Hemet City Council
December 9, 2025

19.G.

Com! R. Ki??'ner
NotaryFumk- Caill‘orma
OrangeCoumy S
Commissmn 5 24-94949 ‘ MyCamrn.ExpiresMa:I9. 2025
I
Nan-Mir Signer?‘
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 November 13. 2025 before me, | eslie Rocha Note"! D-Ih'ir‘ 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/am subscribed to the within instrument and acknowledged to me that he/ske/they executed the same in his/her/tbeir authorized capacity(ies), and that by his/hnr/their signature(s) on the instrument the person(a), 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.

WITNESS my and

LESLIEROCHA
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 NationalNotaryAssociation - www.NationalNotary.org- 1-800-US NOTARY(1-800—876-6827) Item#5907

19.G.

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CALIFORNIA ALL-PURPO SE ACKNOWLEDGEMENT
A Notary Public or other of?cer completing this certi?cate veri?es only the identity of the individual who signed the document to which this certi?cate is attached, and not the truthfulness, accuracy, or validity of that document.

State of California
County of Orange
On NOV13 2025 before meJ Albert Melendez . Notarv Public. personally appeared Zyanya Hernandez
who proved to me on the basis of satisfactory evidence to be the person(x) whose namer) is/ aXe subscribed to the within instrument and acknowledged to me that he/she/tliey executed the same in his/her/th?eirauthorized capacity(ixs), and that by his/her/their signature(s<)on the instrument the 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 State of California that the foregoing paragraph is true and correct.

WITNESS my hand and of?cial seal.

SIGNA

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

Description of attached document
Title or type of document
Document Date: mber of Pages
Signer(s) Other than Named Above:

19.G.

wer of Aucmey
bolh SRCSAIC
BY
hwy. m. c n sularVIec hum."
.rsncsm rmmm
Sun I cePycs cmandAs sunlSecrcug

SWISS RE CORPORATE SOLUTIONS
SWISS RE CORPORATESOLUTIONS AMERICA INSURANCECORPORATION("SRCSAIC") SWISSRECORPORATESOLUTIONSPREMIERINSURANCECORPORATION (“SRCSPIC") WESTPORTINSURANCE CORPORATION ("WIC")

GENERAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, THAT SRCSAIC, a corporation duly organized and existing under laws of the State of Missouri, and having its principalof?ce in the City of Kansas City, Missouri, each does hereby make, constitute, and appoint:

ERIK JOHANSSON.JENNIFER ANAYA, MELISSA LOPEZ, CHRISTINA ROGERS, ALBERT MELENDEZ, JOAQUIN PEREZ, JONATHAN BATIN,VANESSA RAMIREZ,ZYANYA HERNANDEZand JESSICA T. GARCIA

JOINTLY OR SEVERALLY
Its true and Iaw?rIAttomey(s)—in—Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds, consents of surety, or other writings obligatory in the natureof a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by law.regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of:

TWO HUNDRED MILLION ($200,000,000 00) DOLLARS
This Po is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of and SRCSPIC at meetings duly called and held on the 18lhofNovember 2021 and WIC by written consent ofits Executive Committeedated July 18, 2011:
“RESOLVED,that any two of the President, any Managing. Director, any Senior Vice President, any Vice President, the Secretary or any Assistant Secretary be, and each or any of them hereby is, authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Corporation bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Corporation; and it is FURTHER RESOLVED, that the signature of such officers and the seal of the Corporation may be af?xed to any such Power of Attorney or to any certi?cate relating thereto by facsimile, and any such Power of Attorney or certi?cate bearing such facsimile signatures or facsimile seal shall be binding upon the Corporation when so af?xed and in the future with regard to bond, undertaking or contract of surety to which it is attached." David Senior SEAL S EAL
&S¢nlor Vlce oiWIC
Scalar oi SRCSAIC 8: President of 8: President of
IN WITNESS WHEREOF, SRCSAIC have causedtheir of?cial seals to be and these be signed by their authorizedof?cers this 1WI'ayof June 20 25.

Swiss Re Corporate Solutions America Insurance Corporation State of Illinois Swiss Re Corporate Solutions Premier Insurance Corporation County of Cook Westport Insurance Corporation
_ 1 1‘“ June 25 . _ . . On this__day of ,20 before me, a Notary Public per onally appeared David Satog, Senior Vice President of SRCSAIC and Senior Vice President of SRCSPIC and Senior Vice Presidentof WIC, and GabrielJagggeLSenior Vice Presidentof SRCSAIC and Senior Vice President 0 SRCSPIC and Senior Vice President of WIC, personallyknown to me.who being by me duly sworn, acknowledgedthat they signedthe above Power of Attorney saidinstrumentto be the voluntaryact and deed of their

OFFICIAL

KARENMSZWEDA
NotaryPublic,Stateat minors
Comm'ssionNo 976628
Comm‘esionEXDIIES September 26 2027 M. Notary
I,Jeffrey GoldbergIthe duly elected of SRCSAIC and SRCSPIC and WIC do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said SRCSAICand SRCSPIC and WIC, which is still in full force and effect.

IN WITNESS WHEREOF.I have set my hand and affixed the seals of the Companies this 13th day of NOVember 20 25 .

Goldberg, Senior
Secretary of SRCSAIC and SRCSPIC and WIC

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Signag
Sigf?Widd
JAY Kl

NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODESECTION7106

NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID The undersigned declares:

I am the CEO of
foregoing bid.

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

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

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 11/19/2025 date], at YORBA LINDA city], CALIFORNIA state]
11/19/2025 11/19/2025
of Bidder Date er Date
COREY R. KIRSCHNER - CEO RSCHNER — VP, SEC., TREAS.

Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures corporate are required.)

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__ ._.. ..._.--.._..._.-OVER,,,
$1 899 696.72
CONTRACTOR’SREFERENCELIST
Attach to this bid a list ofthree (3) projects in the past five (5) years on which the bidder and his subcontractor(s) have successfully constructed and completed projects with the same type (elements), size and complexity of work. The Agency Engineer will make the final determination of whether the projects listed here are of the same type, size and complexity as this project.

Failure of bidder to supply sufficient documentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non-responsive bid and, at the Agency’s discretion, said bid will be disqualified. . ANNUALROADWAY RESURFACING PROJECT FY 2022-2023 Preject Name:

Contract Price: $3,408,313.69 Date of Completion: JUNE 2024 Name, Address, and Telephone Number of Owner's Representative:

CITY OF DANAPOINT — 33282 GOLDEN LANTERN, DANA POINT, CA 92629 SCOTT FISHER 760-814—7226
Project Name: 97-93 ANNI lAl ASPHAI T CONCRFTF LAY PROJECT Contract Price: $5,998,000 Date of Completion: MARCH 2024 Name, Address, and Telephone Number of Owner's Representative CITY OF EASTVALE - 12363 LlMONlTE AVE #910. EASTVALE.CA 91752 CHUCK STAGNER 714-925-4628
Project Name; 2021-2022 PAVEMENT REHABILITATION PROJECT Date of Completion: MARCH 2023
Name, Address, and Telephone Number of Owner's Representative:

CITY OF ARCADIA -240 W. HUNTINGTON D ARCADIA. CA 91007
JAN BALANAY 626-254-2726
(Attach additional pages as necessary)
Contract Price:

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DESIGNATION0F SUBCONTRACTORS
Name of Subcontractor Description and DIR Email
and Location of Place Percentage of Subcontractor’ 5 Registration Address of Business Work License No. Number
(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE§4100 ETSEQ.)

19.G.

BIDDERCERTIFICATIONS

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

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

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

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

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

CERTIFICATIONOF COMPLIANCEWITH PUBLICWORKS CHAPTER OF 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, I certify that there will be no discrimination in employment with regard to race, color, religion, gender, sexual orientation, age or national origin; that all federal, state, and local directives and executive orders regarding non— discrimination in employment will be complied with; and that the principal of equal opportunity in employment will be demonstrated positively and aggressively.

19.G.

798
Signat o idd

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.

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

CERTIFICATIONREGARDINGDIRCONTRACTOR/ SUBCONTRACTORREGISTRATION By my signature hereunder, as the Contractor, I certify that Contractor, and all listed Subcontractors are the subject of current and active contractor registrations pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code. Contractor’s registration number is[please complete] 1000004 . Subcontractors’ registration numbers are as indicated in Document 00 4314.

Bl
11/19/2025 11/19/2025
Signature of Bidder Date er Date
COREY R. KIRSCHNER- CEO JAY KIRSCHNER - VP SEC. TREAS.

Print name and title Print name and title
(If the Bidder is a corporation, two signatures corporate are required.)

CERTIFICATIONOF OF CONTRACT

19.G.

REFERENCES
PROJECT NAME:ANNUALROADWAY RESURFACINGPROJECTFY2022-2023 PROJECTDESCRIPTION:CITYWIDESTREETIMPROVEMENTS
APPROXIMATECONSTRUCTIONDATES: FEB2024 - JUNE 2024
CONSULTINGCOMPANY: CITYOF DANAPOINT- 33282 GOLDENLANTERN,DANAPOINT, CA92629 CONTACTPERSON:SCO'I'I'FISHER760-814-7226
ORIGINALCONTRACTAMOUNT: $3,065,000.00
FINALCONTRACTAMOUNT: $3,408,313.69
IF FINALAMOUNT ISDIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:CITYADDEDREBARTO ALLCONCRETESPANDREL S AND CROSSGU‘I'I'ERS.

DIDTHEAGENCYFILEANYCLAIMSAGAINSTYOU?NO
PROJECT NAME: 22-23 ANNUALASPHALTCONCRETEOVERLAYPROJECT PROJECTDESCRIPTION:CITYWIDESTREETIMPROVEMENT
APPROXIMATECONSTRUCTIONDATES: SEP 2023- MAR2024
AGENCY:CITYOF EASTVALE- 12363 LIMONITEAVE #910, EASTVALE,CA91752 CONTACTPERSON:CHUCKSTAGNER714—925—4628
ORIGINALCONTRACTAMOUNT: $5,858,000
FINALCONTRACTAMOUNT: $5,998,000
IF FINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:CHANGEORDERWORK FORADDITIONALSCOPE OUTSIDEOF PROJECTLIMITS.

DIDTHEAGENCYFILEANYCLAIMSAGAINSTYOU? NO
PROJECTNAME: 2021-2022 PAVEMENTREHABILITATIONPROJECT
PROJECTDESCRIPTION:VARIOUS PAVEMENTREHABILITATION& CONCRETEIMPROVEMENTS APPROXIMATECONSTRUCTIONDATES: NOV 2022 - MARCH2023
AGENCY: CITYOF ARCADIA—240W. HUNTINGTONDR,ARCADIA,CA91007 CONTACT PERSON:JAN BALANAY626-254-2726
ORIGINALCONTRACTAMOUNT: $1,727,000.00
FINALCONTRACTAMOUNT: $1,899,698.72
IF FINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:CHANGEORDERWORK FORADDITIONALSCOPE OUTSIDEOF PROJECTLIMITS.

DIDTHEAGENCYFILEANYCLAIMSAGAINSTYOU? NO
ONYX PAVING COMPANY, INC.
22707 LAPALMAYORBALINDA,CA92887 —TEL(714) 632-6699 — FAX(714) 632—1883

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PROJECTNAME: 23/24PAVEMENTREHABILITATIONPROJECT
PROJECTDESCRIPTION:CITYWIDESTREETIMPROVEMENTS
APPROXIMATE CONSTRUCTIONDATES: APR 2024 - DEC2024
AGENCY:CITYOF TEMPLECITY- 9701 E LASTUNASDR,TEMPLECITY,CA 91780 CONTACTPERSON:ALICAYIR714-883-8677
ORIGINALCONTRACTAMOUNT: $3,609,000.00
FINALCONTRACTAMOUNT: $4,392,226.45
IF FINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:CHANGEORDERWORK FORADDITIONALSCOPE OUTSIDEOF PROJECTLIMITS.

DIDTHEAGENCYFILEANYCLAIMSAGAINST YOU? NO
PROJECT NAME: 23-24 SLURRYSEALAT VARIOUSLOCATIONS
PROJECT DESCRIPTION:CITYWIDEASPHALTREPAIRS& SLURRY
APPROXIMATE CONSTRUCTIONDATES:JAN 2024 - APRIL2024
AGENCY:CITYOF MONTEREYPARK-320 WEST NEWMARKAVE MONTEREYPARK,CA91754 CONTACTPERSON:ZIADMAZBOUDI626-532-2018
ORIGINALCONTRACTAMOUNT: $1,400,000
FINALCONTRACTAMOUNT: $1,269,000
IF FINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:ACTUALBIDQUATITIESLESSTHANORIGINALBI D QUANTITY.

DIDTHEAGENCYFILEANYCLAIMSAGAINST YOU? NO
PROJECTNAME: 22-23 531 PAVEMENTREHABILITATIONPROJECT
PROJECTDESCRIPTION:VARIOUSSTREETFULLDEPTHRECONSTRUCTION APPROXIMATE CONSTRUCTIONDATES:JAN 2024 - MAY2024
AGENCY:CITYOF HEMET- 445 E FLORIDAAVENUEHEMET,CA92543
CONTACTPERSON:JILLEENFERRIS951-765-2360
ORIGINALCONTRACTAMOUNT: $2,020,000
FINALCONTRACTAMOUNT: $2,528,000
IF FINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:CHANGEORDERWORK FORADDITIONALSCOPE OUTSIDEOF PROJECTLIMITS.

DIDTHEAGENCYFILEANYCLAIMSAGAINST YOU? NO
ONYX PAVING COMPANY, INC.
22707 LAPALMA YORBA LINDA,CA 92887 — TEL (714) 632-6699 — FAX(714) 632-1883

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PROJECTNAME: PARKS,CIVICCENTER8: SHERRIFSTATIONPARKINGLOTREHABILITATION PROJECT DESCRIPTION:ASPHALTREMOVAL& REPLACEMENT
APPROXIMATECONSTRUCTIONDATES: FEB2024 — MAY2024
AGENCY:CITYOF LAWNDALE- 14717 BURINAVE, LAWNDALE,CA90260 CONTACTPERSON: NICKPETREVSKI310-973-3265
ORIGINALCONTRACTAMOUNT: $486,486
FINALCONTRACTAMOUNT: $601,000
IF FINALAMOUNT ISDIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:CHANGEORDERWORK FORADDITIONALSCOPE OUTSIDEOF PROJECTLIMITS.

DID THEAGENCYFILEANYCLAIMSAGAINSTYOU? NO
PROJECTNAME: RESIDENTIALSTREETPAVEMENTREHABILITATIONPROJECT,AREA5 & 7 PROJECT DESCRIPTION:STREETIMPROVEMENTS
APPROXIMATECONSTRUCTIONDATES:JULY2024 - MAR2025
AGENCY: CITYOF DOWNEY—11111BROOKSHIREAVE, DOWNEY,CA90241 CONTACT PERSON:BRIANALENAN562-904—7110
ORIGINALCONTRACTAMOUNT: $7,337,000.00
FINALCONTRACTAMOUNT: $8,897,979.99
IF FINALAMOUNT ISDIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:CITYADDEDCONCRETEWORKANDSLURRYSEA

L LOCATIONS
DID THEAGENCYFILEANYCLAIMSAGAINSTYOU? NO
ONYX PAVING COMPANY, INC.
22707 LAPALMAYORBALINDA,CA92887 —TEL(714) 632—6699— FAX(714) 632—1883

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LARGEPROJECTREFERENCES
PROJECTNAME: IRVINECENTERDRIVEPAVEMENT REHABILITATION
PROJECT DESCRIPTION:STREETIMPROVEMENTS
APPROXIMATECONSTRUCTIONDATES: NOV 2024 - MAY2025
AGENCY: CITYOF IRVINE- 6427 OAKCANYON,IRVINE,CA92618
CONTACT PERSON:FARHADBOLOURCHI949—724-6689
ORIGINALCONTRACTAMOUNT: $7,595,000.00
FINALCONTRACTAMOUNT: $7,637,050.65
IF FINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:FIELDQUANTITIESDIFFEREDFROM BIDSCHEDUL

E QUANTITIES
DIDTHEAGENCYFILEANYCLAIMSAGAINSTYOU? NO
PROJECTNAME: BID7994 - 2022/2023ARTERIALANDMINOR STREETSMAINTENANCE,PHASE2 PROJECTDESCRIPTION: STREETIMPROVEMENTS
APPROXIMATECONSTRUCTIONDATES: AUG 2024 - FEB2025
AGENCY: CITYOF RIVERSIDE
CONTACTPERSON: STEVEHOWARD 951-712-3904
ORIGINALCONTRACTAMOUNT: $4,946,000.00
FINALCONTRACTAMOUNT: $4,866,359.10
IF FINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:FIELDQUANTITIESDIFFEREDFROM BIDSCHEDUL E

QUANTITIES
DIDTHEAGENCYFILEANYCLAIMSAGAINSTYOU? NO
PROJECT NAME: FY23—24LOCALOVERLAYPAVEMENTREHABILITATIONSPROJECT PROJECT DESCRIPTION:STREETIMPROVEMENTS
APPROXIMATE CONSTRUCTIONDATES: AUG 2024 - OCT2024
AGENCY: CITYOF RANCHOCUCAMONGA- 10500 CIVICCENTERDRIVE,RANCHCUCAMONGA,CA91730 CONTACTPERSON: ROMEO DAVID909—774-4070
ORIGINALCONTRACTAMOUNT: $2,594,000.00
FINALCONTRACTAMOUNT: $2,646,054.40
IF FINALAMOUNT ISDIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:CITYADDADDITIONALCONCRETEANDOVERLAY

STREETS
DIDTHEAGENCYFILEANYCLAIMSAGAINSTYOU?NO
ONYXPAVING COMPANY, INC.
22707 LAPALMAYORBA LINDA,CA 92887 - TEL(714) 632-6699 — FAX(714) 632-1883

19.G.

REFERENCES
GENERAL CONTRACTORS: LOCATION: AMOUNT:

American Asphalt South, Inc. Eastvale $365,000
2990 Myers St. Ventura $37,000
Riverside, CA92503 Ontario $595,000
Ph: 909—427-8276 Palos Verdes Estates $174,000
Contact: Tim Grif?n Santa Clarita $484,000
Roy AllanSlurry Seal LaMirada $222,000
12643 Emmens Way Victorville $77,000
Santa Fe Springs, CA90670 La Palma $107,000
Ph: 562-864-3363 San Clemente $432,000
Contact: Lawrence Allan Buena Park $88,550
KASAConstruction Westminster $602,800
15148 Sierra Bonita Ln ElMonte $233,000
Chino, CA91710
Ph: 909-457-8260
Contact: Sam Kasbar
Alabbasi Construction & Menifee $51,000
Engineering Coachella $45,000
764 W. Ramona Expressway, Suite C Perris $68,900
Perris, CA92571
Ph: 951-776-9300
Contact: Han Sohn
ONYXPAVING COMPANY, INC.
22707 LAPALMAYORBALINDA,CA92887 —TEL(714) 632-6699 — FAX(714) 632-1883

19.G.

Pavement Coatings Company Los Angeles County $177,235
10240 San Sevaine Way Manhattan Beach $115,000
Jurupa Valley, CA91752 Upland $48,000
Ph: 951-934-4763
Byrom Davey East Los Angeles $344,000
1232 Monte Vista Ave, Suite 5 LosAngeles $333,000
Upland, Ca 91786 Anaheim $30,000
Ph: 858-513-7199
Contact: Julio Diaz
ONYXPAVING COMPANY, INC.
22707 LAPALMAYORBALINDA,CA92887 — TEL(714) 632-6699 — FAX(714) 632-1883

19.G.

ASPHALT RUBBERHOT MIX REFERENCES:

GENERAL CONTRACTORS: JOBS PERFORMED: LOCATION: AMOUNT:

GMC ENGINEERING,INC. Katella Ave. St. Improv Los Alamitos $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. Lido House 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 714-632-6699 OR VIAEMAI L [email protected]
ONYX PAVING COMPANY, INC.
22707 LAPALMA YORBALINDA,CA92887 —TEL(714) 632-6699 — FAX(714) 632—1883

19.G.

TWILEYQMATICHCORP,COM

RECEIVABLESQ KELTERITELOM
ALUSSIERQHOLLIDAYROCK.COM

ONYX PAVING

CREDITREFERENCES
ONYXPAVINGCOMPANY,INC.
2890 E. LACRESTAAVE.ANAHEIM,CA92806
PHONE: 714—632—6699 DATEESTABLISHED:01/04/1990 CORPTAXID:#33—0394344 FAX: 714-632-1883 TYPEOF WORK:ASPHALTPAVING CONTRACTORSLIC.# 630630-A CFO: RICHARDDEVOS 2890 E. LACRESTAAVE.ANAHEIM,CA92806
BANK:BMO BANKNA. 320 S. CANALST.CHICAGO,IL60606
CHRISTINALEON949-404-0019
INSURANCEAGENT:WOOD GUTMANN& BOGART 15901 REDHILLAVE., STE100, TUSTIN,CA92780 MICHAELTRAN714-824-8384
SURETYAGENT:PERFORMANCEBONDING SURETY& INSURANCEBROKERAGE 15901 REDHLLAVE., SUITE100, TUSTIN,CA92780
ERIKJOHANSSON 714-505-7011
CREDITREFERENCES:

MATICHCORPORATION PO. BOX10, HIGHLAND,CA92346 TERIWILEY 909-382—7400
KELTERITECORPORATION 12231 PANGBORNAVE., DOWNEYCA90241 MIRIAMAVILA-RAMOS 562-401-0011
HOLLIDAYROCKCO., INC. 1401 N. BENSONAVE., UPLAND,CA91786 AMBERLUSSIER 909—982-1553EXT:1001
GENERALCONTRACTORREFERENCES:

FULLMERCONSTRUCTION 1725 S. GROVEAVE.,ONTARIO,CA 91761 CASEYJONES 909—947— 9467 BYROM-DAVEY,INC. 13220 EVENINGCREEKDR. SOUTH#103 STEVEDAVEY 858-513-7199 PACIFICCONST.GROUP 17895 SKYPARKCIR.,IRVINE,CA 92614 MARKBUNDY 949-748-1500 ERICKSON-HALLCONST.CO. 500 CORPORATEDR., ESCONDIDO,CA92069 JUSTINSINNOTT760-769-7700 ONYX PAVING COMPANY, INC.
22707 LAPALMA YORBA LINDA,CA 92887 -TEL (714) 632-6699 -- FAX(714) 632-1883

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Corey Kirschner - CEO
Glenn Camgbell - Safes!Manager
RESUME
Corey Kirschneris a seasoned leader with over 25 years of experience fueling growth in the construction industry, particularly in asphalt paving for city municipalities. Known for sharp organizational skillsand a proactive approach, Corey has been instrumental in strengthening Onyx Paving’s position among the top-tier General Contractors in Southern California. Since taking ownership of Onyx Paving in 2018, a company with a distinguished 30-year legacy, Corey has driven the company to surpass $120 million in annual revenue. With an eye for forecasting, budgeting, and crafting innovative solutions, Corey consistently navigates market challenges to deliver exceptional results, earning widespread respect and trust in the industry.

Jay Kirschner - Vice President
Jay Kirschneris Vice President at Onyx Paving since 2018. Jay takes pride in building strong, collaborative relationships with city agencies, fosters trust and open communication, ensuring projects align with municipal goals and community needs. By overseeing project managers and cultivating lasting partnerships, Jay drives seamless project delivery and upholds Onyx Paving’s reputation as a trusted leader in Southern California’sasphalt paving industry.

Justin Kirschner — Director of Operations
Justin Kirschner came on board with Onyx Paving in 2018. He has become a key leader managing daily operations across Southern California. He directly oversees over 20 foremen who lead a team of 150+ field employees, while keeping projects on track. Justin handles the job schedule and oversees a large fleet of equipment, working closely with the shop manager and mechanics to ensure the equipment is well-maintained and safe. Known for keeping teams efficient and meeting deadlines, Justin is quick to adapt, find solutions, and shift resources when needed. His practical approach and problem-solving skills strengthen Onyx Paving’s reputation for dependable, high-quality results.

Glenn Campbell serves as Onyx Paving’s dedicated Safety Manager, focusing entirely on ensuring compliance, workplace safety, and thorough employee onboarding with comprehensive training. With over 20 years of experience consulting for major highway and bridge contractors, Glenn chose to bring his expertise to Onyx Paving and make it his professional home. His approach to safety mirrors his role as head running back coach for Mater Deifootball, where he fosters a team-oriented culture built on trust and care. Glenn instills a mindset where the field is his team, and he prioritizes the well-being of every employee thus cultivating a strong safety-first environmentat Onyx Paving.

General Superintendents
John Garcia, Mario Alvarado and John Silva have over 60 years of combined experience and form the backbone of Onyx Paving’s field operations. They are responsible for overseeing on-site laborers, cement masons, and operating engineers, ensuring projects are completed safely, on time, and in alignment with both city requirements and internal operational goals. Their deep expertise and hands-on leadership drive the successful execution of asphalt paving and concrete improvement projects across Southern California, maintaining Onyx Paving’s commitment to quality and reliability in everyjob.

ONYX PAVING COMPANY, INC.
22707 LAPALMA YORBALINDA,CA92887 —TEL(714) 632-6699 — FAX(714) 632—1883

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onennans
sum:Puma Manalzr Supermtendent
Field Sugerintendents
Vice President Directorof
FleldSuperintendent Field FieldSuperintendent Safety Officer BACKLOGALLOCATION:

Corey Kirschner, Jay Kirschner, and our Field Superintendent oversee 100% of all current project in attached backlog.

