Placentia City Council
October 6, 2026

(Use of City Bond Form is Required)

LABOR AND MATERIAL PAYMENT BOND

PUBLIC WORK (CALIFORNIA)
KNOW ALL MEN BY THESE PRESENT:

WHEREAS, Hardy & Harper, Inc. as Principal, has
entered into a contract dated October 6th. 2026 , with the City of Placentia (Obligee) referred to and made a part hereof to perform the following work, to wit: FY 2026-27 Residential Roadway Rehabilitation Project and all appurtenant work in accordance with PROJECT NO. 27-104 , which requires Principal to file this bond to secure claims made in relation to the project.

NOW THEREFORE, we, Hardy & Harper, Inc. , as Principal, and Fidelity and Deposit Company of Maryland , a corporation organized under the laws of Illinois and duly authorized to transact business in the State of California, as Surety, are held firmly bound unto the City of Placentia, as Obligee, and all sub- contractors, laborers, material persons and other persons employed in the performance of the referenced agreement, in the sum of One Million Nine Hundred Thirty -Six Thousand and 001100 Dollars ($1,Q3s,000.00 ) lawful money of the United States of America, for the payment whereof well and truly to be made the Principal and Surety bind themselves, their heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents.

If the above bounden PRINCIPAL, his or its heirs, executors, administrators, successors, assigns, or any of his or its sub -contractors, fails to pay for any materials, provisions, provender, or other supplies, or teams, implements or machinery, used in, upon, for or about the performance of the work contracted to be done, or for any work or labor to persons named in Section 9100 or the Civil Code, thereon of any kind, or for amounts due under the Unemployment Insurance Code with respect to such work or labor deducted, withheld and paid over to the Employment Development Department from the wages of employees of the contractor and sub -contractors pursuant to Section 13020 of the Unemployment Insurance Code, that the SURETY on this bond will pay the same, in an amount not exceeding the sum specified in this bond, AND ALSO, in case suit is brought upon this bond, a reasonable attorney's fee, which shall be awarded by the court to the prevailing party in said suit, said attorney's fee to be taxed as costs in said suit and to be included in the judgment herein rendered.

As part of the obligation secured hereby, the SURETY shall not be exonerated or released from the obligation of the bond by any change, alteration, or modification in or of any contract, plans, specifications, or agreement pertaining or relating to any scheme or work of improvement or pertaining or relating to the furnishing of labor, materials, or equipment therefor, nor by any change or modification of any terms of payment or extension of the time for any payment pertaining or relating to any scheme of work of improvement, nor by any rescission or attempted rescission of the contract, agreement or bond, nor by any conditions precedent or subsequent in the bond attempting to limit the right of recovery of claimants otherwise entitled to recover under

'Project No. 27-1O4!

any such contract or agreement, or under the bond, nor, where the bond is given for the benefit of claimants, by any fraud practiced by any person other than the claimant seeking to recover on the bond.

This bond shall inure to the benefit of any and all p8rsVnm, companies and corporations entitled to file claims under the Civil Code so as to give them a right of action in a suit on this bond.

This bond is executed for the purpose of complying with the laws of the State of California and shall inure to the benefit of any of the persons named in Section 9100 of the Civil Code of the State of California.

IN WITNESS THEREOF, we have hereunto set our hands and seals this 14th day of September , 2026.
(Corporate Seal)
(Corporate Seal)
APPROVED AS TO FORM:
/s/Christian LBeUenh8Usen
City Attorney
Hardy & Harper, Inc.

Principal
By
Fidelity and Deposit Company of Maryland
RninoipotGurety
By
�wigh~eA|I y

ACKNOWLEDGMENT
Anotary public 0rother officer completing this
certiflcate verifies only the identity of the individual who signed the document to which this cerflficate is
attached, and not the truthfulness, accuracy, or
validity of that document.

State of California
County of Orancie
On 09/14/2026 before me, Melissa Ann Vaccaro, Notary Public (insert name and title of the officer)
personally appeared Dwight Reilly
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. | certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

WITNESS my hand and official seal.

Signature
Melissa Ann Vaccaro
(Seal)
uzu���T
u / �
ommTv
�

Bond No. 7676069 2

ZURICH AMERICAN INSURANCE COMPANY

COLONIAL AMERICAN CASUALTY AND SURETY COMPANY

FIDELITY AND DEPOSIT COMPANY OF MARYLAND

POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Thomas 0. McClellan, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint Daniel HUCKABAY, Stephanie MCCLAIN, Dwight REILLY, Frank MORONES, Arturo AYALA, Shaunna ROZELLE OSTROM, Benjamin WOLFE, Chelsea LIBERATORE, Ben STONG, Adrian LANGRELL, Magdalena R. WOLFE, Robert WOOD of Orange, California, its true and lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed • any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Coinpanies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons.

The said Vice President does hereby certify that the extract set forth said Companies, and is now in force.

IN WITNESS WHEREOF, the said Vice -President has hereunto

AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN
COMPANY OF MARYLAND, this 30th day of March, A.D. 2026.

By: Thomas 0. 1,1cClellan
Vice President
By: Daniel Lutes
Secretary
on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of subscribed his/her names and affixed the Corporate Seals of the said ZURICH CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT
AL la
%
A 4.

ATTEST:

ZURICH. AMERICAN INSURANCE COMPANY

COLONIAL AMERICAN CASUALTY AND SURETY COMPANY

FIDELITY AND DEPOSIT COMPANY OF MARYLAND
State of Maryland
County of Baltimore
On this 30th day of March, A.D. 2026, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, Thomas 0.

McClellan, Vice President and Daniel Lutes, Secretary of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations.

IN TESTIMONY WHEREOF, 1 have hereunto set my hand arid affixed my Official Seal the day and year first above written. 'ifft 11/6'.;
Genevieve M. Maison
Notary Public
My Commission Expire January 27, 2029

EXTRACT FROM BY-LAWS OF THE COMPANIES
Authenticity of this bond can be confirmed at bondvalidator.zurichna.com or 410-559-8790

CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE §i1DQ
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 truthfuness, accuracy,or validity of that document.

State of California
County of
Orange
)
)
On 9/16/26 before me, Jo -Ann Lyons, Notary Public
Date
Michael Amundson
personally appeared
Here Insert Name and Title of the Officer
Name(s) of Signer(s)
who noved to me on the basis of satisfactory evidence to be the ruon* whose name(x) is/a* subscribed to the within instrument and acknowledged to executed the same in his/r/llXir authorized capacity(i), and that by his/iXr/tgiroignadu the instrument the person*, or the entity upon behalf of which the personN acted, executed the instrument. 1 certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph is true and correct.
1, --ANN LYONS
"m/p,mnwumm52n
Notary Public 'California
Orange County
WITNESS my hand and o ial seal.

Signature
Signature o N 'Public
Place Notary Seal Above

OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or fraudu/ent reattachrnent of this form to an unintended document.

Description of Attached Document
Tifle or Type of Document: Labor/Material Bond
Document Date: September 14, 2026
Signer(s) Other Than Named Above: Dwight Reilly
Capacity(ies) Claimed by Signer(s)
Signer's Name: Michael Amundson
10 Corporate Officer — Title(s): Vice President
OPartner — OLimited OGenona!
U
Individual Et Attorney in Fact
PJ Trustee O Guardian or Conservator
U[thec
Signer Is Representing: Hardy & Hamer. Inc.

Number of Pages: 2
Signer's Name
OCorporate Officer — Title(s):

OPudnor— OLinnited OGeneral
O
Individual []Attorney in Fact
OTmotee
O Other:

Signer Is Representing:
11 Guardian or Conservator
©2016 National Notary Association ^ www.NoUonalNotury.org ` 1 -800 -US NOTARY (1-800-876-6827) Item #5907

Project No. 27-104

(Use of City Form is Required)

SUPPLEMENTAL INFORMATION TO BE COMPLETED BY PRINCIPAL
If an individual, so state. If a firm or co -partnership, state the firm and give the names of all individual co-partners composing the partnership. If a Corporation, state legal name of corporation; state also the names of the president, secretary, treasurer and manager thereof.

Hardy & Harper, Inc. Dan T. Maas, President
Tanner Hambright/Michael Amundson, Vice President
Kristen Paulino, Corporate Secretary/Treasurer
Business Address:

Hardy & Harper, Inc.
32 Rancho Circle. Lake Forest, CA 92630
Telephone Number:

Date:

Print Name:

Signature:
949-273-6125
9/11/26
Michael Aamundson
Principal
Title Vice President

Project No 27-104

TAX IDENTIFICATION NUMBER

(Use of City Form is Required)
The Tax Equity and Fiscal Responsibility Act of 1982 requires the paye(City of to report to the nternal Revenue Service taxable payments to payees.

You (as a payee) are required by law tD provide us with your Taxpayer Identification Number (if an individual or partnership, your Social Security Number). If you do not provide us with your correct identification number, you may be subject to a penalty imposed by the Internal Revenue Service. The payments subject to withholdings may |nu|ude, but are not limited to, interest, dividendn. or other payments the City of Placentia and/or the Placentia Redevelopment Agency made to you. Other payments may include rents, royalties, commissions and fees for service of non -employees.

If you are exempt from income tax, we are still required, by |8w. to maintain a Tax Identification Number on file. PLEASE PROVIDE ¥OUR TAX IDENTIFICATION NUMBER next to the appropriate listing below, sign, date and return to:

CITY OF PLACENTIA FINANCE DEPARTMENT
401 E. Chapman Ave.

Placentia, CA 92870
_�
Exempt: Yes No��
85-2�51O22
CORPORATION:

U.S.A. OR ANY AGENCIES THEF: N/A
IRS CODE #501 TAX-EXEMPT ORGANIZATION: N/A
A NON-COMMISSIONED CITY OF PLACENTIA EMPLOYEE: N/A
G[}LEPRC>PR|ETDR:N/A
APARTNERSH|P: N/A
OTHER: N/A /^ (Explain)
_ "°�mu
Signature/Title:

Date: �w
Telephone ( 949)273-6125
xomundson.Vice President

Project No. 27-104

BID GUARANTEE

TO THE CITY OF PLACENTIA
PROJECT NO, 27-104
As a material inducement to the City to award the contract for Project No. 27-104 to Hardy & Harper, Inc. the undersignedd("Gu8rGntor")h@S@greedbJenteriOtoUlis guarantee. The Guarantor hereby unconditia)|rntees to
the fullest extent allow
ed by law
the following work included in this project: p,pwmoc1 oa/4on^cur�zm�w`xns*^vmTATmw('thevork.).

Guarantor guarantees that the materials and equipment used by itself and its subcontractors will be free from defects and that the work will conform to the plans and specifications. Should any of the materials or equipment prove defective or should the work as a whole, or any part thereof, prove defective for any reason whatsoever (except due to intentional torts by the City), or should the work as a whole or any part thereof fail to operate properly or fail to comply with the plans and speciOcmtions. Guarantor will, at the City's sole election: 1) reimburse the City, upon written dennand, for all of the City's expenses incurred replacing or restoring any such equipment or nnote[i@|S, including the cost of any work necessary to make such replacement or repairs; or 2) replace any such defective material or equipment and repair said work completely, all without any cost to the City. Guarantor further guarantees that any such repair work will conform to the plans and specifications for the prjact. This guarantee will remain in effect for five years from the date on which the contracted for work is accepted for use by the City.

Guarantor understands and agrees that the City shall have the unqualified option to make any replacements or repairs itself or to have such replacement, repair, performed by the undersigned.

The City shall have no obligation to consult with Guarantor before the City proceeds to perform any repair, replacement, or work itself. If the City elects to have Guarantor perform said v8p8ir, replacement, or work, Guarantor agrees that the repair, replacement, or work shall be performed within 15 days after receipt of a written demand from the City.

If the City elects to perform the |8p|aoarnent, repairs itae|f. Guarantor agrees to make reimbursement payment within 15 days after receipt of a written demand for payment from the City.

If the Guarantor fails or refuses to comply with this guarantee, the City shall be entitled to all costs and expenses, including attorneys and expert fees, reasonably incurred by reason of Guarantor's failure or refusal.

Guarantor Date: 9/11/26
Contractor: Hardy & Harper, Inc.

Title: Michael Aamundson, Vice President

Bv� Project No. 27-104

STATEMENT OF NON COLLUSION BY CONTRACTOR
The undersinedwhooubnnitshorevvithtoUleChvofP|aoerdiembidorp,op0so|doesherebvcertUy:
a. That all statements of fact in such bid or proposal are true. b. That such bid or proposal was not made in the interest of or on behalf of any undisclosed person, partnership, oomnpony, aaooci8tiOn, organization or corporation. c. That such bsd or proposal is genuine and not collusive or sham, d. That said bidder has not, directly or indirectly by egreernent. communication or conference with anyone, attempted to induce action prejudicial to the interest of the City of Placentia or of any other bidder or anyone else interested in the proposed procurement. e. Did not, directly or ndirectly, coHude, conspire, connive or agree with anyone etse that said bidder or anyone else would submit a faise or sham bid or proposal, or that anyone should refrain from bidding or withdraw his bid or proposal.
f. Did not in any nnannar, directly or indirectly seek by agreement, communication or conference with anyone to raise or fix the bid or proposal price of said bidder or of anyone else, or to raise or fix any overhead, profit or cost element of his bid or proposal prioe, or that of anyone 8|S8. g. Did not, directly or indirect|y, submit his bid or proposal price or any breakdown thenaof, or the contents thereof, or divulge information or data relative thereto, to any corporation, pBrtnenahip, c0rnpony, aesoci8bon, organization, bid depoSitOry, or to any member agent thereof, or to any individual or group of individuals, except to the City of Placentia, or to any person or persons who have a partnership or their financial interest with said bidder in his business. h. Did not provide, directly orindirectly tOany officer Uremployee of the City of Placentia any gratuity, entertainnnent, nneGis, or anything of value, whatsoever, which could be objectively construed as intending to invoke any form of reciprocation or favorable treatment. i. That no officer or principal of the undersigned firm is related to any officer or employee of the city by bood or marriage within the third degree or is employed, either fufl or part time, by the City of Placentia either currently or within the last two (l) years.

That no officer or principal of the undersigned firm nor any subcontractor to be engaged by the principal has been convicted by a court of competent jurisdiction of any charge of fraud, bribery, co||uSion, conspiracy or any other act in violation of any State or Federal antitrust law in connection with the bidding upon award of, or performance of, any public work contract, with any public enUty, within the ast three years.
certify, under penalty of perjury perjury under the taws of the State of Catifornia, that the foregoing is true and correct and that this certification was executed:
on 9/11/26 EkLake Forest
Firm Hardy & Hmrper, Inc.

Street 32 Rancho CircIe.

California.City Lake Forest State Cal fornia zip 92630
Signature)
Michael Aamundson, Vice President

Project No. 27-104

EXHIBIT A

SCOPE OF SERVICES

CONTRACT DOCUMENTS

SPECIFICATIONS AND STANDARD DRAWINGS
for the
FY 2026-2027 Residential Roadway
Rehabilitation Project
CITY PROJECT NO. 27-104
in the

CITY OF PLACENTIA
401 EAST CHAPMAN AVENUE
PLACENTIA, CALIFORNIA 92870
(714) 993-8245

BID BOND OR CASHIER'S CHECK IS REQUIRED WITH THIS BID
BIDS DUE AND OPENING:

DUE: Before 2:00pm
DATE: August 27, 2026
CHRISTOPHER TANTO, P.E.

CITY ENGINEER

SECTION C

PROPOSAL
for the
FY 2026-2027 Residential Roadway Rehabilitation Project From
CITY PROJECT NO. 27-104
in the

CITY OF PLACENTIA
TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF PLACENTIA:

In compliance with the Notice Inviting Electronic Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of PLACENTIA. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of PLACENTIA, and to enter into a contract at the following prices. The undersigned agrees to complete the work within fifty (50) working days for bid schedule "A" and an additional 10 working days for bid schedule "B", starting from the date of the Notice to Proceed.

BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump surn prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal.

BIDDER understands that a bid is required for the entire work and that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids, and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will re -advertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures.

C-1

{f awarded the CVntro<t, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCYS notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bd and the acceptance hereof may, at the AGENCY'S option, be considered nuU and void.

