Agenda — Hemet City Council, September 24, 2024 (part 9 of 17)

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STREETREHABILITATlONPROJECT
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 Bid may be rejected.

Complete the following:

Calmex Engineering Inc | Dir 1000005380 | License: 685954A Legal name of the business, DIRReg. and Contractor License Nos.

Corporation
Business Type (Corporation, Partnership, Sole Proprietor) DBA(if any)
Robert J Stone- President
Name and title of the owner
Travis Bomhoff—VP of Operations
Name and title of second partner or officer
2750 S LilacAve Bloomington CA 92316
Business Address
909—546-131 1
Telephone number

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STREETREHABILITATIONPROJECT
CIP No. 5765
BIDDER'SPROPOSAL(cont’d)
909-874-9463
Facsimile number
Robert J Stone- President | [email protected]
Name and Email address of primary contact
N/A
Company address
8/8/2024 8/8/2024
Signatu of Bidder Date of er Date
Robert J Stone—President Travis Bomhoff—VP of Operations Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate officersare required.)

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

CERTIFICATEREGARDINGCONTRACTOR'S LICENSE

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 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 Iicense(s) which:
a. Bears the license number(s) 685954 A
b, Expi on‘ 3/31/2026
8/8/2024 8/8/2024
Signature of Bidder Date of Date
Robert J Stone- President Travis Bomhoff—VPo? Opera-Hons 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.

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said Bidshall be accepted by the Agency and the Undersigned shall execute nd deliver Contract in the form attached hereto (properly completed in accordancew h said Bid) nd shallfurnish bonds required for his/her/itsfaithful performance of said C ntract and paym perfo ishing conn
th, an respe tract c cepta
‘ el

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

BIDSECURITYFORM FORCHECK
NOTE:THEFOLLOWINGFORMSHALLBEUSEDINTHECASEOFCHECKACCOMPANYINGBID Accompanying this proposal is a CertifiedCheck or Cashier’sCheckpayable to the order of the City of Hemet, hereinafter referred to as "Agency",for
k dollars ($ 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 a
a
it
a
o
for the ent of all persons rming labor or furn materials in ection therewi d shall in all other cts perform the Con reated by ac nce 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 Bidd Date
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.)

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v:- n6 men
Swiss Re Gorgon-?eSolutions America Insurance Co

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

BIDSECURITYFORM FOR BOND
KNOWALLBYTHESEPRESENTS:

That the undersigned
Calmex Engineering. Inc.
(Name of Contractor)
as Principal and the undersigned *asSurety are held and firmly bound unto Owner, CITYOF HEMET, a political subdivision of the State of California, as obligee, in the penal sum of Ten Percent of Amount Bid--- Dollars($ --10%-- I lawful money of the United States of America being at least ten percent (10%) of the aggregate amount of said Principal’sbase 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. *Swiss Re Corporate Solutions America Insurance Corporation WHEREAS,said Principal is submitting a Bidfor Street Rehabilitation Project - Capital Improvement Project No. 5765
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 shallwithin 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 15th day of August 20%
(Month)
Calmex Engineering,
(Corporate Seal) By
Principal RU 8T0 PY
By
Surety
(Corporate Seal) By
rporatio
n

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VALEIIAmum
usury Pub“: .uumm. x
Sm Illnlrdlnu cum i
Commkmm:1 2mm
‘
My commmm m s.201-

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 Bernardlno
On August 16, 2024 before me, Valeria Barajas, Notary Public (insert name and title of the officer)
personally appeared Robert J- Stone
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/herltheir 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 officialseal.

Signature (Seal)

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.W
, Anderson
Mmz/JM 7 /
Sig
My Com Exp

COLO A ONO A YACK OWLEDGE E T
( D VI AL)
State of Colorado
County of Denver
This record was acknowledged before me on Au9U$t15thv2024 (date) by Jodv L. (name[s] of individual[s])
(Seal)
nature of Notarial Officer
Caroline Marie Holmes
Notary Public
Title of Office
MyCommission Expires 02/22/2028
Copyright © 2018 NotaryAcknowledgement.com. AllRights Reserved.

LINE MARIE HOLMES
Notary Public
State of Colorado
Notary ID # 20244007694
ires

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KNOW ALL MENm' mesa PRESEN | 5 mar sacsmc cm‘poraiin Iy organized and existing under ohhe Sm: {Missnum having ils principal of?ce in lhe Ci|y orkansas Ci|_\‘rMissouri. d SRCSPI carporalion organned and :xis? nder [be In“ orrire Slaie Missouri and iraring irs prinripai unite in iht criy oiKansasCi Missouri, \VIC.organized under lh: iarrs o Slalz orMi sari.and ira principalof?ce in meCiry ofKansas Ciry. Missouri, each docs ehy mak __’__JQINILY_Q&S_E_ERALLL_—.——
abligale niircnaur
iarr-.rag iarr,cunrr
,, TWO HUFQREDMILLION (520000000000) DOLLARS
"RESOLVEDrmarany luo ofmc Pizsidcm. any Managing Diicclm. any Senior Vi Prcsrdcni Vice President, c Summary oi any crumrybe. and each or any uflhum hereby is:xuihorized m media a Poiier orAIlom qualifying nuomc)‘ named “I: given Power u iomcy in mm: on hehalfoflh: Coxpmalion bonds, undcriakings and anconuacls o army. and each many eh m hereby is aulhor csiio meusmiion afany such PoxieroMuomc-y audio anach ihcrcin Ili On Ihis mu day or APR"- .m 24 ibchm:ma. 2 Noiary Public persnnally appeared EnL Janssuis .Senior Vice PresidcniofSRCS/UC and ScnkwrVice Prcsr'dcnrammo Scmol Vice PresxdznlafWIC and gcraid Jagmriski .vii-s Pmsidcmdisacsmc and V|CE Prnsidrm or SPCSPICand Vice Picsidcnl dr\\'ic. parsmia?ymun Io Ma nirn being by me duly s\\um,ackno\\lcdgcd lhal[hey Signed"I: abme Poutr anIlcmEy as uniceis ofand acknuuledged said inslrumzni k) be m:\‘o|unmn an and deed oflhcii vespg we nlpanics KnmnM’g’zweda.

I: y Gaidhm, as has emand Assislanl Szclclarv orsRCkAi SRCSPIC said SRCSAIC
S\\’ISS RE CORPORATE SOLUTIONS
SWISSRE CORPORATESOLUTIONSAMERICA INSURANCECORPORATION("SRCSAIC") SWISSRE CORPORATESOLUTIONSPREMIERINSURANCECORPORATION("SRCSPIC“) WESTPORTINSURANCECORPORATION ('WlC")
GENERAL PO‘VER OF ATTORNEY
, a n du laws 0 and
an C, a ng u 's of
ty, and fthe ss ying its
her e. constitute and appoint:

BRAD MOODY, EVAN E. MOODY, ANDREWJ. WATERBURY, KARENA. FEGGESTAD JODY L. ANDERSON, ELIZABETHOSTBLOM, and REGINA R. HROVAT Its true and lauful Attomey(s)-in-Fact. to make, execute, seal and deliver, for and on its behalfand as its act and deed, bonds or other writings ry i re ofa bond on behalfofeach ofsaid Companies, as surety, on contracts of suretyship as areor may be requiredor permittedby ulal act or othem'ise, providedthat no bond or undertaking or contract or suretyship executed under this authority shall exceed the amountof:

This Power ofAttomey is granted and is signed by facsimile under and by the authority ofthe following Resolutions adopted by the Boards of Directors ofboth SRCSAIC and SRCSPICat meetings duly called and held on the 18th ofNovemberZOZl and \\’IC by written consent ofits ExecutiveCommitteedated July I8. 20 Il .
ce any th Assistant
Se ey the in f
At Is that he ized to
an e seal ofthe Corporation; and it is
FURTHER RESOLVED, that the signature ofsuch of?cers and the seal ofthe Corporation may be af?xed to any such Power ofAttomey or to any certi?cate relating thereto by facsimile, and any such Power ofAttomey or certi?cate bearing such facsimile signatures or facsimile sealshall be binding upon the Corporation when so af?xed and in the future with ard to any bond, undertaking or contract of surety to which it is attached." By
En." President 8 EAL
Senior Vice of\\'IC
J-grovrsli. Vice 5 Vice President ol'SRCSI’IC
a wrc
IN WITNESS WHEREOF, SRCSAIC, SRCSPIC.and WIC have caused their seals to be hereunto a?ixed. and these presents to be signedby their authorizedolIicers
thisZéTH day of APRIL 20 24
Swiss Re Corporate Solutions America Insurance Corporation State oflllinois Swiss Re Corporate Solutions Premier Insurance Corporation Countv of Cook E “'estport Insurance Corporation
Notary
I, the duly elected C and and WIC, dohereby certify that the abote and foregoing is a true and correct copy ofa Ponero given by and SRCSPIC and WIC.whichis stillin full force andeffect IN WITNESS WHEREOF, I have set mv hand and af?xed the sealsofthe Companies this15thday of AUEUSI 20 2.4.

MN MS DA Goldberg, SeniorVice President2.-
Assistant Secrelary'ofSRCSAICand
Scum 26 2027 SRCSPICandWIC

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Engineering

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

NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODESECTION7106

NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID The undersigned declares
I am the PreSident of Calmex 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 55/8/2024 date], at Bloomington city], Calfornia
8/8/2024 8/8/2024
Signature of Bidder Date Signature of Bidder Date
Robert J Stone- President Travis Bomhoff-VP of Operations Print name and title Print name and title
(Ifthe Bidderis a corporation, two signatures ofcorporate o?icersare required.)

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Da
Da

STREETREHABILITATIONPROJECT
CIP No. 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: Please see attached refrence List
Contract Price: te of Completion:

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

Project Name:

Contract Price: te 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)

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Calmex Engineering, Inc.

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project References (Prime Jobs)
California Department of Transportation
11-2N0224, Rte. 78
Mehrdad Nabizadeh
619-688-6699
$10,711,207
February 2019
California Department of Transportation
11-2N0124, Rte. 8/163
Rene Figueroa
858-688-1551
$6,301,679
March / 2020
California Department of Transportation
07-3W7704, Rte. 60
Martin Sandoval
213-897-3656
$4.130,036
December / 2020
California Department of Transportation
08-1K5604
Lan'y Canuti
760-985-5825
$250,381
June / 2019
CaliforniaDepartment of Transportation
11-3A2664
Shawn Rizzuto
619-688-3377
$309,214
October I 2020
California Department of Transportation
08-1K1104 Rte. 15
KhoiVu
760-324-3496
$250,000
June / 2018
California Department of Transportation
Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

California Department of Transportation
11-2N0214, Rte.5
Genaro Genel
619-688-6699
$4,006,419
January / 2020
California Department of Transportation
08-1J9404, Rte. 18
John Santos
909-383-4631
$224,000
September] 2020
California Department of Transportation
11-3A0224
Shawn Rizzuto
619-688-3377
$285,549
July / 2017
CaliforniaDepartment of Transportation
08-1 F5204 Rte. 40
Thanh Pham
951-232—7262
$5,535,659.00
October / 2016
CaliforniaDepartment of Transportation
11A3013-Emergency Repair
Trung MinhTran
619-688-3377
$241,127
December / 2019
California Department of Transportation
11-3A0734Rte. 67
Trung MinhTran
619-688-3377
$285,249
October/ 2017
California Department of Transportation

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Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:
07-4U0404 RTE 101
Mena Wassef
805-480-4928
$909,935
October I 2021
California Department of Transportation
09-385804 RTE 58
Joselyn Vidaca
760-937-1512
$824.134
October / 2021
California Department of Transportation
09-387904 RTE 190
Justin Castleberry
760-937-3758
$4,746.71 3
November] 2021
California Department of Transportation
11A3161 Rte 163 MinorB
Ben Haney
858-518-8709
May / 2022
California Department of Transportation
11-2N0574 Rte 68
Ben Haney
858-518—8709
$3,481,933
May/ 2022
California Department of Transportation
07-4W9304 Rte 105
Jose Ferrer
562-572-5031
$3,714,540
June I 2022
Town of Apple Valley
Cold MixOverlay 2022
Rich Burger
760-240-7000
$1,083,562
January / 2023
City of Rialto
2021 Street Overlay
Amr Abuelhassan
909-262-7858
$11,680,000
June / 2023
Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:
12-084704 RTE 90
Arezo Ghiam
949-278-4124
$1,651,847
October / 2021
California Department of Transportation
08-1K8404 RTE247
Khoa Nguyen
951-232-8611
$3.158,880
November / 2021
Town of Apple Valley
Stoddard Wells Rd
Rich Burger
760-240-7000
$1,648,685
December / 2021
California Department of Transportation
11A3375 Rte 5 MinorB
MikeVasquez
858-688-131 8
$224,232
May I 2022
California Department of Transportation
07-319204 Rte 91/105/110/405
Dan Cortez
213-793-7945
$1,829,772
June I 2022
California Department of Transportation
08-1N3904 Rte 10 ELB
Ramadan Farag
909-91 5-4928
$354,863
July/ 2022
California Department of Transportation
08-1M1104Rte 215
Kee Ooi
951-840-8323
$8,164,190.00
September / 2022
City of Hemet
Citywide Pavement Rehab
Jorge F Perez
909-544-9451
$3,425,614.03
January / 2023

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Agency: San Bernardino County Department of PW Agency: California Department ofTransportatio n Project Name: MountainAve and Other Road Project Name: 12-0T6404 Rte 72 Contact: Carlos Seanez Contact: MikeEzzedine
Phone: 909-486-0277 Phone: 949-279-8744
Contract Amount: $7,890,913.00 Contract Amount: $945,740.61 Completion Date: August / 2023 Completion Date: Feburary/ 2024 Agency: California Department of Transportation Agency: Town of Apple Valley Project Name: 11-2N1644 Rte 8 Project Name: Cold MixOvertay 2023 Contact: Daniel Hernandez Contact: Rich Burger
Phone: 760-594-2008 Phone: 760-240-7000
Contract Amount: $4,254,409.02 Contract Amount: $1,370.000 Completion Date: May/2024 Completion Date: 11/2023

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Calmex Engineering, Inc.

Agency:

Project Name:

Prime Contractor:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Prime Contractor:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Prime Contractor:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Prime Contractor:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Prime Contractor:

Contact:

Email:

Contract Amount:

Completion Date:

Agency:

Project Name:

Prime Contractor:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Prime Contractor:

Contact:

Phone:

Contract Amount:

Completion Date:

Project References (Sub Jobs)
California Department of Transportation
07-304004
O'Donnell
Neil
909-394-4510
$182,095
July / 2020
California Department of Transportation
08-347704, Kramer Junction, Rte. 395
KiewitInfrastructure West Co,
Chris Otey
206-462-8987
$836,468,133
December] 2019
CaliforniaDepartment of Transportation
11-2T2184, l]5 North Coast Corridor, Seg 1B, 2 & 3
Flatiron-Skanska-Stacy and Vl?tbeckJV
Dave Sharpnack
951-295-3140
$1,092,047.030
December I 2021
SANDAG
South Bay Bus Rapid Transit Segment 2
FlatironWest, Inc.

Chris Wyss
858-736-5166
$647,895
December I 2018
Caltrans
07-312604 Rte 5
SEMAConstruction
Mac Delaney
[email protected]
$208,620
December I 2019
Machado Lake Pipeline Eastern Ranch
OHL
Brendan Sainz
949-400-3836
$123,818
November] 2019
CaliforniaDepartment of Transportation
08-165504 RTE 40
RVConcrete
Brian Pinkerton
714-888-1104
$182,984
October I 2021
Agency:

Project Name:

Prime Contractor:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Prime Contractor:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Prime Contractor:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Prime Contractor:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Prime Contractor:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Prime Contractor:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Prime Contractor:

Contact:

Phone:

Contract Amount:

Completion Date:

CaliforniaDepartment of Transportation
08-0075U4, Rte. 60 in Riverside
J.McLoughlin Engineering
Joe McLoughIin
909-721-1011
$1,043,347,790
December] 2021
City of Los Angeles
Sampson Way
Kiewit
Shane Cunningham
562-946-1816
$430,416
October I 2019
Orange County Sanitation District
Consolidated Demo & UtilityImprovements
Flatiron West, Inc.

Glenn Polk
909-441-0979
$502,937
September] 2019
SANDAG
South Bay Bus Rapid Transit Segment 3
Pulice Construction, Inc.

Lucas Cardenas
916-929-2856
$292,955
October ] 2018
Eastern MunicipalWater District
Perris ll Desalination Facility Project
Kiewit
Mike Sippl
201-522-9024
$36,958
October] 2020
CaliforniaDepartment of Transportation
11-404604 Rte 56
FlatironWest, Inc.

Chris Wyss
858-736-5166
$122,448
July I 2020
California Department of Transportation
08-1K1904RTE 15
Velarde Concrete Constmction, Inc.

Amanda Velarde
818- 898-2300
$163,459
October I 2021

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Agency: California Department of Transportation Agency: CaliforniaDepartment of Transportation Project Name: O8~1G5504RTE 40 Project Name: 08-1K1904RTE 15 Prime Contractor: RVConcrete Prime Contractor: Velarde Concrete Construction.Inc.

Contact: Brian Pinkerton Contact: Amanda Velarde
Phone: 714-888-1104 Phone: 818- 898-2300
Contract Amount: $182,984 Contract Amount: $163,459
CompletionDate: October / 2021 Completion Date: October] 2021 Agency: CaliforniaDepartment of Transportation
Project Name: 07-4W5904 RTE 33
Prime Contractor: Intermountian Slurry Seal
Contact: Randy Contreras
Phone: 775-745-9021
Contract Amount: $327,348
Completion Date: October] 2021

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0mg) co.

SWMCA
Qcmgwércm ‘ MW
Smwax/1

STREETREHABILITATIONPROJECT
CIP No. 5765
BIDDER'SPROPOSAL(cont'd)
DESIGNATION0F SUBCONTRACTORS
Name of Subcontractor
and Location of Place Description and Subcontractor’s DIRRegistration of Business Percentage of Work License No. Number
(Bidder to attach additionalsheets if necessary)
(PUBLICCONTRACTCODE§4100 ETSEQ.)
,PGKWWW mmAdju?WNW
W5"? \boooo\0‘5\ sz/m , (A 2x01»
WW3
55‘ ’ ELMOO \oooooozw
QQEHQM \(zemova Q?)
(WW WWW 35H- 30%51 WOOOOW?)
USA/H \OOOOO
(WW , CA
Cagewmd

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5120.0
IULV“gt-H

STREETREHABILITATIONPROJECT
CIP No. 5765
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 Bidderwithin 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 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
Bymy 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 nondiscrimination in employment will be complied with; and that the principal of equal opportunity in employment will be demonstrated positively and aggressively.

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720)

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 Bidderwho has a proprietary interest in such Bidder, has never been disqualified, removed, or otherwise prevented from bidding on, or completing a Federal, State, or localgovernment 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.

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 (SOQ).
b. [Please complete or strikeout the following as inapplicable] Subsequently, on or about and Contactor submitted further
information supplementing for foregoing Statement of Qualifications c. Allinformation described above is referred to as the ”Qualification Information." d. Contractor has carefully reviewed all Ofthe 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.

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

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CERTIFICATIONOF
[Insert other Owner-specific certifications, if applicable. Otherwise, delete.] BIDDER:
8/8/2024
Signature Date Signature Date
Robert J Stone- President Travis Bomhoff-VP of Operations Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate o?icersare required.)

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APPEND X 1

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)‘fozl-l .
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 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 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 integrated into their proposal, Contractor acknowledges receipt of Addenda No.(s
The undersigned has examined the current State of California schedule of prevailing wage rates for the types of work to be done on this project (and the Davis—Bacon Act if the Agency uses federal funds for the Project) and agrees to pay not less than these rates.

The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the 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.

