authorizing the Administrative Services Director to Appropriate an Additional $293,963 of Fund Balance from Fund 221 Highway Users Tax Account (HUTA) to Fund the Total Project Cost; and Authorizing the City Clerk to Record the Notice of Completion upon Acceptance of the Work by the City Engineer.

BACKGROUND:

Senate Bill (SB) 1, Chapter 5, Statutes of 2017, created the Road Maintenance and Rehabilitation Program (RMRP) to address deferred maintenance on the State Highway System and the local street and road system, and RMRA for the deposit of various funds for the program. A percentage of this new RMRA funding will be apportioned by formula to eligible cities and counties pursuant to Streets and Highways Code section 2032(h) for basic road maintenance, rehabilitation, and critical safety projects on the local streets and roads system.

17.E

The City of Hemet receives RMRA funds annually to pay for local streets and road improvement projects since the passage of Senate Bill 1 (SB1). The Pavement Rehabilitation Project is a project eligible for this funding and the project was approved by the City Council as part of the FY 2023-2024 SB1 Project list on June 12, 2023. The project was also included in the most recent Capital Improvement Program adopted by the City Council on August 13, 2024.

Cozad & Fox finished the project design, and the City Engineer prepared and approved the bid package. On July 29, 2024, the bid package was uploaded to PlanetBids, the City’s bid solicitation service provider, where 432 vendors were notified and interested bidders could obtain the complete package.

ANALYSIS:

On August 27, 2024, the Procurement Administrator received six (6) bids, as shown below:

1.Vance Corporation $2,158,148.32

2.Calmex Engineering, Inc. $2,639,557.70

3.All American Asphalt $2,672,199.00

4.Onyx Paving Company, Inc. $2,882,000.00

5.R.J. Noble Company $2,699,498.30

6.Hardy & Harper, Inc. $3,325,000.00
Formal bidding procedures were followed in conformance with the Public Contracts Code. After reviewing the bids, it was determined by staff that Vance Corporation is the verified lowest responsive and responsible bidder.

DISCUSSION:

The Pavement Rehabilitation Project (CIP 5765) includes pavement reconstruction to four locations, which include:
•Columbia Street – Florida Avenue (Hwy 74) to Grand Teton Avenue •Lyon Avenue - Hackney Street to Esplanade Avenue
•Raymond Street – Florida Avenue (Hwy 74) to Acacia Avenue •Palm Avenue – Chambers Street to Thornton Avenue
•Magnolia Circle and Gardenia Circle
•Fremont Place
The improvements include the removal of existing asphalt and base, and constructing new asphalt and base material.

The Public Works Department’s Engineering Division staff will provide inspection services and construction management services on the project. The timeline for completion of the project is 70 working days. Working days are counted from the construction start date provided in the notice to proceed.

PREVIOUS COUNCIL ACTION:

17.E

 June 12, 2023 the City Council approved the FY 2023-2024 Senate Bill 1 Project List.  August 13, 2024 Council approved the Fiscal Year 2024-2025 through Fiscal Year 2028-2029 Capital Improvement Program.

STRATEGIC PLAN INTEGRATION:

GOAL ONE: QUALITY OF LIFE:

To ensure that Hemet is safe, clean, attractive and comfortable for all who live, work, and visit.

Objective 1: Enhance the visual appearance of the community to make it attractive and reduce blight.

Objective 2: Explore and implement homelessness solutions for the City of Hemet.

Objective 3: Increase Public Safety visibility and response.

FISCAL IMPACT:

The 23/24 SB1 Pavement Rehabilitation Project (CIP 5765) is funded by the City’s RMRA allocation of $2,172,264. Available funds are not sufficient for the award of this recommended agreement. The total project costs are as follows:

Design/Bid Package Preparation $62,263
Construction Contract $2,158,149
Contingency (10%) $215,815
Materials Testing $30,000
Total Project Cost $2,466,227
There is no General Fund impact. Staff is requesting an additional appropriation of $293,963 of fund balance from Fund 221 Highway Users Tax Account (HUTA) to fund the construction costs of the project.

ALTERNATIVE(S):

1. Do not award the construction agreement to Vance Corporation.

2. Provide alternative direction to the City Manager.

ATTACHMENT(S):

Attachment 1 Resolution CIP 5765 Construction Award
Attachment 2 - Bid Comparison
Attachment 3 - Bids Received
Attachment 4 - Draft Agreement
Attachment 5 - Street Location Exhibit

17.E

CITY OF HEMET RESOLUTION NO. 2024-XXX 1
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CITY OF HEMET

HEMET, CALIFORNIA
RESOLUTION NO. 2024-xxx

A RESOLUTION OF THE CITY COUNCIL OF THE CITY

OF HEMET, CALIFORNIA, AWARDING VANCE
CORPORATION THE FISCAL YEAR 2023/2024 SB1
PAVEMENT REHABILITATION PROJECT, CIP 5765, IN
THE AMOUNT OF $2,158,149, WAIVING ANY MINOR BID

IRREGULARITIES, AUTHORIZING THE CITY MANAGER
TO EXECUTE ALL CONTRACT DOCUMENTS;

APPROVING ADDITIONAL CONSTRUCTION
EXPENDITURES NOT TO EXCEED 10% OF THE
CONTRACT AMOUNT OR APPROXIMATELY $215,815;

APPROVING MATERIALS TESTING IN THE AMOUNT OF
$30,000; AUTHORIZING THE ADMINISTRATIVE

SERVICES DIRECTOR TO APPROPRIATE AN
ADDITIONAL $293,963 OF FUND BALANCE FROM FUND
221 HIGHWAY USERS TAX ACCOUNT (HUTA) TO FUND
THE TOTAL PROJECT COST; AND AUTHORIZING THE

CITY CLERK TO RECORD THE NOTICE OF

COMPLETION UPON ACCEPTANCE OF THE WORK BY

THE CITY ENGINEER
The City Council of the City of Hemet, California (hereafter referred to as the “City Council”) does resolve as follows:

