Paso Robles City Council
April 16, 2024

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Attachment 2

1.1 Bid.
00 41 43- BID FORMS

BID FORM
Bids will be received at the City of El Paso de Robles City Hall, 1000 Spring Street, Paso Robles, CA 93446, until 2:00 p.m. on Thursday, March 21, 2024.

NAME OF BIDDER: J. L. Plank Inc. dba Cen-Cal Construction To the Honorable City Council
of the City of El Paso de Robles
1000 Spring Street
Paso Robles, California 93446
The undersigned hereby declare that we have carefully examined the location of the proposed Work, and have read and examined the Contract Documents, including all plans, specifications, and all addenda, if any for the following Project:

CDBG 17th Street Pedestrian and Road Repair Improvements, DPW NO. 20-21 We hereby propose to furnish all labor, materials, equipment, tools, transportation, and services, and to discharge all duties and obligations necessary and required to perform and complete the Project, as described and in strict conformity with the Drawings, and these Specifications for TOTAL BID PRICE indicated herein.

The undersigned acknowledges receipt, understanding, and full consideration of the following addenda to the Contract Documents:

Addenda No. __ __.,.._ ___ '2-1 3_______________ _

1. Attached is the required Bid Guarantee in the amount of not less than 10% of the Total Bid Price.

2. Attached is the completed Designation of Subcontractors form.

3. Attached is the fully executed Noncollusion Declaration form.

4. Attached is the completed Iran Contracting Act Certification form.

5. Attached is the completed Public Works Contractor Registration Certification form.

6. Attached is the completed Contractor's Certificate Regarding Workers' Compensation form.

7. Attached is the completed Bidder Information and Experience form.

8. Attached is the Site Visit Affadavit.

9. Attached is the Equal Employment Opportunity Certification.

10. Attached is the Debarment and Suspension Certification.

11. Attached is the Non-lobbying Certification for Federal-Aid Contracts.

12. Attached is the Disclosure of Lobbying Activities.

13. Attached is the Assurance of Disadvantaged Business Enterprise Participation.

14. Attached is the Forms and Certifications for Federally (CDBG) - Funded Projects. 82477.07000\31456712.1 -18-
Attachment 2

A. BID SCHEDULE
A. BID ITEMS ON PLANS AND SPECIFICATIONS PREPARED BY STANTEC Item Deecl1Dtlon
A-1 Mobilization
A-2 Noise/Dust/Storm Water Pollution Control
A-3 Traffic Control
A-4 Comply with OSHA
A-5 Pre-Construction Video/Photo Documentation
A-6 Sawcut, Remove. Grade. and Replace AC
A-7 Sawcut, Remove, Grade, and Replace Sidewalk
Sawcut and Remove concrete (ramp or sw),
A-8 Grade, and construct ramp
A-9 Sawcut, Remove, and Replace Curb & Gutter
A-10 Construct Sidewalk
A-11 Construct Retainina Curb
A-12 Construct Curb & Gutter
Sawcut, Remove, and Replace Driveway
A-13 Approach
Sawcut, Remove Concrete, and Replace Alley
A-14 Aooroach
A-15 Sawcut and Construct Driveway Approach
Sawcut, Remove AC, and Construct Alley
A-16 Approach
Provide Detectable Warning (Safety step TD or
A-17 aooroved eouall
A-18 Remove Existino Decorative Rock
A-19 Provide Mulch
A-20 Reconstruct Existina Brick Paver Pathway
A-21 Relocate Existino Sign
A-22 Relocate mailbox
A-23 Adiust water/oas valve cover and box to orade
A-24 Adjust utility box to arade
A-25 Tree Root removal/Trimmina/Prunina
Sawcut, Remove Concrete & Replace Existing
A-26 Cross Gutter/Spandrel
A-27 Replace existing drop inlet with drainaae inlet
A-28 Construct Curb & Gutter (see sheet 9)
Contractor to engage the services of licensed
A-29 arborist to address the tree root conflicts
Contractor to engage the services of licensed
A-30 land surveyor to orovide construction stakino
Sub-Total A:

Unit QuantltV
LS 1
LS 1
LS 1
LS 1
LS 1
SF 2500
SF 1410
SF 505
LF 460
SF 1390
LF 160
LF 130
SF 550
SF 610
SF 260
SF 630
SF 90
SF 80
SF 850
SF 30
EA 1
EA 1
EA 2
EA 2
LS 1
SF 50
EA 1
LF 142
LS 1
LS 1
$309,861.00
Unit Coat
$36,650.00
$22,000.00
$21 000.00
$1,200.00
$1 400.00
$6.75
$16.25
$26.50
$63.50
$12.90
$42.50
$55.50
$23.40
$25.30
$28.40
$26.00
$55.00
$8.00
$4.00
lt?R.On
$300.00
$975.00
$600.00
$600.00
$13 900.00
$76.00
$14,125.00
$64.00
$2,400.00
$4,400.00

BID FORM
Total Coat
$36,650.00
$22,000.00
$21 000.00
$1 200.00
$1 400.00
$16,875.00
$22,912.50
$13,382.50
$29,210.00
$17 931.00
$6,800.00
$7.215.00
$12,870.00
$15,433.00
$7 384.00
$16,380.00
$4,950.00
$640.00
$3.400.00
tR40.00
$300.00
iq7i:; nn
$1 200.00
$1 200.00
$13,900.00
$3,800.00
$14,125.00
$9,088.00
$2,400.00
$4,400.00
B. BID ITEMS ON PLANS AND SPECIFICATIONS PREPARED BY PAVEMENT ENGINEERING, INC.

Item Description Reference Unit Quantity Unit Cost Total Cost B-1 Mobilization, Bonds & Insurance TS-1.14 LS 1 $63,200.60 $63,200.60 Notification of Residents, Businesses & $1,400.00 $1,400.00 B-2 Agencies TS-1.14 LS 1 B-3 Traffic Control TS-2.06 LS 1 $32,000.00 $32 000.00
B-4 Storm Water Pollution Control Proaram TS-3.04 LS 1 $19 000.00 $19,000.00 82477 .07000\31456712.1 -19-
Attachment 2

8-5 Construction ADA Accessibilitv Plan
B-6 Preservin!l Survev Monumentation (Allowance)
B-7 1/2" HMA Tvoe A (PG 64-10)
8-8 Cold Plane & Remove 0.58' Existina Section
8-9 0.50' Deeo Lift Stabilization /Allowance)
B-10 NOT USED
B-11 Pulverize 0.83' of Existina Section
Remove, Trim & Dispose 0.29' Pulverized
B-12 Material. Reqrade
Quicklime/Cement Treat 0.54' Subgrade, Trim to
B-13 Too of Subarade
8-14 Cement (Allowance\
B-15 Quicklime (Allowance)
B-16 Install Shoulder 8ackina
B-17 Lower Manhole Cover
B-18 Lower Water Valve Cover
8-19 Lower Survev Monument
B-20 Adiust Manhole Cover to Finish Grade
8-21 Adjust Water Valve Cover to Finish Grade
B-22 Adjust Survev Monument to Finish Grade
B-23 Remove and Disoose Water Valve
B-24 Install Blue RPM t@ Fire Hvdrant
B-25 Install White "STOP" Leaend (Thermoelastic)
8-26 Install White "AHEAD" Leqend (Thermoplastic)
B-27 Install Yellow "SLOW' Legend /Thermoolasticl
B-28 Install Yellow "XING" Leaend (Thermoolastic)
B-29 Install Yellow "AHEAD" Leaend (Thermoolastic)
8-30 White Ladder Crosswalk (Thermoplastic)
8-31 Yellow Ladder Crosswalk /Thermoolaslicl
B-32 12" White Crosswalk / Limit Line (Thermoolastic)
B-33 Stripina Detail #1 (Thermoplastic)
8-34 Remove & Reinstall Si!ln Post & Sian
B-35 Install Siqn Post & Sian
Sub-Total B:

C. BID ITEMS AS SHOWN ON SHEET 11
Item J Description
C-1 I Pavement Strioina and Markinas
Sub-Total C:

Grand Total Items A, B, & C:
82477.07000\31456712.1
TS-4.04 LS
TS-5.04 EA
TS-6.04 TN
TS-7.07 SF
TS-8.04 SF
TS-10.04 SF
TS-10.04 SF
TS-10.04 SF
TS-10.04 TN
TS-10.04 TN
TS-11.04 LF
TS-12.03 EA
TS-13.03 EA
TS-13.03 EA
TS-13.03 EA
TS-13.03 EA
TS-13.03 EA
TS-13.03 EA
TS-14.05 EA
TS-14.05 EA
TS-14.05 EA
TS-14 05 EA
TS-14.05 EA
TS-14.05 EA
TS-14.05 EA
TS-14.05 EA
TS-14.05 LF
TS-14.05 LF
TS-14.05 EA
TS-14.05 EA
I Unit l
I LS I
-20-

BID FORM
1 $3,200.00 $3,200.00
3 $1,300.00 $3,900.00

1.822 $165.00 $300 630.00
1,010 %.25 $5,302.50
3,900 4.70 $18,330.00
76,200 $0.35 $26,670.00
76 200 $0.57 $43,434.00
76,200 $0.75 $57,150.00
63 $269.50 $16 978.50
63 $437.80 ct?7 '-R1 .40
100 $32.00 $3 200.00
7 $240.00 $1,680.00
21 $240.00 $5,040.00
1 $240.00 $240.00
7 $550.00 $3 850.00
21 $625.00 1$13 125.00
1 1$600.00 $6nn.oo
1 $750.00 1$750.00
3 $50.00 $150.00
14 $360.00 $5 040.00
5 $450.00 $2,250.00
1 $400.00 $400.00
1 $400.00 $400.00
1 $485.00 $485.00
1 1'1:1 725.00 $1 725.00
12 $1,550.00 1$18 600.00
50 1$4.00 $200.00
697 $1.00 $697.00
1 $450.00 $450.00
4 $565.00 $2 260.00
$679,919.00
Quantity I Unit Cost I Total Cost
1 I $6,215.00 I $6 215.oo
$6,215.00
$995,995.00
Attachment 2

BID FORM
The costs for any Work shown or required in the Contract Documents, but not specifically identified as a line item are to be included in the related line items and no additional compensation shall be due to Contractor for the performance of the Work.

In case of discrepancy between the Unit Price and the Item Cost set forth for a unit basis item, the unit price shall prevail and shall be utilized as the basis for determining the lowest responsive, responsible Bidder. However, if the amount set forth as a unit price is ambiguous, unintelligible or uncertain for any cause, or is omitted, or is the same amount as the entry in the "Item Cost" column, then the amount set forth in the "Item Cost" column for the item shall prevail and shall be divided by the estimated quantity for the item and the price thus obtained shall be the Unit Price.

For purposes of evaluating Bids, the City will correct any apparent errors in the extension of unit prices and any apparent errors in the addition of lump sum and extended prices.

The estimated quantities for Unit Price items are for purposes of comparing Bids only and the City makes no representation that the actual quantities of work performed will not vary from the estimates. Final payment shall be determined by the Engineer from measured quantities of work performed based upon the Unit Price.

B. TOTAL BID PRICE:

TOTAL BID PRICE BASED ON BID SCHEDULE TOTAL OF UNIT PRICES FOR CDBG 17th Street Pedestrian and Road Repair Improvements, DPW 20-21

BID SUMMARY
TOTAL PRICE $ 9C\S"1
c=:t9S'. oo

IN NUMBERS
BASIS OF BID AWARD:

BASE BID t--l\v't. hunttr� n\nt� h"W.. -\1\ouS.ct..n.t:i, TOTAL PRICE IN WORDS f\\'(U hunµ� n1� Pr"..t t:!o\ltt..r-S �
"2.. <-rt> t<nt� .

The undersigned agrees that this Bid Form constitutes a firm offer to the City which cannot be withdrawn for the number of calendar days indicated in the Notice Inviting Bids from and after the Bid opening, or until a Contract for the Work is fully executed by the City and a third party, whichever is earlier.

The successful bidder hereby agrees to sign the contract and furnish the necessary bonds and certificates of insurance within ten (10) working days after the City provides the successful bidder with the Notice of Award.

Upon receipt of the signed contract and other required documents, the contract will be executed by the City, after which the City will prepare a letter giving Contractor Notice to Proceed. The official starting date shall be the date of the Notice to Proceed, unless otherwise specified. The undersigned agrees to begin the Work within ten (10) working days of the date of the Notice to Proceed, unless otherwise specified.

The undersigned has examined the location of the proposed work and is familiar with the Drawings and Specifications and the local conditions at the place where work is to be done. 824 77.07000\31456712.1 -21-
Attachment 2

BID FORM
If awarded the contract, the undersigned agrees that there shall be paid by the undersigned and by all subcontractors to all laborers, workers and mechanics employed in the execution of such contract no less than the prevailing wage rate within San Luis Obispo County for each craft, classification, or type of worker needed to complete the Work contemplated by this contract as established by the Director of the Department of Industrial Relations. A copy of the prevailing rate of per diem wages are on file at the City's Administration Office and shall be made available to interested parties upon request.

Enclosed find cash bidder's bond r .casWeFS-er--eertified-check---Ntl. NI� from the ,,- Ban • mount of I D • / • G, • A • � , which is not
less than ten percent ( 10%) of this bid, payable to City of El Paso de Robles as bid security and which is given as a guarantee that the undersigned will enter into a contract and provide the necessary bonds and certificates of insurance if awarded the Work.

The bidder furthermore agrees that in case of bidder's default in executing said contract and furnishing required bonds and certificates of insurance, the cash, bidder's bond, or cashier's or certified check accompanying this proposal and the money payable thereon shall become and shall remain the property of the City of El Paso de Robles.

Bidder is an individual , or 9t1rporation
the laws of the State of-------.( ..... 1(1,,\i ror-nl IA. ✓ , or partnership ___ , organized under
Bidder confirms license(s) required by California State Contractor's License Law for the performance of the subject project are in full effect and proper order. The following are the Bidder's applicable license number(s), with their expiration date(s) and class of license(s):

Cl llS:.S A, C... 13
If the Bidder is a joint venture, each member of the joint venture must include the required licensing information.

Sureties that will furnish the Faithful Performance Bond and the Labor and Material Payment Bond, in the form specified herein, in an amount equal to one hundred percent (100%) of the contract price within ten (10) working days from the date the City provides the successful bidder the Notice of Award. Sureties must meet all of the State of California bonding requirements, as defined in California Code of Civil Procedure Section 995.120 and must be authorized by the State of California.

The insurance company or companies to provide the insurance required in the contract documents must have a Financial Strength Rating of not less than "A-" and a Financial Size Category of not less than "Class VII" according to the latest Best Key Rating Guide. At the sole discretion of the City, the City may waive the Financial Strength Rating and the Financial Size Category classifications for Workers' Compensation insurance. (signatures continued on next page)
82477.07000\31456712.1 -22-
Attachment 2

BID FORM
I hereby certify under penalty of perjury under the laws of the State of California that all of the information submitted in connection with this Bid and all of the representations made herein are true and correct.

Executed at � RelJ , C,A , on this 20 day of Mctrc.h , 202� ( Corporate Seal)
(Bidders Name - Print or Type)
b'l::Ceha..ni( Plo.n�, k.r�
(Name and Title) I-L- 'P/{1J")t-- lV1� �A
�
Ven-Ca.A ConSTYUvri'OV}
� f:n<WY7
Names of individual members of firm or names and titles of all officers of corporation and their addresses are listed below:

Name
Complete
J
Address
i1SOYJ PIM\L
'1 I\ q Covt"l)r'{,\
Title Pn�·&td-trY,, Trauur-er, (V1�
Q-t � R{,ld I CA °1331':/
Phone I.RU J- 3q q - 31S°1 FAX uu1-3qq- 3812.

Name S-rephtLn·,e Pl{)..%) IL Title __ S�-c:.�cr_--e._11_2L----r�----t-------- Complete Address C::, 11� CoYt"O� C..,1'"- fut.Lrs R-e I J, CA 9331 � Phone LRLPI- .34� -3·,54 FAX (_pl.fl/- 344- 3Bl'2-
Name ----------- Title -----------------
Complete Address ________________________ _
Phone ------------- FAX --------------
Name ----------- Title ----------------
Complete Address ________________________ _
Phone ------------- FAX --------------
82477.07000\31456712.1 -23-
Attachment 2

,,

1.2 Bid Bond

BID FORM
[Note: Not required when other fonn of Bidder's Security, e.g. cash, certified check or cashier's check, accompanies bid.]
The makers of this bond are, J.L. Plank Incorporated dba Cen-Cal Construction . as Principal, and Developers Surety and Indemnity Company , as Surety and are held and firmly bound unto the City of El Paso de Robles, hereinafter called the City, in the penal sum of TEN PERCENT (10%) OF THE TOTAL BID PRICE of the Principal submitted to CITY for the work described below, for the payment of which sum in lawful money of the United States, well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents.

THE CONDITION OF TH IS OBLIGATION IS SUCH that whereas the Principal has submitted the accompanying bid dated March 21 , 20 24 , for CDBG 17th Street Pedestrian and Road Repair Improvements, DPW NO. 20-21.

If the Principal does not withdraw its Bid within the time specified in the Contract Documents; and if the Principal is awarded the Contract and provides all documents to the City as required by the Contract Documents; then this obligation shall be null and void. Otherwise, this bond will remain in full force and effect.

Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Contract Documents shall in affect its obligation under this bond, and Surety does hereby waive notice of any such changes.

In the event a lawsuit is brought upon this bond by the City and judgment is recovered, the Surety shall pay all litigation expenses incurred by the City in such suit, including reasonable attorneys' fees, court costs, expert witness fees and expenses.

IN WITNESS WHEREOF, the above-bound parties have executed this instrument under their sa·1eral seals this 5th day of March ___ , 2024 _, the name and corporate seal of each corporation.
(Corpo;ate Seal)
(Corporate Seal)
(Attach Attorney-in-Fact Certificate)
82477.07000131456712.1 -24-
J.L. Plank Incorporated dba Cen-Cal Construction
Contractor/ Principal
By� fJ)flm:J
Ti�L12_�re,m.,"--\
Developers Surety and Indemnity Company
Surety
By
Attorney-in-Fact
'1)+1QeW e ,o. a41f:n::t:QTitle Rebecca Haas-Bates. Attorney-in-Fact Attachment 2

.,
Notary Acknowledgment
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate ls attached, ana not the truthfulness, accuracy, or validity of that document.

STATE OF CALIFORNIA
COUNTY OF _____ _

BID FORM
On ________ _._ 20_, before me, _______________ . Notary Public, persona ly appeared __________________ , who proved to me on the basis of satisfacton Narne(s) of Signer(s)
'I
evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledgJd to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/herli heir 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 PENAL TY OF PERJURY under the laws of the State of California that the foregoing parag aph is true and correct.

WITNESS my hand and official seal.

Signature of Notary Public

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

CAPACITY CLAIMED BY SIGNER
Individual

DESCRIPTION OF ATTACHED DOCUMENT
c= Corporate Officer
Title(s)
Partner(s)
J
i • Attorney-In-Fact
[ Trustee(s)
�: Guardian/Conservator
r.:: Other:

Signer is representing:

Name Of Person(s) Or Entity(ies)
Limited
General
Title or Type of Document
Number of Pages
Date of Document
Signer(s) Other Than Named Above
NOTE: This acknowledgment is to be completed for Contractor/Principal. 82477.07000\31456712. 1 -25-
-- I
Attachment 2

HPlease See Attached**

BID FORM
Notary Acknowledgment
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 _____ _
On ________ _, 20_, before me, ______________ , Notary Public, persona ly appeared who proved to me on the basis of satisfactol)
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/ heir signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, exec..ited the instrument.

I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing parag1 aph is true and correct.

WITNESS my hand and official seal.

Signature of Notary Public

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

CAPACITY CLAIMED BY SIGNER
,-- Individual ,_
Corporate Officer
- - -- - ---------- ---- - - .... -
c Partner(s)
, Attorney-In-Fact
' Trustee(s)
i Guardian/Conservator
C Other:

Signer is representing:

Title(s)
Name Of Person(s) Dr Entity(ies)
Limited
General

DESCRIPTION OF ATTACHED DOCUMENT
----- - --·---------------1---1
Title or Type of Documenl
------------ - - --- -
Number of Pages
Date of Document
-------Signer{s) Other Than -----Named --Above ------,- NOTE: This acknowledgment is to be completed for the Attorney-in-Fact. The Power-of-Attorney to local representatives of the bonding company must also be attached.

END OF BID BOND
824 77 .07000\31456712.1 -26-
Attachment 2

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 ..;;O'-"-r-'="ang"-e _________ _
On 03/05/2024 before me, Alma Karen H ernandez, Notary Public Date Here Insert Name and Title of the Officer
personally appeared _R_eb_ec_c__
a_H_a_a _s-B_a_t_
e_s ______________________ _
Name�of Signer'(s}.
who proved to me on the basis of satisfactory evidence to be the personW. whose name� is/are subscribed to the within instrument and acknowledged to me that -Re/she/the¥ executed the same in !'lis/her/their authorized capacity�. and that by ms/her/the.tr signature'(s,.on the instrument the person� or the entity upon behalf of which the person('s). acted, executed the instrument. , ALMA KAREN HERNANDEZ ,., , Notary Public - California "' ;, Qr3nge County ! � Commission 't 2390908
My Comm. Expires Jan 16, 2026
Place Notary Seal Above
I certify under PENAL TY 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 of Notary Public
---------------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
Number of Pages: Three(3) Signer(s) Other Than
Capacity(ies) Claimed by Signer(s)
Signer's Name: Rebecca Haas-Bates
□ Corporate Officer - Title(s): _______
□ Partner - □ Limited □ General
□ Individual � Attorney in Fact
□ Trustee □ Guardian or Conservator
□ Other: _____________ _ Signer Is Representing: ,,__---,-__,=-------- � Developers Surety and Indemnity Company
Document Date: -------- 03/05/2024
Named Above: ____________ _
Signer's Name: ____________ _
□ Corporate Officer - Title(s): ______ _
□ Partner - [J Limited □ General
□ Individual □ Attorney in Fact
□ Trustee □ Guardian or Conservator
□ Other: ______________ _
Signer Is Representing: ________ _
©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 Attachment 2

POWER OF ATI'ORNEV FOR
CORF.POINTE INSlJRANCf, COMPANY
DEVELOPERS SURETY Ai D IND!:: INITY COMPANY
59 Maiden L1111c, 43rd l'loor. New York, NY 10038
(212) 220-7120
KNOW ALL BY THESE PRESENTS thal, except as expressly limited h�rcin. COREPOJNTE INSURANCE COMPANY and DliVELOl'l'IIS SURETY AND INDEMNITY COMPANY, do hereby mak�. constilulc and appoint:
_W_ill�ai _m_S�y_rk_
in_�, _R_ci _ha__rd_A_ d_ai _r�_, a_n_d_R_e_b_ec_c_a__Haa_s_-__Ba__te_s ________________ , of --1IY.[o__tt,�C,,,A'-'----- ns it true a11cl lmvn,l i\ltomc -in-r11c1. to make. cxccutc. dcliwr 1111d r,ckn,wlktlge. i'or und on bdmlfofsaid comp.mies, as surc11cs, llonds, 1111dcrtuking,� mid rontmcts or sun:tyslup giving, 1md grnnling u1110 snid Attomcy-in-Fuct Ii.ill power oml 11ulhori1y I<> do uml Lo pc, lbrm every net n�-ccssmy, requisite or proper lo be dcmc in conncc1io11 iJ1�rewith us ca ·h of said company could do, but rcscn•mg 10 each of:;i,id company fi1II power ofsuh. 11tutio11 nnd revocation, u11CI all ufthe a,:ts of said Alll>mcy-in-f11c1, pm1,umn 10 these presents, .n'c hereby rotificd and conllrmc I. This Power of Attorney is ci"ii:ctivc March 5 2024 ----�------- �nd shull o.�pirc \lll Dcccmb,·r 31, 202$
This Power of i\1t(lr1wy is granted and is signed under and by uuthority ol"thc followiug rc�ulutinn adopted by the Bomd or Directors ofCOREPOINTE INSURANCE COMPANY 011<1 DlNELOPERS SURETY AND INOEMNlTY COMPANY (colhx:11vcly, "Company'') on February 10. 2023.

RESOI.VED. that Snn Zcgy....£o;,,idcnt, Surety Undcrwriung. Jumcs lkH. Vice l'�siucnt. Surct}' ll1ukrwmi11g. nnd C@g l)11w1<011. Exl'cutivc Und�rwri1cr Suro1v. each nn cmpk)yec f 1\mTrus1 Norlh Am�ricn, In ., nn �ffilinh: or th· Cnmp;)ny (tht: ''Authoriz�d 'lgnors''). nre hereby nuthorizcd to ext-cute It Po,\ ·r (>f' Anomcy. 111mlify111i: a11orncy(s)-i1i-foc1 11u111c<I in the Power of 1\11orncy 10 execute. on bchnlf of the Comp,m)'. l)Qnds. 11mkn11k[ng.� nnd ·ont,;\cl.-, ol' surct 'ship, or ollrnr surct 'Ship obligntions: �nd thut 1hc Secretary or w1 1\ssis1m11 , ccn:tury of the Co111pa11y he, uml cuch ol'thcm hereby i�. uuthonzcd 10 mlest the execution of any �uch Power of' A1101'11ey.

RES<)LVEl).1hol the sig11u1urc of nny one of the Authorized Signo_rs ond the 'ccrctnry ornny f\ssistanl ecrc1t1r ol'lhc Company. and the seal ol'1hc Co111prn1y m11s1 be anixcd to any such Powe, of /\llorncy, an I any ·u h signature or seal 111ay be nffix<.-d by focsimilc. w1d such Power of Attorney shall br valid and bintli11g 11()011 the Company \\i1c11 so :111.xctl ,md in the fulur�· with rc�'J)cct to 111y bond, rn1<l 11t1kini; or co111rac1 of surc1yship to ,111ich it is uttachL'<-L IN WITNESS WHEREOF, COREl'OINTE INSURANCE COMPANY imd DEVELOPERS SURETY AND INDFMNl'/"Y COMPANY have causc\l these p1cscnls to be Title: Pr�sid�lll, Surc11• llndcrwritin°
ACKNOWLEDGEMENT:

A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this ce11iticate is attached, and not the truthfulness, accuracy, or validity of that document.

STATE OF ..cC""a""li"'-f'o"-n""'1i.;,;.a ________ _ COUNTY OF -'("")r"'"a1c...1g�c ____ _ On this ]1__ day nl' M:irch , 201]_, before me, l-lom1g-Quyc11 Ph11 Phnm , personally appeared -'""Sa,,,n'-'1-'-Z"",a"'z,,_a _____ _ who proved to me on the basis oi'satisfoclory evidence lo be the person whose name is subscribed to within the instrument and acknowledged lo me that Lhcy executed the same in Lhcir authorized capacity, and Lhal by the signature on the inst rument the entities upon behnlfwhich the pc1son acted. executed this instrument.

I ccrtii'y. under penally of perjury, under the laws of the Stale of--'L"'\"'li""il""'o.:.:rncci,,,_1 _________ that the foregoing paragraph is true rn1d correct WITNESS my hand and oflicial seal
CORPORATE Cl<:RTIFICATION
'Ilic unck1sig11ed. the Secretary or AssisLanl Secretary or COREPOINTE INSURANCE COMPANY and Dl,VEI.Ol'ERS SURETY i\Nfl INDEMNITY COMPANY, docs hereby ccrtily that the provisions of the resolutions of th� respective Boards of Di rec lorn of said corporations scl forth in Lhis Power or Alim ney are in force as of the date of this Certilication.
'l11is Ce1LiJication is executed in the City of Cleveland, Ohio, this March 19, 2023.

