Hemet City Council
December 9, 2025

19.G.

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CONTRACTORS DEE STATE LICENSEBOARD

ACTIVE LICENSE
UumuNumhnr215952 EMRYCORP
INC
cm=m.nmAC-8 012
summon. 12/31/2025 www.cslb.ca.gov

19.G.

A;
7/1/25, 1:20 PM 1000000076 - Hardy & Harper. Inc.

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Home > Customer countLookup > 1000000076-Hardy&Harper, Inc. 1000000076 - Hardy & Harper, Inc.

Customer Account Lookup
PWCR
1000000076
Contractor Status
DIRApproved
CSLB
Business Phone
7144441851
https://services.dir.ca.gov/gsp?id=dir_pub| 1/4
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19.G.

emntMason 7 gin er?
7/1/25. 1:20 PM 1000000076 - Hardy 8. Harper, Inc.

Ext
Registration Start Date
2025-07-01
Legal Entity Name
Hardy & Harper, Inc.

Doing Business As (DBA)
Hardy& Harper, Inc.

Business Structure
Corporation - S corp
President
Daniel Maas
Email
[email protected]
Registration End Date
2028-06-30
Crafts

LABORER
Address
MailingAddress
32 Rancho Circle
MailingAddress - City
LakeForest
htlps://services.dir.ca.gov/gsp?id=dir_public__form&table=x_cdoi2_csm_porta| ‘~__;

19.G.

7/1/25. 1:20 PM 1ooooooo7e - Hardy & Harper. Inc.

MailingAddress - State
CA
MailingAddress - Zip
92630
MailingAddress - Country
UnitedStates
Physical Address
Physical Address - City
PhysicalAddress - State
PhysicalAddress - Zip
PhysicalAddress - Country
Related Lists
Registration?ates.
httpsz/lservices.dir.ca.govlgsp?id=dir_public_form&table=x_cdoi2_cst)ortal_customer_account_| .. 3/4

19.G.

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APPENDIX1

19.G.

will not be responsible

1.2.3.4.5.6.7.8 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/oruse tax upon any materials so furnished, including any unit prices and additive/deductiveitems. The undersigned has also carefully checked all of the figures given and understands that the Agency for any errors or omissions on the part of the undersigned in submitting this proposal.

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

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

19.G.

C ty f Hemet
VLV
i 0
2024/25 Citywide Street Rehabilitiation— CIP 2406
Oct 23, 2025 1 Qand A Set
Oct 27, 2025 2 and A Set 2
Oct 27, 2025 3 Qand A Set 3
Nov 03, 2025 4 Qand A Set 4
Nov 04, 2025 5 Qand A Set
Nov12,2025 6 QandASeté
Nov12, 2025 7 QandASet7
Qand A Set 7 has been released for this project
Qand A Set 8 has been released for this project.

Nov ‘13,2025 BidClosing Reminderfor 2024/25 CitywideStreet Rehabilitiation- CIP 2406

ENDORLINE

POWERED EV FLANETBIDS
Nov13,2025 8 QandASetS
Email History
Contracts

19.G.

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ITEM
No
10 11
12 13
14 15
16 17
18 19
20 21
22 23
24 BIDSCHEDULE
BASE BID- 2024/25CITYWIDESTREETREHABILITATION
CIP No. 2406

DESCRIPTION UNIT
MobilizationI Demobilization(not to exceed
5%)
LS
Trafficand PedestrianControl LS
& LS
TemporaryConstructionProject Identification LS
Sign
Water Quality Control LS
FullDepthReclamationto pulverize,and
cementtreat existing asphalt, aggregate base,
and a portion ofthe subgrade soilto a depth of SF

10.0",RoughGrade, Stabilize,FineGrade,
MoistCured
RemoveTemporary Pavement,Compactto 95% SF
Compact
Construction4" ofA.C.pavement SF
Grindand Overlay 02' SF
Sawcut, Remove,Compact and Construct SF
SmoothA.C.Slot Patch Transition
Adiustexisting manholerimto finish surface. EA
Adiustexisting gas valveto finish surface. EA
Adiustexisting watervalveto finish surface. EA
Removeand Replace Type "A"Curb and Gutter LF
RemoveExistingand Construct Driveway SF
Installbluedot hydrantmarkerper COHstd. EA
No.W-7OOB
Verify,Protect, Record,and Replace (If
Disturbed)centerlinesurface and subsurface EA
monuments
Removeand Replace Type "B"Curb and Gutteri LF
Removeand Replace 4"ThickP.C.C.Sidewalk SF
Removeand Replace CurbRamp EA
InstallDetectableWarningSurfaceon Existing EA
CurbRamp
RemoveExistingand ConstructSpandrel and SF
Cross Gutter
Remove4" ExA.C.Pavementand Base. Proof SF Rolland Compact Ex.Base to 95%Compaction Replace Existing "Tvpe E"TrafficLoop EA

ESTIMATED UNIT

QUANTITY PRICE
A—‘A—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)
W*WWH*M***HHW*

EXTENDE
D ITEM
AMOUNT

19.G.

0.9 ‘ ‘ I BASEBIDTOTAL(in words)
Contractor's Initials
ADDITIVEA BIDITEMSTOTAL (in words)
Contractor's Initials
In the event of a variation between the unit price and extended total, the unit price will be used and the corrected extension will be 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/ deductive or alternate bid items/schedules, or to otherwise add or remove certain work from the scope of Work. Accordingly, Contractor warrants that each bid item contains a proportionate share of profit, overhead and other costs and expenses, which will be incurred by the Contractor for the Project.

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

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

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.

sgecialg 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 Bid may be rejected.

19.G.

RI”...er ,,,
(909)355—4329
TARITA
K/f/
Complete the following:

VANCE CORPORATION. 1000008103. 414567
Legal name ofthe business, DIRReg. and Contractor License Nos.

CORPORATION
Business Type (Corporation, Partnership, Sole Proprietor) N/A
DBA(if any)
DEREK TARITA. PRESIDENT
Name and title of the owner

ROBERT ERAUTT, VICE PRESIDENT
Name and title of second partner or officer
459 EGAN AVENUE PO. BOX 575 BEAUMONT, CA 92223
Business Address
(909)355-4333
Telephone number
Facsimile number
CODY ERAUTT, [email protected]
Name and Email address of primary contact
VANCECORP.NET
web address
11/20/2025 11/20/2025
Signature of Bidder Date Signature of Bidder Date

DEREK RI PRESIDENT ROBERT ERAUTT, VICE PRESIDENT
Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate officersare required.)

19.G.

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CERTIFICATEREGARDINGCONTRACTOR'S LICENSE

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

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

3. Contractor declares, under penalty of perjury, that he/she/it possesses the required Contractor's license(s) which:
a. Bears the license number(s) 414567 A:C31
b. Expires n: 11-30-2027
11/20/2025 11/20/2025
Signature of Bidder Date Signature of Bidder Date

DEREK RITARITA, PRESIDENT ROBERT ERAUTT VICE PRESIDENT
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 will be final.

19.G.

TRACTORS

ICENSEBOA
VE LICENSE x52
CON EZIC 8 STATE L RD
WWW-m ACTI
L.:.n..m414567 mCORP
“hum...“ VANCECORPORATION
Chunk-llama] A C31
awhm. 11/30/2027 wwwcslb.ca.gov

19.G.

),
otherwise
' ,I/I Ira/2,527

BIDSECURITYFORM FOR CHECK
NOTE:THE FOLLOWINGFORM SHALLBE USED IN THECASEOF CHECKACCOMPANYINGBID Accompanying this proposal is a Certified Check or Cashier’s Check payable to the order ofthe City of Hemet, hereinafter referred to as "Agency", for dollars (5 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 required by law, and notwithstanding the award of the Contract to a bidde
1“20/2025 11/20/2025
of Bidder Date Signature of Bidder Date

DEREK RITARITA, PRESIDENT ROBERT ERAUTT, VICE PRESIDENT Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.)

19.G.

BIDSECURITYFORM FOR BOND
KNOW ALLBYTHESE PRESENTS:

That the undersigned
Vance Corporation
(Name of Contractor)
as Principal and the undersigned as Surety are held and firmly bound unto Owner, CITYOF HEMET, a political subdivision of the State of California, as obligee, in the penal sum of (Dollar Amount In Words) not to exceed ten percent (10%) of the total bid amount--- Dollars lawful money of the United States of America being at least ten percent (10%) of the aggregate amount of said Principal’s base Bid, for the payment of which, well and truly to be made, we bind ourselves, our successors, executors, administrators, and assigns, jointly and severally, firmly by these presents.

WHEREAS,said Principal is submitting a Bidfor 2024/25CITYWIDESTREETREHABILITATION, 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 13th day of November ,202_5.
(Month)
Vance oratio
(Corporate Seal) By
Principal
By Old Republic Suretv Comnanv
(Corporate Seal)
Julia Bales, Attorney-In-Fact

19.G.

organizatio
WmEOF, IMJEL—day
of De cembe r
of December
contained
N92"5410

STATE OF CALIFORNIA

DEPARTMENT OF INSURANCE

SAN FRANCISCO
Certi?cate of Authority
Tms Is 10 CW, That, pursuant to the Insurance Code ofthe State ofCalifornia, Old Republic Surety Company
of Brookfield, Wisconsin , organizedunderthe
laws of Wisconsin ,subfect to itsArticlesofIncorporationor other fundamental nal documents, is hereby authorizedto transact within this State, subject to all provisions ofthis Certi?cate,the following classesofinsurance:

SURETY, LIABILITY and MISCELLANEOUS
assuch classesare now or may hereafterbe de?nedin the Insurance Laws ofthe State ofCaliforn ia.

Tms CERTIFICATEis expresslyconditionedupon the holder hereofnow and hereafterbeing in fullcompliance withall, and not in violationofany, ofthe applicablelaws and lawfulrequirements madeunder authority ofthe laws ofthe State ofCaliforniaas long as such laws or requirements are in e?ectand applicable,and as such laws and requirements now are, or may hereafterbe changed or amended.

IN WITNESS e?ectiveas of
19 90 , I have hereunto set
my hand and causedmy o?icialseal to be a?ixedthis__.1AEh__ day 19&.

By
Quali?cationwith the Secretary of State must be accomplished as required by the California Code promptly after issuance of this Certi?cate of Authority. Failure to do so will be a of Ins. Code Sec. 70 1 and will be grounds for revoking this Certi?cate of Authority pursuant to the made in the n therefor and the conditions herein.

19.G.

0 DR P BLI R OMPA
A,[,4-
Ag?mmqu
Segtember 25 2026
éAssman’? swag g

EU CSU ETY C NY

POWER OF ATTORNEY
KNOW ALLMEN BY THESE PRESENTS: That OLD REPUBLIC SURETY COMPANY, a Wisconsin stock insurance corporation. does make. constitute and appoint:

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

ALLWRITTEN INSTRUMENTS
and to bind OLD REPUBLIC SURETY COMPANY thereby. and all of the acts of said Attorneys-in-Fact. pursuant to these presents. are rati?ed and con?rmed.

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

This Power of Attorney is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the board of directors of the OLD REPUBLIC SURETY COMPANY on February 18.1982.

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

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

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

IN WITNESS WHEREOF, OLD REPUBLIC SURETY COMPANY has caused these presents to be signed by its proper of?cer. and its corporate seal to be af?xed this 20th day of May 2025

OLD REPUBLICSURETYCOMPANY
Assistant Secretary President
STATE OF \NISCONSIN.COUNTY OF WAUKESHA - SS
On this 20th day of May , &, personally came before me. Alan and KeVinJ AbitZ .to me known to be the individuals and of?cers of the OLD REPUBLIC SURETYCOMPANY who executed the above instrument, and they each acknowledged the execution of the same.and being by me duly sworn.did severally depose and say: that they are the said of?cers of the corporation aforesaid. and that the seal af?xed to the above instrument is the seal of the corporation. and that said corporate seal and their signatures as such of?cers were duly af?xed and subscribed to the said instrument by the authority of the board of directors of said corporation.

Notary Public
MyCommission Expires:

CERTIFICATE (Expiration of notary's commissiondoes not invalidate tltisinstrument) I.the undersigned, assistant secretary of the OLD REPUBLIC SURETYCOMPANY.a Wisconsin corporation, CERTIFY that the foregoing and attached Power of Attomey remains in full force and has not been revoked; and furthermore.that the Resolutions of the board of directors set forth in the Power of Attorney. are now in force.
74 4030 SEAL Signed and sealed at the City of Brook?eld.WIthis—‘ELday of November
, ??
'8"
ORSC 2262 (3-06)
Inland Surety Bonds & Ins Serv Page 212 of 382

19.G.

NOV1 3 2025
, ST%PQANIE D FISHER #2528250 unrmma'ucc- bcuaurom i
MyCamm. Exgivusjulyzs. 2529
CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189
Anotary publicor other officercompletingthis certificate verifiesonlythe identityofthe individualwho signed the document to whichthis certificateis attached, and not the truthfulness, accuracy, or validityof that document.

State of California
County of Riverside
Stephanie D. Fisher, Notarv Public
Here Insert Name and Title of the Officer
Julia B. Bales
Nam e(s) of Signer(s)
On before me,
Date
personally appeared
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(5}is/ar=e-subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their— authorized capacity?es-l, and that by his/heritheie 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 seal.

Signature
Place Notary Seal and/or Stamp Above Notary Public

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

Description of Attached Document
Title or Type of Document:

Document Date:

Signer(s) Other Than Named Above:

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

El Corporate Officer — Tit|e(s):

I] Partner— El Limited III General
El Individual El Attorney in Fact
I:I Trustee I:I Guardianor Conservator
I:I Other:

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

Signer's Name:

El Corporate Officer — Tit|e(s):

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

Signer is Representing:

19.G.

Namedof Signerfs)
a‘e
subscribed to the within instrument and acknowledged to me that he/ahefthey executed the same in his/hen‘their authorized capacikyasg),and that by his/herAbak—signature(9f on the instrument the 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 Riverside
On NOV2 0 2025 before me, lzabella Rose Daniello, Notarv Public Date Here Insert Name and Title of the Officer
personally appeared Derek Ritarita
I certify under PENALTYOF PERJURY under the laws
of the State of California that the foregoing paragraph is true and correct.
lZABELLAROSEDANIELLO WITNESS my hand and official seal.

NotaryPublic- California
RiversideCounty Commission# 2515631
Comm. Mar26, 2029
Signature of Notary Public
Place Notary Seal Above

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

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

Signer(s) Other Than Named Above
Capacity(ies) Claimed by Signer(s)
Signer’s Name: Signer’s Name
Corporate Officer — Title(s) Corporate Officer — Title(s):

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

Signer Is Representing: Signer Is Representing:
@2016 NationalNotary Association - www.Nationa|Notary.org - 1-800-US NOTARY(1-800-876—6827) Item #5907 who proved to me on the basis of satisfactory evidence to be the person whose name is/ person , or the entity upon behalf of which the person acted, executed the instrument.

Signature WW

19.G.

[20/2025

NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODESECTION7106

NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID The undersigned declares:

VANCE
I am the PRESIDENT of CORPORATION the party making the
foregoing bid.

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

Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf ofthe 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 BEAUMONT city], CA [state].
11 11/20/2025
ature of Bidder Date Signature of Bidder Date
DEREK RITARlTA, PRESIDENT ROBERT ERAUTT, VICE PRESIDENT Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate of?cersare required.) f/?

19.G.

Namewof Signerm
who proved to me on the basis of satisfactory evidence to be the personwwhose name@is/aresubscribed to the within instrument and acknowledged to me that he/sbeithey executed the same in his/hemheir authorized capacity??s), and that by his/Weir SignatureMon the instrument the person?.or the entity upon behat of which the pevs
”355
W
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CAL FORM A 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 validityofthat document.

State of California
County of Riverside
On NOV2 0 2025 before me, lzabella Rose Daniello.Notarv Public Date Here Insert Name and Title of the Officer
personally appeared Derek Ritarita
”ABEL”ROSEDANIELLO
WITNESS my hand and offrcralseal.

NotaryPublic- California
County
CO # 2515631
“"1"" Emir““3’ 2°: 2029 Signature of Notary Public
Place Notary Seal Above

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

Description of Attached Document
Title or Type of Document:

Document Date: Number of Pages:

Signer(s) Other Than Named Above
Capacity(ies) Claimed by Signer(s)
Signer’s Name: Signer’s Name:

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

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

Signer Is Representing: Signer ls Representing:
@2016 NationalNotary Association - www.NationalNotary.org - 1-800-US NOTARY(1-800-876-6827) item #5907 on acted, executed the instrument.

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

Signature

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Name@of Signerm
who proved to me on the basis of satisfactory evidence to be the personmwhose name is/are< subscribed to the within instrument and acknowledged to me that he/shekhey executed the same in his/heF/their authorized capacity?gaé), and that by his/hen‘thei? signaturewon the instrument the person(§i,or the entity upon behalf of which the personwacted, executed the instmrnent‘

IZABELUROSEDANIELLO
Nanry Puhllc- Cal?omla
RiversideCounty 2
CommissiunI: 2515531 " ”SAW 1 a MyCummuExpiresMar26.2019I 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 Riverside
On NOV2 0 2025 before me, Izabella Rose Danielio. Notarv Public Date Here Insert Name and Title of the Officer
personally appeared Robert Erautt
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
Place Notary Seal Above

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

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

Signer(s) Other Than Named Above:

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

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

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

Signer Is Representing: Signer Is Representing:
@2016 NationalNotary Association - www.Nationa|Notary.org - 1-800—USNOTARY(1-800-876-6827) Item #5907 Signature
Signature of Notary Public

19.G.

2025
$2,158,148.32
PAVEMENTREHABILITATIONAT HEMETAUTO MALL-CIP 5761
Date .

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 STREET REHABILITATIONPROJECT—CIP 5749
Contract Price $61639-952-09 Date of Completion JULY
Name, Address, and Telephone Number of Owner's Representative JILLEENFERRIS, 445 E FLORIDAAVENUE, 951-765-2360
Project Name: STREET REHABILITATIONPROJECT- CIP 5765
Contract Price: Date of Completion: DECEMBER2024
Name, Address, and Telephone Number of Owner's Representative:

JILLEENFERRIS.445 E FLORIDAAVENUE, 951-765-2360
Project Name:

Contract Price: $2,420.044.48 of Completion DECEMBER2024 Name, Address, and Telephone Number of Owner's Representative:

JILLEEN FERRIS, 445 E FLORIDAAVENUE, 951—765-2360
(Attach additional pages as necessary)

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PROJECT HISTORY
Koala Road Repaving Project CIP 2023-04
Owner: City of Adelanto
Address: 11600 Air Expressway, Adelanto, CA 92301
Contact: Richard Burgess Phone: (760) 246-2300 Email: [email protected] Type of Work: Asphalt and base pulverizing, aggregate base, subgrade, asphalt concrete base pavement, asphalt grinding and rubberized asphalt concrete pavement overlay.