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

BID SCHEDULE
BASEBID- STREET REHABILITATION PROJECT, CIP NO. 5765

EXTENDE

ITEM ESTIMATED UNIT D
NO
DESCRIPTION UNIT QUANTITY PRICE Angs
t/
INT

MOBILIZATION(NOTTOEXCEED
1 0 LS 1 - _ 5An) “30.000 “30.000
2 TRAFFIC&PEDESTRIANCONTROL LS 1
(JAIMS msums
3 CLEARING,GRUBBING,REMOVALS LS 1

TEMPORARYCONSTRUCTION
4 EA 11 SIGNAGE Lfsbb’ l—‘I'. Ann’
5 WATERQUALITYCONTROL LS
1I-.500' '4- 900‘
5 REMOVEEX.9A3: PAVEMENT& SQ FT 343,620
IA?- Klimt-TH.‘
lo CONSTRUCT0.35'OFAC
7 PAVEMENT TONS 6’380
nc: 4511400
CONSTRUCT0.33'OFAC — 8 PAVEMENT TONS 2,629
”5‘ R0135 5_
9 CONSTRUCT095' OFCLASSII CUYD AGGREGATEBASE 1“; m M“—
CONSTRUCT0.75'OFCLASSII
1° AGGREGATEBASE CUYD 25“) qs‘
CONSTRUCT0.60'OFCLASSII
11 AGGREGATEBASE CUYD 907
‘73‘ 66.3“
‘
CONSTRUCT050' OFCLASSII
12 AGGREGATEBASE CUYD 3‘070 73 amIIO‘

ADJUSTEXISTINGMANHOLE&
13 EXISTINGWATER/GASVALVETO EA 47 _ FINISHSURFACE IH30 (CI 5Ln'

REPLACEEXISTINGSTRIPINGPER

CALTRANSTANDARDS&
14 SPECIFICATIONSPERSTD.A20A, LF 5445
DETAIL#22 I.95 ‘6.056.
15 Hanna. HO .nOD‘
1,642

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'L)
?kk*****nmwtkmnm
Qttmhtm?atnmma

STREETREHABILITATIONPROJECT
CIPN0. 5765
BIDDER'SPROPOSAL (cont’d)
BASE BID- STREETREHABILITATIONPROJECT, CIP NO. 5765

EXTENDED
":2" DESCRIPTION UNIT gammy:3; ITEM
AMOUNT

REPLACEEXISTINGMARKINGS
15 PERCALTRANSSTANDARDS& EA 30 SPECIFICATIONSPERSTD.A24D, _ _ A24F,A24G 31191%_IGO

REPLACEDAMAGEDTRAFFIC
1e LOOPSPERRIVERSIDECOUNTY EA 13 _ STANDARDPLANNO.1206 5110’ 6,116.0 REMOVE&RELOCATEEX.STREET
17 SIGNAGEPERCOHSTD.DWG.NO. EA 1
G-810(A-C) "Ilb ' I-mo‘
INSTALLCLASS"B"CENTERLINE
18 MONUMENTS EA 16 600‘ 41”“.

PREPAREPRE-&POST19 CONSTRUCTIONCORNER EA 4
RECORDS ’JIoo‘ SOo'

INSTALLBLUEDOTHYDRANT
zo MARKERPERCOHSTD.DWG.NO EA 17 _ W-7OOB I5‘ 1155
21 CONSTRUCTJILIEE "A 12' AC LF 841 - , I ‘1: I5- I32
22 CONSTRUCTSMOOTHPAVEMENT EA 12 TRANSITIONJOINT I .1130 TOTAL BASEBID (numbers) Q_e1g,|qq _ 0
************************************ END OF BASE BIDITEMS ADDITIVEA BID ITEMS AS FOLLOWS:

ITE
M
No
A1

EXTENDED ESTIMATED
DESCRIPTIONOF ITEMS U?" :R?IIcIIIE
ITEM

QUANTITY AMOUNT
TOTAL BID ADDITIVEA (numbers)
END OF ADDITIVEA BID ITEMS ******‘k************************* ,L-lhhPage 62 of 202

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m1 n.

STREETREHABILITATIONPROJECT
CIP NO. 5765
BIDDER'SPROPOSAL (cont’d)
BASEBIDTOTAL (in words my“. IAD
WV" 6M
Contractor's Initials
ADDITIVEA BIDITEMS TOTAL (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. lfthe bid is illegible and cannot be reconciled it will be considered non-responsive and will not be considered for award.

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

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

Regardless of whether the additive/deductiveor alternates bid items will be considered in determining the low bid, the Agency may elect to include any or none of the additive/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’s determination as to the reasonableness 6f 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.

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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.

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

Complete the following:

AllAmerican Asphalt 1000001051 267073
Legal name of the business, DIR Reg. and Contractor License Nos.

Corporation
Business Type (Corporation, Partnership, Sole Proprietor) **N/A**
DBA(if any)
Mark Luer President
Name and title of the owner
Edward J Carlson. Vice President
Name and title of second partner or officer
400 East Sixth St Corona. CA 92879
Business Address
951 -736-7600
Telephone number

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STREETREHABILITATIONPROJECT
CIP No. 5765
BIDDER'SPROPOSAL(cont'd)
951-736-7646
Facsimilenumber
Maurice Ramirez , project manager
Name and Emailaddress of primary contact
www.a||americanasphalt.com
Company web address
Signature Date Signature of Bidder Date
Edward J Carlson, Vice President Michael Farkas, Secretary Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate officersare required.)

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ecretary

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.0-12 Contractor’s Licenses

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

3. Contractor declares, under penalty of perjury, that he/she/it possesses the required Contractor's |icense(s) which:
a Bears the license number(s)' 267073
b. Expires on
1/31/2026
Signature of der Date Signature of Bidder Date
Edward J Carlson Vice President Michael Farkas. S
Print name and title Print name and title
(If the 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.

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STREETREHABILITATIONPROJECT
ClP No. 5765
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 ofthe following occurs:

A. Ifsaid Bid shall 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.

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.) **bidbond included**

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(5
Asphat M,&
pal? "
BondNo. 08597423
BidDate: 08/27/
2024

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

BIDSECURITYFORM FOR BOND
KNOWALLBYTHESEPRESENTS:

That the undersigned
AllAmericanAsphalt
(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 Ten Percent of Total Amount Bid----- Dollars 10% of 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 STREETREHABILITATIONPROJECT— CIP No. 5765 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 shallwithin 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 2nd day of August 20 24.
(Month)
AllAmerican
(Corporate Seal) By
Princi ““30" ' VP
Fidelity and Deposit Company of Maryland
Bv
Surety Rebecca Haas—Bates,Attorney-in-Fact
(Corporate SeaI) By

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I I §
mm» mncom
NotaryPublic- Czlllnrnia
RiversideCnunly
Ccmmissionamom
MyComm.ExpiresMay21, um
before Kalhryn Marconi NotarvPublic
Hera Ins-r1 namemu7m: 01meOf?ce!
,
who proved to me on the basis of satisfaclory eviden to be the person(s) whose name(s) lslaie subscribed lo the with nslrument and acknowledged to me lhat NIB/W execuled same In
his/Remit authorized Capacilyaes). and that by slums;

OF PERJURY
9 paragraph is
a! Nollry Pub“:

Carlson
AllAmerican Asphalt
Vice President
CAL FORM A ALL-PURPOSE ACKNOWLEDGEMENT c V L CODE 1189
A notary public or other of?cer completing this certi?cate veri?es only the identity of the individualwho signed the document to which this certi?cate is attached. and not the truth?llness. accuracv. or validitv of that document.

State of California
County of Riverside
On 08/06/2024 me. .

Date
personally appeared Edward J Carlson
Name(s) of Signer(s)
ce
in i
the
hi
signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
5 I certify under PENALTY under the laws of the State of California that the forgoin true and correct.

WITNESS of?cial seal
Place Notary Seal Above Signature

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

Description of Attached Document
Title or Type of Document Bid Bond
Document Date: 08/02/2024 Number of Pages: One (1)
Signer(s) Other Than Named Above: Rebecca Haas-Bates (Attorney in Fact) Capacity(ies) Claimed by Signer(s)
Signer‘s Name Edward J. signer‘s Name
[:1 Individual 1:: Individual
X Corporate Of?cer — Title(s): a Corporate Of?cer — Title(s):

I:I Partner IIII: Limited D General El Partner I] a Limited a General D Attorney in Fact D Attorney in Fact
D Trustee Top of lhumb here D Trustee
Top of thumb here
u Other: u Other:

Signer is Representing Signer is Representing
RIGHTTHUMBPRINT RIGHT THUMBPRI 0FNTSIGNER OF SIGNER

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Notary
instrument wledged to that he/she/t‘hey executed
pacity?as). Mar/their natureZSontI-ie instrumentt
;
Signer Representing:

Idelity Deposit Company of Maryland
GAL FORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completingthis certificate verifiesonly the identityof the individualwho signed the document to whichthis certi?cate is attached, and not the truthfulness, accuracy, or validityofthat document.

State of California
County of Orange )
On 08/02/2024 before me, Alma Karen Hernandez, Public
Date Here Insert Name and Title of the Of?cer
personally appeared Rebecca Haas-Bates
NameMofSignerl‘s;
who proved to me on the basis of satisfactory evidence to be the personts} whose name(s} is/are subscribed to the within and ackno me the same in
his/her/theirauthorized ca and that by sig he person
or the entity upon behalf of which the personksl acted, executed the instrument. (s~), l certify under PENALTYOF PERJURY under the laws
of the State of Caiifomia that the foregoing paragraph
is true and correct.

WITNESS my hand and of?cial seal

ALMAKARENHERNANDEZ
Notary Public- California
Orange County _ Commissionat2390903 Signature
Comm.ExpiresJan ‘6: 2026 Signature of Notary Public
NNA‘i
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: Bid Bond Document Date: 08/02/2024 Number of Pages: One (1) Signer(s) Other Than Named Above: A“ America“ ASPhalt Capacity?es) Claimed by Signer(s)
Signer’s Name: Rebecca Haas—Bates Signer’s Name:

ElCorporate Of?cer — Title(s): :| Corporate Officer — Title(s):

Partner — Limited General _ Partner — Cl Limited General 2 Individual l2 Attorney in Fact Individual _ Attorney in Fact :I Trustee El Guardian or Conservator IIITrustee Guardian or Conservator ElOther: I: Other:
ls Signer ls Representing:

F and
@2014 NationalNotaryAssociation- www.NationalNotary.org- 1-800—USNOTARY(1-800-876—6827) Item #5907

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A“ mexs~t BC!
may. by written inslntment under the nttestcdcorporate seal, appoint attorneySvin-faclwithauthority to execute nds, policies. recognizances. stipulationsr undertakings. or other like instmmems on behalfol‘ the Compsny‘ hnd may authorize any of?cer any such attorney»in-fact to mix the corporate sealthereto; and may with or withnul cause modify orrevuke any such appointmentor auth ty at any time." CERT
.the under glued. Presi ZURICH AMERICAN INSURANCE COMPANY, theCOLONIAL AMERICANCASUALTY SURETY 0MP , and ITY AND DEPOSITCOMPANYOF MARYLAND, do hereby certify that lhl:foregoing Power and I do funher certify that Aniclc V, Section 8, ofthc By—Lawsof the {by

EXTRACT FROM BY-LAWS OF THE COMPANIES
"Article V, Section 8, . The Chief Executive Of?cer, the President, or any Executive Vice President or Vice President b0
or ori

IFICATE

SEAL SEAL

TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION

OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND, THE BOND NUMBER, AND YOUR CONTACT INFORMATION TO:

Zurich Surety Claims
1299 Zurich Way
Schaumburg, IL 60196-1056
800-626-4577
Authenticity of this bond can be con?rmed at bondvalidator.zurichna.comor 410-559-8790 I si Vice dent of the
AND C ANY the FIDEL
of Attorney is still in full force and effect on the date of this certi?cate; Companies is still in force.

This Power of Attorney and Certi?cate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998.

RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be af?xed by facsimile on any Power of Attorney...Any such Power or any certi?cate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certi?cate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIALAMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 10th day of May, 1990.

RESOLVED: "That the facsimile or mechanically reproducedseal of the company and facsimile or mechanically reproducedsignature of any Vice-President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certi?ed copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually af?xed.

IN TESTIMONYWHEREOF, I have hereunto subscribedmy name and af?xed the corporate seals of the said Companies, this 2nd day of August , 2024 .

Thomas 0. McClellan

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

NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODE SECTION7106

NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITH BID The undersigned declares:

I am the VIce PreSIdent of AIIAmerican Asphalt 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.

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 Q“,IZQ [date], at Corona city], California [state].

Signature Bid Date Signature of Bidder
Edward J Carlson, Vice PreSIdent Michael Farkas, Secretary Print name and title Print name and title
(ifthe Bidder is a corporation, two signatures ofcorporate officersare required.)

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Kathryn Marconi Notag Public
Hate mm name an: nunM m. 0mm
and acknowledged to me that helm/they executed he same Witheir autharized capacity?es). and that by Nam/tn KATHRth MARCONI signatura(s) on the instrument the person(s). or the entit upon beh NotaryPuhtK- Cattturma of whichthe person(s) acted. executed the instrument.

Rtvenldecaunzy
v , Cnmmlssian4 2490711 ‘
u , My(mm. mm May 1!. 2023
Signatu
nmy mu:

Edward J, Carlson Michael ,
marm—
AllAmerican Asghalt AllAmerican Asghalt
—
CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE 1189
A notary public or other of?cer completing this certi?cate veri?es only the identity of the individualwho signed the document to which this certi?cate is attached. and not the truthfulness. accuracv. or validitv of that document.

State of California
County of Riverside
On 08/06/2024 before meI V Date
personally appeared Edward J. Carlson and Michael Farkas Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) ie/are subscribed to the within instrument t in
eir
y alf
I certify under PENALTYOF PERJURY under the laws of the State of California that the forgoing paragraph is true and correct.

WITNESS my hand of?cial
Place Notary Seal Above of OPTIONAL
Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document.

Description of Attached Document
Title or Type of Document Non'COIIUSIonAf?daVIt
Document Date: 08/06/2024 Number of Pages: One (1)
Signer(s) OtherThan Named Above: N/A
Capacity(ies) Claimed by Signer(s)
Signers Name: Signer’s Name: Farkas
D Individual 1: Individual
X Corporate Of?cer — Title(s): X Corporate Of?cer— Title(s): Secretam a Partner El El Limiteda General D Partner .3 [3 Limited a General El Attorney in Fact [1 Attorney in Fact
El Trustee Top of thumb here
[I Trustee
TOPOfthumb here
in Other: D Other:

Signer is Representing Signer is Representing:

RIGHT THUMBPRIN

T RIGHT THUMBPRINT

OF SIGNER

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244.244

STREETREHABILITATIONPROJECT
CIP No. 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 hi s
subcontractor(s) have successfully constructed and completed projects with the same type (elements), size and complexity of work. The Agency Engineer will make the final determination of whether the projects listed here are of the same type, size and complexity as this project.

Project Name: PA 3.2A Street Improvement
Contract Price 00 Date of Completion 8/2023
Name, Address, and Telephone Number of Owner's Representative:

RMV Rea'tyu '“0 28811 Ortega Hwy San Juan Capistrano CA 92693 jeff ford 949-413-8899
Project Name Local Residential St. Improvement Proiect
Contract Price: 7,761,320-00 Date of Completion 12/2022 Name, Address, and Telephone Number of Owner's Representative:

Citv of Burbank 275 i: ?liun Rurhank (‘.A 91509
Artin Megerdichian (818) 238-3942
project Name DALES DR AND PARKRIDGE AVE STREET IMPROVEMENT Contract Price: 11025133500 Date of Completion 6/2022
Name, Address, and Telephone Number of Owner's Representative City of Westlake Village 31200 Oak Crest Dr.v Westlake Village, CA 91361 Roxanne Hughes (805) 890-8885
(Attach additional pages as necessary)

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2023

PAST WORK REFERENCES
'thaige‘rQlomahnda—ca.gov
khaymesQranchomv.com
s elletier am: .or
'fordQranchomvsom
abendel?monteremark£agov
City of Loma Linda
25541 Barton Road
Loma Linda,CA92354
Manhattan Beach, CA90266
Contact: Jarb Thaipejr (909) 799-2811
Euclid Land Venture, LLC
4450 Macarthur Blvd.,Ste 100
Newport Beach, CA 92693
Contact: Scott Kendall (949) 783-5341
City of AlisoViejo
12 Journey Ste #100
AlisoViejo, Va 92656
Contact: Shaun Pelletier (949) 425-2531
RMV Realty, Inc.
28811 Ortega HWY
San Juan Capistrano, CA92693
Contract: Jeff Ford (949) 413-8899
City of Monterey Park
320 w. Newmark Avenue
Monterey Park, CA91754
Contact: Anthony Bendezu (626) 307-1283
Pavement Rehab. at Various Location
s Contract Amount: $1,476,363.00
Start Date: 9/1/2023
End Date: 12/2023
Merrill Ave. Street Widening
Contract Amount: $915,915.00
Start Date: 4/2022
End Date: 2/2023
FY22-23 Slurry Seal & Rehab Project
Contract Amount: $1,595,650.00
Start Date: 5/2022
End Date: 5/2023
PA 3.2A Street Improvement
Contract Amount: $1,244,244.00
Start Date: 4/2022
End Date: 8/2023
2023 Street Rehabilitation Project
Contract Amount: $6,865,699.00
Start Date: 8/2023
End Date: 12/2023

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2023

PAST WORK REFERENCES
PeteAQcign?ullen
LLuiQontarioca.gnv
mlamging?riversidecagov
bdavisQnewgortbeachcagov
lrina.gurovicthostamesaca.gov
City of Fullerton
303 W. Commonwealth Ave
Fullerton, CA92632
Contact: Pete Acosta, Jr. (714) 738-6871
on.com
City of Ontario
303 East BStreet
Ontario, CA91764
Contact: Leonard Lui (909) 295-2401
City of Riverside
2900 Main St.

Riverside, CA 92522
Contact: Maria Lamping (951) 826-5146
City of Ontario
825 East Third Street
San Bernardino, CA92415
Contact: Samuel E. Nicorici (909) 387-7960
City of Costa Mesa
77 Fair Drive
Costa Mesa, CA92626
Contact: Irina Gurovich (714) 754-5324
Brookhurst Rd., SR91 St. Rehab
Contract Amount: $325,825.00
Start Date: 5/2023
End Date: 12/2023
2023 Fall Pavement Rehabilitation Project
Contract Amount: $4,569,222.00
Start Date: 08/2023
End Date: 11/2023
Permanent Trench Resurfacing
Contract Amount: $455,150.00
Start Date: 1/2023
End Date: 6/2023
Chino & Montclair Area Variours Roads
Overlay Project
Contract Amount: $5,639,575.88
Start Date: 9/2022
End Date: 7/2023
Slurry Seal Project
Contract Amount: $2,828,001.50
Start Date: 1/2022
End Date: 7/2023

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2022

PAS WORK REFEREN ES
bcardenas? manhattanbeach.gov
khaymesQranchomwzom
rhughesQwilIdan.com
amegerdichianQbu rbankca.gov
agerechigoihighlandmgg
bhaskelIQIporothe
City of Manhattan Beach
1400 Highland Ave.

Manhattan Beach, CA90266
Contact: Bianca Cardenas (310) 802-5357
RMV Realty, Inc.
28811 Ortega Hwy
San Juan Capistrano, CA92693
Contact: Kelly Haymes
City of Westlake Village
31200 Oak Crest Dr.

Westlake Village, CA91361
Contact: Roxanne Hughes (805) 890-8885
City of Burbank
275 EOlive
Burbank, CA91502
Contact: Artin Megerdichian (818) 238-3942
City of Highland
27215 Base Line St.

Highland, CA9234
Contact: Amanda Perez (909) 864-6861
C
Slurry Seal of Central Area of Sands Section
Contract Amount: $673,275.00
Start Date: 12/2021
End Date: 7/2022
Planning Area 3.1 Street Improvement
Contract Amount: $3,996,996.00
Start Date: 4//2021
End Date: 4/2022
Dales Dr. and Parkridge Ave Street Improv.

Amount: $1,025,336.00
Start Date: 5/2022
End Date: 6/2022
LocalResidential St. lmprov. Project
Contract Amount: $7,761,320.00
Start Date: 1/2022
End Date: 12/2022
Pavement Management Program
Contract Amount: $2,082,099.00
Start Date: 10/2021
End Date: 12/2022
The Metro Heights
Contract Amount: $2,675,250.00
Start Date: 11/2021
End Date:

Toll Bros, Inc.
725 w. Town & Country Road, Ste 200
Orange, CA92868
Contact: Brandon Haskell(714) 347-1360
rs.com

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2021

PAST WORK REFERENCES
enuner@moote,.c,om
Dianeghanmnmenuamqm
Toddlsnank©mmg42aéus
[email protected]
?shsr,@l3_ana.llqim.grg
City of Dana Point
33282 Golden Lantern
Dana Point, CA 92629
Contact: Scott Fisher (949) 248-3577
Colony Commerce
010 Caprock Partners
1300 Dove Street Suite 200
Newport Beach, CA92660
Contact: Eric Nutter (949) 428-1 400 Ext. 209
Lennar Homes
25 Enterprise #300
Aliso Viejo, CA 92656
Contact: Diane Hannon (949)349-8000
City of Marco
2870 Clark Ave.