Accompanying this proposal of bid, find amm'me^rm in the amount of $ which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Electronic Bids, payable to the AGENCY. (Please insert the words "Cash". "Certified Chenh".or"Bidder'sBond''.anthe case may be).

Bidder shall signifynaceiptofaUAddondahe,e.ifany:

Addenda
No.
/Z(o
/ |
\'\ �/ ���|2-t-P
Date ReceiveBidder
's Signature
C-%

CITY OF PLACENTIA
FY 2026-27 RESIDENTIAL ROADWAY REHABILITATION
PROJECT, CITY PROJECT NO. 27-104
DATE: August 24, 2026
SUBJECT: Addendum # 1
This letter comprises Addendum No. 1 for the above project, request for construction bid, issued by the City of Placentia on August 13, 2026. Please take note of the items listed below which will have to be used in the preparation of your bid for this project. The following clarifications/changes are hereby issued:

CHANGES:

1. Section 6-1 on page E-15 has been revised

2. Appendix VI - STREET SWEEPING AND TRASH COLLECTION SCHEDULES has been added.

3. Item Description 8 and 9 has been updated on page C-3.

4. Construction notes 15 and 17 have been updated on all plan sheets Sincerely,
4:ea,
Jesus Avila, Associate Engineer

CITY OF PLACENTIA
FY 2026-27 RESIDENTIAL ROADWAY REHABILITATION
PROJECT, CITY PROJECT NO. 27-104
DATE: August 24, 2026
SUBJECT: Addendum # 1
ADDENDUM ACKNOWLEDGMENT:

Firm Name:

Authorized Signature:

Date: el zsi2.(p
HowPe,v
Acknowledgment of Receipt of Addendum # 1 is required by signing.

1-3 ABBREVIATIONS
1-7 AWARD AND EXECUTION OF CONTRACT
SECTION 2- SCOPE OF WORK E-4
2-2 PERMITS
2-5 CONTRACTOR'S EQUIPMENT AND FACILITIES
2-7 CHANGES INITIATED BY THE AGENCY
SECTION 3- CONTROL OF THE WORK E-6
3-4 AUTHORITY OF THE BOARD AND THE ENGINEER
3-5 INSPECTION
3-7 CONTRACT DOCUMENTS
3-10 SURVEYING
3-11 CONTRACT INFORMATION SIGNS
3-12 WORK SITE MAINTENANCE
3-14 GENERAL
3-15 SCOPE OF WORK
3-16 PLANS
3-17 BUSINESS LICENSE
3-18 LOSS OR DAMAGE
3-19 WATER
3-20 PRE CONSTRUCTION CONFERENCE
3-21 BID ITEMS
3-22 RECORD DRAWINGS
3-23 ORDER OF WORK
3-24 MAINTAINING TRAFFIC
3-25 MOBILIZATION
SECTION 4- CONTROL OF MATERIALS E-13
4-1 GENERAL
4-4 TESTING
4-6 TRADE NAMES
SECTION 5- LEGAL RELATIONS AND RESPONSIBILITIES E-14
5-3 LABOR
5-4 INSURANCE
SECTION 6- PROSECUTION AND PROGRESS OF THE WORK E-14
6-1 CONSTRUCTION SCHEDULE AND COMMENCEMENT OF
WORK
6-3 TIME OF COMPLETION
6-9 LIQUIDATED DAMAGES
SECTION 7- MEASUREMENT AND PAYMENT E-16
7-3 PAYMENT
7-4 PAYMENT FOR EXTRA WORK
7-6 BID ITEMS

APPENDIX I -

APPENDIX II -

APPENDIX III

APPENDIX IV

APPENDIX V -

APPENDIX VI
601-1 GENERAL

CONSTRUCTION DRAWINGS STANDARD PLANS

CONSTRUCTION SIGNAGE
- CONTRACTORS BUSINESS LICENSE APPLICATION
- SIFI NETWORK CONSTRUCTION DETAIL (FOR REFERENCE)

AS -BUILT DRAWINGS
- STREET SWEEPING AND TRASH COLLECTION SCHEDULES

BID SCHEDULE FOR
FY 2026-2027 RESIDENTIAL ROADWAY REHABLITIATION CITY PROJECT NO. 27-104
ITEM
NO. ITEMS DESCRIPTION

1. Mobilization
Traffic Control & Public Safety
Best Management Practices
Unclassified Excavation
Asphalt Concrete Pavement
Aggregate Base
Cold Mill ( 1-2")
Rubberized Polymer Modified Slurry Seal
(RPMS) Type II

2. 3.

4. 5

6. 7.

8. 9.
10 11.

12. 13.

14. BID "A" SCHEDULE
Rubberized Polymer Modified Slurry Seal
(RPMS) Type III
Surface Preparation and Crack Seal
Sawcut, Remove Existing Improvements,
and Construct PCC Sidewalk per OCPW
STD Plan 1205
Sawcut, Remove Existing Improvements,
and Construct PCC Curb and Gutter (Type
A2-8) per OCPW Std. Plan 120-2
Tree Removal
Remove and Reconstruct Existing Speed
Hump

QUANTITY
1 1
1 1,250
7,550
800
436,800
140
70 202,300
3,400
500
1 3
C-3
UNIT
LS
LS
LS

UNIT PRICE TOTAL
$ 40,000.00 $ 40,000.00
$172,775.00 $172,775.00
$10,000.00 $ 10,000.00
$ 87,500.00
$ 906,000.00
$ 72,000.00
$ 100,464.00
$ 35,000.00
$ 21,000.00
$ 14,161.00
$ 44,200.00
$ 100.00 $ 50,000.00
$ 2,500.00 $ 2,500.00
$ 4,000.00 $ 12,000.00
CY $ 70.00
TN $ 120.00
CY $ 90.00
SF $ 0.23
ELT $ 250.00
ELT $ 300.00
SF $ 0.07
SF $ 13.00
LF
EA
EA

ITEM
NO.

15. ITEMS DESCRIPTION
Adjust Sewer and Drainage Manhole Frame
and Cover to Finished Grade Refer To
SSPWC Std. Plan 205-2,

16. Adjust Water Valve Frame and Cover to
Finished Grade per GSW Std. Plan P-32.

Contractor shall Coordinate with GSW
Representative

17. Furnish and Install Traffic Loops (Type per
Plan)

18. Install Pavement Striping, Markings, and
Pavement Legends

19. Protect -in -Place all SIFI Network Conduits
and Service Drops for the Entire project
within the City of Placentia

20. Survey Monument Preservation and
Restoration and Construction Staking
ITEM
NO.

B1
B2.

QUANTITY UNIT
50 60
8 1
1 UNIT PRICE TOTAL
EA $ 700.00
EA $ 400.00
EA $ 800.00
Ls $ 12,000.00
Ls $ 5,000.00
LS $ 40,000.00
$ 35,000.00
$ 24,000.00
$ 6,400.00
$ 12,000.00
$ 5,000.00
$ 40,000.00
TOTAL BID "A" SCHEDULE - TOTAL PRICE: $ 1,690,000.00
TOTAL BID "A" SCHEDULE - TOTAL PRICE WRITTEN IN WORDS: One Million, Six Hundred Ninety Thousand Dollars, No Cents.

ADDITIVE BID "B" SCHEDULE

YORBA LINDA AND SEVILLE ALLEYS

ITEMS DESCRIPTION
Mobilization
Traffic Control & Public Safety
B3. Best Management Practices
B4. Unclassified Excavation
B5. Asphalt Concrete Pavement

86. Aggregate Base

QUANTITY UNIT
1 LS
1 LS
1 LS
700 CY $ 70.00
490 TN $ 120.00
500 CY $ 90.00

UNIT PRICE TOTAL
$ 1,000.00
$ 4,370.00
$ 1,000.00
C-4
$ 1,000.00
$ 4,370.00
$ 1,000.00
$ 49,000.00
$ 58,800.00
$ 45,000.00

ITEM
NO. ITEMS DESCRIPTION
B7. Cold Mill ( 1-2")
B8. Multiaxial Grid

QUANTITY UNIT UNIT PRICE TOTAL
10,000 SF $ 0.23 $ 2,300.00
11,530 SF $ 1.00 $ 11,530.00
B9, Sawcut, Remove Existing Improvements,
and Construct PCO Ribbon Gutter Per 2,800 SF $ 25.00 $ 70,000.00 OCPW Std. Plan No. 122-2-00
TOTAL 1311) "B" SCHEDULE - TOTAL PRICE: $ 243,000.00
TOTAL BID "B" SCHEDULE - TOTAL PRICE WRITTEN IN WORDS: Two Hundred Forty Three Thousand Dollars, No Cents.

ADDITIVE BID "C" SCHEDULE
ITEM
NO. ITEMS DESCRIPTION QUANTITY UNIT UNIT PRICE TOTAL
C1. Adjust Sewer Manhole Frame and Cover to
Finished Grade Refer To 0.C.S.D. Std. 1 EA $ 3,000.00 $ 3,000.00 Dwg. No. S -050A, S-055, S -055A
TOTAL BID "C" SCHEDULE - TOTAL PRICE: $ 3,000.00
TOTAL BID "C" SCHEDULE - TOTAL PRICE WRITTEN IN WORDS: Three Thousand Dollars, No Cents.

GRAND TOTAL BID "A" + ADDITIVE BID "B" + ADDITIVE BID "C" PRICE WRITTEN IN FIGURES: $1,936,000.00
GRAND TOTAL BID "A" + ADDITIVE BID "B" + ADDITIVE BID "C" PRICE WRITTEN IN WORDS: One Million, Nine Hundred Thirty Six Thousand Dollars, No Cents.

NOTE: The GRAND TOTAL BID "A" PRICE + TOTAL ADDITIVE BID "B" PRICE + TOTAL ADDITIVE BID "C" PRICE shall be used as the basis of bid in determining the low bid for this project. The City reserves the right to include or remove additive work that makes up the additive bid schedules.

NOTE: The City reserves the right to award a contract to the lowest responsible bidder in parts or in its entirety and reserves the right to reject all bids and re -advertises, as appears to be in the best interests of the City. A bid is required for this entire work, the estimated quantities set forth in this Bid Sheet being solely for the purpose of comparing bids, and final compensation under the Contract will be based upon the actual quantities of work satisfactorily completed. The unit and/or lump sum prices bid shall include all appurtenant expenses, taxes, royalties, and fees. In the case of discrepancies in the amount bid, unit prices shall govern over extended amounts, and words shall govern over figures.

The City reserves the right to increase or decrease the amount of any quantity shown and to delete any item from the Contract.

Through submission on PlanetBids, the bidder certifies that he/she has followed the bidder instructions, acknowledges the requirements set forth in this proposal form for bid submission, and has thoroughly checked the figures set forth in the proposal and inputted into PlanetBids, that they C-5

are correct to the best of his/her knowledge and constitute his/her proposal to perform all the work called out and implied throughout these contract documents. ***BI[) TEMS TO BE INPUTED ON-LINE VA PLANETBJDS***

LIST Of SUBCONTRACTORS
actiontance with Governonet4 Ciode Socbon 41rat Bozo( shall set *AA tho MOM.' and buziness actifires,s of each bobbtobtfacitiof WIN) pottitom work or rooder stoOtot to Ow bidder 1,ad. contact In an &nova in sat000s of orwthalf -of * fAVOC.44 of the IOW bid ,-, trwo - ot000tt of the work tO be Oofte by VIM subcontractoo,
,
Portion Name and A ddross of Suboixottattor &ate Liconse 01,1,1 t of Wank
Number
„, ,,,,,,,,” rk.. ft $ 1, - : , ,I ,
-4.,
triorll Ob ..; *
t, ' SO
o44.si*°J '
i ?
il 4 I
ne 4
42 r ' 4-'- i'
4'''' 4J'i
i 1 e
;.,
2, 4
,
bi;
-4 4 4 4 4,4 4 444 4,44 41.`
fitta1110
it
zt
Z 04% 0 14
tt„ zb =
o7'14, 91040
.1,.• 'toot ' -, ft tot -,t, i t n t1,44. 44, ,t,j
A i
-0,
444
1-7
1 24
44 4 44
'44 1
1 43 ;i
4 i
4, 4

2.1%..44,4:0420,41A140-44.
4 pf-404•301:8I., tkidtr Mrtfits„
1 That ,ne abte to 22 '744 pettaffm trio btattibica Az WOM„ Whittl IS not 24 4422 rt, me • ,41.)0Ve SIA,COrttfa4,33r1 -1,1041s;
That toe otittiE.NCY torntsoolottopoos itti sumotottws ,stotered ArtS OM* • ttottototto off $4,.,,,i'LC,Ord.r &Clot for um poottect 22 44, -*4
1 44

4.•

NONCOLLUSION AFFIDAVIT

TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID
State of California
nm.

County of Orange
Michael Amundson ' being first duly eworn, deposes and says that he or she is Vice President Of Hardy & Harper, inc, the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed porsun, portnenship, company, amsociahon, o,ganization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly coUuded, oonapired, oonnived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indiract|y, sought by ag,eement, connmunicadon, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that aU statements contained in the bid are true; and, further, that the bidder has not, directly or indinect|y, submitted his or her bid price or any breakdown thereof, or the contents thoreof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to ariy member or agent thereofto effectuate a coflusive or sham bid, is
NOTARY PUBLIC Please see attached,
Hardy 8^Harper, Inc.

Name of Bidder
SigneofBidder
Michael Amundson, Vice President
32 Rancho Circle. Lake Forest, CA 92630
Address of Bidder
day of
C-8

CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
Ilk IP, +FS IA.

CIVIL CODE § 1189
.c7iet"- www.NationalNotary.org • 1 -800 -US NOTARY (1-800-876-6827) ^umcwoc.

Item45907

UTILITY AGREEMENT

HONORABLE MAYOR AND CITY COUNCIL

CITY OF PLACENTIA, CALIFORNIA
The undersigned hereby promises and agrees that in the performance of the work specified in the oontract, known as FY 2028'2027 RESIDENTIAL ROADWAY REHABLITIATION CITY PROJECT NO, 27-1O4(|)(we)(iUwill employ and utllize only qualified pensons, as hereinafter dehnnd, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows:
"Qualified Person: A person who, by reason ofexperience orinstruction, is famillar with the operation to be perfonned and the hazards involved.°
The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal -OSHA requirements.

The undersinedfu[Uherpromiseoandagn*mothedthep,uvisionshereinahoUbeandargbinding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. 8/20126
Date:

Hardy & Harper, ino
�
Contractor
By
Michael Amundson, Vice President
Title

DISQUALIFICATION QUESTIONNAIRE
In accordance with Government Code Section 14310.5, the Bidder shafl complete,under penalty of perjury, the following questionnaire.

QUESTIONNAIRE
Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been dium|ified.removedorotherwiae prevented from bidding on or competing a Federal, State or ocaI government project project because of a viotation of Jaw or a safety regulation?
C:3 Yes c;itNo
If the answer is yes, explain the circumstances in the space provided.

N/A
Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature ofthioqueoti#nname. 0-10

COMPENSATION INSURANCE CERTIFICATE
Pursuant to Section 1861 of the State Labor Code, each contractor to whom a pubUc works contract has been awarded shall sign the foliowing certificate. am aware of the provisions of Section 3700 of the Labor Codwhich require every employer to be insured against liability for worker's compensation or to undertake self-insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. 8/20/26
C41
Hardy & Harpar, Inc,
Contractor
By
Michael Amundson, Vice President
Title

UNDERGROUND SERVICE ALERT

IDENTIFICATION NUMBER
(To be completed only by the awarded Contractor prior to excavation) No excavation will be permitted until this form is completed and returned to the AGENCY.

Section 4216/4217 of the Government Code requires a Dig Alert Identification Number be issued before a Permit to Excavate will be valid:

To obtain a Dig Alert Identification Number, call Underground Service Alert at 1-800-422-4133 a minimum of two working days before scheduled excavation.

Dig Alert Identification Number
8/20/26
Date:

TBD
Hardy & Harper, Inc.

Contractor
By
Michael Amundson, Vice President
Title
Note: This form is required for every Dig Alert Identification Number issued by U.S.A. during the course of the Work. Additional forms may be obtained from the AGENCY upon request.