Key Individual Responsibilities:

Corev Kirschner
- 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 laborers and operators
- Coordinate daily operations and project production
- Ensuring project quality expectations are met
ONYX PAVING COMPANY, INC.
22707 LA PALMA YORBA LINDA, CA 92887 —TEL(714) 632-6699 — FAX (714) 632-1883 Corey Kirschner
Jackson John Silva Marlo John Garcia Glenn

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19.G.

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CONTRACTORS GEE STATE LICENSE BOARD

ACTIVE LICENSE
Em, CORP
am...~..... ONYX PAVING COMPANY|NC
Emma“. 10/31/2027 www.cslb.ca.gov
mm.,630360
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PublicWorks Support Dw
DW David Wiltfong
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Your information v
Home > Custq _r ynt kup > 1000004798-ONYX PAVING COMPANY,|NC. 1000004798 - ONYXPAVING COMPANY, INC.

Customer Account Lookup
PWCR
1000004798
Contractor Status
DIRApproved

19.G.

630360
Business Phone
7146326699
Ext
Registration Start Date
2025-07-01
Legal Entity Name
ONYXPAVING COMPANY, INC.

Doing Business As (DBA)
ONYXPAVINGCOMPANY, INC.

Business Structure
—- None --
President

COREYKIRSCHNER
Email
[email protected]
Registration End Date
2028-06-30
Crafts
Address
Mailing Address

19.G.

Mailing Address - City

ANAHEIM
Mailing Address - State
CA
Mailing Address - Zip
92806
Mailing Address - Country
USA
Physical Address
Physical Address - City
Physical Address - State
Physical Address - Zip
Physical Address - Country
Related Lists
Registration
Terms &Conditions

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E33439“!
DISClal .r
Nondiscriml i0“ N Ge Copyright 2024 State of California

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Agnrcval of Loan Transactlons

WHEREAS,C

WHEREAS
WHERE“
”OW THEREFQREBEIT RE§QLVED

RESOLVEDFURTHER

ONYXPAVINGCOMPANYINC
LICENSE?630360 DIR#1000004798

UNANIMOUSWRITFENCONSENTOF

THEBOARDOF DIRECTORSOF

ONYXPAVING COMPANY, INC,
(3 Caiifornia corporation)
June 3'“,2025
The undersigned director, constituting the entire board of directors (the l’Board")of Onyx Paving Company, Inc., a California corporation (the "Corporation“), hereby takes the following actions, adopts the following resolutions, and transects the following business, by written consent without a meeting, as of the date above written, pursuant to Section 307(b) of the General Corporation Lawof the State of California and the Corporations Bylaws:
orey Kirschneris currently the Corporation's Chief Executive Officer and Say Kirschner isthe Vice President, Secretary and Treasurer (the "Of?cers”), 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 of the bid attached hereto as Exhibit A (the "Project") are just and equitable and fair as to the Corporation and that it is in the best interests of the Corporation and its stockhoider 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 of the Of?cer to be conclusiveiy evidenced by its execution and delivery of same. that the Officer may execute and deliver any and ali agreements and any and all other documents and instruments, and take such further actions as may be necessary or appropriate, for the ?nancing of the Corporation.
22707 La Palma Ave, Yorba Llnda, CA92887 714-632-6699

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RESQLVEDFURTHER,t hat the Of?cerls) are hereby authorized, directed, and empowered to execute and deliver any and ail 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 applicable counterparty, 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 hereunder shall be deemed retroactive and any and all acts authorized hereunder performed prior to the passage of this resolution are hereby ratified and affirmed.

The Secretary of the Corporation is directed to ?le the original executed copy of this Consent with the minutes of proceedings of the Corporation.
{Signature page follows]
22707 La Palma Ave, Yorba Linda, CA 92837 714-632-6699

19.G.

L
Corev ?rscl'mer

ONYXPAVINGCOMPANYINC
LICENSE!630360 DIR# 1000004798
IN WITNESSWHEREOF,the undersigned has executed this Unanimous Written Consent of the Boardof Directors as of the date ?rst above written.

X
Chief Executive Officer
X
Anthonv Steen
President
Richard DeVos
Chief Financial Oi‘ficer
X
Vice President. Secreta rv.Treasurer
22707 La Palma Ava, Yorba Linda, CA 92887 716-532-6699
Jay

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onme up rtunities all oneesand applicants
sociat w: race. su as texture and protective
airstyl religiou res includ religio ess roo ing practices) olor sex eluding mgna breastie rig. relate edical ition net informationg dar. gend identity citizenship staius‘ un?orm serv ce member status military and veteran status, marital status age, protect medical condition, phySical or mental disability. holding or presenting a drivers license issued under C Vehicle Code Section 12801.9‘or any other protected status in accordance Wllh all applicable lederal. 51a awfu
ove charact associat person wry rcai as havi any
aracteristics tion can ude iailng ac mediate igio
Thi ex all aspen mpany's employment act es. ncluding, but not imitsd to. rec rin promoting. compensation bensti tra ing eaves of absence and other terms an riditio of employ we as vidi wages sa rat for on sex the opposite and the same ny ace nici as ?nal cal nic'i .who erio ally he laws protecting quali?ed indiwduals Withdlsabllllles. The Company Willprovide a teawnablo ccommodul on tor any known physical or mental disability of ii qualified individualwitha disahilily to the axle requirad by law providedthe requested accormiiodutiondoes not oreota pose a direct threat to ihe health or satiny al olhers in the warkplocn arid/or to the lndividual it an Employee requires an accommodationto psriccm the essential functions at their job the Employee not notify Human Resources Once the Company is aware oi ihe mad Empl as with question ms ut disc
man at Human Res an ember management. mployess can raise conce report roblems. or mak com the tea of rat atian, Anyone toun to be engaging in any type rilawful iscrlmination wlll a su isci nar actio up to and including operation at employment.

EQUAL EMPLOYMENTOPPORTUNITY
The Company is committed to providing equal emp m po :0 Emp without regard to race (including traits historically as ed it; oh hair h es), religion or 5 c d ( Eng us dr or g m .c , (in
p ncy‘ childbirth. edi or d m cond ), go éc en er
and gender expression. sexual orientation, transgender status, transitioning status. national origin, ancestry, i ed
at.
te,
and local laws.

Company policy also prohibits uni I discrimination based on the perception that anyone has any of the ab eristics, or is ed with a c has or is pe ved ng of the above on . Discrimina also incl i to reasonably com rel us dress and grooming practices, or individualswith mental or physical disabilities where the accommodationdoes not pose an undue hardship,
3 Policy tends to is of the Co pr in i i
ruiting, hi 9, ?ring. transferring, ts, in .II , d co ns merit, as H pro rig at the me e e as those of sex; at rate for a r leth ty her so eth ty p rm substanti similar work (consisting of similarskill.effort, and responsibility), under similar working conditionsi TheCompany is also committedto complying with t a i m
an undue hardship for the Campany anéior does not
7 m
for an accamodation, the Company willengage in an interactive process to identify possible accommodations that will enable the Employee to perform the essential functions of the job. oye s or (:0an abo rimination in the workplace should bring these issues to the tion ources, or y m of FE ms.
9 e plaints wi ut r ali d of u
d b pli y n, s

ONYXPAVINGCOMPANY, INC
.

COREYR. KIRSCHNER

CEO,PRES,VP, SEC,TREA

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W9
you hegln. guidance
onvxPavinq Company
- Taxpayer Identi?cation Number (TIN)
1social sicurily
Employer Idem cation
dividends, you IEQUIYSdsign ceni?catlon. yau provide ynur .

Dawn! WAMW
U V
snolher ~lhroug emit which terest,
ange is dad K0 VOVid flow-[h mation
Form
(Rev. March 2024)
Department of the Treasury
Internal Revenue Service
1 Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner‘s name on line 1, and enter the business/disregarded entity‘s name on line 2.) ,
2 Business name/disregarded entity name, if different from above. 3a Check the appropriate box for federal tax classification of the entity?ndividual whose name is entered on line 1. Check 4 Exemptions (codes apply only to only one of the following seven boxes. certain entities, not individuals; see instructions on page 3):
individual/sole proprietor C corporation S corporation Partnership Trust/estate : LLC. Enter the tax classification (0 = C corporation, 3 = S corporation, P = Partnership) . . . . Exempt payee code (ifany) Note: Check the "LLC" box above and. in the entry space, enter the appropriate code (C, S, or P) for the tax classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate Exemption from Foreign Account Tax box for the tax classification of its owner. Compliance Act (FATCA)reporting code (if any) Other (see instructions)
3b If on line 3a you checked “Partnership" or “Trust/estate,” or checked "LLC" and entered “P” as its tax classification, (A lies to accounts maintained and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check p:1tside the United States) this box if you have any foreign partners, owners.or beneficiaries. See instructions . '
5 Address (number, street, and apt. or suite no.). See instructions. Flequester's name and address (optional) 22707 La Palma Ave
7 List account number(s) here (optional)
must later.

Cat. No. 10231X Form W-9 (Rev. 3-2024)
Request for Taxpayer
dentification Number and Certification
Give form to the
requester. Do not
send to the IRS. Go to www.irs.gov/FormW9 for instructions and the latest information.

Before For
Inc
See Specific Instructions pag 3.
6 City, state, and ZIP code
Yorba Linda. CA 92887
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid related to the purpose of Form W-9, see Purpose of Form, below. number
backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities.it is your employer identification number (EIN). Ifyou do not have a number, see How to get a TIN, later. or number Note: Ifthe account is in more than one name, see the instructions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter.

Under penalties of perjury, I certify that:
33-0394344

1. 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. I am not subject to backup withholding because (a) I am exempt from backup withholding. or (b) l have not been notified by the Internal Revenue Service (IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c)the IRS has notified me that I am no longer subject to backup withholding; and

3. I am a U.S. citizen or other U.S. person (defined below); and

4. The FATCA code(5) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.

Certification instructions. You must cross out item 2 above ifyou have been notified by the IRSthat you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individualretirement arrangement (IRA),and, generally, payments other than interest and are not to the
Sign Signature of
Here U.S. person
General Instructions
Section references are to the Internal Revenue Code unless otherwise noted.

Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9.

What’s New
Line 3a has been modified to clarify how a disregarded entity completes this line. An LLCthat is a disregarded entity should check the appropriate box for the tax classification of its owner. Otherwise, it should check the “LLC" box and enter its appropriate tax classification. but correct TIN.See the instructions for Part H
Date 4/29/2025
New line 3b has been added to this form. Aflow—throughentity is required to complete this line to indicate that it has direct or indirect foreign partners, owners, or beneficiaries when it provides the Form W-9 to flow h y in it has an ownership in This
ch inten p e a rough entity with infor
‘
regarding the status of its indirect foreign partners, owners, or beneficiaries.so that it can satisfy any applicable reporting requirements. For example, a partnership that has any indirect foreign partners may be required to complete Schedules K-2 and K-3. See the Partnership Instructions for Schedules K—2and K—3(Form 1065).

Purpose of Form
An individual or entity (Form W-9 requester) who is required to file an information return with the IRS is giving you this form because they Part I

19.G.

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Primary and Non~Canlribula Far
Waiver cl Subragalion Form a
Per Project Form #GLS»3325 01 1

CANCELLATION
DATE (MM/DDIYYYY) CERTIFICATE OF LIABILITYINSURANCE 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). 'BROrDrlIIISR WGB I r S I t'
Mmhae' Tran
CuAInSLITrIance Lities/1's:nOcI§69$7u1Ions 714'824'8384 714'573'1770 15901 Red HillAvenue
Tustin CA 92780 lNSURERlSIAFFORDINGCOVERAGE NAIC#
License#; 01:59771 INSURER A: American Zurich Insurance Comp 40142 INSURED _ ONYXPAV‘“ INSURER a: Zurich American Insurance Como 16535 9533‘ E_azgn%gggifcg?ig° msunee c = Scottsdale Indemnitv Co 15580 Anaheim CA 92806-1816 INSURERD:

INSURER E :

INSURER F : COVERAGES CERTIFICATE REVISION

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICYPERIOD INDICATED. NOTWITHSTANDINGANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTWITHRESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS.

EXCLUSIONS ANDCONDITIONSOF SUCH POLICIES. LIMITSSHOWN MAY HAVE BEEN REDUCEDBY PAID CLAIMS.

INSR POLICY EFF
I Tn TYPE OF INSURANCE men wvn POLICY NUMBER lMM/DDIYYYYI LIMITS C X COMMERCIALGENERAL LIABILITY BCSZOOO426 3/14/2024 10/1/2024 EACH OCCURRENCE $ 2,000,000 DAMAGE IU KI:N | EU CLAIMS-MADE X OCCUR PRFMIRFR [Fa nnnIIrnannnI $100.000 MED EXP (Anv one person) s EXCIuded PERSONAL &ADV INJURY $ 2.000.000 GEN'L LIMITAPPLIES PER: GENERALAGGREGATE $ 4.000.000 POLICY 558} L00 PRODUCTS - COMP/OP AGG $ 4.000.000
$ A AUTOMOBILE LIABILITY BAP106300605 10/1/2023 10/1/2024 $ 2.000.000 X ANYAUTO BODILY INJURY (Per person) $ OWNED SCHEDULED - AUTOS ONLY AUTOS BODILY INJURY (Per aCCIdent) $ X HIRED X NON-OWNED $ AUTOS ONLY AUTOS ONLY
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE s
EXCESS L'AB CLAIMS-MADE AGGREGATE $
DED RFTFNTION Ell S B WORKERS COMPENSATION WC106300505 10/112023 1011/2024 X “t“ 0' ”' ANDEMPLOYERS' LIABILITY Y I N
STATUTE F" ANYFROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT s 1.000.000 OFFICER/MEMBEREXCLUDED? N IA (Mandatory In NH) E.L DISEASE -EA EMPLOYEE 311000.000
Ifyes. describe under DESCRIPTION OF OPERATIONS below E L. DISEASE - POLICY LIMIT s 1.000.000 DESCRIPTION OF s I LOCATIONS / VEHICLES (ACORD 101.Additi s s be attached is required) CerlI?catehol re named as additional insured per the en 3 as requi en contract Subject to the terms 8. conditions of the polrcy:

GL AdditionalInsured Form #CG 20 10 12 19 and CG 20 37 12 19 GL Additional Insured State-Permits Form #CG 20 12 12 19 GL m#CGZOO11219
GL 24 04 12 19
GL 2
See Attached...

CERTIFICATE HOLDER

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITHTHE POLICY PROVISIONS.

Onyx Paving Company, Inc.
2890 E. La Cresta Ave.

Anaheim CA 92806 AUTHORIZED REPRESENTATIVE
© 1988-2015 ACORD CORPORATION. All rights reserved.

ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD

19.G.

|||||||l|lllllllllllllllllllll
l E
BA20250508272
STATE OF CALIFORNIA mom Use omy
Office of the Secretary of State
STATEMENT OF INFORMATION -F L DCORPORATION
California Secretary of State File N05 BA2°250508272
1500 11th Street Date Filed: 3/11/2025
Sacramento, California 95814
(916) 657-5448
Entity Details
Corporation Name ONYX PAVING COMPANY, INC
Entity No. 1659076
Formed In CALIFORNIA
Street Address of Principal Office of Corporation
Principal Address 2890 E LA CRESTA AVE
ANAHEIM, CA 92806
MailingAddress of Corporation
Mailing Address 2890 E. LACRESTA AVE
ANAHEIM, CA 92806
Attention Joan Ward
Street Address of California Of?ce of Corporation
Street Address of California Office 2890 E. LACRESTA AVE ANAHEIM, CA 92806
Of?cer Name Officer Address
Corey Kirschner 2890 E LA CRESTA AVE Chief Executive Officer ANAHEIM, CA 92806
Richard DeVos 2890 E. LA CRESTA AVE Chief Financial Officer ANAHEIM, CA 92806
Jay Kirschner 2890 E. LA CRESTA AVE Secretary
ANAHEIM, CA 92806
Additional Officers
Officer Address Stated Position
Jay Kirschner 2890 E. LA CRESTA AVE. Treasurer
ANAHEIM, CA 92806
Anthony Steen 2890 E LA CRESTA AVE Other President
ANAHEIM, CA 92806
Directors
Director Name
Anthony Steen 2890 E. LA CRESTA AVE.

ANAHEIM, CA 92806
Corey Kirschner 2890 E. LA CRESTA AVE.

ANAHEIM, CA 92806
The number of vacancies on Board of Directors is: 0
Agent for Service of Process
Agent Name COREY KIRSCHNER
Agent Address 2890 E. LA CRESTA AVE
ANAHEIM, CA 92806

Officers
Position(s)
Officer Name Position

19.G.

Type of Business
Type of Business ASPHALT PAVING AND CONCRETE SERVICES
Email Noti?cations
Opt-in Email Notifications Yes, | opt-in to receive entity notifications via email.

LaborJudgment
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
8 By signing, I affirm that the information herein is true and correct and that I am authorized by California law to sign Joan Ward 03/11/2025
Signature Date

19.G.

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19.G.

APPENDIX 1

19.G.

§&x1\$u%m9‘WM
Fidelity and Deposit Co
Zgn’\ “3m —————

BIDSECURITYFORM FOR BOND

KNOW ALLBYTHESE PRESENTS
That the undersigned
LCR Earthwork & Engineering, Corp
(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 penai sum of (QM Amount In Words) Ten Percent of the total amount of the 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 2024/25CITYWIDESTREETREHABILITATION, 2406
THE CONDITION OF THIS OBLIGATIONIS SUCHthat if the Bid submitted by the said Principal be accepted and the Contract be awarded to said Principal and said Principal shall within the required periods enter into the Contract so awarded and provide the required Construction Performance Bond, Construction Labor and Material Payment Bond, insurance certificates, and all other endorsements, forms, and documents required under the Instructions to Bidders, then this obligation shall be void, otherwise to remain in fullforce and effect.

IN WITNESSWHEREOF, the above bounden parties have executed this instrument this 20 day of November 2025.
(Month)
LCR Earthwork & Engineering, Corp.
(Corporate Seal) By
Principal I
By mpany of Maryland—
?
Surety
(Corporate Seal)
IZO, A ey-ln-Fact

19.G.

Nuhn. mum“ In! mm a, BmwmSecurity Comp pars I m be m: d of?cers who :xccnlc precading slmmmt. and acknowledged Ihc ion of eiug wnm.depo umherlI er or

ZURICH AMERICAN INSURANCE COMPANY

COLONIAL AMERICAN CASUALTY AND SURETY COMPANY

FIDELITY AND DEPOSIT COMPANY OF MARYLAND

POWER OF ATTORNEY
ATTEST:

ZURICH AMERICAN INSURANCE COMPANY

COLONIAL AMERICAN CASUALTY AND SURETY COMPANY

FIDELITY AND DEPOSIT COMPANY OF MARYLAND
By: Christopher Nolan
Vice President
By: Dawn E. Brown
Secretary
State ofMaryland
County of Baltimore
Authenticity of this bond can be con?rmed at bondvalidator.zurichna.comor 410-559-8790 KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCECOMPANY, a corporationof the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITYAND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois(herein collectivelycalled the "Companies"), by Christopher Nolan, Vice President, in pursuance of authority granted by Article V, Section 8, of the By—Lawsof said Companies,which are set forth on the reverse side hereof and are hereby certi?ed to be in ?ll] force and effect on the date hereof, do hereby nominate, constitute, and appointPietro MICCICI-IE, Edward A. FANCHER, lTl, Patricia ZENIZO of Los Angeles, California, its true and lawful agent and Attorney-in—Fact,o make, execute, seal and deliver, for, and on itsbehalf as surety, and as its act and deed:
any and all bonds and undertakings, and the execution of such bonds or undertakingsin pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as ifthey had been duly executedand acknowledged by the regularly electedof?cers of the ZURICH AMERICAN INSURANCE COMPANY at its of?ce in New York. New York, the regularly elected of?cers of the COLONIAL AMERICAN CASUALTY ANDSURETY COMPANY at its of?ce in Owings Mills, Maryland, and the regularly elected of?cers ofthe FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its of?ce in OwingsMills, 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 FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 28th day of July, AD. 2025
On this 28th day of July, AD. 2025, before the subscriber, a Notary Public of the State of Maryland, duly commissionedand quali?ed. Christopher Vice a of the anies, to me onally knowr individuals an describedin and d the in execut same, and b by me duly s seth and saith, e is the said of?c the Company aforesaid, and that the seals af?xed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such of?cer were duly af?xed and subscribed to the said instrumentby the authority and direction of the said Corporations, IN TESTIMONY WI-IEREOF,I have hereunto set my hand and af?xed my Of?cial Seal the day and year ?rst abovewritten.

GenevieveM.Maison
NotaryPublic
MyCommissionExpireJanuary 27, 2029
60W» 9674 m
(/ Weview \M‘king‘

19.G.

Almmean-Fgcx
IN TESTIMONY WHEREOF, I have lwrcun
0 day of . .
'epnrlsfclaims @zurichm.c0m

EXTRACT FROM BY-LAWSOF THECOMPANIES
"Article V, Section 8, . The Chief Executive Of?cer, the President, 01‘ any Executive Vice President or Vice President may, by written instrument under theattestedcorporate seal, appoint attomeys—in—factwith authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any of?cer or any such attorney-in-fact to af?x the corporate seal thereto; and may Withor without cause modify of revoke any such appointment or authority at any time."

CERTIFICATE
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 ofthe ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December I998.

RESOLVED: "That the signature of the Presidentor a Vice President and the attesting signature of a Secretary or an AssistantSecretary 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 ofthe COLONIALAMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day ofMay, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSlT COMPANY OF MARYLAND at a meeting duly called and held on the 10th day of May, 1990.

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, the undersigned, Vice President of the ZURICI-IAMERICANINSURANCE COMPANY, the COLONIALAMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND. do hereby certify that the foregoing Power of Attorney is still in ?ll] force and effect on the date ofthis certi?cate; and I do further certify that Alticle V, Section 8, ofthe By-Laws of the Companies is still in force.

RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice-President, Secretary, or Assistant Secretary of the Company, whether made heretofore or herea?er, wherever appearing upon a certi?ed copy of any power of attomey issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually af?xed.
to subscribedmy name and af?xed the corporate seals of the said Companies, this
SEAL sEAL SEAL
Mary Jean Pethick
President

19.G.

CAI-I'm ALI. mom. KENT
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PIU?ODANIELMICCICHE
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Signer's Name:

ElCorporate Of?cer
W“
IA -PURPOSE Ac EDO CIVILCODE § 1189
A notary publicor other of?cer completingthis certificateveri?es onlythe identity of the individualwho signed the documentto whichthis certificatels attached, and not the truthfulness,accuracy. or validityofthat document.

State of California )
County of Los Angeles )
On 1“ before me, Patricia 7en|zo
Date Here Insert Name and Title of the Of?cer
personally appeared Pietro Daniel M e
Name(s) of Signeds)
who proved to me on the basis of satisfactory e co to whose name“) ism subscribed to the within instrument and acknowi to me executed the same in hie/mum authorized capacityaex), and that by his/hMWsignaturets) on the Instrumentthe person“), or the entity upon behalf of which the persona) acted, executed the instrument. l certify under PENALTY OF PEFUURYunder the laws
of the State of California that the foregoing paragraph is true and correct.

WITNESS my hand and of?cial seal.

W1
Signature
Signature of Notary Public
Place Notary Seal Above

OPTIONAL
Though this section is optional, completing thisinformation 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: Signeris) Other Than Named Above:

Capacttyues) Claimed by Signeds)
Signer‘s Name:
— Title(s): 1 Corporate Officer — Titie(s):
3 Partner — :1 Li Ci General __ Partner — 1: Limited General :| Individual omey in Fact D Individual 3 Attorney in Fact 3 Trustee i: Guardian or Conservator ] Tmstee Guardian or Conservator 3 Other: C Other.

Signer ls Representing Signer ls Representing:
©2014 NationalNotaryAssociation- www.NationalNotaiy.org ' 1-800-USNOTARY(1-800—876—6827)item #5907

19.G.

will not be resgonsible
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the 2024/25CITYWIDESTREETREHABILITATION,CIP No. 2406 and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, specifications, General Conditions, Special Provisions, General Provisions, Greenbook 2024 as amended and supplemented, technical references, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal.

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

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

In addition to reaffirming that the changes and information contained in the addenda have been integrated into their proposal, Contractor acknowledges receipt of Addenda No.(s)|lZ'SIL|,S (e Z X.

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.

19.G.

“*n-mui?mvmknm
$2300
$8,400.00
BAS ITEMS *********************‘k**************
ITEM
No
10 12
13 14
15 16

BIDSCHEDULE
BASEBID — 2024/25CITYWIDESTREETREHABILITATION
CIP No. 2406

DESCRIPTION UNIT
MobilizationI Demobilization(notto exceed LS 0 5A)
Temporary Trafficand Pedestrian Control LS
Signing &Striping LS
TemporaryConstruction Project Identification LS Sign
Water Quality Control LS
FullDepthReclamationto pulverize,and
cement treat existing asphalt, aggregate base,
and a portion ofthe subgrade soilto a depth of SF

10.0",RoughGrade, Stabilize,FineGrade,
Microcrackinq. MoistCured
RemoveTemporary Pavement,Compact to 95% SF Compact
Construction 4" of A.C.pavement SF
Grind and Overlay 0.2' SF
Sawcut, Remove,Compact and Construct SF Smooth A.C.Slot Patch Transition Adiustexisting manholerimto finish surface. EA
Adiustexisting gas valveto finish surface. EA
Adiustexisting water valve to finish surface. EA
Remove and Replace Type "A"Curb and Gutter LF
RemoveExistingand Construct Driveway SF Approach Apron
Installblue dot hydrantmarker per COHstd. EA Dwg. No.W-700B Verify,Protect, Record, and Replace(If
Disturbed) centerlinesurface and subsurface EA
monuments
Removeand Replace Wm "B"Curb and Gutter LF
Remove and Replace 4"ThickP.C.C.Sidewalk SF
Remove and Replace Curb Ramp EA
InstallDetectableWarning Surface on Existing EA Curb Ramp RemoveExistingand Construct Spandrel and SF Cross Gutter Remove 4" ExA.C.Pavement and Base. Proof SF Rolland Compact Ex.Base to 95%Compaction Replace Existing "Tvpe E"TrafficLoop EA

ESTIMATED UNIT EXT
EEIJ
ED

QUANTITY PRICE AMOUNT
1 $100,000.00 100,000.00
1 $100.00000 $100,000.00
1 33500000 035 000.00
1 $2,000.00 $200000
$800000 $800000
283.000 $1.75 $495,250.01
3,500 $3.50 $12,250.00
309.000 $3.00 $927.00000
10,600 $9. nn $31,800.00
12,300 $5.00 $64,000.00
29 $1000.00 $20 nnn nn
5 $1000.00 $5 000 no
43 $500 00 $21.50000
40 star; nn $3400.00
26° $20.00 $5200.00
5 $50.00 $250.00
‘4 $90000 $12,600.00
350 $85.00 $29.75000
1,310 .010 00 $13,100.00
13 $5 nnn 00 $65 am no
8 $70000 $5,600.00
0,000 $138,000.00
23,200 $1.00 $23,200.01
12 $70000
TOTAL BASEBID (numbers) $2,135,300.00

19.G.

