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Agenda Item No: 1.d
PLACENTIA CITY COUNCIL AGENDA REPORT
Meeting Date: October 6, 2026
Submitted by: Gabriel Guerrero-Gabany
From: Public Works
Subject:
AMENDMENT NO. 1 TO THE PUBLIC WORKS AGREEMENT WITH CT&T CONCRETE
PAVING FOR CONSTRUCTION SERVICES RELATED TO THE GOLDEN AVENUE
BRIDGE REPLACEMENT PROJECT
Financial Impact:
Additional Expense:
Available Budget:
$ 111,298.95 Construction Cost
$6.875.873.55 Total Project Budget
$2,200,000.00 Community Project Funding/Congressionally Directed Spending (CPFCDS)
(505-90300-9600)
$2,647,046.00 Highway Bridge Program (HBP)
(224-90400-9600)
$ 215,682.00 County of Orange 00 Loop Segment D
Contribution
$1,313,145.55 Measure U (including required City Federal Match) (102-90300-9600)
$ 500,000.00 Brandywine Developer Agreement Contribution Summary:
On November 18, 2025, City Council awarded a construction contract to CT&T Concrete Paving (CT&T) in the amount of $4,687,010.50 for the reconstruction of the Golden Avenue Bridge. The bridge is located along Golden Avenue, West of Imperial Highway and East of Valencia Avenue. The total project cost was $6,037,599.55 which funded the construction, contingency, construction management and inspection, and construction engineering support from the design firm. The cost breakdown consists of $2,647,046 of Federal Highway Bridge Program funds, $2,200,000 of Community Project Funding/Congressionally Directed Spending, $215,682 of County of Orange contribution for OC Loop D construction, and $974,871.55 of Measure U funds.
The project has encountered extra work, a majority of which has been caused by utility work outside of the contractor's direct scope of work. While a majority of the utility providers were able to complete their work within the provided construction windows and cover their own costs, Southern California Edison (SCE) was not. Staff determined that the undergrounding work is essential to the overall scope of work for the project. Proceeding with this work satisfies previous agreements entered into between the City and the Brandywine community 1 which obligated $500,000 of funds to this project for the utility relocation work to be completed.
To avoid the potential delay in coordinating with SCE forces, the City directed CT&T to pick up the undergrounding scope in an effort to recover as much of the original schedule as possible and save construction costs. The additional utility work on behalf of the contractor resulted in an additional three months of contract time to the originally anticipated six -months and an additional cost of $488,333.30. Approving this amendment will ensure that the work continues and the best finished product is delivered to the community.
Other less costly extra work items include the installation of two pedestrian push buttons at the signalized bike trail crossing, the redesign of a stormwater catch basin that encountered an unexpected utility line conflict, a reinforcement placement conflict between the bridge barrier and post pockets, and the removal of portions of conflicting sheet piles from the bike lane project. These other work items total $40,172.57. Between the previously mentioned utility work of $488,333.30 and the $40,172.57 of other work items, the proposed increased amount to the contract is $528,505.87.
Staff requests City Council approve Amendment No.1 to the contract with CT&T increasing the original contract amount by $528,505.87 to provide compensation for the above mentioned work while also requesting additional contingency in the amount of $51,494.13 to cover any additional unforeseen costs that may occur during the remainder of construction. This total increase of $528,505.87 plus $51,494.13 as contingency will result in a total not -to -exceed contract amount of $5,267,010.50. A reminder that the Brandywine agreement will provide $500,000 worth of funding for the utility relocation work.
Recommended Action:
It is recommended that the City Council:
1. Approve Amendment No. 1 to a Public Works Agreement with CT&T Concrete Paving for an additional $528,505.87, for an updated contract amount of $5,215,516.37; and
2. Authorize the Acting City Administrator or her designee to approve contract change orders up to 10%, or $51,494.13, of the Amendment amount for a not -to -exceed amount of $5,267,010.50; and
3. Authorize the Acting City Administrator and/or her designee to execute the necessary documents, in a form approved by the City Attorney.
Strategic Plan Statement:
This item conforms to Strategic Goal No. 3: Infrastructure, Facilities & Public Spaces: Maintain and enhance streets, parks, and public facilities to ensure they are well-appointed, clean, attractive, and reflective of the City's commitment to quality.
Discussion:
The City of Placentia has budgeted in its Capital Improvement Program to replace the Golden Avenue Bridge and the related portion of the OC Bikeway Loop Segment D. The bridge is located along Golden Avenue west of Imperial Highway and East of Valencia Avenue. Golden Avenue is a regionally significant collector roadway, providing east -west travel between the cities of Placentia and Yorba Linda. The bridge was built in 1934 to span the Carbon Canyon Channel and was rated functionally obsolete in 2005 by Caltrans.
The existing bridge was an earth -filled reinforced concrete arch bridge supported on spread footings. The bridge was 34 feet long and 27 feet wide and carried two lanes of traffic over the 2 channel. There were no sidewalks or bicycle lanes on the bridge resulting in potential conflicts between pedestrians, bicyclists, and motorists.
The proposed bridge will be a 60 -foot -4 -inch wide structure designed to improve safety, mobility, and connectivity. The bridge will provide two 12 -foot -wide travel lanes and 6 -foot -wide sidewalks on both the south and north sides of the structure. The superstructure will consist of PC/PS CA 154 girders and will incorporate a Type 732SW (Modified) barrier to meet current safety standards. It is also designed to accommodate six telecommunications conduits, a 4 - inch So Cal Gas line, six conduits for Southern California Edison (SCE), and a 16 -inch casing for a future Yorba Linda Water District waterline. The substructure will be composed of abutments with a thickness of 3.5 feet, supported on 2.5 feet CIDH piles. In addition, the project will also complete 800 feet of Orange County Public Works' bike/pedestrian trail project, OC Loop Segment D, from Station 21+00 to 29+00, which runs directly under the bridge, providing a link for regional trail connectivity.
On November 18, 2025, City Council awarded a construction contract to CT&T in the amount of $4,687,010.50 for the reconstruction of the Golden Avenue Bridge. The total project cost was $6,037,599.55 which funded the construction, contingency, construction management and inspection, and construction engineering support from the design firm. The cost breakdown consists of $2,647,046 of Federal Highway Bridge Program funds, $2,200,000 of Community Project Funding/Congressionally Directed Spending, $215,682 of County of Orange contribution for OC Loop D construction, and $974,871.55 of Measure U funds.
The project has encountered significant extra work due to utility construction outside of the contractor's direct scope of work. Eleven separate utility providers are affected by the reconstruction of the bridge. All these providers were notified during the design phase regarding upcoming work to ensure the design plans were consistent with their requirements.
During this time, scopes and responsibilities were also assigned regarding who would be responsible for each relocation effort. Once construction began, a construction window was provided to the separate utility agencies during which they would be provided access to the job site by the City's contractor to perform their required work. Costs were also requested and agreed to. While a majority of the utility providers were able to meet their provided construction windows and cover their respective construction costs, Southern California Edison (SCE) was not. SCE provided an updated cost for them to perform their work weeks before the anticipated work was scheduled to begin. The amount provided was well above what had previously been provided to the City. This required the City to reevaluate the priority of SCE's undergrounding work and coordinate with the City contractor, CT&T, to see if the scope could be covered by them. Staff determined that the undergrounding work is essential to the overall scope of work for the project. Proceeding with this work satisfies previous agreements entered into between the City and the Brandywine community which obligated $500,000 of funds to this project for the utility relocation work to be completed.
To avoid the potential delay in coordinating with SCE forces, the City directed CT&T to pick up the undergrounding scope in an effort to recover as much of the original schedule as possible and save construction costs. The work includes trench excavation, installation of approximately 570 linear feet of 5 -inch Schedule 40 PVC conduit at a minimum depth of 30 inches with slurry encasement, installation of one 71 -inch x 48 -inch precast pull vault, trench backfill, compaction, pavement restoration, and all labor, materials, equipment, traffic control, and incidental work necessary to complete the installation. The conduit extends beyond the Beginning of Bridge (BB) and End of Bridge (EB) bridge approaches to connect with the 3 existing SCE facilities.
The additional utility work on behalf of the contractor resulted in an additional three months of contract time to the originally anticipated six -months and an additional cost of $488,333.30.
Approving this amendment will ensure that the work continues and the best finished product is delivered to the community.
This change order includes four additional less costly extra work items:
Overtime work performed by the Construction Management consultant to support bridge construction activities, including completion of bridge deck reinforcement, deck formwork, deck drain installation, Bid -Well screed setup, final deck preparation, placement of burlap, and concrete curing following the bridge deck concrete placement. Overtime work also included inspection services during extended work hours, installation and welding of the 16 -inch - diameter casing for the Yorba Linda Water District waterline, installation of the deck drain casing, and soil compaction behind the bridge backwall. The Contractor has agreed to provide a credit to the City for the Construction Management overtime costs associated with these operations. The overtime work was necessary to complete critical bridge construction activities and associated inspection services performed outside of normal working hours to maintain the project schedule. The removal of a portion of the existing RW2A sheet pile wall, originally installed as part of the Orange County Bikeway Loop Segment D Project, due to a conflict with the proposed north wingwall at Abutment 1 of the Golden Avenue Bridge Replacement Project. The Contractor was required to torch -cut and remove a 45 -inch by 10 -inch portion of the existing RW2A sheet pile wall that conflicted with the proposed wingwall to allow construction in accordance with the design. The conflict was not identified in the contract plans. This work was performed on a Time and Materials (T&M) basis as directed by the Engineer. The cost for this work, including the aforementioned credit came to $6,817.06.
The installation of the pedestrian push button reinstallation and relocation associated with the Golden Avenue Bridge Replacement Project. The work includes relocating and reinstalling two pedestrian push buttons, foundations and incidental work necessary to complete the installation. The removal and subsequent resetting of the pedestrian push buttons were required to accommodate bridge construction. While the bridge plans referenced the OC Loop plans for the final placement of the push buttons, the OC Loop plans did not identify the final placement locations of the pedestrian push buttons. Once the locations were determined, the City directed CT&T to perform the relocation work to avoid schedule impacts. The cost of this work came to $10,703.40.
During excavation for a proposed catch basin, CT&T encountered an unforeseen existing electrical line serving the light pole located at the corner of the OCPW service driveway on the southeast side of the bridge. To resolve this conflict, the designer developed an alternative design through RFI 33, utilizing a different OCPW standard catch basin configuration to avoid the existing electrical line. The cost for this item came to $17,506.75.
During installation of the bridge barrier post pockets, CT&T identified a conflict between the contract plans and the bridge barrier reinforcing steel layout. The contract plans require a 6 - inch by 6 -inch post pocket within the bridge barrier; however, the specified reinforcing steel configuration interfered with installation of the post pockets. The Designer revised the reinforcing steel configuration to accommodate the required 6 -inch by 6 -inch post pockets.
The cost for this extra work came to $5,145.36.
4 Staff requests City Council approve Amendment No.1 to the contract with CT&T increasing the original contract amount by $528,505.87 to provide compensation for the above-mentioned work. This item also requests an estimated 10% contingency amount, or $51,494.13, based on the Amendment No. 1 increase. If this item is approved, the updated contract not -to -exceed the amount would be $5,267,010.50 to cover any additional unforeseen costs that may occur during the remainder of construction.
Financial Summary:
The requested Amendment No. 1 will increase the construction cost of the Golden Avenue Bridge Replacement project by $528,505.87. If Amendment No. 1 is approved, an additional expense of $111,298.95 will be incurred. This is because the original contract contingency was used, and if this item is approved, an estimated $580,000 will be granted ($528,505.87 Amendment No. 1 increase plus $51,494.13 about 10% contingency from this item's recommendation).
If approved, the new contract not -to -exceed amount will be $5,267,010.50. The revised total project cost for the Golden Avenue Bridge Replacement Project would amount to $6,487,172.50. This cost consists of a revised construction contract cost of $5,215,516.37 with CT&T, an updated construction contingency of $51,494.13, construction management and inspection services with T.Y. Lin in the amount of $1,015,939, and construction engineering support services with BCA in the amount of $204,223.
Funding for this project is supported by numerous sources as outlined below:
Funding Source Amount Account(s)
FY 25/26 Misc. Grants and
Contributions $5,562,728.00 505-90300-9600, 224-90400-9600 FY 25/26 Measure U Funds $1.313.145.55 102-90300-9600
Total $6,875,873.55
Attachments
Attachment 1 - Amendment 1 Golden Ave Bridge_signed.pdf Attachment 2 - Change Order documentation.pdf
Attachment 3 - Agreement CT&T Concrete Paving, Inc.
5 t0
AMENDMENT NO. 1 TO
PUBLIC WORKS AGREEMENT
WITH CT&T CONCRETE PAVING
This Amendment No. 1 ("Amendment") to the Agreement is made and entered into effective the 6th day of October, 2026, by and between the CITY OF PLACENTIA, a Charter City and Municipal Corporation ("CITY"), and CT&T Concrete Paving, a California corporation (hereinafter "CONTRACTOR"). CITY and CONTRACTOR are sometimes hereinafter individually referred to as "Party" and or collectively referred to as the "Parties." A. Recitals.
(i) CITY and CONTRACTOR entered into a Public Works Agreement ("Agreement") effective November 18, 2025 through which CONTRACTOR has been providing construction services as more fully explained in the Scope of Services attached to the Agreement as Exhibit (ii) The Parties now seek to amend the Agreement to increase the compensation by $528,505.87 for additional work related to the construction of the Golden Avenue Bridge. Including previously approved change orders, the total contract amount is $5,215,516.37. (iii) All legal prerequisites to the making of this Amendment have occurred.
NOW, THEREFORE, in consideration of the mutual covenants and conditions set forth herein, the Parties agree as follows:
B. Amendment to Agreement.
1. Section 3.1, Paragraph 1 of the Agreement is hereby amended to read as follows:
Contract Sum For the services rendered pursuant to this Agreement, the Contractor shall be compensated as specified herein, but not exceeding the maximum contract amount of Five Million Two Hundred and Fifteen Thousand Five Hundred and Sixteen Dollars and Thirty Seven Cents ($5,215,516.37) (herein "Contract Sum"), except as provided in Section 2.9. The Contract Sum shall include the attendance of Contractor at all project meetings reasonably deemed necessary by the City; Contractor shall not be entitled to any additional compensation for attending said meetings.
2. Except as specifically modified herein, all of the terms, conditions and provisions of the Agreement shall remain in full force and effect.
3. The Agreement, all amendments together with this Amendment No. 1 and all Exhibits attached thereto, constitutes the entire Agreement between the Parties and supersedes all prior negotiations, arrangements, representations, and understandings, if any, made by or between the Parties with respect to the subject matter hereof. No amendment or other modification of the Agreement, as modified by this Amendment No. 1 shall be binding unless executed in writing by both Parties hereto, or their respective successors, assigns, or grantees.
4. Each of the undersigned represents and warrants that he or she is duly authorized to execute and deliver this Amendment No. 1 and that such execution is binding upon the entity for which he or she is executing this document.
r --
IN
IN WITNESS WHEREOF, the Parties have caused Amendment No. 1 to the Consulting Services Agreement are to be executed as of the day and year first above written.