C-12

BIDDER'S INFORMATION
BIDDER certifies that the following information is true and correct:

Hardy & Harper, Inc.

Bidder Name
32 Rancho Circle.

Business Address
Lake Forest,CA 9 2 6 3 0
City, State Zip
( 949446-4516
Telephone Number
Michael Amundson, Vice President
Contractor Name
1000000076
Contractor's DIR Public Works Registration Number
215952, A,C-8 & C12
State Contractor's License No. and Class
3/11/1963
Original Date Issued
12/31/2027
Expiration Date
The work site was inspected by Michael Amundson of our office on Auk.10-)1. Ict*`. , 20.

The following are persons, firms, and corporations having a principal interest in this proposal:

Dan T. Maas, President
Tanner Hambright, Vice President
Michael Amundson, Vice President
Kristen Paulino, Corporate Secretary
C-13

The undersigned is prepared to satisfy the Council of the City of PLACENTIA of its abUbv, financially or othemise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth.

Hardy & Harper, Inc.

Company Name
Signature of Bid
Michael Amundson, Vice President
Printed or Typed Signature
sworn to before me this

NOTARY PUBLIC
Please see attached
.
day of
.2O.

NOTARY SEAL --
Listed below are the names, address and telephone numbers for three public agencies for whch the bdder has performed simUar work within the past two years:

Please see attached Past Pject References
2�
3�
Name and Address of Public Agency
Name and Telephone No. of Project Manager:

Contract Amount Type of Work
Please see attached Past Pject References
Name and Address of Public Agency
Name and Tetephone No. of Projectject Manager:

Contract Amount Type of Work
Please see attached Past Project References
Name and Address of Public Agency
Name and Telephone No. of Pject Manager:

Contract Amount
Date Completed
Date Completed
Type of Work Date Completed
C-14

CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
"`11,��`-x
CIVIL CODE § 1189
r---
| Anotary public u,other officer completing this certificate verifies only the identty of the ndividual who signed the document to which ths certificate s attached, and not the truthfulness, accuracy, or vaiidity of thatdocument.

State of California
County of
Orange
)
)
On Augu_st 18. 2026 before me, Jo -Ann Lyons Notary Public Date
personally appeared Michael Arnundson
Here Insert Name and Title of the Officer
Name(s) 0! Signer(s)
who proved to me on the basis of satisfactory evidence to be the personX whose name(g) |n/gwe subscribed to the within instrument and acknowledged to me that heiske/they executed the same in hia/htec/thmirauthorized oupani\y(iet).and that bhin/hmc/thmiroignaturo(g)onthe instrument the pemon(a.). or the entity upon behalf of which the person(x) acted, executed the instrument. certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph is true and correct.
o*mmiA^ion»2mon2B
Of4rIg* Gov/1(y
My Comm, Expirw MAY 3, 2029
Place Notary Seal Above
WITNESS m hand and official seaL
Signature
'
Signe ure of Not *blio
�

OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended docurnent.

Description ot Attached Document
Title or Type of Document: Bidder's Information
Number of Pages: 2 Signer(s) Other Than
Capacity(ies) Claimed by Signer(s)
Signer's Name: Michael Amundson
rill Corporate Officer —Tide(o):

Li Partner — D Limited OGenexa!
O Individual O Attorney in Fact
Trustee OGuovdion or Conservator
Other:

Signer Is Representing:

Hardy & Harper, Inc.
02Ol4National Notary Association `*ww.NodunaNutary.ung^1'800-USNOTARY (1'80-87G-6827) #ann-459O7 Document Date: Auous(18.2O2S
Named Above: None
Signer's Name
El Corporate Officer — Title(s):

OPartner— III Limited El General
O Individual Ell Attorney in Fact
OTrustee El Guardian or Conservator
[]Other:

Signer Is Representing:

OWNER/AGENCY
City ofAdclanto
11600 Air Expressway
Ade)anto, CA 92301
City of Cathedral City
68700 Avenida Lalo Guerrero
Cathedral City, CA 92234
City of Highland
27215 Base Line
Highland, CA 92346
City of Eastvale
12363 Limonite Ave, Suite 910
Eastvale, CA 91752
City of Indian Wells
44-950 Eldorado Dr.

Indian Wells, CA 92210
City of Htghiand
27215 Base Line
Highland, CA 92346
Ciry of Hawaiian Gardens
21815 Pioneer Blvd
Hawaiian Gardens, CA 90716
-City of Bell Gardens
8327 Garfield Avenue
Bell Gardens, CA 90201
City ofJurupa Valley
8930 Limonite Avenue
Jurupu Valley, CA 92509
City of Monterey Park
320 West Newmark Avenue
Monterey Park, CA 91754
City of Grand Terrace
22795 Barton Road
Grand Terrace, CA 92313
City of Fullerton
303 West Commonwealth Avcnuc
Fullerton. CA 92832
County of Riverside
3525 14111 Street
Riverside, CA 92501
City of Orange
300 E. Chapman Avenue
Orange, CA 92866
City of Cathedral City
68-700 Avenida Lalo Guerrero
Cathedral City, CA 92234
City of Ontario
303 East "B" Street
Ontario, CA 91764
City of Los Alamitos
3191 Katella Avenue
Los Alamitos, CA 90720
City of Rancho Santa Margarita
22112 El Paseo
Rancho Santa Margarita, CA 92688
City of Vernon
4305 Santa Fe Avenue
Vernon, CA 90058
Hardy & Harper, Inc. Past Project References

CONTACT
Richard Burgess
(909) 682-0051
[email protected]
Jests Gutierrez
(760) 202-2402
jgutierrez(acathedralcity.gov
Octavio Duran
(909) 864-6861
odurun( cityothighland.org
Gabriel Mayorquin
951) 703-4492
gmayorqu in(4easty aleca.gov
Mirian Fulson
(760) 776-0237
m [email protected]
Octavio Duran
(909) 864-6861
oduran(a7cityolhighland.org
Neema Ghanbari
(562)420-2641
[email protected]
Veronica Sanchez
(562) 8069-7770
[email protected]
Youssef Baskaron
(951)332-6464
[email protected]
Anthony Bendezu
(626) 307-1283
[email protected]
Kamran Dadbeh
(909) 824-6621
kdadbehAgran dterrace-ca.Rov
Melissa Rendon
(714) 738-6886
[email protected]
Joel Jimenez
(951) 955-1537
iriimcncz cr,rivco.org
Salvador Munoz
(714) 744-5547
smunoz cityoforange.org
Armando Baldizzone
(760) 770-0340
abaldizzone9 cathcdralcity.gov
Yesenia Lopez
(909) 395-2103
yl opez(a)o ntarioca.gov
Chris Kelley
(562) 431-3538
[email protected]
Tri Nguyen
(949) 635-1813
tnguyen(cityofrsm.org
Lissette Melendez
(323) 583-8811
Imelendez([email protected]

PROJECT NAME, AMOUNT, & COMPLETION DATE
Dennis Street and Kay Street Pavement Rehabilitation
Contract Amount: 5349,000.00
Completion Date: May 2025
2024-2025 City Streets Pavement Reconstruction Projects Contract Amount: 51,432,000.00
Completion Date: April 2025
FY 23-24 & 24-25 CD13G Pavement Improvement Project 14o. OLA24001 Contract Amount: 5578,000.00
Completion Date: April 2025
2024 Median Improvement Project
Contract Amount: 52,062,500.00
Completion Date: March 2025
Local Roads Improvement - Phases 2, 3, 4
Contract Amount: $1,460,000.00
Completion Date: February 2025
Greenspot Road Median and Street Improvements
Contract Amount: $951,000.00
Completion Date: February 2025
Carson Street Beautification (Phase 11), Project 108
Contract Amount: 54,480,000.00
Completion Date: February 2025
Eastern Avenue Improvements Project
Contract Amount: 51,278,900.00
Completion Date: February 2025
2023-2024 CDdG Olen Avon & 2024-2025 CDG Rubidoux Arca Pavement Rehab Contract Amount: 51,197,920.00
Completion Date: January 2025
2022-23 Monterey Pass Road Overlay
Contract Amount: 51,133,912,00
Completion Date: December 2024
Pavement Rehabilitation on Mount Vernon Avenue
Contract Amount: 5693,000.00
Completion Date: December 2024
Las Palmas Area Street Rehabilitation
Contract Amount: 52,585,000.00
Completion Date: October 2024
Dillon Road Resurfacing and Bubbling Wells Resurfacing
Contract Amount: 53,200,000.00
Completion Date: September 2024
Annual Pavement Maintenance at Various Locations FY 23-24 Contract Amount: 53,850,000.00
Completion Date: August 2024
Panorama Neighborhood Pavement Reconstruction
Contract Amount: 5636,000.00
Completion Date: July 2024
2024 Spring Pavement Rehabilitation Project
Contract Amount: 52,041,000.00
Completion Date: June 2024
Bloomfield Street Improvement Project
Contract Amount: 5207,000.00
Completion Date: April 2024
Fy 23-24 Annual Residential Overlay
Contract Amount: 5829,425.00
Completion Date: March 2024
Gifford Ave, 48th, 49th & 50th Street Improvements
Contract Amount: 5792,000.00
Completion Date: March 2024

OWNER/AGENCY
City of Signal Hill
2175 Cherry Avenue
Signal Hill, CA 90755
City of Manhattan Beach
14000 Highland Avenue
Manhattan Beach, CA 90266
San Bernardino County
825 East 3rd Street
San Bernardino, CA 92415
City of EI Segundo
350 Main Street
El Se undo, CA 90245
City of La Canada Flintridge
I Civic Center Drive
La Canada Flintridgc, CA 91011
City of Palos Verdes Estates
340 Palos Verdes Drive West
Palos Verdes Estates, CA 90274
City of Norwalk
12700 Norwalk Blvd
Norwalk, CA 90650
City of San Gabriel
425 S. Mission Drive
San Gabriel, CA 91776
City of Fullerton
303 West Commonwealth Avenue
Fullerton, CA 92832
City of Moreno Valley
14177 Frederick Street
Moreno Valley, CA 92552
City of Grand Terrace
22795 Barton Road
Grand Terrace, CA 92313
City of Downey
11111 Brookshire Avenue
Downey, CA 90241
City of Orange
300 E. Chapman Avenue
Orange. CA 92866
City of San Fernando
117 Macneil Street
San Fernando, CA 91340
City of Downey
11 1 1 1 Brookshire Avenue
Downey, CA 90241
City oflurupa Valley
8930 Limonite Avenue
Jurupa Valley, CA 92509
City of Anaheun
200 S. Anaheim Blvd
Anaheim, CA 92805
County of Riverside
3525 14th Street
Riverside, CA 92501
City of Chino Hills
14000 City Center Drive
Chino Hills, CA 91709
Los Angeles County
900 S. Fremont Avenue
Alhambra, CA 91803
Hardy & Harper, Inc.

CONTACT
Davina Buenavista
(310) 766-6985
dbu en av i s ta(rr),ko acorp. co m
Gilbert Ramos
(310) 802-5353
Sfamos(manhattanbcach.t;ov
Larry White
(909) 663-7599
(white a,dpw.sbcounty. ov
Floriza Rivera
(310) 524-2361
frivera@el segundo.org
Nasser Shouslttarian
(818) 790-8882
[email protected]
Monica Pango
(951) 475-3625
mpango(dhrgreen.com
Delfino Consunji
(714) 686-8911
dconsun j i(a)oe-eng. com
Alam Mai
(626)308-2825
amai(alsgch.org
Rafael Chavez
(714)932-7506
rafacl.chavezAcityoffullcrton.com
Quang Nguyen
(951)413-3159
quangn(i)moval.org
Katnran Dadbch
(909) 824-6621
kd adbeh(a)grandtcrracc-ca. gov
Desi Gutierrez
(562) 904-7110
dgutierr cr,downeyca.org
Youichi Nakagawa
(714) 744-5572
ynakagawa(7a,cityo forange.org
Manuel Fabian
(818) 898-1243
[email protected]
Desi Gutierrez
(562) 904-7110
dgutierr(l downcyca.org
Desiree Flores
(951) 332-6464
dfl ores(a)j urupaval lcy.org
Lorenzo Rea
(714) 765-6893
Ireai anaheim.net
Hector Davila
(951) 955-6885
[email protected]
Carl Hassel
(909) 364-2817
chassel rt chinohills.org
Peter Sanque
(661) 947.7173
[email protected]
Past Project References
,PROJECT NAME, AMOUNT, & COMPLETION DATE
Palm Drive Pavement Rehabilitation Project
Contract Amount: 5774,000.00
Completion Date: October 2023
Cycle 2 Street Resurfacing Project
Contract Amount: $3,110,000.00
Completion Date: September 2023
Rain Shadow Road and Other Roads
Contract Amount: 5830,000.00
Completion Date: September 2023
FY 23/24 Pavement Rehabilitation Project
Contract Amount: $1,635,000.00
Completion Date: July 2023
2023 Citywide Street Resurfacing Program
Contract Amount: 51,060,000.00
Completion Dat: June 2023
FY 21-22 Street Improvements
Contract Amount: $1,138,000.00
Completion Date: May 2023
Local Streets Rehabiliation CDBG FY 22-23
Contract Amount: 5956,000.00
Completion Date: April 2023
CDBG Street Improvements Project FY 22/23
Contract Amount: $490,000.00
Completion Date: March 2023
Residential Street Rehabilitation
Contract Amount: 51,204,780.00
Completion Date: February 2023
Pavement Rehab. for Various Local Streets CDBG FY 21/22 Contract Amount: 52,444,260.00
Completion Date: December 2022
Pavement Rehab. On Barton Rd, Van Buren St & Vivienda Ave Contract Amount: 5570,000.00
Completion Date: September 2022
Residential Street Pavement Rehabilitation Project, Area 1 Contract Amount: 52,875,000.00
Cotnplction Date: June 2022
Prospect & Spring Right Turn Lane Modification Project
Contract Amount: 5920,000.00
Completion Date: June 2022
Pico Street Improvement Project
Contract Amount: $465,000.00
Completion Date: May 2022
Residential Street Pavement Rehabilitation Project, Arca 10 Contract Amount: 52,355,000.00
Completion Date: April 2022
2021-22 CDBG Old Mira Loma Pavement Rehabilitation Project Contract Amount: 5810,000.00
Completion Date: April 2022
Residential Street Improvement Project - Lotus & Torry, Group 13 Contract Amount: 55,806,000.00
Completion Date: March 2022
Fisher Street Resurfacing Project
Contract Amount: 5785,560,00
Completion Date: February 2022
Village Center Drive Pavement Rehabilitation Project
Contract Amount: $408,000.00
Completion Date: December 2021
Pavement Reconstruction (Sustainable) North LA County
Contract Amount: 51,873,929.57
Completion Date: November 2021

RESPONSIBLE BIDDER — SUPPLEMENTAL. QUESTIONNAIRE

1. How many years has your organization been in business in California as a contractor under your present business name and license number?
80 Years

2. What is your firm's Average Gross Revenue for the last three years? $ 185,000,000.00

3. Is your firm currently the debtor in a bankruptcy case? LI Yes XI No
If " yes," indicate the case number, bankruptcy court, and the date on which the petition was filed.

N/A
Case Number Bankruptcy Court Date Filed

4. Was your firm in bankruptcy any time during the last five years? (This question refers only to a bankruptcy action that was not described in answer to question 2, above.) Yes n No
If " yes," indicate the case number, bankruptcy court, and the date on which the petition was filed.

N/A
Case Number
Bankruptcy Court Date Filed

5. Has any CSLB license held by your firm or its Responsible Managing Employee (RME) or Responsible Managing Officer (RMO) been suspended within the last five years? Yes 5ta No

6. At any time in the last five years, has your firm been assessed and paid liquidated damages after completion of a project, under a construction contract with either a public or private owner?
LI Yes JNo

7. Has your firm ever defaulted on a construction contract? Yesl No
If "yes," explain on a separate page.

8. In the last five years has your firm, or any firm with which any of your company's owners, officers or partners was associated, been debarred, disqualified, removed or otherwise prevented from bidding on, or completing, any government agency or public works project for any reason?
C-16

O Yes El No
|f"vea.^explain one separate page. Statethe name of the organzation debarred, the year ofthe event, the owner of the project, and the basis for the action.