BASEBIDTOTAL (in words) Two MillionOne Hundred Thirty Five Thousand Three Hundred Dollars and Zero Cents Contractor's Initials
ADDITIVEA BID ITEMS 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. 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/oralternate bid schedule is called for in the Contract Documents, the lowest bid will be determined on the basis of the base bid schedu|e(s) only unless otherwise specified in the Notice Inviting Bids or by Addenda if issued to supersede the Notice Inviting Bids on this specific issue.

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

Regardless of whether the additive/deductiveor alternates bid items will be considered in determining the low bid, the Agency may elect to include any or none of the additive/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.
lf 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.

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.

19.G.

m
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 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.

19.G.

ozaNi", ,
W%
ozalPresident
war w
Complete the following: 1048288 Class A, C—12& C-21
LCR Earthwork Fnaineerina, Corn. 1000063065
Legal name of the business, DIRReg. and Contractor License Nos.

Corporation
Business Type (Corporation, Partnership, Sole Proprietor) N/A
DBA(if any)
Jennifer Mendoza/President
Name and title of the owner
Jorae Mend Ice President
Name and title of second partner or of?cer
7251 Juruoa Rd Juruoa Vallev CA 92509
Business Address
951—934-3231
Telephone number
951-602—8022
Facsimilenumber
Jennifer Mendoza LCR Earthwork & Engineering, Corp.

Name and Email address of primary contact
www.LCRearthworkena neerina.net
Company web address
Bidder Date Signature of Date
Jennifer Mend Jorge MendozaNice President
Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures of corporate officersare required.)

19.G.

%— u/M/Zr @ga n/h
Signatur Bidd y Date
"WW,
,,,,,,ozalPresident

CERTIFICATEREGARDINGCONTRACTOR'SLICENSE

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

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

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

3. Contractor declares, under penalty of perjury, that he/she/it possesses the required Contractor's license(s) which:
a Bears thelicense number(s): 1048288
b Expireson: 6/30/28
er Date Signature of Bidd
Jennifer Mend Jorge MendozaNice President
Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate o?icersare required.) This required license determination has been made by the Agency. Any Contractor holding a different license who feels he is qualified to bid on this work must so advise the Agency at least seven (7) days prior to the bid opening. The Agency may conduct a review of the contemplated work to re—evaluate the required license determination. The Agency may in its sole discretion maintain or change the required license determination; Agency’s decision as to the required

19.G.

?g— Mal/ac
Signaw

BIDSECURITYFORM FOR CHECK
NOTE:THE FOLLOWINGFORM SHALLBE USEDINTHECASEOF 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
Bidders Bond 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
Bidder Date Signature of Date
Jennifer Mendoza/President Jorqe MendozaNice President
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate o?icersare required.)

19.G.

WWEW¢WMWWWEW§WE
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Notary

JOSKFINA
Pub“:

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Signature
WWW EVE}?!-MM‘W' M m: *
CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189
Anotary publicor other officercompleting this certificateverifiesonlythe identityofthe individualwho signed the document to whichthis certificate is attached, and not the truthfulness, accuracy, or validityofthat document.

State of California
County of Rh! 9 m
(143,
On ”[10 {941.935 before me,
Date Here Insert Name and Title of Of?cer
personally appeared c\mnn r ”Qt/\A??o
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

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

WITNESS my hand and official seal.

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:

Corporate Officer — Tit|e(s): El Corporate Officer — Tit|e(s):

III Partner— III Limited General El Partner— Limited El General El Individual Attorney in Fact Individual Attorney in Fact I:I Trustee Guardian or Conservator Trustee Guardian or Conservator D Other: Other:

Signer is Representing: Signer is Representing
@2019 National Notary Association

19.G.

g4?
Sig re
[
11)?!)le
ate of
11min: Californi?a QI” a:
% “Ila/M

NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODESECTION7106

NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID The undersigned declares:
- LCRErth rk&E' ' ,c . I am the PreSIdent of
a we ngmeenng t?rgparty 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 St t the foregoing is true and correct and that this declaration is executed on e], at Jurupa Valley [city], California state].
of Bidder Date Signature of Bidder Date
Jennifer Mendoza/President Jorge MendozaNice President
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate o?‘icersare required.)

19.G.

i ADE
Na ary
VAOMAR
FUNK

ABARRERA
alifulnla E
RiversldeCounty
Cammmn 4rmam
MyCumm ExplresMarS zozs

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

State of California
11/20/2025 Adriana Camarena Barrera On before me,
(insert name and title of the officer)
personally appeared Jorge L-Mendoza
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

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

WITNESS my hand and official seal
IVNN Signature (Seal)

19.G.

meW?mm?kmazmc?mwsm
- 14 Rimslde Camry E
l 4
JOSEFMAnousco I ‘1 Nomy Puhm:- (i?hzrnla , @383 9’ CommissimII2534375 ‘ <rm- MyComm.Expireson s, 1019
CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189
Anotary publicor other officercompleting this certificateverifiesonlythe identity ofthe individualwho signed the document to whichthis certificateis attached, and not the truthfulness, accuracy, or validityofthat document.

State of California
County of Rtvm iriled
On \I(9.0115 before me, N
Date Here Insert Name and Title of Of?cer
personally appeared
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the 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.

NNAI
WITNESS my hand and official seal.

Signature
Place Notary Seal and/or Stamp Above 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 Number ofPages
Signer(s) Other Than Named Above:

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

El Partner — Limited General III Partner — III Limited General Individual Attorney in Fact 3 Individual El Attorney in Fact Trustee Guardian or Conservator Trustee i: Guardian or Conservator Other: El Other:

Signer is Representing Signer is Representing:
©2019 National Notary Association

19.G.

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

Failure of bidder to supply sufficient documentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non—responsive bid and, at the Agency’s discretion, said bid will be disqualified. project Name; Please see attached
Contract Price Date of Completion:

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

Project Name:

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

Project Name:

Contract Price Date of Completion:

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

19.G.

Address:

Project
Owner:

Descrlptian
%
Contract
Project Completed
$37,525.00
2/8/2025
Project
Address:

Project
Owner:
%
Contract
Project Completed
Jorg LMendoz
The own of Ap
100%
$2,523,370.00
2/31/25
Project
Add
% Cum plated
Contract
_
Project Completed
Removal existi
material, tallat
asphalt pavement
of petrumat mate
3/2812025
Address:
%
Contract
Project Completed 4/18/2025
Project
Manage r:
of Work:

Completed
Manager:

Description of Work:

Completed
ress:

Project Manager:

Owner:

Description of Work:

Project Manager:

Owner:

Description of Work:

Completed
Completion Date 2025
601 S Oleander Ave Compton CA90220
Jorge LMendoza
Compton USD/NathnaielHolt310-639-4321
Remove 5"-7" of native soiland haul away, scarify bottom moisture and compact to 90%, place class IIbase and place 4" of a C2 PG 64-10.
100%
Safe Routesto School
Various locations
e a
T ple Valley / RichBerger 760-240-7000 ext 7530
Roadway reconstruction, pavement reconstruction, concrete improvements, utility adjustment, asphalt concrete paving, signing and striping
Various locations
Jorge LMendoza
City of CathedralCity / Jesus Gutierrez 760402-2402
of ng and base
ins ion rial, and construction of
asphalt concrete.
100%
$893,803.35
Solitude Circle and Jade RoadVictorvilleCA
Jorge LMendoza
City of Victorville/Dennis Lee, PE760-955-2741
Sinkhole pavement repair
100%
$87,000.00
Compton HSRemove S"-7"NativeSoiland HaulAway
Yucca Lorna Elementary
Cove CrackRepair Project
Project CC25-009Pavement Rea-pairsat Solitude Circle

19.G.

Project Manager:

Description of Work:

Completed
Contract
Project
Address:

Project Manager:

Owner:

Description of Work:
% Completed
FY24/25Pavement RehabilitationProject No. PW24—08
Various locations
Jorge LMendoza
City of ElSegundo / FlorizaRivera 310—524-2361
Cold milling, paving full depth asphalt replacement,
manhole and valve can adjustments, drainage improvements, slurry seal, crack sealing, re-striping pavement markings and markers
100%
$2,018,104
Non-ArterialStreets Asphalt Repairs Zone D (24501A)
Va rious locations
Jorge LMendoza
City of LakeForest/Anthony Flores562-547-8555
Repairing approx 600,000 SF of asphalt on non-arterial
streets within zone D in the city of Lake Forest.
100%
$2,257,700

19.G.

%
Project Camplated aim/2am
Project Completed
'
‘ 1/5)”?!-
100%
Contract
Project Completed 4/5/2024‘
Address:
%
iject‘eampléted imam
% Completed 100%
Contract
Project Completed
Project
Address:

Project Manager:

Description of Work:

Completed
Contract
Project
Address:

Project Manager:

Description of Work:
% Completed
Contract
Project
Address:

Project Manager:

Description of Work:
% Completed
Project
Project Manager:

Description of Work:

Completed
Contract
Project
Address:

Project Manager:

Owner:

Description of Work:

Completion Date 2024
Carver ES Playground asphalt R&R
1425 E 120th St Los Angeles CA 90059
Jorge LMendoza
Remove and replace asphalt, restripe playground and curbs 100%
$199,700.00
Enterprise MS R&Rasphalt at bus drop off
2600 W Compton CA90220
Jorge LMendoza
Remove and replace asphalt, asphalt overlay amd restripe parking lot to existing layout
100%
$105,400.00
Dominguez HSasphalt remove & replace by temp kitchen
15301 S. San Jose Ave Compton CA 90221
Jorge LMendoza
Remove 4" thick asphalt, remove 4" thick native soil
scarify 6"—8"in depth, subgrade, install4" class ll base, asphalt pave 4" thick of a C2 PG 64—10,slurry seal and striping.
$429,800.00
Remove and install new asphalt paving at MLKES
2270 E 122nd St Compton CA90222
Jorge LMendoza
Remove natural turf and haul away, moisture and compact, install 4" class II base, scarify moisture and compact, asphalt pave 3" thickwith a C2 PG 64- 10, slurry seal and concrete hardscape
100%
$199,850.00
Fullerton Rd Reconstruction with PCC pavement
from San Jose Avenue to San Jose Creek Bridge City of Industry Jorge LMendoza
City of industry / Chris Lum 562-896—2260
Replacement of existing asphalt paving with PCCpavement from San Jose Avenue to San Jose Creek Bridge to RowlandStreet/SanJose

19.G.

Add
% 100%
Contract 5 V
?mjecwempleted / - « 7
~ - 311-10120.“
Add
% 100%
Project-Completed 6/27/2024
Projeck 2024-01
Address:
‘36
Contract $521,
‘
Project Completed 5121312024:

Project
Address:

Owner:

Descripti
100%
$1,652,146.00
Project Compteted - , 1112mm
Project Asphalt Repair/Refurbishment Vanguard
Project
100%
591700130
Project complacent 1/26/2624
Project
ress:

Project Manager:

Description of Work:

Completed
ress:

Project Manager:

Owner:

Description of Work:

Completed
Contract
Project Manager:

Owner:

Description of Work:

Completed
Project Manager:
on of Work:
% Completed
Contract
Address:

Manager:

Description of Work:
% Completed
Carver ESPlaygroundasphalt R&R
1425 E 120th St Los Angeles CA90059
Jorge LMendoza
Remove and replace asphalt, restripe playground and curbs 199,700.00
Annualconcrete replacement at variouslocations FiscalYear Various locations withincity of Orange boundaries
Jorge LMendoza
City of Orange / SalvadorMunoz 714—744-5547
PCCsidewalks, curbs and gutter removal and replacements. Driveway apron, cross gutter and spandrel.
$1,322,400.00
Various locations
Jorge LMendoza
TheTown Of AppleValley / RichBerger 760-240-7000
Sawcut and remove damaged asphalt and replace it with new hot mix asphalt.
100%
750.00
Overlay A 8: Slurry Seal Program
Various locations
Jorge LMendoza
City of Santa Clarita/Connor Hahm 661-255-4322
Saw-cutting; excavation, removal and disposal of the AC roadway section; cold milling and disposal of AC
pavement; placement of ACand ARHM pavement materials and replacement of traf?c striping and markings.
13305 San Pedro St LosAngeles CA90061
Jorge LMendoza
Asphalt Paving
Project
Roadway Repair
Learning Center
2022-2024
at

19.G.

Add
100%
Contract $1,045,000
Project Compieced 12/272024
Project
ress:

Project Manager:

Owner:

Description of Work:
% Completed
Asphalt Repair & Replacement at VariousSites
VariousLocations
Jorge LMendoza
Compton UnifiedSchoolDistrict/NathanielHolt310-639-4321 McNairESremove all barriers, ballwalls, poles, tetherball poles and 4“ remove and replace asphalt.

Bunche MS remove all barriers, ballwalls, poles, tetherball poles, retripe basketballcourts, 4" remove and replace asphalt, repair and or replace concrete gutters, V-concrete gutters and relocating student lunchtables.

Dominguez HS4" remove and replace asphalt, remove and replace all car bumpers, striping, repair and or replace concrete gutters , V-concrete gutters and gate loops.

19.G.

spco.
(ems I
A0Sa enuecycnng.
nel

DESIGNATIONOF SUBCONTRACTORS
Name of Subcontractor Description and DIR Email
and Location of Place Percentage of Subcontractor’ 5 Registration Address of Business Work License No. Number
Chrisp Company
Striping 1000000306 coesterblad ch
2280 SouthLilacAve. 374600 @
Bloomington, CA 92316 1.4%
1On0Point Land Surveying, Inc.
9 6 o L s
' Redlancrlas?%eA-g§§74ane [me 24( survey Ls 8133 1000003100 Vanessa@onpointlar TBD
gavement Recycling
ys nc. 102 n Sevaine WAY FDR vwmcement 569352 1000003363 sshoemaker©paver Jurupa Valley, CA 92509
Traf?c Loops Crack?lling, Inc
946 s. Emerald Street Traf?c LOOPS 652956 1000003794 Admin@traf?cloops Anaheim Ca 92804

0.38%
(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE§4100 ETSEQ.)
com
rveylng.com

19.G.

BIDDERCERTIFICATIONS

TO BE EXECUTEDBYALLBIDDERSAND SUBMI'I'I'EDWITH 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—insurancein accordance with the provisions of that Code, and I will comply with such provisions before commencing the performance of the work of this Contract.

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

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

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

CERTIFICATIONOF NON-DISCRIMINATION
By my signature hereunder, as the Contractor, 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.

19.G.

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

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

CERTIFICATIONREGARDINGDIRCONTRACTOR/ SUBCONTRACTORREGISTRATION By my signature hereunder, as the Contractor, I certify that Contractor, and all listed Subcontractors are the subject of current and active contractor registrations pursuant to Divisio n
2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code. Contractor’s registration number is[please complete] 1000063065 . Subcontractors’ registration numbers are as indicated in Document 00 4314.

BIDDER:

Bidder Date Signature of Date
Jennifer Mendoza/Preside Jorge MendozaNice President
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate of?cersare required.)

19.G.

ITYOF HEMET
ITYWI
[M N
C

R VERS DECOUNTY, CALFORN A

B D AND CONTRACTDOCU ENTS
2024/25C DESTREETREHABLTATION
CAP TAL PROVEME T PROJECTNO. 2406
OCTOBER2025
Oct 23. 2025
Jilleen Ferris, P.E., Deputy Public Works Director/Asst.City Engineer Date R.C.E. No. 86193
This is a prevailing wage project under the laws of the State of California.

19.G.

APPENDIX1

19.G.

will not be responsible
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the 2024/25CITYWIDESTREETREHABILITATION,CIP No. 2406 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.5) 1, 2, 3, 4, 5, 6, 7, & 8
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.

19.G.

C ty of H met
11/18/25, 8:18 AM PlanetBids Vendor Portal
Qand A Set 1 has been released for this project
Qand A Set 2 has been released for this project.

Qand ASet 3 has been released for this project.

Qand ASet 4 has been released for this project.

Qand ASet 5 has been released for this project.

Qand ASet 6 has been released for this project
Qand A Set 7 has been released forthis project.
httpszllvendors.planetbids.com/portall39477lbo/bo-detaill1 35073#bidAddendaAnd Emails 1/2 i e
2024/25 Citywide Street Rehabilitiation — CIP 2406
Oct 23, 2025 1 Qand ASet
Oct 27, 2025 2 Qand ASet 2
Oct 27, 2025 3 Qand ASet 3
NOV03, 2025 4 and A Set 4
Nov 04,2025 5 Qand ASet 5
NOV12, 2025 6 Qand ASet 6
Nov12, 2025 7 Qand A Set 7
Nov 13, 2025 8 Qand A Set 8

19.G.

11/18/25, 8:18 AM PlanetBids Vendor Portal
Qand A Set 8 has been released for this project.

Nov 13, 2025 BidClosing Reminder for 2024/25 Citywide Street Rehabilitiation— CIP 2406 To: Prospective Bidders
This is a reminder that all bids for 2024/25 Citywide Street Rehabilitiation- CIP 2406 are due on November 20, 2025 3:00 PM (Paci?c).
if you do not intend to bid, please update your prospective bidder status to non—bidderby clicking on the "MyPB Pro?le"button on the Prospective Bidderstab.

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19.G.

Cty met
11/17l25, 8:57 AM Q&Afor 2024/25 Citywide Street Rehabilitiation - CIP 2406 i o e e
2024/25 Citywide Street Rehabilitiation — CIP 2406
Q&ADeadline November 73, 2025 3:00 PM (PST)
Set 1 Released via Addendum 1 10/23/2025 4:23 PM (PST) — 1 question

1.1 Is the materials testing scope going to be contracted through an on-call listfor the city of Hemet, or i willbe handled separately by the City for a separate bid or through the general contractor.

Answer The compaction testing willbe done in house. lf any other services are needed for materials testing they willbe via on—callconsultant.

Set 2 Released via Addendum 2 10/27/2025 8:44 AM (PST)- 1 question

2.1 Can you please provide an engineer's estimate?
Answer Adopted CIP budget for construction is $2,076,214 Set 3 Released via Addendum 3 10/27/202512z44 PM (PST) — 2 questions

3.1 is KirbyStreet going to be allowed to be closed? When 10"are removed, we'llbe leaving 6"for the cement treatment, which takes time to cure. Therefore, the street willneed to remain closed to allow the cement to cure. This means the road surface willbe 4" below grade untilthe cement has fully cured.

Answer KirbyStreet cannot be closed overnight or to residents for access to their homes or businesses. For example, Terra Linda RVStorage only has access on Kirby,so they would need to continue to have access. We have done several FDRprojects that still provided access to residents/businesses, but there were signs "Closed to Through Traf?c" and nothing but passenger cars were able to pass through during curing time. Most of the other residents have access on Johnston, so detours can be provided, but emergency vehicles willneed access at alltimes.

3.2 Willa railroad permit be required for KirbyStreet? The limits end approximately 25 feet before the tracks; however, our trucks and equipment willstill need to pass through the area during pavrng.

Answer Since a railroad permit is not required for vehicles to pass over, a permit willnot be required for your vehicles to pass over either. However, equipment and trucks should https://vendors.planetbids.com/p0rtal/39477/bo/bo—detail/135073# 1/3

19.G.

11/17/25, 8:57 AM Q&Afor 2024/25 Citywide Street Rehabilitiation - CIP 2406 come from Stetson, not from the north on Kirby.

Set 4 Released via Addendum 411/03/2025 8:46 AM (PST) — 1 question Answer The cement content is to be determined by the contractor's geotechnical consultant, which is typically between 3-6%.

Set 7 Released via Addendum 7 11/12/2025 3:45 PM (PST) — 1 question httpszllvendors.planetbids.com/portal/39477/bo/bo—detail/135073# 2/

4.1 The plans and specs do not specify the cement content percentage for the cement-treated base. Please con?rm the required cement percentage to be used.

Set 5 Released via Addendum 511/04/2025 2:40 PM (PST) — 1 question

5.1 Construction Note 16 only applies to the areas that are not getting ground, paved, or cement treated, correct? This would mean the Stetson &Kirbyintersection diagonal trench limits are not included under Note 16 Answer Construction Note 16 applies to trench limits not being Cement Treated per note 1 The intersection of Kirbyand Stetson has a 0.2‘ Grind and Overlayper note 9. This means the intersection of Kirbyand Stetson diagonal trench limits are included under note 16, along with the work on Johnston Avenue and MercedWay.

Set 6 Released via Addendum 611/12/20251228 PM (PST) — 1 question

6.1 per the plans, General Note 7 indicates that the structural section requirements willbe determined by additional soil tests after grading. However, the plans and specs do not provide guidance to the contractor on the percentage to bid for the cement treatment, nor does it specify the required curing time. This lack of information prevents us from accurately bidding the work. Ifwe provideour mix design and the recommended percentage is 3%, but the city later requests a different percentage, there is no method for adjusting the cost, as the item is paid under the pulverizing item. Please provide the required percentage for the cement treatment so we can bid accordingly. lfthis percentage changes after grading, we can adjust the amount. Withouta speci?ed percentage, the work would need to be paid under a separate item, as we cannot control the ?nal decision.

Additionally,there would be no way for the contractor to be compensated for any additional/reductioncement required by the city after grading
Answer You can provide the cost for the worst case scenario and then we can adjust ifit is

7.1 less after the geotechnlcal recommendation is provided.

Please clarify the City's intent for the FDR. Per the Execution BidItem 6, states to remove all ac, aggregate base etc... to 10" below proposed grade. Isthe City's intent to remove ac/base/subgrade, stockpile, process subgrade, import 6" pulverized material and cement treat. For past projects the intent was to pulverize 10" depth, remove /export for 4" ac section, cement treat 6" depth. Per the bid schedule description the process is to pulverize to 10" depth, grade, stabilize and ?ne grade. There is no mention of export material. Please clarify.

19.G.

11/17/25, 8:57 AM Q&A for 2024/25 Citywide Street Rehabilitiation - CIP 2406 Answer The removal to 10” below is only specifying how low the pulverization/FDR is going.

There willbe no import of material, all pulverizing and cement treat willbe in place.

There may be some removals to account for the 4" of AC, but that would be the only removals.

Set 8 Released via Addendum 811/13/202511z53 AM (PST) — 2 questions

8.1 BidItem 6 — FullDepth Reclamation, Pulverize, Cement Treat, to 10".Rough Grade, Stabilize, Fine Grade, Microcrack, Moist Cure - 283,000 SF seems to be understated by around 23,000 SF based on our take-off quantities. Please adVIse.

We have an incorrect labeling of CN1 and CN15. On sheet 8 of 10, Grove Lane and Vista Way should be CN 15, not CN 1, which is a total of approximately 23,000 sq. ft (or 23,200 sq. ft. per bid item 23)
Answer

8.2 I don't see a structural section in the plans that match 'ltem 23 - Remove 4"AC. Pavement and Base. ProofRoll and Compact Ex. Base to 95% Compaction — 23,600 SF'. Construction Note 16 calls that out on the 2' wide 4"AC trench removal and replacement areas, but that quantity seems to be captured in Item 7 — Remove Temporary Pavement, Compact to 95% - 3,500 SF. Please advise.

Answer We have an incorrect labeling of CN1 and CN15. On sheet 8 of 10, Grove Lane and Vista Way should be CN 15, not CN 1, which is a total of approximately 23,000 sq. ft (or 23,200 sq. ft. per bid item 23)

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19.G.