CONSULTANT
CITY OF PLACENTIA
By: By:
/Jose Carvajal Rosanna Ramirez
President Interim City Administrator
ATTEST:
By:
Robert S. McKinnell, City Clerk
APPROVED AS TO FORM:
By:
Christian L. Bettenhausen, City Attorney
op
Project No. 1801
EXHIBIT A
SCOPE OF SERVICES
The project would replace the existing bridge with a new two-lane bridge that would include sidewalk, a striped median center, bike lanes, hand railing and all related grading, drainage, utility, roadway improvements and such other items or details, not mentioned above, that are required to complete the project. The bridge will be widened from approximately 27' to 60'-4" and would have a similar roadway profile as the existing bridge. The existing bridge structure will be removed to be replaced with two new abutments.
OC Bike Loop Segment D is an approximately 1.1 -mile paved Class I bikeway between the cities of Brea and Placentia. Construction will be recently completed on a majority of the segment D alignment when the bridge project begins, with the remaining portion to be completed as a part of this project.
Contract Change Order No. 1
FY 2026-2026 Golden Avenue Bridge Project
Owner: City of Placentia Contractor: CTBT Concrete Paving Inc You are hereby directed to make the herein described changes from the plans and specifications or to do the following described work not included in the plans and specifications on this contract:
Removal of existing sheetpile at RW2A and construction management team inspection overtime cost. The additional extra work and credit are described in Exhibit A and below.
1 This Change Order provides:
a) Extra work and credits identified in Exhibit A
$ 6,817.06
2 This Change Order came about from:
a)
During construction of the north wingwall at Abutment 1, a conflict was discovered between the proposed wingwall and the existing RW2A sheet pile wall from the Orange County Bikeway Loop Segment D Project.
Since this conflict was not shown in the contract plans, removal of the conflicting portion of the sheet pile wall was required to facilitate construction of the wingwall.
Inspection overtime work performed by the construction management team was required to complete critical bridge construction activities outside normal working hours to maintain the project schedule. As per section 6-
3.3 WORKING DAY of the special provisions, this Change Order documents the overtime work and the Contractor's credit to the City for the Construction Management overtime costs.
Refer to Exhibit A for breakdown of cost.
3 Action to be taken:
a) The Contractor was directed to provide a quote for the requested additional work. 4 Compensation
a) Adjustment of Line Items exceeding 25%
b) Extra work $
d) Credits $ 14,980.93
$ (8,163.87)
Total $ 6,817.06
5 Contract Time Extension
a) 0 Working Days
In addition to work specified in the bid specifications, this change order includes all extra work, field adjustments and credits.
This work is an Contractor initiated change and includes all labor, equipment, materials, and supervision and Administration.
CHANGE TO CONTRACT COST: CHANGE TO CONTRACT TIME:
Contract Amount: $ 4,687,010.50 Original Working Days: 120 Previous CCOs: $ Original Date of Completion: 8/5/2026
Adjustment of Line
Items Exceeding 25% Previously Added Working Days: 0
Total Extra Work $ 6,817.06 Additional Working Days: 0
Total Field Adjustments $ -
Total Credits $ Adjusted Total of Working Days: 120
Changes in Line Items: $ 6,817.06 Adjusted Date of Completion: 8/5/2026 Current Contract price: $ 4,693,827.56
Prepared by:
Recommended:
Approved by:
Mazen Mneimneh, Resident Engineer (TYLin)
Chris Tanio, Director of Public Works/City Engineer, City of Placentia Rosanna Ramirez Interim City Administrator, City of Placentia We, the undersigned contractor, have given careful consideration to the change proposed and hereby agree, if this proposal, is approved, that we will provide alluipmentfumish all materials, except as may otherwise be e
prices shown above
Accepted:
Joel CanGajal, Pr pq ct Manager, CT&T Concrete Paving Inc.
If the Contractor does not sign acceptance of this order, his attention is directed to the requirements of the specifications as to proceeding with the ordered work and filing a written protest within the time therein specified. 9 CCO No. 1 Exhibit 'A'
Project Title: Golden Avenue Bridge
Owner: City of Placentia Contractor: CT&T Concrete Paving Inc Description
Removal of Existing Sheet Pile at RW2A
Inspection Overtime Work to Complete Bridge Activities
Bid Actual
Quantity Quantity
Unit $$ Comments CREDIT EXTRA
T&M $14,980.93 Cost for the removal of sheetpile at RW2A which $14,980.93 was performed under time & material.
T&M Cost for overtime work performed by CM team that $8,163.87 $0.00 was necessary to complete critical bridge activities.
Sum of Line Item Adjustments
$8,163.87 $14,980.93
Change in Contract Cost (EXTRA) $6,817.06
Over Time T&M Log
Ticket# Date Day Contractor Hour(s) Personnel Rate Cost Description of Work 1 3/30/2026 Monday CT&T 1 Ali Habibi $227.37 227.37 CIDH concrete pour at Abutment 2 3/31/2026 Tuesday CT&T 1.5 Ali Habibi $227.37 341.06 CIDH concrete pour at Abutment 1 3 4/1/2026 Wednesday CT&T 0.5 Ali Habibi $227.37 113.69 CIDH concrete pour at Abutment 2 4 4/3/2026 Friday CT&T 1.5 Ali Habibi $227.37 341.06 CIDH concrete pour at Abutment 2 5 4/30/2026 Thursday CT&T 1.5 Ali Habibi $227.37 341.06 Concrete pour at abutment 1&2 and wingwalls 6 6/25/2026 Thursday CT&T 2 Bruce Fock-Yat $327.54 655.08 Continue inspection of deck reinforcement and deck drain, CT&T working OT to meet pour date 7/2
7 6/26/2026 Friday CT&T 2 Bruce Fock-Yat $327.54 655.08 Inspected reinforcement of the bridge deck and installation of the deck drain and inspect edge of deck formwork
8 6/27/2026 Saturday CT&T 8 Bruce Fock-Yat $327.54 2,620.32 Inspected reinforcement of the bridge deck and installation of the deck drain and inspect edge of deck formwork
9 6/29/2026 Monday CT&T 2 Bruce Fock-Yat $327.54 655.08 CT&T worked on installing the deck reinforcement, setting the Bidwell and continue to form the deck and deck drain
10 6/30/2026 Tuesday CT&T 1.75 Bruce Fock-Yat $327.54 573.20 CT&T worked on deck formwork and reinforcement CT&T worked on completing the deck form and final adjustments. 11 7/1/2026 Wednesday CT&T 2 Bruce Fock-Yat $327.54 0.00 Inspect deck reinforcement and ensure all the soffit is clean from residual inspect the underside of the soffit for gaps and ensure additional reinforcement is in place for the deck drain formwork.
CT&T work on installing the drip lines after the deck placement for the deck curing ahead of the 4th July weekend. The drip lines hoses did not 12 7/2/2026 Thursday CT&T 2.5 Bruce Fock-Yat $327.54 818.85 operate as expected and contractor had to switch hoses and puncture new hole in hoses. Contractor also install the burlap and ensure proper coverage
13 7/8/2026 Wednesday CT&T 1 Ali Habibi $234.87 234.87 Installation of 16" diameter casing for Yorba Linda water line at bay 7 to be welded and extended 20' beyond the bridge.
14 7/9/2026 Thursday CT&T 1.5 Ali Habibi $234.87 352.31 Installation of 16" diameter casingforYorba Linda water and casing for the deck drain.
15 7/16/2026 Thursday CT&T 1 Ali Habibi $234.87 234.87 Soil compaction at abut 1 behind the backwall to ensure 95% compaction is achieved
Total $8,163.87
11 T& Concrete Paving, Inc.
324 5. Diamond Bar Blvd. PMB 275, Diamond Bar, CA 91765 Phone 909.629.8000 Fax 909.629.8001
Lic. #875627, Class A, C-8, C-12 • DIR # 10000025154
PROPOSAL
Submitted To: Mazen Mneimneh Date: July 29, 2026
Company: City of Placentia Project:
Address: Project
Address: Golden Ave Bridge Replacement
401 E Chapman Ave, Placentia, CA 92870
Phone:
Fax:
Scope of Work: Site Concrete
1 Perform the following On-site work:
1 Email:
Mobile:
WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATE FOR THE FOLLOWING Remove additional sheetpile per RFI #15 & 20
LS 1 $14,980.93
Total
14,980.93
We propose thereby to furnish material and labor complete in accordance with above specifications. Payment to be made as follows; upon completion of each phase payment must be paid in full 10 days from date that work has been approved. Overdue accounts are subject to a service charge of 15% per month, collection and/or attorney fees. All material is guaranteed to be as specified. All work to be completed in a workman like manner according to standard practices. Any alterations or deviation from above specifications involving extra cost will be executed only upon signed change orders, and will become an extra charge over and above the estimate. All agreements upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and necessary insurance. Our workers are fully covered by workers compensation insurance.
Initial
I hereby propose to furnish materials and labor to complete in accordance with the specification above for the sum of:
Total Bid $
Authorized Signature Date Jose Carvajal
Acceptance of the above prices, spec's and conditions 909 8214769 are satisfactory and are hereby accepted [email protected] This proposal may be withdrawn by us if not
accepted within 15 days
324 S. Diamond Bar Blvd. PMB 275. Diamond Bar. CA 91765 Phone 909.629.8000 Fax 909.629.8001 Lic. #875627 www.cttconcreteoavine.com 14,980.93
12 ESTIMATE T&M BREAKDOWN
Project Name: Golden Ave Bridge Replacement
Contract No: 25-2437
Conflicting sheet pile removal at abutment 1 south wingwall, OC Loop Bike Trail Sheet Pile Removal and excavation EQUIPMENT (Type, Model)
Tot Hrs *Rate Start Stop
Service Truck 26.00
Case 580 Backhoe 10.00
Bobcat T66 Skidsteer 10.00
Superl0 Dump Truck 8.00
MATERIAL
Oxygen & Acetylne
$ 51.25
$ 55.00
$ 55.00
$ 70.00
Subtotal
15% Markup
Total
Qty Unit
1 $1,368.77
Torch, Gloves, & Hose 1 $783.28
Integrity Rebar Change Order 1 $638.58
1. See Specifications
2. Furnish Invoices.
3. * From Invoice or by C of SD.
items in grey not required at time of submittal
Subtotal
15% Markup
Total
Estimate No: 1
Sheet 1 of 1
Prime Contractor: CT&T Concrete Paving Inc.
$ 1,332.50 Labor 1
LABOR (Class & Name)
Tot Hrs "Rate
29.00 $ 550.00 Foreman
29.00 $ 550.00 Operator 3
10.00 $ 560.00 Teamster
$
$
$
$
$
$
$ 2,992.50
$ 448.88
$ 3,441.38
Supplier Total
California Too
White Cap
IRP
$ 1,368.77
$ 783.28
$ 638.58
$ 2,790.63
$ 418.59
$ 3,209.22
LS
LS
LS
8.00 TOTALS
Total Equipment, Material & Labor
TOTAL THIS REPORT
I certify that the charges are accurately
reported for the work indicated.
Contractor's Representative Date
$ 82.91
$ 86.95
$ 112.00
$ 112.00
Date 8/6/2026
Day of Wk: M T W TH F SAT SUN
Break
30 min
30 min
30 min
30 min
Start Stop
7:30 3.30
7:30 3.30
7:30 3.30
7:30 3.30
Subtotal
20% mark up
Surcharge
Total
Prime
$ 14,980.93
$ 2,404.39
$ 2,521.55
$ 1,120.00
$ 896.00
$
$
$
$
$
$ 6,941.94
$ 1,388.39
$ 8,330.33
n/a
Sub
$ 14,980.93
Contracting Agency:
Received:
initials/date
13 WHITE CAP
White Cap, L.P.
PO Box 4944
Orlando, FL 32802-4944
ACCOUNT # 95017000
CT & T CONCRETE PAVING INC
324 S DIAMOND BAR BLVD
PMB 275
DIAMOND BAR CA 91765
BRANCH ADDRESS
302 - ANAHEIM CA
(714) 764-1111
3250 E. CARPENTER AVE.
ANAHEIM CA 92806
ORANGE
TERRITORY:
SHIP TO: 10006099667
CALIFORNIA STREET
2300 CALIFORNIA STREET
PLACENTIA CA 92870
INVOICE
INVOICE NUMBER
50036252261
INVOICE DATE
04/10/2026
CUSTOMER PO NUMBER
TYSON
MAKE CHECKS PAYABLE TO:
White Cap, L.P.
P.O. Box 6040
CYPRESS, CA 90630-0040
TO VIEW AND PAY ONLINE GO TO:
ENROLLMENT TOKEN:
http://whitecap.billtrust.com
RKT XMM BMT
ORDER DATE
ORDER NO.
ORDERED BY
ACCOUNT MANAGER
TAKEN BY
04/10/2026
72092180
TYSON TYSON.8402679234
RICHARDSON, BRIAN
ANDERSON, CHRISTOPHER
BRANCH
ACCT JOB NO.
TERMS
SHIP VIA / ROUTING
CUSTOMER JOB NO.
302
10006099667
NET 30 DAYS
11. READY WILL CALL
CALIFORNIA STREET
LINE PART NUMBER DESCRIPTION QTY ORD UNIT PRICE QTY BKO
QTY SHP EXTENDED TAX
PRICE AMT
0 HDRDESC
1 25117615
3 4321020B
4 36403842698
5 364FM4501
6 432420
7 299C70
8 333187A
9 104HTI 14X5OT
1 DELIVERY TAG#: 39835917
56" YELLOW BURKE BAR W/3" BLADE MEADOW 2
BURKE
10MIL 20'X100' BLACK POLYFILM VISQUEEN 1
SOLD/ROLL
MEDALIST 350 CLASSIC 540/510 TORCH KIT 1
VICTOR TECHNOLOGIES
TRIPLE FLINT STRIKER LIGHTER VICTOR
4MIL 20'X100' CLEAR POLYFILM VISQUEEN
SOLD/ROLL
ROD CLAMP C70 SPECTRA
24"X36" DANGER CONSTRUCTION ZONE SIGN
1/4 X 50TECHNIWELD GRADE T TWIN HOSE
0 0
1 223.24 EA 0 2
168.83 RL 0 1
548.99 KIT 0 1
2 7.99 EA
4 63.50 RL
1 65.99 EA
2 52.99 EA
2 80.99 EA
0.00 446.48
168.83
548.99
0 2 15.98
0 4 254.00
0 0
0 1
2 2
65.99 105.98
161.981
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TOTAL TAX
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AND HANDLING
(TOTAL INVOICE
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.i.T&T CONCRETE PAVING INC
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C'.T CONCRETE PAYING INC
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INTEGRITY
REBAR PLACERS
CON "IRAC "I OR LICENSE #5337�9
CONTRACTOR:
EXTRA WORK AUTHORIZATION
1345 Nandina Ave.
Perris, CA 92571
(951) 696-6843 OFFICE
(951) 943-7772 FAX
DATE EMPLOYEE NAME
WORK PERFORMED (SPECIFY)
WHY WORK WAS REQUESTED
CCO#
APPROVED BY
Please Print Name
40,
RELEASE NO.
•
LEVEL
JOB NO.
JOB NAME:
DATE:
HOURS WORKED 1 TOTAL
S.T. 112 D.T. HOURS
TOTAL
RATE AMOUNT
COMPLETED:
Integrity Rebar Placers, Inc.