9. In the Iast five years, has your flrm been denied an award of a pubhc works contract based on a finding by a public agency that your company was not a responsible bidder? O YesZ1Nu
If "yes," on a separate page identify the year of the event, the entity denied the award, the owner, the project, and the basis for the finding by the public agency.

10.1n the past five years, has any claim against your firm concerniyour firm's work ono construction project, been filed in court or arbitration? O Yes ID No
|f^yes.^onaseparate page identify the claim(s) by providing the project name, date of the claim, name of the claimant, the name of the entity the claim was filed against, a brief description of the nature of the claim, the court and case number, and a brief description of the status of the claim (pending er, if resolved, a brief description ofthe resolution).

11. In the pasfive years, has your flrm made any claim against a project owner concerning work on a project or payment for a contract, and filed that claim in court or arbitration? Ld Yes lid No
lf'yes,' on a separate page identify the claim be providingthanameofokanlantthaoroemtnane. date of the cla)m, name of the entity (or entities) against whom the claim was filed. a brief description of the nature of the claim, the court and case number, and a brief description of the status of the claim (pending, or if resolved, a brief description of the resolution.

12. At any time during the past five yearshas any surety company made any payments on your firm's behalf as a result of a default, to satisfy any claims made against a performance or payment bond issued on your firm's behalf in connection with a construction project, either public or private?
O Yes Z1 No

13. In the last five years, has any insurance carrier, for any form of insurance, refused to renew the insurance policy for your firm?
• Yesil No

14. Has your firm or any of its owners, officers, or partners ever been liable in a civil suitor found guilty in a ohnninal octkon, for making any false claim or material misrepresentation O Yes Ki No

15. Has your firm or any of its owners, officers or partners ever been convicted of a crime involving any federal, state, or local law related to construction? 0 Yes* No
If "yes," explain on a separate page, including identifying who was convicted, the name of the victim, the date of the conviction, the court and case number, the crimes, and the grounds for the conviction.

16. Has your firm or any of its owners, officers or partners ever been convicted of a federal or state crime of fraud, theft, or any other act of dishonesty? CI Yes al No
If "yes," identify on a separate page, the person or persons convicted, the court and case number, the crimes, and the year convicted.

17. If your firm was required to pay a premium of more than one per cent for a performance and payment bond on any project(s) on which your firm worked at any time during the last three years, state the percentage that your firm was required to pay. You may provide an explanation for a percentage rate higher than one per cent, if you wish to do so.

N/A %

18. During the last five years, has your firm ever been denied bond credit by a surety company, or has there ever been a period of time when your firm has no surety bond in place during a public construction project when on was required?
0 Yes 3 No
19, Has CAL OSHA cited and assessed penalties against the General Contractor or its associates for any "serious," "willful" or "repeat" violations of its safety or health regulations in the past five years?
(Note: If you have filed an appeal of a citation, and the Occupational Safety and Health Appeals Board has not yet ruled on your appeal, you need not include information about it.)
0 Yes fij No
If "yes," on separate page describe the citations, the party against whom the citation was made, date of citation, nature of the violation, project on which the citation was issued, owner of project, and the amount of penalty paid, if any. State the case number and date of any OSHAB decision.

20. Has the Federal Occupational Safety and Health Administration cited and assessed penalties against the General Contractor or its associates in the past five years? (Note: If an appeal of the citation has been filed and the Appeals Board has not yet ruled, or there is a court appeal pending, you need not include information about the citation.) YesIX) No
C-17

If "yes," on separate page describe the citation, the party against whom the citation was made, date of citation, nature of the violation, project on which the citation was issued, owner of project, and the amount of penalty paid, if any. State the case number and date of any decision. 21 Has there been more than one occasion during the last five years in which the General Contractor or its associates was required to pay either back wages or penalties for failure to comply with the state's prevailing wage laws?
C3 Yes fi) No
If "yes," on separate page, describe the violator, nature of each violation, name of the project, date of its completion, the public agency for which it was constructed, the number of employees who were initially underpaid an the amount of back wages and penalties that were assessed.

22. During the last five years, has there been more than one occasion in which the General Contractor or its associates have been penalized or required to pay back wages for failure to comply with the Federal Davis -Bacon prevailing wage requirements? YesX) No
If "yes," on separate page, describe the violator, nature of each violation, name of the project, date of its completion, the public agency for which it was constructed, the number of employees who were initially underpaid an the amount of back wages and penalties that were assessed.

C-18

DESIGN ENGINEER MAY NOT BID ON

CONSTRUCTION CONTRACT
No engineering or architectural firm which has provided design services for a projectshaU be eligible to bid on the contract to construct the project. The firms ineligible to bid include the prime contractor for design, subcontractors of portions ofthe design,andaMi|iatesofeithmr An affiliate is a firm which is subject to the control of the same perouns(a), through joint ownership or otherwise.

ACKNOWLEDGED this 7[th day of August
Lake Forest, CA
AodhoxtedSignature
Michae Amundson, Vice President
Position
Hardy & Harper. Inc.

Company
C49
2026 at

CO

NOTICE OF AFFIRMATIVE ACTION
By submitting a proposal on any job or entering into any contractual agreement with the City of P|ananba, the undersigned agrees not to discriminate in employment decisions against any person on account of race, creed, national origin, ethnic background, color, sex, age, or handicap in performing the work required under this proposal.

ACKNOWLEDGED this 20th day of Auaust .ZO 26 .ed
Lake Forest, CA
Audhoit@»d Signature
�xi,�="/Vicep",°/*="�
~~'�~ Amundson, President
Position
Hardy & Harper, Inc.

Company

BIDDER'S BOND
(To Accompany Contract Proposat)

KNOW ALL MEN BY THESE PRESENTS,
That Hardy &Harper. Inc.

Bond No. CSBA-35889
as PRINCIPAL, and
Fidelity and Deposit Company of Maryland , as SURETY, are held and firmly bound unto the City of Placentia n the sum of TEN PERCENT (10%) of the total amount of the bid of said pR|NC|PAL, to be paid to the said Cty ar its certain aMunnay, its successors and assigns; for which payment, well and truly to be mnade, we bind ounosAvem, our heirs, executors and odmniniatrm&oro, successors or assigns, jointly and uevero|k/, firmly by these presents. n no case shall the Ilability of said SURETY here under exceed the surn of $ Ten Percent (10%) of the Amount Bid .

THE COND{TION OF THIS OBLJGATION IS SUCH THAT,
WHEREAS, said PRINCIPAL has submitted the above mention bid to the City of Placentia for certain construction for which bids are to be opened at the City Hall of the City of Placentia, 401 East Chapman Avenue, Placentia, California on August 27, 2026 for:

FY 2026-2U27RESIDENTIAL ROADWAY REHABLITIATION CITY PROJECT NO. 27-104 NOW, THEREFORE, if the aforesaid PRINCIPAL is awarded the contract and within the time and manner required under the apecifiosdiono, after the prescribed forms are presented to him for signature, enters into a written consent in the prescribed form in accordance with the bid, and files the two bonds with the City of Placentia, one to guarantee faithful performance and the other to guarantee payment for Labor and Materials as required by law, then this obligation shall be null and void; otherwise, it shall be and remain in full force and effect.

CO
in the event suit in brought upon this bond by the Obligee and judgment is recovered, said SURETY shall pay all costs incurred by the Obligee in such suit, including a reasonable attorney's fee to be fixed by the Court,
BY�
BY:

IN 'VVITNESS \A'HERECF, we have hereunto set our hands and seals on this 20vh ay of August 2026 .

Hardy & Harper, Inc.

PRINCIPAL
+ik\CV-»-e T'e„S,
Title
vYw^hw» ' Loy i�,m*ey(/e\mY'
Title
SURETY
Fidelity and Deposit Company o(Maryland
Dwight ReiUy, Attorney -in -Fact
777 South Figueroa Struet.Svite 3900
Address
Los Angeles, CA 90017
(SEAL) (SEAL)
Instructions: If the Contractor is a corporatkon, the agreement must be executed in the corporate narne and signed by the President or Vice President and the Secretary or Assstant Secretary, and the corporate seal affixed, If the Contractor in an individual doing business under a fictitious name, it must be signed by ail persons having an interest in the buainema, and the fictitious name must be signed also. All bond signatures must be notarized The standard printed bid bond form of any bonding company approved by the City pursuant to Item 7, 'Insurance Policies and Bonds", in the Instructions to Bidders may be used in lieu of the foregoing approved sample bond form provided the security stipulations protecting the City are n any way reduced by use af the surety companys standard printed form, C-22

CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CML CODE § 1189
;.-cg-L•tt.-,„tx•
A rotary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

State of California
County of
Orange
On Augus121...242_6 before me,
Date
Jo -Ann Lyons Notary Public
Here Insert Name and Title of the Officer
petsonally appeared Michael Amundson and Kristen Paulin() Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) i,s/are subscribed to the within instrument and acknowledged to me that fx/se/they executed the same in 1*A1:v/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. . ,

JOANN YONS
Commi-414ilon Z1C-428
Porat.trpPtk CA94crri,"...a
Or, C.turay
Nike
Place Notary Seal Above
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph is true and correct.

WITNESS my hand and official seal.

Signature
I 4')/
Signature of N
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: Bidder's Bond
Number of Pages: 2 Signer(s) Other Than
Capacity(ies) Claimed by Signer(s)
Signer's Name: ' • son
R] Corporate Officer — Title(s): PrpciriAnt
El Partner — D Limited Li General
Individual ri Attorney in Fact
D Trustee 'Li Guardian or Conservator
Li Other:

Signer Is Representing:

H a rdy & Hztrper, Inc.
ri
Document Date: August 20. 2026
Named Above: Dwight Reilly
Signer's Name: Kristen Paulino
Corporate Officer — Title(s): Corporate Secretary
[E] Partner — El Limited El General
0 Individual 0 Attorney in Fact
0 Trustee 0 Guardian or Conservator
0 Other:

Signer Is Representing:
hardy and Hamer. Inc.
scFAX•VAT-WCA..' - 'IA>. • X. X$
':.)20-141 National Notary Association • www.NationalNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item -45907

BID BOND

ACKNOWLEDGMENT OF SURETY

STATE OF
County of )ss
On this day of . 20 AD.
personally appeared before me a
(Notary Pubc, Judge or Other
in and for Cuunty. State of
known to me to be the of the corporation
that executed the foregoing instrument and, upon oath, did depose that he is the officer of said corporation as above designed: that he is acquainted with the seaJ of said corporate seal of said corporation; that the signatures to said instrument were made by officers of said corporation as indicated after said signatures; and that the said corporation executed the said instrument freely and voluntarHy and for the uses and purposes therein mentioned.

Vlo`}(
(Notary Pubhc, Judge or Other Officer)

ACKNOWLEDGMENT
A not&y pubc or other officer completing this
certfcate verifie only the identity of the individua
who signed the document to which this certificate is
attached. and not the truthfuness, aocuraoy, or
vaiidbvo/that document.

State of Caifornia
County of Ornae
On 081202425 before me, MeUssa Ann Vaccaro, Notary Public (insert name and title of the officer)
personally appeared DwiahtReUly
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are auoscnbednothewithininstrumentandacknow|edgad0omcthothe/nhudheyexmoub*dtheoemein hisiher/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the pei-son(s),. or the entity upon behalf of which the person(s) acted, executed the instrument. | certify under PEN,,,LTY OF PERJURY under the laws of the State of California that the foregoing paragraph s true and correct.

WITNESS my hand and oaeel.
,/
SkJnature
\
Me issa Ann Vaccaro
(Sea!)

Bond No. CSBA-35889

ZURICH AMERICAN INSURANCE COMPANY

COLONIAL AMERICAN CASUALTY AND SURETY COMPANY

FIDELITY AND DEPOSIT COMPANY OF MARYLAND

POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois. and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Thomas 0. McClellan, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in toil force and effect on the date hereof, do hereby nominate, constitute, and appoint Daniel ITUCKAB.IY, Stephanie MCCLAIN, Dwight REILLY, Frank MORONF.S, Arturo AYALA, Shaunita ROZELLE OSTROM, Benjamin WOLFE, Chelsea LIBERATORE. Ben STONG, Adrian LANGRELL, Magdalena R. WOLFE, Robert WOOD of Orange, California, its true and lawful agent and .Attorney -in -Fact to make, execute, seal and deliver, for, and on as behal f as surety, and as as act and deed. any and all bonds and undertakings, and the execution of such Fonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York. New York., the regularly elected officers of the COLONIAL. AMERICAN CASUALTY AND SURETY COMPANY nt its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mitts, Maryland., in thea own proper persons The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force
1N WITNESS WHEREOF, the said Vice -President ha, hereunto suhscrthed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONI.AI. AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 30th day of March, A.D. 2026.

By. 77homas 0.:1'cCIellan
Vice President
�
B. Daniel Lutes
Secretary
"` -' ATTEST:

ZURICH AMERICAN INSURANCE COMPANY

COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYI.A\D
State of Maryland
County of Baltimore
On thus 30th day of March, A.D 2026, before the subscriber. a Notary Public of the State of Maryland, duly commissioned and qualified, Thomas 0.

McClellan, Vice President and Daniel Lutes, Secretary of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same. and being by me duly sworn, deposeth and saith, that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations.

IN TESTIMONY WHEREOF, I have hereunto sct my hand and affixed my Official Seal the day and year first above written.

Genevieve M. Maison
Notary Public
My Commission Expire January 27, 2029

EXTRACT FROM BY-LAWS OF THE COMPANIES
Authenticity of this bond can be confirmed at bondvalidator.zurichna.com or 410-559-8790

"Article V, Section 8, Attornevs-in-Fact. The Chief Executive Officer, the President. or any Executive Vice President or Vice President may. by written instrument under the attested corporate seal, appoint attorneys -in -fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney-in-fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any time."

CERTIFICATE
1, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of .Attorney is still in full force and effect on the date of this certificate; and 1 do further certify that Article V, Section 8, of the By -Laws of the Companies is still in force.

This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMP.ANY at a meeting duly called and held on the 15th day of December 1998.

RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney...Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly cailed and held on the 10th day of May, 1990.

RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter. wherever appearing upon a certified copy ot'any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed.

IN TESTIMONY WIIERF.OF, [ have hereunto subscribed my name and affixed the corporate seals of the said Companies, this 20th day of August , 2026
7/1A9 PS-6,utIL,
Mary Jean Pethick
Vice President

TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION

OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND, THE BOND NUMBER, AND YOUR CONTACT INFORMATION TO:

Zurich Surety Claims
1299 Zurich Way
Schaumburg, IL 60 196-1 056
reoortsfclairnsu zurichna.com
800-626-4577
Authenticity of this bond can he confirmed at bondvalidator.zurichna.com or 410-559-8790

111111111111111111111111111111
Entity Details
Corporation Name
Entity No.

Formed In

STATE OF CALIFORNIA
Office of the Secretary of State

STATEMENT OF INFORMATION

CORPORATION
California Secretary of State
1500 11th Street
Sacramento, California 95814
(916) 657-5448
Street Address of Principal Office of Corporation
Principal Address
Mailing Address of Corporation
Mailing Address
Attention
Street Address of California Office of Corporation
Street Address of California Office
Officers
Officer Name
Kristen S. Paulino

DANIEL THOMAS MAAS
Additional Officers
Officer Name
Michael A Amundson
Directors
BA20241230236
to
For Office Use Only m
-FILED-
File No.: BA20241230236
Date Filed: 7/1/2024
HARDY & HARPER, INC.
0443071

CALIFORNIA
32 RANCHO CIRCLE
LAKE FOREST, CA 92630
32 RANCHO CIRCLE
LAKE FOREST, CA 92630
32 RANCHO CIRCLE
LAKE FOREST, CA 92630
Officer Address Positions)
32 RANCHO CIRCLE Secretary, Chief Financial Officer
Lake Forest, CA 92630
32 RANCHO CIRCLE Chief Executive Officer
LAKE FOREST, CA 92630
Officer Address
32 RANCHO CIRCLE
LAKE FOREST, CA 92630
Director Name
Tessa Irene Maas
® Daniel Thomas Maas
® Kristen 5 Pauline
The number of vacancies ort Board of Directors is: 0
Agent for Service of Process
Agent Name
Agent Address
Type of Business
Type of Business
Position
Vice President
Director Address
32 Rancho Circle
Lake Forest, CA 92630
32 RANCHO CIRCLE
LAKE FOREST, CA 92630
32 RANCHO CIRCLE
LAKE FOREST, CA 92630
KRISTEN S. PAULINO
32 RANCHO CIRCLE
LAKE FOREST, CA 92630

ASPHALT PAVING CONTRACTOR
Stated Position
OZ 6Z0Z/t0/GO
Received by California Secretary of State

Email Notifications
Opt -in Email Notifications Ves, 1 optin to receive entity notifications via email, Labor Judgment
No Officer or Director of this Corporation has an outstanding final judgment issued by the Division of Labor Standards Enforcement or a court of lawfor which no appeal therefrom is periding, for the violation of any wage order or provision of the Labor Code.

