Slurry Seal Project (PMP No. 24-01)
CONTRACTOR'S CERTIFICATION OF COMPLETION
DATE: 02/12/2025
TO: City of Menifee
29844 Haun Rd
Menifee, California 92586
FROM: Copp Contracting, Inc.
(Firm or Corporation)
PROJECT: Slurry Seal Project - PMP No. 24-01
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.
Elinda Cupt siensure or prime contractor
ignature of Prime Contractor
Erlinda Copp, Secretary Ezekiel A Copp, President
Print name and title Print name and title
(If the Prime Contractor is a corporation two signatures of corporate officers are required.) 4-2
Slurry Seal Project (PMP No. 24-01)
LAND SURVEYORS' CERTIFICATION OF COMPLETION
TO: City of Menifee
29844 Haun Rd
Menifee, California 92586
FROM: Copp Contracting, Inc./Onpoint Land Surveying, Inc. (Firm or Corporation)
PROJECT: Slurry Seal Project PMP No. 24-01
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 fo this project. Prepare and File a corner record referencing survey monument and/or ties subject to disturbance ir 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. _(initials)| 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 • (initials) 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. /N No: 8133
Exp. 1231200
TATE OF CALPORNEN
PLS SEAL & SIGNATURE
A .
PISH 9133 • Date 2/19/2025 Signature of Prime Contractor ANTHONY SMITH, PRINCIPAL Ezekiel A Copp, President
Print name and title Print name and title
4-3
Slurry Seal Project (PMP No. 24-01)
CONTRACTOR'S AFFIDAVIT OF DISPOSAL
WHEREAS, on the 12th_ day of February _ 20_25 _ the undersigned entered into and executed a contract with City of Menifee for Slurry Seal Project as particularly described in said contract and identified as PMP No. 24-01, 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 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/Dirt Mix
Type of material disposed of Type of material disposed of Ewles Materials
Name of disposal site Name of disposal site
26160 Adams Ave., Murrieta, CA
Address of disposal site Address of disposal site
Type of material disposed of Type of material disposed of Name of disposal site Name of disposal site
Address of disposal site Address of disposal site
By signing and submitting this form to the City of Menifee on this 12th day of February, 2025, I (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.
Clinda 02/12/2025 02/12/2025
Signature of Prime Contractor Date Signature of Prime Contractor Date Erlinda Copp, Secretary Ezekiel A Copp, President
Print name and title Print name and title
Uf the Prime Contractor is a corporation two signatures of corporate officers are required.) 4-4
Slurry Seal Project (PMP No. 24-01) Bond No.: RCB0052697
CONSENT OF SURETY FOR FINAL PAYMENT
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 — **
_Dollars,
of the following named Contractor: Copp Contracting, Inc. 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.** Seven Hundred Thirteen Thousand Seven Hundred One and 00/100 ($713,701.00) IN WITNESS WHEREOF, the Surety Company has hereunto set its hand and seal this 12th day of February , 20_25
Contractors Bonding and Insurance Company
Signature of Authorized Surety Representative
Ryan Butterfas, Attorney-in-Fact
Title
(CORPORATE SEAL)
4-5
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 1 2 2025 Adelaide C. Hunter, Notary Public
On. before me, _
Date Here Insert Name and Title of the Officer
personally appeared Ryan Butterfas
Name(s) of Signers)
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.
ADELAIDE C. HUNTER WITNESS my hand and official seal.
Notary Public - California
Orange County
Commission # 2508152
My Comm. Expires Jan 23. 2029 A.Hunt
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: Signers) Other Than Named Above:
Capacity(ies) Claimed by Signers)
Signer's Name: Signer's Name:
• Corporate Officer - Title(s): • Corporate Officer - Title(s):
• Partner - • Limited • General • Partner - • Limited • General • individual • Attorney in Fact • Individual • Attorney in Fact • Trustee • Guardian or Conservator • Trustee • Guardian or Conservator • Other: • Other:
Signer Is Representing: _ Signer Is Representing:
©2014 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
9025 N. Lindbergh Dr. Peoria, IL 61615
Phone: 800-645-2402
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 in the City of Laguna Hills. State of California its true and lawful Agents) and Attorneys) in Fact, with full power and authority hereby conferred, to sign, execute, acknowledge and deliver for and on its behalf as Surety, in general, any and all bonds and undertakings in an amount not to exceed Twenty Five Million Dollars ($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 Attorney 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 Sr. Vice President with its corporate seal affixed this 19th _day of March 2024
RLI Insurance Company
NCE C Contractors Bonding and Insurance Company
CORPORATE
Hashi
SEAL: SEAL By:
Eric Raudins Sr. Vice President
State of Illinois AL LIN OLS
County of Peoria CERTIFICATE
On this 19th day of March 2024 before me, a Notary Public. I, the undersigned officer of RLI Insurance Company and/or personally appeared Eric Raudins. who being by me duly sworn. Contractors Bonding and Insurance Company, do hereby certify acknowledged that he signed the above Power of Attorney as the aforesaid that the attached Power of Attorney is in full force and effect and is officer of the RLI Insurance Company and/or Contractors Bonding and irrevocable; and furthermore, that the Resolution of the Company as Insurance Company and acknowledged said instrument to be the voluntary set forth in the Power of Attorney, is now in force. In testimony act and deed of said corporation. whereof, I have hereunto set my hand and the seal of the RLI Insurance Company and/or Contractors Bondin$025 and Insurance Company this day of
By: RLI Insurance Company
Notary Public Contractors Bonding and Insurance Company
JILL A SCOTT
Notary Public
State of Ohio Affey D fick
My Comm. Expires Jeffrey Corporate Secretary
September 22. 2025
0475404020212
A0058D19
Slurry Seal Project (PMP No. 24-01)
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 Slurry Seal Project, under a contract dated the 19th day of June - 2024, in the City of Menifee, County of Riverside, State of California, of which City of Menifee is the Owner.
NOW, THEREFORE, this 12th day of February , 2025 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.)
Erlinda C 02/12/2025 02/12/2025
Signature of Prime Contractor Date Signature of Prime Contractor Date Erlinda Copp, Secretary Ezekiel A Copp, President
Print name and title Print name and title
(If the Prime Contractor is a corporation two signatures of corporate officers are required.) 4-6
Slurry Seal Project (PMP No. 24-01)
GUARANTEE AGREEMENT
We hereby guarantee that Slurry Seal Project, MP No. 24-01, 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 Ave., Buena Park, CA 90621 Firm name Address
clinde
Signature o Prime Contractor d Sub-Contractor Signature of Prime Contractor C Sub-Contractor Erlinda Copp, Secretary Ezekiel A Copp, President
Print name and title Print name and title
Countersigned (required by Prime Contractor if this Guarantee Agreement is for a Sub-Contractor):
N/A
Firm name Address
Signature of Prime Contractor Signature of Prime Contractor Print name and title Print name and title
Contact for Service:
Dennis W Copp
Name
6751 Stanton Ave., Buena Park, CA 90621
Address
714-522-7754
[email protected]
Telephone number and email address
4-7