Contract Duration: 60 Calendar Days
contract Price: $888,888.88
project Duration: January 2024- March 2024
East Main Street Evan Hewes Hwy Rehabilitation Project CRSAL-5169(057) Owner: City of El Centro
Address: 1275 Main Street ElCentro, CA
Contact: Felix De Leon Jr. (760)337-5182 Email: [email protected] Type of Work: Grinding of existing asphalt concrete pavement, installation of asphaltrubber and aggregate membrane, gap graded base, monument preservation, utility cover adjustments.

Contract Duration: 45 Calendar Days
Contract Price: $1,918,840.00
Project Duration: February 2024- April 2024
Mission Lakes Boulevard and Little Morongo Road Resurfacing D1-0073 & D1-0074 Owner: County of Riverside Transportation Department
Address: 3525 14th Street, Riverside, CA 92501
Contact: Richard Mortan: (951)955-6885 Email: [email protected] Type of Work: Resurfacing asphalt concrete pavement, removing existing AC pavement, and placing Hot MixAspahlt.

Contract Duration: 60 Working Days
Contract Price: $1,197,631.42
Project Duration: July 2024- August 2024
Lone Hill Avenue Street Improvement Project 2024-02
Owner: City of San Dimas
Address: 245 E Bonita Avenue, San Dimas, CA 91773
Contact: Brandon Slater Phone: (909)394-6278 Email: [email protected] Type of Work: Roadway Milling, ARHM Paving, Asphalt Concrete paving and striping and pavement markings.

Contract Duration: 60 Working Days
Contract Price: $942,207.95 Project Duration: June 2024- September 2024

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PROJECT HISTORY
Dune Palms Road Pavement Rehabilitation- 2021-01
Owner: City of La Quinta
Address: 78—495Calle Tampico, La Quinta, CA 92253
Contact: Ubaldo Ayon: (760)777-7051 Email: uayon©laquinraca.gov Type of Work: Pulverization, grind, asphalt overlay, signing and striping.

Contract Duration: 20 Working Days
Contract Price: $744,891.95
Project Duration: August 2024- September 2024
FY2023—2024Street Improvement Project ST24007
Owner: City of Chino Hills
Address: 14000 City Center Drive, CA 91709
Contact: VictorYanez: Phone: (909)364-2755 Email: [email protected] Type of Work: Grind and AC overlay
Contract Duration: 40 working days
Contract Price: $ 928,742.72
Project History: August 2024- September 2024
Phase IV-A Street Improvement Project
Owner: City of Needles
Address:817 3rd Street, Needles, CA 92363
Contact: Kathy Raasch: (760)326-2113 Email: [email protected] Type of Work: Grind and Pave thick asphalt with petromat, including full depth AC spot repairs.

Contract Duration: 20 Working Days
Contract Price: $1,333,319.11
Project Duration: August 2024- October 2024
Citywide Street Overlay— lFB-24—066
Owner: City of Banning
Address: 99 E. Ramsey Street, CA 92220
Contact: Kevin D. Sin: (951 )992-3140 Email: [email protected] Type of Work: Grind/Cold plane of existing asphalt, grading, placing new asphalt concrete.

Contract Duration: 60 Working Days
Contract Price: $1,308,987.71
Project Duration: July 2024- October 2024

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PROJECT HISTORY
Bellflower Street Rehabilitation Project CIP 2024-06
Owner: City of Adelanto
Address: 11600 AirExpressway, Adelanto, CA 92301
Contact: Richard Burgess: (760) 246-2300 Email: [email protected] Type of Work: Removal of existing asphalt concrete pavement, aggregate base, subgrade, concrete curb access ramps.

Contract Duration: 40 Working Days
Contract Price: $544,100.03
Project Duration: September 2024-October 2024
CP 23-391 Country Club Morningside to 11 1 Street Rehab Owner: City of Rancho Mirage
Address: 69-825 Highway 111, Rancho Mirage, CA 92270
Contact: Chet Kan: (760)770-3224 Ext. 277 Email: [email protected] Type of Work: The general items of work to be done hereunder consist of removal and reconstruction ofA.C. pavement, and ADAcurb ramp, adjusting utility vaults and manholes to grade, and installing new striping and pavement markings.

Contract Duration: 90 Calendar Days
Contract Price: $1,649,883.02
Project Duration: December 2024- February 2025
Nuevo Area Resurfacing Group Project No. D4-0136, D4-0137, D4-0138, D4-0139, D4- 0140
Owner: County of Riverside
Address: 3525 14thStreet, Riverside, CA 92501
Contact: Douglas Christensen: (951)955-6880 Email: dchriste©rivco.org Type of Work :Road Excavation, Pulverize, &Grade Overlay Contract Duration: 85 Working Days
Contract Price: $2,845,653.61
Project Duration: January 2025- March 2025
A Street and Nuevo Road Reconstruction- D2-0095
Owner: County of Riverside
Address: 3525 14th Street, Riverside, CA92501
Contact: Minh Ly Phone: (951)955-6885 Email:

Type of Work: Removal of existing AC pavement and underlying material and placing Hot MixAsphalt pavement.

Contract Duration: 50 Working Days
Contract Price: $1,643,347.00
Project Duration: March 2025- May 2025

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PROJECT HISTORY
FY20244025 Dream Homes Neighborhood Area and East Palm Canyon Drive Pavement Rehabilitation Projects- B24—79E
Owner: City of Cathedral City
Address: 68700 Avenida Lalo Guerrero, Cathedral City, CA 92234 Contact: Jesus Gutierrez (760)770-0340 Email: [email protected] Type of Work: Removal and disposal of existing asphalt pavement, construction of asphalt concrete.

Contract Duration: 45 Calendar Days
Contract Price: $481,836.28
Project Duration: March 2025- May 2025
Reche Canyon Road and Other Roads- H1517
Owner: County of San Bernardino
Address: 825 E 3rdStreet, San Bernardino, CA 92415
Contact: Andrew Truong Phone: (909)387-7937 Email: [email protected] Type of Work: Roadway reconstruction, Milloverlay, Rubberized chip seal, Crack seal.

Contract Duration: 100 Working Days
Contract Price: $3,553,529.57
Project Duration: April 2025- July 2025
Citrus Street and Other Roads- Phase I H15161
Owner: County of San Bernardino
Address: 825 E 3rdStreet, San Bernardino, CA 92415
Project Contact: Edward Lopez Phone: (909)387-7936 Email: [email protected] Type of Work: Pavement Reconstruction, Milland overlay.

Contract Duration: 80 Working Days
Contract Price: $3,302,653.07
Project Duration: June 2025- August 2025
Butterfield Ranch Road Pavement Rehabilitation from Soquel Canyon Parkway to Pine Avenue- ST24001
Owner: City of Chino Hills
Address: 14000 City Center Drive, Chino Hills, CA 91709 Project Contact: Javier Sigala Phone: (909)364-2755 Email: [email protected] Type of Work: Removal and reconstruction of deteriorated pavement, Grand and overlay asphalt pavement.

Contract Duration: 40 Working Days
Contract Price: $1,866,330.42
Project Duration: May 2025- July 2025

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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.)

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I'- .II-IJ--'--"F"lBIDDERCERTIFICATIONS

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

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

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

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

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

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

CERTIFICATIONOF NON-DISCRIMINATION
Bymy 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.

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

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

CERTIFICATIONREGARDINGDIRCONTRACTOR/ SUBCONTRACTORREGISTRATION By my signature hereunder, as the Contractor, I certify that Contractor, and all listed Subcontractors are the subject of current and active contractor registrations pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code. Contractor’s registration number is[please complete] 1000008103 Subcontractors’ registration numbers are as indicated in Document 00 4314.

BID
11 11/20/2025
Signature of Bidder Date Signature of Bidder Date

DEREK RITAR A PRFSIDFNT ROBERT ERAUTT, VICE PRESIDENT
Print name and title Print name and title
(if the Bidder is a corporation, two signatures ofcorporate officersare required.)

19.G.

11/17/25I2:24 PM 1000008103 - VANCE CORPORATION
PublicWorks Support Log in
eCPR Search
Knowledge
Contractor Registration Search
Project RegistrationSearch
Register
1:!ng > ..C.ustgmgr.Accounttqglsup > 1000008103 -VANCE CORPORATION 1000008103 - VANCECORPORATION
Customer Account Lookup
PWCR
1000008 103
Contractor Status
DIRApproved
CSLB
414567
https:l/services.dir.ca.gov/gsp?id=dir_public_form&table=x_cdoi2_csm_porta|_customer_account_| 31 ... 1/4 ”’27

19.G.

11/17/25, 2:24 PM 1000008103 - VANCE CORPORATION
Business Phone
9093554333
Ext
Registration Start Date
2024-07-01
Legal Entity Name

VANCECORPORATION
Doing Business As (DBA)

VANCECORPORATION
Business Structure
Corporation - S corp
President
Derek Ritarita
Ema
[email protected]
Registration End Date
2027-06-30
Crafts
Laborer and Related Classi?cations Operating Engineer
Teamster (Applies only to work on the construction site) Address
Mailing Address
459 Egan Avenue
httpszllservices.dir.ca.gov/gsp?id=dir_public_form&table=x_cdoi2_cst)orta| 2/4

19.G.

Rat.
11/17/25, 2:24 PM 1000008103 — VANCE CORPORATION
Mailing Address - City
Beaumont
Mailing Address — State
CA
Mailing Address - Zip
92223
Mailing Address - Country
united states
Physical Address
PO. Box 575
Physical Address - City
Beaumont
Physical Address — State
Physical Address - Zip
92223
Physical Address - Country
United States
Related Lists
.Registratign 925.9
httpszllservices.dir.ca.gov/gsp?id=dir_public_form&tabIe=x_cdoi2_csmJortal_customer_account_lookup&sys_id= 3/ Igr.m§.§e..§9.ngi.t19.n§

19.G.

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.Ql?giaimr Copyright 2024 State of California
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agility
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19.G.

(12’!
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will not be resgonsible
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the 2024/25ClTYWlDESTREETREHABILITATION,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 issubmitted 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 pro Contractor acknowledges receipt of Addenda N0 (2.. 9
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.

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City of Hemet
VL"
11/20/25, 8:16 AM PlanetBids Vendor Portal
Nov 13, 2025 BidClosing Reminderfor 2024/25 CitywideStreet Rehabilitiation- CIP 2406

ENDORLINE

POWERED BY PLANETEIDS
httpszllvendors.planetbids.com/portal/39477/bo/bo-detail/135073#bidAddendaAndEmails 1/2 2024/25 Citywide Street Rehabilitiation- CIP 2406
Oct 23, 2025 1 Qand ASet ‘
Oct 27, 2025 2 and ASet 2
Oct 27, 2025 3 Qand ASet 3
Nov 03, 2025 4 and ASet 4
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Nov12, 2025 6 and ASet 6
Nov 12, 2025 7 and Set 7
Nov13,2025 8 QandASetB
Email History

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BIDSCHEDULE
BASE BID- 2024/25CITYWIDESTREETREHABILITATION
CIP No. 2406

EXTENDE

ITEM ESTIMATED UNIT D DESCRIPTION UNIT ITEM
No QUANTITY PRICE AMOUNT
Mobilizationl Demobilizationnotto exceed _
’ 1
5%)
I L3 1 8'41000 (3)4.000
2 Temporarv Trafficand PedestrianControl LS 1 00 I14.000' 3 Signing &Striping LS 1 .730.600 ' ’60.600’
Tem ora Construct'onPro'ect ldentif'cat'on __
, 4 Sign”” ' I
' ' Ls 1 1.900 2,600
5 WaterQuality Control LS 1 H .NIO’ )00’
FullDepthReclamationto pulverize,and
cementtreat existingasphalt, aggregate base, , ,
6 and a portion ofthe subgrade soil to a depth of SF 283,000 1 QWIODI ) 10.0",RoughGrade,Stabilize,FineGrade,
Microcracking, MoistCured
RemoveTemporaryPavement,Compactto 95% ’ 7 Compact
SF 3,500 U,996 2%,0’
8 Construction4" ofA.C.pavement SF 309,000 15KC
9 Grindand Overlav02' SF 10,600 .
"
Sawcut, Remove,Compactand Construct ’- 10 SmoothA.C.Slot PatchTransition SF 12’800 79’ao l'I7’I2I 11 Adiustexisting manholerimto finish surface.
7 EA 29 'I0 ’ C O
12 Adiustexisting gas valveto finish surface. EA 5
’
13 Adiustexisting water valveto ?nish surface. EA 43 I.7163’ C 14 Removeand Replace Type "A"Curb and Gutter LF 40 I02 ’ ? .l- 910' RemoveExistingand ConstructDriveway , , 15 Approach Apron 7 SF 26° W 41690 Installbluedot hydrantmarkerper COHstd. r O
’ 16 Dwg. No.w-7ooB EA ,5/All 9
Verify, Protect, Record,and Replace (If g? $0,0W’
17 Disturbed)centerlinesurface and subsurface EA 1 / monuments O 18 Removeand Replace Type "B"Curband Gutter LF 350 ’
19 Removeand Replace 4"ThickP.C.C.Sidewalk SF 1,310 10’ 2U .200" 20 Removeand Replace CurbRamp EA 13 '- .’I00’ lm .lOO’
InstallDetectableWarningSurface on Existing I z 21 CurbRamp EA 8 9’60 ”I900
22 RemoveExrstlngandConstruct Spandrel and SF 6,000 3\/ I‘DIF,000 Cross Gutter
Remove4" ExA.C.Pavementand Base. Proof 0
" 23 Rolland Compact Ex.Baseto 95%Compaction 23’2“) I
'16 ZOI’00
24 Replace Existing "Type E"TrafficLoop EA 12 016’
TOTAL BASEBID (numbers)
*****H**H****H**m?**?****k*** ITEMS

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Contractor's Initials
ADDITIVEA BID ITEMS AL (in words)
Contractor's Initials
In the event of a va between the unit price and extended total, the unit price will be used and the corrected extension will be considered as the amount bid. lfthe bid is illegible and cannot be reconciled it will be considered non-responsive and will not be considered for award.

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

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

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

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

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

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

19.G.

sgecialg items
The quantities listed in the bid proposal are provided to give a general indication ofthe scope of the work and for the comparison of bids. No warranty is made, either expressed or implied, that the actual quantities of work to be done will correspond therewith. Item numbers followed by “(S)” are designated as 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.

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Md I II
Complete the following:

Calmex Engineering, Inc. I 1000005380 | 685954—A
Legal name ofthe business, DIR Reg. and Contractor License Nos.

Corporation
Business Type (Corporation, Partnership, Sole Proprietor) N/A
DBA (if any)
RobertJ Stone—President, Secretary, Treasurer
Name and title of the owner
Travis Bomhoff- VP of Operations
Name and title of second partner or officer
2750 S. LilacAve., Bloomington, CA92316
Business Address
909-546-1311
Telephone number
909—874-9463
Facsimile number
RobertJ Stone I [email protected]
Name and Email address of primary contact
N/A
Company address
Signature of Bidder Date Signature der Date
RobertJ Stone- President Travis Bomhoff- VP of Operations Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate of?cersare required.)

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CERTIFICATEREGARDINGCONTRACTOR'SLICENSE

1. Contractor is required to possess one of the following State Contractor's License State of California Class lA’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) 685954-A
res on: 3/31/2025
Signature of Bidder Date Signature of Bidder Date
RobertJ Stone—President Travis Bomhoff- VP of Operations Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate officersare required.) 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.

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

State of California _ County of San Bernardlno 3
Valeria Barajas, Notary Public
(insert name and title of the officer)
On November 17, 2025 before me,
personally appeared RobertJ Stone
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same 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
Signature (Seal)

19.G.

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

State of California _ County of San Bernardino
On November 5, 2025 before me, Valeria Barajas, Notary Public (insert name and title of the officer)
personally appeared TraVIs Bomhoff
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 PENALTYOF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

WITNESS my hand and official seal.
2028
Signature (Seal)

VALERIABARAJAS
Notary Public - California San Bernardino County
Commission I! 2483822 Comm. Expires Mar

19.G.

mat, NM

BIDSECURITYFORM FOR CHECK
NOTE: THEFOLLOWINGFORM SHALLBEUSED INTHE CASEOF CHECKACCOMPANYINGBID Accompanying this proposal is a Certified Check or Cashier’s Check payable to the order of the City of He hereinafter referred to as "Agency", for
dollars (S this
amount being 10 percent (10%) of the total amount of the bid. This check shall be returned to the undersigned only ifeither of the following occurs:

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

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

19.G.

Engineering
(S

BIDSECURITYFORM FORBOND
KNOW ALLBYTHESEPRESENTS:

That the undersigned
Calmex , Inc.
(Name of Contractor)
as Principal and the undersigned as Surety*areheld and firmly bound unto Owner, CITYOF HEMET,a political subdivision of the State of California, as obligee, in the penal sum of (Dollar Amount “1 Words) Ten Percent OfAmount Bid"-
Dollars --10%-- I lawful money of the United States of America being at least ten percent (10%) of the aggregate amount of said Principal’s base Bid, for the payment of which, well and truly to be made, we bind ourselves, our successors, executors, administrators, and assigns, jointly and severally, firmly by these presents. *Swiss Re Corporate Solutions America Insurance Corporation WHEREAS,said Principal is submitting a Bidfor 2024/25CITYWIDESTREETREHABILITATION, 2406
THE CONDITION OF THIS OBLIGATIONIS SUCH that if the Bid submitted by the said Principal be accepted and the Contract be awarded to said Principal and said Principal shallwithin the required periods enter into the Contract so awarded and provide the required Construction Performance Bond,Construction Labor and Material Payment Bond, insurance certificates, and all other endorsements, forms, and documents required under the Instructions to Bidders, then this obligation shall be void, otherwise to remain in full force and effect.

IN WITNESSWHEREOF, the above bounden parties have executed this instrument this 6th day of November , 20_2§.
(Month)
, Inc.
(Corporate Seal) By
Pri pal ?bI?f/H' . QI‘DI’Ie —' PMS
Swiss Re Corporate Solutions America
By Insurance Corporation
Surety
(Corporate Seal) By
Andrew J. Waterbu Attorney-ln-Fact

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ACKNOWLEDGMENT
A notary public or other officer completing this
certi?cate veri?es only the identity of the individual
who signed the document to which this certi?cate is
attached, and not the truthfulness, accuracy, or
valid of that document
State of California . County of San Bernardino
On November 17, 2025 before me] Valeria Barajas, Notary Public (insert name and title of the officer)
personally appeared Robert J Stone
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same 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 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 (Seal)

19.G.