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No
22 23
24 BIDSCHEDULE
BASE BID — 2024/25CITYWIDESTREETREHABILITATION
CIP No. 2406

DESCRIPTION UNIT
MobilizationI Demobilization(not to exceed LS 0 5A)
Temporary Trafficand Pedestrian Control LS
Signing &Striping LS
TemporaryConstruction ProjectIdentification LS Sign
Water Quality Control LS
FullDepthReclamationto pulverize,and
cement treat existing asphalt, aggregate base,
and a portionofthe subgrade soil to a depth of SF

10.0",RoughGrade, Stabilize,FineGrade,
Microcrackinq. MoistCured
RemoveTemporaryPavement,Compactto 95% SF Compact
Construction 4" ofA.C.pavement SF
Grind and Overlay 02' SF
Sawcut, Remove,Compact and Construct SF Smooth A.C.Slot Patch Transition Adiustexisting manholerimto finish surface. EA
Adiustexisting gas valve to finish surface. EA
Adjust existing water valve to finish surface. EA
Removeand Replace Type "A"Curb and Gutter LF
RemoveExistingand Construct Driveway SF Approach Apron
Installblue dot hydrantmarker per COHstd. EA qu. No.W-7OOB Verify, Protect, Record,and Replace(lf
Disturbed) centerlinesurface and subsurface EA
monuments
Removeand Replace Type "B"Curband Gutter LF
Removeand Replace 4" ThickP.C.C.Sidewalk SF
Removeand Replace Curb Ramp EA
InstallDetectableWarningSurface on Existing EA Curb Ramp RemoveExistingand Construct Spandreland SF Cross Gutter Remove4" ExA.C.Pavement and Base. Proof SF Rolland Compact Ex.Base to 95% Compaction Replace Existing "Type E"TrafficLoop EA

ESTIMATED UNIT

QUANTITY PRICE
iA—L-?
283,000
3,500
309,000
10,600
12,800
29 5
43 40
260
5 14
350

1.310
13 8
6,000
23,200
12 TOTAL BASEBID (numbers)

EXTENDE
D ITEM
AMOUNT
***************W****************** ************************************ “H.000. 5“H.000.
$50| 5w, g
$6,000.51 5. 000.
ranoo?u $5.100.
¢ | .010. $37,700.

51.2 ”.0503!
4:53.32 7150: 570$
55 .19-
Li‘L $17,152.

H. $00.32 32
$2qbrgg- :;l. 2.60
$300.92 $1
5-40.1“—
520 .3 $ 1980.
$4” $5339.400.£2
$15. .63— ¢90.43b.?
$6,. 30029 ‘3 300,02
«$1,000,0/0$8,000.
451.19 $86,400.
99 41. $3l.‘184.
4100-19— 99‘ 1).qoo,L°.

3.334509%

15. \‘8

19.G.

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4L
#_
BASEBIDTOTAL (in words)
Contractor's Initials
ADDITIVEA BID ITEMS 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. 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 will be determined on the basis ofthe base bid schedule(s) only unless otherwise specified in the Notice Inviting Bids or by Addenda if issued to supersede the Notice Inviting Bids on this specific issue. '
For a Contract where a deductive bid schedule is called for, the lowest bid will be determined by the total of all bid schedules including the deductive bid schedule(s).

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

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

The Agency reserves the right to reject any or all bids, to waive any 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. ’huo

19.G.

specialty items
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 which will not be included towards the calculation of minimum of 50 percent of work to be performed by Contractor’s own forces.

By signing and submitting this bid the Contractor confirms that they are familiar with the work site and all existing conditions that may affect their work and that they have read and agree to all the terms, conditions and requirements contained or referenced herein or in the Contract Documents and that all the aforementioned has been included in the bid prices listed above, including items of work that may not have a specific pay line item and that there shall be no additional costs to the Agency.

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

19.G.

ress
Signat of r
Operatic
Complete the following:

Matich Corporation; DIR 1000004260; Contractor License 149783 Legal name of the business, DIRReg. and Contractor License Nos Corporation
Business Type (Corporation, Partnership, Sole Proprietor) N/A
DBA (if any)
Robert M. Matich, President
Name and title of the owner
Randall S. Valadez, Vice President/Secretary/Treasurer
Name and title of second partner or officer
1596 Harry Sheppard Blvd, San Bernardino, CA 92408
Business Address
(909) 382-7400
Telephone number
(909) 332—0113
Facsimile number
Jason G. Jones, Vice President of Estimating. Email: [email protected] Name and Email address of primary contact
https://www.matichcorp.com/
Company web add
11/20/2025 11/20/2025
Date er Date
”I“!!! Jason G. Jones, Vice President of Esti O. Reade, Vice President of ns Print name and title me and title
(Ifthe Bidder is a corporation two required.)

19.G.

ALIFORNIA ALL- PURPOSE

ERTIFICATE OF ACKNOWLEDGMENT
Kleespi ry
(Hal: mm name mandamus ommf}
who proved to me on the basis of satisfactory evid to be the person( )wh ameésm§lare subscribed to the within instrument acknowledged to 9 th m@she/they executed the same in®herltheir aut ed capacity?e?,and th ' mar/their signaturem on the instrument (5’),”
(5)
G.M. BERNALKLEESPIES
Henry Public- Cailfnmll
SanBernamhlocounty
CommissionI ZSIMZI
My [mum ExpiresMAYM1019
oiaryPublic Signature E
O
C
A notary public or other of?cer completing this certi?cate verifies‘only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

State of CALIFORNIA }
County of SAN BERNARDINO }
On 11/20/2025 before me, G.M.Bernal es Nota Public
personally appeared Jason G.Jones
ence ose
and at
horiz at by
the person or the entity upon behalf of
which the person acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct
IVNN
WITNESS my hand and officialseal.

N (Notary Public Seal)

INSTRUCTIONS FOR COMPLETING THIS FORM
ADDITIONALOPTIONAL INFORMATION Thisformcomplies with current Californiastatutes regarding notary wording and, DESCRIPTIONOFTHEATTACHEDDOCUMENT ifneeded, should be completed and attached to the document.Acknowledgments fromother states may be completedfor documents being sent to that state so long as the wording does not require the Californianotary to violate Californianotary law.
(Titleordescriptionofattacheddocument) 0 State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment. 0 Date of notarization must be the date that the signer(s) personally appeared which (Titleordescription0fattacheddocumentcontinued) must also be the same date the acknowledgment is completed. 0 The notary public must print his or her name as it appears within his or her NumberOfPages DocumentDate commissionfollowed by a comma and then your title (notary public). 0 Print the name(s) of document signer(s) who personally appear at the time of notarization
CAPACITYCLAIMEDBY THE SIGNER 0 Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. . . he/she/theyr is lafe ) or circling the correct forms. Failure to correctly indicate this D lnd'V'dual (S) information may lead to rejection of document recording.

I] corporate Officer 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 l
I ?le) suf?cient area permits, otherwisecomplete a different acknowledgment form. -— Parmer(s) 0 Signature of the notary public must match the signature on ?le with the of?ce of _ the county clerk.

Attorney-In-Fact #0 Additional information is not required but could help to ensure this El Trustee(s) acknowledgment is not misused or attached to a different document.

Other 02° Indicate title or type of attached document, number of pages and date °2° Indicate the capacity claimed by the signer. If the claimed capacity is a corporate of?cer, indicatethe title (i.e. CEO, CFO, Secretary). www.NotaryCIasses.com 800-873-986 5
o Securely attach this document to the signed document with a staple.

19.G.

ALIFORNIA ALL PURPOSE

CERTIFICATE OF ACKNOWLEDGMENT
who proved to me on the basis of satisfactory evidence to be the person( whose namegs’) (glaresubscribed to the within instrument and acknowledged to me that ?/shelthey executed the same in@lher/theirauthorized capacity ' , and that by
@s/her/their signature(§fon the instrument the personksj. or the entity upon behalf of which the personMacted, executed the in

5. Mt 5mm. KLEESFIES
NDtarymu: ~ California
SanBernardtnoCounty
(ommtsstun I12mm
MyComm.ExpiresMay A,1019
C -
A notary public or other officer completing this certificate veri?es only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

State of CALIFORNIA }
County of SAN BERNARDINO }
On 11/20/2025 before me, G.M.Bernal Kleespies Notary Public , (Here insert name and title of the of?cer)
personally appeared Jacob 0. Reade
strument.

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

WITNESS my hand and official seal.

Public ignature (Notary Public Seal)

INSTRUCTIONS FOR COMPLETING THIS FORM
ADDITIONALOPTIONAL INFORMATIONThisformcomplies with current Californiastatutes regarding notary wording and, DESCRiPTiONOFTHEATTACHEDDOCUMENT ifneeded, should be completed and attached to the document.Acknowledgments fromother states may be completedfor documents being sent to that state so long as the wording does not require the Californianotary to violate Californianotary law.
(Titleordescriptionofattacheddocument) 0 State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment. 0 Date of notarization must be the date that the signer(s) personally appeared which (Titleordescription0fattacheddocumentcontinued) must also be the same date the acknowledgment is completed. 0 The notary public must print his or her name as it appears within his or her NumberOfPages _ Documentn9": commissionfollowed by a comma and then your title (notary public). 0 Print the name(s) of document signer(s) who personally appear at the time of notarization. ' CAPACITY CLAIMED BY THE SIGN ER 0 Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. . . he/she/they: is /m ) or circling the correct forms. Failure to correctly indicate this —— lnd'V'dual (5) information may lead to rejection of document recording.

Corporate Officer 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. 0 Signature of the notary public must match the signature on ?le with the of?ce of Partneds.) the county clerk.

AttorneY'm'FaCt '2‘ Additional information is not required but could help to ensure this - Trustee(s) acknowledgment is not misused or attached to a different document Other 0:0 Indicate title or type of attached document, number of pages and date 0:. Indicate the capacity claimed by the signer. If the claimed capacity is a corporate of?cer, indicate the title (i.e. CEO, CFO, Secretary). www.N0taryClasses.com 800-873-986 5
o Securely attach this document to the signed document with a staple.

19.G.

0H “POBATION
é”
SINCE 1918
Corporate Resolution
At a meeting of the Board of Directors of MATICH CORPORATION,a California corporation duly called and held on the 15thday of October 2021, a quorum being present the following RESOLUTIONwas adopted:

Resolved, the Corporate Officers for Matich Corporation are:

PRESIDENT ROBERT M. MATICH
VICEPRESIDENT&TREASURER RANDALLS. VALADEZ
VICEPRESIDENT& CORPORATESECRETEARY RANDALLS. VALADEZ
VICEPRESIDENT- ESTIMATING JASON G. JONES
VICEPRESIDENT—CONSTRUCTIONOPERATIONS JACOB O. READE
FURTHERRESOLVED,that the above listed Corporate Officers are duly authorized to sign document (bids, contracts, etc.) as may be necessary on behalf of MATICH CORPORATION. l, RandallS. Valadez, Secretary of MATICHCORPORATIONhave compared the foregoing RESOLUTIO N with original thereof, as it appears in the records of the Board of Directors of said company, and do so certify that the same is true and correct transcript there from, and of the whole said original RESOLUTION.

Ifurther certify that said RESOLUTIONhas not been amended or revoked and isstill in full force and effect.

IN WITNESSTHEREOF,l hereunto set my hand as such Secretary day of October 2021.

Randall S. Valadez, Secretary
1596 HARRY SHEPPARD BLVD, SAN BERNARDINO 92408 ' TELEPHONE(909) 382-7400 ' FAX (909) 382-0191 www.matichcorp.com

19.G.

at Siinatu/e J b

CERTIFICATEREGARDINGCONTRACTOR'SLICENSE

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

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

3. Contractor declares, under penalty of perjury, that h the required Contractor's |icense(s) which:
\~
~ 4 ~
~ a Bears the license number(s) 149783 A
_
b Expires on 11/30/2027 C
:

E}...- Wm“
11l20l2025 11/20/2025
Sign er Date of Bidder Date
Jason G. Jones, Vice President of Estimating O. Reade.Vice President of Operations 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

19.G.

ALIFORNIA ALL- PURPOSE

ERTIFICATE OF A KNOWLEDGMENT
03)
name )?/are subscribed to the within ins
she/they executed the same in@her/theirauthorized capacity?es).and that by '
'lher/theirsignature? on the instrument the person/é), or the entity upon behalf of which the person(,€) a ed, executed the in
rum-“1 i
.

E
Q4M g” ngmp N Public
C C
A notary public or other officer completing this certi?cate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

State of CALIFORNIA }
County of SAN BERNARDINO }
On 11/20/2025 before me, G.M.Bernal Kleespies Notary Public 7 7, (Heransén name and title of the of?cer)
personally appeared Jason G.J0nes
who proved to me on the basis of satisfactory evidence to be the person whose trument and acknowledged to me that
strument.

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

G.M.BERNALKLEESPIES
WITNESS my hand and official seal. NotaryPublic-California SanBernardinoCounty Commission# 2516628
Comm.ExpiresMay4.2029
otary Signature (Notary Public Seal)

INSTRUCTIONS FOR COMPLETING TIHS FORM
ADDITIONAL OPTIONAL INFORMATION Thisformcomplies with current Californiastatutes regarding notary wording and, DESCRIPTIONOFTHEATTACHEDDOCUMENT ifneeded, should be completed and attached to the document.Acknowledgments fromother states may be completedfor documents being sent to that state so long . _
I . as the wording does not require the Calrfomianotary to violate Californianotary Certi?cate Regarding Contractor 5 License 1am
(Titleordescriptionofattacheddocument) 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 notarization must be the date that the signer(s) personally appeared which (Titleordescription0fattacheddocumentcontinued) must also be the same date the acknowledgment is completed. 0 The notary public must print his or her name as it appears within his or her NumberOfPages DocumentDate commissionfollowed by a comma and then your title (notary public). 0 Print the name(s) of document signer(s) who personally appear at the time of notarization.

CAPACITY CLAIMED BY THE SIGNER 0 Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. . . he/she/daey; is/&re) or circling the correct forms Failure to correctly indicate this InlelduaI (S) information may lead to rejection of document recording.

Corporate Officer 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, otherwisecomplete a different acknovVledgmentform.

Partner(s) 0 Signature of the notary public must match the signature on ?le with the of?ce of , the county clerk.

Attorney'm'FaCt '3 Additional information is not required but could help to ensure this Trustee(s) acknowledgment is not misused or attached to a different document.

Other '3 Indicate title or type of attached document, number of pages and date. ‘1‘ Indicate the capacity claimed by the signer. If the claimed capacity is a corporate of?cer, indicate the title (i.e. CEO, CFO, Secretary) www.NotaryC|asses.com 800—873-9865 - Securely attach this document to the signed document with a staple.

19.G.

ALIFORNIA ALL- PURPOSE

CERTIFICATE OF ACKNOWLEDGMENT
nix)
name ) @are subscribed to the within ins
[she/they executed the same in @lher/their authorized capacity?eé), and that by lher/their signature(}’) on the instrument the persongs’),or the entity upon behalf of which the personQSS acted, executed the in
Notary gublic Signature
¢
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

State of CALIFORNIA }
County of SAN BERNARDINO }
On 11/20/2025 before me, G.M.Bernal Kleespies NotaD:Public , 7 (Here insert name and title of the of?cer)
personally appeared Jacob O. Reade
who proved to me on the basis of satisfactory evidence to be the perso whose trument and acknowledged to me that
strument.
l certify under PENALTYOF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

G.M.BERNALKLEESPIES
' ' NotaryPublic- California WITNESS my hand and offrcralseal. SanBernardlnoCounty Commissionat2516623
Comm.ExpiresMay4, 2029

INSTRUCTIONS FOR COMPLETING THIS FORM
ADDITIONALOPTIONAL INFORMATION Thisformcomplies with current Californiastatutes regarding notary wording and, DESCRIPTIONOFTHEATTACHEDDOCUMENT ifneeded, should be completed and attached to the document. Acknowledgments fromother states may be completedfordocuments being sent to that state so long . I
I I
I as the wording does not require the Californianotary to violate Californianotary Certificate Regarding Contractor 3 License law.
(Titleordescriptionofattacheddocument) 0 State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment. 0 Date of notarization must be the date that the signer(s) personally appeared which (Titleordescription0fattacheddocumentcontinued) must also be the same date the acknowledgment is completed. 0 The notary public must print his or her name as it appears within his or her NumberOfPages DocumentDal"! commissionfollowed by a comma and then your title (notary public). 0 Print the name(s) of document signer(s) who personally appear at the time of notarization.

CApAclTY CLAIMEDBY THE SIGNER 0 Indicate the correct singular. or plural forms by crossingoff incorrect forms(i e .
. . he/she/theyr lS hare) or ending the correct forms Failure to correctly indicatethis lnd'V'dual (8) information may lead to rejection of documentrecording.

El corporate Officer 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 ( | ltle) suf?cient area permits, otherwisecomplete a different acknowledgment form Parmer(s) - tShignaturfyofl1:11]: notary public must match the signature on ?le with the of?ce of e coun c er . AttorneY'in'FaCt 4‘ Additional information is not required but could help to ensure this Trustee(s) acknowledgment is not misused or attached to a different document.

Other '2' Indicate title or type of attached document, number of pages and date 0? Indicate the capacity claimed by the signer. If the claimed capacity is a corporate of?cer, indicate the title (i e. CEO, CFO, Secretary). www.NotaryClasses.com 800-873—9865 0 Securely attach this document to the signed document with a staple. (Notary Public Seal)

19.G.

CONTRACTORS GEE STATE LICENSE BOARD
E?nmimwnnnsu?lmllm ACTIVE LICENSE
149783 My CORP
mm“. MATICHCORPORATION
Emma“. 11/30/2027 www cslb ca.gov um

19.G.

BIDSECURITYFORM FOR CHECK
NOTE: THE FOLLOWINGFORM SHALLBE USEDINTHE CASEOF 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 (S ), this
amount being 10 percent (10%) of the total amount of the bid. This check shall be returned to the undersigned only if either of the following occurs:

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

Otherwise, said check shall become the property ofthe 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.

N/A 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 corporate are required.)

19.G.

all be void, at i i
||
55 WHEREOF,
November

BID SECURITYFORM FOR BOND
KNOW ALLBYTHESEPRESENTS:

That the undersigned
Matich Corporation
(Name of Contractor)
as Principal and the undersigned as Surety are held and firmly bound unto Owner, CITY O F
HEMET, a political subdivision of the State of California, as obligee, in the penal sum of (Dollar Amount In Words) Ten Percent of the Total Amount Bid
Dollars (S 10% 0f Bid I lawful money of the United States of America being at least ten percent (10%) of the aggregate amount of said Principal’s base Bid, for the payment of which, well and truly to be made, we bind ourselves, our successors, executors, administrators, and assigns, jointly and severally, firmly by these presents.

WHEREAS, said Principal is submitting a Bidfor 2024/25CITYWIDESTREETREHABILITATION, 2406
THE CONDITION OF THIS OBLIGATION lS 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 sh herwise to rema n n fu force and effect. lN WITNE the above bounden parties h ent th 5
(Month)
Matich
(Corporate Seal) By
P?nd
By Liberty Mutual insurance Company
Surety
(Corporate Seal) By
Leigh cDonough,Attorney- act
— ES-B‘m?

19.G.

ALIFORNIA ALL- PURPOSE

ERTIFI ATE OF A KNOWLEDGMENT
namegs)weresubscribed to the within ins
she/they executed the same in@lher/t ty?e§)
i lher/their signaturegs)on the instrument r115):
which the persoan’)acted, executed the in
otary PUblICSig §
Q
C
C C C
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

State of CALIFORNIA }
County of SAN BERNARDINO }
On 11/18/2025 before me, G.M.Berna| Kleespies Notary Public , (Here insert nameand title of the of?cer)
personally appeared Jason G. Jones
who proved to me on the basis of satisfactory evidence to be the person whose trument and acknowledged to me that
heir authorized capaci , and that by
the perso or the entity upon behalf of
strument.

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

G.M.BERNALKLEESPIES
I I Notary Public- California WITNESS my hand and offICIalseal Sankrnardino county Commissionit 2516628
Comm.ExpiresMay4, 2029
N nature (Notary Public Seal)

INSTRUCTIONS FOR COMPLETING THIS FORM
ADDITIONALOPTIONAL INFORMATION Thisformcomplieswith current Californiastatutes regarding notary wording and, DESCRIPTIONOFTHEATTACHEDDOCUMENT ifneeded, should be completed and attached to the document.Acknowledgments ?‘omother states may be completed for documents being sent to that state so long . . as the wording does not require the Californianotary to violate Californianotary Bid Security Form for Bond law.
(Titleordescriptionofattacheddocument) 0 State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment - Date of notarization must be the date that the signer(s) personally appeared which (Titleordescription0fattaCheddocumentcontinued) 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 NumberOfPages _ DocumentData commission followed by a comma and then your title (notary public). 0 Print the name(s) of document signer(s) who personally appear at the time of notarization.

CAPACITY CLAIMED BY THE SIGNER 0 Indicate the correct singular. or plural forms by crossingoff incorrect forms(i e .
_ . . he/she/they; ls lare ) or ctrcllng the correct forms Failure to correctly 1ndlcate this InleldUal (S) information may lead to rejection of document recording corporate Officer 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 ( I ltle) suf?cient area permits, otherwise complete a different acknowledgment form.

Partner(s) - Slignature ofith]: notary public must match the signature on ?le with the of?ce of .
t e county 0 er . AttorneY'm'FaCt 9? Additional information is not required but could help to ensure this Tru stee(s) acknowledgment is not misused or attached to a different document Other ‘3 Indicate title or type of attached document, number of pages and date. '2‘ Indicate the capacity claimed by the signer. If the claimed capacity is a corporate of?cer, indicate the title (i e CEO, CFO, Secretary).

WWW.NotaryC|asses.com 800-873—9865
- Securely attach this document to the signed document with a staple.

19.G.

CAL FORM A ALL—PURPOSE ACKNOWLEDGMENT CIVILCODE § 1189
A notary public or other of?cer completing this certi?cate veri?es only the identityof the individualwho signed the document to whichthis certi?cate is attached.and not the truthfulness.accuracy,or validityof that document.

State of California )
County of Orange )
On NOV1
6) ini§ before me, Kim Luu, Notary Public
Date
3 Here Insert Name and 77tleof the Of?cer
personally appeared LeighMcDonough
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted. executed the instrument.

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

WITNESS my hand 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?es) Claimed by Signer(s)
Signer’s Name: Signer’s Name:

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

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

Signer is Fiep'esenting Signer ls Representing:
@2014 NationalNotaryAssociation - www.NationalNotary.org- 1-800-US NOTAFlY(1-800-876-6827) Item#5907 4th
cm:#
KIMLUU
Commission# 2472703
NotaryPublic- California
ORANGECounty
MyCommExpiresDEC17,202

19.G.

Alvarado, Cnlhcan, Guisc, Lane.

Yoshiaka
Luu, Leigh Menonough, Panzmcl. Rhcaull. Richardsml, Sallaxclll. cll Jammy .2025
CasuallyCompany“and w
”level"
This
Au?'lurizatiun 7 By unanimousconsent 0![he Comp
Company.whereverappearingupnna calmed copy
lhesame[arcs and Ellen as thoughmanuallyaf?xed
hehall and
”wanna-l “new”
consents 1
Company
:?/?l?
'
Elisa Paslella,
C.Llewellyn.Assisunl
CU

POWER OF ATTORNEY
Liberty Mutual Insurance Company
SURETY The Ohio Casualty Insurance Company
West American Insurance Company
CertificateNo:8213027-977460
KNOWNALLPERSONS BYTHESEPRESENTS:ThatThe OhioCasualtyInsuranceCompanyis a corporationdulyorganizedunderthe lawsof the State of NewHampshire,that LibertyMutualInsuranceCompanyis a corporationdulyorganizedunderthe lawsofthe State ofMassachusetts,andWestAmericanInsuranceCompanyis a corporationdulyorganized underthelawsofthe State of Indiana(hereincollectivelycalledthe "Companies"), pursuantto and byauthorityhereinset forth,does herebyname,constituteand appoint, Jessica Kevin Maria Terah Kim Michael D Rachelle Mark Heather
Harrison
allofthe cityof Irvine state of CA each individuallyiftherebe morethanone named,itstrue and lawfulattomey—in-fact to make, execute.seal, acknowledge and deliver,forandon its as surety as act anddeed, any andallundertakings,bonds,recognizancesand othersurety obligations,inpursuance ofthese presents and shall be as bindinguponthe Companiesas ifthey have been dulysigned bythe presidentand attested bythe secretary ofthe Companiesintheirownproper persons.

INWITNESSWHEREOF,this PowerofAttorneyhas been subscribedbyan authorizedofficeror officialofthe Companiesand the corporateseals ofthe Companieshave been affixed theretothis 27th day of January , 2025
LibertyMutualInsuranceCompany
TheOhioCasualtyInsuranceCompany
WestAmericanInsuranceCompany
1912 191 9 1991
E
o By 0 NathanJ. Zangerle,AssistantSecretary StateofPENNSYLVANIA 58 CountyofMONTGOMERY
Onthis 27th day beforeme personallyappeared Nathan.I.Zangerle,whoacknowledgedhimselfto be theAssistantSecretaryofLibertyMutualInsurance Company,The Ohio est AmericanInsuranceCompany,and that he, as such, beingauthorizedso to do, execute the foregoinginstrumentforthe purposes containedbysigningon behalfofthe corporationsby himselfas a dulyauthorizedof?cer INWITNESSWHEREOF,I have hereuntosubscribedmynameandaffixedmynotarialseal at PlymouthMeeting,Pennsylvania,on the dayandyear firstabovewritten.

Q~ Commonwealthof Pennsylvania- NotarySeal
7 Mycommission expires March 28, 2029 By 7%4%”
Commissionnumber 1126044 . i. Member, of Notaries NOtaryPUbIIC O oa] Powerof Attorney is made and executed pursuantto and by authorityof the followingBy-Iawsand Authorizationsof The OhioCasualty InsuranceCompany,LibertyMutual 09 InsuranceCompany,and West AmericanInsuranceCompanywhichresolutionsare nowinfullforceand effectreadingas follows: g ARTICLEIV— OFFICERS:Section12.PowerofAttorney.