DocuSiOMd by:

By /JJ �St,.:,_ _____ _
7AOE548C-
[la, 1y W. Moses, Assistant Sccrclary
DocuSignEnvelopeJD: 3352 BFD6-5E9D-4 796-837E-C 1 E455E6530F P01\ No N/ ------- A
Ed.0323
Attachment 2

ACKNOWLEDGMENT
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 KERN
on MARCH 6, 2024 before me, GEORGINA WELDIN, NOTARY PUBLIC (insert name and title of the officer)
personally appeared STEPHANIE PLANK (COPRORATE SECRETARY) 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 Re/she/tffey-executed the same in R+5/her/� authorized capacity(+esh and that by R+5/her/� signature(s, on the instrument the person(sh or the entity upon behalf of which the person(st acted, executed the instrument.

I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

WITNESS my hand and official seal.
(Seal)
eeeeeeee
GEORGINA WELDIN f
Notary Public • California z
Kern County f
Commission # 2342445 -
y Comm. Expires Jan 19, 2025
Attachment 2

1.3 List of Subcontractors

BID FORM
In compliance with the Subletting and Subcontracting Fair Practices Act Chapter 4 (commencing at Section 4100), Part 1, Division 2 of the Public Contract Code of the State of California and any amendments thereof, Bidder shall set forth below: (a) the name and the location of the place of business, (b) the California contractor license number, (c) the DIR public works contractor registration number unless exempt pursuant to Labor Code Sections 1725.5 and 1771. 1, and (d) the portion of the work which will be done by each subcontractor who will perform work or labor or render service to the Bidder in or about the construction of the work or improvement to be performed under this Contract in an amount in excess of one-half of one percent (0.5%) of the Bidder's Total Bid Price. Notwithstanding the foregoing, if the work involves the construction of streets and highways, then the Bidder shall list each subcontractor who will perform work or labor or render service to the Bidder in or about the work in an amount in excess of one-half of one percent (0.5%) of the Bidder's Total Bid Price or $10,000, whichever is greater. No additional time shall be granted to provide the below requested information.

If a Bidder fails to specify a subcontractor or if a contractor specifies more than one subcontractor for the same portion of work, then the Bidder shall be deemed to have agreed that it is fully qualified to perform that portion of work and that it shall perform that portion itself.

NAME & CSLB
LICENSE NO.

BUSINESS

ADDRESS

PORTION

OF WORK
DIR
% OF REGISTRATION

WORK NUMBER
l W>SB/411
°I -�1- fOOOOOB42.3
, oo <XX><+ a 12.
�
. � '•/. 1onooo1B9l.l
STATUS
w
(THIS FORM MAY BE DUPLICATED IF NECESSARY TO LIST ADDITIONAL SUBCONTRACTORS) *STATUS M = Minority Owned Business Enterprise
W = Women Owned Business Enterprise
DV = Disabled Veteran
(Required for federally funded projects only.)
(Attach additional sheets if necessary)
82477.07000\31456712.1 -27-
Attachment 2

BID FORM

1.3 List of Subcontractors
In compliance with the Subletting and Subcontracting Fair Practices Act Chapter 4 (commencing at Section 4100), Part 1, Division 2 of the Public Contract Code of the State of California and any amendments thereof, Bidder shall set forth below: (a) the name and the location of the place of business, (b) the California contractor license number, (c) the DIR public works contractor registration number unless exempt pursuant to Labor Code Sections 1725.5 and 1771.1, and (d) the portion of the work which will be done by each subcontractor who will perform work or labor or render service to the Bidder in or about the construction of the work or improvement to be performed under this Contract in an amount in excess of one-half of one percent (0.5%) of the Bidder's Total Bid Price. Notwithstanding the foregoing, if the work involves the construction of streets and highways, then the Bidder shall list each subcontractor who will perform work or labor or render service to the Bidder in or about the work in an amount in excess of one-half of one percent (0.5%) of the Bidder's Total Bid Price or $10,000, whichever is greater. No additional time shall be granted to provide the below requested information.

If a Bidder fails to specify a subcontractor or if a contractor specifies more than one subcontractor for the same portion of work, then the Bidder shall be deemed to have agreed that it is fully qualified to perform that portion of work and that it shall perform that portion itself.

DIR
NAME & CSLB BUSINESS PORTION %OF REGISTRATION
LICENSE NO. ADDRESS OF WORK WORK NUMBER STATUS
4-th �tnu(t.ti tn po �o� l 311 \Y--<e\\1��• ,-r..(l..- f"empt.l rm ,CA �t\)l'l\f 8J ·� I .l.J /. I Do OD 21.{7 3 9 J\l'ON b Lil-• C{0l.,70O c:r34u� �y\Sj"C61Wl.
(THIS FORM MAY BE DUPLICATED IF NECESSARY TO LIST ADDITIONAL SUBCONTRACTORS) *STATUS M = Minority Owned Business Enterprise
W = Women Owned Business Enterprise
DV = Disabled Veteran
(Required for federally funded projects only.)
(Attach additional sheets if necessary)
82477.07000\31456712.1 -27-
Attachment 2

J. L. Plank Inc. dba Cen•Cal Construction
Name of Bidder

BID FORM
Signature ��-�--
---- (31
�
-=--<Lrr!C)--------------
Name and Tit
le s-r.e,pha.ole PlllnK-, Sec..r-Gt-tL-�
Dated 3 J 17 ) 2-�
82477.07000\31456712.1 -28-
Attachment 2

BID FORM

1.4 Bidder Information and Experience Form
ARTICLE 1. INFORMATION ABOUT BIDDER
(Indicate not applicable ("N/A") where appropriate.)
NOTE:

1.0 2.0

3.0 4.0

5.0 Where Bidder is a joint venture, pages shall be duplicated and information provided for all parties to the joint venture.

Name of Bidder: J. L. Plank Inc. dba Cen-Cal Construction Type, if Entity: _ ___,,C __ D=-V-_
p
_0__.Y(!;""""'t'i....,__5_Yl_---'(_c.._f\_J _ _ __
BidderAddress: o47l..t'2... !..Lncioni Av-e �Re-td,
Lf\ 9�:>D'o
Facsimile Number Telephone Number
) p\tLn\L €. cen.c.oJ C,rotruCrjon . LDM
Email Address
How many years has Bidder's organization been in business as a Contractor? \3
How many years has Bidder's organization been in business under its present name? \ 3

5.1 Under what other or former names has Bidder's organization operated? � �

6.0 If Bidder's organization is a corporation, answer the following:

6.1 Date of Incorporation:

6.2 State of Incorporation:

6.3 President's Name:

6.4 Vice-President's Name(s):

6.5 Secretary's Name:

6.6 Treasurer's Name:
:To.JI)() ?\ <ln \L.
82477.07000\31456712.1 -29- 00 41 43 - BID FORMS
Attachment 2

7.0 If an individual or a partnership, answer the following:

BID FORM

7.1 Date of Organization: ___ N_...__\ A ___________ _

7.2 Name and address of all partners (state whether general or limited partnership):

8.0 If other than a corporation or partnership, describe organization and name principals:

9.0 List other states in which Bidder's organization is legally qualified to do business.

10.0 What type of work does the Bidder normally perform with its own forces? C)e.rno, C<1r-et,d.J�, C,uvt pAL--H Dn, Ccnif-6t"--c., m,'norr tnP.ftL co�\ ' Pen LL I A-DA CDIY'e I i a..n e,l. I (Yl i h ov ptUJ \ � I LOr\.C,r-e.,-t-('. puMpl�

11.0 Has Bidder ever failed to complete any work awarded to it? If so, note when, where, and why:

12.0 Within the last five years, has any officer or partner of Bidder's organization ever been an officer or partner of another organization when it failed to complete a contract? If so, attach a separate sheet of explanation:

NO

13.0 List Trade References:
82477.07000\31456712.1 -30- 00 41 43 - BID FORMS
Attachment 2

CJ:lB DP &ws·Ael d { 6Lun-er)

14.0 List Bank References (Bank and Branch Address):

JP fYl t> v;-�a.,v, CJ1..vs e Bo-n IL

BID FORM
k5SCC\. CJDY1Zct.,/,c-z_ , A LLtlY"Vt (Vi�
5'6D I Ct> P-F---ce. f2d 8a.J'n-..s Aetd, CA q33og

15.0 Name of Bonding Company and Name and Address of Agent:

De,,wopex.s S'urYllj st I ndtJYlni l2j Cnl'\t\a,,Dj
'2e-blC.Cl\ � <;- 2:Af-c.S
\ 7711
[REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK]
82477.07000\31456712.1 -31- 00 41 43 - BID FORMS
Attachment 2

ARTICLE 2. LIST OF CURRENT PROJECTS (BACKLOG)
[**Duplicate Page if needed for listing additional current projects.**] Project
82477.07000\31456712.1
Description of
Bidder's Work
Completion Date
(\'li S.C • (Ylil\OI" htrlfr,
Bl� W4,\\ 1 \-\-WY.ti IS. lP ( 202..'-f
ep/2.D2y
c.:r lz.ov+
i s/202Jf-
·' 12.024
r-,l sc.. CDN-l'U-l..

I D / 2.DZ..«-f
IO / '21)2..r-f
11 f 2024
-32-

BID FORM
Cost of Bidder's Work
� I I (JJ 141 o. oD
t ll.P2, on.sn
� I , SI Y, 2 1 I. CJ o
} 525, 838. S-0
1 24 3, 2-wD. r:J)
i 3, D8lo1 .3f7 40
00 41 43-8ID FORMS
Attachment 2

BID FORM
ARTICLE 3. LIST OF COMPLETED PROJECTS - LAST THREE YEARS [**Duplicate Page if needed for listing additional completed projects.**) Please include only those projects which are similar enough to demonstrate Bidder's ability to perform the required Work.

Project
Pwe...S.l
-
M�t"<,..- WtU\ £,t-
(\ �
&�a..n
Sit"< l.D -
� toOJ,1
�t-cc.�
C.ora.:ZOI\ �I Vtt I�
82477.07000\31456712.1
Description of
Bidder's Work
'
,
Attju.5r lJ l1/1-ts
-33-
Completion Date
e l'2..o-z... -2-.
7 l21l22-
tlf2b23
2f 2c,21-4
1012023
1120-z.z.

Bjze>z.:2.
�zr:,23
e>j2023
e>rz.02.:2 ..
12--j,zo7;3
e>IZD28
12-l2D23
'-4-l2.1)Z3
31202-z....

Cost of Bidder's Work
-, 14q, -==rn. °' o
fl ur-o, 239 .s"1
4, 5/�t.13�-32-
4 t..{22.,�52-ID
4 '-'B7, D°II. 2.J
q I , I S-L..I, 54 � 2.. o
� f I 2�3, 518. Cf 3,
i '1B3, Cf u3- 8 o
� 2, 17 °', L./D7. BB
"t 2, 14912.SZ . 02.
t 3B��7/.�B
• LI °ID/11Lt·8 I
4 2-11, '71../,7. Cft
12&>8180t../-,4Y.
1 C]l3,SeA.l3
00 41 43 - BID FORMS
Attachment 2

')I Plt1tSR s�e Atttieu.o\ BID FORM
3 Pll<}l per.sonn(: \ qvct-tlnctt-Hl.Y) \l' St-lif
ARTICLE 4. EXPERIENCE AND TECHNICAL QUALIFICATIONS QUESTIONNAIRE Personnel:

The Bidder shall identify the key personnel to be assigned to this project in a management, construction supervision or engineering capacity.

1. List each person's job title, name and percent of time to be allocated to this project:

2. Summarize each person's specialized education:

3. List each person's years of construction experience relevant to the project:

4. Summarize such experience:

Bidder agrees that personnel named in this Bid will remain on this Project until completion of all relevant Work, unless substituted by personnel of equivalent experience and qualifications approved in advance by the City.

Changes Occuring Since Prequalification
If any substantive changes have occurred since Bidder submitted its prequalification package for this Project, Bidder shall list them below. If none are listed, Bidder certifies that no substantive changes have occurred.

Additional Bidder's Statements:

If the Bidder feels that there is additional information which has not been included in the questionnaire above, and which would contribute to the qualification review, it may add that information in a statement here or on an attached sheet, appropriately marked:
p [.eeu<. See. � Gua......11' h'ca.....·t-i'ons
82477.07000\31456712.1 -34- 00 41 43 - BID FORMS
Attachment 2

34762 LENCIONI AVENUE
BAKERSFIELD, CA 93308
OFFICE: (661) 399-3759
FAX: (661) 399-3812

EMPLOYEE EXPERIENCE & TECHNICAL QUALIFICATIONS
General Manager:
• Jason Plank
20 years in civil construction of highways, roads and parking lots. Skilled in concrete, asphalt, structures, underground utilities, grading and paving procedures. Has been in a Project Management role with our Company since 2012. Oversees our team of Project Managers and Project Superintendents.

Pro(ect Managers:
• Joe Archuleta
18 years in civil construction. Has managed dozens of projects including highways, bridges, roads, parking lots and housing tracts. Specialized in project specifications, contract compliance, scheduling, subcontracting, procurement, labor /material cost control & closeout procedures. • Nick Carroll
8 years in the construction industry. Has been the Project Manager over dozens of our roadway, demolition, grading, paving, concrete and underground projects. Specialized in scheduling, procurement, submittals, change orders, subcontracting and labor/ material cost control.

Assistant Project Manager:
• Miles Mikkelsen
6 years in the construction industry. Holds a degree in Business Management from Grand Canyon University. Has held positions as a laborer & concrete finisher. Skilled in field measurements, redline plans, labor cost tracking and material yield tracking.

Attachment 2

Superintendents:
• Lance Weldin (General Superintendent)
27 years in the construction industry. Has held many positions ranging from concrete batching, dispatch, sales, foreman & superintendent. Oversees field operations throughout our Grading, Paving & Concrete Divisions. Specialized in scheduling, logistics, dispatching & subcontractor compliance.
• Dustin Cory (Grading & Paving Superintendent)
18 years in the Grading, Concrete & Paving Construction Industry. Graduated from the Operating Engineers Apprenticeship Program. Has held positions as a Journeyman Operator, foreman and superintendent for 14 years. Specialized in heavy equipment, excavation, grading, paving, concrete & asphalt construction.
• Jason Alfter (Concrete Superintendent)
30 years in the Concrete Construction Industry. Has held concrete positions as a laborer, cement mason, foreman and superintendent for 20 years. Specializes in minor, structural and decorative concrete construction.

Project Foremen:
• Matt Tiede
10 years in the concrete construction industry. Graduated from the Operating Engineers Apprenticeship Program. Has held positions as a laborer, operator and project foreman.

Specialized in excavation, grading, compaction, concrete and asphalt. • Kirk Swiggum
25 years in the construction industry. Has held positions as a laborer, operator and foreman.

Specialized in excavation, grading, compaction, concrete, asphalt, grinding & pulverizing. • Gustavo Ortiz
20 years in the construction industry. Has held positions as a laborer, cement mason and foreman. Specialized in minor, structural and decorative concrete construction. • Jesus Ortiz
18 years in the construction industry. Has held positions as a laborer, cement mason and foreman. Specialized in minor, structural and decorative concrete construction.

Attachment 2

• Jaime Carrillo
15 years in the construction industry. Has held positions as a laborer, cement mason and foreman. Specialized in minor, structural and decorative concrete construction. • Roberto Ornelas
35 years in the construction industry. Has held positions as a laborer, operator, cement mason, foreman and concrete superintendent. Specialized in minor, structural, extruded and decorative concrete construction.
• Miguel Sandoval
21 years in the construction industry. Has held positions as a laborer, cement mason and foreman. Specialized in minor, structural and decorative concrete construction. • Israel Ramirez
15 years in the construction industry. Has held positions as a laborer, cement mason and foreman. Specialized in minor, structural and decorative concrete construction.

Safety Manager:
• Manuel Herrera
3 years in the construction safety industry.

Certifications held:

Occupational Safety and Health
Heat Illness and Prevention
OSHA 40
Excavation Safety and Competent Person
Silica Dust
Attachment 2

ARTICLE 5. VERIFICATION AND EXECUTION

BID FORM
These Bid Forms shall be executed only by a duly authorized official of the Bidder:

I declare under penalty of perjury under the laws of the State of California that the foregoing information is true and correct:

J. L. Plank Inc. dba Cen-Cal Construction
Name of Bidder --------------------
Signature � f)J l'.l.DC:)
Name D1:Gf)hlLQ\-( PJM(..

Title __ ?s:f ___ --"-C,X_{;�t'---"-(J...,,_@----------- Date __ ....... 3'--+-\ 2-D_\
_v_8,_._ __ _
82477.07000\31456712.1 -35- 00 41 43 - BID FORMS
Attachment 2

1.5 Non-Collusion Declaration
The undersigned declares:

I am the Sec.r&�
foregoing Bid.

BID FORM
, the party making the
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 directly or indirectly colluded, conspired, connived, or agreed with any Bidder or anyone else to put in a sham bid, or to refrain from bidding. 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 &,xo1> Ba and correct and that this declaration is executed on 3 !'2012.-l [date], at eA [city], Cal1'Poml tA [state].

Name of Bidder J. L. Plank Inc. dba Cen•Cal Construction Signatur� !:)_cuw:::) Name B� mg___ l
Title 8-eC-re\?L,�
82477.07000\31456712.1 -36- 00 41 43- BID FORMS
Attachment 2

BID FORM

1.6 Iran Contracting Act Certification.
(Public Contract Code section 2200 et seq.)
As required by California Public Contract Code Section 2204, the Contractor certifies subject to penalty for perjury that the option checked below relating to the Contractor's status in regard to the Iran Contracting Act of 2010 (Public Contract Code Section 2200 et seq.) is true and correct:
0 The Contractor is not:
(1) identified on the current list of person and entities engaged in investment activities in Iran prepared by the California Department of General Services in accordance with subdivision (b) of Public Contract Code Section 2203; or (2) a financial instruction that extends, for 45 days or more, credit in the amount of $20,000,000 or more to any other person or entity identified on the current list of persons and entities engaging in investment activities in Iran prepared by the California Department of General Services in accordance with subdivision (b) of Public Contract Code Section 2203, if that person or entity uses or will use the credit to provide goods or services in the energy sector in Iran.

D The City has exempted the Contractor from the requirements of the Iran Contracting Act of 2010 after making a public finding that, absent the exemption, the City will be unable to obtain the goods and/or services to be provided pursuant to the Contract.

D The amount of the Contract payable to the Contractor for the Project does not exceed $1,000,000.

Signature� en Cl()VJ
Printed Name: ut-e4>bCl..n1 e 'P\ an'l.-
Title: _ ____._S.,,,..._e_cy:._:c;_;t"_��---------
Firm Name: ---
J. L. Plank -----
Inc. dba -
Cen-Cal ------- Construction -
Date: ___ 3 ....... \ 20_\?H--------
Note: In accordance with Public Contract Code Section 2205, false certification of this form shall be reported to the California Attorney General and may result in civil penalties equal to the greater of $250,000 or twice the Contract amount, termination of the Contract and/or ineligibility to bid on August 2021
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Attachment 2

BID FORM

1.7 Public Works Contractor Registration Certification
Pursuant to Labor Code sections 1725.5 and 1771.1, all contractors and subcontractors that wish to bid on, be listed in a bid proposal, or enter into a contract to perform public work must be registered with the Department of Industrial Relations. See http://www.dir.ca.gov/PublicWorks/PublicWorks.html for additional information.

No bid will be accepted nor any contract entered into without proof of the contractor's and subcontractors' current registration with the Department of Industrial Relations to perform public work.

Bidder hereby certifies that it is aware of the registration requirements set forth in Labor Code sections 1725.5 and 1771.1 and is currently registered as a contractor with the Department of Industrial Relations.1
Name of Bidder:

J. L. Plank Inc. dba Cen-Cal Construction
----------------
DIR Registration Number: ! 000001 D2LP
DIR Registration Expiration: U /3D ! 2...5
Small Project Exemption: __ Yes or___::!__ No
Unless Bidder is exempt pursuant to the small project exemption, Bidder further acknowledges:

1. Bidder shall maintain a current DIR registration for the duration of the project.

2. Bidder shall include the requirements of Labor Code sections 1725.5 and 1771.1 in its contract with subcontractors and ensure that all subcontractors are registered at the time of bid opening and maintain registration status for the duration of the project.

3. Failure to submit this form or comply with any of the above requirements may result in a finding that the bid is non-responsive.

Name of Bidder J. L. Plank Inc. dba Cen-Cal Construction Signature � pll'.lrYv'7
Name and Title or�VJ/ll)1
1 e Pfa.nt::, &er�
Dated_�13 ......
\
2D_�
\V_4�1 ___________ _
1 If the Project is exempt from the contractor registration requirements pursuant to the small project exemption under Labor Code Sections 1725.5 and 1771.1, please mark "Yes" in response to "Small Project Exemption." August 2021 -38- DD 41 43 - BID FORMS
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82477.07000\31456712.1
Attachment 2

1.8 Contractor's Certificate Regarding Workers' Compensation.

BID FORM
I am aware of the provisions of section 3700 of the Labor Code which require every employer to be insured against liability for workers' 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.

Name of Bidder
Signature
Name
Title
Dated
August 2021
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82477.07000\31456712.1
J. L. Plank Inc. dba Cen-Cal Construction
3\'2D\7 .. --':J
-39- 00 41 43 - BID FORMS
Attachment 2

BID FORM

1.9 Site Visit Affidavit.

TO BE EXECUTED

BY BIDDER, NOTARIZED AND SUBMITTED WITH BID
State of California
County of \lern
)
)ss.
)
---'0l"'--=-�=t)-'---Y)-'------'p'---'-l_(ln_L __ ____ , being first duly sworn, deposes and (Contractor's Authorized Representative)
says that he or she is �P�Y-e�8=i_d�e.,�()�T ____ of
J. L. Plank Inc. dba Cen-Cal Construction
(Title of Representative) (Contractor's Name)
the party making the foregoing bid, has visited the Site of the Work as described in the Contract Documents and has examined and familiarized him or herself with the existing conditions, as well as all other conditions relating to the construction which will be performed. The submission of a bid is Bidder's acknowledgement that it is familiar with conditions at the Site of Work. The Bidder further acknowledges that the site examination has provided adequate and sufficient information related to existing conditions which may affect cost, progress or performance of the Work to prepare a comple and accurate Bid.

Title
August 2021
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J. L. Plank Inc. dba Cen-Cal Construction
Name of Bidder
Date
Mttrch I� , 2D ZLj
00 41 43 - BID FORMS
Attachment 2

ACKNOWLEDGMENT
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 KERN
on MARCH 19, 2024 before me, GEORGINA WELDIN (NOTARY PUBLIC) (insert name and title of the officer)
personally appeared JASON PLANK (PRESIDENT)
who proved to me on the basis of satisfactory evidence to be the personea, whose name(:..r,s/a,;e subscribed to the within instrument and acknowledged to me that he/sJ:te/tl:ley executed the same in his/herttbeir authorized capacity:(jes), and that by his/berltbeir signatureea, on the instrument the person(aj', or the entity upon behalf of which the person� acted, executed the instrument.

I certify under PENAL TY 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.9-?:) o flJ/\; 4,,,... L,. \ A) & Q (2A._(Seal) 0 - ········( GEORGINA WELDIN
otary Public • California z
Kern County f
ommission # 2342445 -
. Expires Jan 19, 2025
Attachment 2

BID FORM

EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION
(THE BIDDER'S SIGNATURE OF THE BID FORM PROPOSAL SHALL ALSO CONSTITUTE

AN ENDORSEMENT AND EXECUTION OF THOSE CERT/FICA T/ONS WHICH ARE A PART

OF THIS PROPOSAL)
The bidder J. L. Plank Inc. dba Cen-Cal Construction
___________________________ , proposed
subcontractor ______________________ , hereby certifies that he __ ✓ __ (has, has not) _, participated in a previous contract or subcontract subject to the equal opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required, he has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements.

Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.?(b) (1 )), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of $10,000 or under are exempt.)
Currently, Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations.

Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.?(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S.

Department of Labor.

August 2021
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Date
00 41 43 - BID FORMS
Attachment 2

DEBARMENT AND SUSPENSION CERTIFICATION
TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29

BID FORM
The bidder, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated therewith in the capacity of owner, partner, director, officer, manager:
• is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any Federal agency;
• has not been suspended, debarred, voluntarily excluded or determined ineligible by any Federal agency within the past 3 years;
• does not have a proposed debarment pending; and
• has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years.

If there are any exceptions to this certification, insert the exceptions in the following space.

I
NIA
Exceptions will not necessarily result in denial of award, but will be considered in determining bidder responsibility. For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action.

Notes: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification.

B�Q]OUWJ
:srephln1L 'Pllln\L-, �
Title J. L. Plank Inc. dba Cen-Cal Construction
August 2021
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82477.07000\31456712.1
-42-
Date
00 41 43- BID FORMS
Attachment 2

BID FORM

NONLOBBYING CERTIFICATION FOR FEDERAL-AID CONTRACTS
The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that:
(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in accordance with its instructions.

This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code.

Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subrecipients shall certify and disclose accordingly.

B�/3kwn
Err+?hane Pttlfl t-, &�
Title J. L. Plank Inc. dba Cen-Cal Construction
August2021
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82477.07000\31456712.1
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Date
00 41 43 - BID FORMS
Attachment 2

BID FORM

DISCLOSURE OF LOBBYING ACTIVITIES
Complete this form to disclose lobbvino activities pursuant to 31 U.S.C. 1352

1. Type
a. contract
of Federal Action: □ 2. Status
a. bid/offer/application
of Federal Action: □ 3. Report
a. initial
Type: □
c.
b.
cooperative
grant
agreement
t-,) \Ad. loan �\f>- e. loan guarantee
f. loan insurance

4. Name and Address of Reporting Entity:

D Prime D Subawardee
Tier ___ , if known
�\�
Congressional District, if known:

6. Federal Department/ Agency:

N\�

8. Federal Action Number, if known:

N\�
10a. Name and Address of Lobbying Entity
b. initial award
c. post-award
�\ f:-<
(if individual, last name, first name, Ml):
t--\ \ �
b. material change
For Material Change Only:
year __ quarter
date of last report

5. If Reporting Entity in No. 4 is Subawardee, enter name and address of prime:

N\�
Congressional District, if known:

7. Federal Program Name/Description:
�\�
CFDA Number, if applicable

9. Award Amount, if known:
$ �\P.....
b. Individuals Performing Services (including address if different from No. 10a)
(last name, first name, Ml)
N\�
attach continuation sheets if necessary

11. Amount of Payment (check all that apply): �\� 13. Type of Payment (check all that apply):
$ D actual D planned -a. retainer
- b. one-time fee

12. Form of Payment (check all that apply): -c. Commission N\k -a. cash N\� -d. contingent fee - b. in-kind; specify: nature -e. Deferred
value f. other, specify

14. Brief Description of Services Performed or to be performed and Date(s) of Service, including officer(s), employee(s), or member(s) contacted, for Payment Indicated in Item 11:

N\�
(attach Continuation Sheet(s) if necessary)

15. Continuation Sheet(s) attached DYes�o

16. Information requested through this form is authorized by Title 31 U.S.C, Section 1352. This disclosure of lobbying activities is a material representation of fact upon which reliance was placed by the tier above when this transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will be reported to the Congress semi-annually and will be available for public inspection.

Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than $10,000 an not more than $100,000 for each such failure.

Federal Use Only
August 2021
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82477.07000\31456712.1
s;gaaM•� JYiO
Print Name=====rt1ntTWo �� Telephone No._\, • 5t� Date: 3}2-ojz.� I
Authorized for Local Reproduction
Standard Form - LLL
Sti.nd nt Form Lll f\uv, 01°03·95
-44- 00 41 43- BID FORMS
Attachment 2

BID FORM

INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C. section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress an officer or employee of Congress or an employee of a Member of Congress in connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information.