NDIIU
M CommissionEx.Ire: 07
[2029

COLO DO OTA ACK OWL DGE NT
(I v D AL)
State of Colorado
County of Denver
This record was acknowledged before me on NOVember 512025 (date) by Andrew J. (name[s] of individual[s]).
(Seal)
nature cer
Wendi
Notary Public
Title of Office
My Commission Expires: 07/11
Copyright © 2018 NotaryAcknowIedgement.com. AllRights Reserved END J0 DA
Notary Public
State of Colorado
Notary ID# 202540264

19.G.

war of Attorney of the fa ing Resolutionsadopt
both SRCSAIC ovembcr l and WK:by written
“RESOLVED. that any two orthe President.any Managing-Director.any Senior vi Socrclarybe, and each or any ofthem hereby is, authorizedIn execute a Power ofMtam Attorney to execute an hclnlfaflhe Corporationbands, undertakings and a attest to the executr'anof any suchPower anttomey and to attach thereinth June 25
, 20 be
rm5:11or Vice Presi of
mt. who being byme
o c a I [Edged act and deed of theirrupee?vzca unis.

SeniorVic: President and A§sism|t Seaman

SWISS RE CORPORATE SOLUTIONS
SWISSRECORPORATESOLUTIONSAMERICAINSURANCECORPORATION("SRCSAIC") SWISSRECORPORATESOLUTIONSPREMIERINSURANCECORPORATION(“SRCSPIC") WESTPORTINSURANCECORPORATION("WIC")
GENERAL POWER OF ATTORNEY , KNOWALL MEN BY THESE PRESENTS, THAT SRCSAIC.a corporationduly organized and existing under laws of the State of Missouri, and having its principalof?ce in the City of KansasCity, Missouri, each doesherebymake, constitute, and appoint:

BRADMOODY.EVANE. MOODY, ANDREWJ. WATERBURY, KARENA. FEGGESTAD JODY L.ANDERSON, ELIZABETHOSTBLOM. and REGINAR. FLEMING

JOINTLYOR SEVERALLY
Its true and lawfulAttomey(s)-in-Fact, to make, execute, seal and deliver, for and on its behalfandas its act and deed, bonds.consents of surety, or other writings obligatory in the natureof a bond on behalf of eachofsaidCompanies,as surety, on contracts of suretyship as are or may be required or permittedbylaw, regulation, contract or otherwise, provided that no bond of undertaking or contract or suretyship executedunder this authority shallexceed the amount of:

TWO HUNDREDMILLION($200,000,000.00) DOLLARS
This P0 is granted and is signed by facsimile under and by the authority llow ed by the Boardsof Directorsof and SRCSPICat meetingsduly called and held on the 18'hof N 202 consent of its ExecutiveCommitteedated July 18,2011:
cc President, any Vice President, the Secretary or any Assistant ey qualifying the attorney named in the given Power of
II contracts of surety, and that each or any of them hereby is authorized to e seal of the Corporation; and it is FURTHERRESOLVED, that the signature of such of?cers and the seal of the Corporationmay 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 facsimilesignatures or facsimilesealshall 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 a: Senior Vice President SEAL S EAL
of aSmIor Vlce ofWIC
a; of 81 President of
IN WITNESS WHEREOF, SRCSAIC have causedtheir of?cial seals to be and these be signed by their authorizedo?icers this “may of June 20 25_
Swiss Re Corporate Solutions America Insurance Corporation State of Illinois SwissRe Corporate Solutions Premier Insurance Corporation County of Cook Watport Insurance Corporation
11"I
On this____day of fore me.a Notary Public personally appeared DavidSatay, Senior Vice President of SRCSAIC and SeniorVice Presidentof SRCSPIC a i dent of WIC, and ?grigl Jaggugz, Senior Vice Presidentof SRCSAICand Senior Vice President SRCSPIC and SeniorVice Presidentof WIC, personallyknown to duly sworn, acknowledgedthat they signedthe above Power of Attorney saidinstrumentto be the voluntary
(FFICIAI. SEAL

KARENMSZWEDA
NotaryPltlic.State(1 Illinos
Cooln'uionNo 978628
omission Expires September26 2027 M- Notary
I, Jeffrey GoldbergIthe duly elected of SRCSAICand 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 stillin full force and e?‘oct.

IN WITNESS WHEREOF, I have set my handand af?xed the sealsof the Companiesthis 6"“ day of “Member 20_3; Goldberg, Senior
Secretary of SRCSAIC and SRCSPICand WIC

19.G.

Calmex Engineering, In

NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODE SECTION 7106

NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERAND SUBMITTEDWITHBID The undersigned declares
I am the President of Cthe 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 alifornia that the foregoing is true and correct and that this declaration is executed on date], at Bloomington [city], California state]
Signature of Bidder Date nature of Bidder Date
RobertJ Stone- President Travis Bomhoff- VP of Onpratinns Print name and title Print name and title
(if the Bidder is a corporation, two signatures ofcorporate officersare required.)

19.G.

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

State of California . County of San BernardIno )
On November 17, 2025 before me, Valeria Barajas, Notary Public (insert name and title of the officer)
personally appeared RobertJ Stone
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same 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 PENALTYOF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

VALERIABARAJAS
‘ ' Notary Public - California WITNESS my hand and offICIalseal. San Bernardm County Commission I! 2483822 Comm. Expires Mar 5, 2028 Signature (Seal)

19.G.

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

State of California _ County of San Bernardlno 3
On November 6, 2025 before me, Valeria Barajas, Notary Public (insert name and title of the officer)
personally appeared TraVIs Bomhoff
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 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 (Seal)

19.G.

hed ._._._..__ ._.

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: *Please see attac reference list*
Contract Price: Date of Completion
Name, Address, and Telephone Number of Owner's Representative:

Project Name:

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

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

19.G.

Calmex Engineering, Inc
Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

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Completion Date:

Agency:

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Phone:

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Phone:

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Completion Date:

Project References (Prime Jobs)
CaliforniaDepartment of Transportation
11-2N0214.Rte.5
Genaro Genel
619-688-6699
$4,006,419
January I 2020
CaliforniaDepartment of Transportation
08-1 J9404. Rte. 18
John Santos
909-383-4631
$224,000
September / 2020
CaliforniaDepartment of Transportation
O7-3W7704, Rte. 60 MartinSandoval
213-697-3656
$4,130,036
DecemberI 2020
CaliforniaDepartment of Transportation
07-4U0404 RTE 101
Mena Wassef
805-480-4928
5909.935
October I 2021
CaliforniaDepartment of Transportation
09-387904 RTE 190
Justin Castleberry
760-937—3758
$4,746,713
November/ 2021
Town of Apple Valley
Stoddard Wells Rd
Rich Burger
760-240-7000
$1,648.685
December/ 2021
CaliforniaDepartment of Transportation
11A3161 Rte 163 Minor8
Ben Haney
858618-8709
S 198,178.95
May I 2022
Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

CaliforniaDepartment of Transportation
11-2N0124.Rte. 8/163
Rene Figueroa
858-688-1551
$6,301,679
MarchI 2020
CaliforniaDepartment of Transportation
11-3A2664
Shawn Rizzuto
619-688-3377
$309,214
October I 2020
CaliforniaDepartment of Transportation
12-084704 RTE 90
Arezo Ghiam
949-278-4124
$1,651,847
October I 2021
CaliforniaDepartment of Transportation
09-385804 RTE 58
Joselyn Vidaca
760-937-1512
$824,134
October] 2021
CaliforniaDepartment of Transportation
08-1 K8404RTE 247 ' Khoa Nguyen
951-232-8611
$3,158,880
NovemberI 2021
CaliforniaDepartment of Transportation
11A3375Rte 5 MinorB
MikeVasquez
859-688-1313
5224.232
May I 2022
CaliforniaDepartment of Transportation
11-2N0574Rte 68
Ben Haney
858-518-8709
$3,481,933
May I 2022

19.G.

:E
EEE
EEEE
Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name: Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Contact:

Phone:

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Completion Date:

Agency:

Project Name:

Contact:

Phone:

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Completion Date:

Agency:

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Contact:

Phone:

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Completion Date:

Agency:

Project Name:

Contact:

Phone:

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Agency:

Project Name:

Contact:

Phone:

Contract Amount:

CompletionDate:

CaliforniaDepartment of Transportation
07-4W9304 Rte 105
Jose Ferrer
562-572-5031
$3,714,540
June / 2022
CaliforniaDepartment of Transportation
08-1N3904 Rte 10 ELB
Ramadan Farag
909-915-4928
$354,863
July / 2022
Town of Apple Valley
Cold MixOverlay 2022
Rich Burger
760-240-7000
3 1,083,562.00
January / 2023
City of Rialto
2021 Street Overlay
Amr Abuelhassan
909-262-7858
$1 1,680,000
June I 2023
CaliforniaDepartment of Transportation
06-1 K0504Rte 62
Francisco Montellano
(951) 232-6413
$ $25,349.10
October/ 2023
CaliforniaDepartment of Transportation
12-0T6404 Rte 72
Mike Ezzedine
949-279-8744
$945,740.61
Feburaryl 2024
California Department of Transportation
12-0U1704 RTE 133/261
Luis Vazquez
(949) 279-6840
5 4,669,418 20
October I 2024
California Department of Transportation
07-0W7104 Rte 105
Steven Taing
(213) 793-7974
5 4,479,395.25
Decemberl2024
City of Rialto
Various Street Rehab Phase 2
Art Cervantes
(909) 820-2531
3 7,692,524.96
March/2025
City of Jurupa Valley
23/24 Pavement Rehab
Youssef Easkaron
951 -323-6464
$ 10.704.194.82
May 2025
Agency:

Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

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Project Name:

Contact:

Phone:

Contract Amount:

Completion Date:

CaliforniaDepartment of Transportation
07-319204 Rte 91/105/110/405
Dan Cortez
213-793-7945
$1,829,772
June / 2022
CaliforniaDepartment of Transportation
08<1M1104Rte 215
Kee Ooi
951-840-8323
$8,164,190.00
September I 2022
City of Hemet
Citywide Pavement Rehab
Jorge F Perez
909-544-9451
$3,425,614.03
January I 2023
San Bernardino County Department of PW
MountainAve and Other Road
Canos Seanez
909-486-0277
$7,890,913.00
August / 2023
Town of Apple Valley
Cold MixOvenay 2023
Rich Burger
760-240-7000
$1,370,000
November/2023
CaliforniaDepartment of Transportation
11-2N1644Rte 8 DanielHernandez
760-594-2008
$4,254,409.02
May/2024
CaliforniaDepartment of Transportation
12-0U2304Rte 241
LuisVazquez
(949) 279-6840
S 1,633,481.20
August/2024
CaliforniaDepartment of Transportation
07-0W6704 Rte 103
Ramon Robillos
805-431-4352
3 1,596,705.00
Feburaryl 2025
CaliforniaDepartment of Transportation
07-0W4504 Rte 138
Ramy Beshara
(213) 792-9662
3 8,424,083.00
May 2025

19.G.

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Calmex Engineering, Inc.

Agency:

Project Name:

PrimeContractor:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Prime Contractor:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

PrimeContractor:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

PrimeContractor:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

PrimeContractor:

Contact:

Email:

Contract Amount:

CompletionDate:

Agency:

Project Name:

PrimeContractor:

Contact:

Phone:

ContractAmount:

CompletionDate:

A
P a P n tor:

Contact:

Phone:

ContractAmount:

Completion Date:

Project References (Sub Jobs)
California Department of Transportation
07—304004
O'Donnell
Neil
909-394-4510
5 182,095.00
July I 2020
Eastern Municipal Water District
Penis ll DesalinationFacility Project
Kiewit
Mike Sippl
201-522-9024
$ 36,957.89
Octoberl 2020
California Department of Transportation
08-165504 RTE 40
RV Concrete
BrianPinkerton
714-888-1104
S 182,984.00
October I 2021
Califomla Department of Transportation
07-4W5904RTE 33
tntermountianSlurry Seal
Randy Contreras
775-745-9021
3 327,348.00
Octoberl 2021
California Department of Transportation
08-0075U4, Rte. 60in Riverside
J.McLoughlin Engineering
Joe McLaughlin
909-721-1011
3 1,043,347,79000
Decemberl 2021
California Department of Transportation
11-431847 Rte 78
Rove Engineering Tim Mountney
760-815-8827
3 3,999,078.07
April/2023
ion
Seg1B,2&3
JV
Dave Sharpnack
951-295-3140
5 11,400,59567
August I 2023
Agency:

Project Name:

Prime Contractor:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Prime Contractor:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Prime Contractor.

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Prime Contractor.

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Prime Contractor:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Prime Contractor.

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Prime Contractor:

Contact:

Phone:

Contract Amount:

Completion Date:

CaliforniaDepartment of Transportation
11-404604Rte 56
Flatiron West, Inc.

Chris Wyss
858-736-5166
$ 122,448.00
July/ 2020
CaliforniaDepartment of Transportation
08-165504 RTE40
RVConcrete
Eln‘anPinkerton
714-888-1104
5 182,984.00
October I 2021
CaliforniaDepartment ofTransportation
08-1K1904RTE 15
Velarde Concrete Construction, inc.

AmandaVelarde
318- 898-2300
$ 163,459.00
Octoberl 2021
CaliforniaDepartment of Transportation
08-1K1904RTE 15
Velarde Concrete Construction, Inc. AmandaVelarde 818- 898-2300 5 163,459.00
Octoberl 2021
CaliforniaDepartment of Transportation
11-431894Rte 78
Rove Engineering
Tim Mountney
760-815-8827
3 3,805,082.89
April/ 2023
CaliforniaDepartment of Transportation
07-0W1104Rte 210
Peterson Chase
Jon Vandersloot
949-677-0295
8 1,808,904.61
June/ 2023
CaliforniaDepartment of Transportation
08-1 P1904 Rte 173 ELB
FerreriaConstruction
Chis Camping
909-606-5900
5 1,686,538.65
October I2023

19.G.

Agency:

Project Name:

Prime Contractor.

Contact:

Phone:

Contract Amount:

CompletionDate:

Agency:

Project Name:

PrimeContractor:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

PrimeContractor:

Contact:

Phone:

Contract Amount:

CompletionDate:

Agency:

Project Name:

PrimeContractor.

Contact:

Phone:

Contract Amount:

Completion Date:

CaliforniaDepartment of Transportation
08-1M4904, Rte 10
Velarde Construction
Amanda Michaelis
818-898-2300
$ 132,440.00
NovemberI 2023
CaliforniaDepartment of Transportation
07-0W4204Rte 170
IntermountainSlurry Seal
Kristen Hubbert
775-842-8324
5 1,483,958.48
September I 2024

SBCTA / BNSF
tst Ave Bridge, Barstow
Skanska
Dennis Putnam
909-721-9742
5 1,012,616.33
November] 2024
CalifomiaDepartment of Transportation
Beador Construction
08-164704, Rte 74 MorrillCanyon
DavldBeador
951-614-7352
5 672,586.00
March I 2025
Agency:

Project Name:

Prime Contractor:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Prime Contractor:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Prime Contractor:

Contact:

Phone:

Contract Amount:

Completion Date:

Agency:

Project Name:

Prime Contractor:

Contact:

Phone:

Contract Amount:

Completion Date:

CaliforniaDepartment of Transportation
08-105704 Rte 15
Sema
Robert Amparan
951-446-4505
5 163,011.14
June/ 2024
Pacoima Spreading Grounds
Ames Construction
Jason Kriezel
951-751-8937
3 1,699,357.04
September/ 2024
CaliforniaDepartment of Transportation
08-1L3204, Rte 60/91/215Separation, Riversid
e Diversi?ed
Anthony Rodriguez
951-245-1686
5 158,420.50
Feburary I 2025
City of Eastvale
LimonlteAve Gap Closure
Ortiz Enterprises
John Britt
949-232-2878
5 216,663.46
September / 2025

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DESIGNATION OF SUBCONTRACTORS
Name of Subcontractor Description and DIR Email
and Location of Place Percentage of Subcontractor’ 5 Registration Address of Business Work License No. Number
. 00m
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(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE §4100 ETSEQ.)

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BIDDERCERTIFICATIONS

TO BE EXECUTEDBYALLBIDDERSAND 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-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 PREVAILING WAGE 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 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
By my signature hereunder, as the Contractor, Icertify that there willbe no discrimination in employment with regard to race, color, religion, gender, sexual orientation, age or national origin; that all federal, state, and local directives and executive orders regarding nondiscrimination in employment will be complied with; and that the principal of equal opportunity in employment will be demonstrated positively and aggressively.

19.G.

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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.

CERTIFICATION REGARDINGDIR CONTRACTOR/ SUBCONTRACTORREGISTRATION By my signature hereunder, as the Contractor, I certify that Contractor, and all listed Subcontractors are the subject of current and active contractor registrations pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code. Contractor’s registration number is[please complete] 1000005380 Subcontractors’ registration numbers are as indicated in Document 00 4314.

BIDDER:

Signature of Bidder Date Signature der Date
Robert] Stone—President Travis Bomhoff- VP of Operations Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures corporate are required.)

19.G.

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

State of California . County of San Bernardlno )
On November 17, 2025 before me, Valeria Barajas, Notary Public (insert name and title of the officer)
personally appeared Robert J Stone
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/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
Signature (Seal)

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

State of California _ County of San Bernardlno
On November 6, 2025 before me, Valeria Barajas, Notary Public (insert name and title of the officer)
personally appeared TraVIs Bomhoff
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 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 (Seal)

19.G.

APPEND X 1

19.G.

will not be responsible
integrate
Mamas—-
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, isfamiliar with the plans, specifications, Contract Documents (particularly as delineated above) and the requirements of the PublicWorks Contract, and also understands that the Project shall be completely constructed in turn-key condition acceptable to the Owner within the Project time requirements for the price of the proposal, including all fees and sales and/or use tax upon any materials so furnished, including any unit prices and additive/deductiveitems. The undersigned has also carefully checked all of the figures given and understands that the Agency for any errors or omissions on the part of the undersigned in submitting this proposal.

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

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

19.G.