Norco, CA 92860
Contact: Todd Shank (951) 270-5603
Los Angeles Department of Water and Power
1 11 North Hope Street, L-43
Los Angeles, Ca 9001 2
Contact: Joelle Morisseau (21 3) 367-01 23
Archibald St. Improvements
Contract Amount: $1,949,000.00
Start: 12/201 9
Completed: 12/2021
Merrill& Haven Street Improvement
Contract Amount: $1,481 ,832.1 5
Start: 6/2020
Completed: 12/2021
Wayne Makin Park Slurry Seal Project
Contract Amount: $52,725.89
Start: 10/2021
Completed: 12/2021
Pine Tree Power Plant Access Road Repair
Improvements
Contract Amount: $810,400.00
Start: 5/2021
Completed: 7/2021
Slurry Seal Project 19/20
Contract Amount: $1,897,897.00
Start: 04/2020
Completed: 05/2021

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AST W
wagmmgmnaamgox
ongz®anahejmmex
S?enhenala?an?qcnwichay?om
au@n,qnzvalkga-g
[email protected]
2021

RKRE EREN E
County of Orange
601 North Ross Street
Santa Ana, CA 92701
Contact: Stephen Clayton (714) 995-0206
City of Garden Grove
11222 Acacia Pkwy
Garden Grove, CA 92840
Navin Maru (714) 741 -51 80
F CS
Street Pavement Maintenance
&Rehab. Project No. 2020.01
Contract Amount: $3,471,178.00
Start: 6/2021
Completed: 1[2022
State College Boulevard Improvement
from Ball Road to SR 91 Freeway
Contract Amount: $484,848.00
Start: 8/2021
Complete: 4/2022
Rossmoor Collectors Grind &Overlay
Contract Amount: $ 2,148,320.90
Start: 4/2021
Complete: 1212021
Local Streets Rehabilitation
Zone 27 East of Gard - No. 7925.3
Contract Amount: $1,051,330.00
Start: 6/2021
Completed: 12/2021
Arterial STS. Rehabilitation
Contract Amount: $3,1 85,281.00
Start: 6/2022
Complete: 12/2021
City of Corona
400 South Vicentia
Corona, CA 92852
Contact: Barry Ghaemi (951) 736-2400
City of Anaheim
200 S. Anaheim Boulevard
Anaheim, CA 92805
Contact: Jose Cortez (714) 765-5039
/
City of NonNalk
12700 Norwalk Blvd.

Nonrvalk, CA 90650
Glen W. C. Kau (562) 929-5723

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STREETREHABILITATIONPROJECT
CIP No. 5765
Name of Subcontractor
and Location of Place
of Business

BMINIMCIMHL
Orange.OH
50%“)! 90wom"
Ma‘N-mgS ‘,
Bummode I CA
C“"\““d SUVVH\A’
0’0"?- [CA
BIDDER'SPROPOSAL (cont'd)

DESIGNATION OF SUBCONTRACTORS
Description and Subcontractor’s DIR Registration
Percentage of Work License No. Number
TrAGGK.Loops . I l
.‘Ao I.
6 LIE)‘6 IOOOOOIMO
ah; I: ' Pub .MwAl-anb’3‘}wa? .A‘I- IODOOUN’H)
9 u "”7 been
.on l’DooooI53")
(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE §4100 ETSEQ.)

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9 new.3
JULY202A

STREETREHABILITATIONPROJECT
CIP No. 5765
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 RATES AND 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 NON-DISCRIMINATION
By my signature hereunder, as the Contractor, Icertify that there will be no discrimination in employment with regard to race, color, religion, gender, sexual orientation, age or national origin; that all federal, state, and local directives and executive orders regarding non— discrimination in employment will be complied with; and that the principal of equal opportunity in employment will be demonstrated positively and aggressively.

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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 CONTRACT AMOUNT
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.

CERTIFICATIONREGARDINGDIR CONTRACTOR/ 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] 1000001051 Subcontractors’ registration numbers are as indicated in Document 00 4314
CERTIFICATION REGARDINGPREQUALIFICATIONINFORMATION [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 ISOQI
b. [Please complete or Strikeout the following as inapplicable] Subsequently, on or about and Contactor submitted further
information supplementing for foregoing Statement of Qualifications. c. Allinformation described above is referred to as the ”Qualification Information." d. Contractor has carefully reviewed all of the foregoing Qualification Information. e. [Please check and/or complete one ofthe following]
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.

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

Signature Bidder Date Signature of Bidder
Edward J Carlson. Vice President Michael Farkas.

Print name and title Print name and title
{Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.)

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APPENDX1

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will not be resgonsible

STREETREHABILITATIONPROJECT
CIP No. 5765

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.(s) 4—PLANET IDS
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.

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$155,050

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

BIDSCHEDULE
BASEBID- STREETREHABILITATIONPROJECT, CIP NO. 5765
EXTEND
T ED ITEM DESCRIPTION UNIT ?ring? :R'III'
CE
ITEM
° AMOUNT

MOBILIZATION(NOTTOEXCEED
5%)
2 TRAFFIC&PEDESTRIANCONTROL LS
L8 1
3 CLEARING,GRUBBING,REMOVALS LS

TEMPORARYCONSTRUCTION
4 SIGNAGE EA 11
5 WATERQUALITYCONTROL LS
6 REMOVEEX.AC. PAVEMENT& SQ FT 3431620 BASE
CONSTRUCT035' OFAC
7 PAVEMENT TONS 6,380
CONSTRUCT0.33'OFAC.
8 PAVEMENT TONS 2,629
CONSTRUCT0.95'OFCLASSII
9 AGGREGATEBASE CUYD “642
CONSTRUCT0.75'OFCLASSII
1° AGGREGATEBASE CUYD 2’510
CONSTRUCT0.60‘OFCLASSII
11 AGGREGATEBASE CUYD 907
CONSTRUCT0.50'OFCLASSII
12 AGGREGATEBASE CUYD 3’070

ADJUSTEXISTINGMANHOLE&
13 EXISTINGWATER/GASVALVETO EA 47

FINISHSURFACE

REPLACEEXISTINGSTRIPINGPER

CALTRANSSTANDARDS&
14 SPECIFICATIONSPERSTD.A20A, LF 6'445
DETAIL#22
$ lII,0
$222 0
$282,000
2H,2 00
.7295 $ 177.35
$525,3m.
b10
$55 $qo,3lo
S5
3155
$ Mfzs
o
$71500
$7, 73"?
$|upaa
222,000
2%2poo
$2,200
$1” {1",$190
$1” $Q°llf5H
55 2W1
$55
L700
$.20

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$70
(A-C)
“man".numn .....W??

STREETREHABILITATIONPROJECT
CIP NO. 5765
BIDDER'SPROPOSAL(cont’d)
BASEBID- STREETREHABILITATIONPROJECT, CIP N0. 5765

EXTENDE

ITEM ESTIMATED UNIT D

DESCRIPTION UNIT ITEM

NO QUANTITY PRICE AMOUNT

REPLACEEXISTINGMARKINGS
15 PERCALTRANSSTANDARDS& EA 30
SPECIFICATIONS PERSTD.A24D,
A24FA24G

REPLACEDAMAGEDTRAFFIC
1s LOOPSPERRIVERSIDECOUNTY EA 13
STANDARDPLANNO.1206
REMOVE&RELOCATEX.STREET
17 SIGNAGEPERCOHSTD.DWG.NO. EA 1
G-810
INSTALLCLASS"B"CENTERLINE
18 MONUMENTS EA 16
PREPAREPRE-&POST19 CONSTRUCTIONCORNER EA 4

RECORDS

INSTALLBLUEDOTHYDRANT
zo MARKERPERCOHSTD.DWG.NO. EA 17
W-7OOB
21 CONSTRUCTTYPE"A"12"AC. LF 841
DIKE

CONSTRUCTSMOOTHPAVEMENT
22 TRANSITIONJOINT EA 12
TOTAL BASEBID numbers)
************************************ END OF BASE BID ITEMS ************************************

ADDITIVEA BID ITEMS AS FOLLOWS

ITE EXTENDE

ESTIMATED D
M DESCRIPTIONOF ITEMS U?” :32; ITEM
No QUANTITY AMOUNT
A1
TOTAL BID ADDITIVEA umbers)
END OF ADDITIVEA BID ITEMS *****************************~k** $255
$550
$9,25

22. $3125
2,$32,000
$LOGG
woo
yq?ao
600°
$13602
l2 GO
O

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4' '41”:er€1ij“Amiga“; 4waAHwASAM} do,arg

STREETREHABILITATIONPROJECT
CIP NO. 5765
BIDDER'SPROPOSAL(cont'd)
BASEBIDTOTAL (in words)
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 will be considered non-responsive and will not be considered for award.

If an additive and/or alternate bid schedule is called for in the Contract Documents, the lowest bid will be determined on the basis of the base bid 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 blind method 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 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. w
2€f0
QI/
eh

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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.

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:

ONYX PAVING COMPANY, INC. // 1000004798 // 630360; A, C12 Legal name of the business, DIRReg. and Contractor License Nos.

CORPORATION
Business Type (Corporation, Partnership, Sole Proprietor) N/A
DBA(if any)
COREY R. KIRSCHNER - CEO
Name and title of the owner

JAY KIRSCHNER - VP SEC TREAS
Name and title of second partner or officer
2890 E. LACRESTA AVE. ANAHEIM, CA 92806
Business Address
714-632—6699
Telephone number

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14/ 8/26/2024 4/
Si atu atlééefgidd

STREETREHABILITATIONPROJECT
CIP No. 5765
BIDDER'SPROPOSAL(cont'd)
N/A
Facsimile number
COREY R KIRSCHNER - [email protected]
Name and Email address of primary contact
https://www.onyxpavingco.com/
Company web address
8/26/2024
re of Bidder Date Sign er Date
COREY R. KIRSCHNER - CEO JAY KIRSCHNER- VP. SEC. TREAS.

Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate officersare required.)

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xmmxchmemm.gmmW;mmm~m¢mthis: tm?xxx—mm
Oran
26 Corev R. Kirschner Nameg‘é Signed;
instrument
PaCiMieS).
execmed
strument t
hn
KWWMWWCWVW m“JcW¢mvkmwwavmzmcv mxwxcmxmx xxwl-waw‘cr/Mvws 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 oe )
On Auoust 9094 before me, | eslie Rocha Nntarv Public
Date Here Insert Name and Title of the Of?cer
personally appeared
of
who proved to me on the basis of satisfactory evidence to be the person(x) whose namemis/axe subscribed to the within and acknowledged to me that he/sKe/they the same in his/her/tbeir authorized ca and that by his/hner/theirsignature(8) on the in he person (sx), or the entity upon behalf of which the person(x) 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 d and official seal
NNAI
Signature
Signature of Notary Public
Place Notary Seal Above

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

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

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

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

Partner — 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:
@2014 NationalNotary Association - www.NationalNotary.org - 1—800-USNOTARY(1-800-876—6827) Item #5907

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Jav Kirschner , I
Name) Signed}!
executed
strument t

OF PEHJU
that the fa
.KWNWMQWKWYkWux‘cW’ZV vwzxxmwwcccrcwv‘cmwwu‘zfavxwxm?
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 Oranoe
On AIIQII512§ 2024 before me, I pelig Rnnha annru Pllhlir‘.

Date Here Insert Name and Title of the Officer
personally appeared
of
who proved to me on the basis of satisfactory evidence to be the person(8) whose name(x) is/axe subscribed to the within instrument and acknowledged to me that he/sKe/they the same in his/her/tbeir authorized capacity(ies), and that by his/hJer/theirsignature(8) on the in he person(x), or the entity upon behalf of which the person(x) acted, executed the instrument.

I certify under PENALTY RY under the laws
of the State of California regoing paragraph
is true and correct.

LESLIEROCHA ' - NotaryPublic_California
WITNESS my hand and offICIaIseal.

OrangeCounty
Commissionif2484949
Cmm- ExpiresMar 19, 2028 Signature
Signature of Notary Public
Place Notary Seal Above

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

Description of Attached Document
Title or Type of Document: Document Date
Number of Pages: Signer(s) Other Than Named Above:

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

Corporate Officer — Title(s): Corporate Officer — Title(s) Partner — Limited General Partner —— Limited General
Individual Attorney in Fact Individual Attorney in Fact Trustee Guardian or Conservator Trustee Guardian or Conservator Other: Other:

Signer Is Representing: Signer Is Representing:
@2014 NationalNotary Association - www.NationalNotary.org - 1—800—USNOTARY(1—800—876—6827) Item #5907

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/
/ 8/26/20
sag/é: Wm

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 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 |icense(s) which:
a Bears the license number(s) 630360; A, C12
b Expireson: 10/31/2025
8/26/2024 24
ure of Bidder Date Sign der Date
COREY R. KIRSCHNER - CEO JAY KIRSCHNER - VP SEC TREAS
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.

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

BIDSECURITYFORM FOR CHECK
NOTE: THEFOLLOWINGFORM SHALLBEUSEDINTHE CASEOF CHECKACCOMPANYINGBID Accompanying this proposal is a Certified Check or Cashier’sCheck payable to the order of the City of Hemet, hereinafter referred to as "Agency", for dollars (
, 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 Bid shall 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 another bidder.

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

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Sires! Rehabililallon Pro ecl, Capital Impmvernem Project N07575 ri Cb K.

Chrisma Rage

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

BIDSECURITYFORM FOR BOND

KNOW ALLBYTHESE PRESENTS
That the undersigned
Onvx Pavino Comoanv. Inc.
(Name of Contractor)
as Principal and the undersigned as Surety are held and firmly bound unto Owner, CITYOF HEMET, a political subdivision of the State of California, as obligee, in the penal sum of TEN PERCENT OF THE TOTAL AMOUNT BID------------- — Dollars ($ —--- 10% ----- Ilawful 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
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 WITNESS WHEREOF, the above bounden parties have executed this instrument this 22nd day of August , 2024.
(Month)
Onyx Paving Company, Inc.
(Corporate Seal) By
ncipal
By SiriusPoint America Insurance Company
Surety
(Corporate Seal) BY
rs, act
\{ifsmw' CED

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Page 1311 of 2581 ends

memmmA.£Wcmmmm_-Wu&mmmmm?xmoi
)
)
Corev R. Kirschner . NamewSigned;
instrumem executed
pacity?es), strument §

LESLIEROCHA
NotaryFuhlk- Gmoml.
cumcaumy .

Commission1 1mm
My(mum ExwesMarw 1025
.KMYXWIWWWW6!{CCWW?YCWWWWQWbrétzu’WWWKKYK‘W mmmw
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 certificate is attached, and not the truthfulness, accuracy, or validityof that document.

State of California
County of Orange
On AUGUSt22' 2024 before me, | nelip Pnr‘hn Nn‘l’nnl pl IhIir‘.

Date Here Insert Name and Title of the Officer
personally appeared
of
who proved to me on the basis of satisfactory evidence to be the person(x) whose name(s) is/aXe subscribed to the within and acknowledged to me that he/sMe/they the same in his/tner/tbeirauthorized ca and that by his/hEr/their signature(8) on the in he person(a), or the entity upon behalf of which the person(x) 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 official seal.

Signature
Signature of Notary Public
Place Notary Seal Above

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

Description of Attached Document
Title or Type of Document Document Date
Number of Pages: Signer(s) Other Than Named Above:

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

Corporate Officer — Title(s) Corporate Officer — Title(s) Partner — Limited General Partner — Limited General
Individual Attorney in Fact Individual Attorney in Fact Trustee Guardian or Conservator Trustee Guardian or Conservator Other: Other:

Signer Is Representing Signer Is Representing
@2014 NationalNotary Association - www.Nationa|Notary.org ° 1—800—USNOTARY(1-800-876-6827) Item#5907

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Page 1312 of 2581 ends

D
Orange )
AUG2 2 2024 before me,
ribed to Instrument wledged to me
r/tbein'au pac?y?as), Whermmixsig
Mshe executed
e“) on strumanu
CAL FORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVILCODE § 1139
Signature
Signature of

OPTIONAL
Number of Pages: Signer(s) Other Than Named Above
Capacity(ies) Claimed by Signer(s)
Signer's Name: Signer’s Name:
'— Corporate Officer — Title(s):

Other:

Signer is Representing
A notary public or other officer completing this certificate veri?es only the identity of the individualwho signed the document to whichthis certificate is attached, and not the truthfulness, accuracy, or validity of that document.

State of California
County of
On Melissa A. Lopez, Notary Public
Date Here Insert Name and Title of the Of?cer
Christina Rogers
Name(s) of Signer(s)
personally appeared
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(sl is/ane subsc the within and ackno that Mm the same in
his/he thorized ca and that by natur the in he person(s), or the entity upon behalf of which the person(§) 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 official
Place Notary Seal Above
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:

C Partner — Limited General
I Individual Attorney in Fact
T Trustee Guardian or Conservator
Signer ls Representing:
©2014 NationalNotary Association - www.NationalNotary.org - 1-800-USNOTARY(1-800-876-6827) Item#5907 MEL!SSAA. LCFEZ
Nata"; Pubic - C:

Orange Com
Commission:‘
Comm.ExpizesJun 28 7.025
Corporate Officer — Tit|e(s)
Partner — Limited General
Individual Attorney in Fact
Trustee Guardian or Conservator

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Page 1313 of 2581 ends

"‘4‘"in lherundm-k
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NOTARV

TNAEJAE LEWIS-SCOTT
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PERTAMOl 0823

POWER OF ATTORNEY

SIRIUSPOINT AMERICA INSURANCE COMPANY

NEW YORK
SiriusPoinlAmcrica
Sectclnry
Slate orNcw Jersey }
) ss. Counly ofMonrnoulh )
instrumentIis now in force.

IN TESTIMONY WHEREOFJhave heraunlo set my hand and af?xed my of?cial seal.

Stale of New Jarsey
Counly of Monmouth
Company
expires
Max. 1 I , 107
—?
KNOW ALL MEN BYTHESE PRESENTS: Thal SiriusPoinl Americalnsumce CrimpanyI a New York corporalinn.having its principalof?ce in lhe Cily ol'New York, pursuanl lo the following Resolu ion, which was adopledby lhc Boardol‘Diveclorsol'lhc Company. Io wit; RESOLVED, lhal lhe President,SeniorVice Presidenl,ChiefFinancialOf?cer.Secrelary o AssislamSecrclary is hereby authorizedlo exccule Power s ol‘Auomey appointing as anomeys-in-l‘aclselecled employees of cenain surely companieswho shall have the power for and on behalfoflhe Company lo execule and af?x lhe seal of Ihe Company lo surely conlracls as co-surely. Does ereby nom nale, conslilule and appoinl: Albert Melendez. Christina Rogers. Erik Johansson. Jennifer Anaya. Joaquin Perez, Melissa Lopez. Yu Cheng Ch ang. Frederic M. Archerd.Jr., Martha Barreras. Mary Martha Langley. Jonathan Balin.Vanessa Ramirez, Zyanya Hernandez lls true and lawfulattomey-in-fact, to make, execute, seal and deliver l'orandon itsbehalf, and as its act anddeed; any and al bonds, contracts, agreements of , and o ings in surelyship(NOT INCLUDING bondswithout a ?xed penaltyor ?nancialguarantee bonds) and to bindt thereby as to the as if same were signed by the duly authorized of?cers of the Company, provided, however, that the penal one such instrument executed hereundershall not exceedthe sum of: $50,000,000 single bond limit All acts of saidallomeys-in-fact pursuant to the at. thorities herein given are hereby ra i?ed and con?rmed. The executive of?cers listed above in the Resolutionmay from timeto time and at any time remove any such appointeeand revoke the power given to him or her.

The execution of such bonds or undertakings in pursuance of these presents, within one year ofthe date of issueoflhese pre be binding upon said Company, as ?Jlly andamply, to all inlenlsandpurposes, as il'lhey had been duly executed and acknowledged by the regularly elect ofthe Company at its of?ce in New Yodc, NewYork, in their own proper persons IN WITNESS WHEREOF, SiriusPoint Ame ca Insurance Company has caused its corporate seal to be hereunto af?xed, and these presents to be signed by its Secretary this 17th day ofAugust in the year 2023.

On this [7"1 day of Augusl 2023, before me, a Nalary Public of lhe Slate of New Jersey in and for lhe Counly of Monmoulh duly commissione d
and quali?ed, came Melissa1.Ralph,Secrclary, ofSiriusPoinl America insurance Company, lo me personally known In be lhe individual cer described in, and who executed lhe preceding instrument, and acknowledged lhe exoeulion of the same, and, being by me duly swam. deposelh , lhal she is lhe oll'lcer oflhe Company aforesaid, and lhal lhe sell af?xed lo lhe p inslrumenl as lhe corpor of said Company, and lhe said corpurale seal and he signalure as of?cer were duly af?xed and subscribed lo lhe said nl by lhe aulhorily and n of (he said Company, referred la in lhe precedin PUBLIC

STATEOF NEWJERSEY
MYCOMMISSION EXPIRESMARCH31.202
8 1,Melissa J. Ralph,Sec SiriusPoinl America Insurance Company, a New York corporalion,do hereby ccnil'y lhalthe above and foregoing is 3 [UI .lnlc conecl copy o?'owcrof is slill in Forceand effec and has no! bccn revoked.

IN WITNESS WHEREOF, I hav: hereunlo scl my hand andalTIxcdhe sea ofsa d Company[his 22nd day or August, 2024.

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'ja’APPLIED “ a
[email protected]
.........
..