Anyofficeror other officialof the Corporationauthorized 3 for that purpose in writingby the Chairmanor the President, and subjectto such limitationas the Chairmanor the \— Presidentmay prescribe,shall appointsuch attorneys-in-fact,as may be necessary to act in behalfofthe Corporationto make, execute, seal, acknowledgeand deliveras surety 2 any and all undertakings,bonds, recognizancesand othersuretyobligations.Such attorneys-in-fact,subjectto the limitationsset forthintheirrespective powersof attorney,shall'5 8 have fullpowerto bind the Corporationby theirsignature and executionof any such instrumentsand to attach theretothe seal of the Corporation.Whenso executed,such 8 a) instrumentsshall be as bindingas itsignedby the Presidentand attestedtoby the Secretary.Anypoweror authoritygrantedto any representativeor attorney-in-factunderthe E a provisionsofthis articlemay be revokedat any timebythe Board,theChairman. the Presidentorbythe officeror officersgrantingsuch poweror authority. 0 ARTICLEXIII— Execution of Contracts:Section5. SuretyBondsand Undertakings.

Anyofficerofthe Companyauthorizedforthatpurposeinwritingbythe chairmanorthe president,and subjectto such limitationsas the chairmanorthe president mayprescribe, shallappointsuch attorneys—in-fact, as may be necessaryto act in behalfof the Companyto make, execute,seal, acknowledgeand deliveras surety any and allundertakings, bonds,recognizancesand othersurety obligations.Such attorneys-in-factsubjectto the limitationsset forthintheirrespectivepowers of attorney,shallhave fullpowerto bindthe Companyby theirsignature and executionof any such instrumentsand to attachtheretothe seal ofthe Company.Whenso executedsuch instrumentshall be as bindingas if signedbythe president and attestedbythesecretary.

Certi?cateof Designation — The Presidentof the Company,acting pursuant to the Bylawsof the Company,authorizesNathanJ. Zangerle,AssistantSecretaryto appointsuch attorneys-in-factas may be necessaryto act on behalfofthe Companyto make,execute, seal, acknowledgeand deliveras surety any and allundertakings,bonds,recognizancesand othersuretyobligations.
any's Boardof Directors,theCompany hatfacsimileor mechanicallyreproducedsignatureofany assistantsecretaryofthe of any powerof attorneyissuedbythe inconnectionwithsurety bonds,shallbe validand bindinguponthe Companywith I,ReneeC. Llewellyn,the undersigned,AssistantSecretary,The OhioCasualtyInsuranceCompany,LibertyMutualInsuranceCompany,and West AmericanInsuranceCompanydo herebycertifythat the originalpower of attorneyofwhichthe foregoingis a full,true and correctcopyofthe PowerofAttorneyexecutedbysaid Companies,isinfullforceand effectand has notbeen revoked. NOV1 2 2. INTESTIMONYWHEREOF,Ihave hereuntoset myhandand affixedthe seals ofsaidCompaniesthis day of t 1912 191 9 1991
By:

Renee Vk LMS-12873LMIC OCIC WAIC Multi Co 02/24

19.G.

of‘
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Igna re

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

I am the Vice President of Estimating of Matich Corporation , the party making the foregoing bid.

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

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

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 11/20/2025 date], at San Bernardino city], California
11/20/2025 11/20/2025
Signatu Date of Bidder Date
Jason G. Jones. Vice President of Estimating Jacob O. Reade, Vice President of Operations Print name and title \\\I I I I III , Print name and title 0 (Ifthe Bidder is a corporation, two
~
are required.)
5I
1’0 \\

19.G.

ALIFORNIA ALL- PURPOSE

ERTIFICATE OF ACKNOWLEDGMENT
r1935
n e¢)d§lare subscribed to the within ins Egghe/they executed the same in @Iher/their authorizedcapacityie’s),and that by i her/their signaturemon the instrument the personm,or the entity upon behalf of which the personfé) acted, executed the in
mm
G, M.BERNAL KLE
mm.@5115: 5‘"!Elmaram0 5 M y é‘mggn,25m g
- {reg
Notary Public Signatu May4, 202;
0 C
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

State of CALIFORNIA }
County of SAN BERNARDINO }
On 11/20/2025 before me, G.M.Berna| Kleespies Notary Public , ”'(Here insert name and title of the of?cer)
personally appeared Jason G. Jones
who proved to me on the basis of satisfactory evidence to be the perso whose trument and acknowledged to me that
strument.

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

WITNESS my hand and official seal.
re (Notary Public Seal)

INSTRUCTIONS FOR COMPLETING THIS FORM
ADDITIONALOPTIONAL INFORMATION Thisformcomplies with current Californiastatutes regarding notary wording and, DESCRIPTIONOFTHEATTACHEDDOCUMENT ifneeded, should be completed and attached to the document.Acknowledgments fromother states may be completedfor documents being sent to that state so long . _ as the wording does not require the Californianotary to violate Californianotary Non- Collusron Af?davrt law.
(Titleordescriptionofattacheddocument) 0 State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment 0 Date of notarization must be the date that the signer(s) personally appeared which (TltleordescrlptlonOfattacheddocumentcontinued) must also be the same date the acknowledgment is completed. 0 The notary public must print his or her name as it appears within his or her NumberOfPages DocumentData commission followed by a comma and then your title (notary public). 0 Print the name(s) of document signer(s) who personally appear at the time of notarization.

CAPACITY CLAIMED BY THE SIGNER 0 Indicate the correct singular. or plural forms by crossingoff incorrect forms(i. e. . . helshe/t-hey: IS /ai=e) or Circling the correct forms. Fallure to correctly indicate this lndrvrdual (3) information may lead to rejection of document recording. corporate Of?cer - 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, othenivisecomplete a different acknowledgment form.

Partner(s) o tShignature ofltil]: notary public must match the signature on file with the of?ce of _ e county c er . Attorney-in-Fact °1~ Additional information is not required but could help to ensure this Trustee(s) acknowledgment is not misused or attachedto a di?erent document.

Other 0? Indlcate title or type of attached document, number of pages and date ‘3' Indicate the capacity claimed by the signer. If the claimed capacity is a corporate of?cer, indicate the title (i.e. CEO, CFO, Secretary) www.N0taryC|asses.com 800—873-9865 0 Securely attach this document to the signed document with a staple

19.G.

ALIFORNIA ALL- PURPOSE

ERTIFI ATE OF ACKNOWLEDGMENT
Kleesp
[Hem mun nun. mmWe at immn
who prove to me on the basis of satisfact
nameos’) are subscribed to the within ins
lshe/they executed the same in @her/t
lher/their signature“) on ihe instrument
(5)
Noéary Public E
(x)
(1237
.7
C
C C
A notary public or other of?cer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

State of CALIFORNIA }
County of SAN BERNARDINO }
On 11/20/2025 before me, G.M.Bernal ies Nota Public
personally appeared Jacob 0- Reade
ory evidence to be the person whose
trument and acknowledged to me that
heir authorized capacity , and that by
the person or the entity upon behalf of
which the person acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
_ _ G.M.BERNALKLEESPlES
WITNESS my hand and offICIalseal. NotaryPublic California SanBernardinoCounty
Commission# 516628
Comm.ExpiresMay4, 2029
Signature (Notary Public Seal)

INSTRUCTIONS FOR COMPLETING THIS FORM
ADDITIONAL OPTIONAL INFORMATION Thisfbrmcomplieswith current Californiastatutes regarding notary wording and, DESCRIPTIONOFTHEATTACHEDDOCUMENT ifneeded, should be completed and attached to the document. Acknowledgments fromother states may be completedfor documents being sent to that state so long _ . as the wording does not require the Californianotary to violate Californianotary Non- Collusron Af?davrt law.
(Titleordescriptionofattacheddocument) 0 State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment. - Date of notarization must be the date that the signer(s) personally appeared which (Titleordescription0fattacheddocumentcontinued) 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 NumberOfPages DocumentDate commissionfollowed by a comma and then your title (notary public) 0 Print the name(s) of document signer(s) who personally appear at the time of notarization.

CAPACITY CLAIMED BYTHE SIGNER I Indicate the correct singular. or plural forms by crossingoff incorrect forms( Le
.
_ . . he/she/theyr IS hare) or crrcllng the correct forms Failure to correctly Indicate this Ind'V'duaI (S) informationmay lead to rejection of document recording corporate Officer 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. 0 Signature of the notary public must match the signature on ?le with the of?ce of Par-med?) the county clerk.

Attorney-tn-Fact 0? Additional information is not required but could help to ensure this Trustee(s) acknowledgment is not misused or attachedto a different document.

Other '3 Indicate title or type of attached document, number of pages and date 0:. Indicate the capacity claimed by the signer If the claimed capacity is a corporate of?cer, indicate the title (i.e. CEO, CFO, Secretary) www NotaryClasses.com 800—873-9865 0 Securely attach this document to the signed document with a staple.

19.G.

(909)
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 ofthe same type, size and complexity as this project.

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

Project Name FY 23-24 Asphalt Paving Project
Contract Price: $2,414,229.00 Date of Completion
Name, Address, and Telephone Number of Owner's Representative City of Colton; 160 South 10th Street, Colton, CA 92324 Jim McGivern — (909) 370-6108
Project Name: Jurupa Avenue Pavement Rehabilitation
Contract Price: $2,016,716.00 Date of Completion:

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

City of Fontana; 8353 Sierra Avenue, Fontana, CA 92335
Shawn Mateicek— (909) 350-7649
Project Name: PMP 2024 Street Resurfacing Project
Contract Price: $4,677,377.00 ate of Completion
Name, Address, and Telephone Number of Owner's Representative City of Redlands; 35 Cajon Street, Suite 15A, Redlands, CA 92373 Goutam Dobey — 798-7584
(Attach additional pages as necessary)
MAY 2025
FEB 2025
FEB 2025

19.G.

CH

RPOBATION
oduran@cityo?1ighland.org
[email protected]
‘mcgiverchgltuncagov
§mate‘[email protected]
gdobechityofredlandsnrg
Recent Completed Projects:

Highland Regional Connector Project
Description: Pavement Rehabilitation
Contract Number: STR22002
Agency: City of Highland — 27215 Base Line, Highland, CA92346 Contact: Octavio Duran Ir. — (909) 864—6861 — Contract Amount: $792,659.22 Completion: AUG 2025
Airport Taxiway Rehabilitation
Description: Pavement Rehabilitation
Contract Number: 21-27
Agency: City of Palm Springs — 3200 E. Tahquitz Canyon Way, Palm Springs, CA92262 Contact: Vonda Teed — (760) 323-8253 — Contract Amount: $7,281,225.00 Completion: IUN2025
FY 23-24 Asphalt Paving Project
Description: Pavement Rehabilitation
Contract Number: FY 23—24
Agency: City of Colton — 160 South 10th Street, Colton, CA92324 Contact: IimMcGivern — (909) 370-6108 — Contract Amount: $2,414,229.00 Completion: MAY 2025
Iurupa Avenue Pavement Rehabilitation
Description: Pavement Rehabilitation
Contract Number: DE-24-87-SB
Agency: City of Fontana — 8353 Sierra Avenue, Fontana, CA 92335 Contact: Shawn Matejcek — (909) 350-7649 — Contract Amount: $2,016,716.00 Completion: FEB 2025
PMP 2024 Street Resurfacing Project
Description: Pavement Rehabilitation
Contract Number: 211010
Agency: City of Redlands — 35 Cajon Street, Suite 15A, Redlands, CA92373 Contact: Goutam Dobey — [909) 798-7584 — Contract Amount: $4,677,377.00 Completion: FEB 2025
RC. Box 10, Highland, CA. 92346 O 1596 Harry Sheppard Blvd. San Bemardino, CA, 92408 Phone (909) 382-7400 0 Fax (909) 382-0113

19.G.

w ir rt. om
smateicek@fcngnaca‘ggv
§[email protected]
smate‘[email protected]
Thomangstamonte@dpw‘sbcoungz,gcv
gdohechiggofred and; egg
AOA Vehicle Access Road Project
Description: Pavement Rehabilitation
Agency: San Bernardino International Airport Authority — 1601 E. 3rdStreet, Suite 100, San Bernardino, CA92408
Contact: IeffBarrow — [909) 677-2010 - Contract Amount: $1,341,626.00 Completion: OCT 2024
Randall Avenue Project
Description: Pavement Rehabilitation
Contract Number: DE-24-88-SB
Agency: City of Fontana — 8353 Sierra Avenue, Fontana, CA 92335 Contact: Shawn Matejcek - (909) 350-7649 — Contract Amount: $923,094.00 Completion: OCT 2024
Southridge Grid 53 Pavement Rehabilitation
Description: Pavement Rehabilitation
Contract Number: SB—152-DE-23
Agency: City of Fontana — 8353 Sierra Avenue, Fontana, CA92335 Contact: Shawn Matejcek—(909) 350-7 649 — Contract Amount: $1,306,547.00 Completion: OCT 2024
Sierra Lakes Pavement Rehabilitation Project
Description: Pavement Rehabilitation
Contract Number: DE-24-42-SB
Agency: City of Fontana - 8353 Sierra Avenue, Fontana, CA92335 Contact: Shawn Matejcek —- (909) 350-7649 — Contract Amount: $1,647,818.00 Completion: SEP 2024
Bloomington Avenue
Description: Pavement Rehabilitation
Contract Number: 24-33
Agency: County of San Bernardino DPW — 825 East 3rdStreet, San Bernardino, CA92415 Contact: Thomas Bustamonte (909) 387-7922 — Contract Amount: $3,116,434.00 Completion: Iuly 2024
PMP 2023 Street Resurfacing Project
Description: Pavement Rehabilitation
Contract Number: 211008
Agency: City of Redlands — 35 Cajon Street, Suite 15A, Redlands, CA92373 Contact: Goutam Dobey — (909) 798-7584 — Contract Amount: $4,381,606.00 Completion: Iune 2024
P.O. Box 10, Highland, CA. 92346 O 1596 Harry Sheppard Blvd. San Bernardino, CA, 92408 Phone (909) 382-7400 0 Fax (909) 382-0113

19.G.

gdohechigLergdlandsnrg
dme‘sgnbgcthucaipagov
rgayleeralmdesert‘gov
[email protected]
smateicekagmanagagov
lar .white d w. n .ov
PMP 2022 Street Resurfacing Project
Description: Pavement Rehabilitation
Contract Number: 211006
Agency: City of Redlands — 35 Cajon Street, Suite 15A, Redlands, CA92373 Contact: Goutam Dobey — (909) 798-7584 — Contract Amount: $4,970,068.00 Completion: February 2024
2022 / 2 023 Pavement Rehabilitation Program
Description: Pavement Rehabilitatio
Contract Number: 11186
Agency: City of Yucaipa — 34272 Yucaipa Boulevard, Yucaipa, CA92399 Contact: Daniel Meisenbach — (909) 797—2489 — Contract Amount: $1,173,357.00 Completion: Ianuary 2024
Fred Waring Rehab, Project No. 752-23/MST00008
Description: Pavement Rehabilitation
Contract Number: C4524O
Agency: City of Palm Desert - 73510 Fred Waring Drive, Palm Desert, CA92260 Contact: Ryan Gayler — (760) 776-6393 — Contract Amount: $3,264,473.00 Completion: December 2023
Highway 111 Phase 2 and Local Street Pavement Rehabilitation Project Description: Pavement Rehabilitation
Contract Number: 933 1
Agency: City of Indian Wells — 44-950 Eldorado Drive, Indian Wells, CA92210 Contact: Ken Seumalo — (760) 346-2489 — Contract Amount: $2,143,000.00 Completion: October 2023
Foothill Blvd. from East Ave. to Hemlock Ave. Street Rehabilitation Project Description: Pavement Rehabilitation
Contract Number: SB-117-DE-23
Agency: City of Fontana — 8353 Sierra Avenue, Fontana, CA92335 Contact: Shawn Matejcek - (909) 350-7649 — Contract Amount: $3,161,930.00 Completion: October 2023
Wabash Ave. & Other Roads
Description: Pavement Rehabilitation
Contract Number: 22—796
Agency: County of San Bernardino DPW — 825 East 3rdStreet, San Bernardino, CA92415 Contact: Larry White — (909) 387-7924 — Contract Amount: $3,336,334.00 Completion: August 2023
P0. Box 10, Highland, CA. 92346 0 1596 Harry Sheppard Blvd. San Bernardino, CA, 92408 Phone (909) 382-7400 0 Fax (909) 382-0113

19.G.

[email protected]
Maw
car]os.seane;@dpw.sbcoun§y‘gov
vonda.te§d@pa mspringscagov
czaman0@cig(g?;xighland.org
gdohechigmfredlandsorg
Phelan Road Intersection Improvement
Description: Pavement Rehabilitation
Contract Number: 22-728
Agency: County of San Bernardino DPW — 825 East 3rdStreet, San Bernardino, CA92415 Contact: Larry White — (909) 387-7924 — Contract Amount: $2,056,154.00 Completion: January 2023
Street Rehabilitation at Various Locations
Description: Pavement Rehabilitation
Contract Number: C00759
Agency: City of Banning — 99 E. Ramsey St., Banning, CA92220 Contact: Kevin Sin D. — (951) 922-3140 - Contract Amount: $848,796.00 Completion: January 2023
Rosena Ranch Road
Description: Pavement Rehabilitation
Contract Number: 22-3 17
Agency: County of San Bernardino DPW — 825 East 3rdStreet, San Bernardino, CA92415 Contact: Carlos Seanez — [909] 387—7920 — Contract Amount: $1,074,185.00 Completion: August 2022
2021 Pavement Rehabilitation
Description: Pavement Rehabilitation
Contract Number: 21-01
Agency: City of Palm Springs — 3200 E. Tahquitz Canyon Way — Palm Springs, CA92262 Contact: Vonda Teed — (760) 232-8253 — Contract Amount: $5,758,200.00 Completion: August 2022
City/ County Cooperative Pavement Rehabilitation
Description: Pavement Rehabilitation
Contract Number: STR20003
Agency: City of Highland — 27215 Base Line — Highland, CA92346 Contact: Carlos Zamano — [909) 864-6861 — Contract Amount: $2,315,112.00 Completion: May 2022
PMP 2021 Street Resurfacing Project
Description: Pavement Rehabilitation
Contract Number: 211003
Agency: City of Redlands — 35 Cajon Street, Suite 15A — Redlands, CA 92373 Contact: Goutam Dobey — (909) 798-7584 — Contract Amount: $9,235,780.00 Completion: April 2022
PO. Box 10, Highland, CA. 92346 O 1596 Harry Sheppard Blvd. San Bernardino, CA, 92408 Phone (909) 382-7400 0 Fax (909) 382-0113

19.G.

DESIGNATION 0F SUBCONTRACTORS
Name of Subcontractor Description and DIR Email
and Location of Place Percentage of Subcontractor’s Registration Address of Business Work License No. Number
Pavement Recycling Pulverize 569352 1000003363 s@
shoemake{
pavemen recyc |_Ing Systems, Inc. mm
10240 San Savine Way
Jurupay Valley, CA 91752 10.23% (951) 682-1091
Smithson Electric, Inc_ Traf?c Loops 614518 1000001610 chris_ . @smlthsonelectnc .com
1938 Katella Ave.

Orange, CA 92867 0.36% (714) 997-9556
AllAmerlcan - Asphalt Manholes 267073 1000001051 idkline @auame?canasphalt
.com
400 E. Sixth Street
Corona, CA 92878 2.34% (951) 736-7625
Chrisp Company Striping 374600 1000000306 coesterblad
@chrispco.com
2280 South Lilac Ave.

Bloomington. CA 92316 1.32% (909) 746—0356
(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE §4100 ETSEQ.)

19.G.

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BIDDERCERTIFICATIONS

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

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

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

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

CERTIFICATIONOF PREVAILINGWAGE 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 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 non— discrimination in employment will be complied with; and that the principal of equal opportunity in employment will be demonstrated positively and aggressively.

19.G.

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

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

CERTIFICATIONREGARDINGDIRCONTRACTOR/ SUBCONTRACTORREGISTRATION By my signature hereunder, as the Contractor, I certify that Contractor, and all listed Subcontractors are the subject of current and active contractor registrations pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code. Contractor’s registration number is[please complete] 1000004260 Subcontractors’ registration numbers are as indicated in Document 00 4314.

BIDDER:
11/20/2025 11/20/2025
Sign Date re of Bidder Date
“I I I III,
Jason G. Jones, Vice President of O O. Reade, Vice President of Operations Print name and title S me and title
5‘ i
(Ifthe Bidder is a corporation, two

19.G.

ALIFORNIA ALL- PURPOSE

ERTIFICATE OF ACKNOWLEDGMENT
(Hale msan rum
name‘AME/are subscribed to the within ins
she/they executed the same in@lher/t ?es
her/their signature?) on the instrument M5
which the person(;’) acted, executed the in
Exyirss No:ary Public Sig E
t
C
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

State of CALIFORNIA
County of SAN BERNARDINO }
On 11/20/2025 before me, G.M.Bernal Kleespies Notary Public personally appeared Jason G. Jones
E and title of the of?cer)
who proved to me on the basis of satisfactory evidence to be the person whose trument and acknowledged to me that
heir authorized capacity ), and that by
the perso ), or the entity upon behalf of
strument.

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

WITNESS my hand and officialseal
nature
G.M.BERNALKLEESPIES
NotaryPublic- California
SanBernardinoCounty
Commission# 2516628
Comm. May4, 2029
(Notary Public Seal)
INSTRUCTIONS FOR COMPLETlNG THIS FORM
ADDITIONALOPTIONAL INFORMATIONThisformcomplies with current Californiastatutes regarding notary wording and, ifneeded, should be completed and attached to the document. Acknowledgments fromother states may be completedfor documents being sent to that state so long as the wording does not require the Californianotary to violate Californianotary law.

DESCRIPTIONOFTHEATTACHEDDOCUMENT
Certification of Non-Disquali?cation
(Titleordescriptionofattacheddocument)
(Titleordescriptionofattacheddocumentcontinued)
NumberofPages DocumentDate

CAPACITY CLAIMED BY THE SIGNER
_ Individual (5)
Corporate Officer
(Title)
Partner(s)
Attorney-in-Fact
Trustee(s)
Other
www NotaryClasses.com 800-873-9865
State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment.

Date of notarization must be the date that the signer(s) personally appeared which 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).

Print the name(s) of document signer(s) who personally appear at the time of notarization
Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. he/she/they: is Isse ) or circling the correct forms. Failure to correctly indicatethis information may lead to rejection of document recording, 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 suf?cient area permits, otherwisecomplete a different acknowledgment form.

Signature of the notary public must match the signature on ?le with the of?ce of the county clerk.
{0 Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a different document ‘ Indicate title or type of attached document, number of pages and date. ° Indicate the capacity claimed by the signer. Ifthe 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. o
e
'0
o
o

19.G.

ALIFORNIA ALL- PURPOSE

CERTIFICATE OF ACKNOWLEDGMENT
95)(9/
lshe/they
lh
Nogary Bhbli gignature ;
Kleesp otary
weremsannzmu and We a! m: Miner)
44 [is Wes)
O
C
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

State of CALIFORNIA }
County of SAN BERNARDINO }
On 11/20/2025 before me, G.M.Bernal ies N Public
personally appeared Jacob 0- Reade , who proved to me on the basis of satisfactory evidence to be the person whose ame are subscribed to the within instrument and acknowledged to me that executed the same in lher/their authorized capaci , and that by er/their signature( on the instrument the person , or the entity upon behalf of which the person acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct
G.M.BERNALKLEESPIES
Notary Public- California
WITNESS my hand and officialseal SanBernardino County
CommissronIt2516628
Comm.ExpiresMay4, 2029
c (Notary Public Seal)

INSTRUCTIONS FOR COMPLETING THIS FORM
ADDITIONALOPTIONAL INFORMATION Thisformcomplies with current Californiastatutes regarding notary wording and, ifneeded, should be completedand attached to the document.Acknowledgments DESCR'PTIONOFTHEATTACHEDDOCUMENT fromother states may be completedfor documents being sent to that state so long ' . _ _ . as the wording does not require the Californianotary to violate Californianotary Certi?cation of Non-Disquali?cation law.
(Titleordescriptionofattacheddocument) 0 State and County information must be the State and County where the document signer(s) personally appearedbefore the notary public for acknowledgment. - Date of notarizationmust be the date that the signer(s) personally appeared which (Titleordescription0fattaCheddocumentcontinued) must also be the same date the aclmowledgment is completed. 0 The notary public must print his or her name as it appears within his or her NumberOfPages Documentn9": commission followed by a comma and then your title (notary public). 0 Print the name(s) of document signer(s) who personally appear at the time of notarization.

CAPACITYCLAIMED BY THE SIGNER 0 Indicate the correct singular. or plural forms by crossingoff incorrect forms(i. . . he/she/theyy e. 13 /are) or Circlingthe correct forms Failure to correctly indicate this Indrvrdual (S)
_
information may lead to rejection of document recording. _ corporate Officer 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 (TitIe) suf?cient area permits, otherwise complete a different acknowledgment form Pa rtner(s) 0 3521;313:323 :11: notary public must match the Signature on ?le With the of?ce of AttorneY'm'FaCt 6' Additional information is not required but could help to ensure this D Tru stee(s) acknowledgment is not misused or attached to a different document Other '3‘ Indicate title or type of attached document, number of pages and date. '3' Indicate the capacity claimed by the signer. If the claimed capacity is a corporate of?cer, indicate the title (i.e. CEO, CFO, Secretary) www.NotaryC|asses.c0m 800-873-9865 0 Securely attach this document to the signed document with a staple

19.G.

WAGE:
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19.G.

7/22/25, 9:11 AM 1000004260 - Matich Corporation
149783
Business Phone
Ext
Registration Start Date
2025-07-01
Legal Entity Name
Matich Corporation
Doing Business As (DBA)
Matich Corporation
Business Structure
-- None —-
President
Robert M. Matich
Email
[email protected]
Registration End Date
2028-06-30
Crafts
Operating Engineer Laborer and Related Classi?cations
Teamster (Work on a construction site) Cement Mason
Address
Mailing Address
https:/lservices.dir.ca.gov/gsp? 2/4
909-382-7400

19.G.

