McCall Blvd / Sun City Blvd - Westbound Turn Pocket Extension (CIP No. 24-02)
CONTRACTOR'S AFFIDAVIT OF DISPOSAL
WHEREAS, on the 15_ day of JANUARY _2025 the undersigned entered into and executed a contract with City of Menifee for McCall Blvd/Sun City Blvd - Westbound Turn Pocket Extension as particularly described in said contract and identified as CIP No. 24-02, 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):
ASPHALT CONCRETE
Type of material disposed of Type of material disposed of
ONYX MATERIALS CORP ON X MATERIALS CORP
Name of disposal site Name of disposal site
22300 TEMESCAL CANYON RD, 22300 TEMESCAL CANYON RD,
CORONA CA 92883 CORONA CA 92883
Address of disposal site Address of disposal site
DIRT SOLi
Type of material disposed of Type of material disposed of
ONYX MATERIES CORP
Name of disposal site Name of disposal site
22300 TEMESCAL CANYON RO,
CORONA CA 92883
Address of disposal site Address of disposal site
By signing and submitting this form to the City of Menifee on this 23 day of May _ 2025,1 (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. /Signature of Prime Contractor Date Signature of Prime Contractor Date Jackson flulse Sr. Project Marager
Print name and title Print name and title
(If the Prime Contractor is a corporation two signatures of corporate officers are required.) 4-4
McCall Blvd / Sun City Blvd - Westbound Turn Pocket Extension (CIP No. 24-02)
CONTRACTOR'S CERTIFICATION OF COMPLETION
DATE: • 5/5/25
TO: City of Menifee
29844 Haun Rd
Menifee, California 92586
FROM: ONY PAVING COmPANY
(Firm or Corporation)
PROJECT: McCall Blvd/Sun City Blvd - Westbound Turn Pocket Extension (CIP No. 24-02) 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. ignature of Prime Contractor Signature of Prime Contractor Jackson Hulse Sr. Project Marager
Print name and title Print name and title
(If the Prime Contractor is a corporation two signatures of corporate officers are required.) 4-2
McCall Blvd / Sun City Blvd - Westbound Turn Pocket Extension (CIP No. 24-02)
GUARANTEE AGREEMENT
We hereby guarantee that McCall Blvd/Sun City Blvd - Westbound Turn Pocket Extension (CIP No. 24-02) 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.
ONYX PAVING, COMPANY 22707 LA PALMA AVE, YORBA LINDA, CA 92887 Firm name Address
RenAture a same contraco or sub contracior
Signature of Prime Contractor or Sub-Contractor
Jackson Hulse Sr. Project Manager
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:
CASEY KINNIE
Name
22307 LA PALMA ANE, YORBA LINDA, A 92887
(714) 632-6699
Telephone number and email address
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McCall Blvd / Sun City Blvd - Westbound Turn Pocket Extension (CIP No. 24-02)
LAND SURVEYORS' CERTIFICATION OF COMPLETION
TO: City of Menifee
29844 Haun Rd
Menifee, California 92586
Case Land Surveying, Inc.
FROM:
(Firm or Corporation)
PROJECT: McCall Blvd/Sun City Blvd - Westbound Turn Pocket Extension (CIP No. 24-02) 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. (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 877
initials)I know, of my own personal knowledge, and do hereby certify, that the work of the tract 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.
RAY. CASI
5411
*
ACALIFORNA
PIS SEAt-&-SIGNATURE
PLS# L5411 Date 5/22/2025 Signature of Prime Contractor Larry V. Case, President Jackson Hubse Si. Project Marager Print name and title Print name and title
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