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EXHIBIT A
CONTRACT DOCUMENTS
1. City of Hemet Contractor Agreement
2. Change Orders issued by Agency, signed by Contractor and (if necessary) approved by City Council
3. Notice Inviting Bids, Instructions to Bidders, and Bidder’s Proposal and Information Required for Bid Submittal
4. Bid Schedule(s)
5. Addenda and/or Bulletins
6. Plans
7. Special Provisions (Specifications)
8. General Conditions
9. General Provisions Standard Specifications for Public Works Construction (“Greenbook”) 2024 edition as amended and supplemented
10. State Standard Specifications
11. State Standard Plans
12. Permits issued by jurisdictional regulatory agencies
13. Electric, gas, telephone, and cable television company specifications and standards
14. Notice of Award
15. Notice to Proceed
16. Certificate(s) of Required Insurance and Worker’s Compensation Insurance
17. Security for Payment (Labor & Materials) and Performance
18. Escrow Agreement for Security Deposits in Lieu of Retention If there is a conflict between any of the Contract Documents, the documents highest in precedence shall control. The order of precedence of the Contract Documents shall be as
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provided in Section 3-7.2 of the Special Provisions. Detail drawings shall take precedence over general drawings.
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EXHIBIT B
CONTRACT PRICE
Not to Exceed Five Hundred and One Thousand Four Hundred and Eighty Dollars ($501,480.00)
The Contract Price for performing all Work described in the Contract Documents, including labor, materials, services and equipment is the total amount of all lump sum items and of all unit price sums, determined by multiplying the unit price for each item times the actual quantity of each such item, as determined by the Agency.
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EXHIBIT C
INSURANCE
1. General Requirements. Contractor must procure and maintain in full force and effect during the term of this Contract the following types of insurance with coverage limits complying, at a minimum, with the limits set forth below:
Type of Insurance Limits
Commercial General Liability $5,000,000 per occurrence/ $10,000,000 general aggregate
Business Automobile Liability $5,000,000 combined single limit Workers’ Compensation/Employers $1,000,000 per accident or disease Liability
Surety Bonds As described below
Contractors’ Pollution Legal Liability $1,000,000 per occurrence/ $2,000,000 general aggregate
If the contractor maintains higher limits than the minimums shown above, the City requires and shall be entitled to coverage for the higher limits maintained by the contractor. Any available insurance proceeds in excess of the specific minimum limits of insurance and coverage shall be available to the City.
2. Commercial General Liability Insurance. Coverage shall be at least as broad as Insurance Services Office Form CG 00 01 covering CGL on an “occurrence” basis, including products and completed operations, property damage, bodily injury and personal & advertising injury with limits no less than $5,000,000 per occurrence. If a general aggregate limit applies, either the general aggregate limit shall apply separately to this project/location or the general aggregate limit shall be twice the required occurrence limit. City and its officers, officials, employees, volunteers, and agents shall be included as additional insured. Coverage shall be primary as respects the City, and any insurance or self-insurance maintained by the City shall not be required to contribute.
3. Business Auto Coverage. Coverage shall be at least as broad as Insurance Services Office Form Number CA 0001 covering Code 1 (any auto), with limits no less than $5,000,000 per accident for bodily injury and property damage. If Contractor or Contractor’s employees will use personal autos in any way on this Project, Contractor must provide evidence of hired and non-owned auto liability coverage. City and its officers, officials, employees, volunteers, and agents shall be included as additional insured.
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4. Workers’ Compensation. Insurance as required by the State of California, with Statutory Limits, and Employers’ Liability insurance with a limit of no less than $1,000,000 per accident for bodily injury or disease.
5. Surety Bonds. Contractor shall provide the following Surety Bonds: (1) Bid bond, (2) performance bond, (3) payment bond, and (4) maintenance bond. The Payment Bond and the Performance Bond shall be in a sum equal to the contract price. If the Performance Bond provides for a one-year warranty a separate Maintenance Bond is not necessary. If the warranty period specified in the contract is for longer than one year a Maintenance Bond equal to 10% of the contract price is required. Bonds shall be duly executed by a responsible corporate surety, authorized to issue such bonds in the State of California and secured through an authorized agent with an office in California.
6. Contractors’ Pollution Legal Liability and/or Asbestos Legal Liability and/or Errors and Omissions (if project involves environmental hazards) with limits no less than $1,000,000 per occurrence or claim, and $2,000,000 policy aggregate.
Contractor shall maintain continuous coverage through a period no less than three (3) years after completion of the services required by this Contract.
7. Other Insurance. Contractor may be required to obtain such other insurance coverage as may be required by applicable law or by the City.
8. Excess or Umbrella Liability Insurance (Over Primary). If an excess or umbrella liability policy is used to meet limit requirements, the insurance must provide coverage at least as broad as specified for the underlying coverages. Any such coverage provided under an excess or umbrella liability policy must include a “drop down provision” providing primary coverage above a maximum $25,000 self-insured retention for liability not covered by primary but covered by the umbrella. Coverage must be provided on a “pay on behalf” basis, with defense costs payable in addition to policy limits. There must be no cross-liability exclusion precluding coverage for claims or suits by one insured against another. Coverage must be applicable to City for injury to employees of Contractor, its subcontractors or others performing work to satisfy Contractor’s obligations under this Contract. The scope of coverage provided is subject to approval of City following receipt of proof of insurance as required herein.
9. Certificates of Insurance and Endorsements. Prior to commencing any Work under this Contract, Contractor must file with the Director Certificates of Insurance and Endorsements evidencing the existence of all insurance required by this Contract, along with such other evidence of insurance or copies of policies as may reasonably be required by City. Such Certificates of Insurance and Endorsements must be in a form approved by the City Attorney of City. Contractor must maintain current certificates and endorsements on file with City during the term of this Contract reflecting the existence of all required insurance. Each of the certificates must expressly provide that no material change in the policy, or termination thereof, will be effective except upon 30 days prior written notice to City. The City reserves the right to require complete, certified copies of the insurance certificates and endorsements.
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10. Accessibility of Insurers. Insurance is to be placed with insurers with a current A.M. Best rating of no less than A: VII, unless otherwise acceptable to the City.
11. Waiver of Subrogation. Contractor hereby agrees to waive rights of subrogation which any insurer of Contractor may acquire from Contractor by virtue of the payment of any loss. Contractor agrees to obtain any endorsement that may be necessary to affect this waiver of subrogation. The Workers’ Compensation policy shall be endorsed with a waiver of subrogation in favor of the Entity for all work performed by the Contractor, its employees, agents and subcontractors.
12. Failure to Maintain Required Insurance. If Contractor, for any reason, fails to have in place at all times during the term of this Contract all of the required insurance coverage, the Director may obtain such coverage at Contractor’s expense and deduct the cost from the sums due Contractor.
13. Subcontractors. Contractor shall require and verify that all subcontractors maintain insurance meeting all the requirements stated herein, and Contractor shall ensure that Entity is an additional insured on insurance required from subcontractors. For CGL coverage subcontractors shall provide coverage with a format least as broad as CG 20 38 04 13.
14. Effect of Coverage. The existence of the required insurance coverage under this Contract will not be deemed to satisfy or limit Contractor’s indemnity obligations under this Contract. Contractor acknowledges that the insurance coverage and policy limits set forth in this Contract constitute the minimum coverage and policy limits required. Any insurance proceeds available to City in excess of the limits and coverage required by this Contract, and which is applicable to a given loss, must be made available to City to compensate it for such losses.
15. Special Risks or Circumstances. Entity reserves the right to modify these requirements, including limits, based on the nature of the risk, prior experience, insurer, coverage, or other circumstances.
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PAYMENT BOND
(Bond for Labor and Material)
KNOW ALL PERSONS BY THESE PRESENTS:
1.01 THAT WHEREAS, CITY OF HEMET (Owner) has awarded to American Asphalt South as Principal, dated the 24th day of June, 2026 (the Contract), titled the City of Hemet 2025/26 Citywide Slurry Seal in the amount of $501,480.00, which Contract is by this reference made a part hereof, for the work of the following Contract:
2025/26 Citywide Slurry Seal
1.02 AND WHEREAS, Principal is required to furnish a bond in connection with the Contract to secure the payment of claims of laborers, mechanics, material suppliers, and other persons as provided by law;
1.03 NOW, THEREFORE, we, the undersigned Principal and , as Surety, are held and firmly bound unto Owner in the sum of 100% OF THE CONTRACT PRICE ($501,480.00), for which payment well and truly to be made we bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents.
1.04 THE CONDITION OF THIS OBLIGATION IS SUCH, that if Principal, or its executors, administrators, successors, or assigns approved by Owner, or its subcontractors shall fail to pay any of the persons named in California Civil Code Section 9100, or amounts due under the State of California Unemployment Insurance Code with respect to work or labor performed under the Contract, or for any amounts required to be deducted, withheld, and paid over to the State of California Employment Development Department from the wages of employees of Principal and subcontractors pursuant to Section 13020 of the State of California Unemployment Insurance Code with respect to such work and labor, that Surety will pay for the same in an amount not exceeding the sum specified in this bond, plus reasonable attorneys’ fees, otherwise the above obligation shall become and be null and void.
1.05 This bond shall inure to the benefit of any of the persons named in California Civil Code Section 9100, as to give a right of action to such persons or their assigns in any suit brought upon this bond. The intent of this bond is to comply with the California Mechanic’s Lien Law.
1.06 Surety, for value received, hereby expressly agrees that no extension of time, change, modification, alteration, or addition to the undertakings, covenants, terms, conditions, and agreements of the Contract, or to the work to be performed thereunder, shall in any way affect the obligation of this bond; and it does hereby waive notice of any such extension
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of time, change, modification, alteration, or addition to the undertakings, covenants, terms, conditions, and agreements of the Contract, or to the work to be performed thereunder.
1.07 Surety’s obligations hereunder are independent of the obligations of any other surety for the payment of claims of laborers, mechanics, material suppliers, and other persons in connection with Contract; and suit may be brought against Surety and such other sureties, jointly and severally, or against any one or more of them, or against less than all of them without impairing Owner’s rights against the other.
1.08 Correspondence or claims relating to this bond shall be sent to Surety at the address set forth below.
IN WITNESS WHEREOF, we have hereunto set our hands this day of , 20___.
CONTRACTOR AS PRINCIPAL SURETY
Company: (Corp. Seal) Company: (Corp. Seal)
Signature Signature
Name Name
Title Title
Street Address Street Address
City, State, Zip Code City, State, Zip Code
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CONSTRUCTION PERFORMANCE BOND
THIS CONSTRUCTION PERFORMANCE BOND (Bond) is dated June 24th, 2026 is in the amount of $501,480.00 (Penal Sum), which is 100% of the Contract Sum and is entered into by and between the parties listed below to ensure the faithful performance of the Contract identified below. This Bond consists of this page and the Bond Terms and Conditions, Paragraphs 1 through 14 attached to this page. Any singular reference to American Asphalt South (Contractor), (Surety), CITY OF HEMET (Owner), or other party shall be considered plural where applicable.
CONTRACTOR: SURETY:
American Asphalt South
Address Principal Place of Business
City/State/Zip City/State/Zip
CONSTRUCTION CONTRACT: 2025/26 Citywide Slurry Seal, dated June 24th, 2026, in the amount of $501,480.00.
CONTRACTOR AS PRINCIPAL SURETY
Company: (Corp. Seal) Company: (Corp. Seal)
Signature: Signature:
Name: Name:
Title: Title:
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BOND TERMS AND CONDITIONS
1. Contractor and Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors and assigns to Owner for the complete and proper performance of the Construction Contract, which is incorporated herein by reference.
2. If Contractor completely and properly performs all of its obligations under the Construction Contract, Surety and Contractor shall have no obligation under this Bond.
3. If there is no Owner Default, Surety’s obligation under this Bond shall arise after:
3.1 Owner provides Surety with written notice that Owner has declared a Contractor Default under the Construction Contract pursuant to the terms of the Construction Contract; and
3.2 Owner has agreed to pay the Balance of Contract Sum:
3.2.1 To Surety in accordance with the terms of this Bond and the Construction Contract; or
3.2.2 To a Contractor selected to perform the Construction Contract in accordance with the terms of this Bond and the Construction Contract.
4. When Owner has satisfied the conditions of Paragraph 3 above, Surety shall promptly (within 40 Days) and at Surety’s expense elect to take one of the following actions:
4.1 Arrange for Contractor, with consent of Owner, to perform and complete the Construction Contract (but Owner may withhold consent, in which case the Surety must elect an option described in Paragraphs 4.2, 4.3 or 4.4 below); or
4.2 Undertake to perform and complete the Construction Contract itself, through its agents or through independent contractors or Construction entities; provided, that Surety may not select Contractor as its agent or independent contractor or Contractor without Owner’s consent; or
4.3 Undertake to perform and complete the Construction Contract by obtaining bids from qualified contractors or Construction entities acceptable to Owner for a contract for performance and completion of the Construction Contract and, upon determination by Owner of the lowest responsive and responsible Bidder, arrange for a contract to be prepared for execution by Owner and the contractor or Contractor selected with Owner’s concurrence, to be secured with performance and payment bonds executed by a qualified surety equivalent to the bonds issued on the Construction Contract; and, if Surety’s
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obligations defined in Paragraph 6 below, exceed the Balance of Contract Sum, then Surety shall pay to Owner the amount of such excess; or
4.4 Waive its right to perform and complete, arrange for completion, or obtain a new contractor or Contractor, and with reasonable promptness under the circumstances and, after investigation and consultation with Owner, determine in good faith its monetary obligation to Owner under Paragraph 6 below, for the performance and completion of the Construction Contract and, as soon as practicable after the amount is determined, tender payment therefor to Owner with full explanation of the payment’s calculation. If Owner accepts Surety’s tender under this Paragraph 4.4, Owner may still hold Surety liable for future damages then unknown or unliquidated resulting from the Contractor Default, as agreed by Owner and Surety at the time of tender. If Owner disputes the amount of Surety’s tender under this Paragraph 4.4, Owner may exercise all remedies available to it at law to enforce Surety’s liability under Paragraphs 6 and 6.3 below.
5. At all times Owner shall be entitled to enforce any remedy available to Owner at law or under the Construction Contract including, without limitation, and by way of example only, rights to perform work, protect Work, mitigate damages, advance critical Work to mitigate schedule delay, and coordinate Work with other consultants or contractors.
6. If Surety elects to act under Paragraphs 4.1, 4.2 or 4.3 above, within the time period provided in Paragraph 4, above, and complies with its obligations under this Bond, Surety’s obligations under this Bond are commensurate with Contractor’s Construction Contract obligations. Surety’s obligations include, but are not limited to:
6.1 Contractor’s obligations to complete the Construction Contract and correct Defective Work;
6.2 Contractor’s obligations to pay liquidated damages; and
6.3 To the extent otherwise required of Contractor under the Construction Contract, Contractor’s obligations to pay additional legal, design professional, and other costs not included within liquidated damages resulting from Contractor Default (but excluding attorney’s fees incurred to enforce this Bond).
7. If Surety does not elect to act under Paragraphs 4.1, 4.2, 4.3, or 4.4, above, within the time period provided in Paragraph 4, above, or comply with its obligations under this Bond, then Surety shall be deemed to be in default on this Bond ten Days after receipt of an additional written notice from Owner to Surety demanding that Surety perform its obligations under this Bond. Such Surety default shall be independent of the Contractor Default. To the extent Surety’s independent default causes Owner to suffer damages including, but not limited to, delay damages, which are different from, or in addition to (but not duplicative of) damages which Owner is entitled to receive under the Construction Contract, Surety shall also be liable for such damages. In the event any Surety obligation following its independent default is inconsistent or conflicts with
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California Civil Code Section 2809, or any other law which either prohibits, restricts, limits or modifies in any way any obligation of a surety which is larger in amount or in any other respect more burdensome than that of the principal, Surety hereby waives the provisions of such laws to that extent.
8. If Surety elects to act under Paragraphs 4.1, 4.3 or 4.4 above, within the time period provided in Paragraph 4, above, and complies with all obligations under this Bond, Surety’s monetary obligation under this Bond is limited to the Penal Sum.
9. No right of action shall accrue on this Bond to any person or entity other than Owner or its successors or assigns.
10. Surety hereby waives notice of any change, alteration or addition to the Construction Contract or to related subcontracts, design agreements, purchase orders and other obligations, including changes of time, and of any Owner action in accordance with Paragraph 5 above. Surety consents to all terms of the Construction Contract, including provisions on changes to the Contract. No extension of time, change, alteration, Modification, deletion, or addition to the Contract Documents, or of the Work (including services) required thereunder, or any Owner action in accordance with Paragraph 5 above shall release or exonerate Surety on this Bond or in any way affect the obligations of Surety on this Bond, unless such action is an Owner Default.
11. Any proceeding, legal or equitable, under this Bond shall be instituted in any court of competent jurisdiction where a proceeding is pending between Owner and Contractor regarding the Construction Contract, or in the Superior Court of the County of Riverside, California, or in a court of competent jurisdiction in the location in which the Work is located. Communications from Owner to Surety under Paragraph 3.1 above shall be deemed to include the necessary agreements under Paragraph 3.2 above unless expressly stated otherwise.
12. All notices to Surety or Contractor shall be mailed or delivered (at the address set forth on the signature page of this Bond), and all notices to Owner shall be mailed or delivered as provided in Section 1-7.1.10 of the Special Provisions. Actual receipt of notice by Surety, Owner or Contractor, however accomplished, shall be sufficient compliance as of the date received at the foregoing addresses.
13. Any provision in this Bond conflicting with any statutory or regulatory requirement shall be deemed deleted here from and provisions conforming to such statutory requirement shall be deemed incorporated herein.
14. Definitions
14.1 Balance of Contract Sum: The total amount payable by Owner to Contractor pursuant to the terms of the Construction Contract after all proper adjustments have been made under the Construction Contract, for example, deductions for progress payments made, and increases/decreases for approved Modifications to the Construction Contract.
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14.2 Construction Contract: The agreement between Owner and Contractor identified on the signature page of this Bond, including all Contract Documents and changes thereto.
14.3 Contractor Default: Material failure of Contractor, which has neither been remedied nor waived, to perform or otherwise to comply with the terms of the Construction Contract, limited to “default” or any other condition allowing a termination for cause as provided in Section 6-7.3 of the Special Provisions).
14.4 Owner Default: Material failure of Owner, which has neither been remedied nor waived, to pay Contractor progress payments due under the Construction Contract or to perform other material terms of the Construction Contract, if such failure is the cause of the asserted Contractor Default and is sufficient to justify Contractor termination of the Construction Contract.
END OF DOCUMENT
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Eliza 1'-
BlD SECURITYFORM FOR BOND
KNOW ALLBYTHESE PRESENTS:
That the undersigned
American Asphalt South. Inc.
I (Name of Contractor)
* Everest National Insurance Company
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 oleollar Amount In W 5) Ten Percent of Amount Bid
Dollars ($ lawful money of the United States of America being at least ten percent (10%) of the aggregate amount of said Principal’s base Bid,for the payment of which, well and truly to be made, we bind ourselves, our successors, executors, administrators, and assigns, jointly and severally, firmly by these presents.
WHEREAS,said Principal is submitting a Bid for 2025/26CITYWIDESLURRYSEAL2515 THE CONDITION OF THIS OBLIGATION lS SUCH that if the Bid submitted by the said Principal be accepted and the Contract be awarded to said Principal and said Principal shall within the required periods enter into the Contract so awarded and provide the required Construction Performance Bond, Construction Labor and Material Payment Bond, insurance certificates, and all other endorsements, forms, and documents required under the Instructions to Bidders, then this obligation shall be void, otherwise to remain in full force and effect.
IN WITNESS WHEREOF, the above bounden parties have executed this instrument this 15th day of May . 2026.
(Month)
American Inc
(Corporate Seal) By
By Everest National Insurance
Su rety
(Corporate Seal) By
Collodi, Attorney-in-Fact
pal
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COMM“523521
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ignature
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual who signed the document to which this certi?cate is
attached, and not the truthfulness, accuracy, or
validitvof that document.
State of California
County of Riverside )
On May 18, 2026 .before me, Rosa Maria Arteaga- Notary
(insert name and title of the officer)
personally appeared Jeff Petty
who proved to me
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
tit i
t * ti WITNESS my hand and of?cial seal
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MyCommlulon Euph- was. 2020
a Sea
on the basis of satisfactory evidence to be the person( ) whose name ) is subscribed to the withi instrument and acknowledged to me that he executed the same in hisauthorized capacity( ),n and that by hi signature( ) on the instrument the person( ), or the entity upon behalf of which the person( ) acted, executed the instrument.
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Sara Walliserj Notary Public
ACKNOWLEDGMENT
A notary public or other of?cer completing this
certi?cate verifies only the identity of the individual who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
validity of that document.
