Casa Blanca Community Resurfacing Project (CIP No. 23-05) Willows/Lake Ridge Community Resurfacing Project (CIP No. 23-06) APPENDIX 4
CLOSE-OUT DOCUMENTS
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Casa Blanca Community Resurfacing Project (CIP No. 23-05) Willows/Lake Ridge Community Resurfacing Project (CIP No. 23-06)
CONTRACTOR'S CERTIFICATION OF COMPLETION
February 2, 2024
DATE:
TO: City of Menifee
29844 Haun Rd
Menifee, California 92586
FROM: Copp Contracting, Inc.
(Firm or Corporation)
PROJECT: Casa Blanca Community Resurfacing Project - CIP No. 23-05 Willows/Lake Ridge Community Resurfacing Project - CIP No. 23-06 This is to certify that I, acting as an authorized official of the above stated firm or corporation, have been properly authorized by said firm or corporation to sign the following statements pertaining to the subject contract:
1. I know, of my own personal knowledge, and do hereby certify, that the work of the contract described above has been performed, and materials used and installed in every particular, in accordance with, and in conformity to, the contract drawings and specifications.
2. The contract work is now complete in all parts and requirements, and ready for your final inspection.
3. I understand and agree that neither the determination by the Owner that the work is complete, nor the acceptance thereof by the Owner, shall operate as a bar to claim against the Contractor under the terms of the guarantee provisions of the contract documents.
A. Erlndo Coge
Signature of Prime Contractor signature of Prime Contractor Ezekiel A. Copp, President Erlinda Copp, Secretary
Print name and title Print name and titie
(If the Prime Contractor is a corporation two signatures of corporate officers are required.) 4-2
Casa Blanca Community Resurfacing Project (CIP No. 23-05) Willows/Lake Ridge Community Resurfacing Project (CIP No. 23-06)
LAND SURVEYORS' CERTIFICATION OF COMPLETION
TO: City of Menifee
29844 Haun Rd
Menifee, California 92586
FROM: Copp Contracting, Inc.
(Firm or Corporation)
PROJECT: Casa Blanca Community Resurfacing Project CIP No. 23-05 & Willows/Lake Ridge Community Resurfacing Project - CIP No. 23-06 Work of contract: Perform field survey and locate all Survey Monuments including centerline and property corners or references to them including centerline ties within area of disturbance from construction activities for this project. Prepare and File a corner record referencing survey monument and/or ties subject to disturbance in the office of the Riverside County Surveyor prior to NTP.
Reset monuments and/or references to them and file post construction corner records.
The corner records shall be delivered to the Engineer prior to the commencement of work and at prior to completion of work.
This is to certify that I, the land surveyor of record acting as an authorized official of the above stated firm or corporation, have been properly authorized by said firm or corporation to sign the following statements pertaining to the subject contract:
1. • A7 _(initials)l know, of my own personal knowledge, and do hereby certify, that the work of the contract described above has been performed and survey monuments within area of disturbance have been located and Corner records filed prior to construction and reset with Corner records filed post construction in every particular, in accordance with, and in conformity to business and profession code 8771
(initials)I know, of my own personal knowledge, and do hereby certify, that the work of the contract described above has been performed and NO survey monuments and/or references were found within area of disturbance in every particular, in accordance with, and in conformity to business and profession code 8771
2. The contract work is now complete in all parts and requirements.
No. 8133
Exp. 2/31 2024)
PLE SEAL & SIGNATURE
S2 A.G
PLS# 8133 - Date 3/1/2024 Signature of Prime Contractor ANTHOND SMITH Ezekiel A. Copp, President
Print name and title Print name and title
Onpoint Land Surveying, Inc.
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Casa Blanca Community Resurfacing Project (CIP No. 23-05) Willows/Lake Ridge Community Resurfacing Project (CIP No. 23-06)
CONTRACTOR'S AFFIDAVIT OF DISPOSAL
WHEREAS, on the 16th day of August _ 20_24, the undersigned entered -
into and executed a contract with City of Menifee for Casa Blanca Community Resurfacing Project & Willows/Lake Ridge Community Resurfacing Project as particularly described in said contract and identified as CIP No. 23-05 & CIP No. 23-06, and
WHEREAS, the specifications of said contract requires the Contractor to affirm that "all brush, trash, debris, and surplus materials resulting from this project have been disposed of in a legal manner" and that all designated recyclable materials are properly recycled in compliance with the City of Menifee Ordinances.
WHEREAS, said contract has been completed, all surplus materials disposed of, and proof of compliance with the City of Menifee Municipal Code has been furnished.