WHEREAS, the City of Hemet Public Works Department is responsible for street infrastructure projects that include reconstruction, rehabilitation, and resurfacing of pavement for approximately 300 miles of City streets; and WHEREAS, On June 12, 2023, the City Council approved the Fiscal Year 2023- 2024 Senate Bill 1 Project List; and
WHEREAS, On August 13, 2024, Council approved the Fiscal Year 2024-2025 through Fiscal Year 2028-2029 Capital Improvement Program; and

17.E

CITY OF HEMET RESOLUTION NO. 2024-XXX 2
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WHEREAS, On July 29, 2024, the City of Hemet solicited bids from 432 vendors on Planet Bids, the City’s bid solicitation service provider, where interested bidders could obtain the complete bid document package; and
WHEREAS, on August 27, 2024, the City received a total of six (6) bids for the project which were reviewed by staff resulting in Vance Corporation being the lowest responsible responsive bidder; and
WHEREAS, staff recommends to waive any minor irregularities within the Vance Corporation bid submittal; and
WHEREAS, staff recommends to award a City of Hemet Contractor Agreement to Vance Corporation in the amount of $2,158,149; and
WHEREAS, staff recommends the City Council authorize the City Manager to execute all contract documents and to approve additional project expenditures not to exceed $215,815, which is approximately 10% of the contract amount; and WHEREAS, staff recommends the City Council approve materials testing in the amount of $30,000; and
WHEREAS, staff recommends the City Council Authorize the Administrative Services Director to appropriate an additional $293,963 of fund balance from Fund 221 Highway Users Tax Account (HUTA) to fund the total project cost; and WHEREAS, the timeline for completion of the project is seventy (70) working days; and
WHEREAS, staff recommends the City Council Authorize the City Clerk to record the Notice of Completion upon acceptance of the work by the City Engineer.

17.E

CITY OF HEMET RESOLUTION NO. 2024-XXX 3
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17 18
19 20
21 22
23 24
25 26
27 28

NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF HEMET FINDS, DETERMINES, ORDERS AND RESOLVES AS FOLLOWS:

SECTION 1. FINDINGS - The recitals set forth above are hereby adopted as findings in support of this Resolution.

SECTION 2. Approve the construction agreement for the Citywide Street Rehabilitation Project, CIP 5765, to Vance Corporation in the amount of $2,158,149 and waive any minor bid irregularities.

SECTION 3. Authorize the City Manager to execute all contract documents.

SECTION 4. Approve additional construction expenditures not to exceed approximately 10% of the contract amount or $215,815 and approve materials testing in the amount of $30,000.

SECTION 5. Authorize the Administrative Services Director to appropriate an additional $293,963 of fund balance from Fund 221 Highway Users Tax Account (HUTA) to fund the total project cost.

SECTION 6. Authorize the City Clerk to record the Notice of Completion upon acceptance of the work by the City Engineer.

17.E

CITY OF HEMET RESOLUTION NO. 2024-XXX 4
1 2
3 4
5 6
7 8
9 10
11 12
13 14
15 16
17 18
19 20
21 22
23 24
25 26
27 28
PASSED, APPROVED AND ADOPTED this 24th day of September, 2024. ____________________________
Joe Males, Mayor
ATTEST:
_____________________________
John Paul Maier, City Clerk

17.E

CITY OF HEMET RESOLUTION NO. 2024-XXX 5
1 2
3 4
5 6
7 8
9 10
11 12
13 14
15 16
17 18
19 20
21 22
23 24
25 26
27 28
State of California )
County of Riverside )
City of Hemet )
I, John Paul Maier, City Clerk of the City of Hemet, do hereby certify that the foregoing resolution was adopted by the Hemet City Council on the 24th day of September, 2024, and was passed by the following vote:

AYES: Council Members:

NOES: Council Members:

ABSTAIN: Council Members:

ABSENT: Council Members:
_____________________________
John Paul Maier, City Clerk