State of California
County of Butte )
On Mav 15. 2026 before me,
(insert name and title of the of?cer)
personally appeared Elizabeth Collodi
who proved to me on the basis of satisfactory evidence to be the person(e) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same i his/her/their authorized capacity(ie5)7 and that by his/her/their signature(s} on the instrument the n person(e)7 or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTYOF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and of?cial seal SARAtia’ALlJ-SEE
COMM.# 24485 NOTARYPUBLIC 0 COUNTYOFBL: ._ Comm Expires JUL 5, 2027 ARES
Signature (Seal)
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[A everest ru
POWER OF ATTORNEY
EVEREST REINSURANCE COMPANY and EVEREST NATIONAL INSURANCE COMPANY KNOW ALL PERSONS BY THESE PRESENTS: That Everest Reinsurance Company and Everest National Insurance Company, corporations of the State of Delaware (“Company") having their principal of?ces located at Warren Corporate Center, 100 Everest Way, Warren, New Jersey, 07059. do hereby nominate, constitute, and appoint:
Elizabeth Collodi, John Hopkins, John Weber, Sara Walliser, Mindy Whitehouse, Jennifer Lakmann, Deanna Quintero, Bill Rapp, Jason March, Matthew Foster, Tony Clark, Samantha Watkins, Phil Watkins, Brad Espinosa, Paula Senna, Breanna Boatright, Kathleen Le, Sharon Smith, Cassandra Medina, R. Kai/any its true and lawful Attorney(s)-in-fact to make, execute, attest. seal and deliver for and on its behalf, as surety. and as its act and deed, where required, any and all bonds and undertakings in the nature thereof, forthe penal sum of no one of which is in any event to exceed UNLIMITED.reserving for itself the full power of substitution and revocation Such bonds and undertakings, when duly executed by the aforesaid Attorney(s)-in-fact shall be binding upon the Company as fully and tothe same extent as ifsuch bonds and undertakings were signed by the President and Secretary of the Company and sealed with its corporate seal This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Board of Directors of Company (“Board") on April21, 2016:
RESOLVED, that the President, any Executive Vice President, and any Senior Vice President are hereby appointed by the Board as authorized to make, execute, seal and deliver for and on behalf of the Company, any and all bonds, undertakings, contracts or obligations in surety or co—suretywith others and that the Secretary or any Assistant Secretary of the Company be and that each of them hereby is authorized to attest to the execution of any such bonds, undertakings, contracts or obligations in surety or co-surety and attach thereto the corporate seal of the Company.
RESOLVED, FURTHER, that the President, any Executive Vice President, and any Senior Vice President are hereby authorized to execute powers of attorney qualifying the attorney named in the given power of attorney to execute, on behalf of the Company, bonds and undertakings in surety or co-surety with others, and that the Secretary or anyAssistant Secretary of the Company be, and that each of them is hereby authorized to attest the execution of any such power of attorney, and to attach thereto the corporate seal of the Company.
RESOLVED, FURTHER, that the signature of such of?cers named in the preceding resolutions and the corporate seal of the Company may be af?xed to such powers of attorney or to any certi?cate relating thereto by facsimile, and any such power of attorney or certi?cate bearing such facsimile signatures or facsimile seal shall be thereafter valid and binding upon the Company with respect to any bond, undertaking, contract or obligation in surety or co-surety with others to which it is attached.
INWITNESS WHEREOF, Everest Reinsurance Company and Everest National Insurance Company have caused their corporate seals to be af?xed hereto, and these presents to be signed by their duly authorized of?cers this 22"dof March 2023.
Everest Reinsurance Company and Everest National Insurance Company
0...».—
By: Anthony Romano, Senior Vice President
On this 22'“1of March 2023, before me personally came Anthony Romano, known to me.who, being duly sworn, did execute the above instrument; that he knows the seal of said Company; that the seal af?xed to the aforesaid instrument is such corporate seal and was af?xed thereto; and that he executed said instrument by like order.
LINDAROBINS Notary Public, State of New York ’7
No 01Roszasns f /<.¢; J
Quali?ed in Queens County “ 1" Term Expires April 25. 2027 Linda Robins, Notary Public I, Sylvia Semerdjian, Assistant Secretary of Everest Reinsurance Company and Everest National Insurance Company do hereby certify that l have compared the foregoing copy of the Power of Attorney and af?davit, and the copy of the Section of the bylaws and resolutions of said Corporation as set forth in said Power of Attorney, with the ORIGINAL S ON FILE INTHE HOME OFFICE OF SAID CORPORATION, and that the same are correct transcripts thereof, and of the whole of the said originals, and that the said Power of Attorney has not been revoked and is now in full force and effect.
IN WITNESS WHEREOF, I have hereunto set my hand and af?xed the seal of said Company. this 15th day of May _2026_.
SEAL
1973
* By: Sylvia Semerdjian, Assistant Secretary
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will not he resgonsible
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the 2025/26CITYWIDESLURRYSEAL, CIP No. 2515 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 ofthe Public Works Contract, and also understands that the Project shall be completely constfucted?inturn— 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 respec t o the manages to the Coatract and/orContract Documents included in all addenda issued by the Owner.
In addition to reaffirming that the changes and information contained in the addenda have been integrated into their proposal, Contractor acknowledges receipt of Addenda No.(s)
The undersigned has examined the current State of California schedule of prevailing wage rates for the types of work to be done on this project (and the Davis-Bacon Act if the Agency uses federal funds for the Project) and agrees to pay not less than these rates.
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the 2025/26CITYWIDESLURRYSEAL, CIP No. 2515 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.
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BIDSCHEDULE
BASE BID — 2025/26CITYWIDESLURRY SEAL
CIP No. 2515
EXTENDED
ITEM DESCRIPTION UNIT
ESTIMATED
UNIT PRICE ITEM
No QUANTITY AMOUNT
Mobilization / Demobilization (not to 06
1 exceed 5%) L8 1 9000a) 7000 _,
2 Traffic and Pedestrian Control L8 1 070/, 000 ,EC 6251.000.DU 3 Water Quality Control L8 1 $500. W 35790. 0 0
Temporary Construction Project
4 IdentificationSignage EA 3 45a 00 i 350- °0
Remove and Replace Signing and
5 Striping L8 1
Crack Seal Cracks up to 1” & Slurry . o
6 Seal sv 200,000 )- 2% 373.000.‘
Asphalt Routing of Cracks Greater ,_ 7 than 1 LF 800 3'7- 50 39 I000 -°‘ Sawcut and Remove 10"
AC/Base/Subgrade. Compact and 50 , o 8 Construct 4" AC over 6” Base SF 440 a7 ' [oz]/00. O 9 Tree Root Pruning EA 1
TOTAL BASE BID (numbers)
END OF BASE BID ITEMS if*tittit“**t*******‘k*****k****i*** I
' DO
BASE BID TOTAL (in words) 50 I
/ LI80‘
ContraCtor's Initials
hum!
ADDITIVEA BIDITEMS TOTAL (in words) )i/e Ur
hundred cg dollars. and-zero Cfn‘I’
S
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 schedu|e(s) only unless otherwise specified in
17.M.
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mm
the Notice Inviting Bids or by Addenda if issued to supersede the Notice Inviting Bids on this specific issue.
For a Contract where a deductive bid schedule is called for, the lowest bid will be determined by the total of all bid schedules including the deductive bid schedu|e(s).
Regardless of whether the additiv eductiveor alternates bid items will be considered in determining the low bid, the Agency mayelect 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 methodselectedby 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 determinationas 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 acknowledgesthat all costs incurred as a result of preparing the proposal shall be'the Sole responsibility ‘ofBidder. ThéNotice Inviting ‘Bidsand’ln’s‘tructions to Bidders does not create or impose any obligation upon the Agency to enter into a contract.
All bids received shall be recorded on an abstract (tabulation) of bids, and then made available for public inspection within two business days of bid opening.
The quantities listed in the bid proposal are provided to give a general indication of the scope of the work and for the comparison of bids. No warranty is made, either expressed or implied, that the actual quantities of work to be done will correspond therewith. Item numbersfollowedby “(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.
17.M.
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Name and Emailaddre'ss of I
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Complete the following
Business Type (Corporation, Partnership, Sole Proprietor) Name and title of the owner
Name and title of seco partner or officer
Business Address
Facsimile ber
Company web address
of Bidder
Print name and Print name and title
(If the Bidder is a corporation two signatures of corporate officersare required.) Legal name of the business, DIRReg. and Contractor License Nos.
DBA (if any)
Q60
Je?
(909/ (2275
K\
Jag?
92%3
Telep?rbnumber
primary c tact
17.M.
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CERTIFICATE REGARDING CONTRACTOR'SLICENSE
l. 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)
b. Expires on:
re of Bidder Date of Bidder Date
Print name and title Print name and title
(If the Bidder is a corporation two signatures of corporate o?‘icersare required.) This required license determination has been made by the Agency. Any Contractor holding a different license who feels he is qualified to bid on this work must so advise the Agency at least seven (7) days prior to the bid opening. The Agency may conduct a review of the contemplated work to re—evaluate the required license determination. The Agency may in its sole discretion maintain or change the required license determination; Agency's decision as to the required final.
734529
?
5-22—26
17.M.
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' IIJO flg?ldG/K‘ MWW' party making the
fa egoing is true and curr ct and that this declaration is executed an 5.23‘26 [date], at ' | [city]. [state].
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title/
NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODE SECTION 7106
NON-COLLUSIONDECLARATIONTO BE EXECUTEDBYBIDDERANDSUBMITTEDWITHBID The und ned declares
I am 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 bidderhas 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 of Bidder Date Sign Date
Print name and Print name and title
(If the Bidder is a corporation, two signatures of corporate officersare required.)
17.M.
See Mar/M4
CONTRACTOR'SREFERENCELIST
Attach to this bid a list of three (3) projects in the past five (5) years on which the bidder and his subcontractorls) have successfully constructed and completed projects with the same type (elements), size and complexity of work. The Agency Engineer 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.
PtOiectName
Contract Price: Date of Completion
Name, Address, and Telephone Number of Owner's Representative Pr_ject Name
Contract Price: Date of Completion
Name, Address, and Telephone Number of Owner's Representative:
Project Name
Contract Price: Date of Completion
Name, Address, and Telephone Number of Owner's Representative:
(Attach additional pages as necessary)
17.M.
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Name of Subcontractor
and Location of Place
of Business
70mmmin}CA43387
DESIGNATION OF SUBCONTRACTORS
Description and
Percentage of
Work
5+
Subcontractor’s
License No.
0:505!»
gewqti
DIR Email
Registration Address
Number
Jo SfPVi0)
1000004745;”WW" "E
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(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACT CODE §4100 ET SEQ.)
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17.M.
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.
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—insurance in 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 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.
CERTIFICATION OF COMPLIANCE WITH PUBLICWORKS CHAPTER OF LABOR CODE 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, I certify that there will be no discrimination in employment with regard torace, 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.
17.M.
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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(3), 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.
CERTIFICATIONREGARDING 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] . Subcontractors’ registration numbers are as indicated in Document 00 4314.
BIDDER:
of Bidder er
Print name and title Print name and title
(If the Bidder is a corporation, two signatures ofcorporate o?‘icers are required.)
17.M.
2025/26Citywide Slurry Seal - CIP2515
5/21/26.3:18 PM PlanetBids Vendor Portal
City of Hemet
Addenda — ®+Pi 3st ’1—(e\ea%cal Under ?ddendaJar:L.
Q and ASet1
Qand A Set 1 has been released Forthis solicitation
EmailHistory
May 19, 2026
BidClosing Reminder for 2025/26Citywide Slurry Seal - CIP 2515
ENDORLINE
POWERED BV PLANETBIDS
SOD
i/2‘a: (Plea/baknf ,
I ?zarwévg
https://vendors.planetbids.com/porta|/39477lbolbo-detail/141467#bidAddendaAndEmails 1/ May 14, 2026
Search&Bidon Thousands of Contracts
17.M.
2025/26Citywide Slurry Seal - CIP2515
5/21/26: 3:18 PM PIanetBids Vendor Portal
City of Hemet
Q&ADeadline May 19, 2026 3:00 PM (PDT)
Set 1 Released via Addendum 1 05/14/202612:37 PM (PDT)—1 question
1.1 Would the City be willing to consider extending the bid date? The current schedule falls the day after a holiday, and there are also two large slurry seal projects bidding in Southern California that afternoon, including one requiring hand delivery. Adjusting the date could help ensure adequate participation and competitive pricing.
Answer Unfortunately we can not extend the bid due date as this has already been advertised in the paper.
PDHE
https://vendors.planetbids.com/portal/39477/bo/bo-detaiI/141467#bianndA 1/1 Search &Bidon Thousands of Contracts
17.M.
APPENDIX1
17.M.
(s) 1
will not be resgonsible
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the 2025/26CITYWIDESLURRYSEAL,CIP No. 2515 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.
The undersigned has examined the current State of California schedule of prevailing wage rates for the types of work to be done on this project (and the Davis-Bacon Act if the Agency uses federal funds for the Project) and agrees to pay not less than these rates.
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the 2025/26CITYWIDESLURRYSEAL,CIP No. 2515 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.
17.M.
(n mbers)
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BIDSCHEDULE
BASE BID- 2025/26CITYWIDESLURRYSEAL
CIP No. 2515
EXTENDED
”:3" DESCRIPTION UNIT 25333155 UNIT PRICE ITEM
AMOUNT
Mobilization / Demobilization (not to «n no
1 exceed 5%;— LS / 01”" ' "3 ”D T
2 Traf?c and Pedestrian Control LS 1 32, 000 3': 32. 009 “3— 3 Water Quality Control LS 1 3,060 ‘3 3,0» ‘3
Temporary Construction Project 03 pg
IdentificationSignage , EA 3 ”500 4" 90
Remove and Replace Signin and 09 no
5 Striping
9 LS 353500 ’— 35. 5/00 '-
Crack Seal Cracks up to 1" &Slurry 0a a:
6 Seal sv 200.000 2 4002”0
Asphalt Routing of Cracks Greater go 3
7 than 1 LF 800 2 5 " 2") 4‘”
Sawcut and Remove 10" a: p,
AC/BaselSubgrade. Compact and 2.9 _. 1/, 4-40 "
8 Construct 4" AC over 6” Base SF 440
9 Tree Root Pruning EA 1 x, 5'00 “3 I; 500‘:
5/8 I 3+0 03
TOTAL BASEBID u
ENDOF BASE BID ITEMS
BASEBIDTOTAL(in words) HIMbun-‘WJe’l‘ih‘w"mwsam/am“ haw/Md1r ”4
'7
dDI/AISand Izoam/s
Contractor's Initials/JR)
AJ/A
ADDITIVEA BID ITEMSTOTAL(in words)
Contractor's Initials
In the event of a variation between the unit price and extended total, the unit price willbe used and the corrected extension willbe considered as the amount bid. lfthe bid isillegible and cannot be reconciled it willbe considered non-responsive and will not be considered for award.
If an additive and/oralternate bid schedule is called for in the Contract Documents, the lowest on the basis of the base bid schedule(s) only unless otherwise specified in
17.M.
s ecial items
the Notice Inviting Bids or by Addenda if issued to supersede the Notice Inviting Bids on this specific issue.
For a Contract where a deductive bid schedule is called for, the lowest bid will be determined by the total of all bid schedules including the deductive bid schedu|e(s).
Regardless of whether the additive/deductiveor alternates bid items will be considered in determining the low bid, the Agency may elect to include any or none of the additive/ or alternate bid items/schedules, or to otherwise add or remove certain workdeductive from the scope of Work. Accordingly, Contractor warrants that each bid item contains a proportionate share of profit, overhead and other costs and expenses, which will be incurred by the Contractor for the Project.
If equal low bids are received from responsible and responsive bidders the selection shall be made by drawing lots, or other similar random blind method selected by the Agency. 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.
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.
17.M.
Signaz
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Complete the following:
Legal name of the business, DIRReg. and Contractor License Nos Corporation
Business Type (Corporation, Partnership, Sole Proprietor) N/A
DBA(if any)
Name and title of the owner
James Wu, Vice President/Secretary
Name and title of second partner or officer
Business Address
Telephone number
Facsimile number
Name and Email address of primary contact
Company web address
<I7i.iln'Ll ..
Signature of Bidder Date
Print name and title
(Ifthe Bidder is a corporation two signatures of
name and title
officersare required.)
51%
Date
Pavement Coatings Co. DIR: 1000003382 — Exp. 6/30/2026, CSLB: 303609 Exp. 9/30/2026 5 Wu — Vice President/Secretary
Kurt Eddv, President/CEO
10240 San Sevaine Wav. Jurupa Vallev CA 91752
(714)826-3011
(714)826-3129
James Wu [email protected]
www.pavementrecvclinq.com
-
17.M.
Ja
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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):
b. Exp
Slunmm.
Signature of Bidder Date Date
Print name and title name and title
(Ifthe Bidder is a corporation two signatures ofcorporate o?icersare required.) This required license determination has been made by the Agency. Any Contractor holding a different license who feels he is qualified to bid on this work must so advise the Agency at least seven (7) days prior to the bid opening. The Agency may conduct a review of the contemplated work to re-evaluate the required license determination. The Agency may in its sole discretion maintain or change the required license determination; Agency's decision as to the required 303609 — A,C32
ires on: 9/30/2026
Kurt — Wu — Vice
17.M.
lib/W
IY
**Bidder's Bond Provided**
Kurt - Wu — Vice President/Secreta
BIDSECURITYFORM FOR CHECK
NOTE:THE FOLLOWINGFORM SHALLBEUSEDINTHECASEOF CHECKACCOMPANYINGBID Accompanying this proposal is a Certified Check or Cashier’s Check payable to the order of the City of Hemet, hereinafter referred to as "Agency", for dollars ( this
amount being 10 percent (10%) of the totalamount 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 date set for the opening thereof, unless otherwise required by law, and notwithsta the awa the Contract to another bidder.
lW $17,0le L” 3
Signature of Bidder Date der Date
Print name and title name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.)
17.M.
BIDSECURITYFORM FOR BOND
KNOW ALLBYTHESE PRESENTS:
That the undersigned
Pavement Coatings Co.
(Name of Contractor)
as Principal and the undersigned as Surety are held and firmly bound unto Owner, CITY OF HEMET, a political subdivision of the State of California, as obligee, in the penal sum of (Dollar Amount In Words) Ten Percent of Bid Amount
Dollars ($ 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 2025/26CITYWIDESLURRYSEAL2515 THE CONDITIONOF THIS OBLIGATIONIS SUCH that if the Bid submitted by the said Principal be accepted and the Contract be awarded to said Principal and said Principal shall within the required periods enter into the Contract so awarded and provide the required Construction Performance Bond, Construction Labor and Material Payment Bond, insurance certificates, and all other endorsements, forms, and documents required under the Instructions to Bidders, then this obligation shall be void, otherwise to remain in full force and effect.
IN WITNESS WHEREOF, the above bounden parties have executed this instrument this 15th dayof May 2026.
(Month)
Coa 8
(Corporate Seal) By
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17.M.
TRISHAVANDER SLU|5
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CAL FORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVILCODE § 1189
A notary public or other officer completing this certi?cate veri?es only the identityof the individualwho signed the document to which this certi?cate is attached.and not the truthfulness,accuracy, or validityofthat document.
State of California
County of Rive
On May 19th:2026 before me, , Date Here Insert Name and Title of the Of?cer personally appeared James Wu
Name(;s)of Signer(,s)
who proved to me on the basis of satisfactory evidence to be the personals)whose name($) is/ are subscribed to the within instrument and acknowledged to me that he/she/thley executed the same in his/her/thpirauthorized capacity(i¢s), and that by his/her/theirsignature($) on the instrument the person($), or the entity upon behalf of which the persongs)acted. executed the instrument. 1certify under PENALTYOF PERJURY under the laws
of the State of California that the foregoing paragraph Is true and correct.
WITNESS my hand and officialseal.
Signature AVMake/V$KM—m\
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
l: Corporate Officer — Title(s): Officer — Title(s):
,_ Partner — [3 Limited [3 General Partner — [1 Limited I} General Individual D Attorney in Fact if] Individual C Attorney in Fact Trustee j Guardian or iii Trustee Guardian or Conservator Other: D Other:
Signer Is Representing Signer ls Representing
@2014 Association - www.NationaINotary.org ' 1-800-US NOTARY0-800-876-6827) Item #5907
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other o?icer 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, accuracy, or validityof that document.
State of California
County of San Bemardino
On May 15:2026 before me, VOK CAGR ARK/Rd I [\i O‘iai Phi)h Date Here insert Mama and Titie orthe L
personally appeared Brigid LODeZ
Name?} or
who proved to me on the basis of satisfactory evidence to be the personix) whose nameix) is/ame subscribed to the within instrument and acknowledged to me that Mishe?tzegiexecuted the same in Kisiherlmeiirauthorized capacitylireeg, and that by Meritmx signatureit?) on the instrument the personite), or the entity upon behah‘ of which the personls) acted, executed the instrumentl 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 \l- H“ TJ‘lV‘MA;
Signature of Notary Public
VNN
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document: Document Date:
Number of Pages: Signer(s) Other Than Named Above:
Capacity?es) Claimed by Signerls)
Signer’s Name: Signer’s Name:
5 3Corporate Of?cer — Trtie(s): (7::Corporate Of?cer — Title(s):
{1.2Partner — ['3 Limited L General Limited [1 General
L]!individual :2 Attorney in Fact D Attomey in Fact
if?Trustee l: Guardian or Conservator El Guardian or Conservator LlOther:
Signer ls Representing: Signer is Representing:
©2014 Nationai Notary Association - mvaationaiNotaryorg - moo-us NOTARY —80i)—876—6827litem #5907
17.M.
my0' Placenl' sTaleDl CA each individually"mere hemoremenonenamed,ils[ms andlawfulanomarln-lacl [a make, seal, anknwedge BN1delivef.lo( andonIISbehalfassuveiyand as itsananddeed.anyandallamenaklms,bonds.rewgninnoesand amelsurelyobligations.Inpwsuamze presanls andsllallbe as blndlnguponmeCampan'lesas iltheyhave been dulysignedbyllle prsldenl and EmailedDy?leSW D!the Companlesin lheirawnpmpel ?ail/LA
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ReneeC.Llewellyn,[15$an Secretary
POWER OF ATTORNEY
Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company
West American Insurance Company
Certi?cateNo: 8214065 - 971991
KNOWNALLPERSONSBYTHESEPRESENTS:That The OhioCasualtyInsuranceCompanyis a corporationdulyorganizedunderthe lawsofthe State of NewHampshire,that LibertyMutualInsuranceCompanyis a corporationdulyorganizedunderthe lawsoftheStateofMassachusetts,andWestAmericanInsuranceCompanyis a corporationdulyorganized underthe lawsoftheStateofIndiana(hereincollectivelycalledthe“Companies"), pursuanto and byauthorityhereinset forth,doesherebyname,constituteandappoint,Brian A.