NOW, THEREFORE, in consideration of the final payment by the City of Menifee to said Contractor under the terms of said contract, the undersigned Contractor, hereby certifies and affirms under penalty of perjury that all surplus materials as described in said contract have been disposed of at the following location(s):
Broken Concrete
Broken Concrete
Type of material disposed of Type of material disposed of • Ewles Materials North Pacific Developments, Inc.
Name of disposal site Name of disposal site
26160 Adams Ave., Murrieta, CA Trumble Road, Menifee
Address of disposal site Address of disposal site
Asphalt grindings
Type of material disposed of Type of material disposed of Greenlock Materials
Name of disposal site Name of disposal site
1420 Nandina Ave., Perris, CA
Address of disposal site Address of disposal site
By signing and submitting this form to the City of Menifee on this 28th day of February. 2024/ (we) hereby certified and swear under penalty of perjury under the laws of the State of California that the aforementioned information is true and correct without omission, error or misrepresentation. 1- S 02/28/2024 Erlendo oRe 02/28/2024
Signature of Prime Contractor Date Signature of Prime Contractor Date Ezekiel A. Copp, President _Erlinda Copp, Secretary
Print name and title Print name and title
(If the Prime Contractor is a corporation two signatures of corporate officers are required.) 4-4
Casa Blanca Community Resurfacing Project (CIP No. 23-05) Willows/Lake Ridge Community Resurfacing Project (CIP No. 23-06) CONSENT OF SURETY FOR FINAL PAYMENT Bond No.: RCB0044142 In accordance with the provisions of the contract between the Owner and the Contractor, and the following named Surety: Contractors Bonding and Insurance Company **
on the Payment Bond in the amount of_
the following named Contractor: Cop Contrain, here he at o 2 235) hereby approves of final payment to the Contractor, and further agrees that said final payment to the Contractor shall not relieve the Surety named herein of any of its obligations to the Owner, as set forth in said Surety company's bond.
IN WITNESS WHEREOF, the Surety Company has hereunto set its hand and seal this 29th day of February , 20 24
Contractors Bonding and Insurance Company
Signatafe of Authorized Surety Representative
Ryan Butterfas, Attomey-in-Fact
Title
(CORPORATE SEAL
•
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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 )-
FEB 2 3 2024 Adelaide C. Hunter, Notary Public
On. before me, -
Date Here Insert Name and Title of the Officer
personally appeared Ryan Butterfas
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
ADELAIDE C. HUNTER
Notary Public • California
Orange County Aittmuts
Commission # 2343124 Signature
Ay Comm. Expires Jan 23, 2025 | 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: - Signers) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name: Signer's Name:
• Corporate Officer - Title(s): • Corporate Officer - Titles): _ • Partner - © Limited • General • Partner - O Limited • General O Individual • Attorney in Fact • Individual • Attorney in Fact • Trustee • Guardian or Conservator • Trustee • Guardian or Conservator • Other: • Other:
Signer Is Representing: _ Signer Is Representing: _
©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907
POWER OF ATTORNEY
RLI Insurance Company
Contractors Bonding and Insurance Company
025 N. Lindbergh Dr. Peoria, IL 6161
hone: 800-645-240
Know All Men by These Presents:
That this Power of Attorney is not valid or in effect unless attached to the bond which it authorizes executed, but may be detached by the approving officer if desired.
That RLI Insurance Company and/or Contractors Bonding and Insurance Company, each an Illinois corporation, (separately and together, the "Company") do hereby make, constitute and appoint:
Linda D. Coats, Matthew J. Coats, Summer Reyes, Ryan Butterfas, jointly or severally int polier and authorily hera Ni Contered, to sign, efeur, acknowledge and delives for and it lAge as are at geraliny and ith California bonds and undertakings in an amount not to exceed Twenty Five Million ($25.000.000.00) for any single obligation.
The acknowledgment and execution of such bond by the said Attorney in Fact shall be as binding upon the Company as if such bond had been executed and acknowledged by the regularly elected officers of the Company.