17.E

City of Hemet
Bid Results for Project Street Rehabilitation ‐ CIP 5765 Issued on 07/29/2024Bid Due on August 27, 2024 3:00 PM (PDT) Exported on 08/27/2024
Line Totals (Unit Price * Quantity)
Item Description UOM QTY Unit Price Line Total Comments Unit Price Line Total Unit Price Line Total Unit Price Line Total Unit Price Line Total Unit Price Line Total 1 MOBILIZATION (NOT TO EXCEED 5%) LS 1 $65,432.79 $65,432.79 $120,000.00 $120,000.00 $100,000.00 $100,000.00 $111,000.00 $111,000.00 $135,000.00 $135,000.00 $148,146.50 $148,146.50 2 TRAFFIC & PEDESTRIAN CONTROL LS 1 $105,394.63 $105,394.63 $212,000.00 $212,000.00 $67,566.35 $67,566.35 $222,000.00 $222,000.00 $97,500.00 $97,500.00 $119,400.00 $119,400.00 3 CLEARING, GRUBBING, REMOVALS LS 1 $3,913.00 $3,913.00 $60,200.00 $60,200.00 $40,000.00 $40,000.00 $282,000.00 $282,000.00 $69,000.00 $69,000.00 $91,600.00 $91,600.00 4 TEMPORARY CONSTRUCTION SIGNAGE EA 11 $1,640.05 $18,040.55 $1,250.00 $13,750.00 $1,600.00 $17,600.00 $2,200.00 $24,200.00 $1,070.00 $11,770.00 $2,200.00 $24,200.005 WATER QUALITY CONTROL LS 1 $21,843.05 $21,843.05 $23,100.00 $23,100.00 $7,500.00 $7,500.00 $22,177.35 $22,177.35 $10,000.00 $10,000.00 $10,600.00 $10,600.00 6 REMOVE EX. A.C. PAVEMENT & BASE SQ FT 343620 $0.77 $264,587.40 $1.56 $536,047.20 $1.97 $676,931.40 $1.82 $625,388.40 $3.00 $1,030,860.00 $3.25 $1,116,765.00 7 CONSTRUCT 0.35' OF A.C. PAVEMENT TONS 6380 $128.86 $822,126.80 $109.00 $695,420.00 $115.00 $733,700.00 $111.00 $708,180.00 $109.00 $695,420.00 $132.00 $842,160.00 8 CONSTRUCT 0.33' OF A.C. PAVEMENT TONS 2629 $127.36 $334,829.44 $116.00 $304,964.00 $115.00 $302,335.00 $111.00 $291,819.00 $117.00 $307,593.00 $132.00 $347,028.00 9 CONSTRUCT 0.95' OF CLASS II AGGREGATE BASE CU YD 1642 $51.73 $84,940.66 $58.00 $95,236.00 $73.00 $119,866.00 $55.00 $90,310.00 $54.00 $88,668.00 $57.00 $93,594.00 10 CONSTRUCT 0.75' OF CLASS II AGGREGATE BASE CU YD 2510 $53.91 $135,314.10 $54.00 $135,540.00 $73.00 $183,230.00 $55.00 $138,050.00 $65.00 $163,150.00 $57.00 $143,070.00 11 CONSTRUCT 0.60' OF CLASS II AGGREGATE BASE CU YD 907 $60.95 $55,281.65 $78.00 $70,746.00 $73.00 $66,211.00 $55.00 $49,885.00 $63.00 $57,141.00 $57.00 $51,699.00 12 CONSTRUCT 0.60' OF CLASS II AGGREGATE BASE CU YD 3070 $54.97 $168,757.90 $73.00 $224,110.00 $73.00 $224,110.00 $55.00 $168,850.00 $67.00 $205,690.00 $57.00 $174,990.00 13 "ADJUST EXISTING MANHOLE & EXISTING WATER/GAS
VALVE TO FINISH SURFACE" EA 47 $833.08 $39,154.76 $1,650.00 $77,550.00 $1,480.00 $69,560.00 $1,700.00 $79,900.00 $628.00 $29,516.00 $1,500.00 $70,500.00 14 "REPLACE EXISTING STRIPING PER CALTRANS
STANDARDS & SPECIFICATIONS PER STD. A20A, DETAIL
#22" LF 6445 $1.37 $8,829.65 $1.90 $12,245.50 $1.25 $8,056.25 $1.20 $7,734.00 $1.34 $8,636.30 $1.30 $8,378.50 15 "REPLACE EXISTING MARKINGS PER CALTRANS
STANDARDS & SPECIFICATIONS PER STD. A24D, A24F,
A24G" EA 30 $1.37 $41.10 $8,829.65 on bid $328.00 $9,840.00 $272.00 $8,160.00 $370.00 $11,100.00 $291.00 $8,730.00 $286.00 $8,580.00 16 "REPLACE DAMAGED TRAFFIC LOOPS PER RIVERSIDE
COUNTY STANDARD PLAN NO. 1206" EA 13 $417.72 $5,430.36 $12,531.60 on bid $542.00 $7,046.00 $520.00 $6,760.00 $550.00 $7,150.00 $556.00 $7,228.00 $560.00 $7,280.00 17 "REMOVE & RELOCATE EX. STREET SIGNAGE PER COH
STD. DWG. NO. G‐810(A‐C)" EA 1 $620.61 $620.61 $8,067.93 on bid $302.00 $302.00 $420.00 $420.00 $265.00 $265.00 $449.00 $449.00 $441.00 $441.00 18 INSTALL CLASS "B" CENTERLINE MONUMENTS EA 16 $298.37 $4,773.92 $298.37 on bid $625.00 $10,000.00 $600.00 $9,600.00 $650.00 $10,400.00 $642.00 $10,272.00 $630.00 $10,080.00 19 "PREPARE PRE‐ & POST‐ CONSTRUCTION CORNER
RECORDS" EA 4 $1,404.64 $5,618.56 $22,474.24 on bid $209.00 $836.00 $200.00 $800.00 $250.00 $1,000.00 $214.00 $856.00 $210.00 $840.00 20 "INSTALL BLUE DOT HYDRANT MARKER PER COH STD.

DWG. NO. W‐700B" EA 17 $468.22 $7,959.74 $1,872.88 on bid $13.00 $221.00 $15.00 $255.00 $5.25 $89.25 $16.00 $272.00 $16.00 $272.00 21 CONSTRUCT TYPE "A" 12" A.C. DIKE LF 841 $5.97 $5,020.77 $101.49 on bid $20.00 $16,820.00 $18.00 $15,138.00 $22.00 $18,502.00 $31.00 $26,071.00 $56.00 $47,096.00 22 CONSTRUCT SMOOTH PAVEMENT TRANSITION JOINT EA 12 $19.74 $236.88 $16,601.34 on bid $1,132.00 $13,584.00 $1,200.00 $14,400.00 $1,000.00 $12,000.00 $223.00 $2,676.00 $690.00 $8,280.00 Subtotal $2,158,148.32 $2,639,557.70 $2,672,199.00 $2,882,000.00 $2,966,498.30 $3,325,000.00Total $2,158,148.32 $2,199,223.88 on bid $2,639,557.70 $2,672,199.00 $2,882,000.00 $2,966,498.30 $3,325,000.00 Vance Corporation Calmex Engineering, Inc. All American Asphalt Onyx Paving Company, Inc. R.J. NOBLE COMPANY Hardy & Harper, Inc

17.E

APPE D X1

17.E

not be resgonsible

STREETREHABILITATIONPROJECT
CIP N0. 5765

BIDDER'SPROPOSAL
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the Street Rehabilitation Project, CIP No. 5765, 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 2024 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 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.(sl 1.2.3.4
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—BaconAct 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 Street Rehabilitation Project, CIP No. 5765 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 2024 as amended and supplemented, technical references, all other referenced documents, al l codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal.