McGoldrick, Brigid Lopez, Evett Lam, MarisellaRivera
all ofthe
execute,
of these
persons.
INWITNESSWHEREOFI thisPowerofAttorneyhas been subscribedby an authorizedof?cerorof?cialofthe Companiesandthe corporateseals oftheCompanieshavebeenaf?xed theretothis 20th day of May , 2025 . LibertyMutualInsuranceCompany TheOhioCasualtyInsuranceCompany
WestAmericanInsuranceCompany
1912 191 9 1991
By:
AssistantSecretary
ofPENNSYLVANIA
of MONTGOMERY
Onthis 20th dayof May ,_2(_)25beforemepersonallyappearedNathanJ. Zangerie,whoacknowledgedhimselfto be theAssistantSecretaryofLibertyMutual Company,The OhioCasualtyCompany,andWestAmericanInsuranceCompany,and thathe, as such, beingauthorizedso to do, executethe foregoinginstrumentforthe containedbysigningonbehalfofthe corporationsbyhimselfas a dulyauthorizedof?cer INWITNESSWHEREOF. Ihavehereuntosubscribedmynameandaf?xedmynotarialseat at PlymouthMeeting,Pennsylvania,onthedayandyear?rstabovewritten. ofPennsylvania - Notary Seal Teresa Pastella, Notary Public MontgomeryCounty Mycommissionexpires March28, 2029 By: Commission number1126044 . Nolan-ES Public Power of Attomeyis madeand executedpursuantto and by authorityof the followingBy-lawsand Authorizationsof The OhioCasualtyInsuranceCompany, LibertyMutual InsuranceCompany, andWestAmericanInsuranceCompanywhichresolutionsarenowinfullforceandeffectreadingasfollows:
ARTICLEIV- OFFICERS:Section12.PowerofAttomey.
Anyof?ceror otherof?cialof the Corporationauthorizedforthat purposein writingby the Chairmanor the President,and subjectto such limitationas the Chairmanor the Presidentmayprescribe,shallappointsuch attomeys-in-fact,as maybe necessaryto act inbehalfoftheCorporationto make,execute,seal, acknowledgeand deliveras surety any and allundertakings,bonds,recognizancesand othersuretyobligations.Suchattomeys-in—fact, subjectto the limitationsset forthintheirrespectivepowersofattorney,shall have fullpowerto bindthe Corporationby theirsignature and executionof any such instrumentsand to attachtheretothe seal ofthe Corporation.Whenso executed,such instrumentsshallbe as bindingas itsignedbythe Presidentand attestedto bythe Secretary Anypoweror authoritygrantedto any representativeor attomey—in-fact underthe provisionsofthisarticlemaybe revokedat anytimebytheBoard,the Chairman,thePresidentorbytheof?cerorof?cersgrantingsuchpowerorauthority.
ARTICLEXIII— Executionof Contracts: Section5. SuretyBondsandUndertakings.
Anyof?cerofthe Companyauthorizedforthatpurposeinwritingbythe chairmanorthe president,andsubjectto suchlimitationsas the chairmanorthe presidentmayprescribe, shallappointsuch attomeys-in—fact,s maybe necessaryto act inbehalfofthe Companyto make, execute,seal.acknowledgeanddeliveras surety anyand allundertakings, bonds, recognizancesandothersurety obligations.Suchattomeys-in-factsubjecttothe limitationsset forthintheirrespectivepowersofattorney,shallhave fullpowerto bindthe Companybytheirsignatureand executionof any such instrumentsandto attachtheretothe seal ofthe Company.Whenso executedsuchinstrumentsshallbe as bindingas it signed bythepresidentandattestedbythe secretary.
Certi?cate of Designation — The Presidentof the Company,actingpursuantto the Bylawsof the Company,authorizesNathanJ. Zangerle,AssistantSecretary to appointsuch attomeys—in—fact as maybe necessaryto act on behalfofthe Companyto make, execute,seal,acknowledgeand deliveras suretyanyandallundertakings,bonds,recognizancesand othersurety obligations.
Authorization— ByunanimousconsentoftheCompany'sBoardofDirectors,theCompanyconsentsthatfacsimileormechanicallyreproducedsignatureofanyassistantsecretaryofthe Company,whereverappearingupona certi?edcopyofany powerofattorneyissuedbythe Companyinconnectionwithsurety bonds,shallbe validand bindingupontheCompanywith thesameforceandeffectas thoughmanuallyaf?xed.
I, Renee C. Llewellyn,the undersigned,AssistantSecretary,TheOhioCasualtyInsuranceCompany,LibertyMutualInsuranceCompany,and WestAmericanInsuranceCompanydo herebycertifythattheoriginalpowerofattorney ofwhichthe foregoingis a full,trueandcorrectcopyofthePowerofAttorneyexecutedbysaidCompanies,isinfullforceand effectand has notbeen revoked.
INTESTIMONYWHEREOF,Ihave hereuntoset myhandandaf?xedthesealsofsaidCompaniesthis 15th dayof May , 2026 . 1912 1919 1991
LMS-12873 LMICOCIC WAIC MultiCo 02/24 call 610-832-8240 or ema
17.M.
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NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODESECTION7106
NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID The undersigned declares
I am the of , the party making the
foregoing bid.
The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder. All statements contained in the bid are true. The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose.
Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the bidder.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on Sll‘ll-‘wzb[date], at city], state]
IVE/ 6| iqlum.
Signature of Bidder Date der Date
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.) Jurupa Valley I alifornia
5 Wu - Vice President/Secreta
17.M.
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CAL FORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVILCODE § 1189
A notary public or other of?cer completing this certi?cate verifies only the identity of the individualwho signed the documentto whichthis certi?cate is attached.and not the truthfulness, accuracy. or validityofthat document.
State of California )
County of Riverside )
On May 19th. 2026 before me, Trisha Vander Sluis. N Public Date Here Insert Name and Title of the Of?cer
personally appeared Kurt Eddy
Name(,s) of Signer$)
who proved to me on the basis of satisfactory evidence to be the whose name(s) is/ subscribed to the within instrument and acknowledged to me that executed the sameairei his/hiar/theirauthorized capacity(iés). and that by his/hér/their signature(s) on the the person(é),n or the entity upon behalf of which the personis) 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 A\j gar-Iv \
Signature of Notary Public
NNA1
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
Number of Pages: Signer(s) Other Than Named
Capacity?es) Claimed by Signer(s)
Signer's Name: Signer’s Name:
_ Corporate Officer — Title(s) Z Corporate Officer — Title(s) E Partner — Limited D
" Partner — C Limited C General
Ci Individual [3 Atto n Fact E Individual Attorney in Fact T Trustee or Conservator C Trustee C Guardian or Conservator Other: C Other:
Signer ls ng: Signer ls Representing
@2014 NationalNotary Association - www.NationalNotary.org- 1-800-US NOTARY(1-800-876-6827) item #5907
17.M.
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVILCODE § 1189
A notary public or other of?cer completing this certificate veri?es only the identityof the individualwho signed the document to whichthis certi?cate is attached, and not the truthfulness, accuracy, or validityofthat document.
State of California
County of 7 Riverside
On May 19th:2026 before me, Trisha \lnnder Rlnis: Nntarv Pnhlin Date Here Insert Name and Title of the Of?cer
personally appeared James Wu
Name(s)of Signer(,s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name($) is/ alre subscribed to the within instrument and acknowledged to me that he/she/ttyey executed the same i his/her/thpir authorized capacity(i¢s). and that by his/her/theirsignature($) on the instrument the person($),n or the entity upon behalf of which the personts)acted, executed the instrument.
I certify under PENALTYOF PERJURY under the laws
of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
Signature
Signature of Notary Public
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document: Document Date:
Number of Pages: Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
Corporate Of?cer — Title(s): Officer — Title(s)
[1 Partner — [3 Limited D General l: Partner — [:1 Limited 3 General 3 Individual Attorney in if} Individual D Attorney in Fact Trustee j Guardian C Trustee D Guardian or Conservator
Other: C Other:
Signer ls Signer ls Representing:
©2014 Notary Association- www.Nationa|Notary.org - 1-800-US NOTARY0-800-876-6827) Item#5907
17.M.
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: Slurry
Contract Price: Date of Completion
Name, Address, and Telephone Number of Owner's Representative Project Name:
Contract Price: Date of Completion:
Name, Address, and Telephone Number of Owner's Representative:
Project Name:
Contract Price: Date of Completion:
Name, Address, and Telephone Number of Owner's Representative (Attach additional pages as necessary)
Seal & Ramp Accessibilitv
$8.036.126.1 1/20/2026
County of Riverside Transportation Dept
3525 14th Street Annex, Riverside CA 92501— Andy Huynh<95h204—9195 25—008 Slurrv Proqram Phase 1 Pro?ect
$2,182,510.60 2/20/2026
Citv of Whittier
13230 Penn Street, Whittier CA 90602 —Philip Wang (5M)5W-9MW 11-2N1764
$2,581,165.70 Proqress
California Dept. of Transportation
4050 Tavlor Street, San Dieqo CA 92110 —Guillermo Sillas<76m59+2006 **See Attached for Additional Completed/Current Projects Backlog and Project References**
— In
17.M.
**COMPLETED & CURRENT ACTIVE PROJECTS**
Caltrans 11—2N1764
Caltrans 11—2N2304
Riverside County
Slurry Seal & Ramp
Accessibility
Los Angeles County
JOC 6775
South County
City of Whittier 25
008 Slurry Program
Phase 1 Project in
the City of
Whittier
City of La Mirada
Slurry Seal of
Valley View Ave
from Rosecrans to Alonda Blvd & NG
Lanes from Park
Palce to Artesia
Blvd
San Diego Slurry
Seal Group 2621
San Diego Slurry
Seal Group 2622
City of Laguna
Beach Zone 6 Slurry
Seal and
Rehabilitation
City of Santa Maria
Citywide Road
Resurfacing Project
City of Pomona
Microsurfacing
Microsurfacing
Microsurfacing
RAP Slurry/Chip
Slurry Seal
slurry Seal
Chip/Slurry
Chip/Slurry
Slurry Seal
Chip Seal
Slurry Seal
12/31/2025
12/31/2025
11/30/2025
4/1/2026
3/11/2026
2/26/2026
3/12/2026
3/11/2026
12/15/2025
12/22/2025
12/15/2025
$2,581,165.70
$2,198,568.38
$8,036,126.10
$4,462,500.00
$2,182,510.60
$407,799.00
$3,870,345.50
$3,818,749.82
$201,350.00
Guillermo sillas,
Resident Engineer
(760)594-2006
Guillermo sillas,
Resident Engineer
(760)594—2006
Joel Jimenez,
Engineering Project
Manager (951)955—
6780
Irma Vasquez - Administrative
Services Manager,
Public Works
(626)458—4951
Philip Wang, City
Engineer (562) 567—
9500
Mark Stowell, City
Engineer (562) 902—
2385
Juan Espindola,
Senior Contract
Specialist -
(619)533—4491
Abel Martinez,
Contract Specialist
— (619)533—5270
Joshua McDonald,
Associate Civil
Engineer (949)497—
0339
Manuel Guzman
(805)800—9171
Augustine De Los
Reyes (619)799-6063
Project Description of Completion Date Cost of Bidder’s Contact Name & Phone Bidder‘s Work Work
$1,291,801.50
$2,910,328.92
17.M.
San Diego Slurry
Seal Group 2623 Chip/Slurry 6/1/2026 $4,787,967.25
17.M.
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17.M.
ASPhalt 1000004798
8.5%
Specialized
Pavement Marking,LLC 854894 1000886659
Cypress, CA
1051374
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Name of Subcontractor
andLoca?onobece
ofBu?ness
Onyx Paving
Company, Inc.
Yorba Linda, CA
Pavement Rehab
Company
Yorba Linda, CA
DESIGNATIONOF SUBCONTRACTORS
Description and DIR
Percentage of Subcontractor's Registration
Work License No. Number
630360
Crack Seal
(Bidder to attach additional sheets if necessary)
(PUBUCCONTRACTCODE§4100ETSEQJ
Ema“
Address
17.M.
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“IL-WWIBIDDERCERTIFICATIONS
TO BEEXECUTEDBYALLBIDDERSANDSUBMITTEDWITH BID
The undersigned Bidder certifies to Owner as set forth in sections 1 through 10, below
STATEMENT OF CONVICTIONS
By my signature hereunder, I hereby swear, under penalty of perjury, that no more than one final, unappealable finding of contempt of court by a Federal Court has been issued against Bidder within the past two years because of failure to comply with an order of a Federal Court or to comply with an order of the National Labor Relations Board.
CERTIFICATIONOF WORKER'SCOMPENSATION INSURANCE
By my signature hereunder, as the Contractor, I certify that I am aware of the Labor Code Section 3700, which requires every employer to be insured against liability for worker's compensation or to undertake self-insurance in accordance with the provisions 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 PUBLICWORKSCHAPTEROF LABOR CODE By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Sections 1777.1 and 1777.7 Code, and Contractor and Subcontractors are eligible to bid and work on public works projects.
CERTIFICATIONOF NON-DISCRIMINATION
By my signature hereunder, as the Contractor, Icertify that there will be no discrimination in employment with regard to race, color, religion, gender, sexual orientation, age or national origin; that all federal, state, and local directives and executive orders regarding nondiscrimination in employment will be complied with; and that the principal of equal opportunity in employment will be demonstrated positively and aggressively.
17.M.
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(3), 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 Divisio n
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 Bidder Date Date
Print name and title nt name and title
(Ifthe Bidder is a corporation, two signatures of corporate o?‘icersare required.) —
1000003382
Wu - Vice President/Secreta
17.M.
RESOLUTION OF BOARD OF DIRECTORS OF
PAVEMENT COATINGS CO.
RESOLVED, That all of?cers of the Company (being the President, Timothy Schmid; the Vice-Presidents, James Wu, and Guy Tittlemier; Secretary, James Wu; and the Treasurer, Rick Yauney) are hereby authorized and empoweredto enter into contracts, sign bid documents and otherwise execute agreements in the normal course of business and upon such terms and conditions as may be agreed by the Company and the counterparty (ies).
1,James Wu, do hereby certify that I am the duly elected and quali?ed Secretary and keeper of the records and corporate seal of Pavement Coatings Co., a corporation organized and existing under the laws of the State of California, and that the above is a true and correct copy of a resolution duly adopted at a meeting of the Board of Directors thereof, convened and held in accordance with the Bylaws of said Corporation on the 25t day of November, 2025, and that such resolution is now in full force and effect. h IN WITNESS WHEREOF, I have af?xed my name as Secretary and have caused the corporate Corporation to be hereunto af?xed, May 18th, 2026 Secretary
Coatings Co.
17.M.
Hepresentin '
§
person-Mp)
lshe/tlyey
:S.3!WLQ,VM 3
CALIFORN A ALL-PURPOSE ACKNOWLEDGMENT CIVILCODE § 1189
A notary public or other officercompleting this certi?cate veri?es only the identityof the individualwho signed the documentto which this certi?cate is attached, and not the truthfulness,accuracy, or validityof that document.
State of California
County of R
on May 19th, 2026 before me, Trichn \/ .Qlllic Nntnnl Dnhlin Date Here Insert Name and Title of the Of?cer
personally appeared James Wu
Name(s)of Signer(s)
who proved to me on the basis of satisfactory evidence to be the whose name($) is/ are
subscribed to the within instrument and acknowledged to me that he executed the same in his/her/their authorized capacity(i¢s), and that by his/her/thpirsignature($) on the instrument the person($), or the entity upon behalf of which the persongs)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.
WITNESSmy hand and officialseal.
TRISHAVANDERSLUlS Signature Notary Public- California
RiversldeCounty
Commisslon5‘2542919
Comm.ExpiresJan 16, 2030
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:
_ Corporate Officer — Title(s) Officer — Title(s):
E Partner — El Limited :1 General _,_ Partner — [3 Limited 3 General Individual E] Attorney in Fact ”flIndividual D Attorney in Fact T Trustee El Guardian nservator l: Trustee D Guardian or Conservator Other: Other:
Signer ls Signer ls Representing:
©2014 Notary Association - www.Nationa|Notary.org- 1-800-US NOTARY(1-800-876-6827) Item #5907
17.M.
H
Resolution Granting Signing Authority to Conduct Business WHEREAS, PR5 Holdings, Inc. a California corporation,desires to grant sigiing privileges and authority to certain petson(s) as describedbelow for PRS Holdings. Inc. and all subsidiaries.
RESOLVED, that the Board of Directors of PRS Holdings, Inc. hereby authorizes and approves granting signing authority to conduct business to the President/CEO (Kim Eddy) of PRS Holdings. Inc. and all subsidiaries.Such signing authority shallinclude.but not be limitedto, the executionof deeds, powersof anomey, transfas. assignments,commitments, contracts, obligations, certi?cates, and other instrumarts of whatever nature entered into by this corporation,and the authority to extendsigning authority to additional management as required in the normal course of business.
This resolution shall remain in ?ill force and effect, without modi?cation, until further action by the Board of Directors of PRS Holding, Inc.
£23., 9 é-5‘!i
-
Stephen Coucannon, Chairman Randi gin
%
Mike Kemper aip
$1.“? 1
arson Kurt Eddy
man——
an! Yauney
IN WITNESS WHEREOF, Ihave executed my name as Secretary and have hereunto a?ixed the corporate seal of the above-namedcorporation.
1 K1111Eddy, Secretary, PRS Holdings, Inc. ate
PRS oldings, Inc.
Fei
Jessica C s
W
Rich
W 03/12/2026
Scott P
17.M.
Notary
MW
Wm H w wv zwmw :Na?onal
CALIFORN A ALL-PURPOSE ACKNOWLEDGMENT CIVILCODE § 1189
A notary public or other of?cer completing this certificate veri?es only the identity of the individualwho signed the document to which this certi?cate is attached, and not the truthfulness, accuracy, or validityofthat document.
State of California
County of Riverside
On Mav 19th. 2026 before me, Trisha Vander Sluis, Public Date Here Insert Name and Title of the Of?cer
personally appeared Kurt Eddy
Name($) of SignerOS)
who proved to me on the basis of satisfactory evidence to be the person(/s) whose name(s) is/ subscribed to the within instrument and acknowledged to me that he/she/tHey executed the sameatrein his/hér/thEir authorized oapacity(iés), and that by his/hér/théir signature(s) on the instrument the person(s), or the entity upon behalf of which the personis) 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.
WITNESSmy hand and official seal.
TRISHAVANDERSLUIS
NotaryPublic California Signature RiversideCounty
Commission# 2542919
Comm.ExpiresJan 6, 2030
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:
Number of Pages: Signer(s) Other Than Named
Capacity(ies) Claimed by Signeris)
Signer’s Name: er’s Name:
Corporate Officer — Title(s): :1 Corporate Officer — Title(s):
Partner — Limited General :1 Partner — Limited C General E Individual E Attorney U Individual E Attorney in Fact T Trustee or Conservator :1 Trustee Guardian or Conservator Other: 3 Other:
Signer ls ng: Signer ls Representing:
@201 Notary Association - www.NationalNotary.org- 1-800-US NOTARY(1-800-876-6827) item #5907
17.M.
Final Audit Report 2026-03-20
PRS oldings Resolution Granting Signing and
Authority
ry
Document created by Hanna Sante ([email protected]) 2026-03-12 - 11:15:01 PM GMT
Document emailed to Stephen Concannon ([email protected]) for signature Document emailed to Jessica Carps ([email protected]) for signature Document emailed to Scott Parson ([email protected]) for signature Document emailed to Randi Feigin ([email protected])for signature Document emailed to Mike Kemper ([email protected]) for signature -
Document emailed to Rick Yauney ([email protected]) for signature 2026-03-12 - 11:15:07 PM GMT
Document emailed to Kurt Eddy ([email protected]) for signature 2026-03-12 - 11:15:07 PM GMT
Email viewed by Stephen Concannon ([email protected]) 2026-03-12 - 11:15:44 PM GMT
Email viewed by Kurt Eddy ([email protected] Created: 2026—03-12
By: Hanna Sante ([email protected])
Status: Signed
Transaction ID: CBJCHBCAABAAP1rv9quEXkannN2AR821bx3pxdWrTR "PRS Holdings Resolution Granting Signing and Authority" Histo 2026-03-12 - 11:15:05 PM GMT
2026-03-12 - 11:15:06 PM GMT
2026-03-12 - 11:15:06 PM GMT
2026—03-12- 11:15:06 PM GMT
2026-03-12 - 11:15:47 PM GMT
Adobe Acrobat Sign
17.M.