Rat.
mmm
7/22/25.9:11 AM 1000004260 - Matich Corporation
1596 E HARRYSHEPPARD BLVD
Mailing Address - City

SAN BERNARDINO
Mailing Address - State
CA
Mailing Address - Zip
92408
Mailing Address - Country
United States
Physical Address
PO. Box 10
Physical Address - City
Highland
Physical Address - State
California
Physical Address - Zip
92346
Physical Address - Country
United States
Related Lists
.Rggistratign 52.5.9
Te . ..d..i.t.
httpszllservices.dir.ca.gov/gsp?id=dir_public_form&table=x_odoi2_csm_portal_customer_account_|ookup&sys_id=786e5ec1c34f4250f079d9ec050131... 3/4 Page 126 of 382

19.G.

matiorlbl?l
7/22/25, 9:11 AM 1000004260 - Matioh Corporation
N. Emmi ce Copyright 2024 State of California
Agsaéiiziiitx
"din
httpszllservices.dir.ca.gov/gsp?id=dir_pub|ic__form&table=x_‘odoi2_csm_porta|_customer_account_| 4/4 Page 127 of 382

19.G.

III-Hi r-?l-I'I-h-‘IIrI-I
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“HI-lu- —m|-III1-:iIIHI=rH -'-.'I'I-'-
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Policy Statement — Equal Opportunity Affirmative Action Program Matich Corporation is committed to the concept of Affirmative Action which is to provide equal opportunities to all; regardless of race, color, religion, sex, national origin, age, disability, or veteran status.

Further, it is our policy to provide a working environment that is free from harassment. Harassment of any kind is intolerable and will be dealt with as a serious violation which could result in appropriate sanctions, including termination.

Harassment, in general, is de?ned as unwelcome or
unsolicited verbal, physical, or sexual conduct which
substantially interferes with the employee’s job performance or which creates an intimidating, hostile or offensive working environment.

Employees who feel they are victims of harassment or discrimination should notify their supervisor or any corporate of?cer. Any observed violations should also be reported.

Ifyou have any questions, please contact Robert Matich or Randy Valadez at (909) 382-7400, located at 1596 Harry Sheppard Blvd., San Bernardino, CA 92408.

Copies of the Af?rmative Action Program may be viewed or requested between hours of 8:00 AM and 5:00 PM, Monday through Friday at the above mentioned of?ce.

Robert A. Matich

19.G.

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19.G.

CALIFORNIA

AIR RESOURCES BOARD
Affirmation of Fleet Wide Compliance
Certi?cation ID: 196101
This certificate af?rms that
Entity ID: E10096
Matich Corporation
3231 E 3rd St
San Bernardino, CA 92408-0217
has attested in the Clean Truck Check electronic reporting system to report a complete list of vehicles subject to Heavy-Duty Inspection and Maintenance (HD l/M) Regulation and the California Air Resources Board (CARB) hereby veri?es that as of 7/30/2025, all of the attested vehicles are compliant with the Clean Truck Check.*
A complete list of the attested vehicles is listed in the following page(s). *This Af?rmation of Fleet Wide Compliance shall be used for the ?eet’s purposes of proving their fleet compliance status with their freight contractors and brokers. This Af?rmation of Fleet Wide Compliance shall not constitute proof of a vehicle compliance with the Clean Truck Check beyond the issued date.

19.G.

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19 VIN Numbers
1HTLDUGN2GHA54427
1XKDAU8X06R144597
1XKDAU8X26R144598
1NPTLP9X50D142024
1NPTLPOX9DD202918
1NPTLPOX2FD262834
1NPTLPOX4FD262835
1NPTLPOX6FD262836
1NPTLPOX8FD262837
1NPTLPOX2FD282257
1NPTLPOX4FD282258
1NPTLPOXOFD282256
1NPTLPOX6FD282259
1NPTLPOX2FD282260
1NPTLPOX4FD282261
1NPTLPOX6FD282262
1NPTLPOX8FD282263
1NPTL70X9KD604709
1NPTL70X5KD60471O
1NPTL70X7KD60471 1
1NPTL70X9KD604712
1NPTL7OXOKD604713
1NPTL70X2KD604714
1NPTL70X4KD604715
1NPTL70X6KD604716
1NPTL70X8KD604717
1NPTL70XXKD604718
1NPTL70X1KD604719
1NPTL70X8KD604720
1NPTL70XXKD604721
1NPTL70X1KD604722
1NPTL7OX3KD604723
1NPSL70X9LD661019
1NPSL70X5LD661020
1NPSL70X7LD661021

19.G.

1NPSL70X9LD661022
1NP3LJOXXMD735387
1NP3LJOX1MD735388
1NP3LJOX3MD735389
1NP3LJOXXMD735390
1NP3LJOX1MD735391
1NP3LJOX3MD735392
1NP3LJOX5MD735393
1NP3LJOX7MD735394
1NP3LJOXXND771128
1NP3LJOX1ND771129
1NP3LJOX8ND771130
1NP3LJOXXND771131
1NP3LJOX1ND771132
1NPCLJOX6PD856504
1NPCLJOX8PD856505
1NPCLJOXXPD856506
1NPCLJOX1PD856507
1NPCLJOX3PD856508
1NPCLJOX5RD606397
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1NPCLJOX9RD606399
1NPCLJOX1RD606400
1NPCLJOX3RD606401
1XPXD49X2ND769480
1XPXD49X2RD606396
1NKMHD7XXY8844078
1FVACXFE7MHMG9908
1NPCLJ9X4PD860764
2NP3LJ9XXJM477039
2NK5LJOX4PM159700
2NK5LJOX6PM159701
1FDOW5GT8JEB75186
1FDXF46F2YED33617
1FDFF6KT2PDA01846
1FDOW5GT9PED41370

19.G.

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1FUWHJBA9XH B32485
1FDGF5GTQCEC14918
1FDUF5GT7JEB42990
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1FDFF6LT9NDA1 7702
2NP2HJ7X1NM672470
1FDOW5GT3PED41428
1FDOW5GT1PED41704
1FDOW5GT6PED41763

19.G.

BUSINESS LICENSE
A Business lensa doe: nol perm" business mnarwis. pronIbIIEGI11'»-payment of a Dubai“ “new:

Code. and Its aooepmmzby the oily and maissuance oi a businussMensato any personlhlll no! mm me wmp?ed wi|h all [he (aqulramnm: M slid code and all oyxerIppllmhh lava. nu! IO .(ry on In] “HIM“ husmeu license In memm such mum; or premises ai-illt?lad In a zone, or locamy Inwhich tho «mum is Issued Mlhoul veri?nallan lhul mellcenm is subject In or Amp! 1mm"mung by mesun of Oalrlomla.

BUSINESS NAME & LOCATION ‘
I ‘ MT .

I’

LICENSE NUMBER
9240541197”. .
‘ BUSIQE?smeB , LICENSE YEAR
'MATICHcom:
‘
2025
ausmsss MAILINGADDRESS
BUSINESS nascmp ON EXP'RATION DATE GENERALENGINEERING —

CONTRACTOR

C TYOF HEMET
445 E FLORlDAAVENUE - HEMETCA92543
(951) 765-2358
is a fee Requiredby the provisions of the Hemet Mmlclpal holder thereono carry onany business unless he has
in any human; or on any premises designated in such
of suds business is a‘violationof any law. The license
00006220

SANBERNARDINO, CA

MATICHCORP
1596 E HARRYSHEPARDBLVD 1231/2025
SANBERNARDINO',CA92408-0197
This license isto be displayed conspicuously at business location and is not transferable.

MATICHCORP
1596 E SHEPARD

19.G.

I
.4»—
Dump?an Quantity Price
$217,910‘OD
$930300
r g; gc dtLqug
/
n
. . arm on I *3}, 3,;
F LL DE 1'1 - L DITIO
Proposal and Contract
Pavement Recyc ing Systems, Inc.

CALicense # 569352 DIR # 1000003363 NVLicense # 0036228 OR License # 185556 UT License # 6982390-5501 AZ License # 183900 ID License # 015231-AA—2 WA License # 602—840—
640
10240 San Sevaine Way, Jurupa Valley, CA91752
Phone: (951) 682-1091 Fax: (951) 682-1094
From: Stacy Shoemaker Email: sshoemaker@pavementrecycling.

To: Jason Jones Quote No: 25-15253
EEEILCOFPELWO” d BI d
Phone: (909) 382—
ar e ar v 7400
San BemgdinoFgA 92408
Fa)“ (909) 382‘0191
[email protected] Bid Date: 11/20/
2025
2024/25 Citywide Street Rehab-Hemet
Item # Item Estimated Unit Unit Price Total
6 FDRWith Cement 6% @ 6" 283,000.00 SF
SB Microcracking 283,000.00 SF

1. PRS TO OBTAINDIG ALERTNUMBER. CONTRACTORTO PERFORMALLUTILITYPOTHOLE,LOCATIONANDMAPPING.IF INTERESI'ED PRSCANPROVIDEA REPRESENTATIVETO BEPRESENTDURINGTHESEOPERATIONSTO DO MAPPINGAT ANADDITIONALCOST.

2. Item #6 Includes: Pulverize ACand blend, furnish Type II/VCement at a rate speci?ed above, spreading, initialmixing and remixing to a depth speci?ed above, water truch for our work, initial compaction, and three mobilizations. Price is based on 5 weekdays to pulverize and 6 weekdays to cement treat. Minimum billing charges willapply.

3. Item #63 MicrocrackingIncludes: Operator, 12-ton steel wheel vibratory roller and three mobilizations. To be completed on 4 weekdays.

4. Price is based on an in-place dry soil weight up to 130 P.C.F. Price willadjust ifsoil weight is higher. FuelSurcharge (FSC)for freight of product is subject to change monthly, due to the changing price of fuel. Today's rate is valid for 30 days from the date of quote. FSCwill be recalculated at time of shipment with current FSC rate and willbe added to the unit price. FSCat time of shipment willchange this total Price. This is based upon conditions from the supplier and is only a pass—throughcost without mark up.

5. Processing area shall be free of all rocks larger than 3". Damage to equipment from buried objecls to be billedat time and materials.

Quoteis valid for 6 months from date of proposal.

6. Contractor to provide metered water source within 1,000 feet of work area to support our mixing operation, with a minimum of 4,000 gallons every 20 minutes.

7. Contractor to provide all necessary equipment to pull edges and corners and compact areas that are inaccessible to our equipment, such as, but not limitedto, around manholes, risers and adjacent to curb and gutter and adjacent to utility crossings.

8. Excludes MIXDESIGN,all QA/QC,testing, inspection, posting, barricades, b'af?c control, ?agging, engineering, layout of work, earthwork, all grading, export of excess materials, ?nal compaction, microcracking, curing and dust control.

9. Excludes: Street sweeping or cleanup of all travel ways, such as parking lots, streels, etc. Also,any S.W.P.P., USAnoti?cation, marking, locating or potholing for utilities- see "GENERALCONDITIONS".

10. Excludes: Labor and Setup costs associated with PLAor agency compliance; please specify at bid time any laborrequirements, onboarding/orientation/safety classes or meetings, and/orany OCIP requirements, etc., that may be associated with this project.

11. Contractor is responsible for providing the actual ?eld quantity to be stabilized at the time of scheduling the work. Contractor shall be responsiblefor any costs related to equipment, labor,standby and material deliveries if applicable.

DISPATCHNOTE: Should you elect to utilize PRSservices, I would like to extend our thanks. Please sign and return a copy to our of?ce prior to the start of our work. For the most efficient service in scheduling/dispatch and job set up, please call Nicoleat 951-934-4728

www.pavementrecycl ing.com
$0.770
$0.035

19.G.

HABIIJZATION . GENERAL commons
COLD PMNING- SPECIAL COED! LQ?S
vmn Iln.

OV—ZD
Proposal and Contract
Pavement Recyc ing Systems, Inc.

CALicense # 569352 DIR# 1000003363 NVLicense # 0036228
OR License # 185556 UT License # 6982390-5501 AZ License # 183900 ID License # 015231—AA—2 WA License # 602-840—640
10240 San Sevaine Way, Jurupa Valley, CA91752
Phone: (951) 682-1091 Fax: (951) 682-1094
From: Stacy Shoemaker Email: sshoemaker@pavementrecycling.

To: Jason Jones Quote No: 25-15253
145336“ COFPOLation d 3| d
Phone: (909) 382—
6 Harry S eppar v _ 7400
San Bernardino, CA92408 Fax. (909) 382—
0191
[email protected] Bld Date: 11/20/
2025

1. ACCEPTANCEof this bid/proposal/quotation (Bid) ?om PAVEMENTRECYCLINGSYSTEMS,INC. (PRS) requires that the PRICING,SPECIAL CONDITIONS,and the GENERALCONDITIONSof this Bidbe included in any subcontract or purchase order agreement (Contract) and the Bid terms and conditionstake precedence over any con?icting terms.

2. PRS willnot surrender any portion of extra work or force account mark-ups except those reserved by the owner for the General Contractor.

California prompt pay statutes shall be enforced.

4. Unless otherwise de?ned in the SPECIALCONDI‘HONSof this bid PRS excludes from the services quoted here all: MAINTENANCEAND PROTECTIONOFTHECOMPLETEDPULVERIZED/TREATED SECTIONS,TRAFFICCONTROL,SURVEYING,LAYOUT,SAWCUTl'INGAND DUSTCONTROL. . Upon completion of each segment of the designated work by PRS the work shall be deemed accepted and approved and lhe Customer shall assume maintenance and protection of the work.

Allutilities, obstructions, and foreign objects in the work zone must be marked and located by the Customer prior to PRS's work.

PRS excludes any damage to unmarked or improperly located obstructions in the zone of work.

PRS excludes notification to any underground alert service, marking or location of underground utilities.

By accepting the Bid,the Customer accepts sole responsibilityfor, and all subsequent liabilitiescoincidentwith the following requirements of the regional notification center law pursuant to Article 2 (commencing with Section 4216) of Chapter 3.1 of Division 5 of Title 1 of the California Government Code.

10. Any indemnity and defense obligation required from PRS shall be proportional and limitedto the extent PRS's acts, omissions, fault, or negligence contribute to any alleged or actual claims or damages. Insurance included in this Bid: CommercialLiability$1MMper occurrence / $2MMaggregate; $2MMProducts and Completed Operations Aggregate; $1MMPersonal and Advertising Injury; $1MM CommercialAuto; Worker's Compensation coverage per statute. ‘:°.°°.\'9‘ ':"' E"

1. BidItem 6C includes: Remove pulverized material and load into contractors trucks, production millingfor up to 6 shifts, with 3 moves on/offthe project per a mutually agreed upon schedule.

Bid Item 6D includes: Haul& disposal of pulverized material.

Quote is valid for 30 days from date of proposal. Written acceptance or Notice of Intent shall be provided prior to quote expiration.

Accepted Quote is valid thru June 2026. Any work performed after this date shall be subject to adjustment.

Area to be received with clear, unobstructed access. DISPATCH NOTE: Should you elect to utilize PRS services, I would like to extend our thanks. For the most ef?cient service in scheduling/dispatch and job set up the direct number for Marcy is (951) 903- 8043, meww

www.pavementrecycling.com

19.G.

COLD MI - ST DARD EXC
n
a
Proposal and Contract
Pavement Recyc ing Systems, Inc.

CALicense # 569352 DIR# 1000003363 NVLicense # 0036228
OR License # 185556 Ul' License # 6982390—5501 AZLicense # 183900 ID License # 015231—AA—2 WA License # 602—840—
640
From:

To:
10240 San Sevaine Way, Jurupa Valley, CA91752
Phone: (951) 682-1091
Stacy Shoemaker
Jason Jones
MatichCorporation
1596 Harry Sheppard Blvd
San Bernardino, CA92408
[email protected]
Fax: (951) 682—1094
Email: sshoemaker@pavementrecycling.

Quote No: 25-15253
Phone: (909) 382-7400
Fax: (909) 382—
0191 Bid Date: 11/20/
2025
a. Secondary loading (loader work), chunk AC haul off & disposal, sawcut, hand detail / jackhammer work, areas inaccessible to cold planer, ramping, removal of FCC,survey/project layout, grading, compaction, dirt removal & disposal, dump fees for contaminated AC grind material [i.e. paving fabric, roots, clay, PCC, etc.], maintenance & protection of milled surface, water delivered to our machines at 2,000 sphPrepare WPCP/SWPPP,site BMPs and other eros
r'p-Lprhfnnpcr
Traf?c & pedestrian control, posting, noti?cation, coordination with businesses, residents Utility locating, pothole, adjustment and/orprotection. Refer to General Condition Note GC.06 Sweeping & cleaning of planters, parkways, sidewalks, and driveways.

Removal of build—upAC,seal coat, etc. on lip of gutter.

Testing, Inspection, Staking, Engineering, Permits, Fees, Bonds and/orSpecial Insurance. ion control measures. Demolition, clear & grub, vegetation and/ortree trimming, sawcut, haul-off & disposal of such.

Wet or other unusual conditions of unsuitable materials encountered, such as rock cobble or boulders >3", buried slabs, underground piping, trash deposits, or other man-made objects, etc., are deemed cause for additional charge and/orcessation of work and liabilityto perform.
u.

Temporary and/orpermanent pavement striping, marking, legends or markers. k. PRS shall not be liablefor delays attributable to labor disputes, Union strikes, accidents, acts of God, resource shortages, or other acts beyond our control. m. No DBE/DVBE/SLBE/ELBE participation available. .3

Costs to accelerate meconstruction schedule shall be borne by others.

Project Labor Agreements (PLA)participation, fees or responsibilities www.pavementrecycling.com
From: Stacy Shoemaker

19.G.

GENE L RM
WRAPpmjgcts are NOTinduded in our insu nce arumm nd It Isyour rawnsmlitv tn qive u PRIORhamine the MIME enrollment and manual fur an RAP ram mat a
Proposal and Contract
Pavement Recyc ing Systems, Inc
CALicense # 569352 DIR # 1000003363 NVLicense # 0036228 OR License # 185556 UT License # 6982390-5501 AZLicense # 183900 ID License # 015231-AA—2 WA License # 602—840-640
10240 San Sevaine Way, Jurupa Valley, CA91752
Phone: (951) 682-1091 Fax: (951) 682-1094
From: Stacy Shoemaker Email: sshoemaker@pavementrecycling.

To: Jason Jones Quote No: 25-15253
Magich COFPOLatlon d ' d
Phone: (909) 382-7400
15 6 Harry S eppar Bv _ San Bernardino, CA92408 Ff“ (909) 382'0191 [email protected] Bld Date: 11/20/
2025
GC.01 ACCEPTANCEof this bid/proposal/quotation (Bid) from PAVEMENTRECYCLINGSYSlEMS,INC. (PRS) requires that the PRICING, SPECIALCONDITIONSand the GENERALCONDITIONSof this Bidbe included in any subcontract or purchase order agreement (Contract) and the Bid terms and conditions take precedence over any con?icting terms. GC.02 PRS willnot surrender any portion of extra work or force account mark-ups exceptthose reserved by the owner for the General Contractor.

GC.03 California prompt pay statutes shall be enforced.

GC.04 Unless otherwise de?ned in the SPECIALCONDITIONSof this bid PRS excludes from the services quoted herein: MAINTENANCE ANDPROTECTIONOF THEMILLEDSURFACE,TRAFFICCONTROL,SURVEYING,LAYOUT,SAWCUTTINGANDTEMPORARYTAPERS.

GC.05 Upon completion of each segment of the designated work by PRS the work shall be deemed accepted and approved and the Customer shall assume maintenance and protection of the work.

GC.06 Allutilities, obstructions, and foreign objects in the work zone must be marked and located by the Customer prior to PRS's work.

PRS excludes any damage to unmarked or improperly located obstructions in the zone of work. PRSexcludes noti?cation to any underground alert service, marking or location of underground utilities. By accepting the Bid,the Customer accepts sole responsibilityfor, and all subsequent liabilitiescoincident with the following requirements of the regional noti?cation center law pursuant to Article2 (commencing with Section 4216) of Chapter 3.1 of Division 5 of TItle 1 of the CaliforniaGovernment Code.

GC.07 Any indemnity and defense obligation required from PRSshall be proportional and limitedto the extent PRS's acts, omissions, fault or negligence contribute to any alleged or actual claims or damages.

GC.08 Insurance included in this Bid:Commercial Liability $2MMper occurrence / $4MMaggregate; $4MMProducts and Completed Operations Aggregate; $ZMMPersonal and Advertising Injury; $2MMCommercial Auto; Worker's Compensation coverage per statute. A_|| GC.09 Work performed under the terms of "Rental Agreements" are due 100% in-full on a Net 30 Day basis and are not subject to Retention or other withholds, unless othenNise agreed upon in writing.

GC.10 "Rental Agreements" are not subject to warranty, guarantees, backcharge, performance, claims, indemni?cationof Customer shall accept all liability for any claims arising from work being performed as directed. PRSI shall not be obligated to indemnify or defend Contractor with respect to the sole or active negligence, or willfulmisconduct, of Contractor, Owner, its agents, servants, or other indemni?ed parties. Subcontractor‘s indemnity and defense obligation shall be proportional to the extent Subcontractor‘s acts, omission, fault, or negligence contribute to any claims or damages. - PRS DOORS Certi?cate No. 1633; Expires 2/28/2026
Pazment Terms
Payment Terms to be mutually agreed upon. Payment shall be due and payable not later than 30 days after PRS' payment application or invoice date.

Unpaid amounts shall bear interest at the rate of ten (10) percent per annum from date due. If any action is required by PRSto enforce payment it shall be entitled to recover its actual attorneys' fees, costs, expert fees and related expenses.

Proposal pricing is based upon completion of the estimated quantities. Quantity decreases by Customer willresult in unit price increases by PRS.

Additionalquantities to be measured and billed at the stipulated price as set forth hereinabove.

Any alteration or deviation to the scope of work shall be by written change order by an authorized representative having authority to issue such order.

T&M / Extra Work rates subject to current PRS Published "Rental Rates“ or if mutually agreed upon the current Labor Surcharge and Equipment Rental Rates (Caitrans).

www.pavementrecycling.com

19.G.

Date:

Proposal and Contract
Pavement ecyc ing Systems, Inc.

CALicense # 569352
OR License # 185556
DIR# 1000003363
UT License # 6982390-5501
ID License # 015231-AA—2
NVLicense # 0036228
AZLicense # 183900
WA License # 602—840-640
10240 San Sevaine Way, Jurupa Valley, CA91752
Phone: (951) 682—1091 Fax: (951) 682-1094
From: Stacy Shoemaker
Jason Jones
Matich Corporation
1596 Harry Sheppard Blvd
San Bernardino,CA92408
[email protected]
www.pavementrecycl ing.com
Email: sshoemaker@pavementrecycling.

Quote No: 25—
15253 Phone: (909) 382-7400
Fax: (909) 382-0191
Bid Date: 11/20/
2025
Accepted By:

From: Stacy Shoemaker

19.G.

CONTRACTORS STATE LICENSE BOARD
Contractor'sLicenseDetailforLicense# 569352
Data current as of 11/20/20259:03:27 A
M

PAVEMENTRECYCLINGSYSTEMSINC
10240 SANSEVAINEWAY
JURUPA VALLEY,CA91752
Business Phone Number:(951) 682-1091
DISCLAIMER:A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. p CSLBcomplaint disclosure is restricted by law( )lfthis entity is subject to public complaint disclosure clickon linkthatwill appear below for more ofdisclosable actions
B&P7124.6
Only construction related civiljudgments reported to CSLBare disclosed ( Arbitrations are not listed unless the contractor fails to comply with the terms.

Due to workload, there may be relevant information that has not yet been entered into the board's license database.

PEP. 1931:}!
BusinessInformati on
LicenseStatus
Classifications
Entity Corporatio
n
Issue Date 05/30/
1989 Expire Date 05/31/
be reviewed.

This license is current and active.

A- GENERALENGINEERIN
C12 - EARTHWORKANDPAVIN
HAZ — HAZARDOUSSUBSTANCESREMOVA

19.G.

Egan
Knowledge Public Works 7 Services My Cases
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1000003363 - PAVEMENTRECYCLINGSYSTEMSINC
Customer Account Lookup
PWCR
1000003363
Contractor Status
DIRApproved
CSLB
569352
Business Phone
9516821091
Ext
Registration Start Date
2023-07-01
Legal Entity Name

RECYCLINGSYSTEMSINC
V
G

19.G.

Doing Business As (DBA)

PAVEMENTRECYCLINGSYSTEMSINC
Business Structure
-- None --
President
Stepehn Concannon
Email
[email protected]
Registration End Date
2026—06-30
Crafts
LABORER Operating Engineer (Heavy and Highway Work)
Address
Mailing Address
10240 SAN SEVAINEWAY
Mailing Address - City
: JURUPAVALLEY
Mailing Address - State
CA
Mailing Address - Zip
91752
Mailing Address - Country
United States
Physical Address

19.G.

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19.G.

SMHHSDN tit?lHlB. INC.
1938EKllltllll AVENUE 3 [ill Ulllllllli.lllll128?7
.__._ ,lllllllgill-95%- lslimalinu tl?Z
_‘ [inii.?lt?l?,[HI]- [IIHh”.l???lllll?l?
[illSMIESHEEFHIIHBME#137532

ADDRESS SHIP TO
MATICH CORPORATION Citywide Street Rehabilitation
PO. BOX 10 City of Hemet
HIGHLAND,CA 92346 Attn:Jason

ESTIMATOR
Tom ([email protected]) — Ph. (714) 997-9556 x.101 Bid item # 24- 6’ Circle Traffic Loops - State Specs
y .. .,_,____#_______J_2_- 675.00 8,100.00
***Tra?lcControl is included. (Potentially saving up to $150/per loop)*** 1 0.00 0.00 NOTES:
- Estimate is valid for 120 days. Price is subject to change if a subcontract is not received within 150 days of bid date. - Estimate is based on one (1) mobilizationonly (unless otherwise noted)
- Estimateis for DAY WORK (unless otherwise noted)
- Smithson willutilize a 3rd tier subcontractor (McGowen Water Truck and/or Sparks Water Truck) for sawcutting operations. - Lead time for some materials such as PIEZOS, PRE-FORM LOOPS and SENSOR CARDS can be as much as 12-16
weeks. Please notify Chris Zell ([email protected]) as soon as possible when these items are required due to the extensive lead times.