SURETY

UNDERWRITERS
10805 Old MillRoad
Omaha, NE68154
September 6, 2023
Bond Obligees
Project Owners
General Contractors
RE: Digital Seal Authority and Enforceability Notice
To whom it may concern:

The use of an electronic image of the corporate seal of Siriuspoint America Insurance Company (the "Digital Seal"), and the attachment of the Digital Seal to any surety bond issued by Siriuspoint America Insurance Company is authorized bythe company. Siriuspoint America Insurance Company acknowledge and agree that the Digital Seal may be af?xed to any authorized Surety bond approved by Applied Surety Underwriters, and relied upon to the same extent as if a raised corporate seal was attached to the bond.

Delivery ofa digital copy ofthis Digital Seal Authority and Enforceability Notice, executed electronically, to an Obligee or Obligee's representative, shall constitute effective execution and delivery ofthis notice and shall have the same legal effect as a delivery of a tangible original of the notice with my original "wet" signature.

If you require further verification you may email our Home Of?ce Underwriting Center at InWitness Whereof, this has been executed bythe President, Applied Surety UndenNritersfor Siriuspoint America Insurance Company.

Thank you for your continued business.

Sincerely,
Joshua C. Betz
President, Applied Surety Underwriters

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

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

ONYXPAVING
I am the CEO of COMPA Y. INC the party making the
foregoing bid.

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 8/26/2024 Idate], at ANAHEIM city], CA [state].
8/26/2024 8/26/2024
Sign of Bidder Date re of der Date
COREY R. KIRSCHNER - CEO KIRSCHNER — VP, SEC, TREAS
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.)

Page 100 of 202 ends

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Page 1316 of 2581 ends

Corev RVKirschner Nam-2%Signerysj
executed
strument 1
angeCu .

Issloll3
mmmmwxmvwvuvmwmwwwwmxv mvmwct mimwm
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 Orange
On AUCUSIZBLZOZQ before me | nclin Dnr‘hn Nntnnl pl Ihlir‘.

Date Here Insert Name and Title of the Of?cer
personally appeared
of
who proved to me on the basis of satisfactory evidence to be the person(x) whose name(x) is/aXe subscribed to the within instrument and acknowledged to me that he/lee/they the same in his/Iver/tbeirauthorized capacity(ies), and that by his/hgr/their signature(x) on the in he person(x), or the entity upon behalf of which the person(x) 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.

LESLIEROCHA WITNESS my hand and official seal.

NotaryPublic- California
°’ Comm “2"? 4 4949 Si t re C .Ex ' Mar19, 2028 gna U
My mm was . Signature of Notary Public
Place Notary Seal Above

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

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

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

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

Corporate Officer — 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
@2014 National Notary Association - www.NationalNotary.org - 1-800—USNOTARY(1—800—876—6827) Item #5907

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Page 1317 of 2581 ends

xmmmetWMQ:?cm«mmem
)
)
2 __.V w, w... . . ,
Jav Kirschner . I
Name ) Signer?)
instrument executed
pacity?es), strumenl t
Orange County .

Cnmmlsshm3 mm?
Mycomm. ExpiresMarw, 2025
__—_—_ _—’_
MWK’WMRYKWMWWVX‘KWV 4LC<X§C4UY/WMWY‘LWV‘CM‘CL‘?WXXK?UG‘W?W 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 certificate is attached, and not the truthfulness, accuracy, or validity of that document.

State of California
County of Orange
On Auoust R 9094 before me, | eslie Rocha. Notary Public Date Here Insert Name and Title of the Officer
personally appeared
of
who proved to me on the basis of satisfactory evidence to be the person(x) whose namemis/axe subscribed to the within and acknowledged to me that he/sKe/they the same in his/her/tbeir authorized ca and that by his/hzer/theirsignature(s) on the in he person(x), or the entity upon behalf of which the person(x) 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.

LESLIEROCHA . WITNESS my hand and official seal.

NotaryPublic- California 2
Signature
Signature of Notary Public
Place Notary Seal Above

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

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

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

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

Corporate Officer — Title(s) Corporate Officer - Title(s) Partner — Limited General Partner — Limited General
Individual Attorney in Fact Individual Attorney in Fact Trustee Guardian or Conservator Trustee Guardian or Conservator Other: Other:

Signer Is Representing Signer ls Representing
@2014 NationalNotary Association - www.NationalNotary.org - 1-800-US NOTARY(1-800—876—6827)Item #5907

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Date

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

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

Project Name: 2021-2022 PAVEMENT REHABILITATIONPROJECT
Contract Price: $1 399598-72 Date of Completion MARCH 2023 Name, Address, and Telephone Number of Owner's Representative:

CITY OF ARCADIA -240 W. HUNTINGTONDR ARCADIA.CA 91007
JAN BALANAY626-254-2726
project Name; 21—22PAVEMENT REHABILITATIONPROJECT
Contract Price: $4,031.000 Date of Completion: MAY 2023 Name, Address, and Telephone Number of Owner's Representative:

CITY OF TEMPLE CITY — 9701 E LAS TUNAS DR TEMPLE CITY CA 91780 ALICAYIR 714—883-8677
Project Name 22-23 SB1 PAVEMENT REHABILITATIONPROJECT
Contract Price 528 000 of Completion: MAY 2024
Name, Address, and Telephone Number of Owner's Representative:

CITY OF HEMET - 445 E FLORIDA AVENUE HEMET, CA 92543
JILLEEN FERRIS 951-765-2360
(Attach additional pages as necessary)

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

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

BIDDERCERTIFICATIONS

TO BEEXECUTEDBYALLBIDDERSANDSUBMITTEDWITH 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.

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 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 nondiscrimination in employment will be complied with; and that the principal of equal opportunity in employment will be demonstrated positively and aggressively.

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STREETREHABILITATIONPROJECT
CIP N0. 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 interestin 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.

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 (soq)_
b. [Please complete or Strikeout the following as inapplicable] Subsequently, on or about N/A WA and WA 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 QualificationInformation. e. [Please check and/or complete one ofthe following]
N/A 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.

N/A 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

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SignM SignaW

CERTIFICATIONOF N/A
[Insert other Owner-specific certifications, if applicable. Otherwise, delete.] BIDD
8/26/2024 8/26/2024
re of Bidder Date der Date
COREY R- KIRSCHNER - CEO JAY KIRSCHNER — VP. SEC. TREAS Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate o?icersare required.)

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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
County of Orange
On Aunust 9074 before me, Leslie Rocha. Notarv Public
Date Here Insert Name and Title of the Officer
personally appeared
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who proved to me on the basis of satisfactory to be t /axe subscribed to the within instrument and acknowl me that e in his/her/tbeir authorized capacity(ies), and that by his r signatu n(3), or the entity upon behalf of which the person(x) acted, executed the instrument.

I certify under PENALTY RY under the laws
of the State of California regoing paragraph
is true and correct.

WITNESS my hand and official seal
IVNN
Signature
Signature of Notary Public
Place Notary Seal Above

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

Description of Attached Document
Title or Type of Document: Document Date
Number of Pages: Signer(s) Other Than Named Above:

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

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

Partner — 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
@2014 NationalNotary Association- www.NationalNotary.org - 1-800—USNOTARY(1-800—876—6827)Item #5907

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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 Orange )
On Augus12§ 21224 before me, Leslie Rocha. Notarv Public Date Here Insert Name and Title of the Of?cer
personally appeared
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who proved to me on the basis of satisfactory to be t
subscribed to the within instrument and acknowl me that his/rver/tbeirauthorized capacity(iee), and that by his r signatu or the entity upon behalf of which the person(x) acted, executed the instrument.

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

WITNESS my hand and official seal.

Signature
Signature of Notary Public
Place Notary Seal Above

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

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

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

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

Signer Is Representing Signer ls Representing
@2014 NationalNotary Association - www.NationalNotary.org - 1-800-US NOTARY(1-800-876-6827) Item #5907

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REFERENCES
PROJECT NAME: CITYWIDEASPHALTREPAIRSPROJECTFY21/22
PROJECT DESCRIPTION:CITYWIDESTREETIMPROVEMENTS
APPROXIMATE CONSTRUCTIONDATES: FEB2022 — NOV 2022
CONSULTINGCOMPANY: CITYOF DANA POINT- 33282 GOLDENLANTERN,DANAPOINT, CA92629 CONTACT PERSON: SCOTT FISHER760-814—7226
ORIGINALCONTRACTAMOUNT: $1,595,000.00
FINALCONTRACTAMOUNT: $1,314,878.59
IF FINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:FIELDQUANTITIESDIFFEREDFROM BIDSCHEDUL

E QUANTITIES
DID THEAGENCYFILEANYCLAIMSAGAINSTYOU? NO
PROJECT NAME: 22—23ANNUALASPHALTCONCRETEOVERLAYPROJECT
PROJECT DESCRIPTION:CITYWIDESTREETIMPROVEMENT
APPROXIMATE CONSTRUCTIONDATES: SEP 2023—MAR2024
AGENCY:CITYOF EASTVALE- 12363 LIMONITEAVE#910, EASTVALE,CA91752 CONTACT PERSON: CHUCKSTAGNER714—925—4628
ORIGINALCONTRACTAMOUNT: $5,858,000
FINALCONTRACTAMOUNT: $5,998,000
IF FINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:CHANGEORDERWORK FOR ADDITIONALSCOPE OUTSIDEOF PROJECTLIMITS.

DIDTHEAGENCYFILEANY CLAIMSAGAINST YOU? NO
PROJECT NAME: 2021-2022 PAVEMENT REHABILITATIONPROJECT
PROJECT DESCRIPTION:VARIOUS PAVEMENTREHABILITATION& CONCRETEIMPROVEMENTS APPROXIMATE CONSTRUCTIONDATES: NOV 2022 — MARCH2023
AGENCY: CITYOF ARCADIA—240W. HUNTINGTON DR,ARCADIA,CA91007 CONTACT PERSON:JAN BALANAY626-254-2726
ORIGINALCONTRACTAMOUNT: $1,727,000.00
FINAL CONTRACTAMOUNT: $1,899,698.72
IF FINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:CHANGEORDERWORK FORADDITIONALSCOPE OUTSIDEOF PROJECTLIMITS.

DIDTHEAGENCYFILEANYCLAIMSAGAINSTYOU? NO
ONYX PAVING COMPANY, INC.
2890 EASTLACRESTAAVE, ANAHEIM, CA 92806 —TEL(714) 632—6699— FAX(714) 632-1883

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PROJECT NAME: 21-22 PAVEMENTREHABILITATIONPROJECT
PROJECTDESCRIPTION:CITYWIDESTREETIMPROVEMENTS
APPROXIMATE CONSTRUCTIONDATES: NOV 2022—MAY2023
AGENCY: CITYOF TEMPLECITY- 9701 E LASTUNAS DR,TEMPLECITY,CA91780 CONTACT PERSON: ALICAYIR714—883—8677
ORIGINALCONTRACTAMOUNT: $3,727,000
FINALCONTRACTAMOUNT: $4,031,000
IF FINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:CHANGEORDERWORK FORADDITIONALSCOPE OUTSIDEOF PROJECTLIMITS.

DIDTHEAGENCY FILEANYCLAIMSAGAINST YOU? NO
PROJECT NAME: 23-24 SLURRYSEALAT VARIOUS LOCATIONS
PROJECT DESCRIPTION:CITYWIDEASPHALT REPAIRS& SLURRY
APPROXIMATE CONSTRUCTIONDATES:JAN 2024 - APRIL2024
AGENCY:CITYOF MONTEREYPARK-320 WEST NEWMARKAVEMONTEREYPARK,CA91754 CONTACT PERSON: ZIADMAZBOUDI626-532-2018
ORIGINALCONTRACTAMOUNT: $1,400,000
FINALCONTRACTAMOUNT: $1,269,000
IF FINALAMOUNT IS DIFFERENTFROM ORIGINAL AMOUNT, PLEASEEXPLAIN:ACTUALBIDQUATITIESLESSTHANORIGINALBI D QUANTITY.

DIDTHEAGENCY FILEANYCLAIMSAGAINST YOU? NO
PROJECT NAME: 22-23 SB1 PAVEMENT REHABILITATIONPROJECT
PROJECT DESCRIPTION:VARIOUS STREETFULLDEPTHRECONSTRUCTION APPROXIMATE CONSTRUCTIONDATES:JAN 2024 — MAY2024
AGENCY: CITYOF HEMET—445 E FLORIDAAVENUE HEMET,CA92543
CONTACT PERSON:JILLEENFERRIS951—765—2360
ORIGINAL CONTRACTAMOUNT: $2,020,000
FINALCONTRACTAMOUNT: $2,528,000
IF FINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:CHANGEORDERWORK FORADDITIONALSCOPE OUTSIDEOF PROJECTLIMITS.

DIDTHE AGENCYFILEANY CLAIMSAGAINST YOU? NO
ONYX PAVING COMPANY, INC.
2890 EASTLACRESTAAVE, ANAHEIM,CA 92806 —TEL(714) 632—6699— FAX(714) 632—1883

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PROJECT NAME: PARKS,CIVICCENTER& SHERRIFSTATION PARKINGLOTREHABILITATION PROJECT DESCRIPTION:ASPHALTREMOVAL& REPLACEMENT
APPROXIMATE CONSTRUCTIONDATES: FEB2024 — MAY2024
AGENCY: CITYOF LAWNDALE— 14717 BURINAVE LAWNDALE,CA90260 CONTACT PERSON: NICKPETREVSKI310—973-3265
ORIGINALCONTRACTAMOUNT: : $486,486
FINALCONTRACTAMOUNT: $601,000
IF FINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:CHANGEORDERWORK FORADDITIONALSCOPE OUTSIDEOF PROJECTLIMITS.

DIDTHE AGENCYFILEANYCLAIMSAGAINST YOU? NO
PROJECT NAME: RESIDENTIALSTREETPAVEMENT REHABILITATIONPROJECT, AREA8 PROJECTDESCRIPTION:STREETIMPROVEMENTS
APPROXIMATE CONSTRUCTIONDATES:JULY2022 — OCT2022
AGENCY: CITYOF DOWNEY-lllll BROOKSHIREAVE, DOWNEY, CA90241 CONTACT PERSON: BRIANALENAN562-904—7110
ORIGINALCONTRACTAMOUNT: $3,227,000.00
FINALCONTRACTAMOUNT: $3,553,442.43
IF FINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:FIELDQUANTITIESDIFFEREDFROM BIDSCHEDUL

E QUANTITIES
DIDTHE AGENCYFILEANYCLAIMSAGAINST YOU? NO
ONYXPAVING COMPANY, INC.
2890 EASTLACRESTAAVE, ANAHEIM,CA92806 ——TEL(714) 632-6699 —— FAX(714) 632-1883

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LARGEPROJECTREFERENCES
PROJECTNAME: CULVERDRIVEIMPROVEMENTSFROM WALNUTAVENUETO I—5FREEWAY PROJECTDESCRIPTION:STREETIMPROVEMENTS
APPROXIMATECONSTRUCTIONDATES: SEPT 2022 - JAN 2023
CONSULTINGCOMPANY: CITYOF IRVINE- 6427 OAKCANYON,IRVINE,CA92618 CONTACT PERSON:FARHADBOLOURCHI949-724-6689
ORIGINALCONTRACTAMOUNT: $1,677,000.00
FINALCONTRACTAMOUNT: $1,704,308.59
IF FINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:FIELDQUANTITIESDIFFEREDFROM BIDSCHEDUL E

QUANTITIES
DIDTHE AGENCYFILEANYCLAIMSAGAINSTYOU? NO
PROJECT NAME: PHASING6A - RESIDENTIALSTREETREHABILITATION PROJECTDESCRIPTION:STREETIMPROVEMENTS
APPROXIMATECONSTRUCTIONDATES:

CONSULTINGCOMPANY: CITYOF LAMIRADA- 15515 PHOEBEAVE, LAMIRADA,CA90638 CONTACT PERSON: ERICVILLAGRACIA562-902-2373
ORIGINALCONTRACTAMOUNT: $4,242,000.00
FINALCONTRACTAMOUNT: $4,524,646.67
IF FINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:SCOPESOf WORKCHANGEDBYAGENCY DIDTHE AGENCYFILEANYCLAIMSAGAINST YOU? NO
PROJECTNAME: ROCHESTERAVENUEPAVEMENTREHABILITATION
PROJECT DESCRIPTION:STREETIMPROVEMENTS
APPROXIMATECONSTRUCTIONDATES: MARCH2022—AUG2022
AGENCY: CITYOF RANCHOCUCAMONGA- 10500 CIVICCENTERDRIVE,RANCHCUCAMONGA,CA91730 CONTACTPERSON: ROMEO DAVID909—774-4070
ORIGINALCONTRACTAMOUNT: $1,727,000.00
FINALCONTRACTAMOUNT: $1,714,733.75
IF FINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:FIELDQUANTITIESDIFFEREDFROM BIDSCHEDU LE

QUANTITIES
DIDTHE AGENCYFILEANYCLAIMSAGAINSTYOU? NO
ONYXPAVING COMPANY, INC.
2890 EASTLACRESTAAVE, ANAHEIM,CA92806 —TEL(714) 632-6699 — FAX(714) 632-1883

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GENERALCONTRACTORS: JOBS PERFORMED: LOCATID AMOUNT:

Fullmer Construction
1725 S. Grove Ave.

Ontario, CA91761
Ph: 909-947—9467
Fax: 909-947—2970
Contact: Casey Jones
KCSWest, Inc.
901 Corporate Ctr, Dr, 3rdflr
Monterey Park, CA9174
Ph: 323-269—0020
Fx: 323—263-4576
Contact: Matthew Vawter
GMC Engineering, Inc.
1401 Warner Ave
Tustin, CA 92780
Ph: 760-744-133
FX:714-247-1041
Contact: Gennady
Lusardi Construction
1570 LindaVista Dr.

San Marcos, CA92064
Ph: 760—744-3133
Fax: 760-744-9064
Contact Scott Staley

REFERENCES
Centerpointe
Sycamore Bus. Park
Hillwood Hofer Ranch
Interchange A-E
San Michelle Logistics
Terra Francesco
N:

Moreno Valley
Riverside
Ontario
San Bernardino
Moreno Valley
Ontario
BP Re?nery Maintenance Shop Carson
Edison
FEDEX— Otay Mesa
Team Nissan
Edge at Campus
Carmax
Seab?dge
Romoland
San Diego
Oxnard
ElSegundo
Oxnard
Oxnard
ONYXPAVlNG COMPANY, INC.
2890 EASTLACRESTAAVE, ANAHEIM,CA92806 —TEL(714) 632-6699 — FAX(714) 632-1883 $3,187,914.00
$999,708.00
$603,600.00
$1,288,615.00
$670,674.00
$524,216.00
$896,357.00
$1,623,480.00
$1,335,530.00
$669,075.00
$541,385.00
$606,443.00
$329,460.00

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Haagen Company, LLC
12302 Exposition Blvd
Los Angeles, CA 90064
Ph: 310-820—1200
Fx: 310-820—1225
Contact: Chris Fahey
ARCO National Construction Co.
900 N. Rock HillRd
St. Louis, MO 63119
Ph: 314—963-0715
Fx: 314-963—7114
Contact: Chris Wilson
Grant General Contractors
5051 Avenida Encinas
Carlsbad, CA92008
Ph: 760-438-7500
Fx: 760—438-3056
Contact: Pete Burrows
Scannell FEDEX
Whittier Area Community
Crevier BMW
Empire Polo Club Indio
Church
ONYXPAVING COMPANY, INC.

Burbank
Whittier
Santa Ana
$1,036,745.00
$1,125,958.00
$625,920.00
$30,600.00
2890 EASTLACRESTAAVE, ANAHEIM, CA92806 -TEL (714) 632-6699 — FAX(714) 632—1883

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RUBB EF,
CONTRACTORS: AMOU
ASPHALT ERHOT MIX R ERENCES:

GENERAL JOBS PERFORMED: LOCATION: NT:

GMC ENGINEERING,INC Katella Ave. St. lmprov Los AIamitos $120,000.00 1401 Warner Ave, Ste B. Various Projects
Tustin, CA92780
Ph: 714—247—1040
FX:714-247-1041
Contact: Gennady Chizik
R.D OLSON CONSTRUCITON,INC. LIcIOHouse Hotel Newport Beach $193,105.00 2955 Main Street, 3rdFloor
Irvine, CA92614
Ph: 949-474—2001
FX:949-474—1534
Contact: Jeremy Dunn
IF YOUHAVEANYQUESTIONS,PLEASEFEELFREETO CONTACTCOREYKIRSCHNERAT 714-632—6699OR VIAEMAILAT [email protected]
ONYXPAVING COMPANY, INC.
2890 EASTLACRESTAAVE, ANAHEIM,CA92806 —TEL(714) 632—6699— FAX(714) 632-1883

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ONYXPAVING COMPANY, INC
2890 E. LACRESTAAVE
ANAHEIM, CA92806
PHONE: (714) 632—6699
FAX: (714) 632-1883
PRESIDENT:COREYR. KIRSCHNER
BANK: BANKOF THEWEST
INSURANCEAGENT:WOOD GUTMANN & BOGART
SURETYAGENT:

CREDITREFERENCES:

MATICH CORP.