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BID SCHEDULE
BASEBID- 2024/25CITYWIDESTREETREHABILITATION
CIP No. 2406

EXTENDED

ITEM ESTIMATED UNIT

DESCRIPTION UNIT ITEM
No QUANTITY PRICE AMOUNT
1 gzblllzatlon / Demoblllzatlon(not to exceed LS 1 0]8,000 q 2,000 2 Temporary Traffic and PedestrianControl LS 1 l7 0. OOO l‘l 0, 000 3 Signing &Striping LS 1 50.000
Temporary ConstructionProjectIdentification 4
Sign LS 1 7.000 1.000
5 Water Quality Control LS 1 7 F50o 7600
FullDepthReclamationto pulverize,and
cementtreat existing asphalt, aggregate base,
6 and a portion ofthe subgrade soilto a depth of SF 283,000 2 _2 6 (03 (0/75O

10.0",RoughGrade, Stabilize,FineGrade,
Microcracking. MoistCured
0 7 RemoveTemporary Pavement,Compact to 95A; SF 3,500 (0_ 30 2 Z O 60 Compact /
8 Construction 4" ofA.C.pavement SF 309,000 2- SO YGS. 200 9 Grind and Overlay 02' SF 10,600 2_ - GO 2(o .900
10 Sawcut, Remove,Compact and Construct SF 12 800 Smooth A.C.Slot Patch Transition ’ 3 .85 '49. 230 11 Adjust existing manholerimto finish surface. EA 29 / 200 C 2 .200 12 Adiust existing gas valveto finish surface. EA 5 '/. 2 G0 13 Adiustexisting watervalveto finish surface. EA 43 62 .767) 14 Remove and Replace Tvpe "A"Curb and Gutter LF 40 2'0 -°" 8 .100 RemoveExisting and Construct Driveway 15 Approach Apron SF 260 3 O '00 7/800 Installblue dot hydrantmarkerper COHstd. _oo 16 Dwg. No.w-7ooa EA 5 I9 ‘00 7 5 Verify, Protect, Record,and Replace (If
17 Disturbed) centerlinesurface and subsurface EA 14 a,I5-00 i 2,810 monuments
18 Removeand Replace Type "B"Curb and Gutter LF 350 go .00 28 000 19 Removeand Replace 4"ThickP.C.C.Sidewalk SF 1,310 / 5‘:00 / 9, 950 20 Remove and Replace CurbRamp EA 13 7. 500 Q7. 9’00
InstallDetectableWarning Surface on Existing
21 Curb Ramp EA 8 I[200 aI600
22 Remove Existing and Construct Spandrel and _ 00 930
Cross Gutter SF 6’000 Z 6 I 60/
Remove4" ExA.C.Pavement and Base. Proof .00 , 23 Rolland Compact Ex.Base to 95%Compaction SF 23’200 I 2 5/2(/0 24 Replace Existing "Tvpe E"TrafficLoop EA 12 (n 60 - 00 7.5? 20 TOTAL BASE BID (numbers) 13712 35 00
'k***9:*******************************
301000

19.G.

Two m'icwoixl?i—IIQEE H'MNDRED SEVEN‘YY-NING '174ouSAND, BASEBIDTOTAL(in words) Two HUNDRED n+1 QTY—F'ivr anew“ Mn cam—S Contractor's Initials
ADDITIVEA BID ITEMS TOTAL (in words) N0T APPLICABLF
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 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 deductivebidschedule is called for, the lowest bid will be determined by the total of all bid schedules including the deductive bid schedule(s).

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

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

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

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

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 Bid may be rejected.

19.G.

///4’ Walk (?u WV
Complete the following
AllAmerican As alt 1000001051 267073
Legal name of the business, DIRReg. and Contractor License Nos Corporation
Business Type (Corporation, Partnership, Sole Proprietor) **N/A**
DBA(if any)
Edward J Carlson, Vice President
Name and title of the owner Michael Farkas, Secretary
Name and title of second partner or officer
400 East Sixth Street Corona, CA 92879
Business Address
951-736—7600
Telephone number
951 -736—7646
Facsimile number
Gordon Kline , Project Manager gkline@a|lamericanasphalt.com Name and Email address of primary contact
www.a|lamericanasphalt.com
Company web address
Signature Bi Date Signature Date
Edward J Carlson, Vice President Michael Farkas, Secretary Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures corporate are required.)

19.G.

KalhrvnMarconi Notary Public
Edward J, Carlson
7 Fa...“
Viue President
—— : Secrexa
AllAmerican Asgha? AllAmerican Asghalt
CAL FORNIA ALL-PURPOSE ACKNOWLEDGEMENT c VIL CODE § 1189 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 truth?llness. accuracv. or validitv of that document.

State of California
County of Riverside
On 11/13/2025 before meI 1 Date Here Insert name and Title of the Of?cer personally appeared Edward J. Carlson and Michael Farkas Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) ie/are subscribed to the within instrument and acknowledged to me that healehe/theyexecuted the same in higher/their authorized capacity(ies), and that by hislher/their KATHRYN MARCPNI . signature(s) on the instrument the person(s). or the entity upon behalf NotaryPublic- California of which the person(s) acted, executed the instrument.

RiversideCounty
Commissionat2490731
comm,ExpiresMay21’2028 I certify under PENALTYOF PERJURY under the laws of the State of Californiathat the forgoing paragraph is true and correct. of?cial
Place Notary Seal Above OPTIONAL
Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document.

Description of Attached Document
Title or Type of Document Bid Documents - 2024/25 Citywide Street Rehab, CIP #2406 Document Date: 11/13/2025 Number of Pages Five (5)
Signer(s) Other Than Named Above N/A
Capacity(ies) Claimed by Signer(s)
Signer‘s Name: Signer’s Name: Michael rkas
1: Individual :1 Individual
X Corporate Of?cer— Title(S)I X Corporate Of?cer — Title(s) N a Partner [I a Limited a General E, Partner a D Limiteda General D Attorney in Fact [:1 Attorney in Fact
1:] Trustee Top of thumb here D Trustee
T°P °f mum” here
D Other: :1 Other:

Signer is Representing: Signer is Representing:

RIGHT THUMBPRINT RIGHT THUMBPR'NT OF SIGNER OF SIGNER

19.G.

,
.. Z. “-1546 @9414 1:
of atureof

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:

Bears the license number(s): 267073
b. Expireson 1”31/2026
3‘
Signature Bidder Date Sign Date
Edward J Carlson, Vice President Michael Farkas, Secretary Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate o?i’cersare required.) This required license determination has been made by the Agency. Any Contractor holding a different license who feels he is qualified to bid on this work must so advise the Agency at least seven (7) days prior to the bid opening. The Agency may conduct a review of the contemplated work to re—evaluate the required license determination. The Agency may in its sole discretion maintain or change the required license determination; Agency’s decision as to the required final.

19.G.

Kath?n Marconi, Notm Pub .
nu Olfmr
Edward , arkas V.

KATHRYNMARLONI
NotaryPubnz ~ California
RivemdeCounty
-» .4” Cammissian” mom 1 MyComm.ExpiresMay 21, 2013!
Edward J. Carlson
President
AllAmerican Asghalt AllAmerican Asghalk
CAL FORM A ALL-PURPOSE ACKNOWLEDGEMENT c VIL CODE 1189
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. accuracv. or validitv of that document.

State of California
County of Riverside
On 11/13/2025 before me, lic
Date Hers Insert name and Title of
personally appeared J. Carlson and Michael F
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) ie/are subscribed to the within instrument and acknowledged to me that heAshe/theyexecuted the same in Nether/their authorized capacity(ies), and that by blather/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 forgoing paragraph is true and correct.

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

Description of Attached Document
Title (”Type 01«Document Certi?cate Regarding Contractor's License Document Date: 11/13/2025 Number of Pages: One (1)
Signer(s) Other Than Named Above: N/A
Capacity(ies) Claimed by Signer(s)
Signers Name: Signer‘s Name: Michael Farkas
n Individual D Individual
X Corporate Of?cer _ Title(s) Vice X Corporate Of?cer — Title(s): Secretam E‘ Partner D '3 Limited '3 General a Partner D a Limiteda General D Attorney in Fact D Attorney in Fact
El Trustee Top of thumb here D Trustee
Top of thumb here
D Other: in Other:

Signer is Representing Signer is Representing:

RIGHT THUMBPRINT RIGHT THUMBPR' NT 0F SIGNER OF SIGNER

19.G.

BIDSECURITYFORM FOR CHECK
NOTE: THEFOLLOWING FORM SHALLBE USED IN THE CASEOF CHECKACCOMPANYING BID Accompanying this proposal is a Certified Check or Cashier’s Check payable to the order of the City of Hemet, hereinafter referred to as "Agency", for dollars (S this
amount being 10 percent (10%) of the total amount of the bid. This check shall be returned to the undersigned only if either of the following occurs:

A. Ifsaid 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.

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

19.G.

Word,
Bond No. 08597423
BidDate: 11/20/
2025

BIDSECURITYFORM FOR BOND
KNOW ALLBYTHESE PRESENTS:

That the undersigned
AllAmerican Asphalt
(Name of Contractor)
as Principal and the undersigned as Surety are held and firmly bound unto Owner, CITYOF HEMET, a political subdivision of the State of California, as obligee, in the penal sum of (Dollar Amount In 5) Ten Percent of 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 OBLIGATIONIS SUCH that if the Bid submitted by the said Principal be accepted and the Contract be awarded to said Principal and said Principal shall within the required periods enter into the Contract so awarded and provide the required Construction Performance Bond, Construction Labor and Material Payment Bond, insurance certificates, and all other endorsements, forms, and documents required under the Instructions to Bidders, then this obligation shall be void, otherwise to remain in full force and effect.

IN WITNESS WHEREOF, the above bounden parties have executed this instrument this 24th day of October 20£3
(Month)
AllAmerican Asphalt
(Corporate Seal) By
Principa CW" l ‘47
Fidelity and Deposit Company of Maryland
Surety Rebecca Haas—Bates,Attorney—in-Fact
(Corporate Seal) By

19.G.

Kathrvn Marconi. Notary Pub .

BMW
,
who proved to me on the basis of satisfacmry ev to be the person(s) whose name(s) Is/are subscnbed to the nstrument and acknowledged «a ma that he/shekhey execu same in
his/W authorized capacityGes), and mat slheakhei‘
, Carlson
Vice President
AllAmerican Asghal‘
CAL FORM A ALL-PURPOSE ACKNOWLEDGEMENT CIV L CODE § 1189 A notary public or other of?cer completing this certi?cate veri?es only the identity of the individualwho signed the document to which this certi?cate is attached. and not the truthfulness. accuracv. or validitv of that document.

State of California
County of Riverside
On 11/13/2025 before me. lic
Date Here Insert name and Title of the
personally appeared Edward J. Carlson
Name(s) of Signer(s)
idence
within i
ted the
by hi
KATHRYN MARCONI signature(s) on the instrument the person(s), or the entity upon behalf N°tar¥PUF’IK - California of which the person(s) acted.executed the instrument.

C Riverside Sounty
°”””""°” " 2490731 I certify under PENALTYOF PERJURY under the laws of the State of Comm.E
' xWes May 21’2023 California that the forgoing paragraph is true and correct.

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

Description of Attached Document
Title or Type of Document Bid Bond ' City OfHemet
Document Date: 10/24/2025 Number of Pages: One (1)
Signer(s) Other Than Named Above: Rebecca Haas'BateS (Attorney in F300 Capacity(ies) Claimed by Signer(s)
Signer's Name: Edward J- Signer's Name:
a Individual u Individual
XCorporate Of?cer — Title(s): a Corporate Of?cer — Title(s):

El Partner D a Limited El General B partner a a Limited .3 General El Attorney in Fact :1 Attorney in Fact
El Trustee Top of thumb here El Trustee
TOPof thumb here
o Other: :1 Other:

Signer is Representing: Signer is Representing:

RIGHT THUMBPRINT RIGHTTHUMBPRWNT OF SIGNER

19.G.

instrument wledged to hejshe/they executed
paCitytl‘Bi), hie/har/‘their e19)on the instrument t
//
Signer Hep :

Fidelity DeposilCompany Mary
CALIFORN A ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completingthis certificate verifies only the identityof the individualwho signed the document to whichthis certificate is attached, and not the truthfulness,accuracy, or validityofthat document.

State of California )
County of Orange )
On 10/24/2025 before me, Alma Karen Hernandez, Notary Public Date Here Insert Name and 77tleof the Of?cer
personally appeared Rebecca Haas-Bates
NamelbtofSignen‘ssl
who proved to me on the basis of satisfactory evidence to be the personts) whose name(s} is/are subscribed to the within and ackno me that the same i
his/her/thelrauthorized ca and that by signatur he person(e),n or the entity upon behalf of which the personks) 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

ALMAKARENHERNANDEZ
Notary Public - California
Orange County _ Commissions 239090: Signature
Comm.ExpiresJan 16, 2026 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: Bid Bond Document Date: 10/24/2025 Number of Pages: Oneil) Slgner(s) Other Than Named Above: A“ American Asphalt Capacity(ies) Claimed by Signer(s)
Signer's Name: Rebecca Haas-Bates Signer’s Name:
:1 Corporate Of?cer — Title(s): 3 Corporate Of?cer —- Title(s):

Partner — Limited l: General Partner — Limited General
Individual ZAttorney in Fact individual Attorney in Fact :1Trustee :l Guardian or Conservator :I Trustee Guardian or Conservator :l Other: 3 Other:
ls resenting Signer Is Representing
and of land
@2014 National Notary Association- www.Nationa|Notary.org- 1—800-USNOTARY(1-800-876—6827) Item#5907

19.G.

Mummy, 5*“ Ms way
% é’
" mm °*
"'lmnl?um‘ mum‘m‘
regonsfclaims@zurichna‘com

EXTRACT FROM BY-LAWS OF THE COMPANIES
this 24th day of October 2025

SEAL SEAL SEAL
Mary Jean Pethick
Vice President

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 confirmed at bondvalidator.zurichna.com or 410-559-8790 "Article V, Section 8, . The Chief Executive Of?cer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attomeys-in-fact with 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 attomey-in-fact to af?x the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any time. " CERTIFICATE
I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certi?cate; and I do further certify that Article V, Section 8, of the By-Laws of the Companies is still in force.

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

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

RESOLVED: "That the facsimile or mechanically 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 attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually af?xed.

IN TESTIMONY WHEREOF, I have hereunto subscribedmy name and af?xed the corporate seals of the said Companies, Wigwam

19.G.

foregoing is true correct and that thi
[ (22x ___[
m;, 1/. \\1\3'L< 59L— \\m:
:3: er omder

NON-COLLUSION AFFIDAVIT
PUBLICCONTRACT CODE SECTION 7106

NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITH BID The undersigned declares:

I am the Vice President of AllAmerican ASpha“theparty 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 and s declaration is executed on \I’Ih'[5 [date], at
city], state].

I
Signature Bidd Date Signature Date
Edward J Carlson, Vice President Michael Farkas, Secretary Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures of corporate o?icersare required.)

19.G.

Riverside
before Kathgn Marconi Notag Public
Edward ,, , , arkas
( )
Edward Ji Carlson , Farkas
Vice President
AllAmerican Asphalt AllAmerican Asghalt
—
CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE 1189
A notary public or other of?cer completing this certi?cate veri?es only the identity of the individualwho signed the document to which this certi?cate is attached. and not the truth?llness accuracv. or validitv of that document.

State of California
County of
On 11/13/2025 me, .

Date Here Insert name and Title of the Of?cer
personally appeared J. Carlson and Michael F
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 hehshe/they executed the same in Mather/their authorized capacity(ies). and that by Nether/their KATHRYNMARCONI slgnature(s) on the instrument the person(s), or the entity upon behalf NotaryPublicCalifornia
2 of which the person(s) acted, executed the instrument.

C Riverside Sounty E °”'”"‘"°” ” 2490731 I certify under PENALTYOF PERJURY under the laws of the State of Comm.Ex ' Wes May . . . 21'2028 California that the forgorng paragraph IS true and correct.

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

Description of Attached Document
Title or Type of Document Non-Collusion Af?davit - City of Hemet Document Date 11,13/2025 Number of Pages One 1
Signer(s) Other Than Named Above: N/A
Capacity(ies) Claimed by Signer(s)
Signer's Name: Signer’s Name: Michael
:1 Individual :1 Individual
X Corporate Of?cer — Title(s): X Corporate Of?cer — Title(s) Secretarv I:I Partner D D Limited D General :1 Partner D a Limited 1::General in Attorney in Fact :1 Attorney in Fact
:1 Trustee Top of thumbhere D Trustee
T°P °f thumb here
1:: Other: :1 Other:

Signer is Representing Signer is Representing:

RIGHT THUMBPRINT RIGHT THUMBPR' NT OF SIGNER 0F S'GNER

19.G.

AVE --V
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 2023-24 STREET REHABILITATIONVARIOUS LOCATION Contract Price: 1:498’887-89 Date of Completion: 12/2024 Name, Address, and Telephone Number of Owner's Representative:

CITY OF MONTEREY PARK 320 W NEWMARKAVE, MONTERY PARK, CA 91754 Anthony Bendezu (626) 307-1320 [email protected] Project Name LOWER AZUSA ROAD STREET IMPROVEMENTS
Contract Price: 2,194,194-00 Date of Completion 12/2024 Name, Address, and Telephone Number of Owner's Representative:

CITY OF EL MONTE 11333 VALLEY BLVD, EL MONTE, CA 91731
KEVINKO 626-580-2058
project Name CITYWIDE STREET PAVEMENT REHAB PROJECT ST-2101-01 Contract Price; 14,236,11551 Date of Completion 7/2025
Name, Address, and Telephone Number of Owner's Representative CITY OF CORONA 400 S VICENTIA : CORONA, CA 92882
ISMAELRIVERA 951-736-2400
(Attach additional pages as necessary)

19.G.

2024

PASTWORKREFERENCES
mmensenQrivarsidecagov
[email protected]
sdelonch'mofrvinenrg
bchauQZOCESSUUEITE‘COm
[email protected]
CityofNorwalk
12700NorwalkBlvd.

Norwalk,CA90650
Contact:GlenW.C.Kau(562)929-
5723
CityofRiverside
3900MainSt.

Riverside,CA92522
Contact:MarkMesen(951)826-5311
LewisManagementCorporation
1156N.MountainAve.

Upland,CA91786
Contact:DanielCoburn(909)985-0971
CityofIrvine
1CivicCenterPlaza
Irvine,CA92606
Contact:StacyDelong(949)724-7365
CityofDuarte
1600HuntingtonDr.

Duarte,CA91010
Contact:BrianChau(626)357-7938
SB-1St.Improvement
ContractAmount:$8,965,842.76
StartDate:4/2023
EndDate:1/2024
HavenAvenueandFourthStreetimproveme
ContractAmount:$1,338,174.90nts
StartDate:6/2023
EndDate:7/2024
JamboreePavementRehabilitation
ContractAmount:$7,869,222.00
StartDate:6/2023
EndDate:12/2024
FY23-24StreetRehabilitation
Project24-3
ContractAmount:$1,199,199.00
StartDate:4/2024
EndDate:12/2024
LocalStreetsRehabProgramPhll
Zone19
ContractAmount:$7,869,222.00
StartDate:6/2023
EndDate:12/2024

19.G.

2024

PAS WORKREFERENCES
abendez?montemavkcagov
ThomassntiverosQLennancom
Kko@elmonteca,gov
[email protected]
[email protected]
CityofMontereyPark
320WNewmarkAve.

MontereyPark,CA91754
Contact:AnthonyBendezu(626)307-1283
LennarHomes
4140TemescalCanyonRD#410
Corona,CA.92883
Contact:TomOntiveros(951)817-3595
CityofElMonte
11333ValleyBlvd.