Date Foreman's Signature
Office - White Contractor - Yellow Foreman - Pink
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20 Contract Change Order No. 2
FY 2026-2026 Golden Avenue Bridge Project
Owner: City of Placentia Contractor: CTBT Concrete Paving Inc You are hereby directed to make the herein described changes from the plans and specifications or to do the following described work not included in the plans and specifications on this contract:
Relocation of SCE lines from overhead to underground and additonal signage. The additional extra work and credit are described in Exhibit A and below.
1 This Change Order provides:
a) Extra work identified in Exhibit A
$ 488,333.30
2 This Change Order came about from:
a)
Prior to CT&T's construction of the bridge approach slabs, Southern Califomia Edison (SCE) was scheduled to install the required underground electrical conduit. Due to SCE not being able to perform the work in accordance with CT&T's construction schedule, the City opted for CT&T to perform SCE's underground conduit work.
The agreed lump sum work to be performed by CT&T includes trench excavation, installation of approximately 570 linear feet of 5 -inch Schedule 40 PVC conduit with slurry encasement, installation of one 71 -inch x 48 -inch precast pull vault, one manhole, trench backfill and compaction, pavement restoration and all related incidental work necessary to complete the SCE underground utility improvements.
Please note that two work items in this agreed lump sum have a not to exceed amount, one is for potholing which has a not to exceed amount of $22,047.31 and another is for shoring which has a not to exceed amount of $62,815.98. These two items will be tracked under Time and material to determine the actual cost.
Due to schedule impacts associated with SCE utility work, 51 additional contract working days were granted, requiring the project traffic control signage to remain in place beyond the original project completion date.
Since the fascia work was on the critical path and was delayed prior to the SCE utility work, the City and CT&T agreed that CT&T would be responsible for one (1) month of additional signage costs, and the City would cover the remaining signage costs through project completion.
The agreed lump sum amount covers ten (10) Changeable Message Sign (CMS). This lump sum payment constitutes full compensation for that period. Any additional signage costs resulting from contractor caused delays beyond the project completion date shall be solely the responsibility of the Contractor.
Refer to Exhibit A for breakdown of cost.
3 Action to be taken:
a) The Contractor was directed to provide a quote for the requested additional work. 4 Compensation
a) Adjustment of Line Items exceeding 25% $ b) Extra work $ 488,333.30 d) Credits $
Total $ 488,333.30
5 Contract Time Extension
a) 51 Working Days
In addition to work specified in the bid specifications, this change order includes all extra work, field adjustments and credits. This work is an Contractor initiated change and includes all labor, equipment, materials, and supervision and Administration.
CHANGE TO CONTRACT COST: CHANGE TO CONTRACT TIME:
Contract Amount: $ 4,687,010.50 Original Working Days: 120 Previous CCOs: $ 6,489.52 Original Date of Completion: 8/5/2026 Adjustment of Line
Items Exceeding 25% Previously Added Working Days: 0
Total Extra Work $ 488,333.30 Additional Working Days: 51 Total Field Adjustments $
Total Credits $ Adjusted Total of Working Days: 171
Changes in Line Items: $ 488,333.30 Adjusted Date of Completion: 10/21/2026 Current Contract price: $ 5,181,833.32
Prepared by:
Recommended:
Approved by:
Mazen Mneimneh, Resident Engineer (TYLin)
Chris Tanio, Director of Public Works/City Engineer, City of Placentia Jennifer Lampman, City Administrator, City of Placentia We, the undersigned contractor, have given careful consideration to the change proposed and hereby agree, if this proposal, is approved, that we will provide all equi -nt, fur_nisr -II materials, except as may otherwise be shown above
Accepted:
Joel Ca aja roject M. ager, CT&T Concrete Paving Inc.
If the Contractor does not sign acceptance of this order, his attention is directed to the requirements of the specifications as to proceeding with the ordered work and filing a written protest within the time therein specified. 21 Anthony Montoya
From: Joel Carvajal
Sent: Friday, August 21, 2026 12:22 PM
To: Anthony Montoya
Cc: Bruce Fock-Yat; Gabriel Guerrero-Gabany; ctanio; Jose Carvajal; Tyson Ashton; Mazen Mneimneh
Subject: Re: Golden Avenue Bridge Replacement Project - SCE Pre -Construction Meeting Hi Mazen/Anthony,
After discussing the most recent comments internally, we reviewed each item again. We have addressed nearly all of the previous comments and made adjustments where possible; however, based on the current field conditions and remaining work, we need to remain firm on the following:
Comment 1: We cannot reduce the additional days associated with the conduit installation. The increase from approximately 5 feet to 8 feet in trench depth changes the means and methods required, including the shoring system and excavation requirements, and creates more restrictive working conditions. The added time also accounts for the additional backfill and compaction required for approximately three additional lifts of material. For these reasons, we believe the additional 6 days accurately reflect the work required.
Comment 2: We cannot reduce the duration for the vault/manhole work, as this work has not yet been completed. To date, we have spent 2 days excavating and placing rock, with another day required to set the manhole vault. We will also require 1 day to set the 7x14 vault and approximately 2 days to backfill both structures back to grade. Based on the actual progress and remaining work, the 6 -day duration is appropriate.
Comment 3: We would like to maintain the 5 days currently allotted for potholing as a not -to -exceed allowance. Since trenching has not yet been completed, there is still the potential to encounter unforeseen conditions requiring additional potholing. We will track the actual potholing performed and, if less than the 5 allotted days are required, we will provide a credit for the unused amount.
In an effort to reach a final resolution, we are willing to provide a $5,000 credit and agree to a lump sum price of $473,000. We would like to close this matter as soon as possible so we can proceed with the remaining work without further delay.
Thank you,
Joel Carvajal
Preconstruction
CT&T Concrete Paving Inc
909-706-8042
On Fri, Aug 21, 2026 at 10:52 AM Anthony Montoya wrote:
1 22
Good Morning Joel,
Please find attached our comments to the revised cost proposal for CCO #3.
Best regards,
Anthony Montoya
OFFICE ENGINEER
'I'/Lin
From: Joel Carvajal
Sent: Wednesday, August 19, 2026 5:16 PM
To: Anthony Montoya
Cc: Bruce Fock-Yat ; Gabriel Guerrero-Gabany ; ctanio
; Jose Carvajal ; Tyson Ashton ;
Mazen Mneimneh
Subject: Re: Golden Avenue Bridge Replacement Project - SCE Pre -Construction Meeting Good Afternoon Mazen,
Please see the attached revised cost proposal for your review. We addressed and incorporated several of your comments where feasible.
I also wanted to provide the attached pothole report from the past few days of our utility exploration. As previously discussed, we encountered several existing utilities that conflict with the assumed trench depth of 59 inches. These conflicts require additional excavation and shoring, as the excavation depths exceed 5 feet in these areas.
The revised proposal reflects the additional excavation effort and shoring required for these conflicts as extra days under the first activity and Item 11 to account for the hand digging needed at the crossings. In the worst-case locations, we will need to carefully hand excavate beneath the existing utilities to maintain the required 1 -foot minimum clearance, resulting in approximately 4 additional feet of excavation depth beyond what was originally anticipated.
Please let me know if you have any questions or would like to discuss the revisions further. 2 23
.0..0 -Concrete Paving, Inc.
324 S. Diamond Bar Blvd. PMB 275, Diamond Bar, CA 91765 Phone 909.629.8000 Fax 909.629.8001
Lic. #875627, Class A, C-8, C-12 • DIR # 10000025154
Submitted To: Mazen Mneimneh
Company: City of Placentia
Address:
401 E Chapman Ave, Placentia, CA 92870
Phone:
Fax:
Scope of Work: Site Concrete
PROPOSAL
Date: August 19, 2026
Project:
Project
Address: Golden Ave Bridge Replacement
Email:
Mobile:
WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATE FOR THE FOLLOWING Tota
Perform he following On-site work:
1 Install Approx 570 LF of 5" schedule 40 PVC Conduit at 30" Min Depth with Slurry Encasement.
Price/LF includes pavement removal, trenching, conduit installation, slurry encasement, backfill, AC Patchback,QC, and surveying
LF 3,141
$64.22
201,715.02
2 Install 7x14x8 Precast Vault, include structure ex,backfill, and slurry encasement EA 1 $ 69,326.78 $ 69,326.78 3 Install 4X4X6 Manhole, include structure ex,backfill, and slurry encasement EA 1 $ 31,084.46 $ 31,084.46 4 6'X24" Shear Plate at Top and Bottom of Rigid Conduit on both sides of the bridge EA 4 $ 6,448.81 $ 25,795.24 5 Shoring LS 1 $ 71,298.18 $ 71,298.18
6 5" HSS HDG Conduit 20' Outside of Bridge on Both Sides LF 240 $ 113.41 $ 27,218.40 7 Install Ground Rods and 4/0 Wire at the Following Locations: Manhole Entrence/Exit, Vault EA 8 $ 719.92 $ 5,759.36 Entrance Exit, Power Pole Riser
8 Mandrel & Pull Rope Inspection LF 3141 $ 2.00 $ 6,282.00 9 Potholing LS 1 $ 26,186.27 $ 26,186.27
10 Install 4/0 Ground Wire LF 140 $ 62.00 $ 8,680.00
11 Hand Dig Crossings EA 3 $ 1,655.18 $ 4,965.54
We propose thereby to furnish material and labor complete in accordance with above specifications. Payment to be made as follows; upon completion of each phase payment must be paid in full 10 days from date that work has been approved. Overdue accounts are subject to a service charge of 15% per month, collection and/or attorney fees. All material is guaranteed to be as specified. All work to be completed in a workman like manner according to standard practices. Any alterations or deviation from above specifications involving extra cost will be executed only upon signed change orders, and will become an extra charge over and above the estimate. All agreements upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and necessary insurance. Our workers are fully covered by workers compensation insurance.
Initial
I hereby propose to furnish materials and labor to complete in accordance with the specification above for the sum of:
Total Bid $ 478,311.25
I I
$473,000.00
Authorized Signature Date Jose Carvajal
Acceptance of the above prices, spec's and conditions 909 8214769 are satisfactory and are hereby accepted [email protected] This proposal may be withdrawn by us if not
accepted within 15 days
324 S. Diamond Bar Blvd. PMB 275. Diamond Bar. CA 91765 Phone 909.629.8000 Fax 909.629.8001 Lic. #875627 www.cttconcretenavine.com 24 (CTir-1> Concrete Paving, Inc_
Cost Detail With Man Hours
Project Name:
Job Number:
Bid As:
Estimator:
Project Address:
Completion Date:
10.09.25 Golden Avenue Bridge Replacement
Project - Placentia
Pay Items
D
Description
CCO2 - SCE Civil Work
01 Install 5" SCH 40 Conduit
Excavator Crew 4 Man Crew (165.32 LF/DY,
19.00 DY)
Foreman Truck
▪ Foreman / Dispatch
• Laborer Group 4 [2]
• Backhoe Operator Grp 4
• Case 570N Backhoe
Hamm 3-5 TN Roller
AA Super 10
• Teamster Group 3
2 Sack Slurry
Additional days &
Dump fees
included per
pothole report
Dump Fee- PCC & Asphalt
Steel Plate
5" SCH 40 PVC Conduit
Conduit Fittings
Sawcutting
Laborer 2 Man Crew (570.00 LF/DY, 2.00 DY)
Laborer Group 4 [2]
Saw Truck
QC/ Shift
)IE Survey
Ci Install 7X14X8 Vault
Excavator Crew 4 Man Crew
DY)
Foreman Truck
▪ Foreman / Dispatch
• Laborer Group 4 [2]
• Backhoe Operator Grp 4
(0.25 LF/DY, 4.00
Customer:
324 S. Diamond Bar Blvd., PMB275
Diamond Bar, CA 91765
Office {909) 629,8000 Fax (909) 629 -BOW.