ALLAMERICAN
KELTERITECORP.

VULCANMATERIALSCO.

GENERALCONTRACTORREFERENCES:

FULLMERCONSTRUCTION
BYROM-DAVEY,INC.

PACIFICCONST.GROUP
ERICKSON-HALLCONST. CO.

CREDITREFERENCES
DATEESTABLISHED 1/4/90
TYPEOF WORK — ASPHALTPAVING
CORP. TAXID.# 33—0394344
CONTRACTORSLIC.# 630360—
A
14029 SPRINGWATERLN.EASTVALE,CA 92880
4501 E. LAPALMAAVENUE, ANAHEIM,CA92807
PHONE:(714) 777—9620 BRYANPLOESSEL
15901 REDHILLAVE., STE. 100, TUSTIN,CA92780
PHONE:(714) 824-8384 MICHAELTRAN
TURNERSURETYAND INSURANCEBROKERAGE,INC.
5 HU'ITONCENTRE,STE. 730, SANTAANA,CA92707
PHONE:(714) 915—4032 JEREMYPENDERGAST
P.O. BOX10, HIGHLAND,CA92346
PO. BOX2229, CORONA,CA92878
12231 PANGBORNAVE.DOWNEY, CA
16013 E. FOOTHILLBLVD,IRWINDALE,CA91702
1725 S. GROVE AVE., ONTARIO, CA91761
13220 EVENINGCREEKDR. SOUTH#103, SAN DIEGO
17895 SKYPARKCIR., IRVINE,CA92614
500 CORPORATEDR., ESCONDIDO,CA92069
ONYXPAVING COMPANY, INC.
(909) 382-7400 Steve Matich
(951) 736—7600Cari
(562) 401-0011 Gladys
(858) 530-9414 Debbie
(909) 947-9467 Casey Jones
(858) 513-7199 Steve Davey
(949) 748—1500Mark Bundy
(760) 796-7700 Justin Sinnott
2890 EASTLACRESTAAVE, ANAHEIM, CA 92806 —TEL(714) 632—6699— FAX(714) 632-1883

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RESUME
Corey Kirschner has over 20 years of experience both as an estimator and CEO.Corey is an experienced estimator and lead a majority ofthose years being the Chief Estimator before becoming CEOand President of Onyx Paving Company, Inc. Over the short period of time here at Onyx Paving, Corey has completed over 3,000 paving projects, allowing the company to gross over $50 million dollars in the previous year.

Jay Kirschner, Senior Project Manager, holds a Bachelor’sDegree from Chapman University and has 7 years of experience upholding the maintenance supervisor and lead estimator position for Onyx Paving. He leads our team, with the project managers under his direct supervision, in managing our productions and coordinating our field mobilizations for all projects.

Tyler Henry, Field Superintendent, serves as the core of allfield related matters. He has over 20 years of paving experience performing jobs that stretches from San Diego County to Ventura County. Tyler has been with Onyx in completing all of our Public Works projects. Overseeing the on-site laborers, cement masons, and operating engineers is one of his many responsibilities.

BACKLOGALLOCATION:

Corey Kirschner, Jay Kirschner, and Tyler Henry oversee 100% of all current project in attached backlog.

ONYX PAVlNG COMPANY, INC.
2890 EASTLACRESTAAVE, ANAHEIM,CA 92806 —TEL(714) 632-6699 — FAX(714) 632-1883

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Corey Kirschner
Tyler Hang
CEO/President
Senior Project Ma FieldSuperintendent
Key Individual Responsibilities:
— Manage overall operations and resources of company
— Decision maker of corporation
Jackson Hulse
— Lead project management team with organization
— Overseeing overall project scheduling, budgeting, and dispatching on all projects — Main point of communications between company and agencies - Lead and manage on-site labors and operators
— Coordinate daily operations and project production
— Ensuring project quality expectations are met
ONYX PAVING COMPANY, INC.

EASTLACRESTAAVE, ANAHEIM,CA92806 —-TEL(714) 632-6699 — FAX(714) 632-1883 Corey

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:
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CONTRACTORS

STATE LICENSE BOAR
L.$um630360 m, CORP
“my..." ONYX PAVING COMPANY INC
no... www csib ca gov
”M“W"’”W ACTIVELQCENS
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ilrDe arlrnem
IndslrialRa
P BLI WORK 0 TRA TORREGI TRATIO
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u lations

STAYE OF CALEFORNIA
Type: PublicWorks
Period: 07/01/202306/30/2024
Physical Business City/ ANAHEI
M
Physical Business Postal 92806
Code:

Mailing City /Province:ANAHEI
M
Mailing State: CA
Mailing Postal Code: 92806
Registration Services: Page 1 of 2

APPLICATION FOR

U C S C N C S N
Registration Information
Contractor Information
Contractor Name: ONYXPAVINGCOMPANY, INC.

Trade Name:

License Type Number: 1000004798
Contractor Physical Address
Physical Business Country: United States of America
Province:

Physical Business Address: 2890 E. LACRESTAAVENUE Physical Business State: CA Contractor Mailing Add ress
Mailing Country: United States of America
Mailing Address: 2890 E. LACRESTAAVENUE
Contact Info
Daytime Phone: Daytime Phone Ext.:

Mobile Phone: Business Email: [email protected]
Applicant's Email: [email protected]
10:06:22 AM

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Workers’ Compensation
Professional Employer Organization (PEO)
Do you lease employees through Professional Employer Organization? No Workers’ Compensation Overview
Carrier: ZURICHAMERICANINSURANCE

COMPANY
Policyholder Name: Onyx Paving Company Inc
Policy Number: WC106300504
Certification
Yes I certify that I do not have any delinquent liability to an employee or the state for any assessment of back wages or related damages, interest, fines, or penalties pursuant to any final judgment, order, or determination by a court or any federal, state, or local administrative agency, including a confirmed arbitration award Yes I certify that the contractor is not currently debarred under Section 1777.1 or under any other federal or state law providing for the debarment of contractors from public works.

Yes I certify that one of the following istrue: (1) I am licensed by the Contractors State License Board (CSLB)in accordance with Chapter 9 (commencing with Section 7000) of the Business and Professions Code; or (2) my business or trade is not subject to licensing by the CSLB.

I understand refunds are not authorized
I, DavidWiltfong, the undersigned, am , ONYXPAVING COMPANY, INC.with the authority to act for and on behalf of the above named contractor. I certify under penalty of perjury that all of the above information provided is true and correct. Ifurther acknowledge that any untruthful information provided in this application could result in the certification being canceled.

I certify this on: 10:00 AM
Legal Entity Information
Legal Entity Type: Corporation
Name: ONYXPAVING COMPANY, INC.

Registration Services:: Page 2 of 2
Inception Date: 10/01/2022
Expiration Date: October 12, 2023

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Aggraval of Loan Transactions

WHEREAS C

WHEREAS

NOW THEREFORE BEIT RESOLVED

RESOLVED FURTHER

ONYX PAVING COMPANYINC
L|CENSE# 630360 D|R# 1000004798

UNANIMOUSWRI'ITENCONSENTOF

THEBOARD OF DIRECTORSOF

ONYXPAVING COMPANY, INC,
(3 California corporation)
The undersigned director, constituting the entire board of directors (the "Board") of Onyx Paving Company, Inc., a California corporation (the "Corporation”), hereby takes the following actions, adopts the following resolutions, and transacts the foliowing business, by written consent without a meeting, as of the date above written, pursuant to Section 307(b) of the General Corporation Law ofthe State of Caiifornia and the Corporations Bylaws:
orey Kirschneris currently the Corporation's ChiefExecutive Officer and Jay Kirschneris the Vice President, Secretary and Treasurer {the ”Officers”), both with authority to enter into contracts on behalf of the Corporation.
the Corporation opportunities from time to time to bid on various governmental and non—governmental projects;
after careful consideration, the Board has determined that the terms and conditions of the proposed project in the form ofthe bid attached hereto as ExhibitA (the "Project") are just and equitable and fa§r as to the Corporation and that it is in the best interests ofthe Corporation and its stockholder to submit the bid and complete the Project subject to the terms agreed upon by the parties the Board on behalf of the Corporation hereby approves
and ratifies the Project in all respects, and hereby authorize and direct the Corporation to negotiate, execute, deliver and perform the terms of all documents, required in connection with title Project, together with such changes thereto as may be approved by the Officer executing the same on behalf of the Corporation (pursuant to the authorization provided herein), such approval ofthe Officer to be conciusiveiy evidenced by its execution and delivery of same that the Officer may execute and deliver any and all agreements and any and alEother documents and instruments, and take such further actions as may be necessary or appropriate, for the financing of the Corporation.

August 20‘“,2024
2890 E. L3Cresta Ave” Anaheim, CA 92806 714632—6699

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RESOLVEDFURTHER t hat the Officeris) are hereby authorized, directed, and empowered to execute and deliver any and all agreements and any and all other documents and instruments, and take such further actions as may be necessary or appropriate, for the consummation of the Project.

RESOLVEDFURTHER,that the Officer, in the name of the Corporation, is hereby authorized, directed, and empowered to negotiate, execute and deliver to the appEicablecounterparty, any and all documents with respect to the Project and other instruments as may be reasonably requested, and the Officer on behalf of the Corporation is authorized from time to time to execute extensions or other installments as may be necessary.

RESOLVEDFURTHER,that the authority given hereundershall be deemed retroactive and any and all acts authorized hereunder performed prior to the passage ofthts resolution are hereby ratified and affirmed.

The Secretary of the Corporation is directed to file the original executed copy of this Consent with the minutes of proceedings of the Corporation.
[Signature page follows]
2890 E, LaCresta Ava, Anaheim, CA92806 714—632—

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PAVl
irecto
PAN
00004 98
2890 Crest: Ava
5V0:
{finer
ONYX NGCOM ’1’NC
LICERSER633360DEN?10 1'?
INWITNESSWHEREOF, the undersigned hasexecutedthisU?animausWritten Consentof the Boardoft) rs asofthe date firstabovewritten
Jay
tary. Treasure:

Q E Ea 4: CA92316 manage
ChiefExecutiveOf?ce
r
Anthony Steer:

Eden:

Richard 0
ChiefFinancial0
Vice

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loyme opportunities all ioyees and teams
sociat with race. su as texture and active
oirstyl igio rel ree inctu religious ese rao ing ractices) [or sex eluding regna ildb bre rig, relal edicalco ition net info nation.g angend identity citizenship status, uniform service memb slams, military and veteran status. marital status, age, protect medicalcondition physical or mental di billly, holding or presenting a driver's license issued under 0 VehicleCode Section 128013. or any at r protected status in accordance with all applicable federal.sin a person who h or is perceived as having any the
clude lailing to asonably accommodate religio dres
ities where the accommodation 5 no
have characteristics or is associated w
haracteristics. Discrimination can also
rooming practices. or individuals with me I or physical disa y's employment practices, including‘ but not limited to. pensation‘ bene?ts, trainingvlleavesof absence. and other viding wages at the same rate tor one sex as those of the nicity as another race/ethnicity_who perlorm substantially ponsibilit-y),under similar working conditions.

The Comm .5 also: inc-din i\[:|‘, ’l V
Ifompony M {)rovirh sriiiniil cat» not
Indiwdtiol.- a vzitsaia the wt ieq ryi lati
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ncl mir ee im he Zorn no the
Employ as with question or ns bouldi
- attentio of Human Res urc an niemb managements niployees can raise conce report robiems. mak com aints wi ho tea ofret alien. Anyonefoun to be engaging in any type nlawlul iscrimina nwill esu ecttodsci nar actlo uptoand including eparatiun ol employment.

EQLEALEMPLQYM?NT OPWDRTQNE‘FY
"We Csmpany is: mmmé?m to prmédéag mm? mm; M m gimp am? without regaré is {£358 (émésg‘éi?g Swim hésio:’im§iy 33$ mi d”: m5? my:
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ONYXPAVING COMPANY, INC
.

COREYR‘ KIRSCHNER

CEO, PRES,VP, SEC,TREA

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Duoldmcm o Ymnsu
Imml Rev Samoa WWW. W9
1 Nam: shown Income Nama is rauuimd do leave his line blank COM , .
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W“
5 Address and sumsmm) Sac Requnsmr‘s ndavass
o (my. and ZIP
“
ANAHE
1 Us! acwunt [optional]
* Taxpayer Identi?cation (TIN)
l
“‘
Em
1 Certification q
I am subjecn backup wu ing beceu am xemm«om back hold m (b) ave no! 0 ONE mal Revenu Saw IRsIthat am sumac! Ekup with as rasull 0! a fa?ure n all rest a Mdends, ma some MI | comamuqnImmuom youmus! cross oul l2 snow; 1‘you Iva baa naunaaby nu:me.am yo ate currently 5 on! back wimhaldm you have 1:“on report allImsmsl and ?lvidan nycur lax mu. Fmyea sslalelransacl ms Ham2 mm)! anpw. rm gage eres| paid. . A
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rafeia
8V9
www. we.
eat
Ifyou do not mum Form W-9 ID Ihe uesmrw TIMyou
be sub/ac! to backup Wllhholdmg. Sae al Is Dal: Wimhuldl Form
(Rev. October 2018}
of ih N
anus: 5‘ Go to import/Form for instructions and the latest information. (as on your tax return).

INC
2 Business
>
2890 E. LACRESTA AVE
state,
IM.CA 92806
See.Speci?c i onpage 3.

Enter your TIN in the appropriate box. The TINprovided must match the name given on backup withholding. For individuals, this is generally your social security numbar (SSN). resident alien, sole proprietor. or disregarded entity, see the instructions for Part E‘later, entities. it is your employer identification number (EIN), if you do not have a number, see Signaturo of
US. person D»
Section noes are to the internal Revenue Code unless oiharwise noted.

Future developments. For the latest intorma‘iionabout d Eopments related to Form WASand its Instructions.such as legislation onaoted after they were published, go to irsgov/Form
Purpose of Form
An individualor entity (Form W-9 requester) who is required to ?le an information return with the [RS must obtain your correct taxpayer identification number (RN) which may be your social security number {SSN},individualtaxpayer identifi ion number (ITEN),adoption taxpayer identi?cation number (ANN), or empioyer identification number (EJN),to report on an information return the amount paid to you. or other amount reportable on an information return Examples of information recturns include. but are not limited to, the following. 0 Form 1099-iNT (interest earned or paid)
Social security number
434
Form W-9 (Flew. 10—
Request for Taxpayer Give Form to me
Identification Number and Certification requester. Do not send to the ins.

ONYXPAVING PANY
Number
Oi‘
Sign
Here Date b» 03/27/2024
on this line; not
entity name.if above
3 Check appropriate box forfederai tax classification of the person whose name is entered on line 1 Check only one it Exemptions (codesapplyonly to following seven boxes. certain entities not Individuals; sea . . snstructioneon page: a):
:] indiu‘idu Ie proprietor {Jr C] C Corporation 1X]S Corporation L5 Partnership CiTrustiosiato single-member LLC
:1 Limitedliabilitycompany. Enter the tax oéassification [0:0 corporation, 8:5 corporation. P=Partnershipl Exemption from FATCAreporting
code ?fany)
Other (see
(number. street, amor instructions name: and (optional) code
numberis} here
line 1 to avoid
However, for a For other
How to get a TIN.later.

Note: ifthe account is in more than one name, see the instructions for line it Also see What Name and Number To Give the Requester for guidelines on whose number to enter. 3 3 9 4 Under penalties of perjury. l certify that:
it The number shown on this form is my correct taxpayer identification number {or i am waiting for a number to be issued to me); and

2. not 0 hhoid so: (a)l a up with ing, | h Ben n ed by the into ice (
| to ba holding a to rope into r d or (0} #88 has notifi am no longer subject to backup withhoiding; and
3‘ i am a US. citizen or other US. person (defined below); and

4. The FATCA code(5) entered on this form {ifany] indicating that i am exempt from FATCA reporting is correct. their l1 n u ubj to up 9 because
ds 0 i1, i i , d F0 on int
acquisition or abandonment of secured property, cancellation of debt.contributionsto an individuairetirementarrangement (ERA).and generally, payments other than interest and dividends.you are not required to sign the certi?cation, but you must provide your correct TiN, See the instructionsfor Part ll, later. * Form iOQQ-DIV(dividends, including those from stocks or mutual funds]
¢ germ. $099~MISC [various types of income, prizes, awards, or gross proceeds]
'- Form 10993 {stock or mutual fund sales and certain other transactions by brokers)
- Form iOQS-S {proceeds from real estate transactions}
1' Form 1099~K {merchant card and third party network transactions) 0 Form 1098 (home mortgage interest}. iOQB—E(student loan interest). toga-T {tuition}
I Form 1099-0 (consisted debt] .Form 1099A (acquisition or abandonment of secured property) Lise Form W—9only if you are a us person [including a resident alien], to provide your correct TlN.
red ith 3 might
Wh kup rig.
iarer.

No $0231)“:
of the
Exempt payee code {rrany]
(1!»ka 2n mourns mg n nulszua the US)
Fart!
Part

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>/—‘ o ACORD
V
anncT NAME' _
COVERAGES 9793494 SI
| |
A??n ”"'* mum—21:? "
"'
'
MMIDDNVW) ,»,,
7*. ‘
i
OYNER comamaosmmsmm
7 LEEL?QMN V
m
7 Km
vncN ops»: no" cmo [VENICL ACOR mmmmk mummy chndllmonspacl ind] Dale der(s isla med addilio insur allached dolsemenl equired by wrl“ nlra Primary NanvC rihulu In?CG
Waiver brugal Form 24 D4 1

CANCELLATION
CERTIFICATE OF LIABILITYINSURANCE °”“””’°°"Y“’ 3/12/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY. AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.

If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

PRODUCER Burnham WGB Insurance Solutions p ONE CA Insurance License OF69771 "H’"N" W“ 714'824'8384 15901 Red HillAvenue
Tustin CA 92780
Michael Tran
INSURERISI AFFORDING COVERAGE NAIC #
INSURED Onyx Paving Company, Inc.
2890 E. La Cresta Avenue
Anaheim CA 92806-1816 INSURER D:

INSURER E :

INSURER F : CERTIFICATE NUMBER: 151 REVI ON NUMBER:

TO NSURAN LISTED BEEN THE FOR POLICY

INDICA ANDINGANY UIREMENT DITION
IS
INSR POLICY EXP LTR TYPE OF INSURANCE man wun POLICY NUMBER IMMInnIYYVYI LIMITS X COMMERCIAL GENERAL LIABILITY X X

AUTOMOBILE LIABILITY X
X X

UMBRELLA LIAB

EXCESS LIAB

WORKERS COMPENSATION X

AND EMPLOYERS' LIABILITY Y I N NIA

CERTIFICATE HOLDER

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN . ACCORDANCE WITH THE POLICY PROVISIONS.

Onyx PaVIng Company, Inc.
i?g?gngEgezségéAve AUTHORIZED REPRESENTATIVE
© 1988-2015 ACORD CORPORATION. All rights reserved.

ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD I-MAIL 503um: 714—573-1770
.nnRFss- [email protected]
License#: o|=59771 INSURER A: American Zurich Insurance Comp 40142 msunen a ; Zurich American Insurance Comp 16535 INSURER c: Scottsdale Indemnitv Co 15580

THIS S CERTIFY THAT THE POLICIES OF CE BELOW HAVE ISSUED TO INSURED NAMEDABOVE THE PERIO

D TED NOTVVITHST REQ TERM OR CON

EXCLUSIONSAND CONDITIONS OF SUCH POLICIES LIMITSSHOWN MAYHAVE BEEN REDUCED BYPAID CLAIMS 8082000426
BAP106300605
WC106300505
DESCRI OF A SILO NS ES ( D101,Additi sS Certi? hol ) re na as nal ed perthe en policy:

GL Additional Insured Form #CG 20101219 and CG 20 37 12 19 GL Additional Insured State-Permits Form #CG 20 12 12 19 GL and ont ry For 20 O1 1219
GL of Su ion #CG 2 19
GL Per Project Form #GLS-3323 01 12
See Attached...

OF ANY CONTRACT OR OTHER DOCUMENTWITH RESPECT TO WHICH THI

S CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN SUBJECT TO ALL THE TERMS, 3/14/2024
10/1/2023
beatta sasr
10/1/2024
10/1/2024
10/1/2024
is requ en CO
5 2 000.000
$ 100,000
$ Excluded
$ 4,000,000
$2,000,000
$ 1.000.000
$ 1.000.000
$ 1.000.000
ct subject to the terms & conditions of the

CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMITAPPLIES PER:

POLICY 5.5% LOC

ANYAUTO OWNED SCHEDULED

AUTOS ONLY AUTOS HIRED NON-OWNED AUTOS ONLY AUTOS ONLY
OCCUR
CLAIMS-MADE DED RETENTIONas
ANYPROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory in NH)
Ifyes, desc under
ONYXPAV—O1
10/1/2023

EACH OCCURRENCE
UAMAUI: IU r<I:N | I:U
PRFMISFS {Fa occurrenceI MEDEXP (Anv one person)
PERSONAL 8. ADV INJURY $ 2,000,000 GENERALAGGREGATE $ 4,000,000

PRODUCTS - COMP/OP AGG
BODILYINJURY(Per person) BODILYINJURY(Per accident)

EACH OCCURRENCE AGGREGATE
5 PER OTH- STATUTE FR

E L EACH ACCIDENT

E L DISEASE - EA EMPLOYEE

E L DISEASE - POLICY LIMIT

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State of California
Secretary ofState
Statementof Information
stockandAgriculturaiCooperativeCorporailona)
FEES(FilingandDisclosure):$25.00.
ifthis is an amondmanl,see inairuaiiona.