17.E

ITEM
No
1 10
11 12
13 14

STREETREHABILITATIONPROJECT
CIPNo. 5765
BIDDER'SPROPOSAL(cont'd)

BIDSCHEDULE
BASEBID — STREETREHABILITATIONPROJECT,CIP No. 5765

DESCRIPTION UNIT
MOBILIZATION(NOTTOEXCEED5%) LS

TRAFFIC&PEDESTRIANCONTROL LS

CLEARING, GRUBBING,REMOVALS LS

TEMPORARYCONSTRUCTION EA

SIGNAGE

WATERQUALITYCONTROL LS
REMOVEEX.A.C.PAVEMENT&BASE SQFT
CONSTRUCT035 OFA.C. TONS

PAVEMENT
CONSTRUCT033 OFA.C. TONS

PAVEMENT
CONSTRUCT095‘OFCLASSll CUYD

AGGREGATEBASE
CONSTRUCT075‘ OFCLASSII CUYD

AGGREGATEBASE
CONSTRUCT060' OFCLASSII CUYD

AGGREGATEBASE
CONSTRUCT050' OFCLASS|| CUYD

AGGREGATEBASE

ADJUSTEXISTINGMANHOLE&EXISTING

WATER/GASVALVETO EA
EIMIQI-I Ql IDFAF‘I: REPLACEXISTINGSTRIPINGPER

CALTRANSSTANDARDS& LF
SPECIFICATIONSPERSTD.A20A, DETAII #O')

ESTIMATED

QUANTITY
1 11
343.620

6.380
2,629

1.642
2,510
907
3,070
47 6,445
S
S
$
$
$
UNIT
PRICE
65,432.79
105,394.63
3,913.00
1,640.05
21,843.05

0.77 128.86

51.73 53.91

60.95 833.08

1.37 EXTENDEDITEM
AMOUNT
65,432.79
105,394.
63 3,913.00
18,040.55
21,843.05
264,587.40
822,126.80
334,829.44
84,940.66
135,314.10
55,281.65
168,757.90
39,154.
76 8,829.
65 S 127.36

54.97 S
$

17.E

ITEM
No
[MA
17m
rmnmm
wnmn
LF
wwm?mmw
memanmww

STREETREHABILITATIONPROJECT
CIPNo. 5765
BIDDER'SPROPOSAL(cont'd)
BASEBID— STREETREHABILITATIONPROJECT, CIP No. 5765

ESTIMATED UNIT EXTENDEDITEM

DESCRIPTION UNIT QUANTITY PRICE AMOUNT

REPLACEEXISTINGMARKINGSPER
15 CALTRANSSTANDARDS& EA 30 1.37
SPECIFICATIONS PERSTD.A24D,A24F.

REPLACEDAMAGEDTRAFFICLOOPSPER
16 RIVERSIDECOUNTYSTANDARDPLANNO. EA 13
REMOVE&RELOCATEX.STREET
17 SIGNAGEPERCOHSTD.DWG.NO. EA 1
18 EA 16
PREPAREPRE-&POST—CONSTRUCTION
19 CORNERRECORDS EA 4

INSTALLBLUEDOTHYDRANTMARKER
20 PERCOHSTD.DWG.NO. 17
841
21 101.49

CONSTRUCTSMOOTHPAVEMENT
22 TRANSITIONJOINT

TOTAL BASE BID
(numbers)
ADDITIVEA BID ITEMSAS FOLLOWS:

ITE UNI ESTIMATED UNITPRICE EXTENDEDITEM

M DESCRIPTIONOF ITEMS T QUANTITY AMOUNT
No
A1
TOTALBIDADDITIVEA (numbers)

END OF ADDITIVEA BIDITEMS
INSTALLCLASS"B"CENTERLINE

MONUMENTS
CONSTRUCTTYPE"A"12“A.C.DIKE
EA
EA
417.72
620.61
298.37
1,404.64
468.22 $

5.97 19.74 8
8,829.65
12,531.60
8,067.93
298.37
22,474.24
1,872.88
16,601.
34 2,199,223.

17.E

P-lQ
Two million one hundred ninetv nine thousand xwohundred lwemv |hrce dollars and eighty eizlLl any] .....

STREETREHABILITATIONPROJECT
CIPNo. 5765
BIDDER'SPROPOSAL(cont’d)
BASEBlDTOTAL (in words)
r?nfe
Contractor's Initials
ADDITIVEA BIDITEMSTOTAL(in words) not icahle
Contractor's Initials
In the event of a variation between the unit price and extended total, the unit price willbe used and the corrected extension willbe considered as the amount bid. Ifthe bid is illegible and cannot be reconciled it will be considered non-responsive and willnot be considered for award.

Ifan additive and/oralternate bid schedule is called for in the Contract Documents, the lowest bid willbe determined on the basis of the base bid schedule(s) only unless otherwise specified in the Notice Inviting Bidsor 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/deductiveor alternate bid items/schedules, or to otherwise add or remove certain work from the scope of Work. Accordingly, Contractor warrants that each bid item contains a proportionate share of pro?t, overhead and other costs and expenses, which willbe 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 ?nal.

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 Bidsand Instructions to Biddersdoes 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.

17.E

STREETREHABILITATIONPROJECT
CIP No. 5765
BIDDER'SPROPOSAL(cont’d)
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, 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:

VANCE CORPORATION. 1000008103. 414567 A, C31
Legal name of the business, DIRReg. and Contractor License Nos

CORPORATION
Business Type (Corporation, Partnership, Sole Proprietor) N/A
DBA(if any)
DEREK RITARITA.PRESIDENT
Name and title of the owner
CHRISTIAN PEACOCK.SECRETARY/TREASURER
Name and title of second partner or officer
459 EGAN AVENUE PO. BOX 575 BEAUMONT, CA 92223
Business Address
(909)355-4333
Telephone number

17.E

(909)
Signatu

STREETREHABILITATIONPROJECT
CIP NO. 5765
BIDDER'SPROPOSAL(cont’d)
355-4329
Facsimile number
RICHARD KESNER, [email protected]
Name and Email address of primary contact
Company web address
08/27/2024 08/27/2024
re of Bidder Date Signature of Bidder Date
DEREK RITARITA, PRESIDENT CHRISTIAN PEACOCK. SECRETARY/ TREASURER Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate o?icersare required.)