Email viewed by Mike Kemper ([email protected])
2026-03-12 - 11:16:24 PM GMT
2026-03-12 - 11:18:26 PM GMT
2026-03-13 - 0:51:18 AM GMT
Agreement completed.
2026-03-20 - 10:30:24 PM GM
T
Adobe Acrobat Sign
Signer Mike Kemper ([email protected]) entered name at signing as Michael Kemper Document e-signed by Michael Kemper ([email protected])
Signature Date: 2026-03—12- 11:18:28 PM GMT - Time Source: server Document e-signed by Kurt Eddy ([email protected] ) Signature Date: 2026-03-12 - 11:21:52 PM GMT - Time Source: server Email viewed by Rick Yauney ([email protected] )
-
Email viewed by Scott Parson ([email protected])
Email viewed by Randi Feigin ([email protected])
2026-03-13 - 0:54:51 AMGMT
Document e-signed by Randi Feigin ([email protected]) Signature Date: 2026-03-13 - 0:55:18 AMGMT - Time Source: server Document e-signed by Rick Yauney ([email protected]) Signature Date: 2026—03-13- 1:55:18 PM GMT — Time Source: server Document e-signed by Stephen Concannon ([email protected]) Signature Date: 2026-03-14 - 3:46:48 AMGMT - Time Source: server Emailviewed by Scott Parson ([email protected])
2026-03-20 - 1:41:40 AMGMT
Email viewed by Jessica Carps ([email protected])
2026-03—20- 1:27:39 PM GMT
Document e-signed by Jessica Carps ([email protected]) Signature Date: 2026-03-20 - 1:27:58 PM GMT - Time Source: server Document e-signed by Scott Parson ([email protected]) Signature Date: 2026-03-20 - 10:30:24 PM GMT - Time Source: sewer
17.M.
in
EST. 1927
state ofCalifornia
Department of
IndustrialRelations
5/21/26. 2:58 PM 1000003382 - PAVEMENTCOATINGS CC.
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1000003382 - PAVEMENTCOATINGS CO.
1000003382 - PAVEMENTCOATINGSCO
Customer Account Lookup
PWCR
1000003382
Contractor Status
DIRApproved
CSLB
303609
Business Phone
9516821091
Ext
Registration Start Date
2023-07-01
httpszllservices.dir.ca.gov/gsp? 1/3
17.M.
5/21/26.2:58 PM 1000003382 - PAVEMENTCOATINGS CO.
Legal Entity Name
PAVEMENTCOATINGS CO.
Doing Business As (DBA)
PAVEMENTCOATINGSCO.
Business Structure
Corporation — C corp
President
Timothy Schmid
Emai
[email protected]
Registration End Date
2026-06-30
Crafts
3Slurry Seal Worker (Laborer)
1 Laborer and Related Classi?cations LABORER
Address
Mailing Address
10240 San Sevaine Way
Mailing Address - City
Jurupa Valley
Mailing Address - State
California
Mailing Address - Zip
91752
httpszllservices.dir.ca.govlgsp? 2/3
17.M.
5/21/26, 2:58 PM 1000003382 - PAVEMENT COATINGS CO.
Mailing Address - Country
United States
Physical Address
Physical Address - City
Physical Address - State
Physical Address - Zip
Physical Address - Country
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17.M.
MPANYnus)
CONTRACTORS STATE LICENSE BOAR!
CSLB complaint disclosure is restricted by law ( MP 7124 6 ) Ifthis entity is subject to public complain! disclosure click on link that Willappearbelow (or more information Click here lor a delinitmn oldisclosable actions Only construction related cwiljudgments reported to CSLBare disclosed ( BAP 1071 17) Arbitrationsare not listed unlessthe contractor (oils to comply with the terms Due to workload, there may be relevant information that has not yet been entered into the board's license database Data current as of 5/6/20261:42:12 PM
Business Information
Bondinglnfmmalaon
Contractor'sLicenseDetailforLicense#
303609
DISCLAIMER:A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware ofthe following limitations.
Entity Corporation
Issue Date 03/03/1975
Expire Date 09/30/2026
> C32 - PARKINGANDHIGHWAYIMPROVEMENT
Contractor's Bond
Bond Number: 939322225 Bond Amount: $25,000 Effective Date: 05/01/2024 Contractor's Bond History Bond of Qualifying Individual Thislicense ?led Bond onualifying Individualnumber 999311354 for TIMOTHYJACOB SCHMID in the amount of $25,000 with OHIO CASUALTYINSURANEEQ
Effective Date: 02/16/2024
PAVEMENTCOATINGSCO
10240 SANSEVAINEWAV
JURUPA VALLEY,CA91752 Business Phone Number:(714) 826—3011 LicenseSiaius
This license is current and active.
Allinformation below should be reviewed.
Classdlcaiions
> A- GENERALENGINEERING
Thislicense filed a Contractor's Bondwith OHIOCASUALTYINSURANCECOMPANY(THE
17.M.
Thisiicensehas workers compensation Insurance with the TRAVELERSPROPERTYCASUAL
TY COMPANYOFAMERICA
Hidnnr
Back to Iop
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Accessibility Certification
Copyright© 2026 State of California
Policy NumberzUB9K16850A2525K
Effective Date: 10/01/2025
Expire Date: 10/01/2026 Workers' Workers' compensakion classi?cation code(s):
5506 - Street/RoadConstruction-paving
8227 - Construction/Erection Permanent Yards
8810 - ClericalOfficeEmployees
For a description oithe workers' compensation classi?cation code(s) listedforthis licensee, contact the licensee‘s insurance carrier. Contact informationfor the licensee's insurer is available by clickin g
the insurer linkabove. Classification codes are also available on the Workers'Compensation Insurance Rating Bureau's classi?cation search page.
Personnel listed on this license (current or disassociated) are listed on other licenses The board does not verify or investigate the atcuracy of classi?cation codes displayed.
Other
Conditions of Us e Accessibility
17.M.
398.9835; oNONBQmoi. 535
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17.M.
sumcommAsphalwlg- Repairs: (2) sum;
I/Aspm Dig-Outs/Wide mum 5102.915(1!
Min
Attn: Agency:
Project:
Onyx Paving Company, Inc.
22707 La Palma Ave, Yorba Linda.CA 92887 TEL: (714) 632-6699 Llc # 630360 Class A,C-12 Estimating Department DIR#1000004798 City of Hemet Proposal Date: 5/26l2025 2025/26Citywide Slurry Seal Bid/Proposal No.: 26-172
BASEBIDSCHEDULE
BidItemDescription(Item:MustBeTakenTasman Quantity Unit UnltBId TotalBld Mobilizalion ?Traf?c/PedesiiianControl(Onyx't ScopeOnly) 1 LS $13,000.00 $13,000.00 AsphaltRaidingofCracks(>17 800 LF 325.00 $20,000.00
AsphaltDig-Gills(10"- ”AC over6"Base) 440 SF $25.00 $11,000.00 GRANDTOTAL: $44,000.00
NOTES/SPECIAL CONDITIONS:
1) Addendums Acknowledged: 1
2) Base BidItems M Be Packaged Together or the Price isVoid. 3) ThisProposal Must Be Made Part of Any Future Contract/Agreement as an Exhibitor all quantities/unit prices/notes/excluslons must be part of the scope in the contract. 4) This proposal is valid fora calendar days. AllBase Biditems listed above must be included otherwise prices subject to change 5) Allwork to be performed during ”mg! working hours (Monday-?lthy 7:00am to 4:00pm). 6) Final payment willbe based on Fieldmeasurement of all unit price items. 7)
8)
INCLUSIONS:
1) Item #01 - Mobilizationfor Onyx‘s Scope of Work
2) Item m2 - Traffic Control for Onyx's Scope of Work (Per WATa-l Manual) Items imam - Includes(11Mobliintlon for Asphalt DIg-Outs/WideCrack Repairs.
Outs/WideCrack
3’ CrackRepalrs Op Total Shift(s) Due to Layout/Availability; Add m forEachAdditionalShift.
4) Allitems Include DailyCleanup of Onyx's Scope of Work Only.
EXCLUSIONS:
1] Any and all items not listed above, Permits, Bonds, Fees, Testing. Inspections, Shop Drawings, Survey, Staking, Engineering 2) Pot Hollng,SWPPP/BMP‘s/Erosion Control, Traf?cControl Plans,CMSBoards, Notices &Posting of No Parkings, Monuments, 3i Striping/Signage, Loops, Slot Patching, Placement of Pavement Fabric,Crack Sealing/Weed Kill,Slurry Seal/SealCoat/Fog Seal, 4) Etc., Unless Add Alternate Scopes Are Accepted and Covered In the BidItem Description.
Thank you for the opportunity.
Joseph Nickolas Gilligan
Estimator / Project Manager
Office: (714) 632-6699 Cell:(323) 275-7956 Email:[email protected] BY:
ACCEPTANCE(Signature/Print Name )
DATE:
A MINIMUM ? WEEKNOTIFICATIONPRIORTO MOBILIZATIONISREQUIRED.
PLEASECONTACTJUSTINKIRSCHNERFORALLSCHEDULINGQUESTIONS- [email protected] OR (714) 402-0904.
Onyx is Signatory to Ope g Engineers, Laborers & Mason Unions Insurance Included in this Bid:Commercial Liability$1MMper occurrence / SZMMaggregate; $2MM Products and Completed Operations Aggregate; $1MM Personal and Advertising Injury; $1MMCommercialAuto; Worker's Compensation coverage per statute.
Onyx Paving Company, Inc.WILLNOT provide credIt(s) ifscope of work is performed under the listed shift count(s) below.
17.M.
Notes?nclusions:
Excluslon (Unless noted in description!
A UNIONSIGNATORY
LICENSE# 1051374 EXP3/31/27 QUOTEiI:
A, C-12 & C-8
D|R# 1000054823 EXP6/30/26
PAVEMENTREHABCOMPANY
OFFICE(714) 238-1444 - FAX(714) 333-4844
22711 E.LAPALMAAVE,YORBALINDA,92887
ATTENTION: ESTIMATINGDEPT BID DATE:
LOCATION: CITYOF HEMET
PROJECT: 25/26CITYWIDESLURRYSEAL2515
ITEM DESCRIPTION UOM QUANTITY UNITPRICE
BIDSCHEDULE
CRACKSEAL-ON ITEM6 SY 200,000 0.3930
"*ltems are Taken Together or Quote is Void ** GRANDTOTAL= A minimum of45 working days notificationprior to mobilization is required for each move-in.
Addendum Acknowledged: 1
Items are taken together or quote is void.
Quote is Valid for 60 Days From Proposal Date
Final payment will be based on Fieldmeasurement of all unit price items.
Price is based on (1) Move-Ins. Additionalmove will be $3,500.00 per each additional move. Subcontract willrequire monthly progress invoices to be paid infull with 0% retention withheld.
Quote Based on normal working hours (7am -5pm) Monday - Friday Rout, Clean & Seal Cracks1/8"- 1.5" with Hot Applied Type "D"CrackSealant Sweeping
Traf?c Control- For PRCOperations
Removal of Existing Sealant
Fillingof Cracks with Asphalt Concrete and/orMastic One Any Type of Milling/Grinding
Fillof of PCCJoints
ExcludesGray CrackSealant
Railroad Flagging,RailroadPermits
Any Fees Relatedto Badges/Permits/T raining
$
5 20-24784
5/26/
2026
EXTENTION
78,600.00
78,600.00
PAVEMENT
/'REHAB COMPANY
17.M.
@gavemenlrehab.com
Any Striping Removals or Insallation (Temporary or Permanent) ExcludesConstruction of Work Zone Speed Limit Reduction System impact Attenuator Vehicle (Scorpion), K-Rail/Guardrail,LightTowers, Traffic Control Plans, Freeway Ramp Closures, Vehicle Speed Feedback Signs, PCMS/CMSBoards. Concrete Barriers.
Survey, Prime Coat, Weed Kill,Herbicide Spraying, Pre-Emergent Treatment, Striping, Slurry/Sealcoat, Testing, Removal of Existing Sealant, Sand Blasting, Any Cost Related to inspection, FillingCrackswith SS-lH/Sand Bonding
Crack Vacuum Unit - WillProvideVacuum Street Sweeper in Lieu Pre-Sweeping, Weekend Work, Any Type of Milling/Grinding Clearing and Grubbing Joint Between Pavement & Gutter
Staging Area & Portable Restroom (To Be Provided by General Contractor) Silicone or Gray Sealant, Night Work, Weekend Work
PCCJoint Sealant
***No Notices of Any Kind***
*"No Posting of No ParkSigns""‘
Tim Fitzpatrick
Estimator/Project Manager
Office: (714)238-1444 Cell:(714) 397-0733 Email:timf
ACCEPTANCE(Signature/Print Name )
BY: DATE:
General Conditions
Any indemnity and defense obligation required from Pavement Rehab Company (PRC)shall be proportional and limited to the extent PRC'sacts, omissions, fault, or negligence contribute to any alleged or actual claimsor damages. Insurance included in this Bid:Commercial Liability$1MM per occurrence / $2MM aggregate; SZMMProducts and Completed Operations Aggregate; $1MMPersonal and Advertising injury; $1MM Commercial Auto; Worker's Compensation coverage per statute.
17.M.
DIR?1ODDBISSSS EXP 06/30/27
Project
-m....M.
Specialized Pavement Marking
5312 Cypress St
Cypress, CA 90630
SPECIALIZED PAVEMENT MARKING Phone 714 995 9100
Specialized Pavement Marking Fax 714.995.9400
License # 854894 (032) Exp 04/30/28 Proposal & Contract 49965 Union Local 1184
SubmitTo: Contact
Pavement Coatings Estimating-Of?ce 714-826 2025/26 Citywide Slurry Seal 10240 San Sevaine Way -3011-Fax 714-826 Hemet
Jurupa Valley, CA 91752 -3129-jvbids@pavementcoatings
.com
Date: Estimator
5/26/26 Raul Guzman
# nnenrintinn QtV um pm“ Ext Price
One week day mobilization is included.
Additional mobilizations at $2,450.00 ea.
A mobilization or Move-In is any work accomplished through consecutive shifts. lf work is unavailable or not ready for Superior an additional mobilization charge willincur.
Traf?c control for Superior work areas during Superior work hours only. Traf?c control per W.A.T.C.H. Manual Only.
A Minimum Of 20 Working Days Is Required Prior To Each Move In.
Prime Contractor is responsible for the posting of temp no parking signs if necessary.
Quote Includes: Traf?c Paint [N0] - Thermoplastic [YES] - Rpm's [YES]- Removals [YES] - Signing [NO] Furnish Mast Arm Signs [NO] - Temp Striping [NO]- Traf?c Control Plans [NO]- As-BuiltPlans [NO] General contractor or owner of project to accept Superior Pavement Markings insurance limits. Any additional insurance required to be paid by general contractor or owner. Insurance limits available upon request.
For scheduling please contact Daniel Garcia (714) 430-8801 or [email protected] 5 Remove and Replace Signing And Striping 1 LS 34,462.00 34,462.00 NOTE:
- Any Removal Superior Does Will Cause Some Scarring / Discoloration And Might Damage Existing Surface.
Superior Pavement Markings Will Not Be Responsible For Replacing Any Pavement If Damaged During Removals.
- Removals To Be Done By Grinding Any Other Process Would Be An Additional Cost.
17.M.
1’
| Descrip?on Qty
Continued...
# um Price Ext Price
Specialized Pavement Marking LLC Total $34 462 00
by:
Estimator - Specialized Pavement Marking LLC(Subject to of?ce approval) Proposal valid for 30 days from 5/26/2026.
All areas to be free and clear off ALLdebris prior to Superior Pavement Markings' crews arriving on-site. All moves andjob requirement are mentioned in notes- nothing is implied unless speci?cally noted. Not responsiblefor scheduling other sub‘swork or scheduling con?icts with other subs. We DOT NOT provide shop drawings of any type unless prior arrangements are made. Not responsible for removing temporary striping or temporary "tabs".tape or chip seal markers unless speci?cally noted. Signs on signal poles, overhead or truss structures not included unless speci?cally mentioned in proposal. SuperiorPavement Markings is a union company and all jobs are bid using current union or prevailing wage rates.
l/we accept the within proposal.You are authorized to perform the work comprehended here under and I/wc agree to pay the said amount in accordance with the terms set forth. By signing this Proposal/Contract below I/we agree to the attached Terms and Conditions Date: Owner/Customer: Print:
PLEASE SIGN AND REMITTHIS 2 PAGE DOCUMENT TO ABOVE ADDRESS. page 2 of 2
17.M.
Dat
OnyxPaul/1gp C6.
CONTRACTOR'SREFERENCELIST
Attach to this bid a list of three (3) projects in the past five (5) years on which the bidder and hi s
subcontractor(s) have successfully constructed and completed projects with the same type (elements), size and complexity of work. The Agency Engineer will make the final determination of whether the projects listed here are of the same type, size and complexity as this project.
Failure of bidder to supply sufficient documentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non-responsive bid and, at the Agency’s discretion, said bid will be disqualified.
AREA 3 RESIDENTIAL& COLLECTOR STREETS REHABILITATIONAND Project Name: ARTERIALSTREET REHABILITATION
$9,619,251.50 Contract Price ate of Completion; SEP 2024 Name, Address, and Telephone Number of Owner's Representative:
CHRISTIAN MALPICA // (909) 208-5199 // [email protected] project Nam: RESIDENTIALSTREETS PAVEMENT REHABILIATIONPROJECT — AREA 5&7 Contract Price: “745533-88 e of Completion: JAN 2025
Name, Address, and Telephone Number of Owner's Representative:
EDWARD TORRES // (562) 904-7110 // [email protected] Project Name: FY 23-24 RESIDENTIALSTREET REHABILITATIONPROJECT Contract Price $4’407'861 '46 Date of Completion FEB 2025 Name, Address, and Telephone Number of Owner's Representative:
OKAN DEMlRCI// (714)319-6137 // [email protected] (Attach additional pages as necessary)
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ave nt.
OPUUIUIILUUI'dVUl I IUI II. IVIdl l\|l I9, LLU
Spec/lethal Fatima/ll Mags/(41g, LLC
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. Remove and Install
Contract Price: $57,814,000-00 ate of Completion 00.00an Name, Address, and Telephone Number of Owner's Representative:
City of Los Angeles 200 N Spring Street, Los Angeles CA 90012 Manny Miramontes. (213 485-9331
Project Name: Pavement Marking Maint.
Contract Price: $640:150-00 Date of Completion: 10/2025 Name, Address, and Telephone Number of Owner's Representative City of Burbank 275 East Olive Avenue, Burbank CA 91502 Marcos Fuentes. (818) 238—5270
Project Name: Annual P ment Markina Mai
Contract Price: $3601000-00 Date of Completion: 08/2024 Name, Address, and Telephone Number of Owner's Representative:
City of Simi Valley 2929 Tapo Canyon Road, Simi Valley CA 93063 Anthony Gallo, (818) 583-6810
(Attach additional pages as necessary)
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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 suf?cient 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’sdiscretion, said bidwillbe disqualified.
Project Name:
Contract Price: $ 00 0 Date of Completion:
Name, Address, and Telephone Number of Owner's Representative:
0 0
Project Name:
Contract Price: ‘q of Completion:
Name, Address, and Telephone Number of Owner's Representative 0 0i
Project Name
‘
Contract Price: ‘ll“l 950.Sl Date of Completion
Name, Address, and Telephone Number of Owner's Representative:
(Attach additionalpages as necessary)
\0/1‘3
SWS
%
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AENPP DIX1
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will not be responsible
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the 2025/26CITYWIDESLURRYSEAL,CIP No. 2515 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 their proposal, Contractor acknowledges receipt of Addenda No.(s 1
The undersigned has examined the current State of California schedule of prevailing wage rates for the types of work to be done on this project (and the Davis-Bacon Act if the Agency uses federal funds for the Project) and agrees to pay not less than these rates.
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the 2025/26CITYWIDE SLURRYSEAL,CIP No. 2515 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 items shown on this proposal.
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gum»nuu.««n“unnuhunn
ITEM
No
BIDSCHEDULE
BASEBID- 2025/26CITYWIDESLURRYSEAL
CIP No. 2515
ESTIMATED
DESCRIPTION UNIT QUANTITY
UNIT PRICE
Mobilization / Demobilization (not to
exceed 5%) LS 1 gammy
Traffic and Pedestrian Control L8 1 111,30»
Water Qualitv Control LS 1 6 one.-
Temporary Construction Project
Identification Signage EA 3 Q 05:-
Remove and Replace Signing and 294350"
Striping LS 1 W
Crack Seal Cracks up to 1” & Slurry
Seal SY 200,000 615
Asphalt Routing of Cracks Greater
than 1 LF 800 9.03:.
Sawcut and Remove 10"
AC/Base/Subgrade. Compact and
Construct 4” AC over 6” Base SF 440 5H. 3.0
Tree Root Pruning EA 1 9.42.0,
TOTAL BASE BID(numbers)
**************~k********************* END OF BASE BID ITEMS BASE BID TOTAL (in words)
Contractor's Initials
ADDITlVEA BID ITEMS TOTAL (in words) “Zen, 0..“ ms
Contractor's Initials
EXTENDED
ITEM
AMOUNT
20.130A-
:1 1m.“ G 315-
4 ma"
EH“! * Hit-4:515}
5‘10 Ann16.630‘
’13.‘6'~l$€'
Q QED“
52.3.6qu .00
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 schedu|e(s) only unless otherwise specified in
17.M.