1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence, the outcome of a covered Federal action.

2. Identify the status of the covered Federal action.

3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last, previously submitted report by this reporting entity for this covered Federal action.

4. Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the first tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants.

5. If the organization filing the report in Item 4 checks "Subawardee" then enter the full name, address, city, state and zip code of the prime Federal recipient. Include Congressional District, if known. 6 Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, if known. For example, Department of Transportation, United States Coast Guard.

7. Enter the Federal program name or description for the covered Federal action (item 1 ). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments.

8. Enter the most appropriate Federal identifying number available for the Federal action identification in item 1 (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant. or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001."

9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitments for the prime entity identified in item 4 or 5.

10. (a) Enter the full name, address, city, state and zip code of the lobbying entity engaged by the reporting entity identified in item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10 (a). Enter Last Name, First Name and Middle Initial (Ml).

11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the lobbying entity (item 10). Indicate whether the payment has been made (actual) or will be made (planned).

Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made.

12. Check the appropriate box(es). Check all boxes that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment.

13. Check the appropriate box(es). Check all boxes that apply. If other, specify nature.

14. Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted.

15. Check whether or not a continuation sheet(s) is attached.

16. The certifying official shall sign and date the form, print his/her name title and telephone number.

Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, D.C. 20503.

August 2021
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SF-LLL-lnstructions Rev. 06-04-90
00 41 43 - BID FORMS
Attachment 2

BID FORM
ASSURANCE OF DISADVANTAGED BUSINESS ENTERPRISE PARTICIPATION.

To meet the mandated requirements of the United States Department of Transportation, 49 CFR Part 26, the assurance below shall be signed by the bidder and submitted prior to award of the contract.

NOTE: The bidder's execution of the signature portion of this proposal shall also constitute execution of this assurance.

Bidder's Assurance of Compliance With
Title 49 CFR Part 26 Relating To
Disadvantaged Business Enterprise Participation
The bidder hereby gives assurance pursuant to the requirements of Title 49 CFR Part 26 that bidder has made a reasonable effort to meet the goals for Under-utilized Disadvantaged Business Enterprise participation specified for the goals for the contract for which this proposal is submitted and that bidder, if the contract is awarded to bidder, will have a DBE participation for DB Es owned firms.

Bidder further gives assurance that bidder will submit the documentation required by said Regulations and the contract specifications, including the Listing of Disadvantaged Business Enterprises with which the bidder will subcontract if the contract is awarded and if bidder is unable to meet the contract goals for DBE participation, of the steps bidder has taken to obtain DBE participation.

The overall DBE goal for the City of Paso Robles is 6%.

Company Name:

Business Address:

S:t?-ohani e .P ltLl'I IL, 3-ecxe,-t-0(j
(Name and Title of Signer)
J. L. Plank Inc. dba Cen-Cal Construction
(****) Bidder shall insert the percentage for DBE participation even if the percentages are less than the contract goal.

August 2021
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-46- 00 41 43- BID FORMS
Attachment 2

BID FORM
Department of Labor's System for Award Management (SAM) All contractors and sub-contractors biding to work on a federally funded project are required to register with the Department of Labor's System for Award Management (SAM) database at:
www.sam.gov.

You are encouraged to immediately register in the SAM database as there could be delays in the registration process. In addition to the business name, the name of the president and owner of the firm will be checked. This is a federal requirement that cannot be circumvented and a contract cannot be awarded if all bidding parties (prime contractor and all subcontractors) are not registered.

Active registration in SAM is required prior to the award. Registration will be verified by the City of Paso Robles prior to the contract award to the lowest and responsive bidder. The lack of registration by the prime or general contractor and any of the subcontractor(s) bidding on the project will constitute a non-responsive bid.

August2021
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82477.07000\31456712.1
-47- 00 41 43 - BID FORMS
Attachment 2

La,1 updated by Stephanie Plank on Feh 22, 1024 al 01:57 PM W SAM.GOV®
J.L. PLANK, INCORPORATED
Unique Entity ID
PJXHZV5W49X5
Registration Status
Active Registration
Physical Address
34762 Lencioni AVE
Bakersfield, California 93308-9768
United States
aosfna• lnfonnitlon
Doing Business as

J L PLANK INC
Congressional District
California 22
Registration Dates
Activation Date
Feb 26, 2024
Entity Dates
Entity Start Date
Aug 1, 2011
Immediate Owner
CAGE
(blank)
Highest Level Owner
CAGE
(blank)
Executive Compensation

CAGE /NCAGE
89YT7
Expiration Date
Feb 21, 2025
Mailing Address
34762 Lencioni AVE
Bakersfield, California 93308-9768
United States
Division Name
(blank)
State / Country of Incorporation
California/ United States
Submission Date
Feb 22 , 2024
Fiscal Year End Close Date
Dec31
Legal Business Name
(blank)
Legal Business Name
(blank)
J.L. PLANK, INCORPORATED
Purpose of Registration
All Awards
Division Number
(blank)
URL
(blank)
Initial Registration Date
Feb 25, 2021
In your business or organization's preceding completed fiscal year, did your business or organization (the legal entity to which this specific SAM record, represented by a Unique Entity ID, belongs) receive both of the following: 1. BO percent or more of your annual gross revenues in U.S. federal contracts, subcontracts, loans, grants, subgrants, and/or cooperative agreements and 2. $25,000,000 or more in annual gross revenues from U.S. federal contracts, subcontracts, loans, grants, subgrants, and/or cooperative agreements? No
Does the public have access to information about the compensation of the senior executives in your business or organization (the legal entity to which this specific SAM record, represented by a Unique Entity ID, belongs) through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986? Not Selected
Proceedings Questions
Is your business or organization, as represented by the Unique Entity ID on this entity registration, responding to a Federal procurement opportunity that contains the provision at FAR 52.209-7, subject to the clause in FAR 52.209-9 in a current Federal contract, or applying for a Federal grant opportunity which contains the award term and condition described in 2 C.F.R. 200 Appendix XII? No
Does your business or organization, as represented by the Unique Entity ID on this specific SAM record, have current active Federal contracts and/or grants with total value (including any exercised/unexercised options) greater than $10,000,000? Not Selected
Within the last five years, had the business or organization (represented by the Unique Entity ID on this specific SAM record) and/or any of its principals, in connection with the award to or performance by the business or organization of a Federal contract or grant, been the subject of a Federal or State (1) criminal proceeding resulting in a conviction or other acknowledgment of fault; (2) civil proceeding resulting in a finding of fault with a monetary fine, penalty, reimbursement, restitution, and/or damages greater than $5,000, or other acknowledgment of fault; and/or (3) administrative proceeding resulting in a finding of fault with either a monetary fine or penally greater than $5,000 or reimbursement, restitution, or damages greater than $100,000, or other acknowledgment of fault?
Not Selected
Attachment 2

Post Bid Submittals for Low Bidders Only
Local Assistance Procedures Manual Exhibit 15-G(2)
Local Agency Bidder DBE Commitment (Construction Contracts) DBE INFORMATION, Exhibit 15-G (2)

LOCAL AGENCY BIDDER (CONSTRUCTION CONTRACTS)
(Inclusive of all DBEs including the DBEs listed at bid proposal) NOTE: PLEASE REFER TO INSTRUCTIONS ON THE REVERSE SIDE OF THIS FORM AGENCY: c, 13 () .P �I} \Lbbk� LOCATION: n-t-n 8-tY�, Y(lJ{) �kS, CA PROJECT DESCRIPTION: CDS0 \7� Sn-.ea P<d-tS-t"\'ill,ri � (2 � \2-g:,a.i � hvl,rove, TOTAL CONTRACT AMOUNT: $ 9 °'SI °t q 5 • DO
BID DATE: 00�� 2J I 2D2Y
BIDDER'S NAME:
• • Plank Inc. dba Cen-Cal Construction

CONTRACT ITEM OF WORK AND DESCRIPTION
ITEM NO. OR SERVICES TO BE
!SUBCONTRACTED OR MA TERlALS
11'0 BE PROVIDED
P-i>l &u�&\5 �M l'A11 "Pu\11M,lM "',-�-
A l'!>·A\\P, M.U) ��-t-¥\nia .J
v
DBE Cert. No.

AND EXPIRATION
DATE
••-u --•
I �lt02.
tJIA
"1IA .

NAME OF DBEs DOLLAR AMOUNT
Must Be Certified On The Date DBE
Bids Arc Opened - Include DBE
Address And Phone Number)
Ct Mu ThJMo \ nt... S � P..�3-52.

Avl� - L -I� - 1W'\ i- .J ,111: ■ ...... ,� f q25Q, bO
.

Total Claimed
Participation
$ 1 o,,c.,43.sz
JD. B %
r-,.,..
_s:;-�/\
Signat15elof Bidder
• ; J B1a
I
J)IY).
2,!2-1\2-4 l.tul -3&fl· &7S°J
D"ate (Area Code) Tel. No.

D"lcphMi� 'PIOJ'"\'tPerson to Contact (Please Type or Print) u,(pl- 344 - 37S-4
Local Agency Bi<lucr DBE l11formatio11 (Rev 3/09)
Distribution: (1) Copy - Fax or scan a copy to the Caltrans District Local Assistance Engineer (DLAE) within 15 days of contract execution.

Failure to send a copy to the DLAE within 15 days of contract execution may result in de-obligation of funds for this project. (2) Copy -- Include in award package to Caltrans District Local Assistance August2021
DPW 20-20
82477.07000\314567 12.1
-50- 00 41 43- BID FORMS

1.Lr1t".5
Attachment 2

Local Assistance Procedures Manual Exhibit 15-G(2)
Local Agency Bidder DBE Commitment (Construction Contracts) (3) Original - Local agency files
Post Bid Submittals for Low Bidders Only

INSTRUCTIONS - LOCAL AGENCY BIDDER- DBE INFORMATION
The form requires specific information regarding the construction contract: Agency, Location, Project Description, Federal Aid Project Number (assigned by Caltrans-Local Assistance), Total Contract Amount, Bid Date, Bidder's Name, and Contract Goal.

The f01m has a column for the Contract Item Number (or Item No's) and Item of Work and Description or Services to be Subcontracted or Materials to be provided by DBEs. The DBE should provide a certification number to the Contractor and expiration date. The DBE contractors should notify the Contractor in writing with the date of the decertification if their status should change during the course of the contract. The form has a column for the Names of DBE certified contractors to perform the work (must be certified on the date bids are opened and include DBE address and phone number). Enter DBE prime and subcontractors certification number. Prime contractors shall indicate all work to be performed by DBEs including work performed by its own forces if a DBE.

IMPORTANT: Identify all DBE firms participating in the project--including all DBEs listed on the DBE Commitment form (Exhibit 15G(l)), regardless of tier. Names of the First Tier DBE Subcontractors and their respective item( s) of work listed should be consistent, where applicable, with the names and items of work in the "List of Subcontractors" submitted with your bid.

There is a column for the total DBE dollar amount. Enter the Total Claimed DBE Participation dollars and percentage amount of items of work submitted with your bid pursuant to the Special Provisions. (If 100% of item is not to be perf01med or furnished by the DBE, describe exact portion of time to be performed or furnished by the DBE.) See Section "Under-utilized Disadvantaged Business Enterprise (DBE)," of the Special Provisions (construction contracts); to determine how to count the participation of DBE firms.

Exhibit 15-G (2) must be signed and dated by the successful bidder. Also list a phone number in the space provided and print the name of the person to contact.

August 2021
DPW 20-20
82477.07000\31456712.1
-51- 00 41 43- BID FORMS
Attachment 2

Post Bid Submittals for Low Bidders Only
Local Assistance Procedures Manual
Local Agency Bidder DBE Commitment (Construction Contracts)

FEDERAL LABOR STANDARDS CERTIFICATION
(TO BE SIGNED BY THE CONTRACTOR AND ALL SUBCONTRACTORS) The undersigned hereby gives the following certification:

A. I am aware that the work to be completed under this contract is subject to the federal labor standards implementing the statutes listed below and explained in handout HUD-4010(2-84) (attached hereto as part of Exhibit C). I will comply with said federal labor standards. Where federal labor standards differ from the labor standards set forth in California Labor Code, I hereby agree to comply with the more restrictive of the two standards.

1. Davis-Bacon Act (40 USC 276a - 276a-5): requires that, for contracts in excess of $2,000 to which the United States is a party for the construction, alteration, and/or repair, workers receive no less than the prevailing wages being paid for similar work in their locality.

Prevailing wages are computed by the Department of Labor and are issued in the form of federal wage decisions for each classification of work.

2. Copeland "Anti-Kickback" Act (47 USC 276c): requires that worker be paid at least once a week without any deductions or rebates except permissible deductions, which include taxes, deductions which the worker authorizes in writing, and deductions required by court processes. This act also requires contractors to submit payroll records weekly along with Statements of Compliance to the contracting agency (in this case, the City of Paso Robles).

3. Contract Work Hours and Safety Standards Act (CWHSSA) (40 USC 327-333): requires that workers receive "overtime" compensation at a rate of 1 ½ times their regular hourly wage after they have worked 40 hours in one week.

B. I am aware of the requirements of Section 3 of the HUD Acts of 1968 that I give work opportunities to low income residents and local firms and I certify that I am under no contractual or other disability to prevent me from doing so.

License Number & Classification
J. L. Plank Inc. dba Cen-Cal Construction
August 2021
DPW 20-20
82477.07000\31456712.1
Date
-49- 00 41 43- BID FORMS
Attachment 2

Contractor Information
Legal Entity Name
J. L. PLANK INC
Legal Entity Type
Corporation
Status
Active
Registration Number
1000001026
Registration effective date
7/1/2022
Registration expiration date
6/30/2025
Mailing Address
34 762 LENCIONI AVENUE BAKERSFIELD 93308 CA United States of America Physical Address
34762 LENCIONI AVENUE BAKERSFIELD 93308 CA United States of America Email Address
Trade Name/DBA

CEN-CAL CONSTRUCTION
License Number(s)
CSLB:962895
Legal Entity Information
Corporation Number:

Federal Employment Identification
Number:

President Name:

Vice President Name:

Treasurer Name:

Secretary Name:

CEO Name:

Agent of Service Name:

Jason Plank
Jason Plank
Stephanie Plank
Jason Plank
Registration History
Effective Date Expiration Date
6/14/2018 6/30/2019
5/8/2017 6/30/2018
5/12/2016 6/30/2017
6/29/2015 6/30/2016
8/22/2014 6/30/2015
7/1/2019 6/30/2022
7/1/2022 6/30/2025
Agent of Service Mailing Address: 34762 Lencioni Avenue Bakersfield 93314 CA United States of America Workers Compensation
Do you lease employees through No
Professional Employer Organization
(PEO)?:

Please provide your current workers
compensation insurance information
below:

PEO
PEO InformationName
Insured by Carrier
Policy Holder Name:

Insurance Carrier:

Policy Number:

Inception date:

Expiration Date:

PEO
Phone
PEO
Email
J. L. PLANK INC.

ICWGroup
505671201
8/16/2021
8/16/2022
Attachment 2

►t'l�J Litl' ••1• .• ;�.,1
. LG rt .�� ......... . i· .,: ,;v,•. ,, • c -- -- -
� ·:riu.1r?!-'t.-

CALIFORNIA

AIR RESOURCES BOARD
Certificate of Reported Compliance With:

Truck and Bus Regulation
Issued to: J. L. Plank Inc.

This certificate confirms that the fleat owner hM attested under penalty of perjury thet the statementsand information they provided to the Califcrnia Air Resources Boord (€ARB) are true, accurate, and complete regarding all relevant vehldes In the fleet required to show compliance. CARB hereby finds that the fleet listed has reported a>mplianre with califomia Code r;i Regutatibns (CCR):

Title 13 CCR 2025 (Truck and Bus Regulation)
If CARB subsequently finds that the statements and informatioh that have been provided are not true, accurate, and completeT thls certifieate shall be effectively reveked and the fleet subject to noncompliance penalties.

This certificate 1s valld until December 31, 2024
_Oad,�o�· Printed on 2024�02 .. 02 TRUCRS Aeet Identification •23"Vehlctes 1397aa 77'- �Kftt>wllki
Olv6slon OMef, Hoblle Source Control
DivlsiooC;;,lfornta Ah Re;iuo1ce6 Botlrd
ft -, --C ? .. • � �, ' - '";1�'Ffr,f�1.-p
To 1terlfy the authenUdty of ti118 mrtllc:ate, vlalt
WWW .afb.i;a .gov/msproo/onldlesel/tbloolcup,phc>
Attachment 2

� �
.. �.� .. P ···�
•·
•
••
,•,'\:�, :�_ .": ... .,!,/ ,..:.:-:: J•� r ' • • • .' •· • , California Environmental Protection Agency
Air Resources Board
Janqary 1, 2024

CERTIFICATE OF REPORTED COMPLIANCE
OFF·R0AD,.DIESEL VEHICLE RE·GULATI0N
is issued to·
J.b.-;PLANK INC;
This certificate indicates tt7�t'theffleet'l1sted above has reported off-road diesel vehicles to the California Air Resources B:o.ard ar,id'fias certified the,- are in compliance with title 13 CCR, section 2449. All applicable V,ehiole.s ownedJ::>y,the ineli:vidual, company, or agency must be reported and labeled, as s
peelfiedlfri Seefr0n2.449, with pll possible completeness, else this certificate is null and void. Centificate·'e�pifi'eS :·2/28/2025 �
Chief, Mobile source control Division
California Air Resources Board
Off-road Diesel Fleet Identification
139789
To verify the authenticity of this certificate, enter this number at http://INWw.arb.ca.gov/doors/compliance_cert1 .html
Attachment 2

Contractor Information
Legal Entity Name
Westrockllc
legal Entity Type
LLC
Status
Active
Registration Number
PW-Ul-1000581411
Reglst111tlon effective date
11/14/2023
Reglst111tlon expiration date
6/30/2025
Malling Address
4601 Kimber Ave SUlle 104 Bakersfield 93307 CA United States of America Physical Address
4601 Kimber Ave Suite 104 Bakersfield 93307 CA United States of America Email Address
Trade Name/DBA
Westrock General Engineering
License Number(s)
CSLB:1096953
Legal Entity Information
Registration History
Effective Date Expiration Date
4/18/2020 6/30/2021
8/5/2021 6/30/2023
11/14/2023 6/30/2025
Corporation Number. result(iCtT).License_RegistrationRoot.Registration_Accounts_r[regAccts].Corp_or_LLC_ID_c Federal Employment Identllkatlon Number.

Member Name(s):

Agent of Service Name:

Agent of Service Mallin& Addrvss:

Workers Compensation
Philfip brown
1313 Unda Kay St CA 93314 CA United States ol America
Do you lease employees through No
Professional Employer Organization (PEO)?:

Please provide your current workers
compensation insurance information
below:

PEO
PEO lnformationName
Insured by Carrier
Policy Holder Name:

Insurance Carrier:

Polley Number:

Inception date:

Expiration Date:

PEO
Phone
PEO
Email
Westrock lie
Pie Insurance
71313
6/2/2022
4/18/2024
Attachment 2

California Environ1nental Protection Agency
Air Resources Board
January 1, 2024

CERTIFICATE OF REPORTED COMPLIANCE

OFF-ROAD DIESEL VEHICLE REGULATION
is issued to

WESTROCK LLC WESTROCK GENERAL
This certificate 1ndicatest;J�l<;iJ�j;:a�RIN�ed off-road diesel vehicles to the California Air Resources Board and has certified they are in compliance with title 13 CCR, section 2449. All applicable vehicles owned by the individual, company, or agency must be reported and labeled, as specified in Section 2449, wlth all possible completeness, else this certificate 1s nun and void, Certificate expires 2/28/2025 t I ,_.. J ,
;; /A.--
jl Jackr;tlm\'t\l
Chier, Mobile 5oUttf! CDJJtml DM\iOn
Calllorni;i Air Rewurce\. Ooard
Off-road Diesel Fleet Identification
239429
To verify lhe authenticlly of lhls certificate. enter this number al hllp://www.arb.ca.gov/doors/compliance_cert1 .html
Attachment 2

Post Bid Submittals for Low Bidders Only
Local Assistance Procedures Manual
Local Agency Bidder DBE Commitment (Construction Contracts)

FEDERAL LABOR STANDARDS CERTIFICATION
(TO BE SIGNED BY THE CONTRACTOR AND ALL SUBCONTRACTORS) The undersigned hereby gives the following certification:

A I am aware that the work to be completed under this contract is subject to the federal labor standards implementing the statutes listed below and explained in handout HUD-4010(2-84) (attached hereto as part of Exhibit C). I will comply with said federal labor standards. Where federal labor standards differ from the labor standards set forth in California Labor Code, I hereby agree to comply with the more restrictive of the two standards.

1. Davis-Bacon Act (40 USC 276a - 276a-5): requires that, for contracts in excess of $2,000 to which the United States is a party for the construction, alteration, and/or repair, workers receive no less than the prevailing wages being paid for similar work in their locality.

Prevailing wages are computed by the Department of Labor and are issued in the form of federal wage decisions for each classification of work.

2. Copeland "Anti-Kickback" Act (47 USC 276c): requires that worker be paid at least once a week without any deductions or rebates except permissible deductions, which include taxes, deductions which the worker authorizes in writing, and deductions required by court processes. This act also requires contractors to submit payroll records weekly along with Statements of Compliance to the contracting agency (in this case, the City of Paso Robles).

3. Contract Work Hours and Safety Standards Act (CWHSSA) (40 USC 327-333): requires that workers receive "overtime" compensation at a rate of 1 ½ times their regular hourly wage after they have worked 40 hours in one week.

B. I am aware of the requirements of Section 3 of the HUD Acts of 1968 that I give work opportunities to low income residents and local firms and I certify that I am under no contractual or other disability to prevent me from doing so.

Contract
Weatrock
or
LLC dba Wes1rock General Engmael1ng
�ber & Clas ification
August 2021
DPW 20-20
82477.07000\31456712.1
Date
-49- 00 41 43- BID FORMS
Attachment 2

DEBARMENT AND SUSPENSION CERTIFICATION
TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29

BID FORM
The bidder, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated therewith in the capacity of owner, partner, director, officer, manager:
• is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any Federal agency;
• has not been suspended, debarred, voluntarily excluded or determined ineligible by any Federal agency within the past 3 years;
• does not have a proposed debarment pending; and
• has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years.

If there are any exceptions to this c�rtification, insert the exceptions in the following space.

Exceptions will not necessarily result in denial of award, but will be considered in determining bidder responsibility. For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action.

Notes: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall onstitute signature of this Certification.

Title (V\ctvt,b{,
August 2021
DPW 20-20
82477.07000\31456712.1
-42-
Date
00 41 43- BID FORMS
Attachment 2

BID FORM

NONLOBBYING CERTIFICATION FOR FEDERAL-AID CONTRACTS
The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that:
(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in accordance with its instructions.

This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code.

Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subrecipients shall certify and disclose ace��- �c _ � 3114_)2-<-j ByZ.- Date G::illrY-crt: Bm,in, M� Title fYl,Ovt August 2021
DPW 20-20
82477.07000\31456712.1
-43- 00 41 43- BID FORMS
Attachment 2

BID FORM

DISCLOSURE OF LOBBYING ACTIVITIES
Complete this form to disclose lobbyin activities pursuant to 31 U.S.C. 1352

1. Type of Federal Action: o a. contract

2. Status of Federal Action: □ a. bid/offer/application

3. b. grant
c. cooperative agreement
d. loan
e. loan guarantee
f. loan insurance

4. Name and Address of Reporting Entity:

D Prime D Subawardee
Tier ___ , if known
Congressional District, if known:

6. Federal Department/Agency:

8. Federal Action Number, if known:
10a. Name and Address of Lobbying Entity
b. initial award
c. post-award
(if individual, last name, first name, I):
o. 4 is Subawardee, enter name and
address of prime:
erol Program Name/Description:

Award Amount, if known:
$
b. Individuals Performing Services {including address if different from No. 10a)
(last name, first name, Ml)
attach continuation sheets if necessary

11. $

12. Form of Payment (c
a. cash
b. in-kind; sp

13. Type of Payment (check all that apply):
a. retainer
b. one-time fee
c. Commission
d. contingent fee
e. Deferred
_ f. other, specify
,ption of Services Performed or to be performed and Date(s) of Service, including officer(s), employee(s), or ntacted, for Payment Indicated in Item 11:
(attach Continuation Sheet/s) if necessary)

15. Continuation Sheetls) attached

16. lnformacion requested through thiB form is authorized by Title 31 U.S.C. Section 1352. Thi:;. disclosure of lobbylne activities is a material r'epresentation of fact upon which reliance was placed by the tier above when this transaction was made or entered into. This disclosure is required pursuant to 31 U.$.C.1352. This information will be reported to the Congress semi-annually and will be avaHabJe for public insp�ction.

Any person who falls to file the required diflciosure shall be subject to a civil penalty of not less than $10,000 an nor morn than S100,0DO for each such failure.

Federal Use Only
August 2021
DPW 20-20
82477.07000\31456712.1
-44-
Authorized for Local Reproduction
Standard Form - LLL
Saandotd Form Lll Ro•. 01.03.95
00 41 43 - BID FORMS
Attachment 2

BID FORM

EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION
[THE BIDDER'S SIGNATURE OF THE BID FORM PROPOSAL SHALL ALSO CONSTITUTE

AN ENDORSEMENT AND EXECUTION OF THOSE CERTIFICATIONS WHICH ARE A PART

OF THIS PROPOSAL)
The bidder ___________________________ , proposed
subcontractor lUes:t:n:x:t-- LL,C. f?JP>ft l>Jestnx:..t (f!Q'lt&A . �!eby certifies that he --'✓'----- (has, has not) _, participated in a previous contract orab�&�£:l subject to the equal opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required, he has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements.

Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of $10,000 or under are exempt.)
Currently, Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations.

Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. �
Department of Labor.

Title
tba..JYert: BYZ)Lyn I m(LNl �
yVI lfvtt�
August 2021
DPW 20-20
82477.07000\31456712.1
-41-
Date
00 41 43 - BID FORMS
Attachment 2

Contractor Information
Legal Entity Name
Joyner Construction Staking
Legal Entity Type
Corporation
Status
Active
Registration Number
PW-LR-1001132842
Registration effective date
1/27/2024
Registration expiration date
6/30/2024
Mailing Address
1034 ROBIN AVE Hanford 93230 CA United States of America Physical Address
1034 ROBIN AVE Hanford 93230 CA United States of America Email Address
Trade Name/OBA
License Number(s)
Surveyor:8318
Legal Entity Information
Agent of Service Name:

Agent of Service Mailing Address:

Corporation Number:

Federal Employment Identification Number.