RLI Insurance Company and/or Contractors Bonding and Insurance Company, as applicable, have each further certified that the following is a true and exact copy of a Resolution adopted by the Board of Directors of each such corporation, and is now in force, to-wit:
"All bonds, policies, undertakings, Powers of Attormey or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may 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 officer and the corporate seal may be printed by facsimile." IN WITNESS WHEREOF, the RLI Insurance Company and/or Contractors Bonding and Insurance Company, as applicable, have caused these presents to be executed by its respective. Vice President _ with its corporate scal affixed this. day of November 2021. RLI Insurance Company
TRANCE Contractors Bonding and Insurance Company
(SEAL By: _
SEAL. Barton W. Davis Vice President
State of Illinois ILLINOU
SS
County of Peoria CERTIFICATE
On this _ 18th day of November 2021 _ before me. a Notary 1, the undersigned officer of RLI Insurance Company and/o Public, personally appeared Barton W. Davis → who being by me duly Contractors Bonding and Insurance Company, do hereby certify sworn, acknowledged that he signed the above Power of Attorney as the that the attached Power of Attorney is in full force and effect and is aforesaid officer of the RLI Insurance Company and/or Contractors irrevocable; and furthermore, that the Resolution of the Company as Bonding and Insurance Company and acknowledged said instrument to be set forth in the Power of Attorney, is now in force. In testimony the voluntary act and deed of said corporation. whereof, I have hereunto set my hand and the seal of the RLI February
Catherined Caver RLI Insurance Company
By:
Catherine D. Glover Notary Public Contractors Bonding and Insurance Company CATHERINE O. GLOVER
OFFICIAL SEAL
Notary Public - Bute of Ilinail Tate Saffey D fick.
My Corrmission Expires Corporate Secretary
March 24, 202
0475404020212
A00S8D19
Casa Blanca Community Resurfacing Project (CIP No. 23-05) Willows/Lake Ridge Community Resurfacing Project (CIP No. 23-06)
CONTRACTOR'S AFFIDAVIT OF PAYMENT
To All Whom It May Concern:
WHEREAS, the undersigned has been contracted by the City of Menifee to furnish labor and materials for Casa Blanca Community Resurfacing Project, CIP No. 23-05 & Willows/Lake Ridge Community Resurfacing Project, CIP No. 23-06, under a contract dated the _16th_ day of August _ 2024. in the City of Menifee, County of Riverside, State of California, of which City of Menifee is the Owner.
NOW, THEREFORE, this 28th day of February 2024 the
undersigned, as the Contractor for the above-named Contract pursuant to the Conditions of the Contract hereby certifies that, except as listed below, he has paid in full or has otherwise satisfied all obligations for all materials and equipment furnished, for all work, labor, and services performed, and for all known indebtedness and claims against the Contractor for damages arising in any manner in connection with the performance of the Contract referenced above for which the Owner or his property might in anyway be held responsible.
EXCEPTIONS: (If none, write "None". If required by the Owner, the Contractor shall furnish bond satisfactory to the Owner for each exception.)
02/28/2024 Erlinto Cope 02/28/2024
Signature of Prime Contractor Date Signature of Prime Contractor Date Ezekiel A. Copp, President Erlinda Copp, Secretary
Print name and title Print name and title
(If the Prime Contractor is a corporation two signatures of corporate officers are required.) 4-6
Casa Blanca Community Resurfacing Project (CIP No. 23-05) Willows/Lake Ridge Community Resurfacing Project (CIP No. 23-06)
GUARANTEE AGREEMENT
We hereby guarantee that Casa Blanca Community Resurfacing Project, CIP No. 23-05 & Willows/Lake Ridge Community Resurfacing Project, CIP No. 23-06, has been installed in accordance with the drawings and specifications and that the work as installed will fulfill the requirements included in the specifications. The undersigned agrees to promptly repair or replace, in a manner satisfactory to the Engineer, any or all of such work, together with any other adjacent work which may be displaced in connection with such repair or replacement, that may prove to be defective in workmanship or material within a period of one (1) year from the date of acceptance of the above referenced project by City of Menifee, ordinary wear and tear and unusual abuse or neglect excepted.
The Contractor also agrees to indemnify and hold City of Menifee harmless from claims of any kind arising from damage due to said defects in the work constructed under the Contract In the event that the undersigned fails to comply with the abovementioned conditions within a reasonable period of time, as determined by City of Menifee, the undersigned hereby authorizes the City of Menifee to proceed with the repair of said defects and the Contractor and his/her surety shall be liable to the City of Menifee for the cost thereof.
Copp Contracting, Inc. 6751 Stanton Avenue, Buena Park CA 90621 Firm name Address
- JALI Time Cos i sun contractor" Erlinde
Signature of Prime Contractor or Sub-Contractor
Ezekiel A. Copp, President Erlinda Copp, Secretary
Print name and title Print name and title
Countersigned (required by Prime Contractor if this Guarantee Agreement is for a Sub-Contractor):
Firm name Address
Signature of Prime Contractor Signature of Prime Contractor Print name and title Print name and title
Contact for Service:
Ezekiel A. Copp, President
Name
6751 Stanton Avenue, Buena Park CA 90621
Address
1714)-522-7754. [email protected]
Telephone number and email address
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