17.E

der

STREETREHABILITATIONPROJECT
CIP No. 5765
BIDDER'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 A C31 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/itpossesses the required Contractor's license(s) which:
3 Bears the license number(s) 414567
b. Expires on 11‘30'2025
08/27/2024 08/27/2024
Signature of Bidder Date Signature of Bi Date
DEREK RITARITA PRESIDENT CHRISTIAN PEACOCK. SECRETARY/
TREASURER Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate officersare 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.

17.E

STREETREHABILITATIONPROJECT
CIP No. 5765
BIDDER'SPROPOSAL(cont'd)

BIDSECURITYFORM FOR CHECK
NOTE:THE FOLLOWINGFORM SHALLBEUSEDINTHECASEOF 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. Ifsaid Bidshall 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 required by law, and notwithstanding the award of the Contract to a bid
08/27/2024 0024
Signature of Bidder Date Signature of Bidder Date

DEREK RITARITA, PRESIDENT CHRISTIAN PEACOCK, SECRETARY/TREASURER Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate o?‘icersare required.)

17.E

STREETREHABILITATIONPROJECT Rev. 0
CIP NO. 5765 JULY2024
BIDDER'SPROPOSAL(cont’d)

BIDSECURITYFORM FORBOND
KNOW ALLBYTHESEPRESENTS:

That the undersigned
Vance Corporation
(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 not to exceed ten percent (10%) of the total bid amount--- 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 Street Rehabilitation Proiect. CIP No 5765 THE CONDITIONOF 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 fullforce and effect.

IN WITNESS WHEREOF, the above bounden parties have executed this instrument this 22nd day of August 2024.
(Month)
Vance 0
(Corporate Seal) By
Principal
By Old Iic Surety Company
Su
(Corporate Seal) By
J , Attorney-In-Fact

17.E

u”%/2%/22/ .
who proved to me on the basis of satisfactory evidence to be the personwwhose name?sj is/aze— subscribed to the within instrument and acknowledged to me that he/shelthey executed the same in his/hed?Teir authorized capacity?eéj,and that by his/herhheir signaturefsfon the instrument the personjx), or the entity upon behalf of which the persongs) acted. executed the instrument. 6m View {?u Fmm
. -
‘ Number L—
ove: FSD We! geny?
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVILCODE § 1189
A notary public or other officer completing this certificate verifies only 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
Co of Riverside
On before me, Rachel E. Payne. Notary Public
Date Here Insert Name and Title of the Officer
personally appeared Derek Ritarita
Name(s) of Signer(s)
I certify under PENALTYOF PERJURY under the laws
of the State of California that the foregoing paragraph is true and
RACHEL Warfare"; W'TNESSW a“
RiversideCounty CommissionIf 2462358
Comm.Expires Sep 9, 2027 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: of Pages:

Signer(s) Other Than Named
Capacity(ies) Claimed by Signer(s)
Signer’s Name: Signer’s Name
Corporate Officer — Tit|e(s): Corporate Officer — Tit|e(s):

Partner — Limited General Partner — Limited General
Individual Attorney in Fact Individual Attorney in Fact Trustee Guardian or Conservator Trustee Guardian or Conservator Other: Other:

Signer ls Representing: Signer ls Representing
@2016 NationalNotary Association- www.NationalNotary.org - 1-800-USNOTARY(1-800-876-6827) Item#5907

17.E

Quali?m?nnwith the Smetnry of Siam mm be accomplished as required by an Cl?fomia Co .. pmmpdy nftu imam of wasCerti?cate of Authority. Fiiluxe he do so will be a mum of Tm. we will he gonna;for molding an: Oeni?cah of Authority pmum m815covenant: made in N92‘5410

STATE OF CALIFORNIA

DEPARTMENT OF INSURANCE

SAN FRANCISCO
Certi?cate of Authority
Tms Is To Claim”, That, pursuant to the Insurance Code ofthe State ofCalifornia, Old Republic Surety Company
of Brookfield, Wisconsin , organizedunder the
lawsof Wisconsin ,subfecttoitsArticlesofIncorporationor other fundamental organizationaldocuments, is hereby authorizedto transact within this State, subfectto all provisions ofthis Certi?cate,the following classesofinsurance:

SURETY, LIABILITY and MISCELLANEOUS
assuchclassesare now or may hereafterbe de?nedin the Insurance Laws ofthe State ofCalifornia.

Tms CERTIFICATEis expresslyconditionedupon the holder hereofnow and hereafterbeing in fullcompliancewithall, and not in violationofany, ofthe applicablelawsand lawfulrequirements madeunder authority ofthe lawsofthe State ofCaliforniaas longas such laws or requirements are in effectand applicable,and as such laws and requirements now are, or may hereafterbe changed or amended.

INWmss Wmor, e?ectioeas oftheJt-E—day
of.___2.e_ceiber____, 19%., I have hereunto set
my hand and causedmy o?icialsealto be a?ixedthis 14th
day of December 19 9
Code
Code Sec. 701
the application
therefor and the conditionscontainedherein.

I 54061 Page 21 of 202

17.E

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January
\ “mam-m seeming—6
._2.6|h_ _Jan_uaw_
and
gaggygtrc. lp??
Se tember 28 2026
“M mull”
A mug.“ seam“
ark" POWER OF ATTORNEY
KNOW ALLMEN BY THESE PRESENTS: That OLD REPUBLICSURETYCOMPANY, a Vl?sconsinstock insurance corporation, does make, constitute and appoint:

Julia B. Bales, Kenneth A. Coate, Renae N. Balderas, Andrea Paris of Riverside.CA its true and lawfulAttorney(s)-in-Fact, with full power and authority for and on behalf of the company as surety, to execute and deliver and af?x the seal of the company thereto (if a seal is required), bonds, undertakings, recognizances or other written obligations in the nature thereof. (other than bail bonds, bank depository bonds, mortgage de?ciency bonds, mortgage guaranty bonds, guarantees of installment paper and note guaranty bonds, self-insurance workers compensation bonds guaranteeing payment of benefits, orbiack lung bonds), as follows:

ALLWRITTENINSTRUMENTS
and to bind OLD REPUBLICSURETY COMPANYthereby, and all of the acts of said Attorneys-in-Fact, pursuant to these presents, are rati?ed and con?rmed.