President Name:

Vice President Name:

Treasurer Name;
Secretary Name:

CEO Name:

Workers Compensation
Joel Joyner
1034 ROBIN AVE Hanford 93230 CA United States of America Joel Joyner
Do you lease employees through No
Professional Employer Organization (PEO)?:

Please provide your current workers
compensation insurance information
below:

PEO
PEO InformationName
Insured by Carrier
Policy Holder Name:

Insurance Carrier:

Policy Number:

Inception date:

Expiration Date:

PEO
Phone
PEO
Email
Joel Joyner
Hartford Underwriters Insurance Company
76 SBU BD0P24
1/17/2024
1/18/2025
Registration History
Effective Date Expiration Date
1/27/2024 6/30/2024
Attachment 2

BID FORM

DISCLOSURE OF LOBBYING ACTIVITIES
Complete this form to disclose lobbyinQ activities pursuant to 31 USC 1352

1. Type of Federal Action: D 2. Status of Federal Action: □ N/A

3. Report Type: D N/ A
a. contract
b. grant N/A a. bid/offer/application a. initial
c. cooperative ag,eement
d. loan
e. loan guarantee
f. loan insurance

4. Name and Address of Reporting Entity: D Prime D Subawardee Tier _______ , if known
N/A
Con!lressional District, if known:

6. Federal Department/Agency:

N/A

8. Federal Action Number, if known:

N/A
10a. Name and Address of Lobbying Entity
b. initial award
c. post-�ward
(if individual, last name, first name, Ml):

N/A
b. material change
For Material Change Only:
year __ quarter _______ ,,
elate of last report

5. If Reporting Entity in No. 4 is Subawardee, enter name and addr ess of prime:

N/A
Congressional District, if known:

7. Federal Program Name/Description:

N/A
CFDA Number, if applicilbla

9. Award Amount, if known:

N/A
b. Individuals Performing Services (including address if different from No. 10a}
(last name, first name, Ml)
N/A
c1ttach continuation sheets if necessary

11. Amount of Payment (check all that apply):

S N/A D actual D planned

12. Form of Payment (check all that apply):
_11. cash
____ b. in-kind; specify: nature _:._Ncc/;,,,.A,;__ ___ _ value

13. Type of Payment (check all that apply):
_ a. retainer
_ b. one-time fee
__ c. Commission
_ d. contingent fee
_ e. Deferred
f. other, specify NIA

14. Brief Description of Services Performed or to be performed and Date(sl of Service, including officer(s), employee(s), or member(s) contacted, for Payment Indicated in Item 11:

N/A
(ouach Continuntion Sheet(s) if necassary)

15. Continuation Sheet(s) attached O Yes� No
16_ ln(orinouion rieQl1n1ed through lhi!l form,� autllori:t.ed hv Thia '.31 U.S.C. Sr.cl ion t352� This disclosure of lobb\•in□ uc:rlvilion is• m:.1cri.:,I !epras-antation of fact upon which reliitncc was plr1cod by the tier aboVC! 'Nhen this transaction was made or entered imo This disclosure is rnquired pursuant to J1 U.S.C. 1352. Thiti; Information w1U be reported 10 thr. CongrP.ss semi-annuilllv ond \viii br. av:iilabte for public inspection, Any pe:rson who fails to file the reQuired disclosure !'ihall be subjec:t to .'I civil penalry of not less thon S10.000 an not more than 5100,000 for each such failure.

Federal Use Onlv
August2021
DPW 20-20
82477.07000\31456712.1
,.,
Si911a1u11,r ,� - .v (_ .Ai A __,,,/"'
Print Name: -�I Joyner I () (J
Title: Owner
Telophom, No. (559)936-7985 Date: 3/18/2024
-44-
I Authorized for Local Reproduction
Standard Form - I.LL
00 41 43 - BID FORMS
Attachment 2

BID FORM

EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION
(THE BIDDER'S SIGNATURE OF THE BID FORM PROPOSAL SHALL ALSO CONSTITUTE

AN ENDORSEMENT ANO EXECUTION OF THOSE CERT/FICA TIONS WHICH ARE A PART

OF THIS PROPOSAL)
The bidder ___________________________ ,, proposed
subcontractor , \Q'/NE;,g, Co�a--.\ �\f\\'-1 � . hereby certifies that he 'i,.. (has, has not) _, participated in a previous contract or subcontract subject to the equal opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required, he has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contr�cting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements.

Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1 )). and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of $10,000 or under are exempt.)
Title
Currently, Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations.

Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S.

Department of Labor.

August 2021
DPW 2D-20
-41- 00 41 43- BID FORMS
824 77 .07000\31456712.1
Attachment 2

DEBARMENT AND SUSPENSION CERTIFICATION
TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29

BID FORM
The bidder, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated therewith in the capacity of owner, partner, director, officer, manager:
• is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any Federal agency;
• has not been suspended, debarred, voluntarily excluded or determined ineligible by any Federal agency within the past 3 years;
• does not have a proposed debarment pending; and
• has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years.

If there are any exceptions to this c�rtification, insert the exceptions in the following space.

Exceptions will not necessarily result in denial of award, but will be considered in determining bidder responsibility. For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action.

Notes: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion lhereof shall also constitute signature of this Certification.
::�LJc;ir,ia1i,tr1=�
Dwf...f£
Title
August 2021
DPW 20-20
82477.07000\31456712.1
-42- 004143-810 FORMS
Attachment 2

BID FORM

NONLOBBYING CERTIFICATION FOR FEDERAL-AID CONTRACTS
The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that:
(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in accordance with its instructions.

This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code.

Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subrecipients shall certify and disclose accordingly.

Title
August 2021
DPW 20-20
82477.07000\31456712.1
Date
-43- 00 41 43 - BID FORMS
Attachment 2

Post Bid Submittals for Low Bidders Only
Local Assistance Procedures Manual
Local Agency Bidder DBE Commitment (Construction Contracts)

FEDERAL LABOR STANDARDS CERTIFICATION
(TO BE SIGNED BY THE CONTRACTOR AND ALL SUBCONTRACTORS) The undersigned hereby gives the following certification:

A. I am aware that the work to be completed under this contract is subject to the federal labor standards implementing the statutes listed below and explained in handout HUD-4010(2-84) (attached hereto as part of Exhibit C). I will comply with said federal labor standards. Where federal labor standards differ from the labor standards set forth in California Labor Code, I hereby agree to comply with the more restrictive of the two standards.

1. Davis-Bacon Act (40 USC 276a - 276a-5): requires that, for contracts in excess of $2,000 to which the United States is a party for the construction, alteration, and/or repair, workers receive no less than the prevailing wages being paid for similar work in their locality.

Prevailing wages are computed by the Department of Labor and are issued in the form of federal wage decisions for each classification of work.

2. Copeland "Anti-Kickback" Act (47 USC 276c}: requires that worker be paid at least once a week without any deductions or rebates except permissible deductions. which include taxes, deductions which the worker authorizes in writing, and deductions required by court processes. This act also requires contractors to submit payroll records weekly along with Statements of Compliance to the contracting agency (in this case, the City of Paso Robles).

3. Contract Work Hours and Safety Standards Act (CWHSSA) (40 USC 327-333): requires that workers receive "overtime" compensation at a rate of 1 ½ times their regular hourly wage after they have worked 40 hours in one week.

B. I am aware of the requirements of Section 3 of the HUD Acts of 1968that I give work opportunities to low income residents and local firms and I certify that I am under no contractual or other disability to prevent me from doing so.

Contractor
�
fkoFfft,tQNA.L 1,M.Jt) <;.�\Je'(oR a».L-s) f;>3l�
License Number & Classification
August 2021
DPW 20-20
82477.07000\31456712.1
-49-
Date
00 41 43 - BID FORMS
Attachment 2

Certified Profile CLOS! WINDOW J:I
Business & Contact Information

BUSINESS NAME
OWNER

ADDRESS
PHONE
FAX
EMAIL

ETHNICITY
GENDER
COUNTY
Cindy Trump Inc, DBA Lindy's Cold Planing
Ms. Cindy Trump
625 S. MOUNTAIN VIEW
LA HABRA. CA 90631 lml!pJ
562�97-2286 Ext. 204
562�97-2039
.t!n.l!y��
Caucasian
Female
Orange (CA)
----- --------------------------------------------------- ------ Certification Information

CERTIFYING AGENCY

CERTIFICATION TYPE

CERTIFIED BUSINESS DESCRIPTION
Commodity Codes
Code
NAICS 237310
NAICS 237990
NAICS 238910
Additional Information

WORK DISTRICTS/REGIONS
Descrlptlon
Los Angeles County Metropolitan Transportation Authority DBE - Disadvantaged Business Enterprise
Asphalt grinding. stabilizing. paving. sweeping
Highway, Street. and Bridge Construction
Other Heavy and Clvll Engineering Construalon
Site Preparation Contraaors
Fresno. Imperial. Inyo. Kern. Los Angeles. Monterey. Nevada. Orange. Riverside. Sacramento. San Benito. San Bernardino. San Diego. San Luis Obispo. Santa Barbara. Stanislaus. Trinity. Tulare. Tuolumne CUCP PUBLIC DIRECTORY CERTIFICATION NUMBER 40089
f.!1nt
Attachment 2

Contractor Information
Legal Entity Name
CINDY TRUMP INC.

Legal Entity Type
Corporation
Status
Active
Registration Number
1000008423
Registration effective date
7/1/2023
Registration expiration date
6/30/2024
Mailing Address
P.O. BOX 385 LA HABRA 90631 CA United States of America Physical Address
625 W MOUNTAIN VIEW LA HABRA 90631 CA United States of America Email Address
Trade Name/DBA

LIN DYS COLD PLANING
License Number(s)
Other:754500
Other: 754500
CSLB:754500
Legal Entity Information
Corporation Number:

Federal Employment Identification Number.

President Name:

Vice President Name:

Treasurer Name:

Secretary Name:

CEO Name:

Agent of Service Name;
Agent of Service Mailing Address;
Workers Compensation

CINDY TRUMP

CINDY TRUMP
P.0.BOX 385 LA HABRA 90631 CA United States of America
Do you lease employees through No
Professional Employer Organization (PEO)?:

Please provide your current workers
compensation insurance information
below;
PEO
PEO lnformationName
Insured by Carrier
Policy Holder Name:

Insurance Carrier:

Policy Number:

Inception date:

Expiration Date:

PEO
Phone
PEO
Email
CINDY TRUMP INC., DBA LINDYS COLD PLANING

THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
UB-OT119835-22-26-G
12/1/2022
12/1/2023
Registration History
Effective Date Expiration Date
5/25/2018 6/30/2019
5/10/2017 6/30/2018
5/11/2016 6/30/2017
7/2/2015 6/30/2016
2/5/2015 6/30/2015
7/1/2019 6/30/2020
7/1/2020 6/30/2021
7/1/2021 6/30/2022
7/1/2022 6/30/2023
7/1/2023 6/30/2024
Attachment 2

3/11/24, 11:45AM California Air Resources Board: Off-Road Diesel-Fueled Fleets Regulation California Environrnental Protection Agency
Air Resources Board
January 1, 2024

CERTIFICATE OF REPORTED COMPLIANCE
OFF .. ROAD DIESEL VEHICLE REGULATION
is issued to
CINDY TRUMP INC. DBA LINDYS COLD
This certificate indicates tnat t11Rlt�WM reported off-road diesel vehicles to the California Air Resources Board a[]d has certlned they are In compliance with title 13 CCR section 2449 All applicable vehicles owned by the individual, company, or agency must be reported a11d labeled, as specified ir, Section 2449, wrth all possible complete11ess, else this certificate IS null and void Certificate expires 2 /2B /2025 :I ;/ 1,1::;kK'Jl'J"'•""'
[i•,j�-1. ►!•o1;1:r. �OUl(f l1.m1rnl lli•J;:,;l\11
{ �l'Jo1 ni,1 fl. 1 •h•-;rmtc 1•� fio;ir,I
Off-road Diesel Fleet Identification
1079
To "-'fill th-, .11•h11tllklly of this o:e11if1eata, &r\ldt l nt. 1b4ir .111 http;// vww.nlb,ca.goy/doorslcompl ianc:e _ cert I .html https://ssl.arb.ca.gov/ssldoors/doors_reporting/perrn/php/certificate.php 1/1 Attachment 2

3/11/24, 11:44AM ssl.arb.ca .gov/trucrs _reporting/cert 14. php

CALIFORNIA

AIR RESOURCES BOARD
Certificate of Reported Compliance With:

Truck and Bus Regulation
Issued to: Cindy Trump Inc dba Lindys Cold Planing
This certifrc le confirms lhat the fleet owner has attested under penalty of pe(Jury that the st.it rnentsand inform tion he provid d to the Cahforma Air Resources B�rd ( RO) are true, accurate, and complete regarding all relevant vehicles in lhe tleet required to show compliance. C.l\RB hereby finds that the fleet listed has reported compliance with California C.Ode of Reg1,Jlations (CCR):

Title 13 CCR 2025 (Truck and Bus Regulation)
If CARB sub.equently finds that the statements and mforn1at1on that have been provided are not true, accurate, and complete, lh1s certificate hall be effectively revoked and the Oeet subject to noncompliance penalties.
ihis certific.ate.is valid w1til December 31, 2024
P.� ,-, . Pri�ted on 2024-03-11 TRUCRS Fleet Identification �� • 91475
k Kltow,;.l<J 25 Vehicles
ro vo,1lly the aulllcnllcllv or this CP.rtHicllt<a, vlnlt l)lveihrn c1t,,,r, t,tot,ll., S<,ur<.•! Orn\H� www.arb.ca ,9ov/11wJ>rQ1)/0111<fleS<ll/tbloukup.ph1> Oivh"lion(:C,liforn1a Ah' fu!�HJ•f"lt!� Br.,iofcJ https://ssl.arb.ca.gov/trucrs_reporting/cert14.php 1 /1 Attachment 2

BID FORM

EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION
(THE BIDDER'S S/GNA TURE OF THE BID FORM PROPOSAL SHALL ALSO CONSTITUTE

AN ENDORSEMENT AND EXECUTION OF THOSE CERT/FICA T/ONS WHICH ARE A PART

OF THIS PROPOSAL)
The bidder C.e.yJ (u [011Sf/Y.£,chor, proposed
subcontractor f 1ntM(mune .'liJC., ,/Jt311 f /�C. f.ddf}/41Jtnfr1Jereby cerUfies that he ______ ;(has) has not) -� participated in a prevlouicontract or subcoKtract subject to the equal opportunity cl�, as required by Executive Orders 10925, 11114, or 11246, and that, where required, he has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements.

Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1 J(b) (1 )), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60� 1 _5_ ( Generally only contracts or subcontracts of $10,000 or under are exempt.)
By
Title
C1:1rrentiy, Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations_
Proposed prime contractors and suboontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the .required reports should note that 41 CFR 60-1. 7(b). (1) prevents the .award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S.

Department of Labor.

C-5.D.

Date
Al!OUlll 2021 -41- 00 41 43 - BID FORMS
OPW20-20
82477.07000\31456712.1
Attachment 2

BID FORM
DISCLOSURE OF LOBBYING ACTtVITIES
Com Joie this torm to d sclos8 lobb in eotivities ursuant to 31 O.S.C. 1352 1� Typa of federel Action:
a. contract
b: grant
□ 2. Status of federal A�ion:
•· bid/offer/application □ 3. Report Type: □ a. initial b. initial award b. material change
c. cooperative agreement
d, Joan
e, loan guaranteti
t lna.ra fosurance
4 • .N!ime and Addraq_of Reporting Entity: □Prln,o U Sllbawardee Tier __ , if known
Con ros!:lonal District, if ·nowm

6. Federal Deparunant/Aeency:
ll Federal Action Number, If known:
10a. Nemo fnrl Address of lobbying Entity
(If llfdi'll/duul, lasrname, first n.1me,

11. Amount of Pay
s
c. P051·award

12. Form or Pz
y t (ohoclc alltl)at apptvl:
_a. cash _ b. In• d; S'pecify: ne:ture _______ _
volun
For Material Change Only:
year __ t1uarter
dale of last rnJ.)Ort
S. If Reporting Entity i,t No. 4 i11 Sub BJ'doe, enter name anti ·.addre$S o prime:
als Pel'formlng SGrvlccs (fnctudlng addfflss 1f diffmnr }
, first name, Ml)

13. T o of Paymont (cbec:k all thataPPlvl:
_a, etalner
_ b. one.rlme fee
_ c. eom,nh1uian
_ d. PMtiilgtint foe
_a, □Bferrt!d
_f. 01hor:s ecif
at Doi;crlp-tion of,Seivlcea Pe.r(orm� or t� ha pin-formed ari4D�(a) of_Service, lnclud!ng.�fti�{sl, e111ploveeil&), ilr berlsl aonbcted. fur Payment lndl!111tlld In J1om 11:
arro.clt Crmtlnuet/011 Sheol

16. Continuation Sheetlsl 111:tached O YesO No
10, fo(fp.tnW!tl.Of'.I '�1>H1tod. lhf\'1,1a'h ,h ,,form, ••lil(1<11 !ttd bv"f!t.l• 1 U.S.(t;/;ocllp 1� Tht• dil<lfe><ure ofloblwl"o •etM"•� • •.,. "' ol ,op1ol011!llll>nol f•Ql uDOn wli on ,on-,.,.� ploc,,d1 bv 1!10 11, obovo. 101>0111l>l•11on.r■<:1lon w:um.ado ori,111qrQ!l ln(o. Thfs <11,019111,.1, ,JqulfQ/J .,.,,, .... nt fl>Jtl lt-S;�. TU5:r. 1},IJOl(OrmollOftwill bo , • .,, ... u to th• C<>�Qr,idMll)t•■Mu,uv wnd wnl I,., ovvll•.t,,lo tor "':'bl'"''�lun.

MV OOrlOlTV.m (a Hi ta 111 tho ;oq_ulr•d dl•t10,111u!N1II h.,.llbJ cno � ti'vn pe!!i�V Of tlOI lu>"$ \flo D,llOO an nnl m6"' thon $100,000 ·, ••� 9�,h loflll"'-
Fll(leral Uso Only
Aug11ut 2021
Ol?W 20-20
82477.01000\31456712.1
--44- 00 4 t 43 - BID FORMS
-- ----------
Attachment 2

BID FORM
NON LOBBYING CERTIFICA TlON FOR FEDERAL-AID CONTRACTS
The pros_Pective participant certifies, by signing and submitting this bid or proposal, to the best of hrs or her knowledge and belief, that:
(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to innuence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employe� of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in accordance with its instructions.

This certification is a material representation offaot upon which reliance was placed when this transaction was made or entered •into. Submission of this certification is a prerequisite for making or entering tnto this transaction imposed by Section 1352, Title 31, U.S. Code.

Any person who f1;1ils to fife the requited certification shall be subject to a civil penalty of not less than $10,000 ahd not more tht=in $100,0@0 for each such failure, The prospective particip�nt qls0 agrees by submitting his or her bid or proposal that he or she shall re.quire that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subreciJ!)ients shall certify and disclose accordingly.
f».,annt... 14U.JY/f
By C.S.D·
Title
August2021
OPW20-20
a24n .01000\s14s5112.1
Date
-43- 00 41 43- BlO FORMS
Attachment 2

DEBARMENT AND SUSPENSION CERTIFICATION
TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29

BID FORM
The bidder, under penalty of perjury, certrfies that, except as noted below, he/she or any other person associated therewith in the capacity of owner, partner, director, officer, manager:
• is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any Federal agency;
• has not been suspended, debarred, voluntarily excluded or determined ineligible by any Federal agency within the past 3 years;
• does not have a proposed debarment pending; and
• has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction In any matter involving fraud or official misconduct within the past 3 years.

If there are any exceptions to this Cf!rtitication. insert the exceptl:ons in the following space.

Exceptions wlll not necessarily re�ult in d�nial of award, put will be considered in determining bidder responsibility. For any ex<>eplion noted .ab.ave, lndica,e b�low to whom It applies, initiating agency, and dates of action.

Notes, Providing false Information may r.es,_ult In cominal pros�tion er administrative sanctions. Tha above certification is,part of,tne,f!lroposal. Sf;ning•thiS Proposal on the signature portion thereof shall also-constitute slgnawre of .this Certific;ation.

By L C•J. 0.

Title
August 2021
OPW20·20
a24n ;0700013145e712.1
Date
-42- 00 41 43- BID FORMS
Attachment 2

Post Bid Submittals for Low Bidders Only
local Assistance Procedures Manual
local Agency Bidder DBE commitmonl (Construction Contracts)

FEDERAL LABOR STANDARDS CERTIFICATION
(TO BE SIGNED BY THE CONTRACTOR AND ALL SUBCONTRACTORS) The undersigned hereby gives the following certifica�on:

A. I am aware that the work to be completed under this contract is subject to the federal labor standards implementing the statutes listed below and explained in handout HUD-4010(2-84) (attached hereto as part of Exhibit C). I will comply with said federal labor standards. Where federal labor standards differ from the labor standards set forth in California Labor Code, I hereby agree to comply with the more restrictive of the two standards.

1. Dayis-Bacon Act (40 USC 276a - 276a-5): requires that, for contracts in excess of $2,000 to which the United States is a party for the construction, alteration, and/or repair, workers receive no less than the prevailing wages being paid for similar work in their locality.

Prevailing wages are computed by the Department of Labor and are issued in the form of federal wage decisions for each classification of work.

2. Cppeland "Antj-Kickba.ck'' Act (47 USC 276c): requires that worker be paid at least once a week without any deductions or rebates except pennisslble deductions, which include taxes, deductions whi_ch the worl<:er authorizes in writing, and deductions required by court processes. This act also requires contractors to submit payroll records weekly along with Statements of Compliance to the contracting agency On this case, the City of Paso Robles).

3. Contract Work Hours and Safety Standards Act (CWHSSA) (40 USC 327-333): requires that workers receive "overtime" compensation at a rate of 1½ times their regular hourly wage after they have worked 40 hours in one week.

B. I am aware of the requirements of Section 3.of the HUD Acts of 1968 that I give work opportunities to low income residents and local 'firms and I certify that I am under no contractual or other disabmty to prevent me from doing so.
c,
Co
nk
n�or fut:lii , ... [16/t 1,.,�ay, Du 111{J/} ,11.�le +-+4r ___ J�h.{..L.�....!...:I Jo_.;�q......___ A: -l'i l/ 5"oo
license Number & Classification
August2021
DPW20-20
!l24TT.07000\31456712 1
00 41 43- BID FORMS
Attachment 2

Contractor Information
Legal Entity Name

HARKER INC
Legal Entity Type
Corporation
Statu5
Active
Registration Number
1000004812
Regl,tratlon effective date
7/1/2021
Registration expiration date
6/30/2024
Mailing Address
16010 TRADITION COURT BAKERSFIELD 93314 CA United States of America Physica I Address
16010 TRADITION COURT BAKERSFIELD 93314 CA United States of America Email Address
Trade Name/ DBA

HARKER STRIPING AND SIGNAGE
License Number(s)
CSLB:615222
CSLB:615222
Legal Entity Information
Corporation Number:

Federal Employment Identification Number:

President Name:

Vice President Name;
Treasurer Name:

Secretary Name:

CEO Name:

Agent of Service Name:

Agent of Service Mailing Address:

Workers Compensation
1854339

NICHOLAS HARKER

TAMMI HARKER

TAMMI HARKER

TAMMI HARKER

TAMMI HARKER

TAMMI HARKER
16010 TRADITION COURT BAKERSFIELD 93314 CA United States of America Do you lease employees through No
Professional Employer Organization (PEO)?:

Please provide your current workers
compensation insurance information
below:

PEO
PEO InformationName
Insured by Carrier
Policy Holder Name:

Insurance Carrier:

Policy Number:

Inception date:

Expiration Date:

PEO
Phone
PEO
Email

HARKER INC
Ohio Security Insurance Carrier
XWS61949514
10/1/2020
10/1/2021
Registration History
Effective Date Expiration Date
5/31/2018 6/30/2019
6/14/2017 6/30/2018
6/22/2016 6/30/2017
6/30/2015 6/30/2016
1/6/2015 6/30/2015
7/1/2019 6/30/2020
7/1/2020 6/30/2021
7/1/2021 6/30/2024
Attachment 2

CALIFORNIA

AIR RESOURCES BOARD
Certification ID: 31153
This certificate affirms that
Harker Inc
1601 0 Tradition Ct
Bakersfield, CA 93314
.CLEA • � TRUCK CHECK
Affirmation of Fleetwide Compliance
has attested in the Clean Truck Check electronic reporting system to report a complete list of vehicles subject to Heavy-Duty Inspection and Maintenance (HD I/M) Regulation and the California Air Resources Board (GARB) hereby verifies that as of 3/19/2024, all of the attested vehicles are compliant with the Clean Truck Check.*
A complete list of the attested vehicles is listed in the following page(s). *This Affirmation of Fleet Wide Compliance shall be used for the fleet's purposes of proving their fleet compliance status with their freight contractors and brokers. This Affirmation of Fleet Wide Compliance shall not constitute proof of a vehicle compliance with the Clean Truck Check beyond the issued date.

Attachment 2

BID FORM

EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION
(THE BIDDER'S SIGNATURE OF THE BID FORM PROPOSAL SHALL ALSO CONSTITUTE

AN ENDORSEMENT AND EXECUTION OF THOSE CERT/FICA TIONS WHICH ARE A PART

OF THIS PROPOSAL)
The bidder ___________________________ , proposed
subcontractor Harker Inc, dba Harker Striping & Signage , hereby certifies that he
__
h_
a_s __ (has, has not) _, participated in a previous contract or subcontract subject to the equal opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required, he has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements.

Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of $10,000 or under are exempt.)
By
Currently, Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations.

Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.?(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S.

Department of Labor.

Nick Harker 3-19-2024
Date
President
Title
August 2021
DPW20-20
82477.07000\31456712.1
-41- 00 41 43- BID FORMS
Attachment 2

BID FORM

DISCLOSURE OF LOBBYING ACTIVITIES
Com lete this form to disclose lobbyin activities pursuant to 31 U.S.C. 1352

1. Type
a. contract
of Federal Action: D 2. Status of Federal Action: □ 3. Report Type: D a. bid/offer/application a. initial b. grant b. initial award b. material change
c. cooperative agreement c. postaward
d. loan
I

4. 5. If Reporting Entity in No. 4 is S
address of prime:
8, Federal Action Number, if known:
10a. Name and Address of Lobbying Entity
(if individual, last name, first name, Ml}:

11. $ a.
b.

12. C.
a. d.
b.

Ices Performed or to be performed and Date(s) of Service, inclu Payment Indicated in Item 11:
{attach Continuation Sheet{s) if necessary)

15. Continuation Sheet(s) attached O YesO No

16. Information reqUH, lo� 1.hrough 1his form is 11uthortz.od by Title 31 U.S.C. Sectjon 1352. This: disclosure of lobbying octlvitles is II material representation of fact upon which reliance was placed by the tier above when this transaction was made or entered into. This disclosure ls raqulru:a pursuan, fO '31 U.S.C 1352 . n,i.s ir,formalion 1,,'/111 bo ropoHa.d lO ,he Co"gres$ �emi-nnnuullv nnd wfll be availnble: for public inspection.

Ally person who fall� 10 file 1/,e roquired c,/lsclosura shall bo ,mbjcet 10 • 0ivll pcM\l)I ot not le•s lh6n S10.000 an no1 more than $100.000 for eath such ra\iurtr.

Federal Use Onl
August 2021
DPW 20-20
824 77 .07000\31456712.1
Nick Harker Print Name: ______ _______ ____ _
Title: President
Telephone No. 661-589-1810 Date: 3-19-2024
Authorized for Local Reproduction
Standard Form - LLL
I• .,� orm UL!lov. 01-0],95
-44- 00 41 43 - BID FORMS
Attachment 2

BID FORM

NONLOBBYING CERTIFICATION FOR FEDERAL-AID CONTRACTS
The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that:
(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in accordance with its instructions.

This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code.

Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subrecipients shall certify and disclose accordingly.

Nick Harker
By
President
Title
August 2021
DPW 20-20
824 77 .07000\31456712.1
3-19-2024
Date
-43- 00 41 43 - BID FORMS
Attachment 2

DEBARMENT AND SUSPENSION CERTIFICATION
TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29

BID FORM
The bidder, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated therewith in the capacity of owner, partner, director, officer, manager:
• is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any Federal agency;
• has not been suspended, debarred, voluntarily excluded or determined ineligible by any Federal agency within the past 3 years;
• does not have a proposed debarment pending; and
• has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years.