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 methdd 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 ofpreparing the proposal shall be the sole responsibility of Bidder. The Notice Inviting Bids and Instructions to Bidders does not create or impose any obligation upon the Agency to enter into a contract.
All bids received shall be recorded on an abstract (tabulation) of bids, and then made available for public inspection within two business days of bid opening.
The quantities listed in the bid proposal are provided to give a general indication of the scope of the work and for the comparison of bids. No warranty is made, either expressed or implied, that the actual quantities of work to be done will correspond therewith. Item numbers followed by "(S)” are designated as 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.
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//~._// Mme GA (19/
udder
Complete the following:
AllAmerican Asphalt
Legal name of the business, DIRReg. and Contractor License Nos.
Corporation
Business Type (Corporation, Partnership, Sole Proprietor) N/A
DBA(if any)
Daniel D Sisemore & Betty L Sisemore - 100% Trust
Name and title of the owner N/A
Name and title of second partner or officer
PO BOX 2229, Corona Ca 92878
Business Address
951—736-7600
Telephone number
951-736-7646
Facsimile number
Edward J Carlson publicworks©aIlamericanasphaltcom
Name and Email address of primary contact
www.a||americanasphalt.com
Company web address
Signature of B Date Signature of Bidder Date
Edward J Carlson - Vice President Michael Farkas - Secreta Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate officersare required.)
17.M.
[\T
A L ’11}. UN J‘n‘ M ‘m N' H ALLAMERICA
N
wt «OI-“1:1 l till:
—-- AS PHALT—
1931- TSb—T‘h?u 1'951—731 I
P $0 1120 (. 1R Ail WIRE-22.
117
TwmACT) MCI a: 2-5311-7MC2
‘
ALLAMERICAN ASPHAL
ALI.AMERICAN AGGREG T E
4hS
D 31' ( ON \
(I. [ RS X = I
CORPORATE RESOLUTION
Resolved, that this Corporation, AllAmerican Asphalt, on January 2, 2026 authorizes Edward J.
Carlson to execute bid proposals, contracts and agreements on behalf of the company in the capacity of Vice President.
Michael Farkas
Secretary
17.M.
CERTIFICATEREGARDINGCONTRACTOR'SLICENSE
l. 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) 267073
b. Expires on 1/31/2028
Signature of Bid Date Signature of 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 of?cersare required.) This required license determination has been made by the Agency. Any Contractor holding a different license who feels he is qualified to bid on this work must so advise the Agency at least seven (7) days prior to the bid opening. The Agency may conduct a review of the contemplated work to re-evaluate the required license determination. The Agency may in its sole discretion maintain or change the required license determination; Agency’s decision as to the required final.
w 6
17.M.
" GEE CONTRACTORS TATELICENSEBOA ACTIVELICENSE
Want” A C12
Wwwcslb.ca.
gov
S RD
1mm267073 EMCO
RP Mu... ALLAMERICANASPHALT
emu... 01/31/2028
17.M.
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12in
(Lg/me QQL— m/
BIDSECURITYFORM FOR CHECK
NOTE: THE FOLLOWINGFORM SHALLBE USEDINTHECASE OF CHECKACCOMPANYINGBID Accompanying this proposal is a Certified Check or Cashier’s Check payable to the order of the City of Hemet, hereinafter referred to as "Agency", for dollars (S 10% Bidder's Bond , 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. if said Bid shall be rejected by the Agency;
B. Ifsaid Bidshall be accepted by the Agency and the Undersigned shall execute and deliver a Contract in the form attached hereto (properly completed in accordance with said Bid ) and shall furnish bonds required for his/her/itsfaithful performance of said Contract and for the payment of all persons performing labor or furnishing materials in connection therewith, and shall in all other respects perform the Contract created by acceptance of said Bid.
Otherwise, said check shall become the property of the Agency Said check shall also become the property of the Agency if the Undersigned shall withdraw his/her/itsbid within the period of sixty (60) calendar days after the date set for the opening thereof, unless otherwise required by law, and notwithstanding the award of the Contract to another bidder
Signature Date Signature of Bidder Date
Edward J Carlson - Vice President Michael Farkas - Secretary Print name and title Print name and title
(If the Bidder is a corporation, two signatures ofcorporate officersare required.)
17.M.
Bond No. 08597423
Bid Date: 05/26/2026
BID SECURITYFORM 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, CITY OF HEMET, a political subdivision of the State of California, as obligee, in the penal sum of {Dollar Amount In Words) Ten Percent of Total Amount Bid -------- Dollars ($ 10% of 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 2025/26CITYWIDESLURRYSEAL2515 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 5th ‘ day of —__—____—___—JMay 20%.
(Month)
AllAmerican Asphalt
(Corporate Seal) By
By Fidelity and Deposit Company of Maryland
Surety
,lCorporate Seal) By
Rebecca Haas—Bates, Attorney-in—Fact
Principal E
17.M.
Kath?n Marconi Notary Public ,
and
Edward
7 who proved :0 me on the basis of satisfackory ev Io be the person(s) whose name(s) is/ave subscribed to the nstrument and acknowledged to me that helshekhey execu same in
his/W authorized capacity?ee). and that memes:
Edward J‘ Carlson
Vice President
AllAmerican Asghait
CAL FORNIA 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?ilness. accuracv. or validitv of that document.
State of California
County of Riverside
On 05/26/2026 before me, Date Here Insert name Title of the Of?cer personally appeared J. Carlson
Name(s) of Signer(s)
idence
within i
ted the
by hi
signature(s) on the instrument the person(s), or the entity upon behalf KATHRYNMARCONI of which the person(e) acted, executed the instrument.
Notagy Pubgc - California
iversi e Coun - Commission3 “9‘37“ I certify under PENALTYOF PERJURY under the laws of the State of Comm.ExpiresMay21’2028 California that the forgoing paragraph is true and correct.
WlTNE 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: 05/06/2026 Number of Pages: One (1)
Signer(s) Other Than Named Above: Rebecca HaaS'BateS (Attorney in FaCt) Capacity(ies) Claimed by Signer(s)
Signer‘s Name: Signer's Name:
:1 Individual .3 Individual
X Corporate Of?cer — Title(s): a Corporate Of?cer — Title(s):
I:I Partner D u Limited D General a Partner [I a Limited E] General :1 Attorney in Fact D Attorney in Fact
D Trustee Top of thumb here D Trustee
Top of thumb here
:1 Other: [:1 Other:
Signer is Representing Signer is Representing
RIGHT THUMBPRIN
T RIGHT THUMBPRINT OF SIGNER
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instrumen wledged to executed
spacityfl‘as) his/her/msir strument t
Orange County g
Cammksmnn‘v‘ 14‘ 3682
MyComm.ExovresAug 2:, 101a
RebeccaHaas-Ba‘es
Signe Representin
Fidelity Deposit pany of Maryland
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 05/06/2026 before me, L. Gomez, Notary PUbllC
Date Here Insert Name and Title of the Of?cer
personally appeared RebeccaHaas—Bates
NameiSiofSignerfs)
who proved to me on the basis of satisfactory evidence to be the personfs) whose namefs). is/are subscribed to the within t and ackno me that he/she/they the same in Ns/her/theirauthorized 0 , and that by signaturelstonthe in he person(s), or the entity upon behalf of which the personiS) 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.
L‘GOMEZ WITNESS my hand and official seal.
Notary Public- California
Signature
Signature of Notary Public
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document: Bid Bond Document Date: 05/06/2026 Number of Pages: Onegl) Signer(s) Other Than Named Above: All American Asphalt Capacity?es) Claimed by Signer(s)
Signer’s Name: Signer’s Name:
:1 Corporate Of?cer — Title(s): Corporate Officer — Title(s) 3 Partner — Limited II] General _ Partner — Limited General Individual IIAttorney in Fact Individual Attorney in Fact Trustee Guardian or Conservator IIITrustee I: Guardian or Conservator Other: Other".
r Is 9: Signer Is Representing:
and Com
@2014 National Notary Association - www.NationalNotary.org - 1-800-US NOTARY(1—800-876—6827)Item #5907
17.M.
Allorncx act
re onsfcla
EXTRACT FROM BY-LAWS OF THE COMPANIES
May
SEAL SEAL
TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A CONIPLETE 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 attorneys-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 attorney-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 ofthe 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 ofthe ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998.
RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be af?xed by facsimile on any Power of Attorney...Any such Power or any certi?cate thereof bearing such facsimile signature and seal shall be valid and binding on the Company.‘I 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 ofthe company and facsimile or mechanically reproduced signature of any Vice-President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certi?ed copy of any power of attorney issued by the Company, shall be validand binding upon the Company with the same force and effect as though manually af?xed.
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and af?xed the corporate seals of the saidCompanies, this 6th day of 2026
SEAL
Mary
mom
Jean Pethick
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State 3
_—~ —I
gluimzm
% 6/16/1431 (3 C 5/2b/u
NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACT CODE SECTION 7106
NON-COLLUSIONDECLARATIONTO BE EXECUTEDBYBIDDERAND SUBMITTEDWITHBID The undersigned declares:
I am the Vice President of A“ American Asphalt the party making the foregoing bid.
The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder. All statements contained in the bid are true. The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose.
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 of lifornia that the foregoing is true and correct and that this declaration is executed on date], at Corona [city], California state].
Signature Bid Date Signature of Bidder Date
Edward J Carlson - Vice President Michael Farkas - Secretary Print name and title Print name and title
(If the Bidder is a corporation, two signatures corporate are required.)
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Kathryn Marconi Notary Public
Signature
EdwardJ Carlson ; Fa __
\?ce President
AllAmerican Asghalt AllAmerican Asghéu
CAL FORM A ALL-PURPOSE ACKNOWLEDGEMENT c V L CODE § 1189 A notary public or other of?cer completing this certi?cate veri?es only the identity of the 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 05/26/2026 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 hellshe/they executed the same in higher/their authorized capacity(ies), and that by higher/their KATHRYNMARCONI signature(s) on the instrument the person(s), or the entity upon behalf NotaryPublic.California of which the person(s) acted, executed the instrument.
Riverside County 2
C°mW55l°? # 2490731 " I certify under PENALTYOF PERJURY under the laws of the State of Comm.ExpiresMay21, 2028 California that the forgoing paragraph is true and correct.
WITN of?cial seal
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—CollusionAf?davit — City of Hemet Document Date: 05/26/206 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 rkas
n Individual n Individual
X Corporate Of?cer — Title(s): X Corporate Of?cer — Title(s): Secretarv D Partner D D Limited D General a Partner [II a Limited a General III Attorney in Fact E: Attorney in Fact
D Trustee Top ofthumb here D Trustee
Top of lhumb here
D Other: :1 Other:
Signer is Representing: Signer is Representing
RIGHT THUMBPRINT RIGHT THUMBPR' NT OF SIGNER 0F S'GNER
17.M.
City
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 Acacia Ave Rehabilitation Project
Contract Price: $529,926-15 ate of Completion 8/2025
Name, Address, and Telephone Number of Owner's Representative:
Arkilles Joshua 714-738-6896
City of Fullerton, 303 W Commonwealth Ave. Fullerton. Ca 92832 Project Name Aliso Creek Rd Pavement Rehab
Contract Price: $907 164-00 ate of Completion: 4/2025
Name, Address, and Telephone Number of Owner's Representative:
Quang Le 949-425-2531
City of Aliso Viejo, 12 Journey Ste #100, Aliso Viejo, CA 92565 Project Name Residential Slurrv Seal
Contract Price: $514,600-00 Date of Completion: 12/2025 Name, Address, and Telephone Number of Owner's Representative:
Neema Ghanbari 562-420-2641
of Hawaiian Garden 21815 Pioneer Blvd Hawaiian Garden Ca 90716 (Attach additional pages as necessary)
17.M.
2025
PASTWORKREFERENCES
Hunter.hermanson@l
arkilIes.‘oshua@cityoffullenan‘com
Reed.chilton wehbassociates.com
[email protected]
'balzanityofpasadena.net
LennarHomesof California
4140Temescal Canyon Rd.,Ste 410
Corona, CA92883
Contact: HunterHermanson(951)722-
ennar.com 9917
Cityof AlisoViejo
12Journey Ste #100
AlisoViejo,CA92565
Contact: Quang Le(949)425-
[email protected] 2531
Cityof Fullerton
303W.CommonwealthAve.
Fullerton,CA92832
Contact: ArkillesJoshua (714)738-6896
Chino Preserve DevelopmentCorporation
1156N.MountainAve.
Upland,CA91785
Contact: ReedChilton(951)320-6031
Cityof HawaiianGardens
PublicWorks Department
21815Pioneer Blvd.
HawaiianGardens, CA90716
Contact: NeemaGhanbari(562)420-2641
Cityof Pasadena
100N.GarfieldAve.
Pasadena, CA91101
Contact:Janina LykaBaiza(626)744-370
BriggsRoadSt. Improvements
Contract Amount:$1,398,398.00
Start Date:8/2024
EndDate:3/2025
AcaciaAvenue RehabilitationProject
(ClPNo.44084)
ContractAmount:$529,926.15
Start Date:6/2025
EndDate: 8l2025
AlisoCreek Rd PavementRehab
ContractAmount:$907,164.00
Start Date:9/2024
EndDate: 4/2025
Block3ATr16420-5St. lmprov
ContractAmount:$1,969,969.00
Start Date:6/2024
EndDate: 12/2025
ResidentialStreet SlurrySeal
Contract Amount: $514,600.00
Start Date:9/2024
EndDate:12l2025
AnnualCitywideSt. Resurfacing and AD
ImprovementsFY2024 A
Contract Amount:$3,392,568.05
Start Date:7/2024
EndDate: 5/2025
17.M.
2025
PASTWORKREFERENCES
DSQitzQsealbeachcagov
[email protected]
[email protected]
DParke?DPW?BCounmgov
FirstIndustrialReality
3536Concours LandSte. 340
Ontario, CA91764
Contact: RyanBoyd(310)414-
5400 [email protected]
Cityof Seal Beach
211-8thStreet
Seal Beach, CA90740
Contact: DavidSpitz (562)431-2527x1331
Cityof Montebello
1600W.BeverlyBlvd.
Montebello,CA90640
Contact: Samantha Leyva(323)887-1483
Cityof HuntingtonBeach
PublicWorks Department
17371Gothard Street
HuntingtonBeach,CA92647
Contact: MaxOlin(714)536-5518
County of San Bernardino
385 N.ArrowheadAvenue
San Bernardino,CA92415
Contact: DexterParker(909)387-7962
SealBeachBlvdand WestminsterAve.
ContractAmount:$1,289,158.00
Start Date:12/2024
EndDate:12/2025
PlazaDriveRehabilitationProject
ContractAmount:$907,164.00
Start Date:9I2024
EndDate:4/2025
RedlandAvenue Street Improvements
Contract Amount: $1,015,015.00
Start Date:10/2025
EndDate:11/2025
Zone2 ResidentialOverlayCC- 1812Project
ContractAmount: $4,379,879.00
Start Date:1/2025
EndDate:12/2025
777RialtoParkingLotProject(PWG125-
Trans- 58917)
ContractAmount:$183,300.00
Start Date:7/2025
EndDate:8/2025
17.M.
2024
PASTWORKREFERENES
[email protected]
Daniel.coburn@lewisrnc‘com
sdelong@ciyo?rvine.org
bchau@accessduarte‘com
[email protected]
CityofRiverside
3900MainSt.
Riverside,CA92522
Contact:MarkMesen(951)826-5311
LewisManagementCorporation
1156N.MountainAve.
Upland,CA91786
Contact:DanielCobum(909)985-0971
CityofIrvine
1CivicCenterPlaza
lrvine,CA92606
Contact:Stacy Delong(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: nts $1,338,174.90
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
LocalStreetsRehabProgramPh ll
Zone19
ContractAmount:$7,869,222.00
StartDate:6/2023
CityofNorwalk
12700NonovalkBlvd.
Norwalk,CA90650
Contact:GlenW.C.Kau(562)929-
5723
17.M.
2024
PASTWORKREFERENES
[email protected],gov
Thomas,[email protected]
Kko@elmonleca,gov
[email protected]
IsmaeLRiverachoronaCAgov
CityofMontereyPark
320WNewmarkAve.
MontereyPark,CA91754
Contact:AnthonyBendezu(626)307-1283
LennarHomes
4140TemescalCanyonRD#410
Corona,CA.92883
Contact:TomOntiveros(951)817-3595
CityofElMonte
11333ValleyBlvd.
ElMonte,CA 91731
Contact:KevinKo(626)580-2058
CityofCostaMesa
77 FairDrive
Costa Mesa,CA92626
Contact:CristinaOquendo(714)754-5015
CityofCorona
400S. 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.W19lhSt &E19thSt. 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
17.M.
2023
PASTWORKREFERENES
'Ihaige'[email protected]
khaymesQranchomv‘com
[email protected]
‘[email protected]
abendezmeontereygarkVca.gov
CityofLornaLinda
25541BartonRoad
LomaLinda,CA92354
ManhattanBeach,CA90266
Contact:Jarb Thaipejr(909)799-2811
EuclidLandVenture.LLC
4450MacarthurBlvd.,Ste 100
NewportBeach,CA 92693
Contact:ScottKendall(949)783-5341
CityofAlisoViejo
12JourneySte #100
AlisoViejo,Va 92656
Contact:Shaun Pelletier(949)425-2531
RMVRealty,Inc.
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
StartDate: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
17.M.
2023
PASTWORKREFERENES
JHernandez@cigoffullenonvcom
LLui@ontan‘ocavgov
mlamging@nve:sideca.gov
[email protected]
[email protected]
CityofFullerton
303W.CommonwealthAve
Fullerton,CA92632
Contact:Joseph Hernandez(714)773-0049
CityofOntario
303EastBStreet
Ontario,CA91764
Contact:LeonardLui(909)295-2401
CityofRiverside
3900MainSt.
Riverside,CA 92522
Contact:MariaLamping(951)826-5146
CityofOntario
825EastThirdStreet
San Bemardino,CA92415
Contact:SamuelE.Nicorici(909)387-7960
CityofCostaMesa
77 FairDrive
Costa Mesa,CA92626
Contact:CristinaOquendo(714)754-5015
BrookhurstRd.,SR91St.Rehab
ContractAmount:$325,825.00
StartDate:5/2023
EndDate:12/2023
2023FallPavementRehabilitationProject
ContractAmount:$4,569,222.00
StartDate:08/2023
EndDate:11/2023
PermanentTrenchResurfacing
ContractAmount:$455,150.00
StartDate:1/2023
EndDate:6/2023
Chino&MontclairAreaVarioursRoadsOverlay
Project _ ContractAmount:$5,639,575.88
StartDate:9/2022
EndDate:7/2023
CitywideParkwayMaintenanceSt.RehabSlurrySea
Project l
ContractAmount:$2,828,001.50
StartDate:1/2022
EndDate:7/2023
17.M.
2022
PASTWORKREFERENES
[email protected]
[email protected]
[email protected]
[email protected]
aperechiyafhighlandAorg
CityofManhattanBeach
1400HighlandAve.
ManhattanBeach,CA90266
Contact:BiancaCardenas(310)802-5357
RMVRealty,Inc.
28811OrtegaHwy
SanJuanCapistrano,CA92693
Contact:KellyHaymes
CityofWestlakeVillage
31200OakCrestDr.
WestlakeVillage,CA91361
Contact:RoxanneHughes(805)890-8885
CityofBurbank
275EOlive
Burbank,CA91502
Contact:ArtinMegerdichian(818)238-3942
CityofHighland
27215BaseLineSt.
Highland,CA92346
Contact:AmandaPerez(909)864-6861
SlurrySealofCentralAreaofSands Section
ContractAmount:$730,251.42
StartDate:12/2021
EndDate:7/2022
PlanningArea3.1StreetImprovement
ContractAmount:$3,996,996.00
StartDate:4/2021
EndDate:4/2022
DalesDr.and ParkridgeAveStreetImprov.Amoun
$1,025,336.00 t:
StartDate:5/2022
EndDate:6/2022
LocalResidentialSt.Improv.Project
ContractAmount:$7,761,320.00
StartDate:1/2022
EndDate:12/2022
PavementManagementProgram
ContractAmount:$2,082,099.00
StartDate:10/2021
EndDate:12l2022
17.M.
2022
PASTWORKREFERENES
bhaskell@mllbrothers
Nick.esposito@ciyo?ullenomom
[email protected]
[email protected]
[email protected]
CityofFullerton
303W.CommonwealthAve
Fullerton,CA.92632
Contact:NickEsposito(714)738-6851
CityofNorco
2870ClarkAve
Norco,CA92860
Contact:ChadBlais(951)270-5678
CityofNewportBeach
100CivicCenterDrive
NewportBeach,CA.92660
Contact:BenDavis(949)644-3311
CityofVillaPark
17855SantiagoBlvd.
VillaPark,CA92667
Contact:HamidTorkamanha(714)998-1500
TheMetroHeights
ContractAmount:$2,675,250.00
StartDate:11/2021
EndDate:04/2022
MiscellaneousRehabFY21-22
ContractAmount:$704,080.00
StartDate:06/2022
EndDate:12/2022
CorporateYardPavementRehab
ContractAmount:$612,755.33
StartDate:10/2021
EndDate:12/2022
E.CoastHighway&MargueriteAvenuePavement
RehabilitationContractNo.7807-2ContractAmou
$3,363,056.00 nt:
StartDate:01/2022
EndDate:10/2022
FY2021-2022SlurrySealProject
ContractAmount:$128,497.60
StartDate:02/2022
EndDate:12/2022
TollBros,Inc.