ElMonte. CA91731
Contact:KevinKo(626)580-2058
CityofCostaMesa
77 FairDrive
CostaMesa,CA92626
Contact:CristinaOquendo(714)754-5015
CityofCorona
400 S.VicentiaAve.

Corona,CA92882
Contact:IsmaelRivera(951)736-2400
2023-24StreetRehabilitationVariousLocations
ContractAmount:$1,498,887.89
StartDate:9/2023
EndDate:12/2024
GoetzRoadImprovements
ContractAmount:$1,322,050.15
StartDate:5/2024
EndDate:12/2024
LowerAzusaRDSt.Improvements
ContractAmount:$2,194,194.00
StartDate:5/2024
EndDate:12/2024
PlacentiaAve.W19"1St&E19‘hSt.Pavement
Rehabilitation22-08
ContractAmount:$2,745,547.20
StartDate:2/2023
EndDate:7/2024
CitywideStreetPavementRehabilitationProjectST
2101-01 - ContractAmount:$14,236,115.51
StartDate:12/2023
EndDate:7/2025

19.G.

2023

PAS WORKREFERENES
'thaiQe'r@lomalinda»ca,gov
[email protected]
spglle?erQavcmnm
’[email protected]
[email protected]‘gov
CityofLomaLinda
25541BartonRoad
LomaLinda,CA92354
ManhattanBeach,CA90266
Contact:JarbThaipejr(909)799-2811
EuclidLandVenture,LLC
4450MacarthurBlvd.,Ste 100
NewportBeach,CA 92693
Contact:ScottKendall(949)783-5341
CityofAlisoViejo
12JoumeySte#100
AlisoViejo,Va 92656
Contact:ShaunPelletier(949)425-2531
RMVRealty,lnc.
28811OrtegaHWY
San Juan Capistrano,CA92693
Contract:JeffFord(949)413-8899
CityofMontereyPark
320W.NewmarkAvenue
MontereyPark,CA91754
Contact:AnthonyBendezu(626)307-1283
PavementRehab.at VariousLocatio
ContractAmount:$1,476,363.00 ns
StaitDate:9/2023
EndDate:12/2023
MerrillAve.StreetWidening
ContractAmount:$915,915.00
StartDate:4/2022
EndDate:2/2023
FY22-23SlurrySeal&RehabProject
ContractAmount:$1,595,650.00
StartDate:5/2022
EndDate:5/2023
PA3.2AStreetImprovement
ContractAmount:$1,244,244.00
StartDate:4/2022
EndDate:8/2023
2023StreetRehabilitationProject
ContractAmount:$6,865,699.00
StartDate:8/2023
EndDate:12/2023

19.G.

2023

PASTWORKREFERENCES
JHernandez i1offullenonmm
[email protected]
mlampingQriversidecagov
bdavisQnemonbeachcagov
c?stina.oguendg@oostamesacagov
CityofFullerton BrookhurstRd.,SR91St.Rehab
303W.CommonwealthAve ContractAmount:$325,825.00
Fullerton,CA92632 StartDate:5/2023
Contact:JosephHemandez(714)773-0049 EndDate:12/2023
2023FallPavementRehabilitationProject
ContractAmount:354.569.222.00
StartDate:08/2023
EndDate:11/2023
CityofRiverside PermanentTrenchResurfacing
3900MainSt. ContractAmount:$455,150.00
Riverside,CA 92522 StartDate:1/2023
Contact:MariaLamping(951)826-5146 EndDate:6/2023
Chino&MontclairAreaVarioursRoadsOverlay CityofOntario ‘ . PFOJGCt 825EastThird Street ContractAmount:$5,639,575.88 San Bernardino,CA92415 StartDate'9/2022 Contact:SamuelE.Nicon'ci(909)387-7960 EndDate-“7,2023
CityofCostaMesa 32):?ParkwayMaintenanceSt.RehabSlurrySea l
27FtaIEVIDrlve CA92626 ContractAmount:$2,828,001.50
03 a esa, StartDate:1/2022 Contact:CristinaOquendo(714)754-5015 EndDate'7/2023 CityofOntario
303EastBStreet
Ontario,CA91764
Contact:LeonardLui(909)295-
2401

19.G.

2022

PASTWORKREFERENCES
bcardena manha?anbeach. ov
[email protected]
[email protected]
[email protected]
[email protected]
CityofManhattanBeach SlunySealofCentralAreaofSandsSection 1400HighlandAve. ContractAmount:$730,251.42
ManhattanBeach,CA90266 StartDate:12/2021
Contact:BiancaCardenas(310)802-5357 EndDate:7/2022
RMVRealty,Inc. PlanningArea3.1StreetImprovement
28811OrtegaHwy ContractAmount:$3,996,996.00
SanJuanCapistrano,CA92693 StartDate:4/2021
Contact:KellyHaymes EndDate:4/2022
CityofWestlakeVillage DalesDr.and ParkridgeAveStreetlmprov.Amou 31200OakCrestDr. $1,025,336.00 nt:

WestlakeVillage,CA91361 StartDate:5/2022
Contact:RoxanneHughes(805)890-8885 EndDate:6/2022
CityofBurbank LocalResidentialSt.lmprov.Project
275EOlive ContractAmount:$7,761,320.00
Burbank,CA91502 StartDate:1/2022
Contact:ArtinMegerdichian(818)238-3942 EndDate:12/2022
CityofHighland PavementManagementProgram
27215BaseLineSt. ContractAmount$2,082,099.00
Highland,CA92346 StartDate:10/2021
Contact:AmandaPerez(909)864-6861 EndDate:12/2022

19.G.

02.23%
V$Tgthfl‘5’ E i M9699*?
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DESIGNATION OF SUBCONTRACTORS
Name of Subcontractor Description and DIR Email
and Location of Place Percentage of Subcontractor’s Registration Address of Business Work License No. Number
CASEL/WD - Cl5 i@
SLAVLWYWGI'NMUM/$1 L?bm \000001933cagetaholé
oMNG’CIC/A' 2.28%
aims?ooszAN‘
27%L000 mooooozoe Wm BmOMlH9T0N/OA
CTI PARl’iMFDR,
«sue O I 8 5briommeju egrmol
’l 0 00000 LIZ 4,, . L/JcWM’QA ’lZH—‘Z, m1 CW
GLO6A’L—R0?? ’l'r‘léglobo lvootol
SEAN-N6 79768Ll looon/I‘ C‘m’
l
sTANWN .0A
(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE §4100 ETSEQ.)

19.G.

BIDDER CERTIFICATIONS

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

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

CERTIFICATION OF 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 COMPLIANCE WITH 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.

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

19.G.

0(Bidder/
//4 “4315” QC—

CERTIFICATION OF 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.

CERTIFICATION OF 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.

CERTIFICATION REGARDING DIR CONTRACTOR / SUBCONTRACTORREGISTRATION By my signature hereunder, as the Contractor, I certify that Contractor, and all listed Subcontractors are the subject of current and active contractor registrations pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code. Contractor’s registration number is[please complete] IOOOOO l 0 9i Subcontractors’ registration numbers are as indicated in Document 00 4314
BIDDER:
ll'l‘s —
ZK’
Signature Date Signature of Bidder Date
Edward J Carlson Vice President Michael Farkas. Secretarv Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate o?icersare required.)

19.G.

Kathgn Marconi,Notag Public
Edward Jr Carlson
Vice President
AllAmerican Asghalt AllAmerican Asghalt
CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189 A notary public or other of?cer completing this certi?cate veri?es only the identity of the individual who signed the document to which this certi?cate is attached. and not the truth?ilness. accuracv. or validitv of'that document.

State of California
County of Riverside
On 11/13/2025 before me, , Date Here Insert name and Title of the Of?cer personally appeared Edward J. Carlson and Michael Farkas Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that hekhe/they executed the same in higher/their authorized capacity(ies), and that by higher/their KATHRYN MARCONI signature(s)on the instrument the person(s),or the entity upon behalf NotaryPublic.California of which the person(s) acted, executed the Instrument.

RiversideCounty CCommisslon 5‘2490731 I certify under PENALTYOF PERJURY under the laws of the State of WW ExpiresMay21.2025 California that the forgoing paragraph is true and correct. of?cial
Place Notary Seal Above OPTIONAL
Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document.

Description of Attached Document
Title or Type of Document Bidder Certi?cations- City of Hemet Document Date: 11/13/2025 Number of Pages: TWO(2)
Signer(s) Other Than Named Above: N/A
Capacity(ies) Claimed by Signer(s)
Signer‘s Name: Signer's Name: Michael Farkas
:1 Individual u Individual
X Corporate Of?cer— Tit|e(S): x Corporate Of?cer— Title(s): M II! Partner D a Limited D General a Partner D E] Limited in General D Attorney in Fact :1 Attorney in Fact
1::Trustee Top of thumb here a Trustee
T°P °f thumb here
in Other: I: Other:

Signer is Representing Signer is Representing:

RIGHT THUMBPRINT RIGHT THUMBPRINT OF SIGNER

19.G.

APPNE DX1

19.G.

will not be resgonsible
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the 2024/25ClTYWlDESTREETREHABILITATION,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)1,2,3,4,5,6.7.8
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.

4.69% -J
nun.?umewnunu““an M?k£#*tat*ik‘km‘??ngi‘nm??t
' 2": L435"

BIDSCHEDULE
BASE BID - 2024/25CITYWIDE STREETREHABILITATION
CIP No. 2406

EXTENDED
'13:” DESCRIPTION UNIT ?zm?T?:RIIIIZTE ITEM
AMOUNT
MobilizationI Demobilization(notto exceed a? at; 1
5%) L3 1 lZ8,ooo 1281000
2 Temporarv Trafficand Pedestrian Control LS 1 ISOlmoaj ISO, ‘32. 3 Signing &Striping LS 1 ZCI.L135“
TemporaryConstruction Project Identification ' a .24 4
Sign LS 1 850 j 8 SO - 5 Water Quality Control LS 1 l .000 K:

FullDepthReclamationto pulverize,and
cement treat existing asphalt, aggregate base, ,5 g
6 and a portionof the subgrade soil to a depth of SF 283,000 Z*' 50g, 450

10.0“,RoughGrade,Stabilize,FineGrade,
Microcracking. MoistCured
0 7 cligrrrI‘gtenTemporary Pavement,Compact to 956 SF 3,500 LI63‘ I7:030 92- 8 Construction 4" ofA.C.pavement SF 309.000 .3“? 6133.300 ‘T'f 9 Grind and Overlav0.2' SF 10.600 3.9—3 53,00!) wSawcut,Remove,Compact and Construct or) at: 10 SmoothA.C.Slot Patch Transition SF 12’800 / - I021LIW
11 Adiustexisting manholerimto finish surface. EA 29 53 , [,R/) a 12 Adiustexisting gas valve to finish surface. EA 5 '. I71; Q” Fa.5’75 952 13 Adjust existing water valve to finish surface. EA 43 2l7 8 12 C50. 52R 9 14 Removeand Replace Type "A"Curband Gutter LF 40 H .1400 9—?— RemoveExisting and Construct Driveway 0 £
15 Approach Apron SF 260 LILIL II; 570
16 Installbluedot hydrant markerper COHstd. Q9 92
pm. No.W-700B EA 5 I5 75
Verify,Protect,Record,and Replace (If 00 w 17 Disturbed) centerlinesurface and subsurface EA 14 6’00"’ [2,6629 monuments
18 Removeand Replace Tvpe "B"Curb and Gutter LF 350 5/) 2.2 ZI, 000 a 19 Removeand Replace 4" ThickP.C.C.Sidewalk SF 1.310 20 9—0»_ EL, 20,) £ 20 Removeand Replace Curb Ramp EA 13 CI. 700‘” IZél 100 ‘39 InstallDetectableWarning Surface on Existing 92 2Q 21 Curb Ramp EA 8 II300 I01H00 RemoveExistingand Construct Spandrel and 2.0.. 85:
22 Cross Gutter SF 6’000 23 I39;M
Remove4" ExA.C.Pavement and Base. Proof 00 29
23 Rolland Compact Ex.Base to 95%Compaction SF 23’200 I 2 3/200 24 Replace Existing "Tvpe E“TrafficLoop EA 12 8’. 0! A 3-; 00 TOTAL BASE BID (numbers) Z, 570, 624 '-
ITEMS

19.G.

BASE BIDTOTAL (in words)
5" hundred. +uen++elx
Contractor's Initials
ADDITIVEA BID ITEMSTOTAL (in words) U / A
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 of the base bid schedule(s) only unless otherwise specified in the Notice Inviting Bids or by Addenda if issued to supersede the Notice Inviting Bids on this specific issue.

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

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

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

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

sgecialty 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. ltem 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.

4 //L w W W 1
FY
Complete the following:

Romero General Construction Corp
Legalname of the business, DIRReg. and Contractor License Nos.

Corporation
Business Type (Corporation, Partnership, Sole Proprietor) N/A
DBA(if any)
Marcus Nelson, CEO, Secretary
Name and title of the owner
Jeffrey Rohring, CFO
Name and title of second partner or officer
2150 N. Centre City Par ay, Suite l
— Escondido, CA 92026
Business Address
760-489—8412
Telephone number
760—466-2473
Facsimile number
Marcus Nelson - [email protected]
Name and Email address of primary contact
https://romerogc.com/
Company web address
l’l‘
lzl?/ of Bidder Date Bidder Date
Marcus Nelson CEO, Secreta Jeffrey Rohring, CFO
Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures corporate are required.)

19.G.

,9
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CERTIFICATEREGARDINGCONTRACTOR'SLICENSE

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

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

3. Contractor declares, under penalty of perjury, that he/she/it possesses the required Contractor's |icense(s) which:
a. Bears the license number(s) 657359
b. Expires on 10/31/2026
Signatu of Bidder of Date
Marcus Nelson, CEO, Secretary Jeffrey Rohring, CFO
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.

BIDSECURITYFORM FOR CHECK
NOTE: THEFOLLOWINGFORM 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 (5 N/A , this
amount being 10 percent (10%) of the total amount of the bid. This check shall be returned to the undersigned only if either of the following occurs:

A. ifsaid Bidshall be rejected by the Agency;
B. 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.

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

19.G.

n Wards)

BIDSECURITYFORM FOR BOND
KNOW ALLBYTHESEPRESENTS:

That the undersigned
(Name of Contractor)
as Principal and the undersigned as Surety are held and firmly bound unto Owner, CITYOF HEMET, a political subdivision of the State of California, as obligee, in the penal sum of (Dollar Amountl
Dollars (S l 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 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 day of 20
(Month)
(Corporate Seal) By
Principal
Bv
Surety
(Corporate Seal) By

19.G.

NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODE SECTION7106
NON—COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID The undersigned declares
Romero General Construction Corp.
1 am the CEO of the party making the
foregoing bid.

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

Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf ofthe 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 Escondido city], California
Signatu of Bidder Bidder Date
Marcus Nelson, CEO, Secretary Jeffrey Rohring, CFO
Print name and title Print name and title
(If the Bidder is a corporation, two signatures ofcorporate officersare required.)

19.G.

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

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

Project Name: AC Overlay 2404
Contract Price: $2,795,584.55 Date of Completion: 06/2025 Name, Address, and Telephone Number of Owner‘s Representative:

City of San Diego — 9573 Chesapeak Drive, San Diego, CA 92123 Rafael Sanchez, Resident Engineer 619—510-5451
Project Name San Vicente, 32nd Street, Hilltop
Contract Price: $3,727,736.35 Date of Completion: 03/2025 Name, Address, and Telephone Number of Owner‘sRepresentative:

City of San Diego - 9573 Chesapeak Drive,|San Diego, CA 92123 Teri Kipnis, Resident Engineer 619-385-3855
Project Name: AC Overlay 2503
Contract Price: $2,662,893.25 Date of Completion: 06/2025 Name, Address, and Telephone Number of Owner's Representative:

City of San Diego — 9573 Chesapeak Drive, San Diego, CA 92123 Frank AI-Shamas, Resident Engineer 619—417-8923
(Attach additional pages as necessary)

19.G.

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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
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Myst-m5 Ohm-.56 431748 ‘Dc?eml-cao
Corona, cAmzm L13,‘/
Cmd TNMP mC brranna?wc 7 7545(20 imzuzs anM 5p». 1+.

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Cl?d‘] Trump ma C-n?ndmg 754500
La l'l?b IcAlqoésl 0.7%
CaliFOquaBO??lonq TraFFmwas 1q3q07
En?l?c?fl?? . La Poen+¢,cA,Q\7qr 0.3/

0..er Company 5‘l'rlpln? 3746400
BlOOMcnglon,cA,Ll'
' 423%
/
Ca L 4 Sum . 56 an e,» Sun/:7 GM l Monuments LSLlll
oran?&(CAlq2668Ll yIomwel-IL':boa/mare) k
5 rmdas PH:

Com
«900377409
1022000304
10000015336/5110case
land suit/e“ («5
60M
(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE§4100 ETSEQ.)

19.G.

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BIDDERCERTIFICATIONS

TO BE EXECUTEDBYALLBIDDERSANDSUBMITTED WITH 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.

CERTIFICATION OF 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 ofthat 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.

CERTIFICATION OF 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.

CERTIFICATION OF 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
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.

063 ,
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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] 10000 16 Subcontractors' registration numbers are as indicated in Document 00 4314.

BIDDER:

Signature Bidder re of Bid Date
Marcus Nelson, CEO, Secretary Jeffrey Rohring, CFO
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures corporate are required.)

19.G.

nt In Words) Ten
5 /_\
negF. McMahon,

BIDSECURITYFORM FOR BOND
KNOW ALLBYTHESEPRESENTS:

That the undersigned
Romero General Construction Corp.
(Name of Contractor)
as Principal and the undersigned as Surety are held and firmly bound unto Owner, CITYO F
HEMET, a political subdivision of the State of California, as obligee, in the penal sum of My Amou Percent of Amount Bid
Dollars ( 10% I lawful money of the United States of America being at least ten percent (10%) of the aggregate amount of said Principal’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 SUCH that if the Bid submitted by the said Principal be accepted and the Contract be awarded to said Principal and said Principal shall within the required periods enter into the Contract so awarded and provide the required Construction Performance Bond, Construction Labor and Material Payment Bond, insurance certificates, and all other endorsements, forms, and documents required under the Instructions to Bidders, then this obligation shall be void, otherwise to remain in fullforce and effect.