Electronic Signature
By signing, I affirm that the information herein is true and correct and that I am authorized by California law to sign.

Kristen S.}hu/ino 07/01/3024
Signature Date
B2856-2382 07/01/2034 10:46
Received by California Secretary of State

CONTRACTORS
ci=a STATE LICENSE BOARD

ACTIVE LICENSE
..215952
...HARDY & HARPER INC
C-8 C12
CORP
12/31/2027 vyvvw.csib. ca g o v availlura

7;1/25, 1:20 PM
DIRIIII ftibcfesi
lieparressi
kideildil Wiens
1000000076 - Hardy & Harper, Inc.

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.1.1mg > cutonr.Aggactntiggli4P > 1000000076 - Hardy & Harper, Inc. 1000000076 - Hardy & Harper, Inc.

Customer Account Lookup
PWCR
L ' 1000000076
Contractor Status
DI R Approved
CSLB
Business Phone
7144441851
Log in
hUps:llservices.dir.ca.gov/gsp?id=dir_publiciorm&table=x_cdoi2_csm_portal_customer_account lookup&sys_ jd=3e174211c38b02106cb75bea2b013,„ 114

7/1/25, 1:20 PM
Ext
Registration Start Date
2025-07-01
Legal Entity Name
Hardy & Harper, Inc.

Doing Business As (DBA)
Hardy & Harper, Inc.

Business Structure
Corporation - S carp
1000000076 • Hardy & Harper, Inc.

President
Daniel Maas
Email
t
[email protected]
Registration End Date
2028-06-30
Crafts
Operating Engineer Cement Mason LABORER
Address
Mailing Address
32 Rancho Circle
Mailing Address - City
Lake Forest
https://sery ces.dir.ea.gov/gsp?id=dir_public_form&table=x_cdoi2_esm_portal_customer account_lookup&sys_id=3e174211c38b02106eb75bea2b013... 2/4

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Mailing Address - State
1 CA
Mailing Address - Zip
92630
Mailing Address - Country
United States
Physical Address
Physical Address - City
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1000000076 - Hardy & Harper, Inc.
hap s:liservices.dir.ca.govigsp?id=dir_public_form&ta ble=x_cdoi2_csm_portal_customer account_lookup&sys_id=30174211c38b02106cb75bea2b013... 3/4

California Environmental Protection Agency
Air Resources Board
January 1, 2026

CERTIFICATE OF REPORTED COMPLIANCE

OFF-ROAD DIESEL VEHICLE REGULATION
is issued to
This certificate Indicates that the Reel Paled ebave has reported ofl-road diose! vehicles to the California Air Resources Board and has certified they are In compliance with tale 13 CCR, section 2449. All applicable veNalee owned by the Irbividual, camper'', or agency must be reported and labeled, as specified In Section 2449, with ell possible completeness, else IWa certificate is null end Hold. Certifloate a*plres 2/28/2027 tl
1,41‘40. e,aoa
OW,, R9ool» farm contra ah slap
Ctalorrda Ak Pesa,ros Scud
To wdry th• 004400ty cr ems ceMBNe, Met this rAmber er
hlip:/h www.arb.ca.govtdooratcampiiance cartthlmf

CALIFORNIA

AIR RESOURCES BOARD
Certificate of Reported Compliance With:

Issued to: 4'46. Hardy & Harper, 'Inc
This certificate confirms that tpe fleet owner has attested under penaltrof, perjury that the statements and information they provide to the..Califomia Air Resourots Board '(4ARB) are true, accurate, and complete regarding all relevarit:, vehiclits.in the fleet required to show tbrriplianoe. CARB hereby finds that the fleet listed has met, requirements of:
- "-
Title 19 20g6gruck and*TIgulatiori)
nor''
If CARB subsequently finds that,theVtembrits and4nf
accurate, and complete, this certificate,shall be.effedi1 This certificate isvalid .un
abort that have been provided are not true,
t‘td
reVoked and the fleet subject to penalties.
ber B1, 2026
TRUCRS Fleet Identification
38456
To verify the authenticity a this certificate, visit
vAvw.arb.ca.govfmsprogionnliesentbioolalp.php
1n4? Buffington
Division Chief, Mobile Source Cont7oi
DivisionCaliforria Air Resources Board
441

Project No. 27-104

EXHIBIT B

SCHEDULE OF PERFORMANCE

BID SCHEDULE FOR
FY 2026-2027 RESIDENTIAL ROADWAY REHABLITIATION CITY PROJECT NO. 27-104
BID "A" SCHEDULE
ITEM
NO. ITEMS DESCRIPTION QUANTITY UNIT UNIT PRICE TOTAL

1. Mobilization
1 LS $ 40,000.00 $ 40,000.00

2. Traffic Control & Public Safety
1 LS $172,775.00 $172,775.00

3. Best Management Practices
1 LS $10,000.00 $ 10,000.00

4. Unclassified Excavation
1,250 CY $ 70.00 $ 87,500.00

5. Asphalt Concrete Pavement
7,550 TN $ 120.00 $ 906,000.00

6. Aggregate Base
800 CY $ 90.00 $ 72,000.00

7. Cold Mill (1-2')
436,800 SF $ 0.23 $ 100,464.00

8. Rubberized Polymer Modified Slurry Seal
(RPMS) Type II 140 ELT $ 250.00 $ 35,000.00

9. Rubberized Polymer Modified Slurry Seal
(RPMS) Type III 70 ELT $ 300.00 $ 21,000.00
10 Surface Preparation and Crack Seal
202,300 SF $ 0.07 $ 14,161.00

11. Sawcut, Remove Existing Improvements,
and Construct PCC Sidewalk per OCPW 3,400 SF $ 13.00 $ 44,200.00 STD Plan 1205

12. Sawcut, Remove Existing Improvements,
and Construct PCC Curb and Gutter (Type 500 LF $ 100.00 $ 50,000.00 A2-8) per OCPW Std. Plan 120-2

13. Tree Removal
1 EA $ 2,500.00 $ 2,500.00

14. Remove and Reconstruct Existing Speed
Hump 3 EA $ 4,000.00 $ 12,000.00
C-3

ITEM
NO.

15. ITEMS DESCRIPTION
Adjust Sewer and Drainage Manhole Frame
and Cover to Finished Grade Refer To
SSPWC Std. Plan 205-2.
16, Adjust Water Vaive Frame and Cover to
Finished Grade per GSW Std. Plan P-32.

Contractor shall Coordinate with GSW
Representative

17. Furnish and Install Traffic Loops (Type per
Plan)

18. Install Pavement Striping, Markings, and
Pavement Legends

19. Protect -in -Place all SIFI Network Conduits
and Service Drops for the Entire project
within the City of Placentia

20. Survey Monument Preservation and
Restoration and Construction Staking
ITEM
NO.

B1
B2.

QUANTITY UNIT

UNIT PRICE TOTAL
50 EA $ 700.00
60 EA $ 400.00
8 EA $ 800.00
1 1
1 LS
LS
LS
$ 35,000.00
$ 24,000.00
$ 6,400.00
$ 12,000.00 $ 12,000.00
$ 5,000.00 $ 5,000.00
$ 40,000.00 $ 40,000.00
TOTAL BID "A" SCHEDULE - TOTAL PRICE: $ 1,690,000.00
TOTAL BID "A" SCHEDULE - TOTAL PRICE WRITTEN IN WORDS: One Million, Six Hundred Ninety Thousand Dollars, No Cents.

ADDITIVE BID "B" SCHEDULE

YORBA LINDA AND SEVILLE ALLEYS

ITEMS DESCRIPTION
Mobilization
Traffic Control & Public Safety
B3 Best Management Practices
B4. Unclassified Excavation
B5. Asphalt Concrete Pavement
B6. Aggregate Base

QUANTITY UNIT
1 LS
1 LS
1 LS
700 CY
490 TN

UNIT PRICE TOTAL
$ 1,000.00
$ 4,370.00
$ 1,000.00
$ 70.00
$ 120.00
500 CY $ 90.00
C-4
$ 1,000.00
$ 4,370.00
$ 1,000.00
$ 49,000.00
$ 58,800.00
$ 45,000.00

ITEM
NO. ITEMS DESCRIPTION QUANTITY UNIT UNIT PRICE TOTAL
B7. Cold Mill (1-2')
10,000 SF $ 0.23 $ 2,300.00
B8. Multiaxial Grid
11,530 SF $ 1.00 $ 11,530.00
B9. Sawcut, Remove Existing Improvements,
and Construct PCC Ribbon Gutter Per 2,800 SF $ 25.00 $ 70,000.00 OCPW Std. Plan No. 122-2-0C
TOTAL BID "B" SCHEDULE - TOTAL PRICE: $ 243,000.00
TOTAL BID "B" SCHEDULE - TOTAL PRICE WRITTEN IN WORDS: Two Hundred Forty Three Thousand Dollars, No Cents.

ADDITIVE BID "C" SCHEDULE
ITEM
NO. ITEMS DESCRIPTION QUANTITY UNIT UNIT PRICE TOTAL
01, Adjust Sewer Manhole Frame and Cover to
Finished Grade Refer To 0.C.S.D. Std. 1 EA $ 3,000.00 $ 3,000.00 Dwg. No. S -050A, S-055, S -055A
TOTAL BID "C" SCHEDULE - TOTAL PRICE: $ 3,000.00
TOTAL BID "C" SCHEDULE - TOTAL PRICE WRITTEN IN WORDS: Three Thousand Dollars, No Cents.

GRAND TOTAL BID "A" + ADDITIVE BID "B" + ADDITIVE BID "C" PRICE WRITTEN IN FIGURES: $1,936,000.00
GRAND TOTAL BID "A" + ADDITIVE BID "B" + ADDITIVE BID "C" PRICE WRITTEN IN WORDS: One Million, Nine Hundred Thirty Six Thousand Dollars, No Cents.

NOTE: The GRAND TOTAL BID "A" PRICE + TOTAL ADDITIVE BID "B" PRICE + TOTAL ADDITIVE BID "C" PRICE shall be used as the basis of bid in determining the low bid for this project. The City reserves the right to include or remove additive work that makes up the additive bid schedules.

NOTE: The City reserves the right to award a contract to the lowest responsible bidder in parts or in its entirety and reserves the right to reject all bids and re -advertises, as appears to be in the best interests of the City. A bid is required for this entire work, the estimated quantities set forth in this Bid Sheet being solely for the purpose of comparing bids, and final compensation under the Contract will be based upon the actual quantities of work satisfactorily completed. The unit and/or lump sum prices bid shall include all appurtenant expenses, taxes, royalties, and fees. In the case of discrepancies in the amount bid, unit prices shall govern over extended amounts, and words shall govern over figures.

The City reserves the right to increase or decrease the amount of any quantity shown and to delete any item from the Contract.

Through submission on PlanetBids, the bidder certifies that he/she has followed the bidder instructions, acknowledges the requirements set forth in this proposal form for bid submission, and has thoroughly checked the figures set forth in the proposal and inputted into PlanetBids, that they C-5

are correct to the best of his/her knowledge and constitute his/her proposal to perform all the work called out and implied throughout these contract documents. **BiD ITEMS TO BE INPUTED ON-LINE VIA PLANETBIDS***

Project No. 27-104

EXHIBIT C

INSURANCE REQUIREMENTS

EXHIBIT

INSURANCE REQUIREMENTS
A. Minimum Scone and Limits of Insurance
City reserves the right to review any and all of the required insurance policies and/or endorsements, but has no obtigation to do so. Failure to demand evidence of fult comptiance with the insurance requirements set forth in this Agreement or failure to identify any insurance deficiency shall not relieve Contractor from, nor be construed or deemed a waiver of, its obligation to maintain the required insurance at all times during the perfOrnnance, including any extension thereof, of this Agreement.

Consultant shall obtain, maintain, and keep in full force and effect during the life of this Agreement. including any extension thereof, all of the following minimum scope of insurance coverages:

1. Commercial General Liability Insurance
• Commercial general liability insurance no less broad than Insurance Services Office (|8Q) form CGDOO1.
• Minimum Limits: $2.000.000.00 per occurrence; $4,000,000.00 general aggregate; $4.000.000.00 products/completed operations aggregate. The aggregate |iDlit, encompassing the above coverage, shalt appty separatety to this pjeCK|ncaNOO. The required limits may be provided by a combination of general liability insurance and commercial excess or umbrella liability insurance. If Contractor maintains higher limits than the specified minimum |innite. City requires and shall be entitled to coverage for the higher limits maintained by the Contractor.
• Any deductible or self-insured retention shall be shown on the certificate of insurance.

If the deductibte or setf-insured retention exceeds $25,000.00, it must be approved in advance by City. Contractor is responsible for any deductible or self-insured retention and shall fund it upon City's written nequeSt, regardless of whether Contractor has a claim against the insurance or 5 named as a party in any action involving City, • Coverage shall be continued for three (3) years after completion of the work. • City shall be endorsed as an additional insured for liability arising out of ongoing and compteted operations by or on behatf of the Contractor. City shatt continue to be an additional insured for completed operations for three (3) years after completion of the work. General liability coverage can be provided in the form of an endorsement to the Contractor's insurance at least as broad as one of the following ISO ongoing operations forms: CG 20 10 or CG 20 26 or CG 20 33 (not allowed from subcontractors), or CG 20 38; and one of the following ISO completed operations forms: CG2O37.2O3S(not allowed from oubcontrmotors).mrCG 20 40. • The policy definition of "insured contract" shall include assumptions of liability arising out of both ongoing operations and the products/completed operations hazard (^f` detinition of insured contract in tSO form CG 00 01, or equivatent). • The insurance provided to the additional insureds shall be primary to, and non- contributory with, any insurance or self-insurance program maintained by them.

• The policy shall cover inter -insured suits and include a "separation of insureds" or 'severabUity" clause which treats each insured separately. • The policy shall be endorsed to include a written waiver of the insurer's right to subrogate against all persons or entities that are, or are required to be, additional insureds.
• The policy shall not contain a contractors' warranty or other similar language which eliminates or restricts insurance because of a subcontractor's failure to carry specific insurance or to supply evidence of such insurance.
• Required evidence ofcoverage:

1. Copy of the endorsements naming the City of P|8Centia, its oMicerG. officials, employees, agents, and volunteers as additional insureds;

2. Copy of the endorsement or policy language indicating that coverage applicabte to the additional insureds is primary and non-contributory;

3. Froperly completed certificate of insurance; and

4. Completed and signed Agent/Broker Questionnaire with supporting documentation as required.

2. Business Automobile Liabilitv Insurance
• Minimum Limit: $2,000,000.00 combined single limit per accident. • Coverage shait apply to alt owned, hired, leased, and non -owned vehicles. • City shati be endorsed as additional nsured.
• Required evidence Ufoovenaoe:

1. Copy of the endorsement naming the City of Placentia, its officers, officials, employees, agents, and volunteers as additional insureds; and

2. Froperty completed certificate of insurance.

3. Workers' Compensation & Employer's Liability Insurance • Workers' compensation insurance with statutory limits as required by the Labor Code of the State of California.
• Employer's liability with limits of $1.000'000.00 per accident; $1.080,000.00 disease per employee; $1.00O,000.UOdisease per policy.
• The poticy shall include a written waiver of the insurer's right to subrogate against City. • Required evidence ofC0xeroVe:

1. Subrogation waiver endorsement; and

2. Properly completed certificate of insurance.

4. Contractor's Pollution Liabilitv Insurance
*
Minimum Limits: $2.O0O.00U.DOper pollution incident; $2,000,000.00 poliaggregate. • Coverage shall apply to pollution incidents at or from any location at which Contractor

is performing work under this Agreement.
• Any deductible or seIfinsured retention shall be shown on the certificate of insurance.