725W.Town&CountryRoad,Ste 200
Orange,CA92868
Contact:BrandonHaskell(714)347-
com 1360
17.M.
2021
PASTWORKREFERENCES
enutter @mooteLom
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
ColonyCommerce
C/OCaprockPartners
1300DoveStreetSuite200
NewportBeach,CA92660
Contact:EricNutter(949)428-1400Ext.209
LennarHomes
25Enterprise#300
AlisoViejo,CA92656
Contact:DianeHannon(949)349-8000
CityofNorco
2870ClarkAve.
Norco. AC92860
Contact:ToddShank(951)270-5603
LosAngelesDepartmentofWaterandPower
111NorthHopeStreet,L-43
LosAngeles,Ca 90012
Contact:JoelleMorisseau(213)367-0123
CityofDanaPoint
33282GoldenLantern
DanaPoint,CA92629
Contact:ScottFisher(949)248-3577
CityofCorona
400SouthVicentia
Corona,CA92852
Contact:BarryGhaemi(951)736-2400
ArchibaldSt.Improvements
ContractAmount:$1,949,000.00
Start:12/2019
Completed:12/2021
Merrill&HavenStreetImprovement
ContractAmount:$1,481,832.15
Start:6/2020
Completed:12/2021
WayneMakinParkSlurrySeal Project
ContractAmount:$52,725.89
Start:10/2021
Completed:12/2021
PineTreePowerPlantAccessRoadRepai
ContractAmount:$810,400.00 r
Start:5/2021
Completed:7/2021
SlurrySeal Project19/20
ContractAmount:$1,897,897.00
Start:04/2020
Completed:05/2021
StreetPavementMaintenance
&RehabilitationProjectNo.2020.01
ContractAmount:$3,471,178.00
Start:6/2021
Completed:1/2022
17.M.
gkharazmiQnewgortbeachca.gov
man westminsler.ca. ov
rbias@cil10falham bra.org
matlhew. maechleerenkuraorg
[email protected]
2020
PAST WORK REFERENCES
City of Newport Beach
100 Civic Center Drive
Newport Beach.CA 92660
Contact: Patricia Kharazmi(949) 644-3344
City of Westminster
8200 Westminster Boulevard
Westminster, CA 92683
Contact: Theresa Tran (714) 548-3460
Crescenta Valley Water District
2700 FoothillBoulevard
La Crescenta-Montrose, CA91214
Contact: BrookYared (818) 236-4117
[email protected]
City of Alhambra
111 S. 1“ Street
Alhambra, CA 91801
Contact: Robert Bias (626) 580-5000
County of Ventura
800 3. VictoriaAvenue, #1600
Ventura, CA 93009
Contact: Matt Maechler(805) 477-1911
City of Camarillo
601 Carmen Drive
Camarillo.CA 93010
Contact: Thang Tran (805) 388-5345
Cameo Highlands Street Reconstruction
Contract Amount: $2,425,694.00
Start Date: 07/2020
End Time: 11/2020
CitywideOverlay Street Improvements
Contract Amount: $1,131,621
Start Date: 02/2020
End Date: 06/2020
Final Paving of Pennsylvania Ave
Contract Amount:$82,620.00
Start Date: 02/2020
End Date: 04/2020
2020 HUD Street Improvements Project
Contract Amount: $300,433.00
Start Date: 06/2020
End Date: 10/2020
Yerba Buena Rd. (South) Pavement
Resurfacing
Contract Amount: $2,298,467.40
Start Date: 03/2020
End Date: 06/2020
Earl Joseph Drive Paving
Contract Amount: $681,901.50
Start Date: 06/2020
End Date: 07/2020
17.M.
akern@ontarioca .gov
'Ihaige‘r@loma|inda-ca,gov
ckeysQ urueavalieygrg
albenmdrigueoncgwnggov‘com
bduhn@zandkconsultants. cam
ifuemesturfcnx-horg
2020
PAST WORK REFERENCES
City of Ontario
303 East B Street
Ontario.CA 91764
Contact: Ariana Kern(909) 395-2129
City of Loma Linda
25541 Barton Road
Loma Linda.CA 92354
Contact T. Jarb Thaipejr (909) 799-4400
City of Jurupa Valley
8920 LimoniteAvenue
Jurupa Valley, CA 92509
Contact Chase Keys (951) 332-6464
County of Orange
601 N. Ross Street. 4‘hFloor
Santa Ana.CA 92701
Contact: Albert Rodriguez (714) 667-8800
City of Compton
205 S. WillowbrookAvenue
Compton. CA 90220
Contact: Brittany Duhn (310) 605-5505
City of Huntington Beach
2000 Main Street
Huntington Beach, CA 92648
Contact:Joe Fuentes (714) 536-5259
2020 FallPavement RehabilitationProject
Contract Amount: $2.499.333.00
Start Date: 07/2020
End Date: 12/2020
Pavement Rehabilitation— Barton Road
Contract Amount: $768,677.00
Start Date: 04/2020
End Date: 12/2020
Granite HillDrive Pavement Rehabilitation
Contract Amount: $999,777.00
Start Date: 04/2020
End Date: 10/2020
JOC Pavement Maintenance
Contract Amount: 92.584.747.69
Start Date: 07/2020
End Date: 08/2020
Annual Residential Street Rehabilitation— Phase 1
Contract Amount: $5.295.068.00
Start Date: 05/2020
End Date: 11/2020
Arterial Rehabilitation of Graham St. Slater
Ave, Newland St and Atlanta Ave
Contract Amount: $5,181,955.00
Start Date: 05I2020
End Date: 11I2020
17.M.
2019
PASTWORKREFERENES
ssheshestimlvalleyDrg
chns.solis@venlura,org
ggerez@ci,stamon.ca.us
'[email protected]
[email protected]
‘[email protected]
CityofSimiValley
2929TapoCanyonRd.
SimiValley,CA93063
Contact:SarahSheshebor(805)583-6792
CountyofVentura
501PoliStreet
Ventura,CA93001
Contact:ChristopherSolis(805)654-2054
CityofStanton
7800KatellaAvenue
Stanton,CA.90680
Contact:GuillermoPerez(714)890-4204
CityofCompton
205S.WillowbrookAvenue
Compton,CA.90220
Contact:John Strictland(310)605-5505
CityofSan Clemente
910CalleNegocio
SanClemente,CA.92673
Contact:DarraKoger(949)361-3138
CityofSouthGate
8650CaliforniaAvenue
SouthGate,CA.90280
Contact:JohnRico(323)563-9594
SimiValleyMinorStreetRehabilitati
ContractAmount:$510,124.25 on
StartDate:07/2019
EndDate:08/2019
YerbaBuenaAreaResurfacingProje
ContractAmount:$3,919,808.95ct
StartDate:06/2019
EndDate:12/2019
2019CitywideStreetResurfacing
ContractAmount:$1,206,869.00
StartDate:10/2019
EndDate:12/2019
RoadRepairService(PotholeRepair)
ContractAmount:$1,019,100.00
StartDate:08/2019
EndDate:11/2019
CircleParkDrivewayProject
ContractAmount:$268,576.00
StartDate:06/2019
EndDate:09/2019
StreetRehabilitationforS.AvenueLAEsperanz
ContractAmount:$384,055.00 a
StartDate:09/2019
EndDate:10/2019
17.M.
2019
PASTWORKREFERENES
nick.!asher@gavde
k oun fontanaor
[email protected]
[email protected]
dgullerr@downeyca,om
CityofFontana
8353SierraAvenue
Fontana,CA.92335
Contact:KimberlyYoung(909)350-7632
DRHorton
2280WardiowCircleSte. 100
Corona,CA.92880
Contact:KeithAlex(951)830-5872
IrvineCommunityDevelopmentCompany
550NewportCenterDr.Ste.55032
NewportBeach,CA.92660
Contact:MikeMorse(949)720-2560
CityofDowney
11111BrookshireAvenue
Downey,CA.90241
Contact:DesiGutierrez,(562)904-7110
RailroadCanyonWidening
ContractAmount:$5,062,746.00
StartDate:11/2018
EndTime:08/2019
CitrusAvenueImprovements
ContractAmount:$502,730.00
StartDate:08/2018
EndDate:10/2019
SingltonRoad
ContractAmount:$1,684,000.00
StartDate:07/2018
EndDate:12/2019
PortolaSpringsPA-6Enclave5BPhase1,
ContractAmount:$2,055,055.002
StartDate:09/2018
EndDate:12/2019
FY18/19SlurrySealProject
ContractAmount:$313,425.87
StartDate:06/2019
EndDate:12/2019
PardeeHomes
1250CoronaPointeCourt,Ste.600
Corona,CA.92879
Contact:NickLasher(951)428-
ehomes4442 com
17.M.
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
RivilbWh-Sh’??stdCVQG“50" +3141c?w'b
1}: l a4 (53?, “
- M mssbo [sonar-ma 5‘ '7 0’
szraxN.¢A “3.53%
epwnnu {Dawn’s SV‘P‘“)(5) mm a
; MV‘W‘” (bauww 10004456651 wrong;
cwmw 5.581.
V E€1Ma~“ TM—M" WWW“: daue vQAm-ww 4""
664506 l°°°°°"‘“°
OramyJ/A 0.631-
(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE§410O ETSEQ.)
17.M.
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
(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE§4100 ETSEQ.)
17.M.
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’SCOMPENSATION INSURANCE
By my signature hereunder, as the Contractor, I certify that I am aware of the Labor Code Section 3700, which requires every employer to be insured against liability for worker‘s compensation or to undertake self-insurance in accordance with the provisions of that Code, and I will comply with such provisions before commencing the performance of the work of this Contract.
Please note that the submittal of this certificate does not relieve Contractor from complying with all of the insurance requirements of the Public Works Agreement and Contract Documents.
CERTIFICATIONOF 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 LABOR CODE 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, l certify that Contractor, and all listed Subcontractors are the subject of current and active contractor registrations pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code. Contractor’s registration number is[please complete] 1000001051 Subcontractors’ registration numbers are as indicated in Document 00 4314
BIDDER:
Signature Bid Date Signature of Bidder Date
Edward J Carlson - Vice President Michael Farkas - Secretary Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.)
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Contractor Information
Legal Entity Name
ALLAMERICANASPHALT
Legal Entity Type
Corporation
Status Active
Registration Number
1000001051
Registration effective date
07/01/23
Registration expiration date
06/30/26
Mailing Address
PO BOX2229 CORONA 92878 CA United States of
Physical Address
400 ESIXTHST CORONA92879 CA United States 0 Email Address publicworks®aliamericanasphall.com
Trade Name/DBA
License Number (5)
CSLB:267073
CSLB:267073
Legal Entity Information
Corporation Entity Number:
President Name:
Vice President Name:
Treasurer Name:
Secretary Name:
CEO Name:
Ag
Agent of Service Name:
Agent of Service Mailing Address:
Worker's Compensation
Do e emp thr Profes
Pie ide yo ent er's co PEO PEO PEO
PEO InformationName Phone Email
Insured by Carrier
Policy Holder Name:
Insurance Carrier:
Policy Number:
Inception date:
Expiration Date:
yer nsu
Registration History
ion (PEO)?:
rrnation below:
No
AllAmerican Asphalt
ZURICHAMERICANINSURANCECOMP;
WC59320570‘I
08/01/19
08/31/26
Effedive Date Expiration Date
05/11/18 06/30/19
05/08/17 06/30/18
05/02/16 06/30/17
06/09/15 06/30/16
08/3/14 06/30/15
07/01/19 06/30/20
07/01/20 06/30/23
07/01/23 06/30/26
C0570879
Mark Luer
Edward J. Carlson
MichaelFarkas
Michael Farkas
400 E6th St. Corona, CA Corona 92879 CA United States of Americ
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CONTRACTOR'SRE
Attach to this bid a list of three (3) projects in the past five (5) years on which the bidder and his subcontractor(s) have successfully constructed and completed projects with the same type (elements), size and complexity of work. The Agency Engineer will make the final determination of whether the projects listed here are of the same type, size and complexity as this project.
Failure of bidder to supply sufficient documentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non-responsive bid and, at the Agency’s discretion, said bid will be disqualified.
Project Name:
Contract Price mg .5153.09 Date of Completion: O 5/2“ IQO'N:
Name, Address, and Telephone Number of Owner's Representative:
Project Name c
Contract Price: MO Date of Completion: Q}, (1-,; [3935
Name, Address, and Telephone Number of Owner's Representative:
Project Name: (ARC-mm}. SLAM.OmL’a — 0mm Parana-3cSam/ups Contract Price 3;. I509.952 Date of Completion: O 1/1D/L0‘LG Name, Address, and Telephone Number of Owner's Representative em 0"
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CONTRACTOR'SREFERENCE LIST
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, sanitary sewer underground facilities experience shall be considered grounds for a LLC
telephone, cable and
non-responsive bid and, at the Agency’s discretion, said bid will be disqualified.
Project Name Qumvmu; and» (n 33:11“
Contract Price ate of Completion
Name, Address, and Telephone Number of Owner's Representative:
N
Project Name
6 Contract Price: e of Completion
Name, Address, and Telephone Number of Owner's Representative:
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Project Name:
Contract Price: 560 .000 Date of Completion
Name, Address, and Teleph Number of Owner's Representative:
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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: C
Contract Price: \H JAN) -00 Date of Completion: 0n sofa“ J Name, Address, and Telephone Number of Owner's Representative Q l.\3\\ ThrrLS (1153‘6H‘A—3c?-4 900
Project Name:
Contract Price \§)§ ,(150 . O 0 Date of Completion: an qm'ma 0 J
Name, Address, and Telephone Number of Owner's Representative:
Project Name
Contract Price: 351‘3512.953 Date of Completion tha‘IMU I Name, Address, and Telephone Number of Owner's Representative:
\\\«\=1 5
(Attach additional pages as necessary)
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will not be resgonsible
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the 2025/26CITYWIDESLURRYSEAL,CIP No. 2515 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 constructedin 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) N/A
The undersigned has examined the current State of California schedule of prevailing wage rates for the types of work to be done on this project (and the Davis-Bacon Act if the Agency uses federal funds for the Project) and agrees to pay not less than these rates.
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the 2025/26CITYWIDESLURRYSEAL,CIP No. 2515 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 items shown on this proposal.
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BIDSCHEDULE
BASEBID — 2025/26CITYWIDESLURRYSEAL
CIP No. 2515
EXTENDED
IE2" DESCRIPTION UNIT ?l???? UNITPRICE ITEM
AMOUNT
Mobilizationl Demobilization (not to
1 exceed 5%) LS 1
$22,450.00 $22,450.00
2 Traf?c and Pedestrian Control L8 1 $32,000.00 $32,000.00 3 Water Qualitv Control L8 1 $1,260.00 $1,260.00
Temporary Construction Project
4 Identi?cation Signage EA 3
$84000 $252000
Remove and Replace Signing and
5 StriDInq LS 1
$36,000.00 $36,000.00
Crack Seal Cracks up to 1" &Slurry
6 Seal SY 200.000 $1.99 $398,000.00
Asphalt Routing of Cracks Greater
7 than 1 LF 800 $970 $776000
Sawcut and Remove 10”
AC/Base/Subgrade. Compact and $52.50 $23,100.00
8 Construct 4" AC over 6" Base SF 440
9 Tree Root Pruning EA 1 $1,050.00 $1 ,050.00
524,14 .00
TOTAL BASEBID(numbers) $ 0
ENDOF BASE BID ITEMS *?********************************** BASEBIDTOTAL (in words) five hundred twenty-four thousand, one hundred forty and 00/100 Contractor's Initials M!$;
ADDITIVEA BIDITEMSTOTAL (in words)
Contractor's Initials Mk
In the event of a variation between the unit price and extended total, the unit price will be used and the corrected extension willbe considered as the amount bid. lfthe bid is illegible and cannot be reconciled it will be considered non-responsive and will not be considered for award.
If an additive and/oralternate bid schedule is called for in the Contract Documents, the lowest on the basis of the base bid schedule(s) only unless otherwise specified in
17.M.
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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 IOWestbid will be determined by the total of all bid schedules including the deductive bid schedule(s).
Regardless of whether the additive/deductiveor alternates bid items will be considered in determining the low bid, the Agency may elect to include any or none of the additive/ or alternate bid items/schedules, or to otherwise add or remove certain workdeductive from the scope of Work. Accordingly, Contractor warrants that each bid item contains a proportionate share of profit, overhead and other costs and expenses, which will be incurred by the Contractor for the Project.
If equal low bids are received from responsible and responsive bidders the selection shall be made by drawing lots, or other similar random blind method selected by the Agency. Ifonly one responsive bid is received from a responsible bidder the award shall not be made unless the price can be determined to be reasonable based on an analysis by the Agency. The Agency’s determination as to the reasonableness of any such bid shall be final.
The Agency reserves the right to reject any or all bids, to waive any irregularity(ies), and to take all bids under advisement for a period of sixty (60) calendar days after the date the bids are publicly opened. Bidder acknowledges that all costs incurred as a result of preparing the proposal shall be the sole responsibility of Bidder. The Notice Inviting Bids and Instructions to Bidders does not create or impose any obligation upon the Agency to enter into a contract.
All bids received shall be recorded on an abstract (tabulation) of bids, and then made available for public inspection within two business days of bid opening.
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.
17.M.
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[email protected]
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WW Secretarv
Complete the following
Union Pavement Services. Inc. - DIR: 2000008321 - CSLB #1131864 Legal name of the business, DIRReg. and Contractor License Nos.
Corporation
Business Type (Corporation, Partnership, Sole Proprietor) N/A
DBA(if any)
Margaret Reed, President
Name and title of the owner
Douo Ford. Vice President
Name and title of second partner or of?cer
2904 Rubidoux Blvd.. Suite A. Jurupa lev. CA 92509
Business Address
(951) 410-4858
Telephone number
N/A
Facsimile number
Melissa Ailshie - Melissa.Ails
Name and Emailaddress of primary contact
www.unionpavement.com
Company web address
05/26/2026 05/26/2026
Signature of Bidder Date Signature of Bidder Date
Doug Ford. Vice President Melissa Ailshie.
Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures corporate officersare required.)
17.M.
_—._—.E’ 05/26/2026
..._..___. mm, Secretarv
CERTIFICATEREGARDING CONTRACTOR'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) 1131864
b Expires on: 01/31/2027
05/26/2026
Signature of Bidder Date Signature of Bidder Date
Doua Ford. Vice President Melissa Ailshie.
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
17.M.
N/A
BIDSECURITYFORM FOR CHECK
NOTE: THE LLOWINGFORM SHALLBE USED INTHE CASEOF CHECKACCOMPANYINGBID Accompanying proposal is a Certified Check or Cashier’s Check payable to the order of the City of Hemet, here r referred to as "Agency", for
dollars (5 ), this
amount being 10 percent ( ) of the total amount of the bid. This check shall be returned to the undersigned only if either e following occurs:
A. Ifsaid Bidshall be rejected by Agency;
Ifsaid Bidshall be accepted by the and the Undersigned shall execute and deliver a Contract in the form attached hereto rly completed in accordance with said Bid) and shall furnish bonds required for his/he faithful performance of said Contract and for the payment of all persons performing or furnishing materials in connection therewith, and shall in all other respects perfo e 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 ersigned shall withdraw his/her/itsbid within the period of sixty (60) calendar days after the set for the opening thereof, unless otherwise required by law, and notwithstanding the of the Contract to another bidder.
Signature of Bidder Date Signature of Bidder Date
Print name and title Print name and title
(If the Bidder is a corporation, two signatures ofcorporate officersare required.)
17.M.
BID SECURITYFORM FOR BOND
KNOW ALLBYTHESEPRESENTS:
That the undersigned
Union Pavement Services, Inc
(Name of Contractor)
as Principal and the undersigned as Surety are held and firmly bound unto Owner, CITYOF HEMET, a political subdivision of the State of California, as obligee, in the penal sum of (Dollar Amount In I Ten Percent (10%) of the Aqqreqate 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 2025/26CITYWIDESLURRYSEAL2515 THE CONDITIONOF THIS OBLIGATIONIS SUCH that if the Bid submitted by the said Principal be accepted and the Contract be awarded to said Principal and said Principalshallwithin the required periods enter into the Contract so awarded and provide the required Construction Performance Bond, Construction Labor and Material Payment Bond, insurance certificates, and all other endorsements, forms, and documents required under the Instructions to Bidders, then this obligation shall be void, otherwise to remain in full force and effect.
IN WITNESSWHEREOF, the above bounden parties have executed this instrument this 20th day of May 2026.
(Month)
Uni ment Services, Inc
(Corporate Seal) By
Principal 0°03 ‘7'th 1 \llso ((4.5.Juv)’
By Western Surety Company
Surety
(Corporate Seal) By
Kathleen West, Attorney-in-Fact
17.M.
MAY20 2026
West
Instrument hat he/she executed
pacity?es), amre(s) on strument t
County
2473318 ‘
W?epreseming:
GAL FOR“ A ALL-PURPOSE ACKNOWLEDGMENT CIVILCODE § 1189
A notary public or other officer completing this certificate verifiesonly the identity of the individualwho signed the document to whichthis certificateis attached, and not the truthfulness. accuracy, or validityofthat document.