License No. 875627 - DIR:1000025154
City Of Placentia
Billing Address: 401 EAST CHAPMAN AVENUE
PLACENTIA, CA 92870
Phone:
Contact:
Quantity
1.00 3,141.00
3,141.00
UM
LS
LF
LF
152.00 HR
152.00 HR
152.00 HR
152.00 HR
152.00 HR
152.00 HR
19.00 DY
152.00 HR
77.00 CY
35.20 EACH
17,600.00 LB
3,141.00 LF
1.00 EACH
1,140.00 LF
1,140.00 LF
16.00 HR
2.00 DY
7.00 EACH
1.00 UNIT
1.00 EACH
1.00 LF
Work Complete to
date will amount to
4 days total
32.00 32.00
32.00 32.00
HR
HR
HR
HR
Man Man Hours
Hours per Unit
1,840.00 1,840.00
792.00 0.25
760.00 0.24
Unit Total
Direct Cost Direct Cost
$408,159.34 $408,159.34
$54.74 $171,944.96
$32.51 $102,117.64
$30.75 $4,674.00
$121.21 $18,424.22
$89.39 $27,175.73
$114.59 $17,417.11
$33.75 $5,130.00
$31.25 $4,750.00
$566.00 $10,754.00
$90.74 $13,792.58
$160.00 $12,320.00
$400.00 $14,080.00
$0.55 $9,592.00
$4.00 $12,564.00
$6,528.72 $6,528.72
32.00 0.03 $3.50 $3,992.60
32.00 0.03 $3.50 $3,992.60
$89.39 $2,860.60
$566.00 $1,132.00
$1,250.00 $8,750.00
$2,000.00 $2,000.00
160.00 160.00 $59,581.09 $59,581.09
160.00 160.00 $21,498.45 $21,498.45
$30.75 $984.00
$121.21 $3,878.78
$89.39 $5,721.21
$114.59 $3,666.76
8/19/2026 4:57:16 PM Page 1
25 Man Man Hours Unit Total
Description Quantity UM Hours per Unit Direct Cost Direct Cost II (Item CCO2 - SCE Civil Work continued)
Case 570N Backhoe 32.00 HR $33.75 $1,080.00
Hamm 3-5 TN Roller 32.00 HR $31.25 $1,000.00
Super 10 4.00 DY $566.00 $2,264.00
• Teamster Group 3 32.00 HR $90.74 $2,903.70
2 Sack Slurry 11.00 CY $160.00 $1,760.00
Dump Fee- PCC & Asphalt 4.40 EACH $400.00 $1,760.00
Trench Shoring Box 1.00 EACH $1,800.00 $1,800.00
7x14x8 Precast SCE Vault 1.00 EACH $23,640.00 $23,640.00 Steel Plate 11,000.00 LB $0.55 $5,995.00
Fill Sand 22.00 TON $19.62 $431.64
▪ Crane 1.00 WDAY 0.00 0.00 $2,696.00 $2,696.00
Crane - 40 Ton 1.00 DY $2,696.00 $2,696.00
Lii Install 4X4 Manhole 1.00 EACH 80.00 80.00 $25,808.87 $25,808.87 Excavator Crew 4 Man Crew (0.50 LF/DY, 2.00 1.00 LF 80.00 80.00 $14,793.23 $14,793.23 DY)
Foreman Truck 16.00 HR $30.75 $492.00
• Foreman / Dispatch 16.00 HR $121.21 $1,939.39
• Laborer Group 4 [2] 16.00 HR $89.39 $2,860.60
9 Backhoe Operator Grp 4 16.00 HR $114.59 $1,833.38
Case 570N Backhoe 16.00 HR $33.75 $540.00
Hamm 3-5 TN Roller 16.00 HR $31.25 $500.00
Super 10 2.00 DY $566.00 $1,132.00
• Teamster Group 3 16.00 HR $90.74 $1,451.85
Crane - 40 Ton [0.75] 2.00 DY $2,696.00 $4,044.00
2 Sack Slurry 8.80 CY $160.00 $1,408.00
Trench Shoring Box 1.00 EACH $1,800.00 $1,800.00
Dump Fee- PCC & Asphalt 2.20 EACH $400.00 $880.00
4X4 Manhole 1.00 EACH $6,496.00 $6,496.00
Fill Sand 22.00 TON $19.62 $431.64
Potholing 5.00 WDAY 160.00 32.00 $4,409.46 $22,047.31
Excavator Crew 4 Man Crew (1.00 EACH/DY, 5.00 5.00 EACH 160.00 32.00 $4,409.46 $22,047.31 DY)
Foreman Truck 40.00 HR $30.75 $1,230.00
• ▪ Foreman / Dispatch 40.00 HR $121.21 $4,848.48
• Laborer Group 4 40.00 HR $89.39 $3,575.75
• Backhoe Operator Grp 4 40.00 HR $114.59 $4,583.45
Case 570N Backhoe 40.00 HR $33.75 $1,350.00
Super 10 5.00 DY $566.00 $2,830.00
• Teamster Group 3 40.00 HR $90.74 $3,629.63
iji Install Ground Rods 8.00 EACH 32.00 4.00 $607.71 $4,861.69 Excavator Crew 4 Man Crew (4.00 EACH/DY, 2.00 8.00 EACH 32.00 4.00 $482.71 $3,861.69 DY)
Foreman Truck 16.00 HR $30.75 $492.00
9 Foreman / Dispatch 16.00 HR $121.21 $1,939.39
• Laborer Group 4 16.00 HR $89.39 $1,430.30
Copper Ground Rods 10.00 EACH $100.00 $1,000.00
Lii Install 4/0 Ground Wire 140.00 LF 32.00 0.23 $49.01 $6,861.69 8/19/2026 4:57:16 PM
10.09.25 Golden Avenue Bridge Replacement Project - Placentia Page 2 26 Man Man Hours Unit Total
Description Quantity UM Hours per Unit Direct Cost Direct Cost (Item CCO2 - SCE Civil Work continued)
Excavator Crew 4 Man Crew (4.00 EACH/DY, 2.00 8.00 EACH 32.00 4.00 $482.71 $3,861.69 DY)
Foreman Truck 16.00 HR $30.75 $492.00
• Foreman / Dispatch 16.00 HR $121.21 $1,939.39
• Laborer Group 4 16.00 HR $89.39 $1,430.30
4/0 Wire 300.00 LF $10.00 $3,000.00
0 Install Shear Plates 4.00 EACH 24.00 6.00 $5,579.38 $22,317.54 Excavator Crew 4 Man Crew (8.00 EACH/DY, 1.00 8.00 EACH 24.00 3.00 $389.69 $3,117.54 DY)
Foreman Truck 8.00 HR $30.75 $246.00
• Foreman / Dispatch 8.00 HR $121.21 $969.70
• •Laborer Group 4 8.00 HR $89.39 $715.15
• Backhoe Operator Grp 4 8.00 HR $114.59 $916.69
Case 570N Backhoe 8.00 HR $33.75 $270.00
24" W X 6' L X 1/2" H Shear Plate Hot Dipped 4.00 UNIT $4,800.00 $19,200.00 Galvanized
Ci Install 5" HSS HDG Conduit 240.00 LF 64.00 0.27 $97.42 $23,380.57 Excavator Crew 4 Man Crew (120.00 LF/DY, 2.00 240.00 LF 64.00 0.27 $31.94 $7,665.37 DY)
Foreman Truck 16.00 HR $30.75 $492.00
• Foreman / Dispatch 16.00 HR $121.21 $1,939.39
• Laborer Group 4 [2] 16.00 HR $89.39 $2,860.60
• Backhoe Operator Grp 4 16.00 HR $114.59 $1,833.38
Case 570N Backhoe 16.00 HR $33.75 $540.00
,� 5" HDG HSS Steel Conduit 240.00 LF $65.48 $15,715.20 Ci Mandrel & Pull Rope 3,141.00 LF 32.00 0.01 $1.40 $4,401.69 Excavator Crew 4 Man Crew (1,570.50 LF/DY, 3,141.00 LF 32.00 0.01 $1.40 $4,401.69
2.00 DY)
Foreman Truck Operator Removed,16.00 HR $30.75 $492.00
• Foreman / Dispatch backhoe needed asl6.00 HR $121.21 $1,939.39 ma
• Laborer Group 4 means of winch. 16.00 HR $89.39 $1,430.30 Case 570N Backhoe 16.00 HR $33.75 $540.00
® Shoring Not to Exceed 1.00 EACH 416.00 416.00 $62,815.98 $62,815.98 Trench Shoring Box 1.00 EACH $20,000.00 $20,000.00
▪ Excavator Crew 4 Man Crew (0.08 EACH/DY, 1.00 EACH 416.00 416.00 $42,815.98 $42,815.98
13.00 DY)
Foreman Truck 104.00 HR $30.75 $3,198.00
• Foreman / Dispatch 104.00 HR $121.21 $12,606.05
• Laborer Group 4 104.00 HR $89.39 $9,296.96
• •Backhoe Operator Grp 4 104.00 HR $114.59 $11,916.97
CAT 315 EXC 104.00 HR $55.75 $5,798.00
• Operator 104.00 HR $0.00 $0.00
ail Hand Dig Crossings 3.00 EACH 48.00 16.00 $1,379.32 $4,137.95 2 Man Laborer Crew (1.00 EACH/DY, 3.00 DY) 3.00 EACH 48.00 16.00 $1,379.32 $4,137.95 • Laborer Group 1 [2] 24.00 HR $86.21 $4,137.95
8/19/2026 4:57:16 PM
2 Laborers needed to
hand dig each crossing,
total 3 identified to be
dug by hand 10.09.25 Golden Avenue Bridge Replacement Project - Placentia
27 Direct Cost Totals
Percent of
Amount Direct Cost
Labor: $177,865.14 43.58%
Equipment Owned: $59,142.00 14.49%
Equipment Rented: $0.00 0.00%
Materials Owned: $0.00 0.00%
Materials Purchased: $160,402.20 39.30%
Subcontracted: $0.00 0.00%
Trucking Owned: $0.00 0.00%
Trucking Hired: $0.00 0.00%
Miscellaneous: $10,750.00 2.63%
Plug: $0.00 0.00%
Direct Cost: $408,159.34
Item #1
CATEGORY MARKUP
LABOR 20%
EQUIPMENT 15%
MATERIALS 15%
MISC 15%
TOTAL
COST TOTAL
$177.86.5.14 $213,438.171
$59,142.00 $68,013.301
$180.403.20 $184.466.68
$10.750.00 $12.062.50
$473,277.65
28 T& Concrete Paving, Inc.
324 5. Diamond Bar Blvd. PMB 275, Diamond Bar, CA 91765 Phone 909.629.8000 Fax 909.629.8001
Lic. #875627, Class A, C-8, C-12 • DIR # 10000025154
PROPOSAL
Submitted To: Mazen Mneimneh Date: August 19, 2026
Company: City of Placentia Project:
Address: Project
Address: Golden Ave Bridge Replacement
401 E Chapman Ave, Placentia, CA 92870
Phone:
Fax:
Scope of Work: Site Concrete
1 Perform the following On-site work:
1 Email:
Mobile:
WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATE FOR THE FOLLOWING Additional CMS Board Rental from September 5, 2026, through October 21, 2026.
Rental Rate per CMS: $33.33/Day X 10 Signs X 46 Days = 15,333.33 EA 10 $1,533.33
Total
15,333.30
We propose thereby to furnish material and labor complete in accordance with above specifications. Payment to be made as follows; upon completion of each phase payment must be paid in full 10 days from date that work has been approved. Overdue accounts are subject to a service charge of 15% per month, collection and/or attorney fees. All material is guaranteed to be as specified. All work to be completed in a workman like manner according to standard practices. Any alterations or deviation from above specifications involving extra cost will be executed only upon signed change orders, and will become an extra charge over and above the estimate. All agreements upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and necessary insurance. Our workers are fully covered by workers compensation insurance.
Initial
I hereby propose to furnish materials and labor to complete in accordance with the specification above for the sum of:
Total Bid $
Authorized Signature Date Jose Carvajal
Acceptance of the above prices, spec's and conditions 909 8214769 are satisfactory and are hereby accepted [email protected] This proposal may be withdrawn by us if not
accepted within 15 days
324 S. Diamond Bar Blvd. PMB 275. Diamond Bar. CA 91765 Phone 909.629.8000 Fax 909.629.8001 Lic. #875627 www.cttconcreteoavine.com 15,333.30
29 Anthony Montoya
From: Joel Carvajal
Sent: Wednesday, August 19, 2026 4:26 PM
To: Mazen Mneimneh
Cc: Tyson Ashton; Jose Carvajal; Bruce Fock-Yat; Anthony Montoya; Gabriel Guerrero- Gabany
Subject: Re: FW: GBRP - TIA R1
Hi Mazen,
At this time, I do not have vendor backup for the proposed $33/day ($1,000/month) rental rate because the CMS units are company-owned equipment and are not rented from a third -party vendor.
The proposed rate is based on the current market rental value for comparable CMS units and is consistent with rates charged by equipment rental vendors for similar equipment.
I have attached an email displaying the rental rate I received from Highway Safety at the start of this project.
0 Dave Coutts Mcouttsaamaysalerycan, Thu Jan 22t28AM * o h la toe!,
Attached is a quote for ] new trailers will call herein China, To rent for b months tre price would be approx. $46,20. not Including deliveries and pickups. There Is no tax on rentals Thank you
Cake
One attachment • Scanned by Gmail 0 a Add to Drive
CT&Tpd
®o
Thank you,
Joel Carvajal
Preconstruction
CT&T Concrete Paving Inc
909-706-8042
On Wed, Aug 19, 2026 at 4:10 PM Mazen Mneimneh wrote:
Joel,
Thanks, do you have any backup for the #33/day or $1000 per month rent? 1 30
Mazen Mneimneh, PE
M +1 949.466.4640
ri?L1n
From: Joel Carvajal
Sent: Wednesday, August 19, 2026 3:42 PM
To: Mazen Mneimneh
Cc: Tyson Ashton ; Jose Carvajal ; Bruce Fock-Yat
; Anthony Montoya ; Gabriel Guerrero-Gabany
Subject: Re: FW: GBRP - TIA R1
Hi Mazen,
Thank you for your review of TIA Request #2 and for confirming the City's determination that the request has merit. We appreciate the timely review and agree with the allocation of the CMS costs as outlined in your report.
Attached is CCO #5 for the additional CMS rental costs associated with the period of September 5, 2026, through October 21, 2026, totaling 46 calendar days for 10 CMS signs, as requested.
Please let me know if you have any questions.
Thank you,
Joel Carvajal
Preconstruction
CT&T Concrete Paving Inc
909-706-8042
On Tue, Aug 18, 2026 at 1:30 PM Mazen Mneimneh wrote:
Joel,
2 31
As discussed yesterday, we have completed our review of your TIA Request #2 (attached) and have determined that the request has merit, as documented in our final review report (R2 attached).
As noted on Page 3 of our report attached, the fascia activities were delayed beyond their original completion date of July 27, 2026, and are now projected to be completed by September 4, 2026.
Accordingly, the additional CMS costs incurred beyond August 10, 2026 will be shared between CT&T and the City. CT&T will be responsible for CMS costs through September 4, 2026, while the City will cover CMS costs incurred from September 5, 2026, through October 21, 2026.
Please submit a COR for the CMS costs associated with the period from September 5, 2026, through October 21, 2026, for our review and processing.
Regards,
Mazen
From: Joel Carvajal
Sent: Thursday, August 6, 2026 4:25 PM
To: Mazen Mneimneh ; Bruce Fock-Yat ; Ali Habibi
; Gabriel Guerrero-Gabany ; ctanio
Cc: Tyson Ashton ; Jose Carvajal ; Oswaldo Deanda
Subject: GBRP - TIA R1
Good Afternoon Mazen,
Attached is CT&T's Time Impact Analysis for your review.
The attached TIA summarizes the utility -related impacts currently affecting the project critical path and includes CT&T's request for a contract time extension based on the updated CPM schedule.
Please review it at your convenience, and let me know if you have any questions or if you would like to discuss any portion of the analysis.
Thank you,
3 32
Contract Change Order No. 2
FY 2026-2026 Golden Avenue Bridge Project
Owner: City of Placentia Contractor: CTBT Concrete Paving Inc You are hereby directed to make the herein described changes from the plans and specifications or to do the following described work not included in the plans and specifications on this contract:
Reinstallation of pedestrian push buttons. The additional extra work and credit are described in Exhibit A and below. 1 This Change Order provides:
a) Extra work identified in Exhibit A
$ 10,703.40
2 This Change Order came about from:
a) The pedestrian push button removal/resetting was necessary for building the bridge, but the bridge plans referred to the OC Loop plans for the final location. The OC Loop plans omitted the location of the pedestrian push button , therefore once a location was determined, the City of Placentia elected for CT&T to perform this work.
The agreed lump sum amount covers the relocation and resetting of (2) pedestrian push buttons. This lump sum payment constitutes full compensation for this work.
Refer to Exhibit A for breakdown of cost.
3 Action to be taken:
a) The Contractor was directed to provide a quote for the requested additional work. 4 Compensation
a) Adjustment of Line Items exceeding 25% $
b) Extra work $ 10,703.40
d) Credits $
Total $ 10,703.40
5 Contract Time Extension
a) 0 Working Days
In addition to work specified in the bid specifications, this change order includes all extra work, field adjustments and credits.
This work is an Contractor initiated change and includes all labor, equipment, materials, and supervision and Administration.
CHANGE TO CONTRACT COST: CHANGE TO CONTRACT TIME:
Contract Amount: $ 4,687,010.50 Original Working Days: 120 Previous CCOs: $ 494,822.82 Original Date of Completion: 8/5/2026 Adjustment of Line
Items Exceeding 25% Previously Added Working Days: 51
Total Extra Work $ 10,703.40 Additional Working Days: 0 Total Field Adjustments $ -
Total Credits $ Adjusted Total of Working Days: 171
Changes in Line Items: $ 10,703.40 Adjusted Date of Completion: 10/21/2026 Current Contract price: $ 5,192,536.72
Prepared by:
Recommended:
Approved by:
Mazen Mneimneh, Resident Engineer (TYLin)
Chris Tania, Director of Public Works/City Engineer, City of Placentia Jennifer Lampman, City Administrator, City of Placentia We, the undersigned contractor, have given careful consideration to the change proposed and hereby agree, if this proposal, is approved, that we will provide all equipment, furnish all materials, except as may otherwise be prices shown above
Accepted:
Joel Carvajal, Project Manager, CT&T Concrete Paving Inc.