If the deductible or self-insured retention exceeds $25.000.O0. it shall be approved in advance by City. Contractor is responsible for any deductibte or self-insured retention and shall fund it upon City written e*queot, regardless of whether Contractor has a claim against the insurance or is named as a party in any action involving City. • City shall be endorsed as an additional insured for Iiability arising out of ongoing and completed operations by or on behalf ofthe Contractor. Additional insured status shall continue for three (3) years after completion of the work. • The insurance provided to the additional insureds shall apply on a primary and non- contributory basis with respect to any insurance or self-insurance program maintained by them.
• The insurance shall be continued for three (3) years after completion of the work. • Required evidence nfoover8ae:

1. Copy of the endorsement naming the City of P|ooend@, its uMic8rs, officials, employees, agents, and volunteers as additional insureds;

2. Copy of the endorsement or policy language indicating that coverage for the additional insureds is primary and non-contributory; and

3. Properly completed certificate of insurance.

5. Surety Bonds
• Bid bond.
• Performance and payment bonds for the entire contract price. • The surety must be authorized to issue these bonds in the State of California.

6. Standards for Insurance Companies
• All insurance policies shall be issued by an insurance company currently authorized by the Insurance Commission to transact business of insurance or is on the List of Approved Surplus Line Insurers in the State of California, with an assigned policyholders' rating of A- (or higher) and Financial Size Category Class VII (or larger) in accordance with the latest edition of Best's Key Rating Guide.

B. Documentation and Other Provisions

1. The certificate of insurance shall include the following reference: FY 2026-27 Residential Roadway Rehabilitation Pject, City Pject NO. 27-104

2. The name and address for additional insured endorsements and certificates of insurance is: City 0fPlacentia, 4O1 E. Chapman Ave., Placentia, CA 92870.

3. Defense fees and costs shall not depiete the Iimits of any insurance provided under this Agreement.

4. Contractor shall require and verify that all subcontractors maintain insurance meeting all the requirements stated herein, and Contractor shall ensure the City is an additional

insured on insurance required from subcontractors.

5. Contractor agrees to waive and to obtain endorsements from insurers waiving subrogation rights against the City of P|acentia, its ofhmaro, offioia(n, gnnp|oyeea, egenha, and volunteers for losses arising from work performed by Contractor for the City and to require each of its subcontractors, if any, to do likewise under their insurance policies.

G. The Contractor's insurance coverage shall be primary insurance coverage at least as broad as ISO CG 20 01 04 13 as respects the City of Placentia, its officorn, oOioia|a, oganto, ernp|oyees, and volunteers. Any other insurance maintained by the City of Ptacentia sha!I be excess and not contributing with the insurance provided by this policy.

7. Coverage shall be on a standard occurrence form. Claims -made forms are not acceptable. Modified, Iimited, or restricted occurrence forms are not acceptable.

8. Said policies shall not terminate, nor shall they be cancelled or coverage reduced, without at least thirty (30) days' written notice to the City. In the event of any cancellation or reduction in coverage or limits of any insurance, Contractor shall forthwith obtain and submit proof of substitute insurance. Should Contractor fail to immediately procure other insurance, as specified, to substitute for any cancelled policy or reduction in the required insurance limits, the City may procure such insurance at Contractor's sole cost and expense.

S. Current evidence of coverage shall be provided for the entire required period of insurance.

10. Upon written request, certified copies of required insurance policies shall be provided

Project No. 27-104

EXHIBIT D

CERTIFICATES OF INSURANCE AND ENDORSEMENTS

ACG
M
Lt)

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)
9/10/2026
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS

CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.

If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

CONTACT
NAME: Brenda Juarez
PHONE Ext). (714) 505-7000 A
c/C. Not: (714) 573-1770
ADDRESS: [email protected]
INSURERS) AFFORDING COVERAGE NAIC #
INSURER A : Great American Insurance Compa 16691
INSURER B : Great American Excess & Surplu 37532
INSURER c : BITCO General Insurance Corpor 20095

PRODUCER
The Baldwin Group West, LLC
15901 Red Hill Ave, Ste 100
Tustin CA 92780

INSURED
Hardy & Harper, Inc.

MAAS Equipment, LLC
32 Rancho Circle
Lake Forest CA 92630
License* 0F69771
HARD&HA-02
INSURER D :

INSURER E :

I INSURER F :

COVERAGES CERTIFICATE NUMBER: 927558713 REVISION NUMBER:

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS

CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. (NSR TYPE OF INSURANCE ADOL SUBR POLICY EFF POLICY EXP
LTR , (NSD MD POLICY NUMBER (MM/DD/YYYY' (MM/DD/YYYY1 I LIMITS C X , COMMERCIAL GENERAL LIABILITY ' Y Y CLP 3771023 4/15/2026 4/15/2027 t
I CLAIMS -MADE I X j OCCUR
C
GEN'L AGGREGATE LIMIT APP LIES PER:
--- 1 POLICY X j PRO-
JECT
RO- `, LOC
OTHER:

C AUTOMOBILE LIABILITY
X 1 ANY AUTO
1 OWNED ii SCHEDULED
AUTOS ONLY I_ _f AUTOS
X HIRED x NON -OWNED
,_„1 AUTOS ONLY 1__-„1 AUTOS ONLY

A UMBRELLA LIAB X OCCUR

X EXCESS LIAB CLAMS -MADE
DED RETENTION $

C WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBEREXCLUDED%
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
B Professional Liability
Pollution Liability
Y
Y
Y Y CAP 3771022
N/A
Y
TUE 4369837 04
WC 3771024
PCM E502853 06
4/15/2026 4/15/2027
4/15/2026
4/15/2026 4/15/2027

EACH OCCURRENCE

IDAMAGE TO RENTED
PREMISES (Ea occurrence)
MED EXP (Any one person)

PERSONAL & ADV INJURY

GENERAL AGGREGATE

PRODUCTS - COMP/OP AGG

COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY (Per person)
BODILY INJURY (Per accident)

PROPERTY DAMAGE
(Per accident)
4/15/2027 EACH OCCURRENCE

AGGREGATE
$ 1,000,000
$ 100,000
$ 5,000
$ 1,000,000
$ 2,000,000
$ 2,000,000
$ 1,000,000
$
$
$
$ 2,000,000
$ 2,000,000

X STATUTE EERH-
E.L. EACH ACCIDENT $ 1,000,000
E.L. DISEASE - EA EMPLOYEE $ 1,000,000
E.L. DISEASE -POLICY LIMIT $ 1,000,000
4/15/2026 4/15/2027 Each Occurrence 1,000,000
Annual Aggregate 2,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (AC ORD 101, Additional Remarks Schedule, may be attached 0 more space is required) General Liability Additional Insured, Primary and Noncontributory, and Waiver of Subrogation applies per attached endorsements. General Liability Aggregate limit per project applies per attached endorsements. Auto Liability Additional Insured, Primary and Noncontributory, and Waiver of Subrogation applies per attached endorsements. Work Comp Waiver of Subrogation applies per endorsement WC040306. 30 day Notice of cancellation applies per attached endorsements.

RE: FY 2026-27 Residential Roadway Rehabilitation Project, City Project NO. 27-104 City of Placentia, its officers, officials, employees, agents, and volunteers as Additional Insureds per attached endorsements.

CERTIFICATE HOLDER
City of Placentia
401 E. Chapman Ave.

Placentia CA 92870
ACORD 25 (2016/03)

CANCELLATION

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

AUTHORIZED REPRESENTATIVE
q tri,?a
© 1988-2015 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

BITCO General Insurance Corporation
BITCO National Insurance Company
ADDMONAL INSURED —PRIMARY AIM NON-CONTRIBUTORY
This endorsement changes the policy. Please read it carefully.

This endorsement modifies insurance provided under the following:

BUSINESS AUTO COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorserrent.

This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Forrn.

This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.

SCHEDULE
Name of Person(s) or Organization(s):

WHERE REQUIRED BY AN EXECUTED WRITTEN CONTRACT
(If no entry appears above, information required to complete this endorsement will be shown in the Dedarations as applicable to the endorsement.)
Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured' under the Who Is An Insured Provision contained in Section II of the Coverage Form.

If the person or organization shown in the schedule qualifies as an "insured" for Liability Coverage, and they have coverage as a first -named insured under another policy, this policy is primary to and non-contributory with that other insurance.

All other terms, conditions, and exdusions apply.

Named Insured: HARDY & HARPER, INC.

Policy Nurrter: CAP 3771022 Endorsement No.:

Policy Period: 04-15-26 to 04-15-27 Endorsement Effective Date:

Producer's Name: BURNHAM WGB INS. SOLUTIONS, LLC
Producer Number: 0006705
1 04-15-26
Eizada ficievreit 0411512026

AUTHORIZED REPRESENTATIVE DATE

BITCO GENERAL INSURANCE CORPORATION

BITCO NATIONAL INSURANCE COMPANY
EARLY 1\1011E OF CANCELLATION PROVIDED BY US
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING:

BUSINESS AUTO COVERAGE FORM
Common Policy Conditions, A Cancellation, 2. is replaced by the following:

2. We may cancel this policy by mailing or delivering to the first Named Insured written cancellation at least:
a TEN (10 ) days before the effective date of cancellation nonpayment of premium; or
b. SIXTY (60 ) days before the effective date of cancellation any other reason.
notice of
if vte cancel for
if we cancel for
Named Insured: HARDY & HARPER, INC.

Policy Number: CAP 3771022 Endorsement No.:

Policy Period: 04-15-26 to 04-15-27 Endorsement Effective Date:

Producer's Name: BURNHAM WGB INS. SOLUTIONS, LLC
Producer Nurrber: 0006705
Frew& pctaizef

AUTHORIZED REPRESENTATIVE
CA -5370 (01/22)
1 04-15-26
(411512026
DATE

POLICY NUMBER: CAP 3771022 COMMERCIAL AUTO
CA04441013
THS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US (WAIVER OF SUBROGATION)
This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM
Wth respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.

This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.

Named Insured: HARDY & HARPER, INC.

Endorsement Effective Date: 4/15/2026

SCHEDULE
Name(s) Of Person(s) Or Organizations):

ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED IS

OPERATING UNDER WRITTEN CONTRACT WHEN SUCH CONTRACT REQUIRES A WAIVER OF SUBROGATION.

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

The Transfer Of Rights Of Recovery Against Others
To Us condition does not apply to the person(s) or
organization(s) shown in the Schedule, but only to the
extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or
organization.

CA04441013 ()Insurance Services Office, Inc., 2011 Pagel of 1

Policy Number: CLP 3771023
IL02700720
TI IS ENDORSEMENT CHANGES THE POUCY. PLEASE READ IT CAREFULLY.

CAUFORMA CHANGES - CANCELLATION

AND NONRENEWAL
This endorsement modifies insurance provided under the following:

CAPITAL ASSETS PROGRAM (OUTPUT POUCY) COVERAGE PART

COMMEROAL AUTOMOBILE COVERAGE PART

COMMERCIAL GENERAL UABIUTY COVERAGE PART

COMMERCIAL INLAND MARINE COVERAGE PART

COMMERCIAL PROPERTY COVERAGE PART

CRIME AND FIDELITY COVERAGE PART
E7MIPLOYMENT=RELAI EU PRACTICES UABIUTY COVERAGE PART

EQUIPMENT BREAKDOWN COVERAC'F PART

FARM COVERAGE PART

LIQUOR LIABIUTY COVERAGE PART

MEDICAL PROFESSIONAL UABILITY COVERAGE PART

POLLUTION LIABIUTY COVERAGE PART

PRODUCTS/COMPLETED OPERATIONS UABIUTY COVERAGE PART
A. Paragraphs 2. and 3, of the Cancellation Common
Policy Condition are replaced by the following:

2. All Policies In Effect For 60 Days Or Less
If this policy has been in effect for 60 days or
less, and is not a renewal of a policy we have
previously issued, we may cancel this policy by
mailing or delivering to the first Named Insured, at
the mailing address shown in the policy, and to
the producer of record, advance written notice of
cancellation, stating the reason for cancellation,
at least:
a 10 days before the effective date of
cancellation if we cancel for:
(1) Nonpayment of premium; or
(2) Dscovery of fraud by:
(a) Any insured or his or her
representative in obtaining this
insurance; or
(b) You or your representative in pursuing
a daim under this policy.
b. 30 days before the effective date of
cancellation if we cancel for any other reason.

IL02700720

3. All Policies In Effect For More Than 60 Days
a If this policy has been in effect for more than
60 days, or is a renewal of a policy we issued,
we may cancel this policy only upon the
occurrence, after the effective date of the
policy, of one or more of the following:
(1) Nonpayment of premium, including
payment due on a prior policy we issued
and due during the current policy term
covering the same risks.
(2) Discovery of fraud or material
misrepresentation by:
(a) My insured or his or her
representative in obtaining this
insurance; or
(b) You or your representative in pursuing
a daim under this policy.
(3) A judgment by a court or an ad ninistrative
tribunal that you have violated a California
or Federal law, having as one of its
necessary elements an act which
materially increases any of the risks
insured against.

O Insurance Services Office, Inc., 2020 Page 1 of 4

(4) Discovery of willful or grossly negligent
acts or omissions, or of any violations of
state laws or regulations establishing
safety standards, by you or your
representative, which materially increase
any of the risks insured against.

Failure by you or your representative to
implement reasonable Toss control
requirements, agreed to by you as a
condition of policy issuance, or which
were conditions precedent to our use of a
particular rate or rating plan, if that failure
materially increases any of the risks
insured against.
(6) A determination by the Commissioner of
Insurance that the:
(a) Loss of, or changes in, our reinsurance
covering all or part of the risk would
threaten our financial integrity or
solvency; or
(b) Continuation of the policy coverage
would:
(i) Place us in violation of California
law or the laws of the state where
we are doniciled; or
(ii) Threaten our solvency.
(7) A change by you or your representative in
the activities or property of the corrrrercial
or industrial enterprise, which results in a
materially added, increased or changed
risk, unless the added, increased or
changed risk is included in the policy.
b. We will mail or deliver advance written notice
of cancellation, stating the reason for
cancellation, to the first Named Insured, at the
mailing address shown in the policy, and to
the producer of record, at least:
(1) 10 days before the effective date of
cancellation if we cancel for nonpayment
of premium or discovery of fraud; or
(2) 30 days before the effective date of
cancellation if we cancel for any other
reason listed in Paragraph 3.a
(5)

B. The following provision is added to the Cancellation Common Policy Condition:

7. Residential Property
This provision applies to coverage on real
property which is used predominantly for
residential purposes and consisting of not more
than four dwelling units, and to coverage on
tenants' household personal property in a
residential unit, if such coverage is written under
one of the following:

Commercial Property Coverage Part
Farm Coverage Part — Farm Property — Farm
Dwellings, Appurtenant Structures And
Household Personal Property Coverage Form
a If such coverage has been in effect for 60
days or less, and is not a renewal of coverage
we previously issued, we may cancel this
coverage for any reason, except as provided
in b. and c. below.
b. We may not cancel this policy solely because
the first Named Insured has:
(1) Accepted an offer of earthquake coverage;
or
(2) Cancelled or did not renew a policy issued
by the California Earthquake Authority
(CEA) that included an earthquake policy
premium surcharge.

However, we shall cancel this policy if the first
Named Insured has accepted a new or
renewal policy issued by the CEA that
indudes an earthquake policy premium
surcharge but fails to pay the earthquake
policy premium surcharge authorized by the
CEA.
c. We may not cancel such coverage solely
because corrosive soil cations exist on the
premises. This restriction (c.) applies only if
coverage is subject to one of the following,
which exdude loss or damage caused by or
resulting from corrosive sal conditions:
(1) Commercial Property Coverage Part —
Causes Of Loss — Special Form; or
(2) Farm Coverage Part — Causes Of Loss
Form — Farm Property, Paragraph D.