State of California )
County of Contra Costa )
On before me, Lucy Michelle Dunham, Notary Public
Date Here Insert Name and Title of the Officer
personally appeared Kathleen
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 and acknowledged to me t lthey the same in his/her/their authorized ca and that by his/her/their sign the in he person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph is true and correct.
LUCVMICHELLE DUNHAM
WITNESSmy hand
NotaryPublic- California ContraCosta
C
Commission 5 Signature
omm' EXP“N°V27:2027 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: Name:
Corporate Officer — Title(s) Officer — Title(s):
Partner — :I Limited General Partner —
Individual E Attorney in Fact Individual in Fact
Trustee Guardian or Conservator Trustee or Conservator
Other: Other:
Signer Is Representing S
@2014 NationalNotaryAssociation- www.Nationa|Notary.org - 1-800—USNOTARY(1-800-876-6827) Item#5907
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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 principalo?ice in the City of SiouxFalls, and State of South Dakota, and that it does by virtue of the signature and seal herein af?xed hereby make, constitute and appoint Charles R Shoemaker, Kathleen West, Kelly Holtemann, Mark M Munekawa, Nerissa S Bartolome, Yvonne Roncagliolo, Patrick R Diebel, Karen Rhodes, Valerie Takeuchi, Erica Li, Christina Parsons, Zachary V Overbay, Andrew S Holloway, Rossio Polio, Lucy M Dunham, Christopher M Howell, Nathalia P Sholl, Jacquelin Muro Silva, Keith Lovitt, Individually of San Francisco, CA, its true and lawful Attomey(s)-in-Fact with ?rll power and authority hereby conferred to sign, seal and execute for and on its behalf bonds, undertakings and other obligatory instrumentsof similar nature - In Unlimited Amounts -
and to bind it thereby as fully and to the same extent as if such instrumentswere signed by a duly authorized of?cer of the corporation and all the acts of said Attomey, pursuant to the authority hereby given, are hereby rati?ed and con?rmed.
This Power of Attorney is made and executed pursuant to and by authority of the Authorizing By-Laws and Resolutions printed at the bottom of this page, duly adopted, as indicated, by the shareholdersof 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 20th day of February, 2026.
WESTERN SURETY COMPANY
Larry Kasten, Vice President
State of South Dakota
55 County of Minnehaha
On this 20th day of February, 2026, before me personally came Larry Kasten, to me known, who, being by me duly sworn, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is a Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument; that he knows the seal of said corporation; that the sea] 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 commission expires K. WALSH
December 4. 2031 @ @ MQBL/
CERTIFICATE
I, Paula Kolsrud, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force, an d
further certify that the By-Laws and Resolutions of the corporationprinted below this certi?cate are still in force. In testimony whereofI have hereunto subscribed my name and affixed the seal of the said corporationthis 20th day of May, 2026.
K. Walsh, Notary Public
WESTERN SURETY COMPANY
MEN
Paula Kolsrud, Assistant Secretar
Authorizing By-Laws and Resolutions
ADOPTED BY THE SHAREHOLDERSOF 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.
Section 7. All bonds, policies, undertakings, Powers 0 or igations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, and Assistant Secretary, Treasurer, e P or by such other of?cers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys in Fact or agents who shall have authority to issue bonds, policies, or undertakings 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—formattedcorporate seal under and by the authority of the following Resolution adopted by 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?rmany corporate documents signed by digital signatures and to ratify and con?rmthe use of a digital or otherwiseelectronic-formattedcorporate seal, each to be consideredthe act and deed of the Company.” Go to www.cnasure > Owner / Obligee Services > Validate Bond Coverage, if you want to verify bond authenticity. .com
17.M.
ay 26,
who prove me on the basls of satisfactory evidence he person(é) whose nan-15$)is/dre subscribed he within instrument and acknow edged to hushe/tHey executed the same in his/hér/théi horized capacity?és), and that by h s/hér/théi re(é)on the instrument the person(é), USSA
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Bid Security Form For Bo
CALIFORN A ALL-PURPOSE ACKNOWLEDGMENT CIVILCODE § 1189
A notary public or other officercompleting this certificate verifies only the identity of the individualwho signed the document to which this certificateis attached, and not the truthfulness,accuracy, or validityofthat document.
State of California )
County of Riverside )
On M 2026 before me, Melissa Ailshie, Notary Public
Date Here Insert Name and Title of the Of?cer
personally appeared
Name(s) of Signer(S)
Doug Ford
d to to be t
to t l me that
r aut i r signatu
or the entity upon behalf of which the person(é) 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
Signature of 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: nd Document Date: 05/20/2025 Number of Pages: 1 Signer(s) Other Than Named Above
Capacity(ies) Claimed by Signer(s)
Signer’s Name: Signer’s Name:
C Corporate Officer — Title(s): 1 Corporate Officer — Title(s):
C Partner — 3 Limited [Z General
_ Partner — El Limited I General
1 Individual _ Attorney in Fact E Individual :l Attorney in Fact Trustee E Guardian or Conservator L Trustee j Guardian or Conservator Other: Other:
Signer ls Representing: Signer ls Representing
@2014 NationalNotary Association - www.NationalNotary.org - 1-800-US NOTARY(1-800-876-6827) item #5907
17.M.
Vice President lnp.
NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODE SECTION7106
NON—COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID The undersigned declares
I am the of Union PavementSewi068, the party making the foregoing bid.
The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder. Allstatements contained in the bid are true. The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid, and 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 05/26/2026 date], at Juera Va||_ey [city], California [state].
Signature of Bidder Date Signature of Bidder Date
Doug Ford, Vice President Melissa Ailshie, Secretary
Print name and title Print name and title
(If the Bidder is a corporation, two signatures ofcorporate officersare required.)
17.M.
: $1 16328227
W060)--. . _
nex, ,
Date
(760)
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: Southwest Brawlev Maintenance Improvement Proiect Phase II Contract Price Date of Completion: 05/11/2026
Name, Address, and Telephone Number of Owner's Representative:
Citv of Brawlev — 180 S Western Ave. Brawlev. CA 92227
Ana Gutierrez 587.4390
Project Name Santa Ana Local Street Preventative Maintenance FY 24-25 Contract Price: $711 000.00 of Completion 10/02/2025
Name, Address, and Telephone Number of Owner's Representative:
Citv of Santa Ana - 20 Civic Center Plaza Ross An . M-21. Santa Ana. CA 92702 Augustine De Los Reves (619) 799-6063 - Onvx Pavina (General Contractor) Project Name Perez Road from Cathedral Canyon Drive to Date Palm Drive Contract Price: $266,396.94 Date of Completion: 10/27/2025 Name, Address, and Telephone Number of Owner's Representative:
Citv of Cathedral Citv — 68385 Kielev Rd.. Cathedral Citv. CA 92234 Andrew Lee 770-0319
(Attach additional pages as necessary)
17.M.
Riverside Slurry Seal, Inc.
CONTRACTOR’SREFERENCELIST
Attach to this bid a list of three (3) projects in the past five (5) years on which the bidder and his subcontractor(s) have successfully constructed and completed projects with the same type (elements), size and complexity of work. The Agency Engineer will make the 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: 3124/2026
Name, Address, and Telephone Number of Owner's Representative:
Bryan Boudroux - Pavement Coatings
(714) 826 — 3011
Project Name
Contract Price: Date of Completion
Name, Address, and Telephone Number of Owner's Representative:
Sequel Contractors - Mike Mahler
(562) 572 1823
Project Name:
Contract Price; $16,500.00 Date of Completion: 220/2026 Name, Address, and Telephone Number of Owner's Representative:
Union Pavement Services - Doug Ford
(951) 410 4858
(Attach additional pages as necessary)
City of San Diego - Grou 2624 (crack seal Portion)
$126. 562 00
Citv0f Inglewood - Alley and Pavement Rehab (crack seal Portion) 3/31/26
- Union Pavement Sevices
17.M.
Ongoing
$640.150‘00
Specialized Pavement Marking, LLC
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: Remove and Install
Contract Price: $57,814,000-00 Date of Completion:
Name, Address, and Telephone Number of Owner's Representative:
City of Los Angeles 200 N Spring Street, Los Angeles CA 90012 Mannv Miramontes. (213) 485-9331
project Name Pavement Marking Maint.
Contract Price: Date of Completion: 10/2025
Name, Address, and Telephone Number of Owner's Representative:
City of Burbank 275 East Olive Avenue, Burbank CA 91502 Marcos Fuentes. (818) 238-5270
Project Name: Annual Pavement Markina Maint.
Contract Price $360,000-00 Date of Completion 08/2024
Name, Address, and Telephone Number of Owner's Representative City of Simi Valley 2929 Tapo Canvon Road. Simi Vallev CA 93063 Anthony Gallo, (818) 583-6810
(Attach additional pages as necessary)
17.M.
5264.591157
M«m
“
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 Wells PFAS Trealment, Saugus
Contract Price: Date of Completion: Februaryzozs
Name, Address, and Telephone Number of Owner's Representative Santa Clarita Valley Water Agency
Filanc - 740 N. Andreasen Dn've, Escondido, CA 92029 - (760) 466-0569 Project Name
Contract Pr Date of Completion
Name, Address, and Telephone Number of Owner's Representative City of Apple Valley
Three Peaks Corp. - 1025 Calimesa Blvd, Calimesa. CA 92320 - (909) 795-1690 Project Name:
Contract Price: $659.205.oo Date of Completion:
Name, Address, and Telephone Number of Owner's Representative Monarch Bay HOA c/o Keystone Property Management- 16775 Von Karman, Suite 100.Irvine.CA 92606 (Attach additional pages as necessary)
“curWW: 3‘“ C"
Wells VOC Treatment & New Disinfection Facility
Captain Joseph McConnellJr. USAF Park
ice; $420,786.00 August 2025
Monarch Bay HOA 2025 Paving
June 2025
(949) 900-1 107
17.M.
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
Specialized Pavement Striping - 557% #854894 #1000886659 Rebecca@ Markings LLC superiorpave
5312 Cypress St mentmarking
Cypress, CA 90630 s_com
Riverside Slurry Seal, Crack Seal - #2037502 #1001137927 tyler@ Inc 13.66% riversideslurr
2395 Mary Street y.com
Riverside, CA 92506
Hardy & Harper, Inc. AC Paving - #215952 #1000000076 thambright@ 32 Rancho Circle 5.91% hardyandharp
Lake Forest, CA er.com
92630
(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.
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'SCOMPENSATION INSURANCE
By my signature hereunder, as the Contractor, I certify that I am aware of the Labor Code Section 3700, which requires every employer to be insured against liability for worker's compensation or to undertake self—insurancein accordance with the provisions of that Code, and I will comply with such provisions before commencing the performance of the work of this Contract.
Please note that the submittal of this certificate does not relieve Contractor from complying with all of the insurance requirements of the Public Works Agreement and Contract Documents.
CERTIFICATIONOF PREVAILINGWAGE RATES AND RECORDS
By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Section 1773, which requires the payment of prevailing wage on public projects. Contractor and any subcontractors under the Contractor shall comply with Labor Code Section 1776 regarding wage records, and with Labor Code Section 1777.5 regarding the employment and training of apprentices. Contractor is responsible to ensure compliance by any and all subcontractors performing work under this Contract.
CERTIFICATIONOF COMPLIANCEWITH PUBLICWORKS 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 nondiscrimination in employment will be complied with; and that the principal of equal opportunity in employment will be demonstrated positively and aggressively.
17.M.
Zkz£12: a ié é; 05/26/2026
CERTIFICATIONOF NON-DISQUALIFICATION
By my signature hereunder, as the Contractor, | SWear, under penalty of perjury, that the below indicated Bidder, any officer of Bidder, or any employee of Bidder who has a proprietary interest in such Bidder, has never been disqualified, removed, or otherwise prevented from bidding on, or completing a Federal, State, or local government project because of a violation o f
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 includ e
funds sufficient to allow the Contractor to comply with all applicable local, state, and federal law s
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 liste d Subcontractors are the subject of current and active contractor registrations pursuant to Divisio n
2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code. Contractor’ s
registration number is[please complete] 2000008321 . Subcontractors’ registration numbers are as indicated in Document 00 4314.
BIDDER
05/26/2026
Signature of Bidder Date Signature of Bidder Date
Doug Ford, Vice President Melissa Ailshie, Secretarv
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate o?icersare required.)
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DlRf1000858859 EXP 06/3007
| Project
Description Qty Price
Specialized Pavement Marking
5312 Cypress St
Cypress, CA 90630
SPECIALIZED PAVEMENT MARKING Phone 714.995.9100
Specialized Pavement Marking Fax 7143953400
License # 854894 (032) Exp 04/30/28 Proposa & Contract 49965 Union Local 1184
Submit To: Contact:
Union Pavement Services, Inc. Melissa Ailshie-Of?ce 951-288 2025/26 Citywide Slurry Seal 2904 Rubidoux Blvd..Suite A -9753-melissa. Hemet
Riverside.CA 92509 [email protected]
Date: Estimator
5/26/26 Raul Guzman
# um Ext Price
One week day mobilization is included.
Additional mobilizations at $2,450.00 ea.
A mobilization or Move-In is any work accomplished through consecutive shifts. lfwork is unavailable or not ready for Superior an additional mobilization charge will incur.
Traf?c control for Superior work areas during Superior work hours only. Traf?c control per W.A.T.C.H. Manual Only.
A Minimum Of 20 Working Days Is Required Prior To Each Move In.
Prime Contractor is responsible for the posting of temp no parking signs if necessary.
Quote Includes: Traf?c Paint [NO] — Thermoplastic [YES] - Rpm's [YES] - Removals [YES] - Signing [NO] Furnish Mast Arm Signs [NO]- Temp Striping [NO] — Traf?c Control Plans [NO]- As-BuiltPlans [NO] General contractor or owner of project to accept Superior Pavement Markings insurance limits. Any additional insurance required to be paid by general contractor or owner. Insurance limits available upon request.
For scheduling please contact Daniel Garcia (714) 430-8801 or [email protected] 5 Remove and Replace Signing And Striping 1 LS 34,462.00 34,462.00 NOTE:
- Any Removal Superior Does IMIICause Some Scarring / Discoloration And Might Damage Existing Surface.
Superior Pavement Markings IMIINot Be Responsible For Replacing Any Pavement If Damaged During Removals.
- Removals To Be Done By Grinding Any Other Process Would Be An Additional Cost.
17.M.
Description QW Ext Price
Continued...
# um Price
Specrallzed Pavement Marking LLC Tota $34,462.00
by:
Estimator - Specialized Pavement Marking LLC(Subject to of?ce approval) Proposal valid for 30 days from 5/26/2026.
Date: OwnerlCustomer: Print:
PLEASE SIGN AND REMITTHIS 2 PAGE DOCUMENT TO ABOVE ADDRESS. page 2 of 2
All areas to be free and clear off M: debris prior to Superior Pavement Markings' crews arriving on—site.All moves and job requirementare mentioned in notes- nothing is implied unlessspeci?cally noted.Not responsible for scheduling othersub's work or scheduling con?icts with othersubs. We DOT NOT provide shop drawings of any type unless prior arrangements are made. Not responsible for removing temporary striping or temporary "tabs", tape or chip seal markers unless speci?cally noted Signs on signa l poles, overhead or truss structures not included unless speci?cally mentioned in proposal. Superior Pavement Markings is a union company and all jobs are bid using current union or prevailing wage rates. l/we accept the within proposal. You are authorizedto perform the work comprehended here under and I/we agree to pay the said amount in accordancewith the terms set forth. By signing this Proposal/Contract below I/we agree to the attached Terms and Conditions.
17.M.
PROJECT: 2025I26 CITYWI N0 251
ITEM# DESCRIPTION UNIT QUANTITY UN[T (5) TOTALS)
BY:
Date: 26-May-26
To:
Address:
Attn: ESTIMATOR
Phone:
From: RIVERSIDE SLURRY SEAL, INC
2395 MARY STREET
RIVERSIDE.CA 92506 CA SBE #2037502
ES11MATOR: TYLER SKENDER DIR# 1001137927 , EXPIRES 6I30I2027 BID# 26-152 CA LIC # 1115560 - A CA LIC# 1115560 - C-32 CITY OF HEMET - DE SLURRY SEAL , CIP 5
6 CRACK SEAL PRIOR TO SLURRY SY 200.000 $03580 $71 60000 $0.00
BID TOTAL = $71,600.00
NOTES: RSSI IS SIGNATORY TO LOCAL 1184 LABORERS UNION
ADDENDUMSNOTED - 0
BID PROPOSAL VALID FOR 30 DAYS
ALL ITEMS ON PROPOSAL MUST BE AWARDEDOTHERWISE SUBJECT TO PRICE CHANGE BID BASED ON (1) MOVE-IN. ADDITIONALMOVE-INS @
FINALPAY WILLBE BASED ON FIELDMEAUSURED QUANTITIES
INCLUDES: TRAFFIC CONTROL FOR RSSI'S WORK ONLY
CRACK SEAL UP T01"
EXCLUDES: MASTIC CRACK SEAL SWEEPING
PAVEMENT REPAIRS STRIPING REMOVAL AND REPLACEMEN
T
INSPECTIONS CRACK REPAIRS WITH AC
WEED KILL/WEED SPRAY WPCP OR SWPPP
STRIPING PROTECTION OR REFERENCING SURVEY
TEMPORARY STRIPING CONSTRUCTION WATER
TC PLANS STAGING AREA
MESSAGE BOARDS FEES
PERMITS TESTING
ROUTING OF CRACKS POSTING ANDNOTIFYING
QUOTED BY: DATE: 5/26/2026
TYLER SKENDER-ESTIMATOR
DATE:
17.M.
a'dy & Harper, Inc.
W W W
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T
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.
$31,000.00
32 RANCHO ClRCtE
LAKE FOREST. CA 92630
(714) 444—1851 FAX (714) 444—2801
STATE LIC. NO. 215952
DIR NO. 1000000075
To GENERALCONTRACTOR Contact: ESTIMATINGDEPT
Address: ESTIMATINGDEPARTMENT Phone:
Fax:
Project Name: 2025/26C1TYWIDESLURRYSEAL- CIP 2515 Bid Number: 19-009487 Project Location: CITYOF HEMET Bid Date: 5/26/2026
Item # Item Description Estimated Quantity Unit Price Total Price 1 MOBILIZATION(H & H SCOPE) 1.00 LS $9,000.00 $9,000.00 8 R & R ASPHALTCONCRETE(4") / CLII BASE(10") 440.00 SF $50.00 $22,000.00 Total Bid Price:
Notes:
0 W
LABOR,EQUIPMENT& MATERIAL
PRICEINCLUDESONE(1) MOBILIZATION- $12,500.00 FOREACHADDITIONALMOBILIZATION PRICEBASEDON MINIMUM8 HRSHIFTS
PROPOSALPRICESGOODFOR 30 DAYSWITH SIGNEDQUOTEOR LOI- PRICEGOODTHROUGH6/30/2027- PRICESSUBJECTTO INCREASE
AFTEREXPIRATIONDATE
- CUT, LOAD,HAUL,SWEEP&TACK . SURVEYING,ENGINEERINGANDSTAKINGBYOTHERS.ALLFINISHEDFILLS,INCLUDINGFILLSAT GRADEBREAKSTO BEPAINTEDONTHE GRADE/ PAVEMENTBYPRIMECONTRACTORAT 25' STATIONSAT NO COSTTO HARDY& HARPER,INC. FILLSTO BEGIVENPRIORTO PAVING PROPOSAL& ENTIRECONTENTSSHALLBEINCORPORATEDINTO SUBCONTRACT- MINIMUM6 WEEKSNOTICEFORALLSCHEDULING
TRAFFICCONTROLFLAGMEN
EXCLUSIQMSI
QCQA,ENGINEERING,PERMITS,BONDS,FEES,INSPECTIONFEES,SWPPP, LAYOUT,SURVEY,GRADECHECKER,OIL INDEX
TEMPAC, MEDIANPAVING,SAWCUT,CRACKFILL,FOGSEAL,PRIMECOAT, SLURRYSEAL,TRMSS,REAS,SEALCOAT
INERTIALPROFILE,MUSTGRINDS,PROFILOGRAPH,PRE-PAVEIRI & GRINDING,CLEANEXISTINGAC,STEELPLATES
IMPORT/EXPORT,SUBGRADEPREP& REMOVAL/COMPACTION, GRADING,FINEGRADING,PCCBACKFILL,REDWOODHEADER PROTECTION/ LOCATINGOF EXST.UTILITIES,UTILITYADJUSTMENTS,SPEEDBUMPS,POSTING,NOTIFICATIONS,NIGHTS/WEEKENDS DRAINAGEREQUIREMENTS W/LESSTHAN2% FALL,TRAFFICCONTROL,T/CPLANS,CMSBOARD,DETOURS,ROOT PRUNE/REMOVAL
FABRIC& PLACEMENT,FABRICREMOVALS/ DISPOSAL,STRIPING,TEMP STRIPING&TABS, PROTECTIONOF WORKAFTERSHIFT
HAZARDOUSWASTE,WEATHERDELAYS,TEMPERATUREDELAYS,WATER & SOURCE,OPERATEDWATERTRUCK/BUGGY,LIGI-TTS LIQUIDATEDDAMAGESNOT DUETO OUROPERATION.THIS INCLUDESDAMAGESFOR LATEOPENINGS.TRAINING& FEES
SAFETYTRAINING,TWIC, BADGINGCOST, SANDBLASTING, STRIPINGREMOVALS,AS BUILDS,EXCLUDESANYTHINGNOT LISTEDASINCLUDED IN NO EVENTSHALLHARDY& HARPER,INC. BERESPONSIBLEOR LIABLEFORANYFAILUREOR DELAYIN THEPERFORMANCEOF ITS
OBLIGATIONSHEREUNDERARISINGOUT OF OR CAUSEDBY,DIRECTLYOR INDIRECTLY,FORCESBEYONDITSCONTROL,INCLUDING,
WITHOUTLIMITATION,STRIKES,WORKSTOPPAGES,ACCIDENTS,ACTSOF WARORTERRORISM,CIVILOR MILITARYDISTURBANCES,
NUCLEAROR NATURALCATASTROPHES,PANDEMICSORACTSOF GOD,ANDINTERRUPTTONS, LOSSOR MALFUNCTTONS OF UTILITIES, COMMUNICATIONSOR COMPUTER(SOFTWAREANDHARDWARE)SERVICES,UNFORESEENCOSTESCALATION. HARDY& HARPER,INC. SHALL USE REASONABLEFFORTSCONSISTENTWlTT-lACCEPTEDPRACTICESIN THE INDUSTRYTO RESUMEPERFORMANCEAS SOONAS PRACTICABLE.