This appointment is made under and by authority of the board of directors at a special meeting held on February 18, 1982.

This Power of Attorney is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the board of directors of the OLD REPUBLICSURETYCOMPANYon February 18,1982.

RESOLVED that, the president, any vice-president or assistant vice president, in conjunction with the secretary or any assistant secretary, may appoint attorneys-in-fact or agents with authority as de?ned or limitedin the instrument evidencing the appointment in each case, for and on behalf of the company to execute and deliver and af?x the seal of the company to bonds, undertakings. recognizances, and suretyship obligations of all kinds; and said of?cers may remove any such attorney-in-fact or agent and revoke any Power of Attorney previouslygranted to such person.

RESOLVED FURTHER, that any bond, undertaking, recognizance, or suretyship obligation shall be valid and binding upon the Company (i) when signed by the president, any vice president or assistant vice president. and attested and sealed (if a seal be required) by any secretary or assistant secretary; or
(ii) when signed by the president, any vice president or assistant vice president, secretary or assistant secretary, and countersigned and sealed (if a seal be required) by a duly authorized attorney—in-factor agent; or (iii) when duly executed and sealed (if a seal be required) by one or more attorneys-in-fact or agents pursuant to and within the limits of the authority evidenced by the Power of Attorney issued by the company to such person or persons.

RESOLVED FURTHERthat the signature of any authorized of?cer and the seal of the company may be af?xed by facsimile to any Power of Attorney or certi?cation thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the company; and such signature and seal when so used shall have the same force and effect as though manually af?xed.

IN WITNESS WHEREOF, OLD REPUBLICSURETYCOMPANYhas caused these presents to be signed by its proper of?cer, and its corporate seal to be 2023 af?xed this 25th day of

OLDREPUBLICSURETYCOMPANY
AM
President

STATE OF WISCONSIN, COUNTY OF WAUKESHA- SS
On this dav of , 3%, personally came before me,
Karen J Haffner to me known to be the individuals and of?cers of the OLD REPUBLICSURETY COMPANY who executed the above instmment, and they each acknowledged the execution of the same, and being by me duly sworn, did severally depose and say: that they are the said of?cers of the corporation aforesaid, and that the seal af?xed to the above instrument is the seal of the corporation, and that said corporate seal and their signatures as such of?cers were duly af?xed and subscribed to the said instrument by the authority of the board of directors of said corporation.

Alan Pavlin
Notary Public MyCommission Expires:

CERTIFICATE (Expirationof notary's commissiondoes not invalidatethis instrument) I, the undersigned, assistant secretary of the OLD REPUBLICSURETYCOMPANY, a Vi?sconsin corporation, CERTIFYthat the foregoing and attached Power of Attorney remains in fullforce and has not been revoked:and furthermore, that the Resolutions of the board of directors set forth in the Power of Attorney, are now in force.
3 had: Signedand sealed at the City or?Brook?eld, WIthis 22ND
day of
AUGUST 2024
0 lll‘ 74 4030
* ORSC 2262 (3-06)
Inland Surety Bons & Ins Serv

U IC SU ETY C NY

17.E

AUG2 2 2024
On
Date
.STEPHANIE D.FISHER - co M.#2365783,, m
'1!
Juli
CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189
Anotary publicorother officercompletingthiscertificateverifiesonlythe identityofthe individualwho signed the document to whichthis certificateis attached, and not the truthfulness, accuracy,or validityofthat document.

State of California } County of RiverSIde
Stephanie D. Fisher, Notary Public
Here Insert Name and Title of the Of?cer
Julia B. Bales
Name(s) of Signer(s)
before me,
personally appeared
who proved to me on the basis of satisfactory evidence to be the person(s) whose namets} is/are— subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their— authorized capacityties), and that by JPris/herl’elaeir-signature(a-) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

NOTARYPUBLIC- CALIF!)

RIVERSIDE COUNTY
RNIA
MyComm.Expires 15,2025
Place Notary Seal and/or Stamp Above
I certify under PENALTYOF PERJURYunder the
laws of the State of California that the foregoing
paragraph is true and correct.

WITNESS my hand and official seal.

Signature
Public

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:

Signer(s) Other Than Named Above:

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

El Corporate Officer — Title(s):

El Partner— El Limited El General
EI Individual El Attorney in Fact
EI Trustee El Guardianor Conservator
El Other:

Signer is Representing:
@2019 National Notary Association
Number of Pages:

Signer’s Name:

EI Corporate Officer — Title(s):

EI Partner— El Limited C] General
EI Individual El Attorney in Fact
EI Trustee EI Guardianor Conservator
El Other:

Signer is Representing:

17.E

STREETREHABILITATIONPROJECT
ClP No. 5765
BIDDER'SPROPOSAL (cont’d)

NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODESECTION7106
NON—COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID The undersigned declares:

VANCE
I am the PRESIDENT of CORPORATION 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 08/27/2024 [date], at BEAUMONT ], CA [state]
08/27/2024 08/27
Signature of Bidder Date Signature OfBidder Date
DEREK RITARITA.PRESIDENT CHRISTIANPEACOCK, SECRETARY/
TREASURER Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.)

17.E

Bite
’3{I'm/ml -
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who proved to me on the basis of satisfactory evidence to be the person(s)' whose name‘s)is/aa subscribed to the within instrument and acknowledged ‘0 me that he/shehhey executed the same in his/herkheir authorized capacity?e’s),and mat by his/heF/éheir signa‘ure?) on the ins‘rument the personlsr, or the entity upon behali of which the person?sfacte
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individualwho signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validityof that document.

State of California
County of Riverside
On before me, Rachel E. Pavne. Notarv Public
Here Insert Name and Title of the Officer
personally appeared Derek Ritarita
Name(s) of Signer(s)
d, 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 offi seal.