Covered Causes Of Loss — Special.
©Insurance Services Office, Inc., 2020 IL 02 70 07 20

d. If a state of emergency under California Law
is declared and the residential property is
located in any ZIP Code within or adjacent to
the fire perimeter, as determined by California
Law, we may not cancel this policy for one
year, beginning from the date the state of
emergency is declared, solely because the
dwelling or other structure is located in an
area in Midi a wildfire has occurred.

However, we may cancel:
(1) When you have not paid the premium, at
any time by letting you know at least 10
days before the date cancellation takes
effect;
(2) If willful or grossly negligent acts or
omissions by the Named Insured, or his or
her representatives, are discovered that
materially increase any of the risks insured
against; or
If there are physical changes in the
property insured against, beyond the
catastrophe -damaged condition of the
structures and surface landscape, which
result in the property !mooning
uninsurable.

C. The following is added and supersedes any
provisions to the contrary:
(3)
Nbnrenewal

1. Subject to the provisions of Paragraphs C.2 and
ca below, if we elect not to renew this policy, we
will mail or deliver written notice, stating the
reason for nonrenewal, to the first Named Insured
shown in the Declarations, and to the producer of
record, at least 60 days, but not more than 120
days, before the expiration or anniversary date.

We will mail or deliver our notice to the first
Named Insured, and to the producer of record, at
the mailing address shown in the policy.

2. Residential Property
This provision applies to coverage on real
property used predominantly for residential
purposes and consisting of not more than four
dwelling units, and to coverage on tenants'
household property contained in a residential unit,
if such coverage is written under one of the
following:

Cornrnerdal Property Coverage Part
Farm Coverage Part — Farm Property — Farm
Dwellings, Appurtenant Structures And
Household Personal Property Coverage Form
a If this policy provides coverage as described
in the preceding paragraph, and we elect not
to renew this policy, we will mail or deliver
written notice, stating the reason for
nonrenewal, to the first Nand Insured shown
in the Dedarations, and to the producer of
record, at the mailing address shown in the
policy, at least 75 days, but not more than 120
days, before the expiration or anniversary
date.

If we fail to give the first Named Insured
shown in the Dedarations notice of
nonrenewal at least 75 days prior to the policy
expiration, as required in the paragraph
above, this policy, with no change in its terms
and concitions, shall remain in effect for 75
days from the date that the notice of
nonrenewal is delivered or mailed to the
Named Insured. A notice to this effect shall be
provided by us to the first Named Insured with
the notice of nonrenewal.
b. We may elect not to renew such overage for
any reason, except as provided in Paragraphs
c., d. and e. below.
c. We will not refuse to renew such coverage
solely because the first Named Insured has
accepted an offer of earthquake coverage.

However, the following applies only to
insurers who are associate participating
insurers as established by Cal. Ins. Code
Section 10089.16. We may elect not to renew
such coverage after the first Named Insured
has accepted an offer of earthquake
coverage, if one or more of the following
reasons applies:
(1) The nonrenewal is based on sound
urxierwriting principles that relate to the
coverages provided by this policy and that
are consistent with the approved rating
plan and related documents filed with the
Department of Insurance as required by
existing law,
1L 02 70 07 20 © Insurance Services Office, Inc., 2020

(2) The Commissioner of Insurance finds that
the exposure to potential losses will
threaten our solvency or place us in a
hazardous condition. A hazardous
concftion indudes, but is not limited to, a
condition in which we make claims
payments for losses resulting from an
earthquake that occurred within the
preceding two years and that required a
reduction in policyholder surplus of at least
25%for payment of those claims; or
(3) We have:
(a) Lost or experienced a substantial
reduction in the availability or scope of
reinsurance coverage; or
(b) Experienced a substantial increase in
the premium charged for reinsurance
coverage of our residential property
insurance polities; and
the Com riissioner has approved a plan for
the nonrenewals that is fair and equitable,
and that is responsive to the changes in
our reinsurance position.
d. We will not refuse to renew such coverage
solely because the first Named Insured has
cancelled or did not renew a policy, issued by
the California Earthquake Authority, that
included an earthquake policy premium
surcharge.
e. We will not refuse to renew such coverage
solely because corrosive soil conditions exist
on the premises. This restriction (e.) applies
only if coverage is subject to one of the
following, which exdude loss or damage
caused by or resulting from corrosive soil
conditions:
(1) Commercial Property Coverage Part —
Causes Of Loss — Special Form; or
(2) Farm Coverage Part — Causes Of Loss
Form — Farm Property, Paragraph D.

Covered Causes Of Loss — Special.
f. If a state of emergency under California Law
is declared and the residential property is
located in any ZIP Code within or adjacent to
the fire perimeter, as ceterrrfned by California
Law, we may not nonrenew this policy for one
year, beginning from the date the state of
emergency is dedared, solely because the
dwelling or other structure is located in an
area in Mich a wildfire has occurred.

However, we may nonrenew
(1) If willful or grossly negligent acts or
omissions by the Gamed Insured, or his or
her representatives, are discovered that
materially increase any of the risks insured
against;
(2) If losses unrelated to the postdisaster loss
condition of the property have occurred
that would collectively render the risk
ineligible for renewal; or
If there are physical changes in the
property insured against, beyond the
catastrophe -damaged condition of the
structures and surface landscape, which
result in the property becoming
uninsurable.

3. We are not required to send notice of nonrenewal
in the following situations:
a If the transfer or renewal of a policy, without
any changes in temps, co>cdtions or rates, is
between us and a member of our insurance
group.
b. If the policy has been extended for 90 days or
less, provided that notice has been given in
accordance with Paragraph C.1.
c. if you have obtained replacement coverage,
or if the first Named Insured has agreed, in
writing, within 60 days of the termination of
the policy, to obtain that coverage.
d. If the policy is fora period of no more than 60
days and you are notified at the time of
issuance that it will not be renewed.
e. If the first Named Insured requests a change
in the terms or conations or risks covered by
the policy within 60 days of the end of the
policy period.
f. If we have made a written offer to the first
Named Insured, in accordance with the
timeframes shown in Paragraph C.1., to
renew the policy under changed terms or
oondtions or at an increased premium rate,
Wien the increase exceeds 25%
(3)

IL 02 70 07 20

Policy Number:CLP 3771023

COMMERCIAL GENERAL LABILITV
CG301O12i9
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED — OWNERS, LESSEES OR
CONTRACTORS — SCHEDULED PERSON OR
�������������l�U����
��o'����nu�o���»o x��o�
This endorsement modifies insurance provided under the following:

COMMERCAL GENERAL LIABtLITY COVERAGE PART

SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s) Location(s) Of Covered Operations

ANY PERSON OR ORGANIZATION FOR WHOM

THE NAMED INSURED IS

OPERATING UNDER WRITTEN CONTRACT

ALL LOCATIONS
Information required to complete this Suheduka, if not shown above, will be shown in the Declarations.

A. Section U — Who Is An Insured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Sohedu|e, but only
with respect to liability for "bodily injury", "property damage" or "personal and advertising injury"
oaunod, in whole or in part, by:

1. Your acts or ornissions; or

2. The acts or omissions of those acting on your
behalf;
in the rfo noo of your ongoing operations for
the additional insured(s) at the location(s)
designated above.

However:

1. The insurance afforded to such additional
insured only applies to the extent permitted by
law; and

2. If coverage provided to the additional insured is
required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.

CG2D1U12i9
B. With respect to the insurance afforded to these
additional inouredm, the following additional
exclusions apply:

This insurance does not apply to "bodily injury" or
property damage" occurring after:

1. All work, including moteha|s, parts or
equipment furnished in connection with such
work, on the project (other than semioe,
maintenance or repairs) to be performed by or
on behalf of the additional insured(s) at the
location of the covered operations has been
completed; or

2. That portion of "your work" out of which the
injury or damage arises has been put to its
intended use by any person or organization
other than another contractor or subcontractor
engaged in performing operations for a
principal as a part of the same project.
0Insurance Services Office, Inc., 2018 Page 1 of 2

C. With respect to the insurance afforded to these
additional inoumdo, the following is added to
Section 111 — Limits Of Insurance:
{fcoverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amount of insurance:

1. Required by the contract or agreement; or

2. Available under the applicable limits of
insurance;
whichever is less.

This endorsement shall not increase the
applicable limits of insurance.
© insurance Services Office,Inc., 2018 CG 20 10 12 19

Policy Number:CLP 3771023

COMMERCIAL GENERAL LIABILITY
CG2037i219
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED - OWNERS, LESSEES OR

CONTRACTORS COMPLETED OPERATIONS
This endorsement modifies insurance provided under the foHowng:

COMMERCAL GENERAL LIABILITY COVERAGE PART

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

SCHEDULE
Name Ot Additional Insurecl Person(s)
Or Organization(s) Location And Description Of Completed Operations

ANY PERSON OR ORGAMZATION FOR WHOM

THE NAMED NSURED IS

OPERATING UNDER WRITTEN CONTRACT

ALL LOCATIONS
1Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

A. Section U — Who Is An Insured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury" or
"property damage" mmuaed, in whole or in part, by
"your work" at the location designated and
described in the Schedule of this endorsement
performed for that additional insured and included
in the products -completed operations hazard'.

However:

1. The insurance afforded to such additional
insured only applies to the extent permitted by
law; and

2. If coverage provided to the additional insured is
required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.

CG 20 37 12 19
B. With respect to the insurance afforded to these
additional inouredo, the following is added to
SmoUonWi—LirnitsQf|nsurance:

If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amount of insurance:

1. Required by the contract or agreement; or

2. Available under the applicable limits of
insurance;
whichever 15 Iess.

This endorsement shall not increase the
applicable limits of insurance.
© Insurance Services Office, Inc., 2018 Page 1 of 1

Policy Number: CLP 3771023 COIVIVERaAL GENERAL LABILITY CG 24 04 12 19
T1 -US ENDORSEIVIENT CHANGES THE POUCY. PLEASE READ IT CAREFUU_Y.

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US (WAIVER OF SUBROGATION)
This endorsement modifies insurance provided under the following:

COMVERaAL GENERAL UABIUTY COVERAGE PART

ELECTRONIC DATA LIABILITY COVERAGE PART

LIQUOR LIABILITY COVERAGE PART

POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES

POLLUTION LIABILITY LIMTED COVERAGE PART DESIGNATED SITES

PRODUCTS/COUPLE I ED OPERATIONS LIABILITY COVERAGE PART

RAILROAD PROTECTIVE UABILITY COVERAGE PART

UNDERGROUND STORAGE TANK POUCY DESIGNATED TANKS

SCHEDULE
Name Of Person(s) Or Organization(s):

ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED IS OPERATING UNDER WRITTEN CONTRACT Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

The following is added to Paragraph & Transfer or
Rights Of Recovery Against Others To Us of Section
IV — Conditions:

We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of
payments we make under this Coverage Part. Such
waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the
Schedule above.

CG 24 04 12 19
© Insurance Services Office, Inc., 2018 Page 1 of 1

Policy Nuanber:CLP 3771023

COMVERCIAL G NERAL UABIUTY
CG20011219
THS ENDORSEMENT' CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

PRIMARY AND NONCONTRIBUTORY -

OTHER INSURANCE CONDITION
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

LIQUOR LIABILITY COVERAGE PART

PRODUCTS'COMPLETED OPERATIONS LIABILITY COVERAGE PART
The following is added to the Other Insurance Condition and supersedes any provision to the contrary:

Primary And Noncontributory Insurance
This insurance is primary to and will not seek
contribution from any other insurance available to an
additional insured under your policy provided that:
(1) The additional insured is a Named Insured
under such other insurance; and
(2) You have agreed in writing in a contract or
agreement that this insurance would be
primary and would not seek contribution from
any other insurance available to the additional
insured.

CG 2001 1219 © Insurance Services Office, Inc., 2018

Policy Number: PCM E502853 06
P. GREEN BUILDING MATERIALS mean any building products or construction materials that are recognized by The Leadership in Energy and Environmental Design (LEEDe) or Energy Star as: (i) being environmentally preferable or sustainable; or (ti) providing enhanced energy efficiency.

Q. INSURED means:
the FIRST NAMED INSURED;

2. any ADDITIONAL NAMED INSURED; and

3. any present or former director, officer, partner, member, employee, leased or temporary worker of the FIRST NAMED INSURED or any ADDITIONAL NAMED INSURED, while acting within the scope of his/her duties as such; and .

4. any organization or entity, in existence at any time prior to the POLICY PERIOD, in which the FIRST NAMED INSURED has: (i) an ownership interesof fifty percent (50%) or more; or (11) control over the managementthereof; and

5. any joint venture in which the FIRST NAMED INSURED or any ADDITIONAL NAMED INSURED is named as a co - venturer, but solely to the extent such FIRST NAMED INSURED or ADDITIONAL NAMED INSURED is liable because of its performance CONTRACTING SERVICES provided under such joint venture; and G. solely with regard to Coverage B under this Policy and only when required by written contract, INSURED also (a)
the client for whom the INSURED performs CONTRACTING SERVICES provided that such contract was signed by the INSURED and such client prior to the date the POLLUTION CONDITION first commenced.

However, the client is included as an INSURED under this Policy solely to the extent that the client is found liable based upon CONTRACTING SERVICES negligently performed by an INSURED other than the client.

No coverage will be provided for such entity's own negligence or strict liability; and (b) any entity unrelated to the FIRST NAMED INSURED or any ADDITIONAL NAMED INSURED, provided that such contract was signed by the INSURED and the client for whom the INSURED performs CONTRACTING SERVICES priorto the date the POLLUTION CONDITION first commenced. Hovvever, such entity is included as an INSURED under this Policy solely to the extent that it is found liable based upon CONTRACTING SERVICES negligently performed by an INSURED other than such entity. No coverage will be provided for such entity's own negligence or strict liability.

Coverage for such client or entity under this Policy shall not exceed the lesser of the following amounts:
(i) the Limit of Liability required under such written contract; or (ii) the applicable Coverage B Limit ot Liability of this Policy.

However, INSURED does not include and DESIGN PROFESSIONAL Notwithstanding Section IX. CONDITIONS, Item N. OTHER |NSURANCE, and only when required by such written uontruct, the coverage afforded under this Policy for any person or entity who is an INSURED solely by reason of subparagraph G. of the Definition of INSURED will apply as primary as to any other valid and collectible insurance available to such INSURED,
R. JOB SITE means a location at which CONTRACTING SERVICES are performed. JOB SITE also includes real property rented or leased by the INSURED during the course of performing CONTRACTING GERV|CES, but only if such real property is utilized in direct support of such CONTRACTING SERVICES. However, JOB SITE does not include any:

1. COVERED LOCATION, or
(Page 5 of 23)

Policy Number: PCM E502853 08
afforded coverage to an INSURED under Coverage &2, that the INSURED fully implement the written plan for correctng the purported act, error or omission as approved by the Company.

N. OTHER INSURANCE - Subject to Section VI. Limit of Liability and Self -Insured Rebantion, this insurance shall apply only in excess of the sum of the Self -Insured Retention amount stated in the Declarations and the applicable limits of any other valid and collectible insurance availabJe to the |NSURED, whether such other insurance is stated to be primary, pro rata, conthbutory, excass, contingent or otherwiea, unless such other insurance is written only as specific excess insurance over the applicable Limits of Liability of this Policy.

O. SEVERABILITY - Except with respect to the Limits of Liability, Self -Insured Raturtiun, Exclusion 10. ("Insured vs.

Insured") and any rights and duties assigned in this Policy to the FIRST NAMED INSURED, this insurance applies as if each INSURED were the only INSURED and separately to each INSURED against whom a CLAIM is made. Any misropreanntabon, act or omission that is in violation of a term, duty or condition under this Policy by one INSURED shall not by itself affeccoverage for another INSURED under this Policy. This Condition O. shall not apply to an INSURED who is a parent, subsidiary or affiliate of the INSURED which committed the mienopnenenbaion, act or omission referenced above.

P. SOLE AGENT - The FIRST NAMED INSURED stated in the Declarations shall act on behalf of all INSUREDs for the payment or return of premium, receipt and acceptance of any endorsement issued to form a part of this Policy,giving and receiving notice of cancellation or non'n*newal, and the exercise of the rights provided under Section V., EXTENDED REPORTING PEROD.