Accepted By Accepted Date
Price EXCLUDESthe following (unless otherwise noted):

Bonds, Permits, Safety Classes, Training Classes. Add’lCertifications, Drug Testing, Stub-outs, DLC, Controller Work, Hot Patch Asphalt, and Add'l insurance Costs such as: OClP, CClP, UCIP, etc.

Estimate 34266
DATE 11/20/2025

DESCRIPTION QTY RATE AMOUN
T
TOTAL $8,100.00

19.G.

— ~®CONTRACTORS STATE LICENSE BOARD a
O
. mm
Home
Contractor'sLicenseDetailforLicense# 614518
Data current as of 11/20/202510:47:56 A
M

SMITHSONELECTRICINC
1938 E KATELLAAVE ORANGE,CA92867
Business Phone Number:(714) 997—9559
Bond
DISCLAIMER:A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. » CSLBcomplaint disclosure is restricted by law ( ) Ifthis entity is subject to public complaint disclosure clickon linkthat willappear below for more information. Click fora de?nition ofdisclosable actions Eéfll?? he re
Only construction related civlljudgments reported to CSLB are disclosed ( ).

Arbitrations are not listed unless the contractor failsto comply with the terms.

Due to workload, there may be relevant information that has not yet been entered into the board‘s licensedatabase.

Businessinformati on
LicenseStatus
Classifications
Bondinginformatio
Entity Corporation
lssueDate 03/06/
1991 Expire Date
below should be reviewed.

ThIS license is current and active.

C10 - ELECFRICAL
This license filed a Contractor's Bond with WESTERNSURETYC0 Bond Number: 24228982 Bond Amount: $25,000 Effective Date: 01/01/2023
Bond of Qualifying Individual
The qualifying individual PATRICKTHOMASSMITHSONcertified that he/sheowns 10 percent or more of the voting stock/membership interest of this company; therefore, the Bond of Qualifying Individual is not required.

Effective Date:

19.G.

Knowledge Public Works v
1000001610 - SMITHSON ELECTRIC,INC
Customer Account Lookup
PWCR
1000001610
Contractor Status
DIRApproved
CSLB
614518
Business Phone
7149979556
Ext
Registration Start Date
2025-07-01
Legal Entity Name

SMITHSON ELECTRIC, INC
Services My Cases
Your information v
VG

19.G.

Doing Business As (DBA)

SMITHSON ELECTRIC
Business Structure
-- None --
President
Patrick T.Smithson
Email
[email protected]
Registration End Date
2028-06—30
Crafts
Laborer and Related Classi?cations Electrician
Address
Mailing Address
1938 E.KATELLAAVE
Mailing Address - City
ORANGE
MailingAddress - State
CA
Mailing Address - Zip
92867
Mailing Address - Country
United States
Physical Address

19.G.

(MW
California Environmental Protection Agenc
Air Resources Board y
lanuary 1, 2025

CERTIFICATE OF REPORTED COMPLIANCE

OFF-ROAD DIESEL VEHICLE REGULATION
is issued to
Ta verlfy lhe authenticity afthls cerli?cale enter this number at ’ hnp arb .cagovldoorslcompl iance_cert1 html
2/4/25. 1:57 PM Caliiornia Air Resources Board: Off-Road Diesel-Fueled Fleets Regulation This certi?cate indicatesthat the fleet listed above has reported off-road diesel vehicles to the California AirResources Board and has certi?ed they are in compliance with title 13 CCR, section 2449 Allapplicable vehicles owned by the individual, company, or agency must be reported and labeled, as speci?ed in Section 2449, with all possible completeness. else this certi?cate is null and void Certi?cate expires 2/28/2026 ,7 , I I, .' «" /,- Off-roadDieselFleet ldan‘ification
j,’ (/x’Lz-’' l
I x 443 6
v3" JaclzKilowski
l' Chiei, Mobile Source Control Division Caliiornia Air Resounzes Board {‘9
httpsz/lssl arb.ca gov/sslcloors/cloors_reporting/perm/php/certi?catephp 1/

19.G.

l’g‘¢,'5‘{~L-L' .
n .34""?' fa '
"cm??g‘ -_,
' , mu KIM _
"mm and, "PM! “m, u may mum-mm madman. v
If CARBsubsequently ?nds t ti have been provided are not true, accurate, and complete, shall i voked and the ?eet subject to hat the statements and inforrna on that
this certi?cate be effectvely re

CALIFORNIA
AlR RESOURCES BOARD
Certificate of Reported Compliance With:

Truck and Bus Regulation
This certi?cate
' eet owner has attested under jury that the statements and informatio the California Air Resources ) are true, accurate, and complete regarding all relevantvehiclesin the ?eet required to show compliance. CARBhereby ?nds that the ?eet listed has r mpliance with;
T 2025(Truck and Bus Regulation)
noncompliance penalties.

This certi?cate is valid until December31, 2025
Printed on 2025-09-18 TRUCRS Fleet Identi?cation
' 151430
14 Vehicles .5“ DivisionCalllornia Air Resource: Board www'a'b‘ca‘”°'/ms”’°9/°"'d'thbmmp'ph" Issued to: I Smithson Electric Inc

19.G.

CLEAN

CALIFORNIA

AIR RESOURCES BOARD
Affirmation of Fleet Wide Compliance
Certi?cation ID: 211275
This certificate affirms that
Entity ID: E63580
Smithson Electric, Inc.
1938 E Katella Ave
Orange, CA 92867-5109
has attested in the Clean Truck Check electronic reporting system to report a complete list of vehicles subject to Heavy-Duty Inspection and Maintenance (HD I/M)Regulation and the California Air Resources Board (CARB) hereby veri?es that as of 9/18/2025, all of the attested vehicles are compliant with the Clean Truck Check.*
A complete list of the attested vehicles is listed in the following page(s). *This Af?rmation of Fleet Wide Compliance shall be used for the ?eet's purposes of proving their fleet compliance status with their freight contractors and brokers. This Af?rmation of Fleet Wide Compliance shall not constitute proof of a vehicle compliance with the Clean Truck Check beyond the issued date.

19.G.

o
VIN Numbers
1FDUF4GTONED41055
1FDNF6DXOHDB03059
1FDUF4GT3PDA15341
1FDOW5GT7NEC11438
1FDUF5GTOHDA03753
1FDUF5GT6LEC41996
1FDUF5GT6LDA09632
1FDUF5GTXNEE87906
2NKHHM7X5LM380593
1FDUF4GT3PDA15291
1FDOX5GT5LED13007
1FDU F5GTXKDA24813

19.G.

MERI PH T
LOW!'17OM
(RD. MUSTWE[WED WI’I'IHWJDYD?'XYMWE 70 'VIILIID

ALL A CAN AS AL
400 E. SIXTH STREET CORONA, CA, 92878-2229 PO. BOX 2229 TELEPHONE: (951)736-7625 FAX: (951)371-5376
CAL. STATE LIC. # 267073A/ DIR# 1000001051
70'.
?rmw- asnmrma 11/20/2025
PROJECT CITYOF HEMEI' - 2024/25 CITYWIDESTREET REHAB.

I TEM WCRFPTIOW O‘FY "UM?” m1 CE 707%
l
| SINGLEADJUSTMANHOLES 29 EA $ I200.00 $34,800.00
DOUBLE ADJUST HOLES 29 EA $ I.800.00 $5
l2 SINGLEADJUSTGAS VALVES 5 EA $800.00 $4,000.00
DOUBLE ADJUSTGAS VALVES 5 EA $ I.250.00 $5,000.00
I3 SINGLE ADJUSTWATER VALVES 43 EA $800.00 $34,400.00
DOUBLE ADJUSTWATER VALVES 43 EA $ | 250.00 $53,750.00
*PRICES MAY VERY DEPENDING ON ACTUAL QUANTITY 0R SCOPE OF WORK * PRICE EXPIRES 06/30/26
* PRICE QUOTE GOOD BASED ON CREDIT STANDINGS WITH ALL AMERICAN ASPHALT SG‘ECI/IL M‘IERMLS:

IWCL’UW.‘ LABUK, tQUIf’IVItN I ANL) IVIAI tKIAL

UNIT PRICESAPPLY
REGULAR 7AM-5PM.MONDAY - FRIDAYWORK HOURS
”mum: MANHOLECOATINGS.T—LOCKS. GRINDING.PERMITS.POSTING.TESTING.BONDS.INSPECTIONFEES,NIGHT WORK.CLEANING.TI09. RECONSTRUCT. RUBBERIZEDASPHALT.TIEOFF AND CURB MARKINGSBYOTHERS.PAVING,GRADING, CRUMBRUBBER.CALIBRATION. VAULTS.TRAFFICCONTROL PLANS.EARTHWORK. ENGINEERING. STRIPING.R AND R.SWPFFS.CRACKSEALCRACK FILLREAS.

STRIPINGREMOVALS. TEST STRIP.WEED KILLPROFILOGRAPH. OR ANY OTHER WORK NOT LISTED UNDERDESCRIPTION ‘BEE
QUOTE?COEQPIE‘DWK
(ID/4‘11“: 1’.0.:
5003mm am 10. KCIJWE
OTTIO’E 951—736-7625
CELIL 951—216-9034
(PH 951—371-5376

19.G.

‘—_@CONTRACTORS STATE LlCENSE BOARD e
OContractor'sLicenseDetailforLicense# 267073
Data current as of 11/20/202511:24:01 A
M

ALLAMERICANASPHALT
P 0 BOX2229 CORONA,CA92878
Business Phone Number:(951) 736—7600
DISCLAIMER:A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. > CSLBcomplaint disclosure is restricted by law ( BS¢P 7124.6 ) Ifthis entity is subject to public complaint disclosure clickon linkthat willappear below for more > Only construction related civiljudgments reported to CSLB are disclosed ( y Arbitrations are not listed unless the contractorfails to comply with the terms. > Due to workload, there may be relevant information that has not yet been entered into the board's license database.

B&P7071.17
BusinessinfOimati on
LicenseStatus
Entity Corporation
lssueDate 01/19/
Expire Date 1971
Allinformation below should be reviewed.

This license is current and active.
—

19.G.

Bondinginformation
Workers“Compensatio
n
Other
Privacy Policy Accessibility
Contractor's Bond

DEPOSITCOMPANYOF MARYLA
Bond Number: 08727441
Bond Amount: $25,000
Effective Date: 01/01/2023
Bondof Qualifying Individual
This license ?led Bond of Qualifying Individual number LPM7627115 for MARKALBERTLUERin the amount of $25,000 with ' 19w.

FIDELITYA
ND
Effective Date: 01/01/
BQl‘sBond History 2023
This license has workers compensation
v Personnel listed on this license (current or disassociated) are listed on other licenses.

Back to Top Conditions oste
Accessibility Certification
Copyright © 2025 State of California
insurance with the ZURICHAMERICANINSURANCECOMPA
Policy Number:WC593205712
Effective Date: 08/01/2025
Expire Date: 08/01/2026
Workers' Compensation History

19.G.

Knowledge Public Works v Services My Cases
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Home > Customer AccountLookup > 1000001051 - ALLAMERICANASPHALT 1000001051 — ALLAMERICANASPHALT
Customer Account Lookup
PWCR
100000105 1
Contractor Status
DIRApproved
CSLB
267073
Business Phone
95 1—736-7600
Ext
Registration Start Date
2023-07-01
Legal Entity Name
VG
[‘51 HS.’

19.G.

Doing Business As (DBA)
AllAmerican Asphalt
Business Structure
Corporation - S corp
President
Mark Luer
Email
[email protected]
Registration End Date
Crafts
Operating Engineer Laborer and Related Classi?cations
Parking and Highway Improvement (Striping, Slurry and Seal Coat Operations-Laborer) Cement Mason
Address
Mailing Address
400 ESIXTHST
Mailing Address ~ City
CORONA
Mailing Address - State
CA
Mailing Address - Zip
92879
Mailing Address - Country
US
Physical Address
2026-06—

19.G.

21Environmental Protection
Air Resources Board
mum!

M RICA ASPHALT
This
muomia
cenmcamindicatesmam?eet listedabove has repanedurf—mad diesel Vehicleslame Nr Remurces Boardand has Ef??ad‘they are lnxnompllancaW?h (ills 13 06R, sedan 2449, A" 3mm}: vehiclesvawmd‘by‘mavlndlvluual, company.or agency must he reported and labeled,as specmed InSadie“ 2449,w?h all posslbte Dan-pleieness. e)se mis cartincareIs nulland Void. Certi?cate expires 2/28/2026 [I ////
I)»: amt-still"!aim: hum/1mm.am.cesnvldanmlcnmpllme_oem Califomi

OFF-R DIESELVEHICLEREGULATION
is issuedto

ALLAE N
Off-roadDieselFleetIdenti?cation
Jack I?towski 1302
Chief. snurte C?mml Divlslnn CalifomlaAlrRanurcg Bnard To val-Hy uer??cale. enter thisnumbera!

19.G.

DixLea g Corp]
1 true, accurate, and complete; this oertl?cate shall: B noncompliance penalties. ; k met-um mminn cm not-nusum comm millennium-gmNr mum mm tejs
Thls cartlflmte con?rms that the ?eet owner has attested under penalt and complete
information
regardlng
they
all
providedi’tothe CaliforniaAir Resources Board GARE)are true, accurate, and relevantvehiclesIn the ?eet required to shew samplianae. CAREhereby ?nds A -
l
that the "a“ "5‘3de?‘gg?‘éé'é’?g?ls'i‘b‘ii‘yggremmnced clean FleetsBeguiauan) “me13con2025(Truqkand'Eus Begulali
lean-jurythat the statements
\
')f
[f CAREsubsequently ?nds that the statements-and 'Informatignthat have been provided are not effectively revokedand the Fleet subject to , 2025
TRUCR
\
wiry the umnunrklty mmmagnu/nwvmlammmmuhulmnahn

CALHFORNBA
AIR RESOURCES BOARD Certificate of Reported Compliance With:

Issued to:

This certi?éei 7 era]. . . Kai? ;
. Primed“ S Heitslgggi?cati
on 341 Vehicles
T0 of H115certificate.visit

19.G.

AIR RESOURCESammo TRUCK CHECK
Af?rmation of Fleet Wide Compliance
Certi?cationID:144138
This certi?cate af?rms that
EntitylD:E11764
DIXLeasing Corp
1776 AllAmericanWay
Corona, CA 92879
has attested in the Clean TruckCheck electronicreporting system to report a complete list of vehiclessubject to Heavy-DutyInspection and Maintenance(HD l/M) Regulation and the CaliforniaAirResourcesBoard(CARB)hereby verifies that as of 1/6/2025,all of the attested vehicles are compliant withthe Clean Truck Check.* A complete list of the attested vehicles is listed in the followingpage(s). *ThisAf?rmationof Fleet Wide Compliance shall be used for the ?eet's purposes of provingtheir?eet compliance status proof of
withtheirfreight contractorsand brokers.ThisAf?rmationof Fleet WideComplianceshall not constitute a vehicle compliance with the Clean TruckCheck beyond the issued date.

19.G.

RialtoUl?ce CLNo.37-
2230SouthLilacAve. DIRNo.10000003 1600
Bloomingion. CA.92316 AGeneral 05Engineeri
Phone:(909)746-0356 C-l3Fence, ngWire,Woo
Fat: (909)746-0354 C-32Highway[ d
mproveme
nl
UnionConlractor i’NoMinorityStatu
BaudRates1.2%
To MatichCorp Contact: Jason Jones
Address: 1596 Harry Sheppard Blvd. Phone: 909-382-7400
San Bernardino,CA92408 Fax: 909-382-0191
Project Name: 2024/25CitywideStreet Rehabilitiation — CIP 2406 Bid Number: 72134 Project Location: Riverside,Hemet, CA Bid Date: 11/20/2025 Addendum #: 1-8 Q&A NSF
Item # Item Description Estimated Quantity Unit Unit Price Total Price 3 Signing & Striping 1.00 LS $29,435.00 $29,435.00
16 Ivcsgglgglue Dot Hydrant Marker Per COHStd. Dwg No. 5.00 EACH $15.00 $75.00 Total Bid Price: $29,510.00
Notes:

NO RETENTIONTO BETAKENON CONTRACTSLESSTHAN$5,000.00
1 Move- In(s) included. Additional Move- Ins $4,000.00
Chrisp Company reserves the right to withdraw proposal if written acceptance is not received within 30 days of bid date Clean, clear and unobstructed access required for Chrisp Co. work Final PAYQTYSpresented by owner MUSTbe agreed by Chrisp Co.

After receiving contract 10 working days written notice required prior to scheduling of work EXCLUDE:Special Insurance Requiremen13,(i.e. Railroad
This quotation excludes Primary LiabilityInsurance greater than $2,000,000.

This quotation excludes all work associated with the project SWPPand WPCP.

ALLBid items shall NOT be adjusted or removed without written / or verbal permission.

Retainage percentage on monthly progress payments to be no greater than the percentage retained by the Owner on its payment to the Contractor. If Owner reduces the retainage percentages on payments to the Contractor, the Contractor shall likewise reduce the retainage percentage on payment to Chrisp Company. Fullretention to be released no laterthan thirty, (30) Days after completion of Chrisp Companies work. Excessive or delinquent retainage willbe subject to the highest interest rate allowed by law.

Chrisp Company shall be reimbursed the full amount for bonds upon submission to General Contractor. Retention shall not be held from bond reimbursement.

THIS QUOTATIONIS BASEDON ASTANDARDMONDAYTHROUGHFRIDAYWORKWEEK.ADDITIONALCOSTSWILLOCCURFORWORK

PERFORMEDON WEEKENDS
CHRISPCOMPANYWILLUSE EXISTINGEMPLOYEEPOOLTO PERFORMALLWORKON THIS PROJECT.IF THEREAREANYHIRING

GOALSFORTHIS PROJECTTHIS WILLBE EXCLUDED
EXCLUDE:ALLSafety Training, Badging, Drug Testing and Orientation (To be paid at time and material Cal-Trans EXCLUDE:REMOVALOF USAMARKINGS
EXCLUDEAutomated Flagger Assistance Device. General Contractor to provide automated ?agger assistance device (if required) at no cost.

General Contractor ShallDiscloseand Update Chrisp Company on all project Milestone bonuses, Chrisp Company shall be awarded a percentage of Milestone bonus in proportion to Chrisp Company percentage of contract work to meet MilestoneDeadlines.

EXCLUDE:Advanced posting of "No Parking" signs
Allwork not speci?cally described in bid items is excluded 9:08:20 AM Page 1 of 2

19.G.

RialtoOf?ce CLNo.37460
2280SouthLilacArc. 01RNo.10000003 0
Bloomiogton, (10.92316 AGeneral 06Engineeri
Phone:(909)746-0356 0-13Fence, ngWire,Woo
Fax: (909)746-0354 0-32Highwayimprovem d
UoiooContractor ent ! NoMinorityStatu
BondRates1.2%
To: MatichCorp Contact: Jason Jones
Address: 1596 Harry Sheppard Blvd Phone: 909-382-7400
San Bernardino, CA92408 Fax: 909—382—0191
Project Name: 2024/25CitywideStreet Rehabilitiation - CIP 2406 Bid Number: 72134 Project Location: Riverside,Hemet, CA Bid Date: 11/20/2025 Addendum #: 1-8 Q&A NSF
EXCLUDE: Removal of Concrete Curing Material and or Surface Prep prior to PAINT/ THERMOPLASTIC/ PAVEMENTMARKERStriping on Concrete Surfaces. Typical Surface Prep Methods on Concrete (Water Blasting, Sand Blasting, Shot Blasting, Bead Blasting) Allnight lights required are to be supplied by general contractor This quotation excludes installing permanent striping while other operations are in progress on jobsite.

Chrisp Co. willremove contractors short term temporary markers (Floppies) placed for lanelines and centerlines only (no edgelines or shoulders). No Tape removal. Short Term Temporary markers are to be placed so that striping may be placed before removal of temporary markers.

This quotation Excludesfurnishing or placing ALLsignage for advance posting of ramp closures] detours for our operations.

This quotation Excludesfurnishing or placing ALLdetour signage for our operations.

EXCLUDE:Encroachment Permit (If required to be provided at NoCostto Chrisp Company) EXCLUDE:ALLEtching, Inscribing on curb,
Mobilization&Traf?c Control Items shall not be adjusted for decreases in the work.

Mobilization&Traffic Control Items shall be adjusted for increases in the work Access / and or Accessibility by 1 Ton Vehicle required for ChrispCompany work EXCLUDE:Maintenance of temporary delineation ie. temporary paint, temporary tape, channelizers,etc...

EXCLUDE:Red-LinedAs—Built Drawings
EXCLUDE:Truncated Domes
EXCLUDE:Construction Area Signs
EXCLUDES:Decorative Pavement/ConcreteOverlay, Decorative Stamped Asphalt/Concrete and Preform Thermo Stripe and Legends Changeable Message board ifrequired to be provided by General Contractor for Chrisp Co. Use at no Charge to Chrisp Company EXCLUDE:Traf?c Control Plan
Traf?c ControlINCLUDEDfor Chrisp Company work ONLY
EXCLUDE:Installation or removal of temporary delineation EXCLUDE:Removal of Existing Striping & Markings
EXCLUDE:Removal of Existing Pavement Markers
EXCLUDE:Seal Coat
ACCEPTED: CONFIRMED:

The above prices, speci?cations and conditions are satisfactory and Rialto are hereby accepted.

Buyer:

Signature: Authorized Signature:

Date of Acceptance: Estimator: Coda Oesterblad
(909) 341-3306 [email protected]
9:08:20 AM Page 2 or2

19.G.

CONTRACTORS STATE LICENSE BOARD
Contractor'sLicenseDetailforLicense# 374600
DISCLAIMER:A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations.

Ifthis entity is subject to public complaint disclosure clickon link that willappear below for more Data current as of 11/20/202512:50:48 P
M

CHRISPCOMPANY
PO BOX1368
FREMONT,CA94538
Business Phone Number:(510) 656-2840
, CSLBcomplaint disclosure is restricted by law ( B&P7124 information. Click fora definition ofdisclosable actions.

Only construction related civiljudgments reported to CSLB are disclosed ( ).

Arbitrations are not listed unless the contractor failsto comply with the terms.

Due to workload, there may be relevant information that has not yet been entered into the board's license databases here
B&P 7071 17
Businessinformati on
LicenseStatus
Entity Corporation
Issue Date 05/16/
Expire Date 1979 05/31/
This license is current and active.

A—GENERALENGINEERING
C13 -FENC|NG
C32 — PARKINGANDHIGHWAYIMPROVEME

19.G.

BondingInformatio
n
Workers‘Compensatio
n
Other
Privacy Poiicy Accessibility
Contractor's Bond
This license filed a Contractor's Bond with HARTFORDFIREINSURANCECOMPAN Bond Number: SYBSB|A6781
Bond Amount: $25,000
Effective Date: 01/01/2023
Bond of QualifyingIndividual
The qualifying individual ROBERTPAULCHRISPcerti?ed that he/sheowns 10 percent or more ofthe voting stock/membership interest of this company; therefore, the Bond of Qualifying Individual is not required.

Effective Date:
£9935‘:2E95‘.§.E999..H_i§195x
This license has workers compensation
Policy Number:1000004442
Effective Date: 12/01/2020
Expire Date: 12/01/2025
Workers' compensation classi?cation code(s):
5506 - Street/RoadConstruction—paving
For a description ofthe workers' compensationclassi?cation code(s) listed for this licensee, contact the licensee’sinsurance carrier.

Contact information for the licensee's insurer is available by clickingthe insurer link above. Classi?cation codes are also available on the Workers' Compensation Insurance Rating Bureau's classi?cation search page.

The board does not verify or investigate the accuracy of classi?cation codes displayed. > Personnel listed on this license (current or disassociated) are listed on other licenses.

Backto Top Conditions of Use
Accessibility Certification
Copyright © 2025 State of California
Workers‘ Com Historv

19.G.

Knowledge Public Works v Services My Cases VG
Your information v
Home > cu Account Lookup > 1000000306-CHRISPCOMPANY
1000000306 - CHRISPCOMPANY
Customer Account Lookup
PWC R
1000000306
Contractor Status
DIRApproved
CSLB
Business Phone
5106562840
Ext
Registration Start Date
2025-07-01
Legal Entity Name
[‘31 wii‘

19.G.

Doing Business As (DBA)

CHRISP COMPANY
Business Structure
-- None --
President
Robert Chrisp
Email
[email protected]
Registration End Date
2028-06-30
Crafts
Parking/Highway/lmprovement
Address
Mailing Address
43650 OSGOOD ROAD
Mailing Address - City
Mailing Address - State
CA
Mailing Address — Zip
94539
Mailing Address - Country
9 United States l
Physical Address
\

19.G.

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19.G.

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5$

19.G.

CYIT OF HEMET

R VERS DECOUNTY,CALFORN A

B D AND CONTRACTDOCUMENTS
2024/25C TYW DESTREETREHABLTAT ON
CAP TAL MPROVEMENTPROJECTNO. 2406
OCTOBER2025
W
Oct 23. 2025
Jilleen Ferris, P.E., Deputy Public Works Director/Asst. City Engineer Date R.C.E.No. 86193
This is a prevailing wage project under the laws of the State of California.