If there are any exceptions to this certification, insert the exceptions in the following space.

I
Exceptions will not necessarily result in denial of award, but will be considered in determining bidder responsibility. For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action.

Notes: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification.

Nick Harker
By
President
Title
August2021
DPW 20-20
82477 .07000\31456712.1
-Ywz__� 3-19-2024
Date
-42- 004143- BID FORMS
Attachment 2

Post Bid Submittals for Low Bidders Only
Local Assistance Procedures Manual
Local Agency Bidder DBE Commitment (Construction Contracts)

FEDERAL LABOR STANDARDS CERTIFICATION
(TO BE SIGNED BY THE CONTRACTOR AND ALL SUBCONTRACTORS) The undersigned hereby gives the following certification:

A. I am aware that the work to be completed under this contract is subject to the federal labor standards implementing the statutes listed below and explained in handout HUD-4010(2-84) (attached hereto as part of Exhibit C). I will comply with said federal labor standards. Where federal labor standards differ from the labor standards set forth in California Labor Code, I hereby agree to comply with the more restrictive of the two standards.

1. Davis-Bacon Act (40 USC 276a - 276a-5): requires that, for contracts in excess of $2,000 to which the United States is a party for the construction, alteration, and/or repair, workers receive no less than the prevailing wages being paid for similar work in their locality.

Prevailing wages are computed by the Department of Labor and are issued in the form of federal wage decisions for each classification of work.

2. Copeland "Anti-Kickback" Act (47 USC 276c): requires that worker be paid at least once a week without any deductions or rebates except permissible deductions, which include taxes, deductions which the worker authorizes in writing, and deductions required by court processes. This act also requires contractors to submit payroll records weekly along with Statements of Compliance to the contracting agency (in this case, the City of Paso Robles).

3. Contract Work Hours and Safety Standards Act (CWHSSA) (40 USC 327-333): requires that workers receive "overtime" compensation at a rate of 1 ½ times their regular hourly wage after they have worked 40 hours in one week.

B. I am aware of the requirements of Section 3 of the HUD Acts of 1968 that I give work opportunities to low income residents and local firms and I certify that I am under no contractual or other disability to prevent me from doing so.

Harker Inc, dba Harker Striping & Signage
Contractor
615222/C32
License Number & Classification
August 2021
DPW 20-20
824 77 .07000131456712.1
-49-
3-19-2024
Date
00 41 43 - BID FORMS
Attachment 2

Certified Profile
Business & Contact Information

BUSINESS NAME
OWNER

ADDRESS
PHONE
FAX
EMAIL

WEBSITE

ETHNICITY
GENDER
COUNTY
Certification Information

CERTIFYING AGENCY

CERTIFICATION TYPE

CERTIFIED BUSINESS DESCRIPTION
Commodity Codes
Code
CA wee c1200
CA wee c1s22
CAWCC C1901
CAWCC C3701
CAWCC C4010
CAWCC C4040
CAWCC C4101
CAWCC C4201
CAWCCC5100
CAWCC C5111
CA wee c51so
CA wee C5190
CAWCC C5620
CAWCC C7301
CAWCCG602
CAWCC C8405
CAWCC C8501
CAWCC C9904
CAWCCC9905
CAWCC C9907
NAICS 238110
NAICS 532412
Additional Information

WORK DISTRICTS/REGIONS
Description
CALIFORNIA GRINDING SPECIALTIES, INC. DBA AUSTIN ENTERPRISE Ms. Patti Austin-Conner
13421 SNOW ROAD
BAKERSFIELD, CA 93314 lmru!)
661-589-1001
661-589-9509
[email protected]
http://AustilH!nterp�
Hispanic American
Female
Kern (CA)
City of Los Angeles
DBE - Disadvantaged Business Enterprise

CONSTRUCTION AREA SIGNS

RESET, ADJUST ROADWAY ITEMS

ROADWAY EXCAVATION

SEAL COAT

PORTLAND CEMENT & CONCRETE PAVEMENT

CLEAN & SEAL PAVEMENT JOINTS - ROUT & SEAL CRACKS

PAVEMENT SUBSEALING &JACKING

GROOVE & GRIND PAVEMENT

CONCRETE STRUCTURE

CONCRETE OVERLAY - DRILL & BOND

CORE CONCRETE - REPAIR BRIDGE DECK

JOINT SEAL -WATER STOP

ROADSIDE SIGN
CONCRETE CURB & SIDEWALK· MISC

SAW CUTTING

THERMOPLASTIC TRAFFIC STRIPING & MARKING

PAVEMENT MARKER
CORING

CUTTING

CONSTRUCTION EQUIPMENTAL RENTAL
Poured Concrete Foundation and Structure Contractors
Construction, Mining, and Forestry Machinery and Equipment Rental and Leasing

CUCP PUBLIC DIRECTORY CERTIFICATION NUMBER
All work districts/regions
13602

CLOSE WINDOW II
W!!l
Attachment 2

Contractor Information
Legal Entity Name

CALIFORNIA GRINDING SPECIALTIES, INC
Legal Entity Type
Corporation
Status
Active
Registration Number
1000001896
Registration effective date
7/1/2022
Registration expiration date
6/30/2025
Mailing Address
PO BOX 81926 BAKERSFIELD 93380 CA United States of America Physical Address
1100 JAMES ROAD BAKERSFIELD 93308 CA United States of America Email Address
Trade Name/OBA

AUSTIN ENTERPRISE
License Number(s)
CSLB:764893
Legal Entity Information
Corporation Number:

Federal Employment Identification Number.

President Name:

Vice President Name:

Treasurer Name:

Secretary Name:

CEO Name:

Agent of Service N■me:

Agent of Service Malling Address:

Workers Compensation
Patti Conner
Tyrone Conner
Patti Conner
Tyrone Conner
Patti Conner
Tyrone Conner
1100 James Road Bakersfield 93308 CA United States of America Do you lease employees through No
Professional Employer Organization (PEO)?:

Please provide your current workers
compensation insurance information
below:

PED
PED InformationName
Insured by Carrier
Policy Holder Name:

Insurance Carrier:

Policy Number:

Inception date:

Expiration Date:

PED
Phone
PEO
Email

CALIFORNIA GRINDING SPECIALTIES, INC

STATE COMPENSATION INSURANCE FUND
9123628-19
2/1/2022
2/1/2023
Registration History
Effective Date Expiration Date
5/30/2018 6/30/2019
5/15/2017 6/30/2018
5/5/2016 6/30/2017
6/8/2015 6/30/2016
10/13/2014 6/30/2015
7/1/2019 6/30/2022
7/1/2022 6/30/2025
Attachment 2

l
f. , ' ' ' ' � � I'
•
� ��
J' l....1 A '
' f
Certificate oi Reported c:ornpliance Vvith:

Issued to:

T1f,)r'f' ..--,,dt1-,,..·n ��v- ';:) ,-,
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.J �r�1H';�f '$a
�-��! ,1 �-·if; fl �),�!'t � "";i.'"t(J r ·• .

Truck and Bus RegulatiOt
Austin Enten.>r!se
that. the �.He:terti-entsand
�r":: tn .. 1e;, accurate, and
!"l°'.fJ,'".,.;�, ��/.-�f..J.f1 !t-Af-'@t'ly· f t{j<­
l'-" (-.:,,_p j
Title 13 GCR 2025 (Tru�k �rid 3us Rt::guiatic::i.n'
ff Ci-\RS ���Ibt�.::quer·.t:�y frncls .. 1,
cH."(.lff-at-f• tmd ,·.:o�-;piete, th/!-­
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\ :""e fi eet <:.ubi IP.ct tc
t.crt•:·,c::ate -s y i:;;:1 D=c�mber 31�}1��-�-;":-c ,·,1.0-• .• 1· r ·ii�,, t,r: '.>'�t,1-x·, I �. � >\ 1r'..: • ' -,.,II'.",.• , •-• Printed on 2024·02·28 - "• .,., 37209 24 Vehicle�.; §
! :, w·-,ni;- I hi? .:,Hlh�1,tit;#y t,f !hio, 1lc,1tif�.;.11:!\, •oi:,it www mi); 4't ,,._,,,/nIB;:,19q/owdl,·;;,,.,,f/ttokmk1Jp,1,hH i
:;:,i,
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i
Attachment 2

(�:;'.ii f ·<_�1nJ i ;1 E� i 1 \' t rc1111ne11 ta] Prot cctio1·1 i\gc11c,· E·
!
January 1, 2024
r
� ,'
IFICATE OF RE!-�ORTE orvtPLIANC..:
1, ,,., :,
D DIESEL VEHICLt E ::uLATIO
is issued to

AUSTIN ENTERPRISE
_ a, .. -1:r · ""r• ,st iJ,::-
8/2025
- _ ""'i..'"="�. •St : "'
r �.
07·;.r<.:-�d Oitse: Fi,e<.?t kferttlf1�JtiC!i
2698
.""-:-•· t :=• 1uHD'if; ,•d n,-· �;""':"·!i""
; -�ti:- �:,:.,., �--;�-: 1ui1ir•-;.·1 .;1:
r1 trpi lwwv-, arb. ca.govidocrs/,._y_1n,pliance __ cert1 .hlnil Attachment 2

BID FORM

EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION
(THE BIDDER'S SIGNATURE OF THE BID FORM PROPOSAL SHALL ALSO CONSTITUTE

AN ENDORSEMENT AND EXECUTION OF THOSE CERT/FICA TIONS WHICH ARE A PART

OF THIS PROPOSAL)
The bidder
subcontractor
--"-7�-------�.-----------------------· proposed
--I'-""'-.\...,,¥(_-, rc-,�....::.�=•-'--'L-J.�'_µ,.,,1._J,..___ ______ , hereby certifies that he previous contract or subcontract subject to the equal
opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required, he has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements.

Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1. 7(b) (1 )), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forlh in 41 CFR 60-1.5. (Generally only contracts or subcontracts of $10,000 or under are exempt.)
Title
Currently, Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations.

Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1. 7(b} ( 1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S.

Department of Labor.

Augusl2021
DPW 20-20
-41- 00 41 4'.l - BID FORMS
824 77.07000\31456712. 1
Attachment 2

BID FORM

DISCLOSURE OF LOBBYING ACTIVITIES
Complete this form to disclose lol>byin activities pursuant to 31 U.S.C. 1352

1. Type of Federal Action: 1· • 1
a �ontracl '...._ I 2. Status of Federal Action:
;:i bidtoffer!appllcatio11 [J 3. Report Type:
a. initial
LJ. �ranr
c coo pet a11vc. agref.d'lh-!n\
,J oan
e. lc;ar, gca, anief:
f lu.3rr tns:11:.111c0
4 J\lame and Adclres�
_p
f Reporting Entity:
···- Prirne J Sub.1warde0
Tier :fk:nown
Com res\lional Dh,trict, i/known:

6. Federal Department/ Agenr.y:

8. Federal Action Number_. ifknown:
10a.

I). initial award
r.. iJOSt-:lV</�1·d
b. m3ter ial chanqe
For Material C
year ___ quarter
dato last r ,llOrt __ _
CFDA Number, it':, p/1c,1blc __ _

9. Award Amount, ifknoivn:
b. Individuals Performing Services lind//ding t1ddn•ss ii' difff,.mnt from No. TOa)
!last name, fir
st n11me, ,11;/I)
attach contirw,,tion sheets If nec�ssary

11. Amount of Payment l ieck all that apply): D ar.• al [] planned a. retainer b. one-time fee
.. c. Commission
d. contingent fc ••
b. e. Deferred
value f. other, specif•
ription of Services Performed or to be performed and Date(s ) of Service, including officer(s)
. employeeis)
, or
member(s) ontacted, for Payment Indicated in Item 11 •
(artsch C. ,wi,u,W'ofl Sheet(.�) if nor.css;,ry)

15. Continuation Sheet(s) attached O Yes ;J No
lfi. lnfo,n-,-:1rL1n 1f-;q1:e<;1cr.i \i!".J••.:.Jh lhi::c> �S:ilrtl la :wlhori.,l!d hv Titl,) 31 � .. :SC S:"!i.tinn 11S7 1his :!i�doi-:llr� of !r:ibb•1ic,; :icr!,,i1inc; iu !-1 r ..,.:iti::d.,I :•�1;
1e:ien1;i1ior, of i�r.t unor whi�h reiidrtt:1� wa� cil::H;cd bv lhe tiiu iJbovo ._..,htrn this crnns<tetton 'N;:Vi rfHJ/1C or 5!ntared in•_o. This. disclt:J:iUn'! is u,u1,ca µur .u tt"li l -J\ U,!;.._, lll;il fhu-; ,nto•r.1i!•,inr• v111I �a ,Q 01t�1110 Sh,. Cnngrnot l'l 3h1i-UJU'l1J ,riv :,wJ ·�•..-.u I.:,� d'.IJjlr1b1,, rnr pub11r 1111;p12C1inn nv l'!J� " htJ hi1:t ht hi 1.11,. 1""11uirL1 tJt(;Cln�ur':! shnU lJ,��HbfM'.i to :i ,;:vii i m,, tv ot ,,,,t 1,-..s� th.in S Q. fJ(.: ,111 1111 nu:u,, :tmu S:lOCl.O.OU for 1•,1rh . nh ,.,,rur<J,
L�deral Use Only
.'.\ugusl 2021
DF'W 20-20
82:::.7? 07000\3·J.t56712.

Si9rn:Hu1 i!:

Print Nan1e.

Title:_ _ �J t
Teiepl,nne No.!f..ft./ .. �-J./)(Jj
-44-
Autllorizecl for l.oc31 Reproduction
Standard Forni· LLL
ftw.Ju,ii�.ur tll �I!\' 01.:
r
J-�\S
00 41 43 - BID !·ORMS
Attachment 2

BID FORM

NONLOBBYING CERTIFICATION FOR FEDERAL-AID CONTRACTS
The prospective participant certifies, by signing and submitting this bid or proposal, to the t)est of his or her knowledge and belief, that:
'. ·1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or �?mployee of Congi-ess, or an employee of a Member of Congress in connection ·,vith the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and lhe extension. conlinualion, renewal, amendme11l, or modification of any f--:ederal •:=:ontract. grant, loan, or cooperative agreement.
(2) If any funds other th��n Federal appropriatecl funds have been paid or will lx� paid to any per.son for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or ernployee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, Joan, or coopei-ative agreement, the undersigned shall complete and submit Stand8rd Form-LIJ_, "Disclosure of l_obbying Activities," in accordance with its instructions.

This ce1iification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prereauisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

The prnspective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subrncipients shall certify and disclos 'cordingly.
/\t!�JU.St �U/ !
i_iP'1'1 .20-2U
8£.'117T .0-t'D()iJ\3 ! 4567 12 ·;
-43-
Attachment 2

BID FORM

DEBARMENT AND SUSPENSION CERTIFICATION
TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29
The bidder. under penalty of perJury, certifies that. except as noted below, he/she or any other pe1,so11 associated therewith in the capacity of owner, partner, director, officer. manager:
" is not currently under suspension. debarment, voluntary exclusion, or determination of ineligibility by any Federal agency:
, has not been suspended. debarred. voluntarily excluded or determined ineligible by any i: ederal agency within the past 3 years;
• does not have a proposed debarment pending; and
• has not been indicted. convicted. or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years.

It there are any exceptions to this certification, insert ttie exceptions in the following space Exceptions will not necessarily result in denial of award, but will be considered in determining bidder responsibility, For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action.

Notes: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of lhe Proposal. Signing this Proposal on the signature portion thereof Title
i\li[ll!St Z02 l
DPW 20-20
824 77 07000\3 1456712, 1
signature of this Certification.
-42- 00 4 I 4:, - BID FOf.:MS
Attachment 2

Post Bid Submittals for Low Bidders Only
local Assistance Procedures Manuai
Local Agency Bidder DBE Commitment iConstruction Contracts;

FEDERAL LABOR STANDARDS CERTIFICATION
(TO BE SIGNED BY THE CONTRACTOR AND ALL SUBCONTRACTORS) The undersigned hereby gives the following certification:

A i am aware that the work to be completed under this contract is subject to the federal labor standards implementing the statutes listed below and explained in handout HUD-4010(2-84) (attached hereto as part of Exhibit C). I will comply with said federal labor standards. Where federal labor standards differ from the labor standards set forih in California Labor Code, I hereby agree to comply witl1 the more rnstrictive of the two standarns.

1. Davis-Bacon Act (40 USC 276a - 276a-5): requires that, for contracts in excess of S2,000 to which the United States is a party for the construction, alteration, and/or repair, workers receive no less than the prevailing wages being paid for similar work in their locality.

Prevailing wages are computed by the Department of Labor and are issued in the form of federal wage decisions for each classification of work.

2. Copelancl "Anti-Kickback" Act (47 USC 276c): requires that worker be paid at least once a week without any deductions or rebates except permissible deductions, which include taxes, deductions which the worker authorizes in writing, and deductions required by court processes. This act also requires contractors to submit payroll records weekly along with Statements of Compliance to the contracting agency (in this case, the City of Paso Robles)

3. Contract Work Hours and Safety Standards Act (CWHSSA) (40 USC 327-333): requires that workers receive "overtime" compensation at a rate of 1 ½ times their regular hourly wage after they have worked 40 hours in one week.

B. I am aware of the requirements of Section 3 of the HUD Acts of 1968 that I give work opportunities to low income residents and local firms and I certify that I arn under no contractual or other disability to prevent me from doing so.
c� /t/1 �pr/Sc_
70t/� q 3 CdLJs A
License Number & Classification
A.uqust 2021
DPW 20-20
824 77 07000\31456712 I
-49-
Date
00 41 43 - BIO FORMS
Attachment 2

Contractor Information
Legal Entity Name
A 8, T ARBORISTS AND VEGETATION MANAGEMENT INC.

Legal Entity Type
Corporation
Status
Active
Registration Number
1000026739
Registration effective date
7/6/2021
Registration expiration date
6/30/2024
Mailing Address
P.O. BOX 1311 TEMPLETON 93465 CA United States of America Physical Address
790 S. Main Street Templeton 93465 CA United States of America Email Address
Trade Name/OBA
SAME
License Number(s)
CSLB:906700
CSLB:906700
Legal Entity Information
Corporation Number:

Federal Employment Identification Number.

President Name:

Vice President Name:

Treasurer Name;
Secretary Name:

CEO Name:

Agent of Service Name:

Agent of Service Mailing Address;
Workers Compensation
2892445
Christopher C Guenther
Steven G Alvarez
McKenzie R Guenther
McKenzie R Guenther
Christopher C Guenther
Christopher C Guenther
790 S. Main Street Templeton 93465 CA United States of America Do you lease employees through No
Professional Employer Organization (PEO)?:

Please provide your current workers
compensation insurance information
below:

PEO
PEO InformationName
Insured by Carrier
Policy Holder Name:

Insurance Carrier:

Policy Number:

Inception date:

Expiration Date:

PEO
Phone
PEO
Email
A & T ARBORISTS AND VEGETATION MANAGEMENT INC.

STATE COMPENSATION INSURANCE FUND
9016701-20
7/1/2015
6/30/2021
Registration History
Effective Date Expiration Date
6/28/2018 6/30/2019
6/16/2017 6/30/2018
6/13/2016 6/30/2017
7/24/2015 6/30/2016
7/1/2019 6/30/2020
8/6/2020 6/30/2021
7/6/2021 6/30/2024
Attachment 2

3120/24, 10:43 AM California Air Resources Board: Off-Road Diesel-Fueled Fleets Regulation California Environmental Protection Agency
Air Resources Board
January 1, 2023

CERTIFICATE OF REPORTED COMPLIANCE
IN-USE 8FF·ROAD DIESEL-FUELED FLEETS
REGULATION is issued to
4TH GENERATION TREE
This certificate indicates that the fleet listed above has reported off-road diesel vehicles to the California Air Resources Board and has certified they are in compliance with title 13 CCR, section 2449. All applicable vehicles owned by the individual, company, or agency must be reported and labeled, as specified in Section 2449, with all possible completeness, else this certificate is null and void. Certificate expires 2/29/2024 _fl_lJ�_,_-
Sydney Verg1s
Chief, Mobile Source Control Division
California Air Resources Board
Off-road Diesel Fleet Identification
192061
To verify the authenticity of this certificate. enter this number at http://www.arbca.gov/doors/compliance_cert1 html
hltps://ssl .arb.ca.gov/ssldoors/doors_reporting/perm/php/certificate php Ill Attachment 2

3/20124. 10:51 AM ssl .arb .ca .gov /1rucrs_reportin g/ cert J 4 .ph p

CALIFORNIA

AIR RESOURCES BOARD
Certificate of Reported Compliance With:

Truck and Bus Regulation
Issued to: M ROSE INTERNATIONAL [LC/ 4TH

GENERATION TREE
This certificate confirms that the fleet owner has attested under penalty of perJury that the statementsand information they provided to the California Air Resources Board (GARB) are true, accurate, and complete regarding all relevant.vehides in the fleet required to show compliance. CARB hereby finds that the fleet listed has reported compliance with California Code of Regulations (CCR):

Title 13 CCR 2025 (Truck and Bus Regulation)
If CARB subsequently finds that the stltements and information that have been provided are not true, accurate, and complete, this certifieate shall be effectively revoked and the fleet subJect to noncompliance penalties.

This certificate is valid until December 31 2024 ,
'-��o�·
l,;c:k Kitowski
t)lvl:;/Q11 Chief, Mot:Hle Source Cont, ol
Ulvisio1I (AUfmnia Alf Rl.>SOUIC<eS Board
Printed on 2024-03-20 TRUCRS Fleet Identification
228990 1 Vehicles
To wer1fy the authenticity of this certiilc:ate, visit
www.am.ca ,gov /msprog/onrdlescl/tblookup .php
htlps ://ssl .arb.ca.gov /trucrs_reporting/cert 14.php 1/1 Attachment 2

BID FORM

EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION
(THE BIDDER'S SIGNATURE OF THE BID FORM PROPOSAL SHALL ALSO CONSTITUTE

AN ENDORSEMENT ANO EXECUTION OF THOSE CERT/FICA TIONS WHICH ARE A PART

OF THIS PROPOSAL)
The bidder ---...----,------,-------,----,,-------r----=--.,_,-------· proposed subcontractor AfTL�W\S'\s ,,.J._ \)7 �· a>.-..c../44 � (\�by certifies that he ✓ (has, has not) _, participated in a previous contract or subcontract subject to the equal opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required, he has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements.

Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of $10,000 or under are e,cempt.)
By
Title
Currently, Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations.

Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S.

Department of Labor.
&yLrJL
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Attachment 2

BID FORM

NON LOBBYING CERTIFICATION FOR FEDERAL-AID CONTRACTS
The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that:
(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in accordance with its instructions.

This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code.

Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subrecipients shall certify and disclose accordingly.

By uo
Title
August 2021
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Attachment 2

DEBARMENT AND SUSPENSION CERTIFICATION
TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29

BID FORM
The bidder, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated therewith in the capacity of owner, partner, director, officer, manager:
• 1s not currently under suspension, debarment, voluntary exclusion. or determination of ineligibility by any Federal agency;
• has not been suspended, debarred, voluntarily excluded or determined ineligible by any Federal agency within the past 3 years:
• does not have a proposed debarment pending; and
• has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years.

If there are any exceptions to this c�rtification, insert the exceptions in the following space.

Exceptions will not necessarily result in denial of award, but will be considered in determining bidder responsibility. For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action.

Notes: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification.

By &y�
Title
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-42-
l l
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Attachment 2

Post Bid Submittals for Low Bidders Only
Local Assistance Procedures Manual
Local Agency Bidder DBE Commitment (Construction Contracts)

FEDERAL LABOR STANDARDS CERTIFICATION
(TO BE SIGNED BY THE CONTRACTOR AND ALL SUBCONTRACTORS) The undersigned hereby gives the following certification:

A. I am aware that the work to be completed under this contract is subject to the federal labor standards implementing the statutes listed below and explained in handout HUD-4010(2-84) (attached hereto as part of Exhibit C). I will comply with said federal labor standards. Where federal labor standards differ from the labor standards set forth in California Labor Code, I hereby agree to comply with the more restrictive of the two standards.

1. Davis-Bacon Act (40 USC 276a - 276a-5): requires that, for contracts in excess of $2,000 to which the United States is a party for the construction, alteration, and/or repair, workers receive no less than the prevailing wages being paid for similar work in their locality.

Prevailing wages are computed by the Department of Labor and are issued in the form of federal wage decisions for each classification of work.

2. Copeland "Anti-Kickback" Act (47 USC 276c): requires that worker be paid at least once a week without any deductions or rebates except pennissible deductions, which include taxes, deductions which the wor1<er authorizes in writing, and deductions required by court processes. This act also requires contractors to submit payroll records weekly along with Statements of Compliance to the contracting agency (in this case, the City of Paso Robles).

3. Contract Work Hours and Safety Standards Act (CWHSSAl (40 USC 327-333): requires that workers receive "overtime" compensation at a rate of 1 ½ times their regular hourly wage after they have worked 40 hours in one week.

B. I am aware of the requirements of Section 3 of the HUD Acts of 1968 that I give work opportunities to low income residents and local finns and I certify that I am under no contractual or other disability to prevent me from doing so.
c�5µ�-- IJ..-- -Date-_
'7
f-.�-z..o�(_'/4' __ _
7d0 {!,( I !)tr'/
License Number & Clas 1fication
August 2021
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Attachment 2

BID FORM

DISCLOSURE OF LOBBYING ACTIVITIES
Com . 1352

1. Type of Federal Action: □ 2. Status of Federal Action: □ 3. a. contract a. bid/offer/application
b. grant
c. cooperative agreement
d. loan
e. loan guarantee
f. loan insu<ance

4. �ame and Address of Reporting Entity:

LJ Prime D Subawardee
Congressional District, if known:

6. Federal Department/Agency:

8. Federal Action Number, if kno
10a. ing Entit
b. initial award
c. past-award
/if individual, last name, /, sr name, 1:

11. Amount of Payment (ch
S D actual

12. Form of Payment (che
ii. cash
b. in-kind; specify: nature ___ _.,.. ____ ..,
value
b. materiill change
year ___ quarter ____
date of last reporr
No. 4 is Subawardee, enter name and
I dividuals Performin Services (including address if different fro No. 10a)
I)
Type of Payment le eek all that apply):
a. retainer
b. one-time e
c. Commissio
d. contingent fee
e. Deferred
_ f. other, s ecify

14. Brief Description of Services Pert
member(s) contacted, for Payment I
ed or to be performed and Oate(s) of Service, including officer(s). employee(s), or icated in Item 11:

M1t;,ch Continuation SheP.1/S) if nocessary)

15. Continuation Sheet(s) attached O Yes O No

16. lnfarmalion rcc1ue!i.tcd through lhis; for"' 11J authorized bv itll• 3t i.J S.C Ser,tion 352 This disclosure of lobbving :>ctlvltins f& c,, material representation of fc1r;t upon which relianct: was placed by the tier above •nhen this transaction was ,nade or emered in10. Thi!i disclosure 1!i rcmuirnrl llUt)uHl'\I IO J1 U.S.C. 1352. Thia ir,to,motion will bG 1epotttd 10 1h� r.nngrnt'S :'HHni•mmuallv rJnd wm brt v.:,i1�1bla: for publk. lnspctctlo11 AJ,v p.era,nn who foils hl file th rcquir d di-:c:Jo,vrn shall bo �UbJtU:.r i :i civil J)Gn�l1y of nn1 lur.i; lhan Sl0.000 ftn nol moro than S100,000 lo, em:h ,ut.J, ,,,1,urtt
Federal Use Onl
August2021
DPW 20-20
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-44-
Authorized for Local Reproduction
Standard Form - LLL
00 41 43 - BID FORMS
Attachment 2

Council Agenda Report
From: David Athey, City Engineer
Subject: Second Reading by Title Only and Adoption of Ordinance 1137 of the City Council of the City of Paso Robles, Acting as the Legislative Body of the City of Paso Robles CFC No. 2005- 01 (Public Services) Authorizing the Levy of Special Taxes in such Communit CEQA Determination: The City finds that this action is not a project under the California Environmental Quality Act pursuant to State Guidelines Section State CEQA Guidelines, §§ 15060, subd. (c)(2)-(3), 15378.