If the Contractor does not sign acceptance of this order, his attention is directed to the requirements of the specifications as to proceeding with the ordered work and filing a written protest within the time therein specified. 33 CCO No. 1 Exhibit 'A'
Project Title: Golden Avenue Bridge
Owner: City of Placentia Contractor: CT&T Concrete Paving Inc Description
Bid Actual
Quantity Quantity
Unit $$
Pedestrian Push Button LS $10,703.40
Comments
Cost for CT&T to perform relocation of two
pedestrian push buttons.
Sum of Line Item Adjustments
CREDIT EXTRA
$10,703.40
$0.00
$0.00 $10,703.40
Change in Contract Cost (EXTRA) $10,703.40
T& Concrete Paving, Inc.
324 5. Diamond Bar Blvd. PMB 275, Diamond Bar, CA 91765 Phone 909.629.8000 Fax 909.629.8001
Lic. #875627, Class A, C-8, C-12 • DIR # 10000025154
PROPOSAL
Submitted To: Mazen Mneimneh Date: August 24, 2026
Company: City of Placentia Project:
Address: Project
Address: Golden Ave Bridge Replacement
401 E Chapman Ave, Placentia, CA 92870
Phone:
Fax:
Scope of Work: Site Concrete
1 Perform the following On-site work:
1 Email:
Mobile:
WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATE FOR THE FOLLOWING Reinstall 2 Pedestrian Push buttons per RFI #7
LS 1 $10,703.40
Total
10,703.40
We propose thereby to furnish material and labor complete in accordance with above specifications. Payment to be made as follows; upon completion of each phase payment must be paid in full 10 days from date that work has been approved. Overdue accounts are subject to a service charge of 15% per month, collection and/or attorney fees. All material is guaranteed to be as specified. All work to be completed in a workman like manner according to standard practices. Any alterations or deviation from above specifications involving extra cost will be executed only upon signed change orders, and will become an extra charge over and above the estimate. All agreements upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and necessary insurance. Our workers are fully covered by workers compensation insurance.
Initial
I hereby propose to furnish materials and labor to complete in accordance with the specification above for the sum of:
Total Bid $
Authorized Signature Date Jose Carvajal
Acceptance of the above prices, spec's and conditions 909 8214769 are satisfactory and are hereby accepted [email protected] This proposal may be withdrawn by us if not
accepted within 15 days
324 S. Diamond Bar Blvd. PMB 275. Diamond Bar. CA 91765 Phone 909.629.8000 Fax 909.629.8001 Lic. #875627 www.cttconcreteoavine.com 10,703.40
35 Project Name: Golden Ave Bridge Replacement
Contract No: 25-2437
Excavate and backfill trench for push button reinstallation EQUIPMENT (Type, Model)
Tot Hrs *Rate Start
Case 570 N Backhoe 4.00
Service Truck 4.00
MATERIAL
Relocate Pushbuttons & Install new
foundations
$ 60.08
$ 51.25
Subtotal
15% Markup
Total
Qty Unit
1 $8,153.00
1. See Specifications
2. Furnish Invoices.
3. * From Invoice or by C of SD.
items in grey not required at time of submittal
Subtotal
15% Markup
Total
ESTIMATE T&M BREAKDOWN
Stop
$ 240.32
$ 205.00
$
$
$
$
$
$
$
$
$ 445.32
$ 66.80
$ 512.12
Supplier Total
Universal
$ 8,153.00
$ 8,153.00
$ 1,222.95
LS
LS
$ 9,375.95
Estimate No: 2
Sheet 1 of 1
Prime Contractor: CT&T Concrete Paving Inc.
LABOR (Class & Name)
Labor 1
Tot Hrs "Rate
4.00 Foreman
4.00 TOTALS
Total Equipment, Material & Labor
TOTAL THIS REPORT
I certify that the charges are accurately
reported for the work indicated.
Contractor's Representative Date
$ 82.91
$ 86.95
Date 8/24/2026
Day of Wk: M T W TH F SAT SUN
Break Start
30 min
Stop
7:30 3.30 $ 331.64
30 min 7:30 3.30 $ 347.80
30 min
7:30 3.30 $
$
Subtotal
20% mark up
Surcharge
Total
Prime
$ 10,703.40
$
$
$
$
$
$ 679.44
$ 135.89
$ 815.33
n/a
Sub
$ 10,703.40
Contracting Agency:
Received:
initials/date
36 ESTIMATE
Universal Wiring Corp
232 E 2nd Ave
La Habra, CA 90631
Bill to
Joel Carvajal
CT&T Concrete Paving
Estimate details
Estimate no.: 31952
Estimate date: 06/18/2026
# Product or service
1. Conduit Install
2. Push Button Assembly
[email protected]
+1 (714) 476-6197
www.universalwiringca.com
Universalllliring
Description Qty Rate Amount
Install 3" conduit and associated fittings for 1 $3,381.00 $3,381.00 two pedestrian push button locations,
including conductor reconnection
Construction of two PPB post and 1 $4,772.00 $4,772.00
foundations with anchor bolt assembly.
Reinstall both pedestrian push button
assemblies.
Total
Note to customer
OK Bikeway Loop - Change order for Push Button restoration.
This change order is for restoration of push button facilities moved during other construction activities.
Work includes installation of 3" conduit, construction of two PPB Post and foundations, pull box replacement, and reinstallation of push buttons/conductors.
Exclusions:
- Push button to be County furnished
- Pull box
- Trenching
- New cable
Accepted date Accepted by
$8,153.00
37 Contract Change Order No. 4
FY 2026-2026 Golden Avenue Bridge Project
Owner: city of Placentia Contractor: CTBT Concrete Paving Inc You are hereby directed to make the herein described changes from the plans and specifications or to do the following described work not included in the plans and specifications on this contract:
Reconfigure SD -2 and Deck Drain pipes to realign DS -2. The additional extra work and credit are described in Exhibit A and below.
1 This Change Order provides:
a) Extra work identified in Exhibit A
$ 17,506.75
2 This Change Order came about from:
a)
During excavation for the proposed catch basin at DS -2, the CT&T encountered an unforeseen existing electrical line serving the light pole located at the corner of the OCPW service driveway on the southeast side of the bridge. To resolve this conflict, the designer developed an alternative design through RFI 33, utilizing a different OCPW standard catch basin configuration to avoid the existing electrical line.
The agreed lump sum amount covers the reconfiguration of SD -2, deck drain pipe relalignment and local depression. This lump sum payment constitutes full compensation for this work.
Refer to Exhibit A for breakdown of cost.
3 Action to be taken:
a)
The Contractor was directed to provide a quote for the requested additional work. 4 Compensation
a) Adjustment of Line Items exceeding 25% $ -
b) Extra work $ 17,506.75
d) Credits $ -
Total $ 17,506.75
5 Contract Time Extension
a) 0 Working Days
In addition to work specified in the bid specifications, this change order includes all extra work, field adjustments and credits.
This work is an Contractor initiated change and includes all labor, equipment, materials, and supervision and Administration.
CHANGE TO CONTRACT COST: CHANGE TO CONTRACT TIME:
Contract Amount: $ 4,687,010.50 Original Working Days: 120 Previous CCOs: $ 505,526.22 Original Date of Completion: 8/5/2026 Adjustment of Line
Items Exceeding 25% Previously Added Working Days: 51
Total Extra Work $ 17,506 75 Additional Working Days: 0 Total Field Adjustments $
Total Credits $ - Adjusted Total of Working Days: 171
Changes in Line Items: $ 17,506.75 Adjusted Date of Completion: 10/21/2026 Current Contract price: $ 5,210,043.47
Prepared by:
Recommended:
Approved by:
Mazen Mneimneh, Resident Engineer (TYLin)
Chris Tanio, Director of Public Works/City Engineer, City of Placentia Jennifer Lampman, City Administrator, City of Placentia We, the undersigned contractor, have given careful consideration to the change proposed and hereby agree, if this proposal, is approved, that we will provide all equipment, furnish all materials, except as may otherwise be prices shown above
Accepted:
Joe C- ajal, Pr. ect Manager, CT&T Concrete Paving Inc.
If the Contractor does not sign acceptance of this order, his attention is directed to the requirements of the specifications as to proceeding with the ordered work and filing a written protest within the time therein specified. 38 T& Concrete Paving, Inc.
324 5. Diamond Bar Blvd. PMB 275, Diamond Bar, CA 91765 Phone 909.629.8000 Fax 909.629.8001
Lic. #875627, Class A, C-8, C-12 • DIR # 10000025154
PROPOSAL
Submitted To: Mazen Mneimneh Date: August 19, 2026
Company: City of Placentia Project:
Address: Project
Address: Golden Ave Bridge Replacement
401 E Chapman Ave, Placentia, CA 92870
Phone:
Fax:
Scope of Work: Site Concrete
1 Perform the following On-site work:
1 Email:
Mobile:
WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATE FOR THE FOLLOWING Reconfigure SD -2 and Deck Drain pipes to realign DS -2 and construct proposed new OCPW STD 1304 Inlet Per RFI #33
LS 1 $17,506.75
Total
17,506.75
We propose thereby to furnish material and labor complete in accordance with above specifications. Payment to be made as follows; upon completion of each phase payment must be paid in full 10 days from date that work has been approved. Overdue accounts are subject to a service charge of 15% per month, collection and/or attorney fees. All material is guaranteed to be as specified. All work to be completed in a workman like manner according to standard practices. Any alterations or deviation from above specifications involving extra cost will be executed only upon signed change orders, and will become an extra charge over and above the estimate. All agreements upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and necessary insurance. Our workers are fully covered by workers compensation insurance.
Initial
I hereby propose to furnish materials and labor to complete in accordance with the specification above for the sum of:
Total Bid $
Authorized Signature Date Jose Carvajal
Acceptance of the above prices, spec's and conditions 909 8214769 are satisfactory and are hereby accepted [email protected] This proposal may be withdrawn by us if not
accepted within 15 days
324 S. Diamond Bar Blvd. PMB 275. Diamond Bar. CA 91765 Phone 909.629.8000 Fax 909.629.8001 Lic. #875627 www.cttconcreteoavine.com 17,506.75
39 <CT8T-
ESTIMATE T&M BREAKDOWN
Project Name: Golden Ave Bridge Replacement Estimate No: 1 Contract No: 25-2437
Sheet 1 of 1
Excavate and rework previously installed and compacted storm drain and bridge deck drain piping to accommodate the revised catch Prime Contractor: CT&T Concrete Paving Inc. basin location per RFI No. 33. Work includes removal/modification of existing pipe, installation of revised pipe alignment, backfill, recompaction, and restoration of disturbed areas. This work represents rework of previously completed installations.
EQUIPMENT (Type, Model)
Service Truck
Tot Hrs *Rate
18.00 $ 51.25
Case 580 Backhoe
16.00 $ 55.00
Bobcat T66 Skidsteer
10.00 $ 55.00
Superl0 Dump Truck 10.00 $ 70.00
MATERIAL
395 Structures Additional Cost
Subtotal
15% Markup
Total
Qty Unit
1 $17,948.00
Start Stop
$ 922.50 Labor 1
LABOR (Class & Name) Tot Hrs
18.00 $ 880.00 Foreman
18.00 $ 550.00 Operator 3
18.00 $ 700.00 Teamster
$
$
$
$
$
Supplier
Sub
Item #10 Deduct 1 -$13,000.00
Sub
Additional 8' Stick of Pipe 1 $360.00
Oldcastle
Dump Fee 1 $400.00
North Americ
1. See Specifications
2. Furnish Invoices.
3. * From Invoice or by C of SD.
items in grey not required at time of submittal
Subtotal
15% Markup
Total
$
$ 3,052.50
$ 457.88
$ 3,510.38
Total
$ 17,948.00 LS
$ (13,000.00) LS
$ 360.00 Stick
$ 400.00 EA
$ 5,708.00
$ 856.20
$ 6,564.20
10.00 TOTALS
Total Equipment, Material & Labor
TOTAL THIS REPORT
I certify that the charges are accurately
reported for the work indicated.
Contractor's Representative Date
Date 8/19/2026
Day of Wk: M T W TH F SAT SUN
*Rate Break
$ 82.91
$ 86.95
$ 112.00
$ 112.00
Subtotal
30 min
30 min
30 min
30 min
Start Stop
7:30 3.30
7:30 3.30
7:30 3.30
7:30 3.30
20% mark up
Surcharge
Total
Prime
$ 17,506.75
Contracting Agency:
Received:
initials/date
$ 1,492.38
$ 1,565.10
$ 2,016.00
$ 1,120.00
$
$
$
$
$
$ 6,193.48
$ 1,238.70
$ 7,432.18
Sub
n/a
$ 17,506.75
40 395 Structures, LLC
Jurupa Valley, CA
91752
CA License #
1135682
DIR #
2000010232
CONTRACTOR
CT&T Concrete Paving
Inc.
PROPOSAL NO
CTT -001C0
DATE
8/18/2026
ADDRESS
324 S. Diamond Bar Blvd.
PMB #275
CITY/STATE/ZIP
Diamond Bar, CA 91765
PHONE
909-629-8000 ext. 102
E-MAIL
[email protected]
STRUCTURES
Placentia - Golden Avenue Bridge Replacement Project
Change Order REVISED
Contact: Eric Magana Phone: (909) 333-6223 Email: [email protected] QUANTITY UoM DESCRIPTION UNIT PRICE AMOUNT
1 ea Construct Inlet Type IV with 2 grates per OPCW $13,790.00 $13,790.00 1304
1 ea Concrete Collar $3,500.00 $3,500.00
1 ea Local Depression for Inlet Type IV $658.00 $658.00 $o.00
THIS PROPOSAL INCLUDES THE CONDITIONS NOTED:
Prices include all materials, including associated hardware, and installation for each structure listed above. Prime contractor shall provide the following:
- Excavation, shoring, and demolition of structures to be replaced, as needed - Traffic Control
- Materials Testing and Inspections
Type IV Inlet to replace one (1) Type II Inlet in original contract.
SIGN BELOW TO ACCEPT QUOTE:
AUTHORIZED REP DATE
$0.00
$o.00
$0.00
$o.00
$0.00
$o.00
$0.00
$0.00
$0.00
$0.00
SUBTOTAL $17,948.00
TAX RATE 0.00%
SALES TAX $0.00
OTHER
TOTAL $17,948.00
41 Revision 0
CTT Concrete Paving Inc. Project: 25-2437 Golden Avenue Bridge 1054 E 3rd St Replacement
Pomona, California 91766 Golden Ave
P: (909) 629-8000 Placentia, California
F: (909) 629-8001
RFI #33: DS2 Catch Basin - Utility Conflict
To Bruce Fock-Yat (TY Lin International)
Mazen Mneimneh (TY Lin International)
Anthony Montoya (TY Lin International)
Status Open
From
Date Initiated Jul 29, 2026 Due Date
Location Project Stage
Cost Impact Schedule Impact
Spec Section Cost Code
Drawing Number Reference
Linked Drawings
Received From
Copies To Bruce Fock-Yat (TY Lin International), Gabriel Guerrero-Gabany (City of Placentia), Ali Habibi
(Biggs Cardosa Associates), Mazen Mneimneh (TY
Lin International)
Activity
Question
Joel Carvajal (CTT Concrete Paving Inc.)