Signature
of
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
Capacity(ies) Claimed by Signer(s)
Signer’s Name: Signer’s Name
Corporate Officer — Title(s): Corporate Officer — Title(s):

Partner — Limited General Partner — Limited General
Individual Attorney in Fact Individual Attorney in Fact Trustee Guardian or Conservator Trustee Guardian or Conservator Other: Other:

Signer ls Representing: Signer ls Representing:
@2016 NationalNotary Association - www.Nationa|Notary.org - 1-800-US NOTARY(1-800-876-6827) Item#5907

17.E

of
‘3’}914 /ZOZ</~ . Payne, Notary V Da4e
Chris?a
who proved my me on the basis of satisfactory evidence (0 be the personpnwhose namgfs‘)is/ave— subscribed to the within lnstrume t and acknowledged to me that helshe?hey executed the same in his/W authorized capacity ’ s , and that b his/hemheér signaturecaf on the ins‘rument the personAsj,’ or the en?ly upon behalf of which the persan(§¥ acted
California
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CALIFORNIAALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189
A notary public or other officer completing this certificate verifies only the identity of the individualwho signed the document to whichthis certificate is attached, and not the truthfulness, accuracy, or validityof that document.

State of California )
On before me, RaChel E PUbIIC
Here Insert Name and Title of the Officer
personally appeared n Peacock
Name(s) of Signer(s)
, executed the instrument.

I certify under PENALTYOF PERJURY under the laws
of the State of that the foregoing paragraph
is true and
WITNESS my and official
Signature
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
Capacity(ies) Claimed by Signer(s)
Signer’s Name Signer’s Name:

Corporate Officer — Title(s): Corporate Officer — Title(s):

Partner — Limited General Partner — Limited General
Individual Attorney in Fact Individual Attorney in Fact Trustee Guardian or Conservator Trustee Guardian or Conservator Other: Other:

Signer ls Representing: Signer ls Representing:
@2016 NationalNotary Association- www.NationalNotary.org - 1-800-US NOTARY(1-800-876-6827)Item#5907

17.E

STREETREHABILITATIONPROJECT
CIPNo. 5765
BIDDER'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 willmake 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 *SEE ATTACHED
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:

Project Name:

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

17.E

East Main Street Evan Hewes Hwy Rehabilitation Project CRSAL—5169(057) Owner: City of El Centro
Address: 1275 Main Street El Centro, CA
Contact: Felix De Leon Jr. (760)337-5182
Type of Work: Grinding of existing asphalt concrete pavement, installation of asphalt-rubber and aggregate membrane, gap graded base, monument preservation,utility cover adjustments Contract Duration: 45 Calendar Days
Contract Price: $1,918,840.00
Completion: April 2024
Koala Road Repaving Project CIP 2023-04
Owner: City of Adelanto
Address: 11600 Air Expressway, Adelanto, CA 92301
Contact: Richard Burgess Phone: (760) 246-2300 ext. 11146 Type of Work: Asphalt and base pulverizing, aggregate base, subgrade, asphalt concrete base pavement, asphalt grinding and rubberizedasphalt concrete pavement overlay Contract Duration: 60 Calendar Days
Contract Price: $888,888.88
Completion: March 2024
2022-23 CDBG— Old Mira Loma Pavement Rehabilitation — Ph. 2 Owner: City of Jurupa Valley
Address: 8930 Limonite Avenue, Jurupa Valley, CA 92509
Contact: Youssef Baskaron Phone: (951) 332-6464 ext. 144 Type of Work: Rehabilitation of AC pavement, grind and overlay or removal and replacement of existing AC pavement on the streets
Contract Duration: 70 Working Days
Contract Price: $2,432,850.00
Completion:

Van Buren Boulevard Pavement Rehabilitation - Ph.3
Owner: City of Jurupa Valley
Address: 8930 Limonite Avenue, Jurupa Valley, CA 92509
Contact: Youssef Baskaron Phone: (951) 332-6464 ext. 144 Type of Work: grinding existing AC pavement, removal of pavement, cold-in-place recycling, asphalt overlay, replacing existing guardrail, and installing signing, striping,markings and raised pavement markers.

Contract Duration: 40 Working Days
Contract Price: $2,242,360.00
Completion:

17.E

FY 2022-23 Residential Street Rehabilitation Project
Owner: City of West Covina
Address: 1444 W Garvey Ave S. 215, West Covina, CA 91790 ontact: Okan Dimicri Phone: (714) 319-6137
Type of Work: AC cold mill, AC overlay, pavement, crack seal, slurry ontract Duration: 40 working days
Contract Price: $2,958,945.00
Completion:
2022-2023 Resurfacing Project, Residential Resurfacing Phase II; P-10403 Owner: City of Irwindale
Address: 5050 N. Irwindale Avenue, Irwindale, CA 91706
ontact: Fabian Aoun, P.E. Phone: (951) 743-5208
Type of Work: Cold mill, AC overlay, utilities adjusting, striping, markers and loop detectors.

Contract Duration: 40 working days
ontract Price: $ 394,774.10
ompletion:

17.E

STREETREHABILITATIONPROJECT
CIP No. 5765
BIDDER'SPROPOSAL(cont’d)

DESIGNATIONOF SUBCONTRACTORS
Name of Subcontractor and
, Description and Subcontractor’s DIRRegistration
Location of Place _
, Percentage of Work Llcense No. Number
of Busmess
case Land sum) “'g’ 1"“ Survey 1% L5411 1000001533
Orange CA
EBS Ut'lhms Adlusnng Inc“ Manhole Adjust 1% 932798 1000004286 Corona CA
Interstate Striping Inc. _ . o Fontana CA
Stl‘lplllg 0.8 A: 1087140 1000866044
(Bidder to attach additional sheets if necessary) (PUBLICCONTRACTCODE§4100 ETSEQ. )

17.E

lit-u. 0
)ULY "2024

STREETREHABILITATIONPROJECT
CIP No. 5765
BIDDER'SPROPOSAL (cont’d)

BIDDERCERTIFICATIONS

TO BEEXECUTEDBYALLBIDDERSAND SUBMITTEDWITHBID
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 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, Icertify that there willbe 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.