Q. SUBROGATION - If the INSURED has rights to recover, from another person or organization, all or any part of a payment the Company makes under this Policy, those rights are transferred to the Company. The INSURED shall execute and deliver instruments and papers and do whatever else is necessary to secure such rights. The INSURED shall do nothing to prejudice such rights. Any monies recovered as a result of subrogation proceedings shall accrue first to the INSURED to the extent of any payments it made in excess of the limits of |iabi|ity, then to the Company to the extent of its payment under the Policy, and then to the INSURED to the eXtent of its payment of the self-insured retention.

Expenses incurred in such subrogation proceedings shall be apportioned amongst the INSURED and Company in the proportion that each interested party's share in the recovery bears to the total recovery.

However, the Company specifically waives any rights of recovery against any person or organization as required in a written contract that was fully executed prior to the commencement of the applicable CONTRACTING SERVICES or PROFESSIONAL SERVICES.
(Page 23 of 23)

POLICY NUMBER: CAP 3771022 COMMERCIAL AUTO
CA20481013
THS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

DESIGNATED INSURED FOR

COVERED AUTOS LIABILITY COVERAGE
This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM
Wth respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement.

This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the VWio Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form.

Ibis endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.

Named Insured: Hardy & Harper, Inc
Endorsement Effective Date: 4/15/2026

SCHEDULE
Name Of Person(s) Or Organizations):

ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN "INSURED CONTRACT" TO DESIGNATE AS AN ADDITIONAL INSURED SUBJECT TO ALL THE PROVISIONS AND LIMITATIONS OF THIS POLICY.

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

Each person or organization shown in the Schedule is an "insured" for Covered Autos Lability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision
contained in Paragraph A.1. of Section II - Covered
Autos Lability Coverage in the Business Auto and Motor
Carrier Coverage Forms and Paragraph DI2. of Section 1
- Covered Autos Coverages of the Auto Dealers
Coverage Form.

CA 20 481013 © Insurance Services Office, Inc., 2011 Page 1 of 1

BITCO GENERAL INSURANCE CORPORATION

BITCO NATIONAL INSURANCE COMPANY
WORKERS CONPENSAl1ON AND EMPLOYERS UAB IJTY INSURANCE POLICY Cancellation or Non -Renewal to Specified Persons or Organizations Endorsement California THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING:

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE
If we cancel or non -renew this policy for any reason other than non-payment, we will deliver notice of the illation or nonrenewal to all Specified Persons or Organization on file with us 30 days prior to the effective date of cancellation or non -renewal.

If we cancel this policy for non-payment, we will deliver notice of the cancellation to all Specified Persons or Organizations on file with us 10 days prior to the effective date of cancellation.

If notice is railed, proof of mailing wrill be sufficient proof of notice.

Named Insured HARDY & HARPER, INC.

Policy Number WC 3 771 024 Endorsement No.

Policy Period 04-15-26 to 04-15-27 Endorsers nt Effective Date:

Producer's Name: THE BALDWIN GRP. WEST, LLC
Producer Nurrber: 0006705

AUTHORIZED REPRESENTATIVE DATE
V 0990373(09/21)

AN AGREEMENT BETWEEN THE CITY OF ANAHEIM AND THE CITY OF PLACENTIA

FOR THE MIRALOMA VICINITY REHAB ON MIRALOMA AVE FROM MILLER STREET TO

ETCHANDY LANE AND FROM JEFFERSON STREET TO VAN BUREN STREET,

JEFFERSON STREET FROM MIRALOMA AVENUE TO TUSTIN AVENUE, CORONADO

STREET FROM JEFFERSON STREET TO VAN BUREN STREET, AND VAN BUREN STREET

FROM LEAVERTON COURT TO LA PALMA AVENUEPROJECT
This Agreement ("AGREEMENT") is made and entered into this 6th day of October, 2026, by and between the City of ANAHEIM, a municipal corporation ("ANAHEIM"), and the City of PLACENTIA, a municipal corporation ("PLACENTIA"), with reference to the following recitals.

RECITALS
WHEREAS, Miraloma Avenue between Miller Street and Van Buren Street (the "Miraloma Avenue Segment"), is located primarily in ANAHEIM with a portion located in PLACENTIA; and WHEREAS, ANAHEIM has proposed certain public improvements to the Miraloma Avenue Segment, as such improvements are described in the exhibits and specifications on file with ANAHEIM ("IMPROVEMENTS"); and
WHEREAS, the IMPROVEMENTS will extend the service life of the Miraloma Avenue Segment and benefit both ANAHEIM and PLACENTIA, and it is in the public interest that construction of the IMPROVEMENTS be accomplished by ANAHEIM and PLACENTIA under a cooperative agreement; and
WHEREAS, the purpose of this AGREEMENT is to provide for the allocation of responsibilities for the construction of the IMPROVEMENTS.

NOW, THEREFORE, in consideration of the promises and commitments herein contained, and other good and valuable consideration, ANAHEIM and PLACENTIA agree as follows:

AGREEMENT
ANAHEIM agrees:

A. To prepare or cause to be prepared, all environmental documents required for the IMPROVEMENTS in compliance with the California Environmental Quality Act; exhibits and specifications for the construction of the IMPROVEMENTS; coordinate utility relocations/adjustments, to solicit bids and award a contract as a public works project to the lowest responsible bidder; to administer the contract to complete the IMPROVEMENTS, including inspection, construction engineering and requiring payment of prevailing wages, all in compliance with California law and the ANAHEIM Municipal Code; and to pay such contractor pursuant to the construction contract.

B. To require any and all contractors performing work necessary to complete the IMPROVEMENTS ("WORK") to indemnify, defend and hold harmless ANAHEIM 1 470

and PLACENTIA, and each of their elected officials, officers, agents, and employees, harmless with respect to any and all damages, claims and liabilities, including stop notices, arising out of performance of the WORK.

C. To require any and all contractors performing work to obtain a right of way construction permit from PLACENTIA in advance of any contractor performing WORK within PLACENTIA's right of way.

D. In addition to any requirements of ANAHEIM, to require any and all contractors performing the WORK to obtain and maintain commercial general and automobile liability and workers compensation insurance acceptable to PLACENTIA and providing protection to PLACENTIA, its elected officials, officers, agents, and employees as additional insureds.

E. To obtain approval from PLACENTIA's Director of Public Works of the final exhibits and specifications for construction of the IMPROVEMENTS with respect to that portion located within PLACENTIA.

F. To invoice PLACENTIA for PLACENTIA's share of the construction costs incurred by ANAHEIM for the IMPROVEMENTS as described herein.

G. To obtain consent from PLACENTIA's Director of Public Works in advance of any contractor performing WORK within PLACENTIA's right of way.

H. To provide PLACENTIA a pdf copy of the Record Documents and Notice of Completion.

II. PLACENTIA agrees:

A. To designate and does hereby so designate ANAHEIM as the lead agency for the purpose of environmental compliance, designing, contracting for, and completing construction of the IMPROVEMENTS.

B. To pay ANAHEIM for PLACENTIA'S share of the actual costs for the WORK completed within the boundaries of PLACENTIA based upon unit prices bid and quantities actually used within PLACENTIA. The approximate area of IMPROVEMENTS within the boundaries of PLACENTIA is 790 square feet of asphalt concrete and 3 curb ramps. The estimated not -to -exceed construction cost is $17,000, plus a 10% contingency of $1,560, for a total authorized amount of $18,560. PLACENTIA will be responsible for actual bid unit prices and completed quantities of the WORK completed in PLACENTIA's right of way. Following acceptance of the WORK as complete by PLACENTIA and no later than sixty (60) days after receiving an invoice from ANAHEIM, PLACENTIA shall pay ANAHEIM an amount equal to 100% of the cost of the WORK performed within PLACENTIA's boundaries.
2 471

III. IT IS MUTUALLY AGREED:

A. During construction ANAHEIM shall furnish a resident engineer to perform the usual functions of a resident engineer on a public works project. PLACENTIA, as secondary agent, may, but is not obligated to, furnish its own respective resident engineer. ANAHEIM shall process any contract change orders (CCOs) that are necessary for construction of the Project. If CCOs are needed within PLACENTIA right of way, PLACENTIA shall review and approve such CCOs and provide a Project liaison during construction to coordinate CCO approvals. PLACENTIA shall provide concurrence on CCOs within five (5) business days of ANAHEIM'S submittal to PLACENTIA. If PLACENTIA fails to concur with or propose changes to CCO within such time such CCO shall be deemed approved
B. ANAHEIM and PLACENTIA shall cooperate in good faith and to the fullest extent reasonably possible in successfully completing the WORK described in this AGREEMENT.

C. ANAHEIM shall provide an itemized invoice for WORK satisfactorily completed reflecting all costs and WORK performed within PLACENTIA's right of way.

Payment of the PLACENTIA portion of the costs shall be due within sixty (60) days from the date of receipt of the invoice from ANAHEIM, or PLACENTIA's acceptance of the IMPROVEMENTS as complete, whichever last occurs.

D. Party Representative: The persons responsible for administration of this AGREEMENT on behalf of each respective party and to whom notices permitted or required to be provided pursuant to this Agreement, are as follows:

PLACENTIA: Chris Tanio, Director of Public Works
ANAHEIM: Rudy Emami, Director of Public Works
E. This AGREEMENT shall be effective upon mutual execution. The term of this AGREEMENT shall continue until the WORK is finally accepted by both parties and the time within which any stop notice may be filed has expired, unless sooner terminated by either party hereto by serving on the other party a thirty (30) day written notice of such termination. In the event of termination without cause by PLACENTIA, PLACENTIA shall reimburse ANAHEIM for all out of pocket expenses incurred by ANAHEIM on behalf of PLACENTIA up to the date of termination, but not to exceed PLACENTIA's portion set forth in Section 11.6, above. In the event of termination without cause by ANAHEIM prior to completion of the WORK, PLACENTIA shall have no further obligation to ANAHEIM.

F Neither ANAHEIM nor any elected official, officer or employee thereof shall be responsible for any damage or liability incurred by reason of anything done or omitted to be done by PLACENTIA under or in connection with the WORK or any work, authority or jurisdiction delegated to PLACENTIA under this AGREEMENT.

Pursuant to Government Code Section 895.4, PLACENTIA shall fully indemnify, defend, and hold ANAHEIM harmless from any liability imposed for injury as 3 472

defined in Section 810.8 occurring by reason of anything done or omitted to be done by PLACENTIA under or in connection with any work, authority or jurisdiction delegated to under this AGREEMENT.

Neither PLACENTIA nor any officer or employee thereof shall be responsible for any damage or liability incurred by reason of anything done or omitted to be done by ANAHEIM under or in connection with the WORK or any work, authority or jurisdiction delegated to ANAHEIM under this AGREEMENT. Pursuant to Government Code Section 895.4, ANAHEIM shall fully indemnify, defend, and hold PLACENTIA harmless from any liability imposed for injury as defined in Section 810.8 occurring by reason of anything done or omitted to be done by ANAHEIM under or in connection with any work, authority or jurisdiction delegated to ANAHEIM under this AGREEMENT.

G. This AGREEMENT represents the entire understanding of the parties hereto as to those matters contained herein, and no prior oral or written understanding shall be of any force or effect with regard to those matters covered by this AGREEMENT.

This AGREEMENT may not be modified, altered or amended except in writing signed by both of the parties hereto.

H. Notices permitted or required to be provided pursuant to this Agreement shall be sent to the following addresses:

ANAHEIM: PLACENTIA:

City of Anaheim
Attention: Director of Public Works
200 S. Anaheim Blvd.

Anaheim, California 92805
City of Placentia
Attention: Director of Public Works
401 E Chapman Avenue,
Placentia, CA 92870
By notice to the other party, either party may, change the address specified above. Service of notice or communication shall be complete, if personally served, when received at the designated address, or five (5) days after deposit of said notice or communication in the United States mail, postage prepaid, whichever occurs first.

The parties do not intend to create rights in, or to grant remedies to, any third party as a beneficiary to this AGREEMENT, or as a result of any duty, covenant, obligation or undertaking established herein.
[SIGNATURE PAGE FOLLOWS]
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IN WITNESS WHEREOF, the parties hereto have executed this AGREEMENT by and through their authorized officers on the date set forth below.

CITY OF ANAHEIM CITY OF PLACENTIA
A Municipal Corporation A Municipal Corporation
By: By:

ATTEST: ATTEST:

City Clerk City Clerk
APPROVED AS TO FORM: APPROVED AS TO FORM:

ROBERT FABELA, CITY ATTORNEY PLACENTIA CITY ATTORNEY
BY:

Bryn M. Morley, Deputy City Attorney Christian L. Bettenhausen, City Attorney 158636
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3;kc,25,Eggolk
Agenda Item No: 3.a

PLACENTIA CITY COUNCIL AGENDA REPORT
Meeting Date: October 6, 2026
Submitted by: Joe Lambert
From: Development Services
Subject:

DISCUSSION AND/OR ACTION REGARDING THE PLACENTIA ENHANCED

INFRASTRUCTURE FINANCING DISTRICT (EIFD)
Financial Impact:

Per 2025 Staff report, the estimated range of $17 to $24 million in property tax increment over approximately 40 years. Up to $59 million in net fiscal impact revenue to the City over approximately 50 years. Potential expense of $9,978,105 for the construction of the Old Town Streetscape Improvement Project.

Recommended Action:

It is recommended that the City Council:

Provide direction to staff as appropriate.

Strategic Plan Statement:

This item is consistent with the City Council approved Strategic Goals, specifically Goal No. 2:

Public Safety, Goal No. 3: Infrastructure, Facilities & Public Spaces, and Goal No. 4:

Economic Development. Completion of the Old Town Streetscape Project will enhance City streets, sidewalks and public spaces resulting in a clean, attractive and upgraded streetscape in the project area. Providing these upgrades including ADA, landscaping and circulation improvements would also enhance public safety while fostering business growth and attracting new businesses.

Discussion:

On May 6, 2025, City Council conducted a Study Session regarding the Placentia EIFD and related Old Town Streetscape Improvement Project. At that meeting, the City Council provided direction to Staff as follows:

To allocate $ 150,000 from EIFD revenues to finalize the design, delay bond financing until $1 million was accumulated or alternative funding was secured and return to City Council with construction bids and a financing plan when funds were available.

Financial Summary:

It is projected that approximately $10.05 million could be generated in net bond proceeds utilizing City and County tax increment revenues over the approximately 40 -year term of the Placentia EIFD to help fund core public infrastructure needed to support Placentia's growth. 475

The City's contribution is capped at 50% of its share of property tax increment (-6.8 out of

13.6 cents on the dollar) within the district boundary for a maximum of $24,000,000 total over the approximately 40 -year district lifetime (estimated range of actual allocation is $17 to $24 million, depending primarily on interest rates). The County's contribution is capped at 50% of its share (-2.95 out of 5.9 cents) within the district boundary for a maximum of $3,547,000 total over the first 25 years district lifetime, with an option to extend to 30 years only if needed.

Both the City and County allocations would terminate sooner if project funding goals are achieved sooner than projected.

The debt insurance structure approved by the County is for the City to loan $1 million to accelerate Project financing which would reduce bond issues size, debt service, improve security and reduce the bond interest rate. In this structure, the City would take the lead and issue its own 30 -year Lease Revenue Bonds ("LRBs") in lieu of the PFA. The City would provide property/building collateral for underlying LRB lease in this structure. The ultimate debt issuance structure would come before the City Council for separate approval at the appropriate time.

While the greater Placentia area would benefit from the infrastructure improvements (not just the Old Town Project area), the formation of the EIFD results in a reallocation of TI (i.e., the City's share of taxes levied on property within the district boundaries on that portion of the taxable valuation over and above the taxable valuation of the base year property tax roll) from the General Fund to pay for the Placentia infrastructure improvements. The TI projections are based upon various assumptions made utilizing the future growth potential of the residential, commercial, and industrial development sectors in the area. Once the EIFD has terminated, the property tax increment revenue allocated to the EIFD will flow back into the City's General Fund. The property tax generated up to the taxable valuation of the base year tax roll will continue to flow to the City's General Fund. The total project delivery cost for the Old Town Streetscape Improvement Project is $9,978,105.
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