324 S Diamond Bar BLvd
PMB 275
Diamond Bar, California 91765
Aug 3, 2026
Question from Joel Carvajal CTT Concrete Paving Inc. on Tuesday, Jul 28, 2026 at 05:05 PM PDT Good Afternoon,
CT&T requests clarification on how to proceed with the following issue:
After excavating the area for the proposed catch basin at DS2 the contractor discovered that there is an existing electrical line for the light pole located at the corner of the OCPW service driveway on the southeast side of the bridge.
CT&T requests clarification on how to proceed with the construction of the catch basin given the utility conflict mentioned above.
Photos and an Exhibit have been attached for clarification.
Thank you,
Attachments
Pages from RFI 34.pdf
Awaiting an Official Response
CTT Concrete Paving Inc. Page 1 of 2
Printed On: Sep 17, 2026 04:14 PM PDT
42 RFI #33 - DS2 Catch Basin - Utility Conflict Project: 25-2437 Golden Avenue Bridge Replacement All Replies
Response from Anthony Montoya TY Lin International on Wednesday, Aug 19, 2026 at 04:21 PM PDT Hi Joel,
Please refer to the attached plan sheet with comments for clarification on how to proceed with construction of the catch basin.
Thank you,
Attachments
RFI 33 Response - AIt3 Exhibit.pdf
CTT Concrete Paving Inc. Page 2 of 2
Printed On: Sep 17, 2026 04:14 PM PDT
43 RFI#33 ERSC response (08/11/2026, T. Brudin):
ERSC understands a conflict with a previously unidentified existing electrical cable (believed to be SCE) has been identified in the field. The sketch below shows the approximate location of the existing line in relation to the proposed catch basin (south side of Golden Ave). Following correspondence with the City and construction team, the preferred alternative has been illustrated below using a different OCPW standard catch basin type to assist with avoiding the electrical cable. The 18" SD has been modified with the assistance of a concrete collar and miter cut to the SD. The sketch below provides some dimensions and elevations for the proposed alternative. Minor field modifications are acceptable, however, the SD lines must stay at 2%, which will control some adjustments.
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Ell
Ell
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Modify 6" HDPE bridge
drain to match new drop
inlet location
Bridge drain
inv=±375.40
(field verify)
TC=±383.79
FL=±382.96
6'-0" I y
� y
Maintain min 2%
■
5: 1
Z
inv=±374.03
111
-Concrete collar per OCPW std plan 380-4 and
380 -4 -OC. L=12" min, <A=15.5 degrees,
-Miter cut pipe to fit
-Include steel as indicated in std dwg
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inv=±374.6
0 '25'-0"
-Drop inlet per OCPW std plan 1304. L=7'
-Slope bottom of basin toward pipe (12:1 min,
3:1 max). Depth=3'-6"min on upstream end.
-Local depression per OCPW std plan 1308
Golden Avenue
Approx elec cable
�/w
Utility & SD.dwg
C:\Users\tbrudin\appdata\local\temp\AcPublish_21520\Civil-3 & 4 390
380
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EXISTING UTILITY
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INV 6" BRIDGE DRAIN
STA: 0+42.32
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HYDRAULIC DATA
Q-5.32 FS
'I<SH V-8.3 FRS
S IA: 124.2.5.10
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STA: 11 +62.56
ELEV: 373.32
GL. 376.69
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ALIGNMENT - SD 2
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OL 374.97
I-IYDFIAULIC DATA
Q=9.46 CFS
V=8.21 FPS
VERTICAL SCALE: 1:20
HORIZONTAL SCALE: 1:12
CITY OF PLACENTA
222
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VERTICAL SCALE: 1:20
HORIZONTAL SCALE: 1:12
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ALIGNMENT JUNCTION
SD 1 © STA: 0+23.00
GOLDEN AVENUE © STA:12+27.63
I
EXISTING OIL
SEE SHtt I C.
L-12-1)*")0i1I- 7.,41
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2+00
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*WSPG DATA & STATIONI\G
3TA: 2-,_2.62
ELEV: 349.03 /
375.41 FT. INV
6" BRIDGE DRAIN
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ELEV: 34.54
4 `! OI t = LL< ! `
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STA: 10+00
ELEV: 349.03
HGL: 349.75
Electrical Line in
V conflict.
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376.06 FT. INV
6 BRIDGE DRAIN
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1 376.31 FT. INV -
6" BRIDGE DRAIN
SEE STRUCTURAL
SHEETS
EXISTING
OVERHEAD
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376.48 FT. INV
6" BRIDGE DRAIN
SEE STRUCTURAL
SHEETS
EXISTING GAS
SEE SHEET CJ
PROPOSED GAS -
SEE SHEET C3
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EXISTING WATER
SEE SHEET C3
2 0
By MADE
APPROVED
BY DATE
8'
EXISTING OIL
SEE SHEET C3
1861 W. REDLANDS BLVD
REDLANDS, CA 92373
(909) 890-1255
tnakom
Engineering Resources of Southern California
EXISTING
OVERHEAD
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SD 1 DATA TABLE
DELTA OR BEARING
S3° 27' 34.83"W
S3° 27' 34.83"W
S8° 27' 34.83"W
S11° 13' 14.78"W
S16° 13' 14.78"W
S21° 13' 14.78"W
S26° 13' 14.78"W
SD 2 DATA TABLE
NO. DELTA OR BEARING
AA
S81° 04' 18.45"W
LEGEND:
0 -
OIL OIL
)(
LENGTH
23.00'
45.28'
6.00'
102.46'
6.00'
6.00'
6.00'
27.30'
LENGTH
26.83'
EASEMENT
PROPERTY LINE
EXISTING WATER LINE
EXISTING GAS LINE
EXISTING GAS LINE TO REMOVE
PROPOSED GAS LINE
EXISTING OIL LINE TO REMOVE
EXISTING OIL LINE
EXISTING OVERHEAD LINE
EXISTING VALVE
EXISTING FIRE HYDRANT
EXISTING WATER METER
EXISTING GUY WIRE
EXISTING FENCE
EXISTING MBGR/WALL
EXISTING POLE, LIGHT
AND COMBINATION
CONSTRUCTION NOTES
INSTALL 6" DIA. HDPE STORM DRAIN WITH CASE II
CONCRETE ENCASEMENT PER LACDPW STD PLAN
2023-2, PIPE SHALL CONFORM TO 207-18.2.1 OF
THE "GREENBOOK"
INSTALL 18" DIA. RCP STORM DRAIN WITH CASE III
BEDDING PER LACDPW STD PLAN 3080-2, D -LOAD
2000
CONSTRUCT PIPE -TO -PIPE MANHOLE PER SPPWC
STANDARD PLAN 321-2 AND OCPW 321-2-0C
CONSTRUCT TYPE II CURB INLET WITH 7' OPENING
PER OCPW STANDARD PLAN 1302
CONSTRUCT JUNCTION STRUCTURE TYPE I PER SPPWC
STD. PLAN 333-2 AND OCPW 333-2-0C.
AREAS OF AFFECTED SERVICE ROAD REQUIRE
COMPACTION OF SUBGRADE AND REPLACEMENT OF
ASPHALT IN ITS ENTIRETY
25 50
FEET
SCALE: 1: 20
CITY OF PLACENTIA
GOLDEN AVENUE BRIDGE REPLACEMENT
STORM DRAIN PLAN
PROJECT NO.
SHEET 7 OF 33
DRAWING NO.
46 .• • • - •
,3,;L.4:e/t.
Light pole Electrical
Line in conflict with
proposed catch basin
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Contract Change Order No. 5
FY 2026-2026 Golden Avenue Bridge Project
Owner: city of Placentia Contractor: CTBT Concrete Paving Inc You are hereby directed to make the herein described changes from the plans and specifications or to do the following described work not included in the plans and specifications on this contract:
Bridge Barrier post pocket modification. The additional extra work and credit are described in Exhibit A and below. 1 This Change Order provides:
a) Extra work and credits identified in Exhibit A
$ 5,145.36
2 This Change Order came about from:
a) During installation of the bridge barrier post pockets, CT&T identified a conflict between the contract plans and the bridge barrier reinforcing steel layout. The contract plans require a 6 -inch by 6 -inch post pocket within the bridge barrier; however, the specified reinforcing steel configuration interfered with installation of the post pockets. The Designer revised the reinforcing steel configuration to accommodate the required 6 - inch by 6 -inch post pockets.
The revised reinforcement details required additional labor, materials, and construction modifications beyond the original contract scope and are therefore considered extra work.
Refer to Exhibit A for breakdown of cost.
3 Action to be taken:
a)
The Contractor was directed to provide a quote for the requested additional work. 4 Compensation
a) Adjustment of Line Items exceeding 25%
b) Extra work $
d) Credits $ 5,145.36
Total $ 5,145.36
5 Contract Time Extension
a) 0 Working Days
In addition to work specified in the bid specifications, this change order includes all extra work, field adjustments and credits.
This work is an Contractor initiated change and includes all labor, equipment, materials, and supervision and Administration.
CHANGE TO CONTRACT COST: CHANGE TO CONTRACT TIME:
Contract Amount: $ 4,687,010.50 Original Working Days: 120 Previous CCOs: $ 523,032.97 Original Date of Completion: 8/5/2026 Adjustment of Line
Items Exceeding 25% Previously Added Working Days: 51
Total Extra Work $ 5,145.36 Additional Working Days: 0
Total Field Adjustments $ -
Total Credits $ Adjusted Total of Working Days: 171
Changes in Line Items: $ 5,145.36 Adjusted Date of Completion: 10/21/2026 Current Contract price: $ 5,215,188.83
Prepared by:
Recommended:
Approved by:
Mazen Mneimneh, Resident Engineer (TYLin)
Chris Tanio, Director of Public Works/City Engineer, City of Placentia Jennifer Lampman, City Administrator, City of Placentia We, the undersigned contractor, have given careful consideration to the change proposed and hereby agree, if this proposal, is approved, that we will provide all equipment, furnish all materials, except as may otherwise be prices shown above
Accepted:
Joel Carvajal, Project Manager, CT&T Concrete Paving Inc.
If the Contractor does not sign acceptance of this order, his attention is directed to the requirements of the specifications as to proceeding with the ordered work and filing a written protest within the time therein specified. 47 .0..0 -Concrete Paving, Inc.
324 S. Diamond Bar Blvd. PMB 275, Diamond Bar, CA 91765 Phone 909.629.8000 Fax 909.629.8001
Lic. #875627, Class A, C-8, C-12 • DIR # 10000025154
Submitted To:
Company:
Address:
Phone:
Fax:
Mazen Mneimneh
City of Placentia
401 E Chapman Ave, Placentia, CA 92870
Scope of Work: Site Concrete
PROPOSAL
Date: September 18, 2026
Project:
Project
Address: Golden Ave Bridge Replacement
Email:
Mobile:
WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATE FOR THE FOLLOWING
1.1 l Perform he following On-site work:
1 Per RFI #35, modify bridge barrier reinforcement to accommodate the required 6" x 6" post pockets. Work includes cutting out and replacing previously installed reinforcing steel, furnishing and installing new reinforcement, and all associated labor, equipment, and materials necessary to complete the field adjustment. This work was required to resolve a conflict in the contract plans that was identified after the barrier reinforcement had been installed in accordance with the contract documents.
LS
1 $ 5,145.36
5,145.36
We propose thereby to furnish material and labor complete in accordance with above specifications. Payment to be made as follows; upon completion of each phase payment must be paid in full 10 days from date that work has been approved. Overdue accounts are subject to a service charge of 15% per month, collection and/or attorney fees. All material is guaranteed to be as specified. All work to be completed in a workman like manner according to standard practices. Any alterations or deviation from above specifications involving extra cost will be executed only upon signed change orders, and will become an extra charge over and above the estimate. All agreements upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and necessary insurance. Our workers are fully covered by workers compensation insurance.
Initial
I hereby propose to furnish materials and labor to complete in accordance with the specification above for the sum of:
Total Bid $ 5,145.36
I I
Authorized Signature Date Jose Carvajal
Acceptance of the above prices, spec's and conditions 909 8214769 are satisfactory and are hereby accepted [email protected] This proposal may be withdrawn by us if not
accepted within 15 days
324 S. Diamond Bar Blvd. PMB 275. Diamond Bar. CA 91765 Phone 909.629.8000 Fax 909.629.8001 Lic. #875627 www.cttconcreteoavine.com 48 ESTIMATE T&M BREAKDOWN
Project Name: Golden Ave Bridge Replacement
Contract No: 25-2437
Per RFI #35, modify bridge barrier reinforcement to accommodate the required 6" x 6" post replacing previously installed reinforcing steel, furnishing and installing new reinforcement, materials necessary to complete the field adjustment. This work was required to resolve a c identified after the barrier reinforcement had been installed in accordance with the contract pockets. Work includes cutting out and
and all associated labor, equipment, and
onflict in the contract plans that was
documents.
EQUIPMENT (Type, Model) Tot Hrs
Service Truck 12.00
*Rate
$ 51.25
MATERIAL
Oxygen (Refill) & Acetylne ( Refill)
Subtotal
15% Markup
Total
Qty Unit
1 $132.91
Start
Stop
$ 615.00
$
$
$
$
$
$
$
Supplier
Amerian Tool
#5 Rebar 20' - 30 EA 1
$523.44
Whitecap
14" Metal cutoff wheel 1
$37.76
Whitecap
1. See Specifications
2. Furnish Invoices.
3. * From Invoice or by C of SD.
items in grey not required at time of submittal
Subtotal
15% Markup
Total
Total
$ 132.91
$ 523.44
$ 37.76
694.11
104.12
$ 798.23
$
$
$ 615.00
$ 92.25
$ 707.25
LS
LS
Stick
EA
Estimate No: 1
Sheet 1 of 1
Prime Contractor: CT&T Concrete Paving Inc.
LABOR (Class & Name)
Labor 1
Foreman
Tot Hrs
24.00 12.00
TOTALS
Total Equipment, Material & Labor
TOTAL THIS REPORT
I certify that the charges are accurately
reported for the work indicated.
Contractor's Representative
Date
*Rate
$ 82.91
$ 86.95
Subtotal
Date
9/18/2026
Day of Wk: M T W TH F SAT SUN
Break
30 min
30 min
30 min
30 min
Start
Stop
7:30 3.30
7:30 3.30
7:30 3.30
7:30 3.30
20% mark up
Surcharge
Total
Prime
Contracting Agency:
Received:
initials/date
5,145.36
n/a
1,989.84
1,043.40
3,033.24
606.65
3,639.89
Sub
5,145.36
49 WHITE CAP
White Cap, L.P.
PO Box 4944
Orlando, FL 32802-4944
ACCOUNT # 95017000
CT & T CONCRETE PAVING INC
324 S DIAMOND BAR BLVD
PMB 275
DIAMOND BAR CA 91765
BRANCH ADDRESS
824 - POMONA CA
(909) 947-4669
1480 EAST GRAND AVE.
POMONA CA 91766
LOS ANGELES
TERRITORY:
SHIP TO: 10006099582
GOLDEN AVE BRIDGE REPLACM
ENT
GOLDEN AVE & ROSE
PLACENTIA CA 92870
INVOICE
INVOICE NUMBER
50038669971
INVOICE DATE
08/05/2026
CUSTOMER PO NUMBER
25-2437
MAKE CHECKS PAYABLE TO:
White Cap, L.P.