IN WITNESSWHEREOF, the above bounden parties have executed this instrument this 12th day of November 202_5.
(Month)
Romero General Con n Corp
(Corporate Seal) By ~——— Pri Mart-d NLISM CEO
By Great Midwestl rance Company
Surety
(Corporate Seal) By
Lawre Attorney-in-Fact

19.G.

of?cer completing this the identity of the individual
accuracy idiiy
.
- JOHN FLORESML;
COMM.if 2476426
"01'kaPUBLIC' CAUFDRNIA G)
' SACRAMENTO COUNTV
J
" COMM.EXFIRESDEC.14,2027"I
who proved to me on the basis of satisfactory evidence
he the person(s) whose name(s) is/are subscribed to t
within instrument and acknowledged to me that he/she/th executed the same in his/her/their authorized capacity(ie that by his/her/thei
on(s), or the entity
d, executed the ins

ENALTYO ERJURY
fomia that foregoing
my
V K
Signature ‘ i E
CALIFORNIAALL-PURPOSE ACKNOWLEDGMENT Civil Code § 1189
A notary public or other certi?cate veri?es only who signed the document, to which this certi?cate is attached, and not the truthfulness, or val of that document.

STATE OF CALIFORNIA } County of San Diego
NOV1 2 2025 . On before me. John Flores JR , Notary Public, Date Insert Name of Notary exactly as it appears on the of?cial seal personally appeared Lawrence F. McMahon
Name(s) of Signer(s)
to
he
ey
s),
and r signature(s) on the instrument the
pers upon behalf of which the person(s)
acte trument.

I certify under P F P under the laws of
0 the State of Cali the paragraph is true
and correct.

Witness hand and official seal.

Place Notary Seal Above Signature Public

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

Description of Attached Document
Title or Type of Document:

Document Date Number of Pages:

Signer(s) Other Than Named Above:

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

Individual E] Individual
Corporate Officer —Title(s) El Corporate Officer —Tit|e(s):

Partner Limited General [I Partner Limited General
7 Attorney in Fact E] Attorney in Fact
Trustee E] Trustee
Guardian or Conservator Topofthumbhere I] Guardian or Conservator Topofthumbhere Other: |:| Other:

Signer is Representing: Signer is Representing:

RIGHTTHUMBPRINT RIGHTTHUMBPRI

OFNTSIGNER

19.G.

GreatMidwe Insur omp
of?ce
in Houston.TX.does
Sarah Myers, Janice
its other
writings

INSURANCE
Resolved, that the President, or any of?cer. be and hereby is, authorized to appoint and empower any representative ofthe Company 0H other person or persons as Attomey~ln-Factto execute on behalfof the Company any bonds.undertakings. policies contracts of indemnity or other writings obligatory in nature of a bond not to exceed One-Hundred Milliondollars ($100,000.000.DO). which the Company might execute through its duly elected ol?oers.and af?x the seal of the Company thereto. Any said execution of such documents by an Anomey-ln-Fact shall be as bind Ahomey-ln»
Feet of
Attorney
attorney
granted. | power
and so
executed be
valid
its
, ,&
say
that that
BY
' '
I,the undersigned, Secretary the
the originalPower ofAttorney of which
as set forth are now inforce.

Signed
"\
an
Secretary
“WARNING: claim
containing a
fraudulent

POWER OF ATTORNEY
st ance C any
KNOWALLMENBYTHESE PRESENTS, that GREAT MIDWESTINSURANCECOMPANY, a Texas Corporation, with its principal hereby constitute and appoint:

Martin, Maria Guise, Ryan Warnock, Lawrence F. McMahon, Maria Hallmark true and lawful Attorney(s)-In-Fact to make, execute, seal and deliver for, and on its behalf as surety, any and all bonds, undertakings or obligatory in nature of a bond.

This authority is made under and by the authority of a resolution which was passed by the Board of Directors of GREAT MIDWEST COMPANY, on the 1Stday of April,2025 as follows:
ing upon the Company as ifthey had been duly executed and acknowledged by the regularly elected of?cers of the Company. Any so appointed, may be removed in the Company’s sole discretion and the authority so granted may be revoked as speci?ed in the Power Resolved, that the signature of the President and the seal of the Company may be af?xed by electronic mail on any power of and the signature of the Secretary, and the sea of the Company may be af?xed by electronic mail to any certi?cate of any such any such power or certi?cate bearing such electronic signature and seal shall be valid and binding on the Company. Any such power and sealed and certi?cate so executed and sealed shall, with respect to any bond of undertaking to which it is attached, continue to and binding on the Company
INWITNESS THEREOF, GREAT MIDWEST INSURANCE COMPANY, has caused this instrument to be signed by its President, and Corporate Seal to be af?xed this 8th day of April,2025.

GREAT MIDWEST INSURANCE COMPANY

CORPORATESEAL
Mark W. Haushill
President

ACKNOWLEDGEMENT
On this 8th day of April 2025, before me, personally came Mark W. Haushill to me known, who being duly sworn, did depose and he isthe President of GREAT MIDWESTINSURANCE COMPANY, the corporation described in and which executed the above instrument; he executed said instrument on behalf of the corporation by authority of his of?ce under the By—Iawsofsaid corporation

GHRISTINABISHOP
MyNotaryIDif131090488
ExpiesApril14.2029

CERTIFICATE
of GREAT MIDWEST INSURANCE COMPANY, A Texas Insurance Company, DO HEREBYCERTIFY the foregoing is a true and correct copy, is in fullforce and effect and has not been revoked and the resolutions and Sealed at Houston, TXthis 12th Day of November 2025

CORPORATE SEAL BY
Patricia
Any person who knowingly and with intent to defraud any insurance company or other person, files and application for insurance of 'any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits Insurance act, whlch Is a crime and subjects such person to criminal and civll penalties.

Christina Bisho
Notary Public

19.G.

executed
shun-lentt
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVILCODE § 1189
A notary public or other officer completingthis certificate verifies only the identity of the individualwho signed the document to whichthis certificateis attached, and not the truthfulness, accuracy, or validityof that document.

State of California
County of
On before me,
Date Insert Name Title of the 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 the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the in he 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.

KELLYMMHGW W'TNESS my hand and official seal.

Notary Public- California
SanDiegoCounty
Commission l?2481024
Comm.ExpiresFeb19, 2028 Signature
Signature of Notary Public
Place Notary Seal Above

OPTIONAL
Though this section is optional, completing this informationcan 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 Officer — Title(s) Corporate Officer — Title(s):

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

Signer ls Representing: Signer ls Representing:
@2014 NationalNotary Association- www.NationalNotary.org - 1-800-USNOTARY(1-800-876-6827) item#5907 I
(Hm Pté”c
.
[com

19.G.

AP ENDIX1

19.G.

the a]
ill? a" .sggé
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, isfamiliar with the plans, specifications, Contract Documents (particularly as delineated above) and the requirements ofthe 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 ir propos Contractor acknowledges receipt of Addenda No.(s) 9
The undersigned has examined the current State of California schedule of prevailing wage rates for the types of work to be done on this project (and the Davis-Bacon Act if the Agency uses federal funds for the Project) and agrees to pay not lessthan these rates.

19.G.

Cty met
11/13/25. 3:04 PM Q&A for 2024/25 Citywide Street Rehabilitiation - CIP 2406 i o e e
2024/25 Citywide Street Rehabilitiation — CIP 2406
(MA Deadline 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 list forthe city of Hemet, or iwillbe handled separately by the City for a separate bid or through the general contractor.

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

Set 2 Released via Addendum 210/27/2025 8:44 AM(PST)- 1 question

2.1 Can you please providean engineer's estimate?
Answer Adopted CIP budget for construction is $2,076,214.

Set 3 Released via Addendum 3 10/27/202512:44 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, whichtakes time to cure. Therefore, the street willneed to remain closed to allowthe cement to cure. This means the road surface willbe 4"below grade untilthe cement has fullycured.

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 providedaccess to residents/businesses, but there were signs “Closedto 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 all times.

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 paving Answer Since a railroad permit is not required for vehiclesto pass over, a permit willnot be required for your vehicles to pass over either. However, equipment and trucks should https://vendors.planetbids.com/portal/39477/bo/bo-detail/135073# Page 306 of 382 1/

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11/13/25, 3:04 PM 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

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.

Answer The cement content is to be determined by the contractor‘s geotechnical consultant, which is typically between 8—6%.

Set 5 Released via Addendum 5 11/04/2025 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' Grindand Overlay per 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 Releasedvia Addendum 6 11/12/2025 1:28 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 itspecify the required curing time. This lack of information prevents us from accurately bidding the work.Ifwe provide our 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. Ifthis percentage changes after grading, we can adjust the amount. Without a 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 providethe cost for the worst case scenario and then we can adjust ifit is less after the geotechnical recommendation is provided.

Set 7 Released via Addendum711/12/2025 3:45 PM (PST) — 1 question

7.1 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. Is the City's intent to remove ac/base/subgrade, stockpile, process subgrade, import 6" pulverizedmaterial 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. https:llvendors.planetbids.com/portal/s9477/bo/bo-detail/135073# Page 307 of 382 2/3

19.G.

VL"
my! vgndgrla: 99m
11/13/25. 3:04 PM Q&Afor 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 pulverizingand 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 Bid Item 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.

Answer We have an incorrect labeling of CN1 and CN15. On sheet 8 of10, 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)

8.2 Idon't see a structural section in the plans that match 'ltem 23 - Remove 4"AC. Pavement and Base. Proof Roll and Compact Ex. Base to 95% Compaction — 23,600 SF'.Construction Note 16 callsthat 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 biditem 23)

ENDORLINE

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19.G.

: _ _ an
1 3200000
‘
w
\
\
Smooth Transition
Adjust existinuasvalve‘0 ‘
,
Adjustadding (0 ?nish ,
OWL
Replace
.C.C. a
\
Cross Gutter
Compact m Compaction A _ ,
'Type E"Traf?cLoop 1 ‘8,
(numbers) , ‘7, 2‘
anwnmnn-amna .nmmmnm
ITEM
No
16 17
18 19
20 21
22 23
24 BIDSCHEDULE
BASEBID- 2024/25CITYWIDESTREETREHABILITATION
CIP No. 2406

ESTIMATED

DESCRIPTION UNIT QUANTITY
MobilizationIDemobilization(notto exceed
5%)
L8 1
Temporary Traf?cand PedestrianControl LS 1
Siunino8.Striping L8 1
TemporaryConstructionProjectIdenti?cation
Sign LS 1
WaterQuality Control L8 1
FullDepthReclamationto pulverize,and
cementtreat existing asphalt, aggregate base,
and a portionofthe subgrade soilto a depth of SF 283,000

10.0",RoughGrade, Stabilize,FineGrade,
Microcracking. MoistCured
RemoveTemporaryPavement, Compactto 95%
Compact
SF 3,500
Construction4" ofA.C.pavement SF 309.000
Grindand Overlay 02' SF 10.600
Sawcut,Remove,Compact andConstruct
A.C.SlotPatch SF 123°"
Adiustexisting manholerimto ?nish surface.
,, EA 29
?nish surface. EA 5
water valve surface. EA 43
Removeand Replace Type "A"CurbandGutter?LF 40
RemoveExistingandConstructDriveway SF 260
Approach Apron
Installbluedot hydrantmarkerperCOHstd. EA 5
No.W-7OOB
Verify,Protect,Record,and Replace(If
Disturbed)centerlinesurfaceand subsurface EA 14
monuments
Removeand Type "B“Curb andGutter LF 350
Removeand Replace 4"ThickP Sidewalk SF 1.310
RemoveandReplace CurbRamp 7 EA 13
InstallDetectableWarningSurfaceon Existing EA 8
CurbRamp
RemoveExistingandConstruct Spandreland SF 6,000
Remove 4" ExA.C.Pavement and Base. Proof
Rolland Ex.Base 95% SF 23'2“
Replace Existing EA 12

TOTAL BASEBID
ITEMS
UNIT
PRICE
IQT’OOOJO
c0.0731000
II‘I.OO
90-60
[5. 75
4:15.“
“3-95
Illno
5,300.00
£32.50

36.525

EXTENDED
ITEM
AMOUNT
'?’M-OO
000-00
H.5LO.ao
5,350.00
'78-’75
[3’930459

31.84150
I‘I..26“I-o°
(31400.00
5’HLO.

OOan) $00.00
1 5'1 Ql'l.
32,000.00
2,500.00 2,500.00
16,000.00 16,000.00

2.60 735,800.00

20.00 70,000.00

3.00 927,000.00

3.50 5/,10000

4.30 55,040.00
1,700.00 49,500.00
1700 00 8500.00
408.00 17,544.00
1_15 26,680.00
682.50 190.00

19.G.

M
)l'uvomilliongm humdrOJ $5,“ #d?and
BASE BIDTOTAL (in words , elawhdn WM 4]) W? (MB
Contractor's Initials
ADDITIVEABIDITEMSTOTAL(inwords) ‘ZQN Jplltrs andW0 (2005 Contractor's Initials
In the event of a variation between the unit price and extended total, the unit price will be used and the corrected extension willbe considered as the amount bid. lfthe bid is illegible and cannot be reconciled it will be considered non-responsive and will not be considered for award.

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

For a Contract where a deductive bid schedule is called for, the lowest bid will be determined by the total ofall 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.

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

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

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

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.

, de, nljofEma
x ' j/ZW /20/25 M /20/
yé U
Complete the following:

NOBLE COMPANY, 1000004235, 782908
Legal name of the business, DIRReg. and Contractor License Nos Business Address
Telephone number
Facsimile number
Name and Emailaddress of primary contact
Company web address
Signature of Date Signatu er Date
Print name and title Print name and title
(If the Bidder is a corporation two signatures ofcorporate o?icersare required.)

CORPORATION
714—637—1550
714-637—6321
IENNIFERDEIONGH ienniferdeiongthDrinoblecompanv.com
www.rjnob1ecompany.com
11 STEVEN L. MENDOZA, VICE PRESIDENT
X 11
IENNIFERM. VEGA, SECRETARY
25 Business Type (Corporation, Partnership, Sole Proprietor) DBA(ifanv)

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

19.G.

0 ,
on“
Bi der ?
XMH /20/25

CERTIFICATEREGARDINGCONTRACTOR'SLICENSE

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

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

3. Contractor declares, under penalty of perjury, that he/she/itpossesses the required Contractor's license(s) which:
a. Bears the license number(s):
b. Expires on:

Signature of Date Signature Bidder Date
Print name and title Print name and title
(If the 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 will be final.
782908
08/3 1/2026
X 11/20/25 1
1 MENDOZA, VICE PRESIDENT M. VEGA, SECRETARY

19.G.

(S
3;"
Bidz?r

BIDSECURITYFORM FORCHECK
NOTE: THE FOLLOWINGFORM SHALLBE USED INTHE CASEOF CHECKACCOM NYINGBID Accompanying this proposal is a Certified Check or Cashier’sCheck paya to the order of the City of Hemet, hereinafter referred to as "Agency", for dollars , this
amount being 10 percent (10%) of the total amount of the bid is 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 Agen nd the Undersigned shall execute and deliver a Contract in the form attached hereto perly completed in accordance with said Bid ) and shallfurnish bonds required for /itsfaithful performance of said Contract and for the payment of all persons rming labor or furnishing materials in connection therewith, and shall in all other spects perform the Contract created by acceptance of said Bid.

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

Said check shall also becom the property of the Agency if the Undersigned shall withdraw his/her/itsbid within the of sixty (60) calendar days after the date set for the opening thereof, unless otherwis required by law, and notwithstanding the award of the Contract to another bidder
Signature of Bidder Date Signature of Bidder Date
Print name title Print name and title
(If the is a corporation, two signatures ofcorporate o?‘icersare required.)

19.G.

'/ Wg_/
STE
ety 11y

BIDSECURITYFORM FORBOND

KNOW ALLBYTHESEPRESENTS
That the undersigned
RJ. NOBLE COMPANY
(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 IDollar Amount In WordsI Ten Percent of the Amount Bid
Dollars ($ 10% lawful money of the United States of America being at least ten percent (10%) of the aggregate amount of said Principal’s base Bid,for the payment of which, well and truly to be made, we bind ourselves, our successors, executors, administrators, and assigns, jointly and severally, firmly by these presents.

WHEREAS,said Principal is submitting a Bid for 2024/25CITYWIDESTREETREHABILITATION, 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 shallwithin the required periods enter into the Contract so awarded and provide the required Construction Performance Bond, Construction Labor and Material Payment Bond, insurance certificates, and all other endorsements, forms, and documents required under the Instructions to Bidders, then this obligation shall be void, otherwise to remain in full force and effect.

IN WITNESS WHEREOF, the above bounden parties have executed this instrument this 29th day of October 2025,
(Month)
Principal: RJ. NOBLE COMPANY
(Corporate Seal) By X
Princip L. MENDOZA, VICE PRESIDEN
T
BY
Sur Vincent, Attorney—in-Fact
(Corporate Seal) By Surety: Western Surety Company

19.G.

?x
to the within inskmment and acknowledged ‘0 me that hemmexecmed the same in his/WK aumorized capacitym?. and met by hismerBéX signaturem on the instrument the persona). or the entity 1 “m JADELM”OHM
Noury Fubllc- Cililumia I
g 2 Orange (nunzy
» I CummissionI 1‘86731 ] MyComm.ExplvesAn!12.201! [
CALIFORNIA ACKNOWLEDGMENT CIVILCODE § 1189
Anotary publicor other of?cercompletingthis certificateverifiesonlythe identity ofthe individualwhosigned the document to whichthis certi?cate is attached, and not the truthfulness.accuracy.or validityof that document.

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

WITNESS my hand and of?cial seal.

Signature
Signature of Notary Public

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

Description of Attached Document
Title or Type of Document:

Document Date:

Signer(s) Other Than Named Above:

Capacity?es) Claimed by Signer(s)
Signer’s Name:
[3 Corporate Of?cer - Title(s):
l:I Partner— Cl Limited D General
El Individual El Attorney in Fact
El Trustee El Guardian or Conservator
El Other:

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

Signer's Name:

El Corporate Of?cer — Tit|e(s):

El Partner— El Limited El General
D Individual E] Attorney in Fact
I3 Trustee D Guardian or Conservator
El Other:

Signer is Representing
ORANGE
11/20/25 IADELINPIOHIA, NOTARY PUBLIC
L. MENDOZA
who proved to me on the basis of satisfactory evidence to be the person whose name is/ subscribed upon behalf of which the person acted. executed the instrument.

19.G.