17.E

STREETREHABILITATIONPROJECT
CIP No. 5765
BIDDER'SPROPOSAL(cont'd)

CERTIFICATIONOF NON-DISQUALIFICATION
By my signature hereunder, as the Contractor, Iswear, 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), 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] 1000008103 . 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 Statement of Qualifications, dated N/A (sou)
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 “QualificationInformation." d. Contractor has carefully reviewed all of the foregoing QualificationInformation. e. [Please check and/orcomplete one ofthe following]
AllPrequalification 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.

X 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 ifsuch information were actually

17.E

Signatu re
EK....V.V , , ,7, DENT SECRET

STREETREHABILITATIONPROJECT
CIP No. 5765
BIDDER'SPROPOSAL(cont’d)
being submitted to Owner as of the date hereof. [Contractor must provide Additional Prequalification Informationas described above ifthis item is checked.] CERTIFICATIONOF ”M
[Insert other Owner-specific certifications, if applicable. Otherwise, delete.] R
08/27/2024 [2024
of Bidder Date Signature of Bidder Date
DER RITARITA. PRESI CHRISTIANPEACOCK. ARY/
TREASURER Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate o?‘icersare required.)

17.E

will not be resgonsible

STREETREHABILITATIONPROJECT
CIP No. 5765

BIDDER'SPROPOSAL
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the Street RehabilitationProject, CIP No. 5765, and appurtenant work in connection therewith, said work to be done and materialsto 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 2024 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, isfamiliar with the plans, specifications, Contract Documents (particularly as delineated above) and the requirements of the PublicWorks 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 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 int into their proposal, Contractor acknowledges receipt of Addenda No
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 Street Rehabilitation Project, CIPNo. 5765 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 2024 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.

17.E

\wOQG’ 10035-—
QAW“DLO

STREETREHABILITATIONPROJECT
CIP N0. 5765
BIDDER'SPROPOSAL(cont’d)

BIDSCHEDULE
BASEBID — STREETREHABILITATIONPROJECT, CIP N0. 5755
EXTEND

ITEM ESTIMATED UNIT ED DESCRIPTION UNIT ITEM

NO QUANTITY PRICE AMOUNT
1 MOBILIZATION (NOTTOEXCEED LS 1
5A.)
2 TRAFFIC&PEDESTRIANCONTROL LS 1
3 CLEARING, GRUBBING,REMOVALS LS 1

TEMPORARYCONSTRUCTION
4 SIGNAGE EA 11
5 WATERQUALITYCONTROL LS 1
6 REMOVEEX.A.C.PAVEMENT& SQ FT 343,620 BASE
CONSTRUCT035' OFAC
7 PAVEMENT TONS 6,380
CONSTRUCT0.33'OFAC.
8 PAVEMENT TONS 2,629
CONSTRUCT0.95'OFCLASSII
9 AGGREGATEBASE CUYD ”42
CONSTRUCT0.75'OFCLASSII
1° AGGREGATEBASE CUYD 2’510
CONSTRUCT0.60'OFCLASSII
11 AGGREGATEBASE CUYD 907
CONSTRUCT050' OFCLASSII
12 AGGREGATEBASE CUYD 3'07“

ADJUSTEXISTINGMANHOLE&
13 EXISTINGWATER/GASVALVETO EA 47

FINISHSURFACE

REPLACEXISTINGSTRIPINGPER

CALTRANSSTANDARDS&
14 SPECIFICATIONSPERSTD.A20A, LF 6445
DETAIL#22
OC’

17.E

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STREETREHABILITATIONPROJECT
CIP NO.5755
BIDDER'SPROPOSAL(cont’d)
BASEBID- STREETREHABILITATIONPROJECT, CIP NO. 5765

EXTENDE

ITEM ESTIMATED UNIT D DESCRIPTION UNIT ITEM

NO QUANTITY PRICE AMOUNT

REPLACEXISTINGMARKINGS

PERCALTRANSSTANDARDS&
15 SPECIFICATIONS PERSTD.A24D, EA 3°
A24FA24G

REPLACEDAMAGEDTRAFFIC
16 LOOPSPERRIVERSIDECOUNTY EA 13
STANDARDPLANNO.1206
REMOVE&RELOCATEEX.STREET
17 SIGNAGEPERCOHSTD.DWG.NO. EA 1
G-81
INSTALLCLASS"B"CENTERLINE
18 MONUMENTS EA 16
PREPAREPRE-&POST19 CONSTRUCTIONCORNER EA 4

RECORDS

INSTALLBLUEDOTHYDRANT
zo MARKERPERCOHSTD.DWG.NO EA 17 \
, W-7OOB ”XL
21 CONSTRUCTTYPE"A"12"AC LF 841
DlKE

CONSTRUCTSMOOTHPAVEMENT
22 TRANSITIONJOINT EA 12

TOTAL BASEBID
************H********************** END OF BASE BID ITEMS ADDITIVEA BID ITEMS As FOLLOWS:

ITE EXTENDE ESTIMATED D
M DESCRIPTIONOF ITEMS U?" :32; ITEM
No QUANT'TY AMOUNT
A1
TOTALBIDADDITIVEA mbers)
*********H****~k***************~k END OF ADDITIVEA BID ITEMS *********~k****~k*************~k***

17.E

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STREETREHABILITATIONPROJECT
cw No. 5765
BIDDER'SPROPOSAL(cont’d)
BASE BIDTOTAL (in words) 6 (I
mam 8W mums Lama.

Contractor's Initials
ADDITIVEA BIDITEMSTOTAL (in words)
Contractor's Initials
In the event of a variation between the unit price and extended total, the unit price will be used and the corrected extension willbe considered as the amount bid. Ifthe bid isillegible and cannot be reconciled it willbe 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/ deductive or alternate bid items/schedules, or to otherwise add or remove certain work 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 blindmethod selected by the Agency. Ifonly 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 irregularitylies), 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.