Date: April 16, 2024
Facts

1. This is the second reading for an Ordinance establishing a special tax on River Oaks II, Phases 2 through

5. This special tax annexation only applies to the lands within the residential portion of the River Oaks II development.

2. In response to the need for additional funding for public services and consistent with General Plan Policy LU-4A, Action Item 3 requiring fiscal neutrality of new development, the City Council formed the City of Paso Robles Community Facilities District 2005-1 (CFD 2005-1) in 2005, and authorized the levy of special taxes therein, all pursuant to the Mello-Roos Community Facilities Act of 1982 (the “Act”).

3. In order to impose the special taxes, the City Council called an election of the landowners within the territory of the CFD as required by State law.

4. The landowners approved the formation of the CFD and levy of special taxes with over a two-thirds majority vote.

5. The CFD Future Annexation Area was also adopted, to include the remainder of the City.

6. Vintage River Oaks LLC and River Oaks Reserve, LLC (the “Owners”) are developing the River Oaks II project (“Project”) within the boundaries of the Future Annexation Area.

7. A condition of the Vesting Tentative Map for the Project is for the subdivided property to be annexed into CFD 2005-1.

8. The Owners now desire said property to be annexed into the CFD in order to obtain approval of the final tract map for the property.

9. The process needed for an annexation of territory within the Future CFD 2005-1 Annexation Area is expedited under the Act, and the adoption of the resolution attached hereto as Attachment 1 is required to annex the territory into CFD 2005-1.

10. Annexation of Phases 2 through 5 will ensure that future subdivision maps for these phases satisfy the Condition of Approval to annex into CFD 2005-1.

Options

1. Take no action, thereby not approving the ordinance; or

2. Introduce, for Second reading by title only, and adopt Ordinance 1137 of the City Council of the City of El Paso de Robles acting as the legislative body of the City of Paso Robles Community Facilities

District No. 2005-01 (public services), authorizing the levy of special taxes in such community facilities district, including annexation territory; or

3. Refer the item back to staff for additional analysis.

Analysis and Conclusions
General Plan Policy LU-4A - Action Item 3, requires the fiscal neutrality of all new development; in other words, new development must pay the full cost of all the public services needed for the development.

Otherwise, the cost of these additional services would have to be paid by existing City property owners and residents. Annexation to CFD 2005-1 is necessary to mitigate the projected fiscal impacts of new residential development on the City General Fund. The Owners’ property is required to be annexed into CFD 2005-1, consistent with City Council Resolution 06-054.

The Ordinance to Levy Special taxes needs to be approved to ensures future approvals of Final Maps for River Oaks II will be annexed into CFD 2005-1, consistent with project Conditions of Approvals.

Fiscal Impact
The fiscal impact is neutral, consistent with General Plan Policy LU-4A - Action Item 3. The annexation of this property to the CFD will allow for the levy of special taxes on the property to offset future service impacts to the General Fund. The City will be reimbursed for the costs of the CFD annexation process.

CEQA
The City finds that this action is not a project under the California Environmental Quality Act pursuant to State Guidelines Section State CEQA Guidelines, §§ 15060, subd. (c)(2)-(3), 15378.

Recommendation (Option 2)
Introduce, for second reading by title only, and adopt Ordinance 1137 of the City Council of the City of El Paso de Robles acting as the legislative body of the City of Paso Robles Community Facilities District No. 2005-01 (public services), authorizing the levy of special taxes in such community facilities district, including annexation territory.

Attachments

1. Ordinance N.S. 1137 – Annexation No. 62 to Paso Robles CFD No. 2005-1

Attachment 1
ORDINANCE 1137 N.S.

AN ORDINANCE OF THE CITY COUNCIL OF THE CITY OF EL PASO DE ROBLES, CALIFORNIA,

ACTING AS THE LEGISLATIVE BODY OF THE CITY OF PASO ROBLES COMMUNITY FACILITIES DISTRICT NO. 2005-01 (PUBLIC SERVICES), COUNTY OF SAN LUIS OBISPO, STATE OF CALIFORNIA, AUTHORIZING

THE LEVY OF SPECIAL TAXES IN SUCH COMMUNITY FACILITIES DISTRICT, INCLUDING ANNEXATION TERRITORY, FOR RIVER OAKS II PHASES 2-5
WHEREAS, in response to the need for additional funding for public services, the City Council formed the City of Paso Robles Community Facilities District 2005-1 (CFD 2005-1) and authorized the levy of special taxes therein, all pursuant to the Mello-Roos Community Facilities Act of 1982; and WHEREAS, in connection therewith, the City Council called an election of the landowners within the territory of the CFD regarding the levy of special taxes in the territory; and WHEREAS, the landowners approved the formation of the CFD and levy of special taxes with over a twothirds majority vote of the voters voting; and WHEREAS, the CFD Future Annexation Area was adopted and included the remainder of the City; and WHEREAS, Vintage River Oaks LLC and River Oaks Reserve, LLC (the “Owners”) are developing the River Oaks II project (“Project”) within the boundaries of the Future Annexation Area; and WHEREAS, a condition of the Vesting Tentative Map for the Project is for the subdivided property to be annexed into CFD 2005-1; and
WHEREAS, the Owners now desire said property to be annexed into the CFD (the “Annexation Territory”) in order to obtain approval of the final tract map for the property; and WHEREAS, the process needed for an annexation of territory within the Future Annexation Area to the CFD is expedited under the Act, and the adoption of this ordinance is required to annex the territory into CFD 2005-1; and
WHEREAS, annexation of Phases 2 through 5 will ensure that future subdivision maps for these phases satisfy the Condition of Approval to annex into CFD 2005-1.

NOW THEREFORE, THE CITY COUNCIL OF THE CITY OF EL PASO DE ROBLES DOES HEREBY ORDAIN AS FOLLOWS:

Section 1. All of the above recitals are true and correct and are incorporated herein by reference.

Section 2. The City Council does, by the passage of this ordinance, authorize the levy of special taxes within CFD 2005-1, including the Annexation Territory, pursuant to Article 3.5 of the Act and that certain Amended and Restated Rate and Method of Apportionment as set forth in Appendix “A”

Attachment 1
attached hereto and incorporated herein by this reference (the “Rate and Method”). Special taxes have previously been levied within the original boundaries of the CFD 2005-1 and all previously annexed territory thereto.

Section 3. The City Council, acting as the legislative body of CFD 2005-1, or the City Manager, is hereby further authorized to annually determine the special tax to be levied within CFD 2005-1 and the Annexation Territory for the then-current tax year or future tax years; provided, however, the special tax to be levied shall not exceed the maximum special tax authorized to be levied pursuant to the Rate and Method.

Section 4. The special taxes herein authorized to be levied, to the extent possible, shall be collected in the same manner as ordinary ad valorem property taxes and shall be subject to the same penalties and the same procedure, sale, and lien priority in any case of delinquency as applicable for ad valorem property taxes; provided, however, CFD 2005-1 may, by resolution, elect to collect the special taxes at a different time or in a different manner if necessary to meet its financial obligations. The City Manager, or his or her designee, is hereby authorized and directed to provide all necessary information to the auditor/tax collector of the County of San Luis Obispo in order to effect proper billing and collection of the special tax, so that the special tax shall be included on the secured property tax roll of the County of San Luis Obispo for each applicable fiscal year.

Section 5. The special taxes authorized to be levied shall be secured by the lien imposed pursuant to Section 3114.5 and 3115.5 of the California Streets and Highways Code, which lien shall be a continuing lien and shall secure each levy of the special taxes. The lien of the special tax shall continue in force and effect until the special tax obligation is canceled in accordance with law or until the special tax ceases to be levied by the City Council. If for any reason any portion of this Ordinance is found to be invalid, or if the special tax is found inapplicable to any particular parcel within CFD 2005-1, including the Annexation Territory, by a court of competent jurisdiction, the balance of this Ordinance and the application of the special tax to the remaining parcels within CFD 2005-1, including the Annexation Territory, shall not be affected.

Section 6. The City finds that this action is not a project under the California Environmental Quality Act pursuant to State CEQA Guidelines, §§ 15060, subd. (c)(2)-(3), 15378.

Section 7. Severability. If any section, subsection, sentence, clause, phrase or portion of this ordinance, or the application thereof to any person or circumstances, is for any reason held invalid or unconstitutional, such decision shall not affect the validity of the remaining portions of this ordinance.

Attachment 1
Section 8. Effective Date. This Ordinance shall be in full force and effect 30 days after its passage and adoption as provided by Government Code Section 36397.

Section 9. Publication. The City Clerk shall certify to the passage of this Ordinance by the City Council of the City of El Paso de Robles, California, and cause a summary of the Ordinance to be published once within 15 days after passage in a newspaper of general circulation published and circulated in the City in accordance with Government Code Section 36933.

INTRODUCED at a regular meeting of the City Council held on April 2, 2024, for first reading by the City Council of the City of El Paso de Robles, and adopted on the 16th day of April, 2024, by the following vote:

AYES:

NOES:

ABSTAIN:

ABSENT:
_____________________________________
John R. Hamon, Jr., Mayor
ATTEST:
__________________________________________
Melissa Boyer, City Clerk

82472.04025\42024580.2
Attachment 2
A-1

APPENDIX A
Amended and Restated
Rate and Method of Apportionment of Special Tax
City of El Paso De Robles
Community Facilities District No. 2005-01
(Public Services District)
A Special Tax as hereinafter defined shall be levied on all Assessor’s Parcels in City of El Paso De Robles Community Facilities District No. 2005-01 (Public Services District) (“CFD No. 2005-1”) and collected each Fiscal Year commencing in Fiscal Year 2005-06, in an amount determined by the Council through the application of the appropriate Special Tax for “Developed Property,” as described below. All of the real property in CFD No. 2005-1, unless exempted by law or by the provisions hereof, shall be taxed for the purposes, to the extent and in the manner herein provided.

A. DEFINITIONS
The terms hereinafter set forth have the following meanings:
“Act” means the Mello-Roos Community Facilities Act of 1982, as amended being Chapter 2.5, Division 2 of Title 5 of the Government Code of the State of California. “Administrative Expenses” means the following actual or reasonably estimated costs directly related to the administration of CFD No. 2005-1: the costs of computing the Special Taxes and preparing the annual Special Tax collection schedules (whether by the City or any designee thereof or both); the costs of collecting the Special Taxes (whether by the City or otherwise); the costs to the City, CFD No. 2005-1 or any designee thereof of complying with City, CFD No. 2005-1 or obligated persons disclosure requirements associated with the Act; the costs associated with preparing Special Tax disclosure statements and responding to public inquiries regarding the Special Taxes; the costs of the City, CFD No. 2005-1 or any designee thereof related to an appeal of the Special Tax; and the City’s annual administration fees and third party expenses.

Administrative Expenses shall also include amounts estimated or advanced by the City or CFD No. 2005-1 for any other administrative purposes of CFD No. 2005-1, including attorney’s fees and other costs related to commencing and pursuing to completion any foreclosure of delinquent Special Taxes.
“Assessor’s Parcel” means a lot or parcel shown on an Assessor’s Parcel Map with an assigned Assessor’s Parcel number.
“Assessor’s Parcel Map” means an official map of the Assessor of the County designating parcels by Assessor’s Parcel number.
“Attached Residential” means an Assessor’s Parcel within the CFD for which a Building Permit has been issued for purposes of constructing a residential structure or structures sharing common walls consisting of two or more Dwelling Units, including, but not limited to duplexes, triplexes, and apartment units, as of March 1st preceding the Fiscal Year in which the Special Tax is being levied.

82472.04025\42024580.2
Attachment 1
A-2
“Blended Consumer Price Index” means the sum of the Los Angeles Urban Consumer Price Index and the San Francisco Urban Consumer Price Index, divided by two. “CFD Administrator” means an official of the City, or any designee thereof, responsible for determining the Special Tax Requirement and providing for the levy and collection of the Special Taxes.
“CFD No. 2005-1” means City of El Paso De Robles Community Facilities District No. 2005-01 (Public Services District).
“City” means the City of El Paso De Robles.
“Council” means the City Council of the City, acting as the legislative body of CFD No. 2005-1. “County” means the County of San Luis Obispo.
“Detached Residential” means an Assessors’ Parcel within the CFD for which a Building Permit has been issued for purposes of constructing a residential structure consisting of one single-family detached Dwelling Unit, including Mobile Homes, as of March 1st preceding the Fiscal Year in which the Special Tax is being levied.
“Developed Property” means, for each Fiscal Year, all Assessor’s Parcels of Residential Property for which a building permit has been issued on or after April 1, 2005. “Dwelling Unit” means a building or portion thereof designed for and occupied in whole or part as a residence or sleeping place, either permanently or temporarily, by one family and its guests, with sanitary facilities and one kitchen provided within the unit. Boarding or lodging houses, dormitories, and hotels shall not be defined as Dwelling Units unless the land use permit specifies a residential use.
“Fiscal Year” means the period starting July 1 and ending on the following June 30. “Land Use Class” means any of the classes listed in Table 1 and Table 2. “Los Angeles Urban Consumer Price Index” means, for each Fiscal Year, the Consumer Price Index published by the U.S. Bureau of Labor Statistics for All Urban Consumers in the Los Angeles - Anaheim - Riverside Area, measured as of the month of December in the calendar year which ends in the previous Fiscal Year. In the event this index ceases to be published, the Consumer Price Index shall be another index as determined by the CFD Administrator that is reasonably comparable to the Consumer Price Index for the City of Los Angeles. “Maximum Special Tax” means, for each Fiscal Year, the maximum Special Tax, determined in accordance with Section C, below, that can be levied on any Assessor’s Parcel. “Non-Residential Property” means, for each Fiscal Year, all Assessor’s Parcels of Developed Property for which a building permit was issued on or after April 1, 2005 for a non-residential use.

82472.04025\42024580.2
Attachment 1
A-3
“Property Owner Association Property” means, for each Fiscal Year, any Assessor’s Parcel within the boundaries of CFD No. 2005-1 that is owned by or irrevocably offered for dedication to a property owner association, including any master or sub-association. “Proportionately” means that the ratio of the actual annual Special Tax levy to the Maximum Special Tax is equal for all Assessor’s Parcels of Developed Property. “Public Property” means, for each Fiscal Year, (i) any property within the boundaries of CFD No. 2005-1 that is owned by or irrevocably offered for dedication to the federal government, the State, the City or any other public agency; provided however that any property leased by a public agency to a private entity and subject to taxation under Section 53340.1 of the Act, as such section may be amended or replaced, shall be taxed and classified in accordance with its use; or (ii) any property within the boundaries of CFD No. 2005-1 that is encumbered by an unmanned utility casement making impractical its utilization for other than the purpose set forth in the easement. “Residential Property” means, for each Fiscal Year, all Assessor’s Parcels of Developed Property for which a building permit was issued on or after March 1, 2005 for purposes of constructing one or more residential Dwelling Units.
“San Francisco Urban Consumer Price Index” means, for each Fiscal Year, the Consumer Price Index published by the U.S. Bureau of Labor Statistics for All Urban Consumers in the San Francisco — Oakland - San Jose Area, measured as of the month of December in the calendar year that ends in the previous Fiscal Year. In the event this index ceases to be published, the Consumer Price Index shall be another index as determined by the CFD Administrator that is reasonably comparable to the Consumer Price Index for the San Francisco — Oakland - San Jose Area. “Services” means those services authorized to be financed by CFD No. 2005-1 pursuant to Section 53313 and Section 53313.5 of the Act. CFD No. 2005-1 shall finance Services only to the extent that they are in addition to those provided in the territory of CFD No. 2005-1 before the CFD was created and such Services may not supplant services already available within CFD No. 2005-1 when the CFD was created.
“Special Tax” means the special tax to be levied in each Fiscal Year on each Assessor’s Parcel of Developed Property to fund the Special Tax Requirement. “Special Tax Requirement” means that amount to be collected in any Fiscal Year for CFD No. 20051 to pay for certain costs as required to meet the needs of the CFD in that Fiscal Year. The costs to be covered shall be the direct costs for (i) Services, and (ii) Administrative Expenses; less (iii) a credit for funds available to reduce the annual Special Tax levy, if any, as determined by the CFD Administrator. Under no circumstances shall the Special Tax Requirement include debt service payments for debt financings by CFD No. 2005-1.
“State” means the State of California.
“Undeveloped Property” means, for each Fiscal Year, all property not. classified as Developed Property, Non-Residential Property, Property Owner Association Property, or Public Property.

B. ASSIGNMENT TO LAND USE CATEGORIES

82472.04025\42024580.2
Attachment 1
A-4
Each Fiscal Year, all Assessor’s Parcels, as applicable within CFD No. 2005-1, shall be classified as Developed Property, Non-Residential Property, Undeveloped Property, Property Owner Association Property, or Public Property. However, only Developed Property shall be subject to annual Special Taxes in accordance with the rate and method of apportionment determined pursuant to Sections C and D below. All Developed Property shall be assigned to Land Use Class

1. C. MAXIMUM SPECIAL TAX RATE

1. Developed Property
a. Maximum Special Tax 2005-06 to 2016-17
The Maximum Special Tax for Fiscal Year 2005-06 for Developed Property is shown below in Table

1. Such Special Taxes shall only be levied for new structures on Residential Property. However, under no circumstances shall a Special Tax be levied on additions to existing Dwelling Units.

TABLE 1
Maximum Special Taxes for Developed Property
Established for Fiscal Year 2005-06
Community Facilities District No. 2005-1
Land Use Class Land Use Maximum Special Tax Per Dwelling Unit
1 Residential Property $657.00 per Dwelling Unit
Multiple Land Use Classes
In some instances, an Assessor’s Parcel of Developed Property may contain more than one Land Use Class. The Maximum Special Tax that can be levied on an Assessor’s Parcel shall be the sum of the Maximum Special Taxes that can be levied for all Land Use Classes located on that Assessor’s Parcel.

Increase in the Maximum Special
On each July 1, commencing on July 1, 2006, the Maximum Special Tax for Developed Property shall be increased annually by the greater of the change in the Blended Consumer Price Index during the twelve months prior to December of the previous Fiscal Year, or two percent (2%).

82472.04025\42024580.2
Attachment 1
A-5
The table below represents the Maximum Special Tax for each fiscal year from 2005-06 to 2016-

17. b. Maximum Special Tax 2017-18 and subsequent fiscal years The Maximum Special Tax for Fiscal Year 2017-18 and subsequent fiscal years for Developed Property is shown below in Table 2. Such Special Taxes shall only be levied for new structures on Detached Residential and Attached Residential property. However, under no circumstances shall a Special Tax be levied on additions to existing Dwelling Units.

TABLE 2
Maximum Special Taxes for Developed Property
Established For Fiscal Year 2017-18
Community Facilities District No. 2005-1
Land Use Class Land Use Maximum Special Tax Per Dwelling Unit1 1 Detached Residential $883.63 per. Dwelling Unit
2 Attached Residential $122.00 per Dwelling Unit
Multiple Land Use Classes
In some instances, an Assessor’s Parcel of Developed Property may contain more than one Land Use Class. The Maximum Special Tax that can be levied on an Assessor’s Parcel shall be the sum

1 Subject to annual increases, as authorized herein
Fiscal Year
Maximum Special
Tax Per Dwelling
Unit
Escalation
Applied
Greater of:

2.00% Blended
CPI
2005-06 $657.00
2006-07 $678.06 3.21% 2.00% 3.21%
2007-08 $700.87 3.36% 2.00% 3.36%
2008-09 $728.94 4.00% 2.00% 4.00%
2009-10 $743.51 2.00% 2.00% 0.07%
2010-11 $760.04 2.22% 2.00% 2.22%
2011-12 $775.24 2.00% 2.00% 1.43%
2012-13 $795.02 2.55% 2.00% 2.55%
2013-14 $811.54 2.08% 2.00% 2.08%
2014-15 $827.77 2.00% 2.000
/0 1.86%
2015-16 $844.32 2.00% 2.00% 1.70%
2016-17 $866.31 2.60% 2.00% 2.60%

82472.04025\42024580.2
Attachment 1
A-6
of the Maximum Special Taxes that can be levied for all Land Use Classes located on that Assessor’s Parcel.

Increase in the Maximum Special Tax
On each July 1, commencing on July 1, 2017, the Maximum Special Tax for Developed Property shall be increased annually by the greater of the change in the Blended Consumer Price Index during the twelve months prior to December of the previous Fiscal Year, or two percent (2%).

2. Undeveloped Property
No Special Taxes shall be levied on Undeveloped Property.

D. METHOD OF APPORTIONMENT OF THE SPECIAL TAX
Commencing with Fiscal Year 2005-06 and for each following Fiscal Year, the Council shall levy the annual Special Tax Proportionately for each Assessor’s Parcel of Developed Property at up to 100% of the applicable Maximum Special Tax, until the amount of Special Taxes equals the Special Tax Requirement.

E. EXEMPTIONS
In addition to Undeveloped Property being exempt from annual Special Taxes, no Special Tax shall be levied on Non-Residential Property, Public Property or Property Owner Association Property.

However, should an Assessor’s Parcel no longer he classified as Non-Residential Property, Public Property or Property Owner Association Property, such Assessor’s Parcel shall, upon each reclassification, no longer be exempt from Special Taxes.

F. APPEALS AND INTERPRETATIONS
Any landowner or resident may file a written appeal of the Special Tax on his/her property with the CFD Administrator, provided that the appellant is current in his/her payments of Special Taxes.

During the pendency of an appeal, all Special Taxes previously levied must be paid on or before the payment date established when the levy was made. The appeal must specify the reasons why the appellant claims the Special Tax is in error. The CFD Administrator shall review the appeal, meet with the appellant if the CFD Administrator deems necessary, and advise the appellant of its determination. If the CID Administrator agrees with the appellant, the CFD Administrator shall eliminate or reduce the Special Tax on the appellant’s property and/or provide a refund to the appellant. If the CFD Administrator disagrees with the appellant and the appellant is dissatisfied with the determination, the appellant then has 30 days in which to appeal to the Council by filing a written notice of appeal with the City Clerk, provided that the appellant is current in his/her payments of Special Taxes. The second appeal must specify the reasons for the appellant’s disagreement with the CID Administrator’s determination. The CFD Administrator may charge the appellant a reasonable fee for processing the appeal. Interpretations may be made by the Council by ordinance or resolution for purposes of clarifying any vagueness or ambiguity in this Rate and Method of Apportionment.

82472.04025\42024580.2
Attachment 1
A-7
G. MANNER OF COLLECTION
The annual Special Tax shall be collected in the. same manner and at the same time as ordinary ad valorem property taxes; provided, however, that CFD No. 2005-1 may directly bill the Special Tax, may collect Special Taxes at a different time or in a different manner if necessary to meet its financial obligations.

H. TERM OF SPECIAL TAX
The Special Tax shall be levied in perpetuity as necessary to meet the Special Tax Requirement.

Council Agenda Report
From: David Athey, Acting City Engineer/Water Resources Manager Subject: Acceptance of Final Map of Tract 3105-2 (Phase 2) for Recordation (The Vintage at River Oaks II)
CEQA Determination: The City finds that this action is not a project under the California Environmental Quality Act pursuant to State Guidelines Section State CEQA Guidelines, §§ 15060, subd. (c)(2)-(3), 15378.

Date: April 16, 2024
Facts

1. Dennis Moresco, representing The Vintage at River Oaks II, LLC (Applicant), is requesting that the Final Map for Tract 3105-Phase 2 (Attachment 1), be accepted for recordation.

2. On August 8, 2017, the Planning Commission approved the Phased Vesting Tentative Map 3105.

3. Phased Vesting Tentative Map 3105 is comprised of five phases of 271 residential lots, including 24 open-space and three road lots. Phase 2 includes 69 single-family residential lots. Phases 3 through 6 include the remaining 129 lots.

4. The Applicant is conditioned to construct public improvements for roads prior to Final Map recordation. The public improvements consist of water, recycled water, and sewer facilities.

5. The Applicant is requesting that the Final Map be recorded prior to installation of the public improvements. This is allowed per the City’s Municipal Code, if the Applicant signs a Subdivision Improvement Agreement and submits financial securities to guarantee the construction.

6. The Applicant has agreed to this condition, and has submitted a signed Subdivision Improvement Agreement (Exhibit A, Attachment 2), as well as a cash deposit as the financial assurance.

7. The lots must also be annexed into the City’s Community Facilities District (CFD) 2005-1. The City previously annexed the parent parcel into the CFD on April 2, 2024. The new lots created by this map will be automatically subject to the CFD tax because of the previous annexation.

8. The Applicant previously submitted Covenants, Conditions, and Restrictions (CCRs), and a tract maintenance mechanism for recordation with the Phase 1 Final Map. The Applicant has submitted evidence that Phase 2 is annexed into the CCRs.

9. The Applicant previously provided a signed agreement to connect to recycled water if offered by the City.

Options

1. Take no action; or

2. Approve the Final Map acceptance and authorize the City Manager to sign the Subdivision Improvement Agreement with The Vintage at River Oaks II, LLC to facilitate Final Map recordation; or

3. Refer back to staff for additional analysis.

Analysis and Conclusions
The Vintage at River Oaks II is currently grading and constructing Phase 2 infrastructure improvements to support the construction of the 69 single family units. The Applicant has filed a final map with the City and

is now requesting that the map be recorded. However, the Applicant must first demonstrate compliance with the project’s conditions of approval in order to receive approval to record the map. The conditions of approval include construction of water, recycled water, sewer, and offsite intersection improvements.

The City Engineer and City Surveyor have reviewed the Final Map and have determined that it is technically correct and ready to record pending a Subdivision Improvement Agreement, which is submitted in connection with this item.

A Subdivision Improvement Agreement allows the Applicant to record the final map prior to installing the improvements; the improvements still need to be constructed, they are simply delayed in accordance with the terms of the Agreement. As such, the Improvement Agreement includes financial securities that ensure improvements are completed even if the project is abandoned. The Applicant is using cash monies as the financial security. The City’s Municipal Code and the Subdivision Map Act allow for this type of Subdivision Improvements Agreement, and the proposed Subdivision Improvement Agreement submitted in this case is reasonable and appropriate. The Applicant has reviewed the Subdivision Improvement Agreement and agrees with the terms. (The Agreement is included as Exhibit A in Attachment 2.) Fiscal Impact
There is no fiscal impact as resulting from Tract 3105-2 recordation. The Tract’s fiscal impact on City Services is offset by the CFD tax levied on each lot and any other costs associated with this recordation are reimbursed by the Applicant.

CEQA
The City finds that this action is not a project under the California Environmental Quality Act pursuant to State Guidelines Section State CEQA Guidelines, §§ 15060, subd. (c)(2)-(3), 15378.