ALL- PURP E

ERTIFI TE OFA KN WLEDGMENT
m??a/ Ji" «1013'
N Public Signature W
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DOCUM
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dmuiption
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C CA C O
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 Orange
On before me, Susan E. Morales, Notary Public ,
personally appeared Kelly Vincent
?e of?cer)
who proved to me on the basis of satisfactory evidence to be the personfe) whose name(e) isfafe subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/t-heir authorized capacityfies), and that by his/heri‘t-heifsignature(e) on the instrument the person(s-), or the entity upon behalf of which the personfs) 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 officialseal
otary

ADDITIONAL OPTIONAL INFORMATION

DESCRIPTIONOFTHEATTACHED ENT
(Titleor ofattached
(Titleor ofattacheddocumentcontinued)
Numberof Pages Document

CAPACITY CLAIMED BY THE SIGNER
Individual (5)
Corporate Officer
(Title)
Partner(s)
IX!Attorney-in-Fact
Trustee(s)
Other
(Notary Public Seal)

INSTRUCTIONS FOR COMPLETING THIS FORM
Thisformcomplies with current Californiastatutes regarding notary wording and, ifneeded, should be completed and attached to the document. Acknolivedgents?om other states may be completedfor documents being sent to that state so long as the wording does not require the Californianotary to violate Californianotary law 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 notan'zationmust 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 commissionfollowed by a comma and then your title (notary public) Print the name(s) of document signer(s) who personally appear at the time of notarlzation
Indicate the correct singular or plural forms by crossing off incorrect forms (i e he/she/theyr is/ai=e)or circling the correct forms Failureto 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, otherwise complete a different acknowledgment form Signature of the notary public must match the signature on file with the of?ce of the county clerk
'1' Additional infonnation is not required but could help to ensure this acknowledgment is not misused or attached to a different document '2' 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) Securely attach this document to the signed document with a staple ETC‘I
SUSANE.MORALES
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MYCOMMExpiresApril14, 2027
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NOTARYPUBLIC-CALIFORNIA0
_\
2015 Version www.NotaryClasses.com 800-873—

19.G.

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rnSuretyCompany

POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation having its principalof?ce in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby make, constitute and appoint David S Jacobson, Kelly Vincent, Individually
of Anaheim, CA, its true and law?Jl Attorney(s)-in-Fact with full power and authority hereby conferred to sign,seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature
- In Unlimited Amounts -
and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney, pursuant to the authority hereby given, are hereby rati?ed and continued.

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

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

WESTERN SURETY COMPANY
Larry Kasten, Vice President
State of SouthDakota }
County of Minnehaha
SS
On this 29th day of July, 2024, before me personally came Larry Kasten, to me known, who, being by me duly sworn, did depose and say: that he residesin the City of Sioux Falls, State of South Dakota; that he is a Vice President of WESTERN SURETY COMPANY describedin andwhich executed the above instrument; that he knows the seal of said corporation;that the seal af?xed to the said instrument is such corporate seal; that it was so af?xed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporation.

My commissionexpires
March 2, 2026
+ Ma M. Bent, Notary Public

CERTIFICATE
1, Paula Kolsrud, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force, and fy th Law an below this certi?cate are still in force. In testimony whereof I have hereunto subscribedmy name thes saidco dayof

WESTERN SURETY COMPANY
Qt 11W VWQDJ‘
LU? Paula Kolsrud, AssistantSecretary
Authorizing By-Laws and Resolutions

ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY
This Power of Attorney is made and executed pursuant to and by authority of the following By-Law duly adopted by the shareholders of the Company Section7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, and Assistant Secretary, Treasurer, or any Vice President, or by such other officers as the Board of Directors may authorize. The President, any Vice President,Secretary, any Assistant Secretary, or the Treasurer may appointAttorneys in Fact or agents who shall have authority to issue bonds, policies,or undertaking s
in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such of?cer and the corporate seal may be printed by facsimile.

This Power of Attorney is signed by Larry Kasten, Vice President, who has been authorized pursuant to the above Bylaw to execute power of attorneys on behalf of Western Surety Company
This Power of Attorney may be signed by digital signature and sealed by a digital or otherwise electronic-formatted corporate seal under and by the authorityof the following Resolutionadoptedby the Board of Directors of the Company by unanimouswritten consent dated the 27Illday of April, 2022:
“RESOLVED: That it is in the best interest of the Company to periodically ratify and con?rm any corporate documents signed by digital signatures and to ratify and confirm the use of a digital or otherwise electronic-formatted corporate seal, each to be considered the act and deed of the Company.” Go to www.cnasureQucom> Owner / Obligee Services > Validate Bond Coverage, if you want to verify bond authenticity.

Form F4280-6-2023 Page 318 of 382

19.G.

ORANGE [city], CALIFORNIA
\
[state].

RJVNOBLE COMPANY
of Edd O re‘lof Bidder

NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODE SECTION7106

NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID I am the of , the party making the
foregoing bid.

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

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

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on date], at Signature er Date Signatu Date
Print name and title Print name and title
(If the Bidder is a corporation, two signatures ofcorporate officersare required.) The undersigned declares: STEVEN L. MENDOZA

VICE PRESIDENT
11/20/25
X 11/20/25 X 11/20/
25 STEVEN L. MENDOZA, VICE PRESIDENT M VEG SECRETARY

19.G.

}

IADELINPIOHIA, NOTARY PUBLIC
XX
to the within insxrumem and acknowledged to me that heKFeMéXexecuted the same in his/W authorized capacityl?? and that by his?m signaiuleob on the instrument the personm,or the enmy CALIFORNIA ACKNOWLEDGMENT CIVILCODE § 1189
Anotary publicorother of?cercompletingthis certificateveri?es onlythe identityofthe individualwhosigned the document to whichthis certi?cate is attached.and not the truthfulness.accuracy.orvalidityofthat document.

State of California
County of
On before me, , Date Here Insert Name and Title of the Of?cer personally appeared
Name(s) of Signer(s)
I certify under PENALTY OF PERJURY under the
laws of the State of California that the foregoing
JADELINPIOHIA ‘ r h d .
: NotaryPublic. California
2 parag ap IS true an correct
g Oran C 2 . . Commiss?fn 53mm: WITNESS my hand and of‘flClalseal.

Comm.ExpiresApr 12, 2028
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 of Pages:

Signer(s) Other Than Named Above:

Capacity?es) Claimed by Signerls)
Signer's Name: Signer’s Name:

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

Cl Partner— III Limited C] General [:1 Partner— El Limited El General El Individual E] Attorney in Fact D Individual E] Attorney in Fact El Trustee El Guardian or Conservator El Trustee El Guardian or Conservator El Other: El Other:

Signer is Representing: Signer is Representing:
@2019 National Notary Association
11/20/25
who proved to me on the basis of satisfactory evidence to be the person whose name is/ subscribed upon behalf of which the person acted. executed the instrument.

19.G.

H
to the within instrumem and acknowledged to me thatXlKlsheM?Xexecutedthe same inmher??x authorized capacity“ and met by Wham signaxurem on the instrument the personm or the entity CALIFORNIA ACKNOWLEDGMENT CIVILCODE § 1189
Anotary publicor other of?cer completing this certificateverifiesonlythe identityofthe individualwho signed the document to whichthis certi?cate is attached.and not the truthfulness.accuracy.or validityofthat document.

State of California } County of
On before me,
Date Here Insert Name and Title of the Of?cer
personally appeared
Name(s) of Signer(s)
I certify under PENALTYOF PERJURY under the
JADEUN”OHM
laws of the State of California that the foregoing
; NotaryPublic- California paragraph is true and correct.

E OrangeCounty
Commission#2486732 WITNESS my hand and of?cial seal.

Comm.ExpiresApr 12, 2028
Signature
Place Notary Seal and/or Stamp Above Signature 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:

C] Corporate Of?cer — Titlels): El Corporate Of?cer — Titlels):
l:I Partner— El Limited D General [:I Partner— El Limited D General El Individual D Attorney in Fact El Individual El Attorney in Fact E! Trustee El Guardian or Conservator El Trustee El Guardian or Conservator 1:!Other: El Other:

Signer is Representing: Signer is Representing:
@2019 National Notary Association
ORANGE
11/20/25 IADELINPIOHIA, NOTARY PUBLIC
M. VEGA
who proved to me on the basis of satisfactory evidence to be the person whose name is/ subscribed upon behalf of which the person acted. executed the instrument.

19.G.

2023/ 24 CDBG RE
Date
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:

Contract Price Date of Completion
Contract Price: of Comp
Project Name:

Co Date of Compl
Name, Address, and Telephone Number of Owner's Representative:
(Attach additional pages as necessary)
BANNING AVENUE STREET IMPTS CC-1711
$3,487,004.00 APRIL 2024
GTON BEACH CA 92648
IOEFUENTES CM, [email protected] 714-536—5259
$1,213,545.00
RAUL LEYVA CM, [email protected] 714-741—58385
REHABILITATION & RESURFACUNG HEIL AVE FROM EUCLID ST TO HARBOR BLVD 8: WARD ST CITY OF FOUNTAIN VALLEY 10200 SLATER AVENUE FOUNTAIN VALLEY, CA 92708 [email protected] 714-593-4433
Name, Address, and Telephone Number of Owner's Representative:

BEACH 2000 MAIN STREET HUNTIN
Project Name: SIDENTIAL REHABILITATIONCP 1362023
2024
Name, Address, and Telephone Number of Owner's Representative:

GROVE 11222 ACACIA PARKWAY GARDEN GROVE, CA 92842
$1,738,521.88 2024

19.G.

I
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EASELAND SURVEYING
‘14N. ECKHOFF STREET
)RANGE, CA 92868

MILLER EQUIPMENTCO
PO. BOX 2956
LANCASTER, CA 93539

GLOBALROAD SEALING
10641 SYCAMOREAVE
STANTON, CA 90680
SURVEY

CEMENT TREAT
LOOPS
LS 5411
831682
757584
1000001533
1000013753
1000007714
Case Estimating
<estimating@
dsurveying.com> caselan
john@millereqco. com
tri@
globalroadsealing com

DESIGNATIONOF SUBCONTRACI'ORS
Name of Subcontractor Description and DIR Email
and Location of Place Percentage of Subcontractor’5 Registration Address of Business Work License No. Number
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7 .6%
0 - 3%
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(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE §4100 ETSEQ.)

19.G.

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BIDDERCERTIFICATIONS

TO BEEXECUTEDBYALLBIDDERSAND SUBMITTED WITH 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
Bymy 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), 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] Subcontractors’ registration numbers are as indicated in Document 00 4314
BIDDER:

Signature of Date Signatu of Bidder Date
Print name and title Print name and title
(If the Bidder is a corporation, two signatures ofcorporate of?cersare required.) 1000004235
X 11/20/25 X 11/20/
25 STEVEN L. MENDOZA, VICE PRESIDENT IENNIFER M. VEGA. SECRETARY

19.G.

CONTRACTORS

STATE LICENSE BOARD

ACTIVELICENSE
Pasnga gum-mm x: mm Star: Lnen?u
c memoCA
nausea Signalura (
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mum-Inne- w.m782908 m CORP
mum R J NOBLECOMPANY
Wind-IA C12
em a... 08/31/2026 www.cslb.ca.gov
Any change of business address/name must be reported to meMgistrar within 90 days This license is not nnsferrable. and shall be maimed In the Registrar upon demand when suspended. revoked. or lnvalidamdfor any mason. This pocket card is valid through ?re expiration date only. iffound, drop in any mailbox
y: Can Board PO Box 95826

19.G.

CYIT OF HEMET

R VERS DECOUNTY, CALFORN A

B D AND CONTRACTDOCUMENTS
2024/25C TYW DESTREETREHABLTAT ON
CAP TAL MPROVEMENTPROJECTNO. 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.

APPENDX1

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.(s 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-Bacon Act if the Agency uses federal funds for the Project) and agrees to pay not less than these rates.

19.G.

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BIDSCHEDULE
BASE BID- 2024/25CITYWIDESTREETREHABILITATION
CIP No. 2406

ITEM ESTIMATED
No

DESCRIPTION UNIT QUANTITY
1 MobilizationI Demobilization(notto exceed L8 1
0 5/o)
2 Temporary Trafficand PedestrianControl LS
3 Signing &Striping LS 1
4 Temporary Construction ProjectIdentification L8 1
Sign
5 Water Quality Control LS 1
FullDepthReclamationto pulverize,and
cementtreat existing asphalt, aggregate base,
6 and a portion ofthe subgrade soilto a depth of SF 283,000

10.0",Rough Grade, Stabilize,FineGrade,
Microcracking. MoistCured
7 Remove Temporary Pavement, Compact to 95% SF 3500 Compact 8 Construction 4" of A.C.pavement SF 309,000
9 Grind and Overlav02' SF 10,600
Sawcut, Remove,Compact and Construct 10 Smooth A.C.Slot PatchTransition SF 12’800 11 Adiustexisting manholerimto finish surface. EA 29
12 Adiustexisting gas valve to finish surface. EA 5
13 Adjust existing watervalveto finish surface. EA 43
14 Remove and Replace Type "A"Curb and Gutter LF 40
15 Remove Existing and Construct Driveway SF 260
Approach Apron
16 Installblue dot hydrantmarker per COHstd. EA 5
Dwg. No.W-7OOB
Verify, Protect, Record,and Replace (If
17 Disturbed) centerline surface and subsurface EA 14
monuments
18 Remove and Replace Type "B"Curb and Gutter LF 350
19 Remove and Replace 4"ThickP.C.C.Sidewalk SF 1.310
20 Remove and Replace CurbRamp EA 13
21 InstallDetectableWarningSurface on Existing EA 8
Curb Ramp
22 Remove Existing and Construct Spandrel and SF 6,000 Cross Gutter Remove 4" ExA.C.Pavement and Base. Proof
23 Rolland Compact Ex.Base to 95%Co SF 23’200
24 Replace Existing "Type E“TrafficLoop EA 12
TOTAL BASEBID(numbers)
*MM******************************* 0 BASE BID ITEMS
UNIT
PRICE

EXTENDE
D ITEM
AMOUNT

19.G.

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BASEBIDTOTAL (in words)
Contractor's Initials D-S
ADDITIVEA BID ITEMSTOTAL (in words)
Contractor's Initials D.S
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 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 irregularitylies), and to take all bids under advisement for a period of sixty (60) calendar days after the date the bids are publicly opened. Bidder acknowledges that all costs incurred as a result of preparing the proposal shall be the sole responsibility of Bidder. The Notice Inviting Bids and Instructions to Bidder s does not create or impose any obligation upon the Agency to enter into a contract.

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

19.G.

sge algy 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.

wead
Complete the following:

DASH Construction Company, Inc 1000027444 869505
Legal name of the business, DIRReg. and Contractor License Nos S Corporation
Business Type (Corporation, Partnership, Sole Proprietor) DBA(if any)
Dariush Shahnavaz President
Name and title of the owner Majid Hajizadeh Vice President Name and title of second partner or officer
6320 Canoga Ave., Suite 220 Woodland Hills,CA 91367
Business Address
(818)274—8097
Telephone number
N/A
Facsimile number
[email protected]
Name and Email address of primary contact
dashconstructioncompany.com
Company ress
11/19/2025 M. 11/19/2025
Signature of Bidder Date Signature Date
Dariush Shahnavaz, President Majid Hajizadeh, Vice President Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate o?‘icersare required.)

19.G.

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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): 869505
ires on 08/31/2027
11/19/2025 11/19/2025
Signature of Bidder Signature of Date
Majid Hajizadeh , Vice President
0‘
Dariush Shahnavaz, President
Print name and title Print name and title
(if the Bidder is a corporation two signatures ofcorporate officersare required.) This required license determination has been made by the Agency. Any Contractor holding a different license who feels he is qualified to bid on this work must so advise the Agency at least seven (7) days prior to the bid opening. The Agency may conduct a review of the contemplated work to re-evaluate the required license determination. The Agency may in its sole discretion maintain or change the required license determination; Agency’s decision as to the required be final.

19.G.

CO MPANY

BIDSECURITYFORM FOR BOND
KNOWALLBYTHESEPRESENTS:

That the undersigned

DASH CONSTRUCTION COMPANY INC
I (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 (DLllal Amount In Words) Ten Percent Total Amount Bid----
Dollars(S 10% of Bid lawful money of the United States of America being at least ten percent (10%) of the aggregate amount of said Principal’s base Bid,for the payment of which, well and truly to be made, we bind ourselves, our successors, executors, administrators, and assigns, jointly and severally, firmly by these presents.

WHEREAS,said Principal is submitting a Bidfor 2024/25CITYWIDESTREETREHABILITATION, 2406
THE CONDITION OF THIS OBLIGATIONlS SUCH that if the Bid submitted by the said Principal be accepted and the Contract be awarded to said Principal and said Principal shallwithin the required periods enter into the Contract so awarded and provide the required Construction Performance Bond, Construction Labor and Material Payment Bond, insurance certificates, and all other endorsements, forms, and documents required under the Instructions to Bidders, then this obligation shall be void, otherwise to remain in full force and effect.

IN WITNESSWHEREOF, the above bounden parties have executed this instrument this 12th day of November 2025.
(Month)

DASH INC
(Corporate Seal) By
Principal Dari
Developers Surety and Indemnity Company
BY
Surety Rebecca Haas-Bates, Attorney-in-Fact
{Corporate Seal) By M
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19.G.

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

State of California
County of L952@5165 )
On l before me,
4 (insert name and title the officer)
personally appeared
who proved to me on the basis of satisfactory evidence to be the 3) whose me(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 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 (Seal)

JMLENEMEDINA
ElnimW 15, 202

19.G.

instrument wledged to executed
pac?ym. h?slher/meir skrument t
Signatu
Rebecca Haas-Bales
Representin
DevelopersSurety and Indemnky Company
CAL FORM A 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 whichthis certificate is attached, and not the truthfulness. accuracy, or validity ofthat document.

State of California )
County of Orange )
On 11/12/2025 before me, A. Lamontagne. Notary Public
Date Here Insert Name and Title of the Of?cer
personally appeared Rebecca Haas-Bates
NameMofSigner(st
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s). is/are subscribed to the within and ackno me that he/she/they the same i his/her/theirauthorized ca and that by signaturelstonthe in he persona),n or the entity upon behalf of which the person(s) acted, executed the instrument. l certify under PENALTYOF PERJURY under the laws
of the State of California that the foregoing paragraph A. LAMONTAGNE is true and correct.

NotaryPublic- California WITNESS my hand and official seal. OrangeCounty Commissionif2514271
Comm.ExpiresMar13, 2029
Signature
of Notary Public
Place Notary Seal Above

OPTIONAL
Though this section ls 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 11/12/2025 Number of Pages: Onell) Signer(s) Other Than Named Above:

Capacity(ies) Claimed by Signer(s)
Signer’s Name: Signer’s Name:
' Corporate Of?cer — Title(s) Corporate Officer — Title(s):

Partner — El Limited General _ Partner ~ El Limited ElGeneral " Individual l2 Attorney in Fact Individual I] Attorney in Fact 3 Trustee El Guardian or Conservator :l Trustee El Guardian or Conservator [3 Other: 3 Other:

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

19.G.