GORPORATENAME
ONYXPAVINGCOMPANY. INC.
6026.477
FILED
Inthenf?csof theSec: oismo
oiihoStateofGa ia
OCT-D1201B

2. CALIFORNIA CORPORATE NUMBER
61659076 masmqrar?ing Uu Onry
Is a
a. “JV
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a
STATE 26?
2890E.LA CA92806
a. E.LA
have an
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an .mditum a nine
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15. OAliFORNiA. [F ANINDIVIDUALam ZIP0005
2890E. 92606
17 or sconzmavOF GER‘iIFiESTHEINFORM
ATION
1 ATTORNEY

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Secretary of State
Statement of Information 6388157
Stockand Agricultural CooperattvoCorporations)
(Flllng closu $2 FILED
If :1) am t,e_ae in! 11. mthe 90“ 013W

1. CORPORATENAME '5“ 'a
ONYXPAVINGCOMPANY, INC.

JAN-032020

2. OAUFORNIAconvorms.NUMBER
01659073 ThisSpacelbrFilmUseOnly
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Cali mia Envimnumultalprmcci‘ion Agency
Air esources Board
January 1, 2024
CEmiFICATE OF REPORTED COMPLIANCE
OF‘F- OAD {ESEL VEHICLE REGULATION
is issued to
ON ING C0 NY, NC.
(Ix-mad mewFleetldanfl?ca?n
n
llwls cemflcate inmoatesmmthe fleet listed abwe has re flea all-mad d esel which ._ the Caéllnrma AirResouces Board and has certi?esthey are in complrance v: lh We 13 OCR sec?on 2449' Al: applicabze vehiclesowned by the indlwdual compal ' or agency must he reponed and labeled:as spam?ed ‘mSemen 2449, win all possible completeness, else lhls nemesis I8 nu” and mid Certi?cate expires 2/28/2025
,_._/,L«
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P NDI
Rev. 0
APE X1

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will not be resgnnsible

STREETREHABILITATIONPROJECT
CIPNO.5765

BIDDER'SPROPOSAL
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the Street RehabiiitationProject, CIPNo. 5765, and appurtenant work in connection therewith, said workto be done and materialsto be furnished in strict conformity withthe Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, speci?cations, General Conditions, Special Provisions, General Provisions, Greenbook 2024 as amended and supplemented, technicalreferences, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductive items 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 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/oruse tax upon any materialsso furnished, including any unit prices and additive/deductiveitems. The undersigned has also carefully checked all of the ?gures given and understands that the Agency for any errors or omissionson the part of the undersigned in submitting this proposal.

Contractor con?rmsthat his/her/itsbidissubmitted 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
The undersigned has examined the current State of Californiaschedule of prevailing wage rates for the types of work to be done on this project (and the Davis—BaconAct if the Agency uses federal funds for the Project) and agrees to pay not less than these rates.

The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the Street RehabilitationProject, CIPNo. 5765 appurtenant work in connection therewith, saidwork to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice inviting Bids,Instructions to Bidders, every Addendum, plans, speci?cations, General Conditions, Special Provisions, General Provisions, Greenbook 2024 as amended and supplemented, technicalreferences, all other referenced documents, al l codes, permit conditions and regulations, for the total amountis) and any unit prices and additive/deductiveitems shown on this proposal.

Rev. E
}
2024

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STREETREHABILITATIONPROJECT
CIPNO.5765
BIDDER'SPROPOSAL(cont’d)

BIDSCHEDULE
BASEBID- STREETREHABILITATIONPROJECT,CIPN0. 5755

ITEM ESTIMATED UNIT
No

DESCRIPTION UNIT QUANTITY PRICE
1 MOBILIZATION (NOTTOEXCEED LS 1
5%)
2 TRAFFIC&PEDESTRIANCONTROL LS 1
3 CLEARING. GRUBBING, REMOVALS LS 1

TEMPORARYCONSTRUCTION
4 SIGNAGE EA 1‘
5 WATERQUALITYCONTROL LS 1
6 REMOVEEX.AC.PAVEMENT& SQFT 343.620 BASE
CONSTRUCT035'OFAc.
7 PAVEMENT TONS 638°
CONSTRUCT033‘OFAC.
8 PAVEMENT TONS 2,629
CONSTRUCT095 OFCLASSII
9 AGGREGATEBASE CUYD ”542
CONSTRUCT015’OFCLASSII
1° AGGREGATEBASE CUYD 251°
CONSTRUCT0.60'OFCLASSII
11 AGGREGATEBASE CUYD 907
CONSTRUCT050'OFCLASSII
12 AGGREGATEBASE C” YD 3'070

ADJUSTEXISTINGMANHOLE&
13 EXISTINGWATER/GASVALVETO EA 47

FINISHSURFACE

REPLACEXISTINGSTRIPINGPER

CALTRANSSTANDARDS&
1‘ SPECIFICATIONS PERSTD.A20A, LF 6”“
DETAIL#22
Rev. 0
JULY2024

EXTENDED
ITEM
AMOUNT
i$106) a: [35/001); 00
#:13600/3‘14/goova
o
(94,0004? (47,090.00
1,070.00 11,770.00
10,000.0( 10,000.00

3.00 1,030,860.00
109.00 695,420.00
117.00 307,593.00

34.00 88,668.00

65.00 163,150.00

63.00 57,141.00

67.00 205,690.00
628.00 29,516.00

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WW ITEMS W
AS FOLLOWS:

W ITEMS W
241,00 373" ’OD
551.270 ‘7,LZK--°°
WW 24% 0°
[9-00 271-00
Z/Iéé/j?g 30
642-00 10,272.00
214.00 856.00
3100 26,071.00
223.00 2,676.00
STREETREHABILITATIONPROJECT Rev. 0
CIP NO.5765 JULY2024
BIDDER'SPROPOSAL(cont'd)
BASEBID- STREETREHABILITATIONPROJECT,CIPNO.5755

EXTENDED ITEM ESTIMATED UNIT DESCRIPTION UNIT ITEM NO QUANTITY PRICE AMOUNT

REPLACEXISTINGMARKINGS
15 PERCALTRANSSTANDARDS& EA 30 SPECIFICATIONSPERSTD.A24D, A24F.A24G

REPLACEDAMAGEDTRAFFIC
1s LOOPSPERRIVERSIDECOUNTY EA 13
STANDARDPLANNO.1206
REMOVE&RELOCATEEX.STREET
17 SIGNAGEPERCOHSTD.DWG.NO. EA 1
G-810(A-CI
INSTALLCLASS'B"CENTERLINE 1‘ MONUMENTS EA 16
PREPAREPRE-&POST19 CONSTRUCTION CORNER EA 4

RECORDS

INSTALLBLUEDOTHYDRANT
zo MARKERPERCOHSTD.DWG.NO EA 17
W-7OOB
CONSTRUCTTYPE'A' 12-AC. 21 DIKE LF 841
CONSTRUCTSMOOTHPAVEMENT 2’ TRANSITIONJOINT EA ‘2
TOTALBASEBID(numbers)

ENDOF BASE BID

ADDITIVEA BIDITEMS

ITE EXTENDED ES M
M DESCRIPTIONOF ITEMS U1NI Tl ATED :23; ITEM
No QUANTITY AMOUNT
A1
TOTALBIDADDITIVEA (numbers)

END OF ADDITIVEA BID

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STREETREHABILITATIONPROJECT Rev. 0
CIPNo.5765 JULY2024
BASEBIDTOTAL(in words)
ADDITIVEA BIDITEMSTOTAL(in words)
In the event of a variation between the unit price and extended total, the unit price willbe used and the correctedextension willbe consideredasthe amount bid. Ifthe bidisillegibleand cannot be reconciledit willbe considered non-responsive and willnot be consideredfor award.

If an 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 othenivise speci?ed in the Notice Inviting Bids or by Addenda if issued to supersede the Notice Inviting Bids on this speci?c issue.

For a Contract where a deductive bid schedule is calledfor, the lowest bidwillbe determined by the total of all bid schedulesincluding the deductive bid schedule(s).

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

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STREETREHABILITATIONPROJECT
cwNo. 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 willcorrespond 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 confirmsthat they are familiarwith the work site and all existing conditionsthat 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:Ifan addendum or addenda have been issued by the Agency and not noted above as being received by the bidder, this Bidmay be rejected.

Telephone number
Complete the following:

NOBLE COMPANY, 1000004235 782908 CLASS A & C12
Legal name of the business, DIRReg. and Contractor License No s
Business Type (Corporation, Partnership, Sole Proprietor )
DBA(if any)

CARVER, PRESIDENT
Name and title of the owner MENDOZA, VICE PRESIDENT
Name and title of second partner or officer
LINCOLN AVE., ORANGE, CA 92865
Business Address

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Signature fBidd r

REE LOVE,

STREETREHABILITATIONPROJECT
CIP No. 5765
BIDDER'SPROPOSAL(cont'd)
Company web address
Signature Date Date
Print name and title Print name and title
(Ifthe Bidderis a corporation two signatures ofcorporate o?icersare required.) A1—6
714-637—6321
X 08/27/24 X 08/27/
24 MENDOZA, VICE PRESIDENT SECRETARY
Facsimilenumber
STEVEN L. MENDOZA, VICE PRESIDEN
T
[email protected]
Name and Emailaddress of primary contact
Rev. 9

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Bldd
END
o Bidder
B EED

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

CERTIFICATEREGARDINGCONTRACTOR'SLICENSE

1. Contractor is required to possess one of the following State Contractor's License State of CaliforniaClass A Contractor’s License
Combination of Specialty Class Contractor’sLicenses

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 Date Date
Print name and title Print name and title
(Ifthe Bidderis 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-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 willbe final.

Signature
782908 CLASS A & C12
08/31/2026
X 08/27/24 x
08/27/
24 L. OZA, VICE PRESIDENT VE, SECRETARY

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

BIDSECURITYFORMFORCHECK
NOTE:THEFOLLOWINGFORMSHALLBEUSEDINTHECASEOFCHECKACCOMPANYINGBID Accompanying this proposal is a Certified Check or Cashier’sCheck payable to order of the City of Hemet, hereinafter referred to as "Agency",for
dollars this
amount being 10 percent (10%) of the total amount of the bid. This shall be returned to the undersigned only ifeither of the following occurs:

A. Ifsaid Bidshall be rejected by the Agency;
Ifsaid Bidshall be accepted by the Agency and Undersigned shall execute and deliver a Contract in the form attached hereto completed in accordance with said Bid) and shallfurnish bonds required for his/her faithful performance ofsaid Contract and for the payment of all persons labor or furnishing materials in connection therewith, and shallin all other res perform the Contract created by acceptance of said Bid.

Otherwise, said checkshall become roperty of the Agency.

Said check shall also become the roperty of the Agency if the Undersigned shall withdraw his/her/itsbid within the pe sixty (60) calendar days after the date set for the opening thereof, unless otherwise 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 two signatures ofcorporate of?cersarerequired.)

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STREETREHABILITATIONPROJECT Rev. E)
CIPNo. 5765 JULY2024
BIDDER'SPROPOSAL(cont’d)

BIDSECURITYFORMFORBOND
KNOWALLBYTHESEPRESENTS:
(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 Dollars(S lawfulmoney
of the UnitedStates of America being at least ten percent (10%)of the aggregate amount ofsaid Principal’sbase 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
THE CONDITIONOF THIS OBLIGATIONIS SUCHthat if the Bid submitted by the said Principal be accepted and the Contract be awarded to said Principaland said Principalshallwithi n
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 day of
(Month)
(Corporate Seal) By
P?nd
BY
Surety
(Corporate Seal) By
That the undersigned
R.]. NOBLE COMPANY
Ten Percent of the Amount Bid
August
X

BREEDLOVE, SECRETAR
Y
Western Surety Company
X:

KellyV Attorney—in-Fact
2024

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I19!
we
to the withininstrument and acknowledged to me that he/xillttny execuied the same in NSW authorized capacityaesx and that by hisWKSignaiurem on the instlument the persona). or meentiiy NotaryPubllc~ Calilamia
OrangeConn
Cnmmlssian # 24215114 5
Mycomm. Expireson25,2027
5 nature
CALIFORNIA ACKNOWLEDGMENT CIVILCODE § 1189
Anotary publicorother officercompleting this certificateverifiesonlythe identityofthe individualwhosignedthe document to whichthis certificateis attached, and not the truthfulness, accuracy, or validityof that document.

State of California
County of
On before me,
Date
personally appeared
J. DEIONGH
NNA1
Place Notary Seal and/or Stamp Above
Here Insert Name and Title of the Of?cer
I certify under PENALTYOF PERJURY under the
laws of the State of California that the foregoing
paragraph is true and correct.

WITNESS my hand and of?cial seal.

Signature
of Notary 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 In General
El Individual III Attorney in Fact
El Trustee El Guardian or Conservator
D Other:

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

Signer's Name
[I Corporate Of?cer — Tit|e(s):

I'_'I Partner- Cl Limited I: General
El Individual El Attorney in Fact
I:l Trustee III Guardianor Conservator
El Other:

Signer is Representing:

ORANGE
08/07/2024 DEIONGH, NOTARY PUBLIC

IACOBBREEDLOVE
Name of Signe
who proved to me on the basis of satisfactory evidence to be the person( whose name( is/ subscribed upon behalf of which the person( acted. executed the instrument.

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ALL- PURPOSE

CERTIFICATE OF ACKNOWLEDGMENT
AW‘W'W‘ 200% Susan E‘ Morales, Notary Public
\I (Hm msmnun: and NI! Bl Ihe Emu!)
.. ;L “.Jw—l
.
. SUSANE MORALES
‘ F1 COMM, #2444309 _‘.

NOTARYPUBLIC} CALIFORNIA0
ORANGECOUNTY ._\
MVCOMM ExwresAnn} ”1027
«1%menu‘ 8
NumberofPages \ DocumentDate‘&"I ' 1‘?
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity Ofthat document.

State of California }
County Of Orange }
On before me, ,
personally appeared Kelly Vincent
who proved to me on the basis of satisfactory evidence to be the personfe) whose nameée) isfafe subscribed to the within instrument and acknowledged to me that helshe/t-hey executed the same in histher/their authorized capacityfies), and that by his/herft-heir signatureésé on the instrument the personfs?, or the entity upon behalf of which the personés) 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 official seal
Notary Public Signature (Notary Public Seal)

ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM Thisformcomplies with current Californiastatutes regarding notary wording and, DESCRIPTIONOFTHEATTACHEDDOCUMENT ifneeded.should be completed and attached to the document.Acknolwedgentsfro other states may be completedfor documents being sent to that state so long asmthe wording does not require the Californianotary to violateCalifornianotary law. (Titleordescriptionofattached 0 State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment. . . . , a Date of notaiization must be the date that the signer(s) personally appeared which (we ordescnptlonOfattacheddocumentcontlnued) must also be the same date the acknowledgment is completed. - The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title (notary public).

I Print the name(s) of document signeds) who personally appear at the time of notarization.

CAPACITY CLAIMEDBY THE SIGNER - Indicate the correct singular. or plural forms by crossingoff incorrect forms(i. . . he/she/they: e. Is hire ) or circling the correct forms. Failure to correctly indicate this IndIVIdual(S) information may lead to rejection of document recording. :i corporate Of?cer 0 The notary seal impression must be clear and photographically reproducible.

Impression must not cover text or lines. If seal impression smudges, re-seal if a (Title) suf?cient area permits, otherwise complete a different acknowledgment form.

P It 0 Signature of the notary public must match the signature on ?le with the of?ce of a ner(s) the county clerk
Attorney-in'FaCt '1' Additional information is not required but could help to ensure this r ee acknowledgment is not misused or attached to a different document. US S Other °:‘ Indicate title or type of attached document, number of pages and date. a“ Indicate the capacity claimed by the signer. If the claimed capacity is a corporate of?cer, indicate the title (i.e. CEO, CFO, Secretary). - Securely attach this document to the signed document with a staple, 2’115 Version m NotaryClassescom JCS—1933.3

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Westen u m “Y
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POWER OF ATTORNEY APPOINTING INDIVlDUAL ATTORNEY-IN—FACT Know All Men By ThesePresents, That WESTERNSURETY COMPANY, a South Dakota corporation,is a duly organized and existing corporation having its principalof?ce in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein af?xed hereby make, constitute and appoint David S Jacobson, Kelly Vincent, Individually
of Anaheim,CA, its true and law?il Attomey(s)-in—Factwith ?rll power and authority hereby conferred to sign, seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature
- In Unlimited Amounts -
and to bind it thereby as ?illy and to the same extent as if such instruments were signed by a duly authorized o?icer of the corporation and all the acts of said Attorney, pursuant to the authority hereby given, are hereby rati?ed and con?rmed.

This Power of Attorney is made and executed pursuant to and by authority of the Authorizing By-Laws and Resolutions printed at the bottom of this page, duly adopted, as indicated, by the shareholders of the corporation.

In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed on this 29th day of July, 2024.

WESTERN SURETY COMPANY
Larry Kasten, Vice President
State of SouthDakota
55 County of Minnehaha
On this 29th day of July, 2024, before me personally came Larry Kasten, to me known, who, being by me duly sworn, did depose and say: that he resides in the City of SiouxFalls, State of South Dakota; that he is a Vice Presidentof WESTERN SURETY COMPANY describedin and which executedthe above instrument; that he knows the seal of said corporation;that the seal af?xed to the said instrument is such corporate seal; that it was so af?xed pursuant to authority given by the Board of Directors of said corporation andthat he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporation. +hahahssaaahaahaaaaaaaeaa+ t M.B ,
I NOTARY A 4‘ March 2. 2026 EQSOUTH SE"- g
+aaaaaaaasnaaahahhhaaaaa +
My commissionexpires
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M. Bent, Notary Public

CERTIFICATE
1, Paula Kolsrud, Assistant Secretary of WESTERNSURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force, and further certifythat the By—LawandResolutions of the corporationprinted below this certi?cate are still in force. In testimony whereofI have hereunto subscribedmy name and af?xed the seal of the said corporation this day of 5 WESTERN SURETY COMPANY 0W
Paula Kolsrud, Assistant Secretary
Authorizing By—Lawsand Resolutions

ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY
This Power of Attorney is made and executed pursuant to and by authority of the following By—Lawduly adopted by the shareholdersof the Company.

Section 7. All bonds,policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, and Assistant Secretary, Treasurer, or any Vice President, or by such other of?cers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or theTreasurer may appointAttorneys in Fact or agents who shallhave authority to issuebonds, policies, or undertaking s
in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such of?cer and the corporate seal may be printed by facsimile.

This Power of Attorney issigned by Larry Kasten, Vice President,who has been authorizedpursuant to the aboveBylaw to execute power of attorneys on behalf ofWestern Surety Company.

This Power of Attorney may be signed by digital signature and sealedby a digital or otherwise electronic-formattedcorporate seal under andby the authority of the following Resolution adoptedby the Board of Directors of the Company by unanimous written consent dated the 27'1|day of April, 2022:
“RESOLVED: That it is in the best interest of the Company to periodicallyratify and con?rmany corporate documents signed by digital signatures and to ratify an d con?rmthe use of a digital or otherwiseelectronic-formattedcorporate seal, each to be consideredthe act and deed of the Company.” Go to www.cnasuretv.com > Owner / Obligee Services > Validate Bond Coverage, if you want to verify bond authen?city.

Form F4280‘6-2023 Page 145 of 202

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‘ 03/27/2024 §2§§&.L1§c'8LHHeE"d ——
03mg; CIWL

STREETREHABILITATIONPROJECT
CIPNo. 5765
BIDDER'SPROPOSAL(cont'd)
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 collusiveor sham. The bidder has not directly or indirectly induced or solicitedany 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. Allstatements 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 collusiveor sham bid, and has not paid, and willnot pay, any person or entity for such purpose.

I declare under penalty of perjury under the laws of the State of California that the is declaration is executed on [date], at
[state].

Signature of Date Signature Date
Print name and title Print name and title
(Ifthe Bidderis a corporation, two signatures ofcorporate of?cersare required.)

NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODESECTION7106

NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBI D
The undersigned declares: STEVEN L. MENDOZA
VICE PRESIDENT R.I.NOBLE COMPANY
08/27/
2024

MENDOZA, VICE PRESIDENT IACOB
correct and that th
CA
08/27/2024 X
ARY

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m
to the within instrument and acknowledged to me the! hemy executed ihe same in him authorized capacltym and (hat by MSW slgnamrem on the instrument the persont). or the entity CALIFORNIA ACKNOWLEDGMENT CIVILCODE § 1189
Anotarypublicor otherofficercompletingthiscertificateverifiesonlythe identityofthe individualwhosignedthe document to whichthis certificate is attached.and not the truthfulness, accuracy, or validityofthat document.

State of California
County of
On before me.

Date Here Insert Name and Title of the Officer
personally appeared
I certify under PENALTYOF PERJURY under the
J. DEIONGH laws of the State of California that the foregoing Notary Public' California paragraph is true and correct.

Orange County
CommissionIf2468114 WITNESSmy and sealComm.ExpiresOct28,2027 Signature
Place Notary Seal and/or Stamp Above of Notary 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:

DocumentDate: Number of Pages:

Signer(s) Other Than Named Above:

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

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

El Partner— El Limited [II General El Partner— El Limited C! General I: Individual El Attorney in Fact I:I Individual I: Attorney in Fact El Trustee U GuardianorConservator 13 Trustee El GuardianorConservator El Other: El Other:

Signer is Representing: Signer is Representing:
@2019 National Notary Association
ORANGE
08/27/2024 DEIONGH, NOTARY PUBLIC
Name (3) of Signe
who proved to me on the basis of satisfactory evidence to be the person whose name( is/ subscribed upon behalf of which the person( acted, executed the instrument. (5)

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we
to the within instrument and acknowledged to me that helslllkny executed (he same In his/ham au‘horized capacity/(last. and that by himslgnaturem on the instrument the personm,or meentity J. DEIONGH
Maury mu: - Ca?fnrnia
3 Orange (um, i #5 _
9 ~ Commission-'I2468114 Iseal 1 Mycom Expireson 13, 2011 l '
I ature
ORANGE
08/27/2024 I.DEIONGH, NOTARY PUBLIC

BREEDLOVE
CALIFORNIA ACKNOWLEDGMENT CIVILCODE § 118
9 Anotary publicorother officercompletingthis certificateverifiesonlythe identityofthe individualwhosigned the document to whichthis certificateis attached, and not the truthfulness, accuracy. or validityofthat document.

State of California } County of
On before me,
Date Here Insert Name and Title of the Of?cer
personally appeared
I certify under PENALTYOF PERJURYunder the
laws of the State of California that the foregoing
paragraph is true and correct.

NNA1
WITNESS my hand and of?cia
Signature
Place Notary Seal and/or Stamp Above of Notary 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: Number of Pages:

Signer(s) Other Than Named Above:

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

ElCorporate Officer — Title(s): El Corporate Of?cer — Title(s):

El Partner— El Limited I: General El Partner— El Limited I: General E1 Individual El Attorney in Fact El Individual El Attorney in Fact El Trustee El Guardianor Conservator I:l Trustee I:I Guardianor Conservator El Other: D Other:

Signer is Representing: Signer is Representing:
©2019 National Notary Association
Name of Signe
who proved to me on the basis of satisfactory evidence to be the person( whose name( is/ subscribed upon behalf of which the person( acted, executed the instrument.

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$4,971,340.00
REH
$8,815,145.00

STREETREHABILITATIONPROJECT
CIPNo. 5765
BIDDER'SPROPOSAL(cont’d)
CONTRACTOR’SREFERENCELIST
Attachto this bid a list of three (3) projects in the past five (5) years on which the bidder and his subcontractorls) 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.

Project Name:

Contract Price: Date of Completion:

Project Name:

Project Name:
(Attach additionalpages as necessary)
PAVEMENT REHABILITATION CAMINO CAPISTRANOREHABILITATIONCIP 19102 $8,377,888.32 SEPTEMBER2023
32400 PASEO ADELANTO’ PAUL MESHKIN 949443-6350 [email protected]

VARIOUS STREET
REHABILITATION 2022, VARIOUS LOCATION THROUGHOUT THE CITY OF GARDEN GROVE ARII ITATION OVERLAY BzRECONSTRUCTIONPROIECT NO 50048
Name, Address, and Telephone Number of Owner's Representative:

CITY OF SAN JUANCAPISTRANO
SAN TUAN CADIQTANO CA 92575
NICK HSIEH [email protected]
APRRIL202
3 MONTGOMERY562-801-4350 [email protected]
JULY2023
Contract Price: Date of Completi
Name, Address, and Telephone Number of Owner's Representative:

GROVE 13802 NEWHOPE STREET GARDEN GROVE, CA 92843
Contract Price: Date of Completion
Name, Address, and Telephone Numberof Owner's Representative:

CITY OF PICO RIVERA 6615 PASSONS BLVD PICO RIVERA, CA 90660

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STREETREHABILITATIONPROJECT Rev. 0
CIPNo.5765 Jun" 2024
BIDDER'SPROPOSAL(cont'd)

DESIGNATIONOF SUBCONTRACI'ORS
Name of Subcontractor
and Locationof Place Description and Subcontractor’s DIRRegistration of Business Percentage of Work LicenseNo. Number
(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE§4100 ETSEQ.)

CASELAND SURVEYING
614 N. ECKHOFF STREET
ORANGE, CA 92868

SMITHSONELECTRIC
1938 E. KATELLAAVE
ORANGE, CA 92867

TRAFFIC LOOPS
LS 5411
614518 C10
1000001533
1000001610
SURVEY
swarm“ fqu can1’"! W" " ¥M1
WM 278
asmonf (A T112;
94am
0- 257-
317301/‘9
0,577-
775.306 100000‘7’
7é

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STREETREHABILITATIONPROJECT
cupNo. 5755
BIDDER'SPROPOSAL(cont’d)

BIDDERCERTIFICATIONS

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

STATEMENTOF CONVICI'IONS
By my signature hereunder, I hereby swear, under penalty of perjury, that no more than one ?nal, unappealable finding of contempt of court by a Federal Court has been issued against Bidderwithin the past two years because of failure to comply with an order of a Federal Court or to comply with an order of the NationalLaborRelations Board.

CERTIFICATIONOFWORKER’SCOMPENSATIONINSURANCE
Bymy signature hereunder, as the Contractor, I certify that Iam aware of the LaborCode 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 PublicWorks Agreement and Contract Documents.

CERTIFICATIONOF PREVAILINGWAGE RATESANDRECORDS
By my signature hereunder, as the Contractor, I certify that I am aware of LaborCode 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.

CERTIFICATIONOFCOMPLIANCEWITHPUBLICWORKSCHAPTEROF 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 wor k
on public works projects.

CERTIFICATIONOF NON-DISCRIMINATION
Bymy signature hereunder, asthe 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 nondiscrimination in employment will be complied with; and that the principal of equal opportunity in employment willbe demonstrated positively and aggressively.

Rev. 0
JULY2024

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action 1720) of the Califor
1000004235
inapp ' able]

STREETREHABILITATIONPROJECT
ClP 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 localgovernment 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
Bymy signature hereunder, as the Contractor, pursuant to LaborCode 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 allapplicable 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/ SUBCONTRACTOR REGISTRATION By my signature hereunder, as the Contractor, l 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 s nia LaborCode. Contractor’s registration number is[please complete] Subcontractors’registration numbers are as indicated in Document 00 4314.

CERTIFICATIONREGARDINGPREQUALIFICATIONINFORMATION[OPTIONAL] By my signature hereunder, as the Contractor, I certify as follows:
a. Contractor prequalified for this Project by submitting its Statement of Qualifications, dated (500).
b. [Please complete or strikeout the following as Subsequently, on or about and Contactor submitted further
information supplementing for foregoing nt of Qualifications. c. Allinformation described above is refe as the ”QualificationInformation.” d. Contractor has carefully reviewed the foregoing QualificationInformation. e. [Please checkand/or ofthe following]
AllPrequalificationl tion remains true and correct in allmaterial respects as of the date hereof, as information were actually being submitted to Owner as of the date hereof.

Except otherwise expressly set forth in separate Additional Prequalification submitted with the Bid, all Prequalification Information remains true and in all material respects as of the date hereof, as ifsuch information were actually

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aiqdér

PROPOS L'(
NDO

STREETREHABILITATIONPROJECT
CIPNo. 5765
BIDDER'S cont’d)
being submitted to Owner as of ate hereof. [Contractor must provide Additiona l Prequali?cation Information above ifthis item is checked.]

CERTIFICATIONOF
[Insert other certifications, if applicable. Otherwise, delete.] Signatu of Bidder Date
Print name and title Print name and title
(Ifthe Bidderis a corporation, two signatures ofcorporate o?icersare required.) BIDDE
R:

Date

ZA, VICE PRESIDEN
08/27/2024 X 08/27/
2024

SECRETARY
Signature of

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IT OF HEMET
l l N
Inf-mam
Rev. 0
2024
CY

R VERS DECOUNTY, CALFORN A

B D AND CONTRACTDOCU ENTS

STREETREHABLTATIO PROJECT
CAP TAL IMPROVEMENTPROJECTNO. 5765
JULY2024
7/25/2024
Jilleen Ferris, PE, Deputy PublicWorks Director/ Date
Assistant City Engineer RCE86193

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APPENDX1

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will not be responsible

STREETREHABILITATIONPROJECT
CIP No. 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 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, is familiar 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/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.(sl 1. 2. 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.
gem i“
)
3%,} 2021

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mun .r‘ 411.1:16.
.1» ”1 Van)
. 1i!

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

BIDSCHEDULE
BASEBID — STREETREHABILITATIONPROJECT,CIP No. 5765
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

TEMPORARYCONSTRUCTION
4 SIGNAGE EA 11
5 WATERQUALITYCONTROL LS 1
6 REMOVEEX.AC. PAVEMENT& SQ FT 343,620 BASE
CONSTRUCT0.35'OFAC.
7 PAVEMENT TONS 6,380
CONSTRUCT0.33'OFAC.
8 PAVEMENT TONS 2,629
CONSTRUCT0.95'OFCLASSII
9 AGGREGATEBASE CUYD 1642
CONSTRUCT075 OFCLASSII
1° AGGREGATEBASE CUYD 2’510
CONSTRUCT0.60'OFCLASSII
11 AGGREGATEBASE CUYD 907
CONSTRUCT0.50'OFCLASSII
12 AGGREGATEBASE CUYD 3'070

ADJUSTEXISTINGMANHOLE&
13 EXISTINGWATER/GASVALVETO EA 47

FINISHSURFACE

REPLACEEXISTINGSTRIPINGPER

CALTRANSSTANDARDS&
14 SPECIFICATIONSPERSTD.A20A, LF 6’445
DETAIL#22
Rem {3
H‘l
iltw
A190
(0,400
IBIl32.
57 57
57 hsoo
[o 400
m 145
H2. ”.0
341,028
7x57
143 070
5| L??
111 910
7° ' 500
7,31%.5°

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0(A-Q)
rs)
134
540
4'1!
(30
1,530
7, 230
mu
[0,030
3‘10
211
‘17,o‘IL
7!,110
3 000
STREETREHABILITATIONPROJECT Rev. (3 CIPNo. 5765 WE)! 20M BIDDER'SPROPOSAL(cont’d)
BASEBID— STREETREHABILITATIONPROJECT, CIP No. 5765

EXTENDED

ITEM ESTIMATED UNIT

DESCRIPTION UNIT ITEM

NO QUANTITY PRICE AMOUNT

REPLACEEXISTINGMARKINGS
15 PERCALTRANSSTANDARDS& EA 30
SPECIFICATIONS PERSTD.A24D,
A24FA24G

REPLACEDAMAGEDTRAFFIC
1s LOOPSPERRIVERSIDECOUNTY EA 13
STANDARDPLANNO.1206
REMOVE&RELOCATEEX.STREET
17 SIGNAGEPERCOHSTD.DWG.NO. EA 1
6-81
INSTALLCLASS"B"CENTERLINE
18 MONUMENTS EA 16
PREPAREPRE-&POST19 CONSTRUCTIONCORNER EA 4

RECORDS

INSTALLBLUEDOTHYDRANT
20 MARKERPERCOHSTD.DWG.NO EA 17
W-7OOB
21 CONSTRUCTTYPE"A"12"AC. LF 841
DIKE

CONSTRUCTSMOOTHPAVEMENT
22 TRANSITIONJOINT EA 12
TOTALBASEBID numbers)
************************************ END OF BASE BID ITEMS ADDITIVEA BID ITEMS AS FOLLOWS:

ITE EXTENDED ESTIMATED
M DESCRIPTIONOF ITEMS U1?“ :32; ITEM

NO QUANTITY AMOUNT
A1
TOTAL BIDADDITIVEA mbe
***H*************************** END OF ADDITIVEA BID ITEMS ***1!****************************

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Tilrt ¢r Will’vonTLn. (M J TuMH F: 7b ”.4 Bo 1. «IN JL o "15' Euc n
(LAG—5
STREETREHABILITATIONPROJECT Rev. 0
CIP No. 5765 mm mm
BIDDER'SPROPOSAL(cont’d)
BASEBIDTOTAL (in words)
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 is illegible and cannot be reconciled it will be considered non-responsive and will not be considered for award.

If an additive and/or alternate bid schedule is called for in the Contract Documents, the lowest bid willbe 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).

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. 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 irregularity(ies), and to take all bids under advisement for a period of sixty (60) calendar days after the date the bids are publiclyopened. 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 Bidder s 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 availabl e
for public inspection within two business days of bid opening.

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.._.
i _ ,,arper ..... 100000007
omora?on
,, Rancho _....V 77,,
,orest _.. .___ .
1,,

STREETREHABILITATIONPROJECT
cup 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.

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

Complete the following:

Hardv & T—I Tm: 6 21‘957.

Legalname of the business, DIRReg. and Contractor License Nos.

Business Type (Corporation, Partnership, Sole Proprietor) DBA(ifany)
Dan T.

Name and title of the owner
Michael A Indenn Vine Pre?idef‘lt
Name and title of second partner or officer
32 CA 92630
Business Address
714-444- 851
Telephone number
Rev. 1
1' 2621}
N/A
as President

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4444.2
an u on - ch an em
8/20/2024
Signatu
Vice... “WWW“... Corpomte-...wr,

STREETREHABILITATIONPROJECT
cwNo. 5765
BIDDER'SPROPOSAL(cont’d)
71 92m
Facsimile number
Name and Emailaddress of primary contact
Company web address
Sig Bidder Date re of Bidder
Michae Amnndsnn President Kristen Paulina.

Print name and title Print name and title
(Ifthe Bidderis a corporation two signatures ofcorporate o?icersare required.) Secretarv
Date
Rev. 0
2624

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2 L2
%’ 8/20/2024 W ?aw 3/20/2024
Signaturéo/f
_ , ,, Amundwn . .H
,,,,,dent ,,,,,, , Faun.“ “awn"
,ecretarv

STREETREHABILITATIONPROJECT
CIPNo. 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 98 £112 Contractor’s Licenses

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

3. Contractor declares, under penalty of perjury, that he/she/it possesses the required Contractor's |icense(s) which:
a Bearsthe license number(s) 215952
b. Expireson 12/31 ”)4
Bidder Date Signature of Bidder Date
Michael snn, Vice Presi Kristen Iinn Cnmnrate S
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—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.

Rev.

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

BIDSECURITYFORM FOR CHECK
NOTE:THEFOLLOWINGFORM 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 MA dollars ($ 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.

N/A
Signature of Bidder Date Signature of Bidder Date
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate o?icersare required.) Rev»
JUN 2624
N/A
N/A

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Harner
Rehab
Bond No. CSBA—
28143 STREETREHABILITATIONPROJECT c CIP No. 5765
BIDDER'SPROPOSAL (cont’d)

BIDSECURITYFORM FOR BOND
KNOW ALLBYTHESEPRESENTS:

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

WHEREAS,said Principal is submitting a Bidfor Street ilitation Proiect. CIP No. 5765 THE CONDITION OF THIS OBLIGATIONIS SUCH that if the Bid submitted by the said Principalbe 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 Construct Performance Bond, Construction Labor and Material Payment ion Bond, insurance certificates, and all other endorsements, forms, and documents required under the Instructions to Bidders, then this obligation shall be void, otherwise to remain in full force and effect.

IN WITNESS WHEREOF, the above bounden parties have executed this instrument this 20th day Of Auoust 2024 .
(Month)
Hardy & Harper, Inc.
(Corporate Seal) By
Principal Amundson, lce President

EX Fidelitv and Deposit Comoanv of and
Surety
(Corporate Seal) By
Reilly, Attorney-in-Fact

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Michael
Moman E Chumock NotarvPublic
MORGAN:. CHURNOCK
New Public- Cal?ornia
Orange cuumy
V Commissinn111377551
‘
‘ Mycomm.wires on 5, 2025
evidence he person(x) whose nameux) is/are
edged to he/sMe/they executed the same in
her/thei re(x)on the ins‘rurnentthe persona),
CALIFORNIAALL-PURPOSE ACKNOWLEDGMENT CIVILCODE § 1189
A notary public or other officer completing this certificateverifies only the identity of the individualwho signed the document to whichthis certificate is attached, and not the truthfulness, accuracy, or validityofthat document.

State of California )
County of Oran_ge )
On ll?llRT 92. before me, a Date Here Insert Name and Title of the Officer personally appeared Amundson
Name(s) of Signer(s)
who proved to me on the basis of satisfactory to be t
subscribed to the within instrument and acknowl me that his/her/tbeir authorized capacity(iee), and that by his/ rsignatu or the entity upon behalf of which the person(x) 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
3 ’z’ Signatu
Public
Place Notary Seal Above

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

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

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

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

I Corporate Officer — Title(s): Mice Etes‘dent 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 Is Representing
Hardv & Harner. Inc.
©2014 NationalNotary Association- www.NationalNotary.org - 1-800-US NOTARY(1-800-876-6827) Item#5907

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08/20/2024
Dwight Reilly
“ACKNOWLEDGMENT
A notary public or other of?cer completing this
certificate veri?es only the identity of the individual who signed the document to which this certi?cateis
attached, and not the truthfulness, accuracy, or
valid of that document.

State of California
County of Orange 3
On before me, Melissa Ann Vaccaro. Notarv Public
(insert name and title of the officer)
personally appeared
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) islare subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

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

MELISSAANNVACCARO
. comm.#2401942
WITNESS my hand and of?CIal seal Notary Pumiceamomia

ORANGECOUNTY
Comm.ExpiresMay12,
FR53
Sign (Seal)
accaro

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nfSepIember,
«‘"w'rw’
on uns7m day ofSeplembu, AD, 2023, beforemembseripsr, a Nolarymm:uflh: Sm: «Maryland, duly commissmncdand quali?ed, Rohzrl 0.

Murray. Vic: Presidcnt m1 Dawn Er nrawn,Seerernry of areCompanies,to rne personallyknown m be meinmwdapls and of?nnrsdescnbed inand whn executed mp precedinginslmmenl.and acknowledged d1: execuuanof samg. Andbeing by me duly sworndepusclhand saim,ummm isshe said of?cer of meCompany ifnrusaid.and um'11::seals amxsd xamepreceding inslrumznl are (he Corpome Smls cram Companies.andmar|hc said Corporal: Seals and GENEVIEVE MAISON mm rum
samuoaeWHY.
ems-mum: mm 21.ms
Bond N0. CSBA-28143
FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 7th day AD. 2023 ATTEST:

ZURICH AMERICAN INSURANCE COMPANY

COLONIAL AMERICAN CASUALTY AND SURETY COMPANY

FIDELITY AND DEPOSIT COMPANY OF MARYLAND
By: Dawn E. Brown
Secretary
Authenticity of this bond can be con?rmed at b0ndvalidator.zurichna.com or 410-559—8790

ZURICH AMERICAN INSURANCE COMPANY

COLONIAL AMERICAN CASUALTY AND SURETY CONIPANY

FIDELITY AND DEPOSIT COMPANY OF MARYLAND

POWER OF ATTORNEY
KNOW ALL MEN BY TI- *SE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporationof the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Robert D. Murray, Vice President, in pursuance of authority granted by Article V, Section 8, of the By-Laws of said Companies, which are set forth on the reverse side hereof and are hereby certi?ed to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint Daniel HUCKABAY, Frank MORONES, Dwight REILLY, Arturo AYALA, Shaunna ROZELLE OSTROM, Benjamin WOLFE, Chelsea LIBERATORE, Ben STONG, Michael D. STONG, R. NAPPI, Adrian LANGRELL of Orange, California, itstrue and lawful agent and Attorney-in-Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and theexecution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected of?cers of the ZURICH AMERICAN INSURANCE COMPANY at its of?ce in New York, New York., the regularly electedof?cers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its of?ce in Owings Mills, Maryland, and the regularly elected of?cers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its of?ce in Owings Mills, Maryland, in their own proper persons.

The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By-Laws of said Companies, and is now in force.