17.M.
ACCEPTED: CONFIRMED:
The above prices, speci?cations and conditions are satisfactory and Hardy & Harper, Inc. are hereby accepted.
Buyer:
Signature: Authorized Signature:
Date of Acceptance: Estimator: Tanner Hambn‘ght
714.412.1335 U1ambn‘[email protected]
17.M.
APPENDI
17.M.
will not be responsible
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the 2025/26CITYWIDESLURRYSEAL,CIP No. 2515 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 Public Works Contract, and also understands that the Project shall be completely constructed in turn-key condition acceptable to the Owner within the Project time requirements for the price of the proposal, including all fees and sales and/or use tax upon any materials so furnished, including any unit prices and additive/deductiveitems. The undersigned has also carefully checked all of the figures given and understands that the Agency for any errors or omissions on the part of the undersigned in submitting this proposal.
Contractor confirms that his/her/itsbid is submitted with respect to the changes to the Contract and/orContract Documents included in all addenda issued by the Owner.
In addition to reaffirming that the changes and information contained in the addenda have been integrated into their proposal, Contractor acknowledges receipt of Addenda No.(s
The undersigned has examined the current State of California schedule of prevailing wage rates for the types of work to be done on this project (and the Davis—BaconAct if the Agency uses federal funds for the Project) and agrees to pay not less than these rates.
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the 2025/26CITYWIDESLURRYSEAL,CIP No. 2515 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.
17.M.
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ITEM
No
BIDSCHEDULE
BASE BID — 2025/26CITYWIDESLURRYSEAL
CIP No. 2515
DESCRIPTION
Mobilization / Demobilization (not to
exceed 5%)
Traf?c and Pedestrian Control
Water Quality Control
Temporary Construction Project
Identification Signage
Remove and Replace Signing and
Striping
Crack Seal Cracks up to 1" & Slurry
Seal
Asphalt Routing of Cracks Greater
than 1
Sawcut and Remove 10”
AC/Base/Subgrade. Compact and
Construct 4” AC over 6” Base
Tree Root Pruning
UNIT
LS
LS
LS
EA
LS
SY
LF
SF
EA
ESTIMATED
QUANTITY
1 1
1 3
1 200,000
800
440
1 TOTAL BASE BID (numbers)
END OF BASE BID ITEMS
EXTENDE
D UNIT PRICE ITEM
AMOUNT
$18,000.00 $18,000.00
$29,300.00 $29.300.00
$7600.00 $7600.00
$1,500.00 $4,500.00
$37,900.00 $37,900.00
$199 $398,000.00
$27.50 $22,000.00
$27.50 $12,100.00
$15,000.00 $15,000.00
$544,400.00
Five hundred forty four thousand, four hundred dollars and zero cents BASE BID TOTAL (in words)
Contractor's Initials
ADDITIVEA BID ITEMS TOTAL (in words)
Contractor's Initials
In the event of a variation between the unit price and extended total, the unit price willbe used and the corrected extension willbe considered as the amount bid. Ifthe bid is illegible and cannot be reconciled it will be considered non-responsive and 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 schedulels) only unless otherwise specified in
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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.
All bids received shall be recorded on an abstract (tabulation) of bids, and then made available for public inspection within two business days of bid opening.
The quantities listed in the bid proposal are provided to give a general indication of the scope of the work and for the comparison of bids. No warranty is made, either expressed or implied, that the actual quantities of work to be done will correspond therewith. Item numbers followed by "(S)" are designated as 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.
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me of the business, DIR and Co License Nos.
Business poration, Partnership, Sole Proprietor)
DBA(if any)
Name and title of the owner
Name and title of second partner officer
Business Address
Telephone number
Facsimilenumber
Name and Email address of primary ntact
Company web address
Signature of Bidder Date Signature of Bidder Date
Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate of?cersare required.) Legal
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State of California )
County of Los Angeles ) 8.8
On Before me, Pineda a Notary Public, personally
who proved to me on the basis of satisfactory evidence to be the person( subscribed to the within instrument and acknowledged to me that he/ y executed the same in I certify under PENALTY OF PERJURY under the laws of the State of California, that the foregoing paragraph is true and correct.
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Description of Attached Document
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State of California )
County of Los Angeles ) 8.8
On Before me, Pineda a Notary Public, personally
who proved to me on the basis of satisfactory evidence to be the person( subscribed to the within instrument and acknowledged to me that he/ y executed the same in I certify under PENALTY OF PERJURY under the laws of the State of California, that the foregoing paragraph is true and correct.
_ Place Seal In Box Below
WITNESS my hand and of?cral seal
JULY 2026 SIGNATURE
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Signer(s) Other Than Named Above:
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Signer's Name' Signer's Name:
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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/itpossesses the required Contractor's license(s) which:
a Bears the license number(s):
b. Expires on:
re of Bidder Date Signature of Bidder Date
Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate of?cersare required.) This required license determination has been made by the Agency. Any Contractor holding a different license who feels he is qualified to bid on this work must so advise the Agency at least seven (7) days prior to the bid opening. The Agency may conduct a review of the contemplated work to re-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.
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State of California )
County of Los Angeles ) 8.3
On Before me, Pineda a Notary Public, personally
who proved to me on the basis of satisfactory evidence to be the person( subscribed to the within instrument and acknowledged to me that he/ y executed the same in I certify under PENALTY OF PERJURY under the laws of the State of California, that the foregoing paragraph is true and correct.
. Place Seal In Box Below
WITNESS my hand and of?CIal seal
NOTARY SIGNATURE couuw
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State of California )
County of Los Angeles ) 8.8
On Before me, Pineda a Notary Public, personally
who proved to me on the basis of satisfactory evidence to be the subscribed to the within instrument and acknowledged to me that he/ y executed the same in I certify under PENALTY OF PERJURY under the laws of the State of California, that the foregoing paragraph is true and correct.
. Place Sea] In Box Below
WITNESS my hand and of?c1a1 seal
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BIDSECURITYFORM FOR CHECK
NOTE: THEFOLLOWINGFORM SHALLBEUSED IN THECASEOF CHECKACCOMPANYINGBID Accompanying this proposal is a Certified Check or Cashier’s Check payable to the order of the City of Hemet, hereinafter referred to as "Agency", for dollars (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 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. l
Said check shall also become the property of the Agency if the Undersigned shall withdraw his/her/itsbid within the period of sixty (60) calendar days after the date set for the opening thereof, unless otherwise required by law, and notwithstanding the award of the Contract to another bidder.
Signature of Bidder Date Signature of Bidder Date
Print name and title Print name and title
(If the Bidder is a corporation, two signatures of corporate o?‘icersare required.)
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BIDSECURITYFORM FOR BOND
KNOWALLBYTHESEPRESENTS:
That the undersigned
Roy Allan Slurry Seal, Inc
(Name of Contractor)
as Principal and the undersigned as Surety are held and firmly bound unto Owner, CITYOF HEMET, a political subdivision of the State of California, as obligee, in the penal sum of (Dollar Amount |n WordsI Ten Percent of Bid Amount
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 2025/26CITYWIDESLURRYSEAL2515 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 26th day of MaV 202_6.
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A Notary Public or other of?cer completing this certi?cate veri?es only the identity of the individual who signed the document to which this certi?cate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California )
County of Los Angeles ) S.S
On Before me, Pineda a Notary Public, personall
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appeared
who proved to me on the basis of satisfactory evidence to be the subscribed to the Within instrument and acknowledged to me that he/ y executed the same in I certify under PENALTY OF PERJURY under the laws of the State of California, that the foregoing paragraph is true and correct.
. Place Notary Seal In Box Below
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POWER OF ATTORNEY ORINEWOI 0224
SIRIUSPOINT AMERICA INSURANCE COMPANY
NEW YORK
KNOWALL MEN BY THESE PRESENTS:That SiriusPointAmericaInsuranceCompany(the "Company"),a New York corporation,havingits principalof?ce in theCityofNew York, pursuant to the followingResolution,which was adoptedon August 27,2024by UnanimousWrittenConsentoftheBoard of the Directorsof the Company,to wit:
RESOLVED, that the President, Senior Vice President, Chief Financial Of?cer, Secretary or the AssistantSecretary is hereby authorized to execute Powers of Attorneyappointingas attomeys-in-factselected employeesof certain surety companieswho shall have the power for and on behalf of the Companyto execute andaf?x the seal oftheCompanyto surety contracts as surety. Suchauthority can be executedby use of facsimilesignature.
Doeshereby nominate,constituteand appoint:
Trisha Cabuto,JazminChavez,BradenCluck,CliffordDavis,JustinGruenberg Itstrue and lawfulagent and attomey-in-fact,to make,execute, sealand deliverfor and on its behalf,and its act and deed any and all bonds,contracts, agreements of indemnityand otherundertakingsin suretyship(NOTINCLUDINGbondswithouta ?xed penaltyor ?nancial guarantee)and to bindthe Company thereby as fullyand to the same extent as ofsame were signedby the duly authorizedof?cers of the Company,provided,however,that the penalsum of any one such instrumentexecutedhereundershall not exceed the sum of:
$63,971,000singlebond limit
All acts of said attomeys- nt to the authoritieshereingiven are herebyrati?ed and con?rmed. ThePresident,SeniorVice President,Chief FinancialOf?cer, Secretaryor Assist may fromtime to time and at any timeremove such appointeeandremove the power given to him or her.
The executionof such bonds or undertakingsin pursuanceof these presents, within one year of the date of these present, shall be bindingundersaid Company, as fully and amply,to all intentsand purposes, as if they had beenduly executedand acknowledgedby the regularlyelectedof?cers of the Companyat its of?ce inNew York, New York,in their own proper persons.
INWITNESSWHEREOF, SiriusPointAmericaInsuranceCompanyhascausedits corporate sealto be hereuntoaf?xed and these presents to be signed by itsPresidentthistenthdayof October,2024.
SiriusPoint America Insurance Company
SEAL
979
State of New York Mihulka
County of New York President
Onthistenthday of October2024,beforeme a Notary Publicof the StateofNew York, in and forthe CountyofNew York,duly commissionedand quali?ed,came PaulMihulka,President,of SiriusPointAmericaInsuranceCompany,to me personallyknown to be the individualand of?cer describedin,andwho executedthe precedinginstrument,and acknowledgedthe executionof the same, and beingby me duly sworn, deposedand saidthat he isthe of?cer of the said Company aforesaid,and that the seal af?xed to the precedinginstrumentisthe CorporateSealofsaid Company,andthe saidCorporateseal and hissignatureas of?cer were duly af?xed and subscribedto the said instrumentby the authorityand directionof the saidCompany,referredto inthe precedinginstrumentis now in force.
IN TESTIMONY WHEREOF, I have hereuntoset my handand af?xed my of?cialseal.
Public
My Commission expires Ago.5"302g
STATE OF New York
COUNTYOF New York
I, Paul Mihulka,Presidentof SiriusPointAmerica Insurance Company, a New York corporation,do hereby certifythat the above and foregoing is a full, true and correct copy of Power of Attorney, isstillin full force and effect and has not been revoked.
IN WITNESSWHEREOF,I have hereuntoset my hand, and af?xed the Seal ofsaidCompany, on the 26th dayOf May , 20 26 SEAL
1979 Mihulka
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE §1189
A notary public or other officer completing this certificate verifies only the identity of the 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 05/26/2026 before me, Kelley Vandemoortel, Notary Public Date Here Insert Name and Title ofthe Officer
Personally appeared JUStIn Gruenberg
Icertify under PENALTY0F PERJURYunder the laws of the
State of California that the foregoing paragraph is true and KELLEYVANDEMOOR’EL
NotaryPublic- Ca.ifornia ”mac"-
Com?rgggnc?'fgug,WITNESS my hand and official seal
MyComm.ExpiresSep5, 2027
Signature
ofNotary Public
Place Notary Seal Above
-------------------------------------------------------------------- OPTIONAL Though this section is optional, completing this informationcan deter alteration ofthe document or fraudulentreattachment ofthisformto an unintended document.
Description of Attached Document
Title or Type of Document Bid Bond Document Date 05/26/2026 Number of Pages 2 Signer(s) OtherThan Named Above
Capacity(ies) Claimedby Signer(s)
Signer's Name JUSIZII‘I Gruenberg Signer's Name
E] Corporate Officer—Title(s) E] Corporate Officer—Title(s) D Partner Limited General ElPartner Limited General
E] Individual Attorney in Fact ElIndividual Attorney in Fact E] Trustee U Guardian or Conservator ElTrustee Guardian or Conservator EIOther D Other
Signer Is Representing SiriusPoint America Signer Is Representing Insurance Company
©2014NationalNotaryAssociation 0 '1-800-USNOTARY(1—800-876—6827)Item#5907 Name Signer (
who proved to me on the basis of satisfactory evidence to be the person( whose name( is/a subscribed to the within instrument and acknowledged to me that he/s e/t y executed the same in his/h r/t ir authorized capacity(i ),and that by his/h r/th irsignature( on theinstrumentthe person( , or the entity upon behalf of which the person( acted, executed the instrument.
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NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODESECTION7106
NON—COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITH BID The undersigned declares:
I am the of he 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 St that the ng is true declaration is executed on [date], at
, ate].
nature of Bidder Date Signature of Bidder Date
Print name and title Print name and title
(If the Bidder is a corporation, two signatures of corporate o?‘icersare required.)
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CALIF 0 IA ALL- U OSE AC OWLE G ENT
A Notary Public or other of?cer completing this certi?cate veri?es only the identity of the individual who signed the document to which this certi?cate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California )
County of Los Angeles ) 8.8
On Before me, Pineda a Notary Public, personally
who proved to me on the basis of satisfactory evidence to be the subscribed to the within instrument and acknowledged to me that he/ y executed the same in I certify under PENALTY OF PERJU RY under the laws of the State of California, that the foregoing paragraph is true and correct.
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State of California )
County of Los Angeles ) S.S.
On Before me, Pineda a Notary Public, personally
appeared
who proved to me on the basis of satisfactory evidence to be the person( subscribed to the within instrument and acknowledged to me that he/ y executed the same in I certify under PENALTY OF PERJU RY under the laws of the State of California, that the foregoing paragraph is true and correct.
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OPTIONAL
Thoughthe informationis not required by law. it may prove valuable to persons the document and could removal and reattachment ofthisform
Description of Attached Document
Title or Type of
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' Signer's Name:
[:1 vidual E] Individual
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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:
Contract Price:
I 1 . ‘ (23 Date of pletion: 201-;
Name, Address, and Telephone Number of Owner's Representative Project Name
.
.I 7. Contract Price: % Date of Completion
Name, Address, and Telephone Number of Owner‘s Representative:
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Project Name: \(mr
Contract Price Date of Completion:
Name, Address, and Telephone Number of Owner's Representative:
(Attach additional pages as necessary)
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BIDSCHEDULE
BASE BID - 2025/26CITYWIDESLURRYSEAL
CIP No. 2515
EXTENDE
D ":M DESCRIPTION UNIT ?lm/TIE? UNIT PRICE ITEM
° AMOUNT
Mobilization / Demobilization (not to
1 exceed 5% LS 1
2 Traffic and Pedestrian Control L8 1
3 Water Qua Control LS 1
Temporary Construction Project
4 Identification EA 3
Remove and Replace Signing and
5 LS 1
Crack Seal Cracks up to 1” & Slurry
6 Seal SY 200 000
Asphalt Routing of Cracks Greater
7 than 1 LF 800
Sawcut and Remove 10”
AC/Base/Subgrade. Compact and
8 Construct 4” AC over 6" Base SF 440
9 Tree Root Pruni EA 1
TOTAL BASEBID numbe
************************************ END OF BASE BID ITEMS ************************************ BASE BIDTOTAL (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 willbe considered non-responsive and will not be considered for award.
If an additive and/oralternate bid schedule is called for in the Contract Documents, the lowest determined on the basis of the base bid schedule(s) only unless otherwise specified in
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BIDDERCERTIFICATIONS
TO BEEXECUTEDBYALLBIDDERSAND SUBMITTEDWITH BID
The undersigned Bidder certifies to Owner as set forth in sections 1 through 10, below.
STATEMENT OF CONVICTIONS
By my signature hereunder, I hereby swear, under penalty of perjury, that no more than one final, unappealable finding of contempt of court by a Federal Court has been issued against Bidder within the past two years because of failure to comply with an order of a Federal Court or to comply with an order of the National Labor Relations Board.
CERTIFICATIONOF WORKER’SCOMPENSATION INSURANCE
By my signature hereunder, as the Contractor, I certify that I am aware of the Labor Code Section 3700, which requires every employer to be insured against liability for worker's compensation or to undertake self-insurance in accordance with the provisions of that Code, and I will comply with such provisions before commencing the performance of the work of this Contract.
Please note that the submittal of this certificate does not relieve Contractor from complying with all of the insurance requirements of the Public Works Agreement and Contract Documents.
CERTIFICATIONOF PREVAILINGWAGE RATES ANDRECORDS
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, I certify that there willbe no discrimination in employment with regard to race, color, religion, gender, sexual orientation, age or national origin; that all federal, state, and local directives and executive orders regarding non— discrimination in employment will be complied with; and that the principal of equal opportunity in employment will be demonstrated positively and aggressively.
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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 Divisi on 2, Part 7, Chapter 1 (c n
nia Labor . r’
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registration number is e Subcontr s on
numbers are as indicated in Document 00 4314.
BIDDER:
Signature of Bidder Date Signature of Bidder Date
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate o?icersare required.)
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CALIFO IA ALL— U OSE AC OWLE GMENT
A Notary Public or other of?cer completing this certi?cate veri?es only the identity of the individual who signed the document to which this certi?cate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California )
County of Los Angeles ) 8.8.
On Before me, Pineda a Notary Public, personally
appeared
who proved to me on the basis of satisfactory evidence to be the person( subscribed to the within instrument and acknowledged to me that he/ y executed the same in I certify under PENALTY OF PERJURY under the laws of the State of California, that the foregoing paragraph is true and correct.
_ Place Notary Seal In Box Below
WITNESS my hand and of?01al seal
JULY S SIGNATURE
OPTIONAL
Though the informationis not required by law, it may prove valuable to persons relying on the document and couldprevent removal and ofthis to another document.
Description of Attached
Title or Type of
Document Date: Number of
Signer(s) Other Than Named Above:
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CALIFO ALL— U OSE AC OWLE G ENT
A Notary Public or other of?cer completing this certi?cate veri?es only the identity of the individual who signed the document to which this certi?cate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California )
County of Los Angeles ) 8.8.
On Before me, Pineda a Notary Public, personally
who proved to me on the basis of satisfactory evidence to be the subscribed to the within instrument and acknowledged to me that he/ y executed the same in I certify under PENALTY OF PERIURY under the laws of the State of California, that the foregoing paragraph is true and correct.
Place N Seal In Box Below
WITNESS my hand and of?cial seal
'2'
L ULY 1 NOTARY’ S SIGNATURE
OPTIONAL
Though the informationis not required by law, it may prove valuable to persons relying on the documentand could prevent ?'audulenlremoval and ofthis to another document.
Description of Attached Document
Title or Type of
Document Date: Number of Pages:
Signer(s) Other Than Named Above
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RIVERSDECOUN , CALIFO NIA
B A DCO T ACTDOCUM NTS
2025/26CITYWDESLURRYSEAL
CAPTAL ROVEMENT OJECT O. 2515
APR L2026
Noah Rau, P.E., PublicWorks Director/City Engineer Date R.C.E. No. 74686
This is a prevailing wage project under the laws of the State of California. 04/27/2026
17.M.
will not he resgonsible
No.(s)
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the 2025/26ClTYWlDESLURRYSEAL,CIP No. 2515 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 ofthe undersigned in submitting this proposal.
Contractor confirmsthat his/her/itsbid is submittedwith 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 1 The undersigned has examined the current State of Californiaschedule of prevailing wage rates for the types of work to be done on this project (and the Davis-BaconAct if the Agency uses federal funds for the Project) and agrees to pay not lessthan these rates.
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the 2025/26ClTYWlDESLURRYSEAL,CIP No. 2515 and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, speci?cations, General Conditions, Special Provisions, General Provisions, Greenback 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.