P.O. Box 6040
CYPRESS, CA 90630-0040
TO VIEW AND PAY ONLINE GO TO:
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RKT XMM BMT
ORDER DATE
ORDER NO.
ORDERED BY
ACCOUNT MANAGER
TAKEN BY
08/05/2026
74399027
JOSE DE ANDA
RICHARDSON, BRIAN
SULLIVAN, MATTHEW
BRANCH
ACCT JOB NO.
TERMS
SHIP VIA / ROUTING
CUSTOMER JOB NO.
824
10006099582
NET 30 DAYS
5. WALK IN
GOLDEN AVE BRIDGE
LINE PART NUMBER DESCRIPTION QTY ORD UNIT PRICE QTY BKO
QTY SHP EXTENDED TAX
PRICE AMT
0 HDRDESC
DELIVERY TAG#: 41787247
1 0
0 1
0.00 1 324DW5835 1"X18" SDS MAX FLAT CHISEL DEWALT 1 43.19 EA 0 1 43.19 4.55 2 43552060 #5 GR60 5/8"X20' REBAR SOLD/PC 30 15.79 EA 0 30 473.70 49.74 3 324DW8021 14" X 1/8" 20MM GAS METAL CUTOFF WHEEL 3 11.39 EA 0 3 34.17 3.59 DEWALT
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RECEIVED BY: OZZY SIGNATURE COPY ON FILE
(TOTAL INVOICE
551.06
57.88 0.00
608.94
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5 Revision 0
CTT Concrete Paving Inc. Project: 25-2437 Golden Avenue Bridge 1054 E 3rd St Replacement
Pomona, California 91766 Golden Ave
P: (909) 629-8000 Placentia, California
F: (909) 629-8001
RFI #35: Barrier Post Pocket Dimension Conflict
To Bruce Fock-Yat (TY Lin International)
Mazen Mneimneh (TY Lin International)
Status Open
From
Date Initiated Aug 4, 2026 Due Date
Location Project Stage
Cost Impact Schedule Impact
Spec Section Cost Code
Drawing Number Reference
Linked Drawings
Received From
Copies To Bruce Fock-Yat (TY Lin International), Gabriel Guerrero-Gabany (City of Placentia), Ali Habibi
(Biggs Cardosa Associates), Mazen Mneimneh (TY
Lin International)
Activity
Question
Joel Carvajal (CTT Concrete Paving Inc.)
324 S Diamond Bar BLvd
PMB 275
Diamond Bar, California 91765
Aug 7, 2026
Question from Joel Carvajal CTT Concrete Paving Inc. on Tuesday, Aug 4, 2026 at 02:34 PM PDT During installation of the bridge barrier post pocket, CT&T identified a conflict between the contract plans and the reinforcing steel layout.
The contract plans require a 6" x 6" post pocket within the bridge barrier; however, the continuous longitudinal reinforcing bars shown in the barrier reinforcement detail occupy the area required for the post pocket and do not provide sufficient clearance to construct a pocket of the specified dimensions without interfering with the reinforcing steel.
Please provide direction on how the Contractor should proceed. Specifically, please clarify the following:
1. The reinforcing steel configuration should be modified to accommodate the required 6" x 6" post pocket.
2. An alternate detail is required.
CT&T requests the Engineer's direction prior to proceeding. Any changes required to accommodate the specified 6" x 6" post pocket that differ from the contract documents may result in additional costs and/or delays.
Attachments
RFI 35.pdf
Awaiting an Official Response
Designer Response:
The designers take no exception to the contractor cutting the top longitudinal barrier bars at the conflict with the post, and lapping over the cut with an equivalently sized bar, with 2x the standard lap splice length on either side of the discontinuity, per the sketch on the rich. Concrete cover to the new bar shall be maintained at 2" where possible, and may be decreased to a minimum of 1" near the post pocket.
Devin Chagniot, P.E. 8/5/2026
CTT Concrete Paving Inc. Page 1 of 1
discontinuity
added bars/
1 2x standard lap
splice length, typ
plan view
Printed On: Aug 4, 2026 02:39 PM PDT
53 RAIL CAP PER
END CURVATURE PER
B11-51
C BARRIER PILASTER =
C WW COLUMN =
C WW CAPITAL
RELIEF WINDOW, TOTAL 2, IV -
EQUALLY SPACED BETWEEN END
BLOCK AND BARRIER PILASTER—
SLOPE PAVING
B11-51
Ty
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3'-O" Minim
END BLOCK
ri
82K 8°8
C
BARRIER RELIEF WINDOW, TOTAL 12
EQUALLY SPACED BETWEEN
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�TYP Typ
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Typ
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TOP OF
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2-#4x1 '-6"
1"
ti
REINFORCEMENT NOT
SHOWN FOR CLARITY
SECTION
= 1 /_Qii
NOTE
THE CONTRACTOR MUST VERIFY ALL
CONTROLLING FIELD DIMENSIONS BEFORE
ORDERING OR FABRICATING ANY MATERIAL
DIAL
BEFORE
YOU DIG
TOLL FREE
TWO WORKING
/DAYS BEFORE
YOU DIG
1-800-227-2600
A PUBLIC SERVICE BY UNDERGROUND SERVICE ALERT
REVISIONS
A
S13
MADE
BY DATE
FASCIA
COLUMN
BARRIER ELEVATION
3/8" = 1 '-0"
INSIDE FACE
OF BARRIER
OVER WINGWALL-
APPROVED
BY DATE BIGGS CARDOSA
ASSOCIATES INC
STRUCTURAL ENGINEERS
500 S. Main Street, Suite 1200
Orange, California 92868
714- 550- 4665
#4
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PC DECORATIVE FASCIA
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EXPANSION Jt WIDTH
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#5, TOTAL 4
#4 ga 12
TOTAL 7
ABUTMENT 14 RIGHT
PREPARED BY
MAT
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CV
OUTSIDE
BARRIER
Note:
South Barrier, Abut 1 shown,
other locations similar.
HANDRAILING
POST
l
1 FACE OF 1 \�
AT TOP L - A
9H 9H
•
SIDE FACES OF PILASTER
TO MATCH WINGWALL COLUMN
NOTE:
Pi l aster Re ' of
pilaster Reinf
DRAWN:
DESIGNED:
CHECKED:
RECOMMENDED:
BY DATE
SMH 8/2/19
DPC 8/2/19
DBD 8/2/19
L
c.)0_
CI
F-
1 y .
NOTES:
1. Grind smooth al I welds on handrai I ing. Galvanize
handra i I i ng after fabrication
2. Treat exposed concrete surfaces of w i ngwa I I , deck overhang, and barrier with ant i -graffiti coating.
B
S13
V
R = 31 '-0", TyP
La
- >,
CV
r
#4 TOTAL 2 PER
DECK CAPITAL
#4 ,v TOTAL 2
PER DECK CAPITAL
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LEVEL
PILASTER
CAP
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Typ
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Const JOINT
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PILASTER CAP
ABOVE, Typ
rINSIDE FACE
OF BARRIER
C BARRIER
- PILASTER
#59
TOTAL 8
#4 a 12
TYPICAL
is an addition to typical barrier Reiof.
into cap to 2" clear of top surface.
SECTION
=
3 S13
l
1 l
1 DETAIL
=
1 ii 9 Typ
BALL SIDES
A
ro
9 Typ
ALL SIDES
1 513
FOR DETAILS NOT SHOWN,
SEE ABUTMENT 19 RIGHT
EB
ABUTMENT 2, RIGHT
Extend
TOP OF
BARRIER
NOTE:
Al I pilasters similar.
#4 /a 1 2
CITY OF PLACENTIA
GOLDEN AVENUE BRIDGE REPLACEMENT
8ARRER DETALS
(6/18/25)
PROJECT NO.
SHEET 25 OF 33
DRAWING NO.
8-13
W:\2017\2017041\2017041S13.dwg
811-5
1" CHAMFER, Typ
o !
TOP OF
SIDEWALK
#5 fl 6 16
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conflict
5 Cont, Tot 12
10"
#6 L
PERMISSIBLE
CONSTRUCTION
JOINT
2" Min, EXCEPT AS NOTED
L68
#5 —� 6 16
#5 6 12
DUCT, CONDUIT, OR
ROUND OPENING FOR
FUTURE UTILITIES,
SEE NOTE 7—,
l
#5 Cont, Tot 2J
DECK Reinf
1.50 ,r1
•U•dc',
SECTION A -A
Typical Section on deck
#5 2C6
#5 Tot 4
#6
LIMITS OF SECTION H -H
(DEPARTURE END BLOCK)
SEE NOTE 11
MGS,
(---\
SEE STANDARD PLAN A79B2
FOR CONNECTION DETAIL GG
/LIMITS 0 SECTION A -A
` V
Aft
CL FORMED HOLES FOR MGS v
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INTO DECK, Typ
CL ELECTROLIER, SEE STANDARD
PLAN ES -6B FOR ELECTROLIER
MOUNTING DETAILS AND NOTE 5
6'-0" Min
#5 C 6 12
#6 L 6 12
#5Ci #52-6
I I
7 1 1
#6 L
I 1 1 a
FOR REINFORCING
AT PEDESTAL LIMITS OF SECTION A -A
SEE n
PEDESTAL DETAILS/- V
BARRIER ON DECK
DIRECTION OF TRAFFIC
L j
L
NOTE:
La 6
For reinforcement not shown,
see Section A -A.
OPEN JOINT TO MATCH
DECK JOINT WIDTH—,
1 1 r
1 II IIS
B
#6
r
5 SEE NOTE 6
SECTION B -B
Typical section at joints
C
MM.=
ENINEEL•E
LIMITS OF SECTION 8-13-
ELEVATION
-B
ELEVATION
For Sections lCn, BD1-1D-, 59F -aF n --H Aee Standard
CL ELECTROLIER,
SEE NOTE 5
\I I�i Fes/ I I I' I
\1--#5
'k
#5 "— #5 Cont
<7Z
CHAIN LINK RAILING
AND TUBULAR RAILING
NOT SHOWN FOR CLARITY
II
PULL BOX,
SEE NOTE 6
ellth
DIRECTION OF TRAFFIC
#5 E7
11 SIDEWALK REINFORCING
NOT SHOWN FOR CLARITY,
SEE SECTION A -A, FOR
SIZE AND SPACING OF
REINFORCING
PLAN
#6 TRAFFIC FACE,
#5 BACK FACE,
Tot 3 PER EACH—,
#5 #51 #5 Tot 47
LIMITS OF SECTION C -C
#
rBRIDGE DECK
OR FG
Jill
1• ..
#5 „,,
Tot 3
#5 =,
Tot 3
0 `� .Illl Ii
_LJI-
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1 III
4'-6' Min LIMITS 1'�6"
OF SECTION D -D
LIMITS OF
SECTION F -
APPROACH END BLOCK._
SEE STANDAR
PLAN 811-59A
RETAINING WALL
SEE n N0TE 1 Z
BARRIER ON WINGWALLROR
1 1 1 1 1 1 1
(
I--I
SEE NOTE 6
L ----SEE NOTE 8
DECK OR WALL JOINT
IZ
lOist COUNTY ROUTE
REG
TOTALTP 10-,
L ENGINEER
Se '/ember 20 2024
PLANS APPROVAL DTE
THE S TAIL- NIA OR ITS
OR AGENTS OS AIC/NOT4BE RESPONS/BLETCERS FAR
CNOP/ES ACCURACY
OR COIABLHEET. SS OF SCANNED
OE
S NEOET •
I
TOTAL
SHEETS
NOTES:
1. This barrier is to be used only for posted speeds
of 45 MPH or less. For speeds greater than 45 MPH,
pedestrians must be protected by a separation
traffic barrier.
2. Dimensions will vary with cross slope and
if applicable, overlay thickness.
3. Walls must be backfilled before curb and parapet
is placed.
4. Clearance to reinforcing steel in curb and railing
is 2" except as noted. Longitudinal reinforcement
to stop at all expansion joints.
5. See roadway plans for electrolier locations and N
6. For electrical details, see Standard Plans ES -9A,
ES -9B, ES -9C, ES -9D, and ES -9E. For utility duct
expansion fitting/coupling details, see Standard
Plans ES -9B and B14-3.
7. A minimum of two - 4" round openings for future
utilities. A maximum six - 4" round openings for
a 6'-2' sidewalk. One - 4" round opening con be
added for each additional 1'-0" of sidewalk width. G
Utility opening must be a minimum of 6' from
face of barrier parapet. Openings are to be
sealed at ends and extended 8" minimum past 'A
end of sidewalk if not used. Duct forms are to
be tied down. For exact number and placement of G
utility openings, see Project Plans. Minimum 2"
clear between round openings, ducts, or conduits.
pull box type.
ID
8. See Project Plans for Joint Armor For Pedestrian
Walkways details.
9. Tubular hand roiling and chain link railing a
continuous at pedestal. Z
10. For details and reinforcement not shown,
see Standard Plans B11-59 and 011-59A. W
11. departure end block is withinswthe Clear Recovery
Zone (CRZ,fee 30 feet for conal expressways and freeways, or 20 feet for conventional highways) of opposing
traffic, then use the approach end block at Cil
departure end. CO
12. Reinforcement is similar to Section C -C, except
spacing between vertical reinforcement is 8" at
traffic face and 16" at back face of barrier.
DUAL CHAMFER
Allat
TRANSITION RAILING (TYPE AGT),
SEE STANDARD PLAN A79B2
FOR CONNECTION DETAIL FF
STATE OF CALIFORNIA
DEPARTMENT OF TRANSPORTATION
CONCRETE BARRIER
TYPE 732SW
DETAILS No. 1
NO SCALE
B11-58
1,5-74
Return to Table of Contents
Project No. 1801
CITY OF PLACENTIA
PUBLIC WORKS AGREEMENT FOR
GOLDEN AVENUE BRIDGE REPLACEMENT PROJECT
FEDERAL PROJECT NO. BRLS-5269 (025) CITY PROJECT NO. 1801 THIS AGREEMENT (herein "Agreement") is made and entered into this 18th day of November 2025 by and between the CITY CF PLACENTIA, a municipal corporation and charter city. (herein "City") and CT&T Concrete Paving, Inc (herein "Contractor"). The parties hereto agree as follows:
WITNESSETH:
A WHEREAS, City requires the construction of bridge removal and construction as set forth more fully in this Agreement.
B. WHEREAS, Contractor represents to City that Contractor is qualified to perform said work and has subrnitted a proposal to City for the same.
C. WHEREAS, City desires to have Contractor perform said services on the terms and conditions set forth herein,
D. WHEREAS, no official or employee of City has a financial interest, within the provisions of Sections 1090-1092 of the California Government Code, in the subject rnatter of this Agreement.
NOW, THEREFORE, for and in consideration of the mutual covenants and conditions contained herein and for good and valuable consideration, the receipt and sufficiency of which is acknowledged by both parties, City and Contractor hereby agree as follows:
1.0 DEFINITIONS
1.1 Definitions. As used in this Agreement, the following definitions shall be applicable:
(a)
Contractor. Contractor shall mean CT&T Concrete Paving, Inc. a (California corporation, partnership, individual) located at 324 S. Diamond Bar Blvd, PMB 275, Diamond Bar, CA 91765.
(b) City. City shall mean the City of Placentia, a Municipal Corporation and Charter City, located at 401 E. Chapman Ave., Placentia, California 92870. (c) City Council. City Council shall mean the City Council of the City of Placentia.