Recommendation (Option 2)
Approve Resolution 24-XXX:

1. Accepting Final Tract Map 3105-2 for Recordation and authorizing execution and recordation of the Final Map for Tract 3105-2, accepting the public offers of dedication listed in the Owner’s Statement, and directing the City Clerk to state the following on the map “I, Melissa Boyer, City Clerk of the City of El Paso de Robles, California, hereby state that the City Council of the aforesaid city did, on 16th of April, 2024, approve the map of Tract 3105 shown hereon, in accordance with the provisions of the Subdivision Map Act and Local Ordinances, and further that there is accepted on behalf of the public certain public water and sewer easements delineated on this map, public utility easements or “PUE” delineated on this map for public use and benefit of the several public utility companies which are authorized to serve in said subdivision, public gas easements delineated on said map, and emergency fire access easement delineated on said map; and the city also hereby accepts the abandonment of the public utility easement noted on this map; and

2. Approving a Subdivision Improvement Agreement, directing the City Manager to sign the Subdivision Improvement Agreement, and authorizing the City Attorney to correct any non-substantive errors in the document.

Attachments

1. Final Map 3105-2

2. Resolution 24-XXX – Accepting Final Map Tract 3105-2 for recordation and approving Subdivision Improvement Agreement

ATTACHMENT 1

ATTACHMENT 1

ATTACHMENT 1

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ATTACHMENT 1

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ATTACHMENT 1

ATTACHMENT 1

Attachment 2
RESOLUTION 24-XXX

RESOLUTION OF THE CITY COUNCIL OF THE CITY OF EL PASO DE ROBLES APPROVING THE FINAL MAP TRACT 3105-2 (PHASE 2) AND SUBDIVISION

IMPROVEMENT AGREEMENT
TRACT 3105-2

THE VINTAGE AT RIVER OAKS II, LLC
WHEREAS, the Planning Commission approved Phased Vesting Tentative Map 3105, on August 8, 2017; and
WHEREAS, Phased Vesting Tentative Map 3105 is comprised of five phases of 271 residential lots, 24 open-space and three road lots. Phase 2 includes 69 single-family residential lots. Phases 3-5 include the remaining 129 lots; and
WHEREAS, the Vintage At River Oaks II LLC (Applicant) is conditioned to construct public improvements for roads prior to Final Map recordation. The public improvements consist of water, recycled water, sewer, and offsite road facilities; and
WHEREAS, the Applicant is requesting that the Final Map be recorded prior to installation of the public improvements. This is allowed per the City’s Municipal Code, and state subdivision law, if the Applicant signs a Subdivision Improvement Agreement (Improvement Agreement) and submits financial securities to guarantee the construction; and
WHEREAS, the Applicant is requesting that the City enter into a subdivision improvement agreement for the public improvements and monumentation and has provided financial assurances; and WHEREAS, the Applicant has submitted a signed Subdivision Improvement Agreement (Exhibit 1) and has submitted cash monies as the financial assurances; and WHEREAS, City staff has reviewed the final tract map and finds it to be in substantial conformance with the approved tentative map and technically correct.

NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF EL PASO DE ROBLES DOES HEREBY RESOLVE AS FOLLOWS:

Section 1. All of the above recitals are true and correct and incorporated herein by reference.

Section 2. The City Council hereby approves the final map for Tract 3105-1 and authorizes the execution and recordation of the final map.

Section 3. The City Council of the City of Paso Robles accepts the public offers of dedications, delineated on said map, to the terms of offer of dedication by the parties have a record title interest in said land.

Section 4. The City Council directs the City Manager to sign the Subdivision Improvement Agreement and authorizes the City Attorney to correct any non-substantive errors in the documents, included as Exhibit A.

Section 5. The City Council finds that this action is not a project under the California Environmental Quality Act pursuant to State Guidelines Section State CEQA Guidelines, §§ 15060, subd. (c)(2)-(3), 15378
APPROVED this 16
th day of April 2024, by the following vote:

AYES:

NOES:

ABSENT:

ABSTAIN:

John R. Hamon, Jr., Mayor
ATTEST:

Melissa Boyer, City Clerk
Exhibit A – Subdivision Improvement Agreement

Exhibit A
Subdivision Improvement Agreement

Exhibit A

Exhibit A

Exhibit A

Exhibit A

Exhibit A

Exhibit A

Exhibit A

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Exhibit A

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Exhibit A

Council Agenda Report
From: Dante Pecchenino, Senior Development Review Engineer Subject: Authorization to Execute Beechwood Specific Plan Development Agreement Operating Memorandum No. 1 Landscape Area Maintenance
CEQA Determination: The Beechwood Specific Plan and Development Agreement were analyzed as part of the Beechwood Specific Plan Final Environmental Impact Report SCH#2018061064, the modifications to the Project detailed in the Operating Memo have been determined to be consistent with the previously approved EIR and associated Mitigation Monitoring and Reporting Program and there are no additional environmental impacts. As such, no additional CEQA review is required.

Date: April 16, 2024
Facts

1. The Beechwood Specific Plan (BWSP), Development Agreement (DA) and Environmental Impact Report (EIR) were approved by City Council on October 6, 2020.

2. Increasing the supply of both single-family residential (SFR) and multi-family residential (MFR) housing production is one of the City Council Adopted Goals for Fiscal Years 2022-2024.

3. The BWSP allows 911 SFR and MFR residential units to be built consistent with the EIR’s Mitigation Monitoring and Reporting Program (MMRP), which requires project impacts to be mitigated to a level of less than significant.

4. The Beechwood property owners are proposing an adjustment to the Development Agreement in the form of an “Operating Memo”,that would alter who is responsible for the maintenance of landscaping in portions of the right-of-way. This does not alleviate the requirement for landscaping improvements from being installed, only changing the responsibility of maintenance of said landscape from the Homeowners Association to the individual homeowner.

5. The City Manager is authorized by the terms of the DA to approve Operating Memos but is seeking City Council concurrence.

Community Outreach
The BWSP included a public outreach process including an open house, a 45-day public EIR circulation, and public hearings at both Planning Commission and City Council.

Options

1. Take no action;

2. Authorize the City Manager to execute Beechwood Specific Plan Operating Memo No. 1;

3. Provide alternative direction to staff.

Analysis and Conclusions
The Beechwood property owners have been working since 2020 to start construction of the BWSP. The specific plan requires the developers to establish a homeowner’s association(s) for the ongoing

maintenance of certain improvements including landscaping in the public right-of-way. The proposed operating memo will help define the financial responsibilities for establishing the homeowner’s association with the California Department of Real Estate.

The area to be maintained by individual homeowners would be on local streets at back of sidewalk. The following image depicts the area in question and shows how the minimal space at back of sidewalk will blend into the property owners’ onsite landscape. All parties have the understanding that any landscape that is between a perimeter wall and
sidewalk will be maintained by the
HOA. The City of Paso Robles will not
be responsible for landscape
maintenance in these areas.

Landscape area in ROW
to be maintained by
private homeowner
Landscape area in ROW
to be maintained by
private homeowner

Staff has analyzed the request and determined Operating Memo No. 1 is consistent with the EIR and is a reasonable request that will help to facilitate the construction of needed housing units.

Fiscal Impact
The operating memo will affect the distribution of financial responsibilities between the homeowner’s association and private property owners. The City of Paso Robles will not be responsible for landscape maintenance in these areas and therefore no fiscal impact on the City would occur.

CEQA
The Beechwood Specific Plan and Development Agreement were analyzed as part of the Beechwood Specific Plan Final Environmental Impact Report SCH#2018061064. The modifications to the Project detailed in the Operating Memo have been determined to be consistent with the previously approved EIR and associated Mitigation Monitoring and Reporting Program and there are no additional environmental impacts. As such, no additional CEQA review is required.

Recommendation (Option 2)
Authorize the City Manager to execute Beechwood Specific Plan Operating Memo No. 1.

Attachments

1. Beechwood Specific Plan Operating Memo No. 1

Attachment 1

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Council Agenda Report
From: Jonathan Stornetta, Fire Chief
Subject: Adoption of a Resolution Approving the 2024 Emergency Operations Plan CEQA Determination: The City finds that this action is not a project under the California Environmental Quality Act pursuant to State Guidelines Section State CEQA Guidelines, §§ 15060, subd. (c)(2)-(3), 15378.

Date: April 16, 2024
Facts

1. The Director of Emergency Services has delegated to the Fire Chief the review, maintenance, and updating of the City’s Emergency Operations Plan (EOP).

2. The EOP is an all-hazards document describing the Paso Robles incident management organization, compliance with relevant legal statutes, and critical components of the incident management structure.

3. The EOP stablishes an incident management organization for Paso Robles which will coordinate and support on-scene responses including maintenance of situational awareness, facilitation of effective communication between operations centers at various levels of government and maintain continuity of government.

4. The EOP contains operational concepts associated with the management of incidents, emergencies, crises, disasters, and catastrophes within the City, including earthquake, hazardous materials incidents, mass casualty incidents, civil disturbance, terrorist events, wildland fires, adverse weather, utility disruptions, and public health issues.

5. The EOP continues the City of Paso Robles’ compliance with the Standardized Emergency Management System (SEMS), the National Incident Management System (NIMS), the Incident Command System (ICS), the National Response Framework (NRF), and the National Preparedness Guidelines.

6. The EOP also serves as the legal and conceptual framework for incident management to be utilized by the City of Paso Robles and its various departments within municipal government and establishes the emergency organization, assigns tasks, specifies policies and general procedures, and provides for coordination of planning efforts for respective staff.

7. The Fire Chief has prepared this EOP to ensure the most effective and efficient allocation of resources for the maximum benefit and protection of the civilian population during times of emergency.

Options

1. Take no action;

2. Adopt Resolution 24-XXX approving the 2024 City of Paso Robles Emergency Operations Plan formally known as the Emergency Response Plan.

3. Amend or modify option 2.

4. Provide alternative direction to staff.

Analysis and Conclusions
Chapter 2.24 of the Paso Robles Municipal Code addresses the emergency organization and functions with the City. Specifically, this Chapter is intended to provide for the preparation and carrying out of plans for the protection of persons and property within the City in the event of an emergency. The City’s Disaster Council is charged with the adoption of emergency and mutual aid plans and agreements and to recommend to the City Council ordinances and resolutions necessary or desired to implement the plans and agreements.

This City of Paso Robles Emergency Operations Plan (EOP) provides a comprehensive, single source of guidance and procedure for the City to prepare for, respond to, and manage significant or catastrophic natural or man-made threats, crises, incidents, or events that produce situations requiring a coordinated response.

This EOP is intended to conform to the requirements of the National Incident Management System (NIMS), Standardized Emergency Management System (SEMS), Incident Command System (ICS), and the California State Emergency Plan for managing response to multi-agency and multi-jurisdictional incidents, and to be consistent with federal and state emergency plans and guidance documents.

This EOP is intended as a concept of collaboration and consistency amongst various internal departments and their specific incident management plans, procedures, functions, and capabilities. As such, the EOP is flexible enough to use in all incident types and will facilitate short-term recovery activities.

In the event of an emergency or disaster, the City’s primary responsibility is to maximize the safety of the public, to minimize property and environmental damage, and ensure the continuity of government. To aid in accomplishing this goal, the City has adopted the principles of SEMS, NIMS, and ICS so that responses to such conditions are done in the most organized, efficient, and effective manner possible and are used to manage and control the response operations.

The EOP consists of a series of threat summaries based upon a hazard analysis. This hazard analysis provides a description of the local area, risk factors, and the anticipated nature of situations, which could threaten or occur in the city. The following identified threats are discussed:
• Major Earthquake
• Hazardous Materials
• Multiple Casualty Incidents
• Transportation
• Fire
• Civil Disturbance – Terrorism – Active Shooter
• Adverse Weather Events
• Utility Disruption
• Infectious Disease Response
• San Luis Obispo County Nuclear Power Plant Emergency Response Plan The City’s municipal code (2.24.040) outlines the power and duties of the Disaster Council. The Disaster Council includes both Public Safety Chiefs, Mayor, and Emergency Services Director (City Manager). The Disaster Council is empowered to adopt emergency plans prior to seeking City Council approval of any additional follow up measures to implement the emergency plans. The Disaster Council met on March 18, 2024, to review the 2024 - Emergency Operations Plan. The Disaster Council hereby recommends the City Council adopt the 2024 - Emergency Operations Plan.

Fiscal Impact
There is no fiscal impact by approving the 2024 - Emergency Operations Plan.

CEQA
The City finds that this action is not a project under the California Environmental Quality Act pursuant to State Guidelines Section State CEQA Guidelines, §§ 15060, subd. (c)(2)-(3), 15378.

Recommendation
Approve Resolution 24-XXX, approving the 2024 Emergency Operations Plan formally known as the Emergency Response Plan.

Attachments

1. 2024 Emergency Operations Plan

2. Resolution 24-XXX approving the 2024 Emergency Operations Plan

CITY OF EL PASO DE ROBLES
Emergency
Operations
Plan
APRIL 2, 2024
Attachment 1

EXECUTIVE SUMMARY
The City of Paso Robles Emergency Operations Plan (EOP) is an all-hazards document describing the Paso Robles incident management organization, compliance with relevant legal statutes, other relevant guidelines, whole community engagement, continuity of government focus, and critical components of the incident management structure. The incident management system is a component-based system designed to be scaled up and components activated as necessary to reflect the incident/event’s escalation from routine incident(s) to emergency, disaster, or catastrophe affecting the City of Paso Robles. This EOP is not intended to address specific emergency responses, scenarios, hazards, or threats. Functional and hazard specific annexes to this EOP will outline specific response activities for response organizations.

This Emergency Operations Plan (EOP) accomplishes the following:
• Establishes an incident management organization for Paso Robles which will coordinate and support on-scene responses including maintenance of situational awareness, facilitation of effective communication between operations centers at various levels of government, maintain continuity of government, and interaction with public information sources. • Establishes the overall operational concepts associated with the management of incidents, emergencies, crises, disasters, and catastrophes in the City of Paso Robles. • Provides a flexible platform for planning and response to all hazards, incidents, events, and emergencies believed to be important to Paso Robles. It is applicable to a wide variety of anticipated incident events including earthquake, hazardous materials incidents, mass casualty incidents, civil disturbance, terrorist events, wildland fires, adverse weather, utility disruptions, and public health issues.

This EOP continues the City of Paso Robles’ compliance with the Standardized Emergency Management System (SEMS), the National Incident Management System (NIMS), the Incident Command System (ICS), the National Response Framework (NRF), and the National Preparedness Guidelines to include Comprehensive Preparedness Guide 101: Developing and Maintaining Emergency Operations Plans (CPG101). It facilitates multi-agency and multi-jurisdictional coordination during emergency operations, public information functions, and resource management.

This EOP serves as the legal and conceptual framework for incident management to be utilized by the City of Paso Robles and its various departments within municipal government. There are a number of separately published annexes that support this EOP. These supporting annexes further describe the operational or functional response to particular threats and hazards and the basic considerations, actions, and responsibilities of specific emergency response and management disciplines or functions.

PROMULGATION
The preservation of life, property, the environment, and the economy is an inherent responsibility of local, state, and federal government. While no plan can completely prevent death and destruction, reasonable plans carried out by knowledgeable and well-trained personnel can and will minimize losses.

The City of Paso Robles has prepared this Standardized Emergency Management System (SEMS) and National Incident Management System (NIMS) compliant Emergency Operations Plan (EOP) to ensure the most effective and efficient allocation of resources for the maximum benefit and protection of the civilian population during times of emergency.

Attachment 1

This EOP establishes the emergency organization, assigns tasks, specifies policies and general procedures, and provides for coordination of planning efforts for respective staff.

This EOP will be reviewed and exercised periodically and revised as necessary to satisfy changing conditions and needs.

The El Paso de Robles City Council gives their full support to this Emergency Operations Plan and urge all officials, employees, and residents—individually and collectively—to do their share in the whole community emergency effort of the City of Paso Robles. This EOP became effective on April 2, 2024, when approved by the El Paso de Robles City Council.
_____________________________________________ ____________________ John Hamon, Mayor Date
_____________________________________________ ____________________ Ty Lewis, City Manager Date
_____________________________________________ ____________________ Jonathan Stornetta, Fire Chief Date
_____________________________________________ ____________________ Damian Nord, Police Chief Date
Attachment 1

PASO ROBLES CITY COUNCIL ADOPTION APPROVAL
**Insert City Council approval once document is approved** Attachment 1

ANNUAL REVIEW RECORD OF CHANGES
The City of Paso Robles Fire and Emergency Services Department (PRFES) is responsible for maintaining, reviewing, and updating this Emergency Operations Plan (EOP). They will—at a minimum—review this EOP on an annual basis in accordance with plan maintenance policy. If the EOP requires an immediate change due to lessons learned from training, exercises, or actual incidents, PRFES will identify a course of action for the review, update, and implementation of the necessary changes. All changes will be noted in the table below.

VERSION DATE NAME/ORGANIZATION CHANGE DESCRIPTION
Attachment 1

RECORD OF DISTRIBUTION
DATE NAME / TITLE ORGANIZATION # OF COPIES
Attachment 1

City of Paso Robles P a g e | 1

TABLE OF CONTENTS
....................................................................................................................................................................................... I EXECUTIVE SUMMARY.................................................................................................................................................. I PROMULGATION........................................................................................................................................................... I PASO ROBLES CITY COUNCIL ADOPTION APPROVAL................................................................................................III ANNUAL REVIEW RECORD OF CHANGES...................................................................................................................IV RECORD OF DISTRIBUTION .......................................................................................................................................... V PURPOSE, SCOPE, SITUATION OVERVIEW, AND PLANNING ASSUMPTIONS .............................................................. 4 PURPOSE ..................................................................................................................................................................... 5 SCOPE ......................................................................................................................................................................... 5 SITUATION OVERVIEW.................................................................................................................................................... 6 EVENT TYPES DEFINED.................................................................................................................................................... 8 HAZARD ANALYSIS OVERVIEW.......................................................................................................................................... 9 Major Earthquake ............................................................................................................................................... 9 Hazardous Material Incident.............................................................................................................................11 Multiple Casualty Incidents (MCI) .....................................................................................................................12 Transportation...................................................................................................................................................12 Fire.....................................................................................................................................................................13 Civil Disturbance................................................................................................................................................14 Adverse Weather...............................................................................................................................................16 Utility Disruption ...............................................................................................................................................18 Infectious Disease Response..............................................................................................................................19 CORE CAPABILITY OVERVIEW.........................................................................................................................................20 PLANNING ASSUMPTIONS .............................................................................................................................................25 CONCEPT OF OPERATIONS..........................................................................................................................................27 NATIONAL RESPONSE FRAMEWORK (NRF).......................................................................................................................28 STANDARD EMERGENCY MANAGEMENT SYSTEM (SEMS)...................................................................................................28 NATIONAL INCIDENT MANAGEMENT SYSTEM (NIMS)........................................................................................................28 INCIDENT COMMAND SYSTEM (ICS)................................................................................................................................29 INTEGRATING FEDERAL, STATE, AND LOCAL SYSTEMS..........................................................................................................29 PHASES OF EMERGENCY MANAGEMENT ..........................................................................................................................29 Mitigation..........................................................................................................................................................29 Preparedness.....................................................................................................................................................30 Response ...........................................................................................................................................................30 Recovery ............................................................................................................................................................31 ORGANIZATION AND ASSIGNMENT OF RESPONSIBILITIES........................................................................................33 FIELD RESPONSE..........................................................................................................................................................34 LOCAL GOVERNMENT...................................................................................................................................................34 OPERATIONAL AREA (OA).............................................................................................................................................34 Operational Area Responsibilities .....................................................................................................................35 PASO ROBLES EMERGENCY ORGANIZATION ......................................................................................................................35 PASO ROBLES EMERGENCY OPERATIONS CENTER (EOC).....................................................................................................36 EOC Locations....................................................................................................................................................37 EOC Activation Levels........................................................................................................................................37 EOC Position Training Requirements.................................................................................................................38 Attachment 1

City of Paso Robles P a g e | 2
Emergency Operations Center Position Assignments........................................................................................40 Emergency Operations Center Organization.....................................................................................................42 REGION .....................................................................................................................................................................43 STATE........................................................................................................................................................................43 ADDITIONAL SUPPORT AND PLANNING ORGANIZATIONS .....................................................................................................43 Disaster Service Workers (DSWs) ......................................................................................................................43 Community Emergency Response Team (CERT) ................................................................................................44 Disaster Council.................................................................................................................................................44 DIRECTION, CONTROL, AND COORDINATION............................................................................................................45 DIRECTION AND CONTROL INTERFACE..............................................................................................................................46 OPERATIONAL AREA COORDINATION AND COMMUNICATION...............................................................................................46 Emergency Operations Center Notification.......................................................................................................47 Coordination With Other Levels of Government ...............................................................................................47 Coordination With Non-Profit and Volunteer Organizations ............................................................................47 INFORMATION COLLECTION, ANALYSIS, AND DISSEMINATION................................................................................48 INFORMATION COLLECTION AND MANAGEMENT TOOL .......................................................................................................49 CRISIS COMMUNICATIONS AND PUBLIC INFORMATION...........................................................................................50 JOINT INFORMATION SYSTEM (JIS) ................................................................................................................................. 51 JOINT INFORMATION CENTER (JIC) ................................................................................................................................. 51 EOC COMMUNICATION SYSTEMS ...................................................................................................................................51 PUBLIC AWARENESS AND NOTIFICATION SYSTEMS .............................................................................................................52 PUBLIC AWARENESS AND EDUCATION .............................................................................................................................54 FINANCE AND MUTUAL AID........................................................................................................................................55 FINANCE CONSIDERATIONS............................................................................................................................................56 MUTUAL AID..............................................................................................................................................................58 Mutual Aid Systems...........................................................................................................................................59 Special Mutual Aid Considerations for Terrorism Incidents...............................................................................59 Mutual Aid Authorities, Plans, and Guidance Documents.................................................................................60 RESOURCE MANAGEMENT .............................................................................................................................................60 Integration of Mutual Aid Resources.................................................................................................................60 PLAN DEVELOPMENT AND MAINTENANCE................................................................................................................62 PLAN DEVELOPMENT....................................................................................................................................................63 PLAN MAINTENANCE ...................................................................................................................................................63 PLAN CONCURRENCE....................................................................................................................................................63 PLAN TRAINING AND EXERCISE .......................................................................................................................................63 AUTHORITIES AND REFERENCES................................................................................................................................. 67 FEDERAL ....................................................................................................................................................................68 STATE........................................................................................................................................................................68 LOCAL .......................................................................................................................................................................69 GLOSSARY....................................................................................................................................................................70 ACRONYMS ................................................................................................................................................................71 DEFINITIONS...............................................................................................................................................................73 APPENDIX A – LOCAL / STATE / FEDERAL CROSSWALK .............................................................................................78 FEDERAL / STATE / LOCAL CROSSWALK............................................................................................................................79 APPENDIX B – EMERGENCY ANNEX PLANNING PROCESS GUIDE..............................................................................81 Attachment 1

City of Paso Robles P a g e | 3
PURPOSE STATEMENT ..................................................................................................................................................82 APPENDIX C – CITY OF PASO ROBLES EMERGENCY HAZARD-SPECIFIC ANNEXES & OPERATIONAL PLANS.............83 RELATIONSHIP TO OTHER PLANS/REFERENCES ..................................................................................................................84 Attachment 1

City of Paso Robles P a g e | 4

PURPOSE, SCOPE, SITUATION OVERVIEW, AND

PLANNING ASSUMPTIONS
Attachment 1

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PURPOSE
This City of Paso Robles (City) Emergency Operations Plan (EOP) provides a comprehensive, single source of guidance and procedure for the City to prepare for, respond to, and manage significant or catastrophic natural or man-made threats, crises, incidents, or events that produce situations requiring a coordinated response. This EOP is intended to conform to the requirements of the National Incident Management System (NIMS), Standardized Emergency Management System (SEMS), Incident Command System (ICS), and the California State Emergency Plan for managing response to multi-agency and multi-jurisdictional incidents, and to be consistent with federal and state emergency plans and guidance documents.

This EOP is intended as a concept of collaboration and consistency amongst various internal departments and their specific incident management plans, procedures, functions, and capabilities. As such, the EOP is flexible enough to use in all incident types and will facilitate short-term recovery activities.

In the event of an emergency or disaster the City’s primary responsibility is to maximize the safety of the public, to minimize property and environmental damage, and ensure the continuity of government. To aid in accomplishing this goal, the City has adopted the principles of SEMS, NIMS, and ICS so that responses to such conditions are done in the most organized, efficient, and effective manner possible and are used to manage and control the response operations.

SCOPE
This EOP provides guidance on response to the City’s most likely and demanding emergency conditions.

It does not supersede the well-established operational policies and procedures for coping with and responding to day-to-day emergencies involving law enforcement, fire services, medical aid, transportation services, flood control, or other discipline-specific emergency response systems. It is intended as a supplement and compliment to such systems. This EOP does, however, place emphasis on those unusual and unique emergency conditions that will require extraordinary response beyond the ability of any one or common set of organizations to respond. This EOP does not include detailed response-level operating instructions or procedures. Each organization identified in this EOP is responsible for, and expected to develop, implement, and test policies, instructions, and standard operating procedures (SOPs) or checklists that reflect the tactical, operational, strategic, and executive tasks and incident management concepts contained in this EOP. Coordinated response and support roles must be defined by these organizations to facilitate the ability to respond to and manage any given incident.

This document is not intended to be an overview of the City of Paso Robles Emergency Operations Center functions, procedures, section responsibilities, or positions-specific standard operating procedures. These procedures are covered more specifically in the Standardized Emergency Management System (SEMS) position specific checklists which are maintained in position specific boxes and the computers in the EOC.

The below graphic describes the process and purpose of this document and how it can be utilized by the City. It further identifies objectives in creating it, why the document has been created, the needs it fills, and their importance to the emergency management framework.

Attachment 1

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SITUATION OVERVIEW
General Background:

The City of El Paso de Robles (“Paso Robles”), a municipal corporation, was incorporated in 1889 and is located at the confluence of State Highway 101 and State Highway 46 in the central coast area of the State, approximately 150 miles south of San Jose and 220 miles north of Los Angeles. Paso Robles continues to be the fastest growing city within the County of San Luis Obispo and has become its second largest city with 32,431 residents and 12,560 dwelling units. Paso Robles anticipates accommodating a population of up to approximately 44,000 residents. The total area within the incorporated limits of Paso Robles is approximately 19.9 square miles, comprising a total of 12,738 acres. According to the most recent census data, Paso Robles continues to exert a disproportionately positive impact on the Central Coast. With just over 11% of San Luis Obispo County’s population, the city has 19% of retail sales, 40% of manufacturing jobs, and has sustained strong, uninterrupted economic growth since 1993.

Geographic related information:

The topography of the area consists of gentle rolling hills on the eastern half of the city, and foothill peaks, which rise in elevation to the Santa Lucia Coastal Range on the west, which are all blanketed in the Californian chaparral environment, which is mainly dry grassland and oak woodland. Paso Robles sits on the eastern foothills of the Santa Lucia Coastal Mountain Range, which lies directly to the west of the city, and runs in a north–south direction, starting at Monterey, then runs south to its terminus in the San Luis Obispo area. The city is located at the southern end of the fertile Salinas River Valley, which is centered in between the Temblor Range (including the San Andreas Fault), which lie about 28 mi (45 km) to the east, and the Santa Lucia Coastal Range, which lies directly west, rising up from the city's western border. Paso Robles sits at the border where northern San Luis Obispo County and southern Monterey County meet and is situated roughly 24 mi (39 km) inland from the Pacific Ocean.

Education/recreation related info:

Paso Robles is home to seven elementary schools, three middle schools, one high school, and the Northern Campus of Cuesta Community College. Numerous public and private golf courses are located throughout the City. Additionally, the City operates 10 parks and maintains the Salinas River trail.

Special events include the California Mid-State Fair, Paso Robles Wine Festival, Paso Robles Art in the Attachment 1

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Park, Paso Robles Olive & Lavender Festival, Concerts in the Park, Firestone Walker International Beer Festival, Pioneer Day celebration, Paso Robles Airfest, Paso Robles Horse Park, and the Paderewski Festival.