19.G.

A PE D|X1

19.G.

will not be resgonsible
345m1§ .

The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the 2024/25CITYWIDESTREETREHABILITATION,CIP No. 2406 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)1 2
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.

19.G.

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11.500
ll“! ."o
30 .000
ILSSo
Last)
450

9.500
700
41,5.0
[1.1.110
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ITEM
No
10 11
12 13
14 15
16 BIDSCHEDULE
BASEBID — 2024/25CITYWIDESTREETREHABILITATION
CIP No. 2406

DESCRIPTION UNIT
MobilizationI Demobilization(notto exceed L8 0 5A)
Temporary Trafficand Pedestrian Control LS
Signing &Striping LS
TemporaryConstruction Project Identification LS Sign
Water QualitvControl LS
FullDepthReclamationto pulverize,and
cement treat existing asphalt, aggregate base,
and a portionofthe subgrade soilto a depth of SF

10.0",RoughGrade, Stabilize,FineGrade,
Microcracking, MoistCured
RemoveTemporaryPavement, Compactto 95% SF Compact
Construction 4"ofA.C.pavement SF
Grindand Overlav0.2' SF
Sawcut, Remove,Compact and Construct SF Smooth A.C.Slot Patch Transition Adjust existing manholerimto finish surface. EA
Adjust existing gas valve to finish surface. EA
Adjust existing watervalve to finish surface. EA
Remove and Replace Type "A"Curb and Gutter LF
Remove Existingand Construct Driveway SF Approach Apron Installblue dot hydrantmarker per COHstd. EA Dwg. No.W-7DOB Verify, Protect,Record,and Replace (If
Disturbed) centerline surface and subsurface EA
monuments
Remove and Replace Type "B"Curb and Gutter LF
Remove and Replace 4"ThickP.C.C.Sidewalk SF
Removeand Replace Curb Ramp EA
InstallDetectableWarning Surface on Existing EA Curb Ramp Remove Existingand Construct Spandrel and SF Cross Gutter Remove 4" ExA.C.Pavement and Base. Proof SF Rolland Compact Ex.Base to 95%Compaction Replace Existing "Type E" TrafficLoop EA

ESTIMATED UNIT

QUANTITY PRICE
?—L—I—I
283,000
3,500
309.000

10.600
12,800
29 5
43 40
260
5 14
350

1.310
13 8
6,000
23,200
12 TOTAL BASE BID (numbers)

EXTENDE
D ITEM
AMOUNT
************************************ ITEMS *1:**********************************

19.G.

714/0 lion7‘ h‘th‘cJEdy £17117" 72sz
4 Mil we
TW HUNml 32de balk/‘5 Eva/
L
BASEBIDTOTAL(in words)
Contractor's Initials M-A
ADDITIVEA BID ITEMSTOTAL (in words)
Contractor's Initials M-A
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/oralternate bid schedule is called for in the Contract Documents, the lowest bid will be determined on the basis of the base bid schedule(s) only unless otherwise specified in the Notice Inviting Bids or by Addenda if issued to supersede the Notice Inviting Bids on this specific issue.

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

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

If equal low bids are received from responsible and responsive bidders the selection shall be made by drawing lots, or other similar random blind method selected by the Agency. 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.

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.

19.G.

specialty items
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 which will not be included towards the calculation o f minimum of 50 percent of work to be performed by Contractor’s own forces.

By signing and submitting this bid the Contractor confirms that they are familiar with the work site and all existing conditions that may affect their work and that they have read and agree to all the terms, conditions and requirements contained or referenced herein or in the Contract Documents and that all the aforementioned has been included in the bid prices listed above, including items of work that may not have a specific pay line item and that there shall be no additional costs to the Agency.

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

19.G.

Complete the following:

Hardy & Harper, Inc. / DIR- 1000000076 / License - 215952 - A, C-8 & C12 Legal name of the business, DIRReg. and Contractor License Nos.

Corporation
Business Type (Corporation, Partnership, Sole Proprietor) N/A
DBA(if any)
Dan T. Maas, President
Name and title of the owner Michael Amundson, Vice President Name and title of second partner or officer
32 Rancho Circle. Lake Forest, CA 92630
Business Address
714-444-1851
Telephone number
N/A
Facsimile number
Michael Amundson - [email protected]
Name and Email address of primary contact
www.hardyandharper.com
Company web address
11/13/2025 11/13/2025
Signatu Bidder Date Signature of Bid Date
Michael Amundson, Vice President Kristen Paulino, Corporate Secretary Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate o?‘icersare required.)

19.G.

CERTIFICATEREGARDINGCONTRACTOR'SLICENSE

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

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

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

3. Contractor declares, under penalty of perjury, that he/she/it possesses the required Contractor's license(s) which:
a Bears the license number(s)' 215952
b. Expires on: 12/31/2025
11/13/2025 11/13/2025
Signature Bidder Date re of dder Date
Michael Amundson, Vice President Kristen Paulino, Corporate Secretary Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate o?icersare required.) This required license determination has been made by the Agency. Any Contractor holding a different license who feels he is qualified to bid on this work must so advise the Agency at least seven (7) days prior to the bid opening. The Agency may conduct a review of the contemplated work to re-evaluate the required license determination. The Agency may in its sole discretion maintain or change the required license determination; Agency’s decision as to the required

19.G.

N

BIDSECURITYFORM FORCHECK

THEFOLLOWINGFORMSHALLBEUSEDINTHECASEOF CHECKACCOMPANYINGBID Accompa ng this proposal is a Certified Check or Cashier’s Check payable to the order of the City of Hem inafter referred to as "Agency", for
dollars ($ this
amount being 10 (10%) of the total amount of the bid. This check shall be returned to the undersigned only if e r of the following occurs:

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

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

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

19.G.

Words , , ,, ,,
($1_—)
K[pal
V Company _
W.

Bond N0. CSBA-32808

BIDSECURITYFORM FOR BOND
KNOW ALLBYTHESEPRESENTS:

That the undersigned
Hardv & Haroer. 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 (Dali Amount In I Ten Percent of the Amount Bid
Dollars 0% 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 2024/25ClTYWlDESTREETREHABILITATION, 2406
THE CONDITION OF THIS OBLIGATION IS SUCH that if the Bid submitted by the said Principal be accepted and the Contract be awarded to said Principal and said Principal shall within the required periods enter into the Contract so awarded and provide the required Construction Performance Bond, Construction Labor and Material Payment Bond, insurance certificates, and all other endorsements, forms, and documents required under the Instructions to Bidders, then this obligation shall be void, otherwise to remain in full force and effect.

IN WITNESS WHEREOF, the above bounden parties have executed this instrument this 11th day of November 2025.
(Month)
Hardy & Harper, Inc.
(Corporate Seal) By
Princ Michael Amundson, Vice President
?y Fidelity and Deposit of Maryland
Surety
(Corporate Seal) By
Dwight Reilly, Attorney-in—Fact

19.G.

Orange )
Newem‘ogv Hana . Jblic
edged
s/hxr/t
enify
the S
he/sNe/they executed same
emon the instrumentt erson(
ALTY
fornia
Notary gublic
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 validityofthat document.

State of California
County of
On before me, wanna Marmle7 anarv PI
Date Here Insert Name and Title of the Of?cer
personally appeared Michael Amu
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(x) whose nameGK)ts/ake subso to the in inst and acknowl to me that the in
his/he r author capac and that by hi heir signatur he p x), or the entity upon behalf of which the person(x) acted, executed the instrument.

I c under PEN OF PERJURY under the laws
of tate of Cali that the foregoing paragraph
is true and correct.

WITNESS my hand and official seal.

Signature
Signature of
Place Notary Seal Above

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

Description of Attached Document
Title or Type of Document: Bid Bond 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 3): 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 NationalNotaryAssociation- www.NationalNotary.org- 1-800-US NOTARY(1-800-876-6827) Item#5907

19.G.

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

State of California
County of Orange 3
On November 11th.2025 before me, Melissa Ann Vaccaro. Public (insert name and title of the officer)
personally appeared DWightReilly
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same i n his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

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

WITNESS my hand and official seal MELISSAANN VACCARO
m COMM #2401942
Notary Public-California

ORANGECOUNTY
MyComm.ExpiresMay12,
FRS3 FR
Signature (Seal)

19.G.

Bond No. CSBA—
32808
KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of 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 corporationof the State of Illinois (herein collectively called the '-'Companies"), by Christopher Nolan, 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 reverseside 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, Magdalena R. WOLFE, Robert WOOD of Orange, California, its true and lawful agent and Attomey-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 the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon saidCompanies, 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 elected of?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 FIDELITYAND 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
1N WITNESS WIIEREOF, the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 07th day of August, A D 2025.

By: Christopher Nolan
VicePresident
Dawn E. Brown
Secretary
On this 07th day of August, AD. 2025, before the subscriber, a Notary Public of the State of Maryland, duly commissionedand quali?ed, Christopher Nolan, Vice President and Dawn E. Brown, Secretary of the Companies, to me personally known to be the individuals and of?cers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that he/she is the said o?icer of the Company aforesaid, and that the seals af?xed to the preceding instrument are the Corporate Seals of saidCompanies, and that the said Corporate Seals and the signature as such of?cer were duly af?xed and subscribedto the said instrument by the authority and direction of the said Corporations lN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Of?cial Seal the day and year ?rst above written Genevieve M.Maison
Notary Public
MyCommission ExpireJanuary 27, 2029

ZURICH AMERICAN INSURANCE COMPANY

COLONIAL AMERICAN CASUALTY AND SURETY COMPANY

FIDELITY AND DEPOSIT COMPANY OF MARYLAND

POWER OF ATTORNEY
ATTEST:

ZURICH AMERICAN INSURANCE COMPANY

COLONIAL AMERICAN CASUALTY AND SURETY COMPANY

FIDELITY AND DEPOSIT COMPANY OF MARYLAND
By:

State ofMaryland
County ofBaltimore
Authenticity of this bond can be con?rmed at bondvalidator.zurichna.com or 410-559-8790 @mm 6Wow

19.G.

[ [state].
__l
% u! WWWQ
J | 6
a?’re Signatu Bidd r

NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODESECTION7106

NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID The undersigned declares
| am the Vice President of Hardy&Harper,lnc. the party making the foregoing bid.

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

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

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 11/13/2025 date], at Lake Forest city], California
ml15 u l’> 2
Sign of Bidder Date re of Date
Michael Amundson Vice President Kristen Paulino, Corporate Secretary Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.)

19.G.

m uez , .
ribed with rument edged he/sxe/they executed same in
r/ihei ized ity(ies), s/hnr/t e(x) on the instrument t erson(s), Mumsmmmmj
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 )
On November 13 7095 before me, Brvanna Mara Notarv Public Date Here Insert Name and Title of the Of?cer
personally appeared Michael Amundson
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(x) whose name(x) is/am subsc to the in inst and acknowl to me that the
his/he r author capac and that by hi heir signatur he p 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
Public Signature of Notary

27.2029
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 NationalNotaryAssociation - www.NationalNotary.org - 1-800-US NOTARY(1-800-876-6827) Item #5907

BRYANNAMARQU
Comm. EZ2515738
RIVERSIDECounty
CaliforniaPage 184 of 382

19.G.

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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 nae )
On Novem 13 9095 before me, nna Mammaj Nntarv Pi
Date Here Insert Name and Title of the Of?cer
personally appeared Kristen
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(8) whose name(x) Is/ aare subsc to the in inst and acknowl to me that the in his/he r author capac and that by hi heir signatur he p 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.

BRYANNAMARQUEZ WITNESS my hand and official seal.

Comm. 3 2515733
RIVERSIDECounty
California‘ MIC Signature 202’ of Notary
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: Wvlbocument 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-US NOTARY(1-800—876-6827) Item#5907

19.G.

Da
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: 2024 Spring Pavement Rehabilitation Projec Contract Price: 2,041,000-00 Date of Completion: June 2024 Name, Address, and Telephone Number of Owner's Representative:

City of Ontario - 303 East "B" Street. Ontario, CA 91764 909-395-2103
Project Name: FY 23/24 Pavement Rehabilitation Project
Contract Price: 11635100000 te of Completion NW2023
Name, Address, and Telephone Number of Owner's Representative City of El Segundo - 350 Main Street. El Segundo, CA 90245 310-524-2361
project Name Residential Street Pavement Rehabilitation Project, Area 1 Contract Price: 21875000 Date of Completion: June 2022
Name, Address, and Telephone Number of Owner's Representative:

City of Downey - 11111 Brookshire Avenue. Downey, CA 90241 562—904—7110
(Attach additional pages as necessary)

19.G.

Hardy & Harper, Inc. Past ProiectReferences
OWNER/AGENCY CONTACT PROJECT NAME. AMOUNT, & COMPLETION DATE Richard Burgess Dennis Street and Kay Street Pavement Rehabilitation (909) 682—0051 Contract Amount: $349,000.00
[email protected] Completion Date: May 2025
Jesus Gutierrez 2024-2025 City Streets Pavement ReconstructionProjects (760) 202-2402 Contract Amount: $1,432,000.00
[email protected] Completion Date: April 2025 Octavio Duran
(909) 864-6861
oduran@citvo?1ighland.org
2024 Median Improvement Project
Contract Amount: $2,062,500.00
Completion Date: March 2025
City of Indian Wells Mirian Fulson Local Roads Improvement - Phases 2, 3, 4 44-950 Eldorado Dr.

Indian Wells, CA 92210
(760) 776-0237
[email protected]
Octavio Duran
(909) 864-6861
oduran@citvo?1ighland.org
Neema Ghanbari
(562) 420-2641
[email protected]
Veronica Sanchez
(562) 8069-7770
[email protected]
YoussefBaskaron
(951) 332-6464
[email protected]
Anthony Bendezu
(626) 307-1283
[email protected]. gov
Kamran Dadbeh
(909) 824-6621
[email protected]
Melissa Rendon
(714) 738-6886
melissa.rendon@citvof?illerton.org
Salvador Munoz
(714) 744-5547
[email protected]
Armando Baldizzone
(760) 770-0340
[email protected]
Yesenia Lopez
(909) 395-2103
vlopez@ontarioca. gov
Chris Kelley
(562) 431-3538
ckellev@citvo?osalamitos.org
Tri Nguyen
(949) 635-1813
mguven@citvo?sm.org
Contract Amount: $1,460,000.00
Completion Date: February 2025
Contract Amount: $1,197,920.00
Completion Date: January 2025
Pavement Rehabilitation on Mount Vernon Avenue
Contract Amount: $693,000.00
Completion Date: December 2024
Las Palmas Area Street Rehabilitation
Contract Amount: $2,585,000.00
Completion Date: October 2024
Panorama Neighborhood Pavement Reconstruction
Contract Amount: $636,000.00
Completion Date: July 2024
2024 Spring Pavement RehabilitationProject
Contract Amount: $2,041,000.00
Completion Date: June 2024
Bloom?eld Street Improvement Project
Contract Amount: $207,000.00
Completion Date: April 2024
Fy 23-24 Annual Residential Overlay
Contract Amount: $829,425.00
Completion Date: March 2024
City of Adelanto
11600 Air Expressway
Adelanto, CA 92301
City of Cathedral City
58700 Avenida Lalo Guerrero
CathedralCity, CA 92234
City of Highland
27215 Base Line
Highland, CA 92346
City of Eastvale
12363Limonite Ave, Suite 910
Eastvale.CA 91752
City of Highland
27215 Base Line
Highland, CA 92346
City of Hawaiian Gardens
21815 Pioneer Blvd
Hawaiian Gardens, CA 90716
City of Bell Gardens
8327 Gar?eld Avenue
Bell Gardens, CA 90201
City of Jurupa Valley
8930 Limonite Avenue
Jurupa Valley, CA 92509
City of Monterey Park
320 West Newmark Avenue
Monterey Park, CA 91754
City of Grand Terrace
22795 Barton Road
Grand Terrace, CA 92313
City of Fullerton
303 West Commonwealth Avenue
Fullerton, CA 92832
County of Riverside
3525 14th Street
Riverside, CA 92501
City of Orange
300 E. Chapman Avenue
Orange, CA 92866
City of Cathedral City
68-700 Avenida Lalo Guerrero
Cathedral Citv.CA 92234
City of Ontario
303 East "B" Street
Ontario. CA 91764
City of Los Alamitos
3191 Katella Avenue
Los Alamitos.CA 90720
City of Rancho Santa Margarita
221 12 El Paseo
Rancho Santa Margarita, CA 92688
City of Vernon
4305 Santa Fe Avenue
Vernon, CA 90058
Gabriel Mayorquin
951) 703-4492
Emavorauin@eastvaleca. 20v
Joel Jimenez
(951) 955-1537
irii1nenez@rivco .org
Lissette Melendez
(323) 583-8811
[email protected]
FY 23-24 & 24-25 CDBG Pavement Improvement Project No OLA24001 Contract Amount: $578,000.00
Completion Date: April 2025
Greenspot Road Median and Street Improvements
Contract Amount: $951,000.00
Completion Date: February 2025
Carson Street Beauti?cation (Phase II), Project 108
Contract Amount: $4,480,000.00
Completion Date: February 2025
Eastern Avenue Improvements Project
Contract Amount: $1,278,900.00
Completion Date: February 2025
2023-2024 CDBGGlen Avon & 2024-2025 CDBGRubidouxArea Pavement Rehab 2022-23 Monterey Pass Road Overlay
Contract Amount: $1,133,912.00
Completion Date: December 2024
Dillon Road Resurfacing and Bubbling Wells Resurfacing
Contract Amount: $3,200,000.00
Completion Date: September 2024
Annual Pavement Maintenance at Various Locations FY 23-24 Contract Amount: $3,850,000.00
Completion Date: August 2024
Gifford Ave, 48th, 49th & 50th Street Improvements
Contract Amount: $792,000.00
Completion Date: March 2024

19.G.

Hardy Harp , Proiect
City
San chmdo. 9

OWNER/AGENCY
City of Signal Hill
2175 Cherry Avenue
Signal Hill, CA 90755
City of San Gabriel
425 S. Mission Drive
San Gabriel.CA 91776
1340
& er Inc. Past

CONTACT
Davina Buenavista
(310) 766-6985
[email protected]
Larry White
(909) 663-7599
[email protected]
Nasser Shoushtarian
(818) 790-8882
[email protected]. gov
Monica Pango
(951) 475-3625
[email protected]
Del?no Consunji
(714) 686-8911
[email protected]
Alam Mai
(626) 308-2825
[email protected]
Rafael Chavez
(714) 932-7506
[email protected]
Quang Nguyen
(951) 413-3159
[email protected]
Kamran Dadbeh
(909) 824-6621
kdadbeh®arandterrace-ca.gov
Desi Gutierrez
(562) 904-7110
Youichi Nakagawa
(714) 744-5572
[email protected]
Manuel Fabian
(818) 898-1243
[email protected]
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]
Carl Hassel
(909) 364-2817
[email protected]
Peter Sanque
(661) 947-7173
[email protected]
References
PROJECT NAME.AMOUNT, & COMPLETION DATE
Palm Drive Pavement RehabilitationProject
Contract Amount: $774,000.00
Completion Date: October 2023
Cycle 2 Street Resurfacing Project
Contract Amount: $3,110,000.00
Completion Date: September 2023
Rain Shadow Road and Other Roads
Contract Amount: $830,000.00
Completion Date: September 2023
2023 Citywide Street Resurfacing Program
Contract Amount: $1,060,000.00
Completion Dat: June 2023
Local Streets Rehabiliation CDBG FY 22-23
Contract Amount: $956,000.00
Completion Date: April 2023
CDBG Street Improvements Project FY 22/23
Contract Amount: $490,000.00
Completion Date: March 2023
Pavement Rehab. for Various Local
Contract Amount: $2,444,260.00
Completion Date: December 2022
Pavement Rehab. On Barton Rd, Van Buren St & Vivienda Ave Contract Amount: $570,000.00
Completion Date: September 2022
Prospect & Spring Right Turn Lane Modi?cation Project
Contract Amount: $920,000.00
Completion Date: June 2022
Pico Street Improvement Project
Contract Amount: $465,000.00
Completion Date: Mav 2022
Contract Amount: $2,355,000.00
Completion Date: April 2022
2021-22 CDBG Old Mira Loma Pavement RehabilitationProjec t Contract Amount: $810,000.00
Completion Date: April 2022
Fisher Street Resurfacing Project
Contract Amount: $785,560.00
Completion Date: February 2022
Village Center Drive Pavement Rehabilitation Project
Contract Amount: $408,000.00
Completion Date: December 2021
Pavement Reconstruction (Sustainable) North LA County
Contract Amount: $1,873,929.57
Completion Date: November 2021
City of Manhattan Beach Gilbert Ramos
14000 Highland Avenue (310) 802-5353
Manhattan Beach.CA 90266 [email protected]
San Bemardino County
825 East 3rd Street
San Bemardino.CA 92415
City of El Segundo Floriza Rivera FY 23/24 Pavement RehabilitationProject 350 Main Street (310) 524-2361 Contract Amount: $1,635,000.00 El Segundo, CA 90245 [email protected] Completion Date: July 2023 City of La Canada Flintridge
1 Civic Center Drive
La Canada Flintridge, CA 91011
City of Palos Verdes Estates FY 21-22 Street Improvements 340 Palos Verdes Drive West Contract Amount: $1,138,000.00 Palos Verdes Estates, CA 90274 Completion Date: May 2023 City of Norwalk
12700Norwalk Blvd
Norwalk, CA 90650
City of Fullerton ResidentialStreet Rehabilitation
303 West CommonwealthAvenue Contract Amount: $1,204,780.00 Fullerton.CA 92832 Completion Date: February 2023
City of Moreno Valley Streets CDBG FY 21/22
14177 Frederick Street
Moreno Valley, CA 92552
City of Grand Terrace
22795 Barton Road
Grand Terrace. CA 92313
City of Downey Residential Street Pavement Rehabilitation Project, Area 1 11111 Brookshire Avenue Contract Amount: $2,875,000.00
Downev. CA 90241 dgutierr?downevcaora Completion Date: June 2022 City of Orange
300 E. Chapman Avenue
Orange. CA 92866
of San Fernando
117 Macneil Street
CA
City of Downey Residential Street Pavement RehabilitationProject, Area 10 l l 111 Brookshire Avenue
Downey. CA 90241
City of Jurupa Valley
8930 Lirnonite Avenue
Jurupa Valley. CA 92509
City of Anaheim Residential Street Improvement Project - Lotus & Torry, Group 13 200 S. Anaheim Blvd Contract Amount: $5,806,000.00
Anaheim.CA 92805 Completion Date: March 2022
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

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DESIGNATIONOF SUBCONTRACTORS
Name of Subcontractor Description and DIR Email
and Location of Place Percentage of Subcontractor’ 5 Registration Address of Business Work License No. Number
(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE§4100 ETSEQ.)

19.G.

DESIGNATIONOF SUBCONTRACTORS
Name of Subcontractor Description and DIR Email
and Location of Place Percentage of Subcontractor’s Registration Address of Business Work License No. Number
(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE§4100 ETSEQ.)

19.G.

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EH... “ll—PFr‘P-FBIDDERCERTIFICATIONS

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 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
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.

19.G.

Signatuek
#2412?wa

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

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

CERTIFICATIONREGARDINGDIRCONTRACTOR/ SUBCONTRACTORREGISTRATION By my signature hereunder, as the Contractor, I certify that Contractor, and all listed Subcontractors are the subject of current and active contractor registrations pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code. Contractor’s registration number is [please complete] 1000000076 . Subcontractors’registration numbers are as indicated in Document 00 4314.

BIDDER:
11/13/2025 11/13/2025
of Bidder Date Signature of Bi er Date
Michael Amundson, Vice President Kristen Paulino, Corporate Secretary Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.)

19.G.

BA20241230236
STATE OF CALIFORNIA For Of?ce Use Only
Of?ce of the Secretary of State

STATEMENT OF INFORMATION F LED

CORPORATION
California Secretary of State He N05 BA20241230236
1500 11th Street Date Filed: 7/1/2024
Sacramento. California 95814
(916) 657-5448
Entity Details
Corporation Name HARDY & HARPER, INC.

Entity No. 0443071
Formed In CALIFORNIA
Street Address of Principal Office of Corporation
Principal Address 32 RANCHO CIRCLE
LAKEFOREST, CA 92630
MailingAddress of Corporation
MailingAddress 32 RANCHO CIRCLE
LAKEFOREST.CA 92630
Attention
Street Address of California Office of Corporation
Street Address of California Office 32 RANCHO CIRCLE
LAKEFOREST.CA 92630
Officers
Officer Name Officer Address Position(s)
Kristen S. Paulino 32 RANCHO CIRCLE Secretary. Chief Financial Officer Lake Forest.CA 92630
DANIELTHOMAS MAAS 32 RANCHO CIRCLE Chief Executive Officer LAKE FOREST.CA 92630
AdditionalOfficers
Of?cer Name Of?cer Address Position Stated Position
Michael A Amundson 32 RANCHO CIRCLE Vice President
LAKE FOREST.CA 92630
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Directors
Director Name Director Address
Tessa Irene Maas 32 Rancho Circle
Lake Forest. CA 92630
Daniel Thomas Maas 32 RANCHO CIRCLE
LAKEFOREST.CA 92630
Kristen S Paulino 32 RANCHO CIRCLE
LAKEFOREST.CA 92630
The number of vacancies on Board of Directors is: 0
Agent for Service of Process
Agent Name KRISTEN S. PAULINO
Agent Address 32 RANCHO CIRCLE
LAKEFOREST.CA 92630
Type of Business
Type of Business ASPHALT PAVING CONTRACTOR

19.G.

Email Noti?cations
Opt-in Email Notifications Yes, i opt-into 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
By signing. I affirmthat 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
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