IN WITNESS WHEREOF, the said Vice-President has hereunto subscribed his/her names and af?xed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and

SEAL SEAL SEAL
By: Robert D. Murray
VibePresident
State of Maryland
County of Baltimore
the signature as such of?cer were duly af?xed and subscribedto the said instrument by the authority and direction of the said Corporations.

IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Of?cial Seal the day and year ?rst above written Cg: £3,611 >¥J
”Usu’
iv

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Presi-,,,,
,,,,fom.- [
8/20/2024 W1 1M 8/20/2024
Amundsen) President , Mi, Corporate ,, ,,
Sig [U of
STREETREHABILITATIONPROJECT Rev. {3
CIP No. 5765 may 28%
BIDDER'SPROPOSAL(cont'd)

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

I am the Vice dent of Hardy&Ha;per, 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. Allstatements 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 willnot pay, any person or entity for such purpose.

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 8/20/2024 [date], at Lake Forest [city], Cali in state].

Bidder Date Signature of Bidder Date
Michael Vice Kristen Paulino. Secretarv
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.)

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Cath,,, ,
- venida Cathedral
Baldizzone
Spring ,7 ,, Rehabilm?W , ,,
$2 041 000
Ontario - B , CA,
,
Lopez
: ,
W
,StreeLW—"WW Proi“.

ManerW ,, ,, .... ___ WW, ,,venL, _W,
, , v.

Ramos , ,

STREETREHABILITATIONPROJECT
CIP No. 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 will make the final determination of whether the projects listed here are of the same type, size and complexity as this project.

Project Name: Panorama Neighborhood Pavement Reconstruction Contract Price $636,000 Date of Completion: Julv 2024
Name, Address, and Telephone Number of Owner's Representative:

Citv of edral Citv 68-700 A Lalo Guerrero. Citv. CA 92234 Armando - (760) 770-0340
Project Name: 2024 Pavement itation Proiect
Contract Price: Date of Completion: June 2024
Name, Address, and Telephone Number of Owner's Representative:

Citv of 303 East Street. Ontario. 91764
- (909) 395-2103
Project Name Cvcle 2 Resurfacing
Contract Price: $3.110.000 Date of Completion September 2023 Name, Address, and Telephone Number of Owner's Representative Citv of hattan Beach - 14000 Highland A ch, CA 90266
Gilbert — (310} 802-5353
(Attach additional pages as necessary)
Rev. {2 292a
Yesenia
en’r

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Hardy Harper, Proi
Panorama Ncighhorh
2024
Cnmmcl
Complell‘nn
Bloom?eld
Complcllml April
Complclion
Gifford
Canlracl
Completion
Palm
Conlracl
Complelion
Cycle
Conlmcl
Completion Scplembcr
Ram
Complalion Seplcmber
Conlracl
Cnnmlcliun July
2023
Conlracl
Complcllon
FY
Conlmcl
Complelion May
Local
Comma:

Cumplcllon Aprll
Complelion
Calm-eel
Complclian February
Pavement
Conlract
Complclion
Pavement
Comm
Cumpleuon Scplcmbcr
Residcmial
Complclion
€in
300
Orange.

Conuacl
Camplelicn Dale:

Ploo
Canlracl
Complclioll Ma

OWNER/AGENCY
&

CONTACT
Kamran Dadbeh
(909) 824-6621
Desi Gutierrez
(562) 904-7110
dgutierrflldownevcaorg
Inc. Past ect References

PROJECT NAME, AMOUNT, & COMPLETION DATE
Date: June 2024
2024
Fy 23-24 Annual Residential Overlay
Contract Amount: $829,425.00
Amount: $3,110,000.00
Date: 2023
2023
Amount: $1,635,000.00
2023
Dat: June 2023
Amount: $1,138,000.00
Date: 2023
22-23
2023
Date: March 2023
2023
2022
Contract Amount: $2,875,000.00
Date: June 2022
Amount: $465,000.00
Date: 2022
1/22
City of Cathedral City
68-700 Avenida Lalo Guerrero
CathedralCitv, CA 92234
City of Ontario
303 East "B" Street
Ontario.CA 91764
City of Los Alamitos
3191 Katella Avenue
Los Alamitos, CA 90720 7 City of Rancho Santa Margarita 22112El Paseo
Rancho Santa Margarita, CA 92688
City of Vernon
4305 Santa Fe Avenue
Vernon, CA 90058
City of Signal Hill
2175 Cherry Avenue
Signal Hill.CA 90755
City of Manhattan Beach
14000HighlandAvenue
ManhattanBeach, CA 90266
San Bemardino County
825 East 3rd Street
San Bernardino, CA 92415
City of El Segundo
350 Main Street
El Segundo, CA 90245
City of La Canada Flintridge
1Civic Center Drive
La Ca?ada Flintridge, CA 91011
City of Palos Verdes Estates
340 Palos Verdes Drive West
Palos Verdes Estates, CA 90274
City of Norwalk
12700Norwalk Blvd
Norwalk, CA 90650
City of San Gabriel
425 S. Mission Drive
San Gabriel, CA 91776
City of Fullerton
303 West Conunonwealth Avenue
Fullerton. CA 92832
City of Moreno Valley
14177 Frederick Street
Moreno Valley, CA 92552
City of Grand Terrace
22795 Barton Road
Grand Terrace, CA 923 13
City of Downey
11111 BrookshireAvenue
Downev. CA 90241
of Orange
E. Chapman Avenue
CA 92866
City ofSan Fernando
117 Macneil Street
Fernando, CA 91340
Armando Baldizzone
(760) 770-0340
abaldizzone@cathedralcity gov
Yesenia Lopez
(909) 395-2103
vlonez@ontarioca. gov
Chris Kelley
(562) 431-3538
ckellev@citvo?osa1amitos.or2
Tri Nguyen
(949) 635-1813
mauven?lcitvofrsmorg
Lissette Melendez
(323) 583-8811
lmelendezéDcitvofvemonorg
Davina Buenavista
(310) 766-6985
dbuenavistafrhkoacomcom
Gilbert Ramos
(310) 802-5353
2ramos@manhattanbeach. gov
Larry White
(909) 663-7599
[email protected] gov
Floriza Rivera
(310) 524-2361
?'[email protected]
Nasser Shoushtarian
(818) 790-8882
[email protected]
Monica Pango
(951) 475-3625
moango??hrgreencom
Delfmo Consunji
(714) 686-8911
[email protected]
Alam Mai
(626) 308-2825
[email protected]
Rafael Chavez
(714) 932-7506
rafael.chavez@citvof?111erton.com
Quang Nguyen
(951) 413-3159
[email protected]
kdadhehfmgrandterrace-ca. gov
Youichi Nakagawa
(714) 744-5572
vnakagawa@citv0forange org
Manuel Fabian
(818) 898-1243
[email protected]
00d Pavement Reconstruction
Contract Amount: $636,000.00
Completion Date: July 2024
Spring Pavement RehabilitationProject
Amount: $2,041,000.00
Street Improvement Project
Contract Amount: $207,000.00
Date:

Date: March 2024
Ave, 48th, 49th & 50th Street Improvements
Amount: $792,000.00
Date: March 2024
Drive Pavement RehabilitationProject
Amount: $774,000.00
Date: October 2023
2 Street Resurfacing Project
Shadow Road and Other Roads
Contract Amount: $830,000.00
Date:

FY 23/24 Pavement RehabilitationProject
Date:

Citywide Street Resurfacing Program
Amount: $1,060,000.00
21-22 Street Improvements
Streets RehabiliationCDBG FY
Amount: $956,000.00
Date:

CDBG Street Improvements Project FY 22/23
Contract Amount: $490,000.00
Residential Street Rehabilitation
Amount: $1,204,780.00
Date:

Rehab. for Various Local Streets CDBG FY 2
Amount: $2,444,260.00
Date: December 2022
Rehab. On Barton Rd, Van Buren St & Vivienda Ave
Amount: $570,000.00
Date:

Street Pavement RehabilitationProject, Area 1
Prospect & Spring Right Turn Lane Modi?cation Project
Amount: $920,000.00
June 2022
Street Improvement Project

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Hardy nger, Proiect
E
2021-22 CD
Conlracl
Complclinn
Complcu'on February
VillagcC
2020—202
Conlmcl
Complexion May
Impcnal
Conlmcl
Compleliun May
Complcllon May
Complclion
Completion
Comma
Completion April
& Inc. Past

OWNER/AGENCY CONTACT PROJECT NAME, AMOUNT, & COMPLETION DATE Carl Hassel
(909) 364-2817
[email protected]
Jarb Thaipejr
(909) 799-2800
[email protected]
Sam Nelson
(951) 270-5607
[email protected]
Luis Pirnentel
(626) 430-2259
lnimentelfc?invindalecagov
Steve Kooyman
(530) 318-1066
Adam Salehi
(818) 238-3946
asalehi@burbankca. gov
Michael Wolfe
(951) 413-3100
[email protected]
Art Vela
(951) 922-3130
avela@banningca. gov
Tony An
(626) 744-7403
[email protected]
References
10 Contract Amount: $2,355,000.00
Completion Date: April 2022
BG Old Mira Loma Pavement RehabilitationProject
Contract Amount: $810,000.00
Completion Date: April 2022
Group 13
Amount: $5,806,000.00
Date: March 2022
Date: 2022
enter Drive Pavement RehabilitationProject
Contract Amount: $408,000.00
Completion Date: December 2021
Pavement Rehab. on Barton Rd, Bryn Mawr & Orange Grove
Contract Amount: $462,590.00
Completion Date: November 2021
Sixth Street Widening
Contract Amount: $785,000.00
Completion Date: September 2021
2021
Highway / Berry St. Intersection Improvements
Amount: $579,648.80
2021
FY 20-21 Asphalt Paving Project
Contract Amount: $2,695,493.64
2021
2020 Street Improvement Project
Contract Amount: $1,253,099.98
Completion Date: April 2021
Thin Maintenance Overlay Project Phase II (Rebid 2)
Contract Amount: $6,550,000.00
Completion Date: November 2020
ArterialRehabilitationProject 230
Contract Amount: $1,042,000.00
Completion Date: August 2020
Street Rehabilitationat Various Locations
Contract Amount: $1,451,000.00
Date: March 2020
2019 Fall Pavement Rehabilitation Project
Contract Amount: $4,261,000.00
Amount: $2,424,216.00
2019
City of Downey
11111 Brookshire Avenue
Downev. CA 90241
City of Jurupa Valley
8930Limonite Avenue
Iurupa Valley, CA 92509
City of Anaheim
200 S. Anaheim Blvd
Anaheim, CA 92805
County of Riverside
3525 14th Street
Riverside.CA 92501
City of Chino Hills
14000 City Center Drive
Chino Hills. CA 91709
Los Angeles County
900 S. Fremont Avenue
Alhambra. CA 91803
City ofLoma Linda
25541 Barton Road
Loma Linda, CA 92354
City of Norco
2870 Clark Avenue
Norco, CA 92860
City of Irwindale
5050 N. Irwindale Avenue
Irwindale, CA 91706
City of Brea
1Civic Center Circle
Brea. CA 92821
City of Colton
650 N La Cadena Drive
Colton. CA 92324
City of Burbank
301 E. Olive Avenue
Burbank, CA 91502
City of Oxnard
300 West Third Street
Oxnard, CA 93030
City of Moreno Valley
14177 Frederick Street
Moreno Valley, CA 92552
City of Cypress
5275 Orange Avenue
Cvnress. CA 90630
City of Banning
99 East Ramsey Street
Banning, CA 92220
City of Ontario
303 East "B" Street
Ontario.CA 91764
City of Pasadena
100 N. Gar?eld Avenue
Pasadena, CA 91101
Desi Gutierrez
(562) 904-7110
[email protected]
Desiree Flores
(951) 332-6464
[email protected]
Lorenzo Rea
(714) 765-6893
[email protected]
Hector Davila
(951) 955-6885
[email protected]
Peter Sanque
(661) 947-7173
[email protected] gov
[email protected]
Jess Sotto
(909) 370-5551
isotto@coltonca gov
Renee Hatcher
(805) 385-8280
[email protected]
Alex Bangean
(714) 229-6740
abanaeana?cvnresscaorg
Bill Braun
(909) 395-2012
nurchasingdbontariocagov
ResidentialStreet Pavement RehabilitationProject, Area
ResidentialStreet Improvement Project - Lotus & Torry,
Fisher Street Resurfacing Project
Contract Amount: $785,560.00
Pavement Reconstruction(Sustainable)North LA County
Contract Amount: $1,873,929.57
ComoletionDate: November 2021
l Resurfacing Project
Amount: $544,311.93
Date:

Date:

Citywide Pavement Rehabilitation Program FY 19-20
Contract Amount: $4,080,364.90
Completion Date: November 2020
Date: October 2019
Preventative Maintenance Services
Date:

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

DESIGNATIONOF SUBCONTRACTORS
Name of Subcontractor
and Location of Place Description and Subcontractor’s DIRRegistration of Business Percentage of Work License No. Number
(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE§4100 ETSEQ.)
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STREETREHABILITATIONPROJECT
CIP No. 5765
BIDDER'SPROPOSAL(cont’d)

BIDDERCERTIFICATIONS

TO BEEXECUTEDBYALLBIDDERSANDSUBMITTEDWITH 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 LaborCode 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 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 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 nondiscrimination in employment will be complied with; and that the principal of equal opportunity in employment will be demonstrated positively and aggressively.

My {3 2937:

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00000007

N/A N/A

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

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.

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 (SOQ).
b. [Please complete or strikeout the following as inapplicable] Subsequently, on or about and N/A .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 Qualification Information. e. [Please check and/or complete one ofthe following]
N/A AllPrequalification Information remains true and correct in all material respects as ofthe date hereof, as if such information were actually being submitted to Owner as of the date hereof.

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Hagar
% 1
8/20/2024 W W 8/20/2024
Signet e f
MichaelAmundsen, Kristen Pauline, Corporate Secretary

STREETREHABILITATIONPROJECT
CIP No. 5765
BIDDER'SPROPOSAL(cont’d)
being submitted to Owner as of the date hereof. [Contractor must provide Additiona l
Prequalification Informationas described above ifthis item is checked.] CERTIFICATIONOF Hardv & .Inc.
[Insert other Owner-specific certifications, if applicable. Otherwise, delete.] BIDDER:

Bidder Date Signature of Bidder Date
Vice President
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.) Rev» 0
may 2821

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BA20241230236

STATE OF CALIFORNIA
Office of the Secretary of State

STATEMENT OF INFORMATION

CORPORATION
California Secretary of State
1500 11th Street
Sacramento. California 95814
(916) 657-5448
Entity Details
Corporation Name
Entity No.

Formed In
Street Address of Principal Office of Corporation
Principal Address
Attention
Street Address of California Of?ce of Corporation
Street Address of California Office
For Of?ce Use Only
F LED
File No.: BA20241230236
Date Filed: 7/1/2024
HARDY& HARPER.INC.
0443071

CALIFORNIA
32 RANCHO CIRCLE
LAKE FOREST.CA 92630
32 RANCHO CIRCLE
LAKE FOREST, CA 92630
32 RANCHO CIRCLE
LAKE FOREST, CA 92630
Officer Address Position(s)
Kristen S. Paulino 32 RANCHO CIRCLE
Lake Forest, CA 92630
DANIELTHOMAS MAAS 32 RANCHO CIRCLE
Secretary, Chief Financial Officer
Chief Executive Of?cer
LAKEFOREST, CA 92630
Officer Name Of?cer Address
MichaelA Amundson 32 RANCHO CIRCLE
LAKE FOREST, CA 92630
Director Name
Tessa Irene Maas
Daniel Thomas Maas
Kristen S Paulino
The number of vacancies on Board of Directors is: 0
Agent for Service of Process
Agent Name
Agent Address
Type of Business
Type of Business
Position
Vice President
Director Address
32 Rancho Circle
Lake Forest. CA 92630
32 RANCHO CIRCLE
LAKE FOREST, CA 92630
32 RANCHO CIRCLE
LAKE FOREST.CA 92630
KRISTEN S. PAULINO
32 RANCHO CIRCLE
LAKEFOREST, CA 92630

ASPHALT PAVING CONTRACTOR
91918 30 Ax'eqexoes BTU-1031:1293AOIpeA'teoea IA
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Page 1 of 2 ends

MailingAddress of Corporation
Mailing Address
Officers
Officer Name
AdditionalOfficers
Stated Position

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Email Notifications
Opt-in Email Notifications Yes. I opt-in to receive entity notifications via email Labor Judgment
No Officer or Director of this Corporation has an outstanding final judgment issued by the Divisionof Labor Standards Enforcement or a court of law.for which no appeal therefrom is pending. for the violation of any wage order or provision of the Labor Code.

ElectronicSignature
X By signing, I affirm that the information herein is true and correct and that I am authorized by California law to sign.

Kristen S. Paulino 07/01/2024
Signature Date
9:19:13 30 1119191093 9131103131293 Aq 990-19093 W
V
9 ?
3 VZ
EO
Z8E

Page 2 of 2 ends

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TRACTORS

ICENSEBOA
Mano! ennui-mun:
cramminnmA 0-8 C12
ammo.“ 12/31/2025 www,cslb.ca.gov

CON DEE STATE L RD

ACTIVELICENSE
M..M..r215952 m, CORP
& INC

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\
istory¥_
stream on: mum...am
ngistration H
ml
5/28/24, 9:15 AM Registrations
Contractor Information
Legal Entity Name HARDY8LHARPER, INC.

Legal Entity Type
Corporation
5‘3“” 06/08/16 06/30/17
Active
Registration Number 06/30/16
1000000076
Registration effective date
07/01/24
Registration expiration date
06/30/20
06/30/25 07/01/20
Mailing Address
32 RanchoCircle Lake Forest 92630 CA United State... 07/01/21 06/30/22 PhysicalAddress
32 RanchoCircle Lake Forest 92630 CA United State...
(16/30/23
EmailAddress 07/01/23 06/30/24
[email protected]
Trade Name/DBA 07/01/24
License Number (5)
06/30/18
07/02/14
LegalEntityInformation
Corporation Entity Number: C0443071
President Name: DanielMaas
Vice President Name:

Treasurer Name:

Secretary Name:

CEO Name:

Ag
Agent of Service Name: CommercialSurety Bond Agency . Agent of Service Mailing Address: 1411 N. BataviaStreet, #201 Orange:92867 CA United States of America Worker's Compensation
Do you lease employees through Professional Employer Organization (PEO)?: No Please provide your current worker's compensation insurance information below:

PEO PEO PEO
PEO InformationName Phone Email
Insuredby Carrier
Policy Holder Name: Hardy 8LHarper, Inc.

Insurance Carrier: BITCOGeneral Insurance Corporation
Policy Number: CAP37’42814
Inception date: 04/15/24
Expiration Date: 04/15/25
https://cadir.my.salesforce-sites.com/ContractorSearch/registrationSearchDetails?id=a1R8y000001vmkbEAA 1/ CSLB:215952
06/15/18
05/09/17
06/19/15
07/01/19
07/01/22
06/30/
15 06/30/
21 06/30/25

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1 Project No. 5765

CONTRACTOR AGREEMENT
By and Between
The City of Hemet,
a California municipal corporation
and
Vance Corporation
a California corporation
AGREEMENT # 2025-031

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2 Project No. 5765

CITY OF HEMET BID AND CONTRACT DOCUMENTS
CITY OF HEMET CONTRACTOR AGREEMENT # 2025-031
Street Rehabilitation Project - CIP 5765
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 Vance Corporation (“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 Street Rehabilitation Project - CIP 5765 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.

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3 Project No. 5765

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.

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4 Project No. 5765
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

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5 Project No. 5765
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

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6 Project No. 5765
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)

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7 Project No. 5765

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.

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8 Project No. 5765
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]

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9 Project No. 5765
IN WITNESS WHEREOF this Agreement is executed as of the date first written above.

AGENCY:

City of Hemet
By:

Mark Prestwich, City Manager
CONTRACTOR:

Vance Corporation
By:

Name:

Its:

By:

Name:

Its:

ATTEST:

By:

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

APPROVED AS TO FORM:

By:

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

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EXHIBIT A

CONTRACT DOCUMENTS

1. City of Hemet Contractor Agreement

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

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

4. Bid Schedule(s)

5. Addenda and/or Bulletins

6. Plans

7. Special Provisions (Specifications)

8. General Conditions

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

10. State Standard Specifications

11. State Standard Plans

12. Permits issued by jurisdictional regulatory agencies

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

14. Notice of Award

15. Notice to Proceed

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

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

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

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EXHIBIT B

CONTRACT PRICE
Not to Exceed $2,158,148.32
The Contract Price for performing all Work described in the Contract Documents, including labor, materials, services and equipment is the total amount of all lump sum items and of all unit price sums, determined by multiplying the unit price for each item times the actual quantity of each such item, as determined by the Agency.

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EXHIBIT C

INSURANCE

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

Type of Insurance Limits
Commercial General Liability $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.

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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.

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Hemet City CouncilSeptember 24, 2024

Hemet City Council
September 24, 2024