Commerce related info:

Based on the most recent U.S. Census data, Paso Robles’ labor force is estimated to be roughly 20,071 persons.1 The City has a relatively diverse economic, with no single sector or industry making up more than 20% of all jobs. The educational services, health care and social services account for the majority of jobs, followed by retail trades, manufacturing and arts, entertainment and recreation, accommodation, & food services. While the City’s manufacturing sector has declined some, Paso Robles is one of the few areas in the region where manufacturing still accounts for a sizable fraction of employment.

The City’s largest employers include Paso Robles School District, Firestone Walker, Walmart, Applied Tech., City of Paso Robles, Dassault Systems, Souriau-Sunbank, Zurn, Target, Lowes, and Cuesta College. In December 2023, the City’s unemployment rate of 3.6% was significantly lower than the State unemployment rate of 5.1%. This has been accompanied by a nearly 30% increase in per capita income, from $30,446 in 2017 to $43,370 in 2022.

As the leading agricultural business in the county, the area's wine industry attracts more than half a million visitors to San Luis Obispo County annually. In 2015, the Paso Robles Wine Country Alliance commissioned the University of California Agricultural Issues Center based at UC Davis to prepare an updated economic impact study for the region based on 2015 data. The Paso Robles American Viticultural Area (AVA) and Greater San Luis Obispo County wine and wine grape industries have an annual economic impact of $1.9 billion dollars to the regional economy. This has helped the economy enjoy approximately $194 million annually in tourism expenditures.

Transportation related info:

Paso Robles is at the major crossroads of U.S. Highway 101 and State Highway 46, about halfway between Los Angeles and the San Francisco Bay area. Paso Robles is currently served by one freeway and two highways: U.S Route 101 is the most heavily traveled road-transportation arterial for the city of Paso Robles. US 101 runs in a north–south direction and bisects the city (along with the Salinas River), into its western and eastern portions. State Route 46 is the main east–west artery and connects the city with the San Joaquin Valley. SR 46 runs in an east–west direction except for a portion where it overlaps with US 101 in the city for 3 miles (4.8 km).

Amtrak, the national passenger rail system, serves Paso Robles, operating daily in each direction between Seattle, Washington, and Los Angeles. Amtrak's regularly operates between San Diego and Paso Robles, connects by bus transfer from San Luis Obispo Railroad Station.

The Paso Robles Municipal Airport is a regional general aviation airport, is about 5 miles (8.0 km) northeast of downtown Paso Robles. Paso Robles Municipal Airport does not offer scheduled passenger service.
1 https://www.census.gov/quickfacts/fact/table/elpasoderoblespasoroblescitycalifornia# Attachment 1

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EVENT TYPES DEFINED
CATASTROPHE A series of cascading human-caused/influenced events or incidents with or without a human caused genesis, the adverse effects/consequences of which are potentially, seemingly, or definitively irreversible.

DISASTER Any natural event or emergency (hurricane, tornado, storm, high water, wind-driven water, tidal wave, tsunami, earthquake, volcanic eruption, landslide, mudslide, snowstorm, drought, etc.), or regardless of cause, any fire, flood, or explosion which the President determines to be of such severity as to warrant major federal disaster assistance.

EMERGENCY Incident(s) or crisis(es) (air pollution, fire, flood, storm, epidemic, riot, drought, sudden/severe energy shortage, plant or animal infestation or disease, Governor’s warning of volcanic predictions, and earthquakes, etc.) posing threat to safety of persons, property, or the environment that exceeds an organization’s resources/capability.

INCIDENT The physical manifestation of crisis, event, or occurrence that has adversely affected life, property, or the environment requiring the response of at least one individual.

STATE OF EMERGENCY An eminent impending incident(s) or crisis(es) posing threat to safety of persons, property, or the environment that is/are likely to exceed resources/capability of the proclaiming political jurisdiction, or the existence of an active incident which threatens a population, and the adequacy of local resources is unknown.

Attachment 1

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CRISIS Phenomenon, event, active threat, or trend, with or without specific location, posing seemingly inevitable harm to life, property, environment, organizational performance, reputation, or way of life reasonably or ethically necessitating deliberate urgent intervention. (A crisis may be local, national, or global).

ACTIVE THREAT Known communicated, demonstrated, or inferred timely intent and capability to harm life, property, environment, organizational performance, or way of life with specified or unspecified target.

PASSIVE THREAT Existing communicated, demonstrated, or inferred intent and potential capability to harm life, property, environment, organizational performance, or way of life.

HAZARD ANALYSIS OVERVIEW
This section of the EOP consists of a series of threat summaries based upon a hazard analysis. This hazard analysis provides a description of the local area, risk factors, and the anticipated nature of situations, which could threaten or occur in the city. If future annex or hazard mitigation plan development results in more current or robust hazard or threat analysis data, future EOP revisions will incorporate that data into this section. The following identified threats are discussed:
• Major Earthquake
• Hazardous Materials
• Multiple Casualty Incidents
• Transportation
• Fire
• Civil Disturbance – Terrorism – Active Shooter
• Adverse Weather Events
• Utility Disruption
• Infectious Disease Response
• San Luis Obispo County Nuclear Power Plant Emergency Response Plan It is important to note that these hazards are not mutually exclusive hazards. One or more of these events may occur simultaneously. Specific actions to be accomplished in response to these hazards are contained in the functional and hazard specific annexes that are separate from this EOP as well as department specific SOP’s.

The City of Paso Robles works to identify, catalog, and prioritize threats and hazards throughout the City in the Local Hazard Mitigation Planning process. This effort culminates in an updated report called the Threat and Hazard Identification and Risk Assessment (THIRA). The THIRA helps local public safety agencies prioritize grant funding and preparedness/mitigation endeavors to improve capabilities to address the most serious and highly prioritized risks and gaps. The hazards below (in addition to other risk factors) are addressed within the THIRA.

Major Earthquake
The area surrounding Paso Robles is in the vicinity of several known active and potentially active earthquake faults. Since 1931, there have been 3,812 recorded earthquakes in the area surrounding Attachment 1

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Paso Robles. The USGS database shows that there is a 95.28% chance of a major earthquake within 50km of Paso Robles within the next 50 years.

There are 5 seismically active faults that are known to run through San Luis Obispo County. The faults include the Los Osos-Edna faults, San Andreas Fault, the Nacimiento-Rinconada Fault, the Hosgri Fault, and the San Simeon Fault. While smaller earthquakes in the range of magnitude 2.0 – 2.7 regularly occur throughout the Paso Robles area, the San Andreas Fault is capable of an 8.5 magnitude earthquake and remains the greatest threat to our community. A major earthquake of this magnitude occurring in or near the City of Paso Robles may cause many deaths and casualties, extensive property damage, and other ensuing hazards. The effects could be aggravated by aftershocks and by the secondary effects of fire, hazardous material/chemical accidents, and possible failure of waterways and dams. Such an earthquake would be catastrophic in its effect upon the population and could exceed the response capabilities of the City, San Luis Obispo County OES, the California Governor’s Office of Emergency Services (Cal OES), and other state agencies. Emergency operations could be seriously hampered by the loss of communications and damage to transportation routes within, and to and from the disaster area, and by the disruption of public utilities such as power and water.

Two major local earthquakes that have impacted the county include:
• San Simeon Earthquake (2003), magnitude of 6.3, 2 fatalities • Shandon Earthquake (2004), magnitude of 6.0, no fatalities Other significant local earthquakes near or within the county include:
• San Miguel Earthquake (1966), magnitude 5.3
• Coalinga Earthquake (2004), magnitude 5.1
• Coalinga Earthquake (1975), magnitude 4.9
• Oak Shores Earthquake (2004), magnitude 4.8
The most significant earthquake action in terms of potential structural damage and loss of life is ground shaking and fire. Ground shaking is the movement of the earth's surface in response to a seismic event. The magnitude of the earthquake, distance from the epicenter, and characteristics of surface geology determine the intensity of the ground shaking and the resultant damages.

Damage may include destruction of buildings making some uninhabitable due to the phenomenon of liquefaction. Liquefaction is the loss of shear strength of a soil. The shear strength loss results from the increase of water pressure caused by the rearrangement of soil particles induced by shaking or vibration. Liquefaction has been observed in many earthquakes, usually in soft, poorly graded granular materials (i.e., loose sands), with high water tables. Liquefaction usually occurs in the soil during or shortly after a large earthquake.

Every building in the City is exposed to high risk of damage in earthquakes by virtue of being in a seismically active part of the country. Some of these structures face an elevated risk because they are located in high hazard zones, such as near a fault, on liquefiable soils, or on slopes subject to landslides. Other structures face high risk because their construction quality is inadequate to withstand strong shaking, as they were built decades ago, before modern building codes were enacted.

Major power plants are expected to sustain some damage due to liquefaction and the ground shaking intensity of the earthquake. The potential impact on the City is lessened by the availability of power Attachment 1

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from other sources outside the affected area and a significant reduction in consumer demand is expected as well.

Another major concern is whether an earthquake disrupts water availability and distribution for needed life support, to treat the sick and injured, and for fire suppression activities. The dams located in the county may be affected during earthquakes and our water distribution systems may be damaged.

Emergency response actions associated with major earthquakes are presented in City of Paso Robles EOP Earthquake Annex A.

In the event of an earthquake, the Fire Chief will assume the position of Incident Commander. In the event the Fire Chief is not available, the following chain of command is provided to identify authorized alternates to fill the City of Paso Robles position as Incident Commander.

No. 1 – The Deputy Fire Chief or the On-Duty Battalion Chief No. 2 – The On-Duty Fire Officer as appointed by the Fire Chief No. 3 – The Chief of Police or highest-ranking Police Officer The Incident Commander will alert the Paso Robles City Manager or assigned designee as to the severity of the incident.

Hazardous Material Incident
The release of hazardous materials has the potential for adverse impacts upon human health, the environment, and property, depending upon the type, location, and quantity of material released.

Areas near roadways that are frequently used for transporting hazardous materials and jurisdictions with industrial facilities that use, store, or dispose of such materials, all have increased potential for major hazardous material incidents.

There are two major highways in the city that carry large quantities of hazardous materials: U.S. 101 and U.S. 46. These highways are the most heavily traveled in terms of truck traffic and are the most frequent location of hazardous materials spills which occur on major roads. The Union Pacific railroad right of way parallels U.S. 101 through the heavily populated western side of the city.

According to the SLO County Environmental Health Department, in 2023, there were approximately 226 businesses operating within Paso Robles city limits that use or produce reportable amounts of hazardous materials and require on-site management and off-site disposal. These materials could be released during disasters such as earthquakes or terrorist attacks. Large amounts of the hazardous waste generated in the city is transported off-site to pre-approved treatment and disposal sites throughout the state. The balance is disposed of on-site through methods including evaporation ponds, incineration, pre-treatment of sewage discharge, and recycling.

Emergency response actions associated with hazardous materials are presented in City of Paso Robles EOP Hazardous Materials Annex B.

In the event of a Hazardous Materials event, the Fire Chief will assume the position of Incident Commander. In the event the Fire Chief is not available, the following chain of command is provided to identify authorized alternates to fill the City of Paso Robles position as Incident Commander.

Attachment 1

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No. 1 – The Deputy Fire Chief or the On-Duty Battalion Chief No. 2 – The On-Duty Fire Officer as appointed by the Fire Chief No. 3 – The Chief of Police or highest-ranking Police Officer The Incident Commander will alert the Paso Robles City Manager or assigned designee as to the severity of the incident.

Multiple Casualty Incidents (MCI)
A Multiple Casualty Incident (MCI) is one which involves a sufficient number of sick or injured persons to overwhelm the first responding medical resources. An MCI may require evacuation of large medical facilities such as hospitals or assisted living facilities and may result in considerable loss of life and property. Local hospitals and trauma centers can quickly become inundated by a surge of sick or injured patients, which may result in compromised emergency medical care for local citizens.

Given the travel routes through the City, the modes of public transportation available, (train and airport), and the fact that the City is directly below the normal flight path of the commercial aviation system, a distinct possibility for a transportation accident involving MCI exists within the City Limits.

The Mid-State Fair and other large public events also necessitate the need for a Multiple Casualty Incident Plan.

Additional hazards identified within the EOP may also result in multiple casualty incidents that would quickly exceed the capabilities of City resources include earthquakes, hazardous materials incidents, transportation emergencies, fire, civil disturbances, terrorism, active shooters, adverse weather, utility disruptions, and pandemics.

Emergency response actions associated with multiple casualty incidents are presented in City of Paso Robles EOP MCI Annex C.

In the event of a Mass Casualty Incident, the Fire Chief will assume the position of Incident Commander. In the event the Fire Chief is not available, the following chain of command is provided to identify authorized alternates to fill the City of Paso Robles position as Incident Commander.

No. 1 – The Deputy Fire Chief or the On-Duty Battalion Chief No. 2 – The On-Duty Fire Officer as appointed by the Fire Chief No. 3 – The Chief of Police or highest-ranking Police Officer The Incident Commander will alert the Paso Robles City Manager or assigned designee as to the severity of the incident.

Transportation
Transportation incidents may lead to significant property damage and have negative physical, financial, and psychological impacts on citizens and first responders. All transportation-related incidents have the potential to result in injuries and fatalities to both passengers and the general population.

Many traffic accidents are handled without the need for activation of, or support from, the EOC. As the City’s population grows and traffic flow increases on freeways and roadways throughout the City, the Attachment 1

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possibility of transportation incidents may increase. Incidents on Highway 46 West, Highway 46 East, and Highway 101 are major threats due to the large number of vehicles traveling at high-speed and traffic congestion resulting from accidents on these roadways.

The City of Paso Robles has a public airport north/east of Highway 101/46E. Many aircraft accidents are handled without the need for activation of, or support from, the EOC. However, there may be times when such support could be necessary, such as an aircraft crashing within the city limits causing significant damage and casualties. Assistance from outside agencies will most likely be needed to mitigate this incident.

Several commercial, military, and firefighting aircraft fly over the City of Paso Robles each day. Aircraft operating in Paso Robles airspace include flights traveling the Los Angeles – San Francisco corridor, military aircraft from Naval Air Station Lemoore and Vandenberg Air Force Bases, and firefighting aircraft operating from the CAL FIRE Airbase located at the Paso Robles Municipal Airport.

The threat of derailments from Amtrak trains carrying hundreds of passengers or Union Pacific tanker/freight railcars carrying hazardous materials are very real possibilities and pose a threat to the City.

Emergency response actions associated with significant Transportation accidents are presented in City of Paso Robles EOP Transportation Annex D.

In the event of a significant Transportation event, the Fire Chief will assume the position of Incident Commander. In the event the Fire Chief is not available, the following chain of command is provided to identify authorized alternates to fill the City of Paso Robles position as Incident Commander.

No. 1 – The Deputy Fire Chief or the On-Duty Battalion Chief No. 2 – The On-Duty Fire Officer as appointed by the Fire Chief No. 3 – The Chief of Police or highest-ranking Police Officer The Incident Commander will alert the Paso Robles City Manager or assigned designee as to the severity of the incident.

Fire
The combination of highly flammable fuel, long dry summers and steep slopes creates a significant natural hazard of large wildland fires in many areas of the county. A wildland fire is a fire in which the primary fuel is natural vegetation. Wildland fires can consume thousands of acres of vegetation, timber, and agricultural lands. Fires ignited in wildland areas can quickly spread, if unabated, to areas where residential or commercial structures are intermingled with wildland vegetation. Fires that start in urbanized areas can grow into wildland fires. Wildland/urban interface (WUI) fire hazards are especially pronounced in areas of high structure densities adjacent to undeveloped open space areas with dense vegetation. A WUI fire can result in death, injury, economic loss, and a large public investment in fire-fighting activities. Fires can rapidly proliferate to the point that local resources are inadequate.

Wildfire behavior is based on three primary factors: weather, topography, and fuel. Typically, the months of June through November have the greatest potential for wildland fires as vegetation dries out, humidity levels fall, and offshore winds occur.

Attachment 1

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Wildfires can be caused by natural events, such as lightning or high winds. However, most wildland fires are human caused. Campfires, careless smokers, electrical sparks, and arson cause most wildland and WUI fires. An emerging cause for concern is fires started using mowing and power equipment around very dry vegetation.

The City of Paso Robles is responsible for its fire protection either by utilizing its own resources or by utilizing adjacent municipal services through automatic and mutual aid agreements. Ground fire resources are augmented by CAL FIRE air tankers stationed at the Paso Robles Airport. If these resources are not enough to meet the threat, fire resources from throughout California can be summoned under the State’s Master Mutual Aid Agreement administered by Cal OES. All fire agencies in San Luis Obispo County have signed the California Master Mutual Aid Agreement and participate in mutual aid operations as required.

Additionally, in 2019 the San Luis Obispo County Community Wildfire Protection Plan (CWPP) was published. The CWPP is a collaborative approach for reducing wildland fire risks to communities and the environment. The plan includes an analysis of conditions such as fire apparatus access, community evacuation, fuels, topography, and weather. The plan also includes proposed projects developed through workshops. The initial focus is on the built environments that intermingle with the vegetated areas of the mountains and hillsides.

Emergency response actions associated with major fire are presented in City of Paso Robles EOP Fire Annex E.

In the event of a major structural or WUI fire, the Fire Chief will assume the position of Incident Commander. In the event the Fire Chief is not available, the following chain of command is provided to identify authorized alternates to fill the City of Paso Robles position as Incident Commander.

No. 1 – The Deputy Fire Chief or the On-Duty Battalion Chief No. 2 – The On-Duty Fire Officer as appointed by the Fire Chief No. 3 – The Chief of Police or highest-ranking Police Officer The Incident Commander will alert the Paso Robles City Manager or assigned designee as to the severity of the incident.

Civil Disturbance
Civil Disturbance, or civil disorder, is a large-scale, spontaneous disruption of normal, orderly conduct and activities in urban areas, or an outbreak of rioting or violence, which results in an immediate danger of damage or injury to property or individuals and requires intervention to maintain public safety. Civil disorder is a demonstration of popular unrest that may manifest itself in acts of violence and destruction against property and human life. High-density events such as school events, parades, and the Mid-State Fair occur at various times throughout the year and typically attract large numbers of people.

Damage possibilities range from the loss of life, multiple casualties, significant property damage from fire and looting, or the loss of infrastructure (electrical and water systems). Looting and fire could take place in both commercial and residential areas of the City. The setting of fires is a common occurrence Attachment 1

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in these types of events, and major structure fires, or conflagrations, are a significant threat as fire suppression efforts are often hindered.

TERRORISM
The use of force or violence against persons or property in violation of the criminal laws of the United States for purposes of intimidation, coercion, or ransom. Terrorists often use threats to create fear among the public, to try to convince citizens that their government is powerless to prevent terrorism, and to get immediate publicity for their causes. Acts of terrorism include threats of assassinations, kidnappings, hijackings, bomb scares and bombings, cyberattacks, and the use of chemical, biological, radiological, nuclear, and explosive weapons.

Terrorist activities are an increasing threat to our society, and those attacks have occurred against both the public and private sectors. Attacks have been directed against government and corporate leaders, private individuals, governing bodies and related agencies, police and other public service personnel and their facilities, public utility facilities, financial institutions, communication facilities, etc. Certain facilities, installations or service centers of both public and private sectors have been identified as likely targets for attack.

A terrorist activity emergency has its own unique characteristics and must be dealt with in accordance to its magnitude and with an appropriate level of response. Early detection of terrorism acts is likely to be identified by first responders and early recognition is vital to the success in limiting the scope of damage.

ACTIVE SHOOTER ATTACK
The frequency of active shooter incidents has increased in recent years, and these incidents have affected numerous places where citizens congregate, such as schools, workplaces, places of worship, shopping malls, public meetings, and movie theaters. Active shooter situations are dynamic and evolve quickly. Typically, the immediate deployment of law enforcement is required to stop the shooting and mitigate harm to victims. Individuals must be prepared both mentally and physically to deal with an active shooter situation. The effects of an active shooter incident usually include, but are not limited to, injuries, death, and lasting psychological impacts from the event.

Emergency response actions associated with a Civil Disturbance – Terrorism – Active Shooter are presented in City of Paso Robles EOP Civil Disturbance Annex F.

In the event of a Civil Disturbance - Terrorism - Active Shooter, the Police Chief will assume the position of Incident Commander. In the event the Police Chief is not available, the following chain of command is provided to identify authorized alternates to fill the City of Paso Robles position as Incident Commander.

No. 1 – The On-Duty Police Commander
No. 2 – The On-Duty Sergeant as appointed by the Police Chief No. 3 – The Chief of Police or highest-ranking Police Officer The Incident Commander will alert the Paso Robles City Manager or assigned designee as to the severity of the incident.

Attachment 1

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Adverse Weather
The City of Paso Robles is susceptible to several adverse weather events in any given year. Adverse weather events are typically of relatively short duration, but nonetheless can create major recovery issues for the City. The risk of these events impacting Paso Robles is a concern as they may occur on a frequent basis.

Adverse weather events may place the City’s commercial district in jeopardy, as well. Commercial and residential units, unhoused communities, businesses, critical infrastructure, and tourism may be threatened during an Adverse Weather event. Listed below are the most common Adverse Weather events that will likely impact the City:

FLOODING
Floods are a natural occurrence along stream beds and creek areas as a result of significant rain events. When rainfall and surface run-off from a storm exceeds a drainage system’s capacity to adequately channel and contain the water, flooding may occur.

Floods are generally classed as either slow-rise or flash floods. Slow-rise floods may be preceded by a warning time lasting hours, days, or possibly weeks. Evacuation and sandbagging for a slow-rise flood may lessen flood-related damage. Conversely, flash floods are the most difficult to prepare for because the warning will be short, if any is given at all. Flash flood warnings usually require immediate evacuation.

The National Weather Service (NWS) issues flash flood watches and warnings. A flash flood watch is issued when flash flooding is possible within the designated watch area but the occurrence location, and/or timing is still uncertain, indicating all persons should be alert. A flash flood warning indicating all persons should take necessary precautions is issued when a flash flood has been reported, is in progress, is imminent, or highly likely.

No area is immune to flash floods. On small streams, especially near the headwaters of river basins, water levels may rise quickly in heavy rainstorms, and flash floods can begin before the rain stops falling. Flash floods also occur in or near mountainous areas where torrential rains can quickly change a dry watercourse or small brook into raging torrents of water.

All low-lying areas are subject to flood conditions. Urban development in flood plain areas is often subject to seasonal inundation. The flood plain is a natural extension of any waterway, although infrequently used. Storm water runoff that exceeds the capabilities of stream and drainage channels, results in the natural flooding of a localized area.

Dam inundation is flooding which occurs because ofstructural failure of a dam. The most common cause of dam failure is overtopping where the water behind the dam flows over the face of the dam and erodes the structure. Structural failure may be caused by seismic activity. Seismic activity that produces inundation generating a seismically induced wave that overtops the dam without also causing dam failure is referred to as a seiche.

Several creek drainage and urban waterway systems flow throughout the City and into the Salinas River. The Salinas River is the largest waterway and runs through the center of the City and several residential areas. The Salinas River is the most significant flood-risk to the City.

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Flooding impacts can be expected in any or all the following areas:
- 13th Street – Salinas River Bridge
- 13th Street and Paso Robles Street
- 21st Street and Riverside Avenue
- East side of the Salinas River along North and South River Roads - Highway 101 and 13th Street underpass
- Highway 46 - Salinas River Bridge
- Navajo Avenue residential subdivision
- Riverbank Lane residential subdivision
Several additional problems and hazards associated with flooding and adverse weather events include utility disruptions, downed power lines and trees, and landslides that may result in street closures.

EROSION
Erosion is a natural geological process caused by currents, storms, earthquakes, winds, and the gradual movement of tectonic plates. It may take place slowly over hundreds of years, or it may occur dramatically, as with landslides or severe storms.

DROUGHT
Droughts are short-term or long-term water deficiencies that cause agricultural, environmental, and societal impacts. Droughts can occur in any part of the county and can last for indeterminate periods of time. Agricultural drought is characterized by unusually dry conditions during the growing season resulting in significant economic effects on local agriculture. Extended periods of drought can increase the risk of wildfire occurrences and can impact public water supplies.

SEVERE HEAT
According to the NWS, heat waves are defined as a period of abnormally hot and unusually humid weather, typically lasting two or more days. Heat waves normally coincide with little overnight cooling/relief. Heat waves do not cause damage or elicit the immediate response that floods, fires, earthquakes, and other disasters do. They do, however, rank among the deadliest of natural hazards and claim many more lives when compared with other disasters.

While heat waves do not elicit the same immediate response as floods, fires, and earthquakes, they have claimed more lives over the past fifteen years than all other proclaimed disaster events combined. The worst single heat wave event in California occurred in Southern California in 1955, when an eight-day heat wave resulted in 946 deaths. Typical summer temperatures in the state contribute to the untimely demise of 20 people on average per year.

The NWS uses the Heat Index to issue excessive heat watches and warnings. The Heat Index combines air temperature and relative humidity to determine the human-perceived equivalent temperature. NWS will issue an excessive heat watch when conditions are favorable for an excessive heat event in the next 24 to 72 hours. Paso Robles Cooling Center(s) may be activated when temperatures exceed 105 degrees for more than three consecutive days. The following sites have been identified as possible Cooling Center locations:

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1. Centennial Park, 600 Nickerson Drive

2. Paso Robles High School, 801 Niblick Road

3. Mid-State Fair Grounds, 2198 Riverside Ave. Commercial Building #2

4. Paso Robles Airport, Terminal

5. Paso Robles Senior Center, 270 Scott Street

6. Paso Robles City Hall, 1000 Spring Street

WINDSTORMS
Windstorms refer to any dangerous meteorological phenomena with the potential to cause damage, serious social disruption, or loss of human life. Severe windstorms pose a significant risk to life and property in the region by creating conditions that disrupt essential systems such as public utilities, telecommunications, and transportation routes. High winds can and do occasionally cause tornado-like damage to local homes and businesses. Severe windstorms can present a very destabilizing effect on the dry brush that covers local hillsides and wildland urban interface areas. In addition, high winds may have destructive impacts, especially to property, trees, power lines, and other utility services.

Emergency response actions associated with an Adverse Weather event are presented in City of Paso Robles EOP Adverse Weather Annex G.

In the event of an Adverse Weather event, the Fire Chief will assume the position of Incident Commander. In the event the Fire Chief is not available, the following chain of command is provided to identify authorized alternates to fill the City of Paso Robles position as Incident Commander.

No. 1 – The Deputy Fire Chief or the On-Duty Battalion Chief No. 2 – The On-Duty Fire Officer as appointed by the Fire Chief No. 3 – The Chief of Police or highest-ranking Police Officer The Incident Commander will alert the Paso Robles City Manager or assigned designee as to the severity of the incident.

Utility Disruption
The City of Paso Robles is susceptible to a utility disruption which can be caused by a natural disaster or planned shut off through a Public Safety Power Shutoff (PSPS) utilized by Pacific Gas & Electric Company to help reduce the likelihood of a wildfire being sparked by electrical equipment.

Utility disruption events typically occur after natural disasters or as a result of a PSPS implemented during severe fire weather. The lack of power during these events may result in threats to public health and safety due to the need for climate-controlled environments, electrically powered medical equipment, and refrigerated medications. Extended disruptions could jeopardize essential community needs such as healthcare services and communication infrastructure. Loss of power could jeopardize local business inventories, which may be reliant on refrigeration.

The range of impacts as a result of a utility disruption is wide. Events may impact residential units, businesses, critical infrastructure, traffic safety, public health and safety, and tourism.

Emergency response actions associated with Utility Disruptions are presented in City of Paso Robles EOP Utility Disruption Annex H.

Attachment 1