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POWER OF ATTORNEY FOR

COREPOINTE INSURANCE COMPANY

DEVELOPERS SURETY AND INDEMNITY COMPANY
59 Maiden Lane, 43rd Floor, New York, NY I0038
(2I2) 220-7l20
KNOW ALL BY THESE PRESENTS that, except as expressly limited herein, COREPOINTE INSURANCE COMPANY and DEVELOPERS SURETY AND INDEMNITYCOMPANY, do hereby make, constitute and appoint:
as itstrue and lawfulAttomey-in-Fact,to make, execute, deliverand acknowledge, for and on behalfot‘saidcompanies,as sureties, bonds, undertakingsand contracts ot'suretyship giving and granting unto said Attomey—in—Fact full power and authority to do and to performevery act necessary, requisite or proper to be done in connection therewith as each of said company could do, but reservingto each of said company full power of substitution and revocation, and all of the acts of said Attomey—in-Fact,pursuant to these presents, are hereby rati?ed and con?rmed. This Power of Attorney and shall expire on December 31, 2025
This Power of Attorney is granted and issigned under and by authority ofthe following resolutions adopted by the Board of Directors ofCOREPOINTE INSURANCE COMPANY and DEVELOPERSSURETY AND INDEMNITY COMPANY (collectively, “Company") on February 10, 2023.

RESOLVED, that , , and
Suretv, each an employee oI‘AmTrust North America, Inc , an affiliate of the Company (the “AuthorizedSignors”), are hereby authorizedto execute a Power of Attorney, qualifyingattorney(s)-in-fact named in the Power of Attorney to execute, on behalf of the Company, bonds, undertakings and contracts of suretyship,or other suretyshipobligations;and that the Secretaryor any AssistantSecretary of the Company be, and eachof them hereby is, authorizedto attest the execution of any such Power of Attorney
RESOLVED, that the signature of any one of the Authorized Signors and the Secretary or any Assistant Secretary ot‘the Company, and the seal of the Company must be af?xed to any such Power of Attorney, and any such signature or seal may be af?xed by facsimile, and such Power of Attomeyshall be valid and bindingupon the Company when so af?xed and in the Futurewith respect to any bond, undertakingor contract ot'suretyship to which it is attached.

IN WITNESS WHEREOF, COREPOINTEINSURANCECOMPANYand DEVELOPERSSURETYAND INDEMNITYCOMPANY have caused thesepresentsto be signedby theAuthorizedSignorand attested by their Secretary or Assistant Secretary this March 2023 Printed
ACKNOWLEDGEMENT:

STATE OF California COUNTY OF Orange
On this 27 day of March , 20 23 , before me, , personally appeared Sam Zaza who proved to me on the basisofsatisfactory evidence to be the person whosename issubscribed to withinthe instrument and acknowledged to me that they executed the same in theirauthorizedcapacity, and that by the signatureon the instrumentthe entitiesupon behalfwhichthe person acted.executedthis instrument.

I certify,underpenaltyof perjury,under the laws ofthe State of California _ thatthe foregoing paragraphistrue and correct WITNESS my band and of?cial seal.

Signature

CORPORATE CERTIFICATION
The undersigned, the Secretary or Assistant Secretary of COREPOINTEINSURANCECOMPANY and DEVELOPERSSURETY AND INDEMNIT COMPANY,does herebycertify that the provisionsof the resolutionsofthe respective Boards of Directors of said corporations set forth in this PowerYof Attomey are in forceas of the date of this Certi?cation
This Certi?cation is executed in the City of Cleveland, Ohio, this March 19,2023.

By: Bany W. Moses, Assistant Secretary POA No. N/A
William Syrkin, Richard Adiar, and Rebecca Haas-Bates
A notary public or other of?cer completing this certi?cate veri?es only the identity ofthe individual who signed the document to which this certi?cate is attached, and not the truthfulness, accuracy, or validity of that document.

DocuSignEnvelope|D:3352BFD6—5E9D-4796—837E—C'l E455E6530F of Irvine. CA
is effective November 12, 2025
AND
1936
*
—<
By
Title:"President,Surety Underwriting

19.G.

Signature MW

BIDSECURITYFORM FORCHECK
NOTE:THEFOLLOWINGFORM SHALLBEUSEDINTHE 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 10% of The Total Bid dollars (5 10% this
amount being 10 percent (10%) of the total amount of the bid. This check shall be returned to the undersigned only if either of the following occurs:

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

Otherwise, said check shall become the property of the Agency Said check shall also become the property of the Agency if the Undersigned shall withdraw his/her/itsbid within the period of sixty (60) calendar days after the date set for the opening thereof, unless ot erwise quired by law, and notwithstanding the award of the Contract to another bidder
M. #052sz7 "N Signature of Bidder Date Date
Dariush Shahnavaz , President Majid Hajizadeh .Vice President Print name and title Print name and title
(If the Bidder is a corporation, two signatures ofcorporate officersare required.)

19.G.

ident
tru a
‘
ity California
er Signature ofBiade'f

NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODESECTION7106

NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID The undersngned declares: DASH Construction Company, Inc.

I am the Pres of the party making the
foregoing bid.

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

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

I declare under penalty of perjury under the laws of the State of California that the foregoing is nd correct and that this declaration is executed on 11/19/2025 date], at I, [state]
11/19/2025 M _ #mjz‘f?‘ 11/19/2025
Signature of Bidd Date Date
Dariush Shahnavaz, President Majid Hajizadeh , Vice President Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.)

19.G.

$2,172,787.83 03/17/2025
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 sufficientdocumentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non—responsive bid and, at the Agency’s discretion, said bid will be disqualified.

Project Name: Rehabilitation and Resurfacing of Warner Ave.

Contract Price: $2,877,895.86 Date of Completion 08/09/2024 Name, Address, and Telephone Number of Owner's Representative:

City of Fountain Valley 10200 Slater Ave., Fountain Valley, CA 92708 Rayan Damon (714)593-4443
project Name Residential Roadway Rehabilitation
Contract Price: Date of Completion:

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

City of Fountain Valley 10200 Slater Ave., Fountain Valley, CA 92708 Jessenia Penaloza (714)593—4678
Project Name Downtown Parklets
Contract Price: ”151949-08 Date of Completion: 09/05/2024 Name, Address, and Telephone Number of Owner's Representative:

City of Upland 460 N. EuclidAve., Upland, CA 91786
Alan French (909)931-4235
(Attach additional pages as necessary)

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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.)

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BIDDERCERTIFICATIONS

TO BEEXECUTEDBYALLBIDDERSAND SUBMITTEDWITHBID
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 ofthat Code, and I will comply with such provisions before commencing the performance of the work of this Contract.

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

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

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

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

19.G.

1000027444
MW

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] . Subcontractors’registration numbers are as indicated in Document 00 4314.

BIDDER
11/19/2025 11/19/2025
Signature of Bidder Date Signature Date
Dariush Shahnavaz, President Majid Hajizadeh .Vice President Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate of?cersare required.)

19.G.

APPENDIX

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.58 sets of Q&A released
The undersigned has examined the current State of California schedule of prevailing wage rates for the types of work to be done on this project (and the Davis-Bacon Act if the Agency uses federal funds for the Project) and agrees to pay not less than these rates.

19.G.

ITEM
No
10 11
12 13
14 15
16 17
18 19
20 21
22 23
24 BIDSCHEDULE
BASEBID- 2024/25CITYWIDESTREETREHABILITATION
CIP No. 2406

DESCRIPTION
Mobilizationl Demobilization(notto exceed
5%)
Temporarv Traffic and Pedestrian Control
Signing &Striping
TemporaryConstruction ProjectIdenti?cation
Sign
WaterQuality Control
FullDepthReclamationto pulverize,and
cementtreat existing asphalt, aggregate base,
and a portionofthe subgrade soilto a depth of

10.0",RoughGrade,Stabilize,FineGrade,
Microcracking. MoistCured
RemoveTemporaryPavement, Compactto 95%
Compact
Construction4" of A.C.pavement
Grindand Overlay 0.2'
Sawcut,Remove,Compact and Construct
SmoothA.C.Slot Patch Transition
Adiustexisting manhole rimto finishsurface.

Adjust existing gas valve to ?nish surface.

Adiustexisting water valveto ?nish surface.

Removeand Replace Tvpe "A"Curband Gutter
RemoveExistingand Construct Driveway
Approach Apron
Installbluedot hydrantmarkerper COHstd.

Dwg. No.W-TOOB
Verify,Protect,Record, and Replace(If
Disturbed) centedine surface and subsurface
monuments
Removeand Replace Tvpe “B"Curband Gutter
Removeand Replace 4"ThickP.C.C.Sidewalk
Removeand Replace Curb Ramp
InstallDetectableWarningSurface on Existing
Curb Ramp
RemoveExistingand Construct Spandreland
Cross Gutter
Remove4" ExA.C.Pavement and Base. Proof
Rolland Compact Ex.Base to 95%Compaction
Replace Existing "TvneE“Traf?cLoop
UNIT
LS
LS
LS
LS
SF
SF
SF
SF
SF
EA
EA
EA
LF
SF
EA
EA
LF
SF
EA
EA
SF
SF
EA

ESTIMATED

QUANTITY
A—l—D—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 UNIT

EXTENDED
PRICE
ITEM
AMOUNT
100,000.00 100,000.00
100,000.00 100,000.00
32,500.00 32,500.00
5000.0 5000.00
10,000.00 10,000.00

1.80 509,400.00
250 8750.00
4-25 1,313,250.00

3.75 39,750.00

10.00 128,000.00
1800.00 52,200.00
200.00 1000.00
200.00 8600.00

80.00 3200.00

5.00 1300.00

17.00 35.00
1075.00 15,050.00
60-00 21,000.00

10.00 13,100.00
10,000.00 130,000.00
50000 4000.00
2000 120,000.00

2.00 46,400.00
740.00 8880.00
TOTAL BASE BID(numbers) 2,621,465.00
************************************

19.G.

nty
dollars and zero cents
VIL/
BASEBIDTOTAL (in words) Two millionsix hundred tvve one thousand four hundred sixty five Contractor's Initials
ADDITIVEA BIDITEMS TOTAL (in words)
Vc/
Contractor's Initials
In the event of a variation between the unit price and extended total, the unit price will be used and the corrected extension will be considered as the amount bid. lfthe bid is illegible and cannot be reconciled it will be considered non—responsive and will not be considered for award.

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

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

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

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

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

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

19.G.

MM
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.

Complete the following:

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

Corporation
Business Type (Corporation, Partnership, Sole Proprietor) DBA(ifany)
Vincenzo Nanci- President
Name and title of the owner
Vincenzo Nanci- Secretary
Name and title of second partner or officer
36520 Villa Del Sol, Wildomar CA 92595
Business Address
951-331-1503
Telephone number
Facsimile number
Vincenzo Nanci [email protected]
Name and Emailaddress of primary contact
Company web address
11/20/2025 11/20/2025
Signature of Bidder Date Signature of Bidder Date
Vincenzo Nanci president Vincenzo Nanci Secretary
Print name and title Print name and title
(If the Bidder is a corporation two signatures ofcorporate o?‘icersare required.)

19.G.

CERTIFICATEREGARDINGCONTRACTOR'S LICENSE

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

State of California Class ’A’Contractor’s License
Combination of Specialty Class '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): 1102034
b. Expires on: 06'30'2026
V 11/20/2025 VI 11/20/2025
Signature of Bidder Date Signature of Bidder Date
Vincenzo Nanci president Vincenzo Nanci Secretary
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.

BIDSECURITYFORM FOR BOND
KNOWALLBYTHESEPRESENTS:

That the undersigned
Van Engineering, Inc.
(Name of Contractor)
as Principal and the undersigned as Surety are held and firmly bound unto Owner, CITYOF HEMET, a political subdivision of the State of California, as obligee, in the penal sum of Ten Percent of Attached 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 SUCH that if the Bid submitted by the said Principal be accepted and the Contract be awarded to said Principal and said Principal shall within the required periods enter into the Contract so awarded and provide the required Construction Performance Bond, Construction Labor and Material Payment Bond, insurance certificates, and all other endorsements, forms, and documents required under the Instructions to Bidders,then this obligation shall be void, otherwise to remain in fullforce and effect.

IN WITNESSWHEREOF, the above bounden parties have executed this instrument this 20th day of November 20g.
(Month)
Van Engineering, Inc
(Corporate Seal) By
Principal
By United Surety Insurance Company
Surety
(Corporate Seal) By
Mark D. Leskanic, (Attorney-in-Fact)

19.G.

expires
of
Surely Company V116
dZ/{ol 525m2:)
ublic
Individual Acknowledgment
State of ,«
-.—r (I! In
County of
‘4
On this day of 20_, before me personally came
to me known and known to me to be the individual
described in and who executed the foregoing instrument, and acknowledged to me that he/she executed the same
My commission expires
Notary Public
Principal Acknowledgment
State of }
} 55:

County of }
On this day of 20 .before me
personallycame to me known and who being by me duly sworn, did depose and say that he is the of the corporation
described in and which executed the above instrument; that he knows the seal of said corporation,that the seal af?xed to said instrument is such corporate seal; that it was so af?xed by order of the Board of Directors of said corporation,and that he signed his/her name thereto by like order.

My commission
Notary Public
Surety Acknowledgment
State of Massachusetts
} 55
County Middlesex
On this 20‘“ day of November .20E. before me personally came Mark 0- Leskanic to me known, who, being by me duly sworn, diddeposeand saythat he/she is an attorney-in-fact of United Insurance corporationdescribe d in and which executed the within instrument; that he knows the corporate seal of said corporation:
that the seal af?xed to the within instrument is such corporate seal, and that he signed the said instrument and af?xed the said seal as Attomey-in-Fact by authority of the Board of Directors of said corporation and by authority of this of?ce under the Standing Resolutionsthereof.

My commissionexpires 04/23/2032
Notary Heidi Rogers

HEIDIROGERS
NamPtoltc. Cmmonweatth ofmachinetts
MyCormnission ExpiresApnl23.2032

19.G.

mucs

5. Kyle ler. Treasurer
14m ?axn1 Ianuarvl 2025
?K 59W—
(in a L474 (Seal) @
Mary Eammls on
171333 POWEROFATTORNEY
KNOWALLMENBYTHESEPRESENTS: ThatUnitedCasualty and Surety Insurance Company. a corporation ofthe State of Nebraska, and USCasualty and Surety Insurance Company and United Surety Insurance Company, assumed names of United Casualty and Surety Insurance Company (collectively, the Companies), do by these presents make, constitute and appoint:

Mark D. Leskanic, Matthew Leskanic, Greg Angel, Colin Warner, Lauren Lesltanic its true and lawful Attorneyls)-in-Fact, each in their separate capacity if more than one is named above, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyshlp to Include riders, amendments, and consents of surety, providing the bond penalty does not exceed Flve Million & 00/100Dollars I $5,000,000.00 ). This Power of Attorney shall expire without further action on December 31“, 2026.

This Power of Attorney is granted under and by authority of the following resolutions adopted by the Board of Directors of the Companies at a meeting duly called and held on the 1"-day of July, 1993:

Resolved that the President, Treasurer, or Secretary be and they are hereby authorized and empowered to appoint Attorneys-Intact of the Company, in its name and as its acts to execute and acknowledge for and on its behalf as Surety any and all bonds, recognizances, contracts of indemnity, waivers of citation and all other writings obligatory in the nature thereof. with power to attach thereto the seal of the Company Any such writings so executed by such Attorneys-in—Fact shall be binding upon the Company as ifthey had been duly executed and acknowledged by the regularly elected Of?cers of the Company in their own prayer persons.

That the signature of any officer authorited by Resolutions of this Board and the Company seal may be affixedby facsimile to any power of attorney or special power of attorney or certification of either given for the execution of any band. undertaking, recognizance or other written obligation in the nature thereof; such signature and seat, when so used being hereby adopted by the Company as the original signature of such officer and the original seal of the Company, to be valid and binding upon the Company with the same force and effect as though manually affixed, INWITNESSWHEREOF, the Companies have caused this instrument to be signed and their corporate seals to be hereunto affixed, this 14‘“ dBV0f January, 1025

UNITEDCASUALTYANDSURETYINSURANCECOMPANY
USCasualty and Surety Insurance Company
United Surety Insurance Company
Corporate Seals
Commonwealth of Massachusetts
County of Suffolk 55; On this , before me, Colleen A. Cochrane, a notary public, personally appeared, R Kyle Fowler, Treasurer of United Casualty and Surety Insurance Company, USCasualty and Surety Insurance Company and United Surety Insurance Company, who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person(s), or the entity on behalf of which the personis) acted, executed the instrument I certify under PENALTYOF PERJURYunder the laws of the Commonwealth of Massachusetts that the foregoing paragraph is true and correct, WITNESSmy hand and seal,

COLLEBILCOCME
lemma:Comwdhdt‘assacmsets
ecmsm .» i 1r
Public Expires:10/27/2028 ’ a” 1/24123
I,Robert F. Thomas, President of United Casualty and Surety Insurance Company, US Casualty and Surety Insurance Company and United Surety Insurance Company do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said Companies, which is still in full force and effect; furthermore, the resolutions of the Board of Directors, set Out in the Power of Attorney are in fullforce and effect. . O h
In Witness Whereof, I have hereunto set my hand and af?xed the seals of said Companies at Boston, Massachusetts this 2 t day of November 2025 ,
Corporate Seals ’ Robert F. Thomas, President

V OF BO

19.G.

2,402,
Ca ital and Su [us
a}
UnitedCasualty and Surety Insurance Company
DBAUnited Surety Insurance Company
DBA US Casualty and Surety Insurance Company
Statement of Assets, Liabilities,and Surplus
Year Ended December 31
Year Ended
2024 2023
AdmittedAssets
Cash and Short Term Investments $41,394,126 $36,321,994 Stocks 19,798,138 2,176,755
Bonds 4,936,241 6,738,979
Uncollected Premiums & Agents' Balance 3,880,950 2,272,570 Other Assets 780,356 610
Total Net Admitted Assets $70,789,811 $49,912,908
Liabilities
Funds Held as Collateral $9,973,991 $14,101,531
Unearned Premium 10,494,364 8,098,812
Losses 2,879,260 1,919,898
Other Expenses 549,747 528,056
Taxes, Licenses, and Fees 208,961 147,927
Loss Adjustment Expenses 1,190,067 530,475
Payable to Parent or Affiliates 1,766,168 1,001,040
Ceded Reinsurance Payable 1,822,923 1,277,138
Other Liabilities 1,179,840 442,295
Total Liabilities $30,065,321 $28,047,172
Paid In Surplus $34,850,639 $17,364,311
Unassigned Surplus 3,378,106 2,005,680
Common Stock 2,600,000 2,600,000
Less: Treasury Stock 104,255 104,255
Total Capital and Surplus $40,724,490 $21,865,736
Total Liabilities and Capital and Surplus $70,789,811 $49,912,908 I, Raymond KyleFowler, Treasurer and Secretary of UnitedCasualty and Surety Insurance Company, hereby certify that the above is an exact copy of the ?nancial statements of the Company dated December 31, 2024 and is a true and correct statement of the condition of United Casualty and Surety Insurance Company as of that date.

INTESTIMONYWHEREOF,I have set my hand and af?xed the seal of the Company this 7thday of March 2025 BY
R. KyleFowler, Treasurer and Secretary
[EM/mow!