(d) Contract Officer. Contract Officer shall mean the person designated by the City Administrator or City Engineer of City and shall have the duties set forth in Section 5.2.
(e) Services. Services shall mean the services to be performed by the 1 Project No. 1801
Contractor pursuant to this Agreement.
(f) Satisfactory. Satisfactory shall mean satisfactory to the City Administrator or his/her designee.
2.0 SERVICES OF CONTRACTOR
2.1 Scope of Services. In compliance with all terms and conditions of this Agreement, the Contractor shall provide those services specified in the "Scope of Services" attached hereto as Exhibit "A" and incorporated herein by this reference, which services may be referred to herein as the "services" or "work" hereunder. As a material inducement to the City entering into this Agreement, Contractor represents and warrants that Contractor is a provider of first class work and services and Contractor is experienced in performing the work and services contemplated herein and, in light of such status and experience, Contractor covenants that it shall follow the highest professional standards in performing the work and services required hereunder and that all materials will be of good quality, fit for the purpose intended.
2.2 Documents Included in Contract. This contract consists of this Agreement and any Exhibits, which are incorporated herein by this reference. In the event of an inconsistency, the terms of this Agreement shall govern.
2.3 Compliance with Law. All services rendered hereunder shall be provided in accordance with all ordinances, resolutions, statutes, rules, and regulations of the City and any Federal, State, or local governmental agency having jurisdiction in effect at the time service is rendered, including but not limited to, the claims procedure set forth in Public Contract Code Section 9204, a summary of which is attached to this agreement as Exhibit "E".
2.4 Licenses. Permits, Fees, and Assessments. Contractor shall obtain at its sole cost and expense such licenses, permits, and approvals as may be required by law for the performance of the services required by this Agreement, including registration with the Department of Industrial Relations of the State of California as required by Labor Code Section 1725.5 before commencing performance under this Agreement. Contractor shall have the sole obligation to pay for any fees, assessments, and taxes, plus applicable penalties and interest, which may be imposed by law and arise from or are necessary for the Contractor's performance of the services required by this Agreement, and shall indemnify, defend, and hold harmless City against any such fees, assessments, taxes penalties, or interest levied, assessed, or imposed against City hereunder.
Contractor shall be responsible for all subcontractors' compliance with this Section 2.4.
2.5 Familiarity with Work. By executing this Contract, Contractor warrants that Contractor (a) has thoroughly investigated and considered the scope of services to be performed, (b) has carefully considered how the services should be performed, and (c) fully understands the facilities, difficulties, and restrictions attending performance of the services under this Agreement. If the services involve work upon any site, Contractor warrants that Contractor has or will investigate the site and is or will be fully acquainted with the conditions there existing, prior to commencement of services hereunder. Should Contractor discover any latent or unknown conditions, which will materially affect the performance of the services hereunder, Contractor shall immediately inform the City of such fact and shall not proceed except at Contractor's risk until written instructions are received from the Contract Officer.
2 Project No. 1801
2.6 Standard of Performance. Contractor, its subcontractors, and their employees, in the performance of Contractor's work under this Agreement, shall be responsible for exercising the degree of skill and care required by customarily accepted good professional practices and procedures used in the Contractor's field.
Any costs for failure to meet the foregoing standard or to correct otherwise defective work that requires re -performance of the work, shall be borne in total by the Contractor and not by the City. The failure of a project to achieve the performance goals and objectives stated in this Agreement is not a basis for requesting re -performance unless the work conducted by Contractor and/or its subcontractors is deemed by the City to have failed the foregoing standard of performance.
In the event Contractor fails to perform in accordance with the above standard:
1. Contractor will re -perform, at its own expense, any task which was not performed to the reasonable satisfaction of City. Any work re -performed pursuant to this paragraph shall be completed within the time limitations originally set forth for the specific task involved.
Contractor shall work any overtime required to meet the deadline for the task at no additional cost to the City;
2. The City shall provide a new schedule for the re -performance of any task pursuant to this paragraph in the event that re -performance of a task within the original time limitations is not feasible; and
3. The City shall have the option to direct Contractor not to re -perform any task which was not performed to the reasonable satisfaction of the City Project Manager pursuant to application of (1) and (2) above. In the event the City directs Contractor not to re -perform a task, the City shall negotiate a reasonable settlement for satisfactory work performed.
No previous payment shall be considered a waiver of the City's right to reimbursement.
Nothing contained in this section is intended to limit any of the rights or remedies which the City may have under law.
2.7 Care of Work. The Contractor shall adopt reasonable methods during the life of the Agreement to furnish continuous protection to the work, and the equipment, materials, papers, documents, plans, studies, and/or other components thereof to prevent losses or damages, and shall be responsible for all such damages, to persons or property, until acceptance of the work by City, except such losses or damages as may be caused by City's own negligence.
2.8 Further Responsibilities of Parties. Both parties agree to use reasonable care and diligence to perform their respective obligations under this Agreement. Both parties agree to act in good faith to execute all instruments, prepare all documents and take all actions as may be reasonably necessary to carry out the purposes of this Agreement. Unless hereafter specified, neither party shall be responsible for the service of the other. Contractor shall require all subcontractors to comply with the provisions of this agreement.
2.9 Additional Services. City shall have the right at any time during the performance of the services, without invalidating this Agreement, to order extra work beyond that specified in the Scope of Services or make changes by altering, adding to, or deducting from said work. No such extra work may be undertaken unless a written change order is first given by the Contract Officer to the Contractor, incorporating therein any adjustment in (i) the Contract Sum as set forth in Section
3.1, and/or (ii) the time to perform this Agreement, which said adjustments are subject to the written 3 Project No. 1801
approval of the Contractor. Any increase in compensation of ten percent (10%) or less of the Contract Sum, or in the time to perform of one hundred eighty (180) days or less, may be approved by the Contract Officer. It is expressly understood by Contractor that the provisions of this Section shalt not apply to services specifically set forth in the Scope of Services or reasonably contemplated therein. Contractor hereby acknowledges that it accepts the risk that the services to be provided pursuant to the Scope of Services may be more costly or time consuming than Contractor anticipates and that Contractor shall not be entitled to additional compensation therefore.
2.10 Prevailing Wage Laws. Contractor represents and warrants that it Is registered with the Department of Industrial Relations as required by SB 854 and Labor Code 1725.5 and understands that this project is subject to compliance monitoring and enforcement by the Department of Industrial Relations. Contractor shall ensure that its subcontractors comply with said requirements. Contractor shall comply with Labor Code Section 1771 4 and shall post all legally required job site notices. In accordance with Labor Code Section 1770 et seq., the Director of the Department of industrial Relations of the State of California has ascertained a general prevailing rate of wages, which is the minimum amount, which shall be paid to all workers employed to perform the work pursuant to this Agreement. A copy of the general prevailing wage rate determination is on file in the Office of the City Clerk and is hereby incorporated by reference into this Agreement. In accordance with the provisions of Labor Code Section 1810 et seq., eight (8) hours is the legal working day. Contractor must forfeit to the City Twenty Five Dollars ($25.00) a day for each worker who works in excess of the minimum working hours when Contractor does not pay overtime.
Contractor is required to post a copy of such wage rates at all times at the contract site. The statutory penalties for failure to pay prevailing wage or to comply with State wage and hour laws will be enforced. Contractor also shall comply with State law requirements to maintain payroll records and shall provide for certified records and inspection of records as required by California Labor Code Section 1770 et. seq., including Section '1776. Contractor shall comply with all statutory requirements relating to the employment of apprentices.
3.0 COMPENSATION
3,1 Contract Sum. For the services rendered pursuant to this Agreement, the Contractor shall be compensated as specified herein, but riot exceeding the maximum contract amount of Four Million Six Hundred and Eighty Seven Thousand and Ten Dollars and 50/100 ($4,687,010.50) (herein 'Contract Sum"), except as provided in Section 2.9. The Contract Sum shall include the attendance of Contractor at all project meetings reasonably deemed necessary by the City; Contractor shall not be entitled to any additional compensation for attending said meetings.
3.2 Progress Payments. Prior to the first day of the month, during the progress of the work, commencing on the day and month specified in the Agreement, Contractor shall submit to the Contract Officer a complete itemized statement of all labor and materials incorporated into the work during the preceding month and the portion of the contract sum applicable thereto. Upon approval in writing by the Contract Officer, payment shall be made in thirty (30) days. City shall pay Contractor a sum based upon ninety-five percent (95%) of the contract price apportionment of the labor and materials incorporated into the work under the contract during the month covered by said statement. The remaining five percent (5%) thereof shall be retained as performance security. Refer to Section 8.4 of this Agreement for retention of funds. 4 Project No. 1801
4.0 PERFORMANCE SCHEDULE
4,1 Time of F.ssence. Time is of the essence in the performance of this Agreement.
4.2 Schedule of Performance Contractor shall commence the services pursuant to this Agreement upon receipt of a written notice to proceed and shall perform all services within the time period(s) established in the "Schedule of Performance" attached hereto as Exhibit "B", and incorporated herein by this reference. When requested by the Contractor, extensions to the time period(s) specified in the Scope of Services may be approved in writing by the Contract Officer.
4.3 Force Majeure, The time period(s) specified in the Scope of Services for performance of the services rendered pursuant to this Agreement shall be extended because of any delays due to unforeseeable causes beyond the control and without the fault or negligence of the Contractor, including, but not restricted to, acts of God or of the public enemy, unusually severe weather, fires, earthquakes, floods, epidemics, quarantine restrictions, riots, strikes, freight embargoes, wars, litigation, and/or acts of any governmental agency, including the City, if the Contractor shall within ten (10) days of the commencement of such delay notify the Contract Officer in writing of the causes for the delay. The Contract Officer shall ascertain the facts and the extent of delay, and extend the time for performing the services for the period of the enforced delay when and if in the judgment of the Contract Officer such delay is justified. The Contract Officer's determination shall be final and conclusive upon the parties to this Agreement.
4.4 Term. Unless earlier terminated in accordance with Section 8.9 of this Agreement, this Agreement shall continue in full force and effect until final approval and acceptance of the project by the Contract Officer. Notwithstanding the foregoing, this Agreement shall terminate no later than November 18, 2025, unless the parties mutually agree in writing to extend the term
5.0 COORDINATION OF WORK
5.1 Representative of Contractor, The following principals of Contractor are hereby designated as being the principals and representatives of Contractor authorized to act in its behalf with respect to the work specified herein and make all decisions in connection therewith:
CT&T Concrete Paving Inc.
Attn: Jose Carvajal
324 S. Diamond Bar Blvd, PMB 275
Diamond Bar, CA 91765
It is expressly understood that the experience, knowledge, capability and reputation of the foregoing principals were a substantial inducement for City to enter into this Agreement. Therefore, the foregoing principals shall be responsible during the term of this Agreement for directing all activities of Contractor and devoting sufficient time to personally supervise the services hereunder.
For purposes of this Agreement, the foregoing principals may not be replaced nor may their responsibilities be substantially reduced by Contractor without the express written approval of City.
5.2 Contract Officer. The Contract Officer shall be such person as may be designated by the City Administrator or City Engineer of City. It shall be the Contractor's responsibility to assure that the Contract Officer is kept informed of the progress of the performance of the services and the Contractor shall refer any decisions that must be made by City to the Contract Officer. Unless otherwise specified herein, any approval of City required hereunder shall mean the approval of the 5 Project No. 1801
Contract Officer. The Contract Officer shall have authority to sign all documents on behalf of the City required hereunder to carry out the terms of this Agreement.
5.3 Prohibition Against Assignment. The experience, knowledge, capability, and reputation of Contractor, its principals and employees were a substantial inducement for the City to enter into this Agreement. Neither this Agreement nor any interest herein may be transferred, assigned, conveyed, hypothecated, or encumbered voluntarily or by operation of law, whether for the benefit of creditors or otherwise. without the prior written approval of City. Transfers restricted hereunder shall include the transfer to any person or group of persons acting in concert of more than twenty five percent (25%) of the present ownership and/or control of Contractor, taking all transfers into account on a cumulative basis. In the event of any such unapproved transfer, including any bankruptcy proceeding, this Agreement shall be void. No approved transfer shall release the Contractor or any surety of Contractor of any liability hereunder without the express consent of City.
5.4 independent Contractor. Neither the City nor any of its employees shall have any control over the manner, mode, or means by which Contractor, its subcontractors, agents, or employees, performs the services required herein, except as otherwise set forth herein. City shall have no voice in the selection, discharge, supervision, or control of Contractor's employees, subcontractors, servants, representatives, or agents, or in fixing their number, compensation, or hours of service. Contractor shall perform all services required herein as an independent contractor of City and shall remain at all times as to City a wholly independent contractor with only such obligations as are consistent with that rote. Contractor shall not at any time or in any manner represent that it or any of its subcontractors, agents, or employees are agents or employees of City.
City shall not in any way or for any purpose become or be deemed to be a partner of Contractor in its business or otherwise or a joint venture or a member of any joint enterprise with Contractor.
5.5 Identity of Persons Performing Work. Contractor represents that it employs or will employ at its own expense all personnel required for the satisfactory performance of any and all tasks and services set forth herein. Contractor represents that the tasks and services required herein will be performed by Contractor or under its direct supervision, and that all personnel engaged in such work shall be fully qualified and shall be authorized and permitted under applicable State and local law to perform such tasks and services.
5.6 Utility Relocation. City is responsible for removal, relocation, or protection of existing main or trunkline utilities to the extent such utilities were not identified in the invitation for bids or specifications. City shall reimburse contractor for any costs incurred in locating, repairing damage not caused by contractor, and removing or relocating such unidentified utility facilities, including equipment idled during such work. Contractor shall not be assessed liquidated damages for delay arising from the removal or relocation of such unidentified utility facilities.
5.7 Trenches or Excavations. Pursuant to California Public Contract Code Section 7104, in the event the work included in this Agreement requires excavations more than four (4) feet in depth, the following shall apply.
(a) Contractor shall promptly, and before the following conditions are disturbed, notify City, in writing, of any: (1) material that Contractor believes may be material that is hazardous waste, as defined in Section 25117 of the Health and Safety Code, that is required to be removed to a Class I, Class II, or Glass II{ disposal site in accordance with provisions of existing law; (2) Subsurface or latent physical conditions at the site different from 6 Project No. 1801
those indicated; or (3) Unknown physical conditions at the site of any unusual nature, different materially from those ordinarily encountered and generally recognized as inherent in work of the character provided for in the contract.
(b) City shall promptly investigate the conditions, and if it finds that the conditions do materially so differ, or do involve hazardous waste, and cause a decrease or increase in Contractor's cost of, or the time required for, performance of any part of the work shall issue a change order per Section 2.9 of this Agreement.
(c) That, in the event that a dispute arises between City and Contractor whether the conditions materially differ, or involve hazardous waste, or cause a decrease or increase in Contractor's cost of, or time required for, performance of any part of the work, Contractor shall not be excused from any scheduled completion date provided for by the contract, but shall proceed with all work to be performed under the contract. Contractor shall retain any and all rights provided either by contract or by law, which pertain to the resolution of disputes and protests between the contracting parties.
6.0 INSURANCE, INDEMNIFICATION, AND BONDS
6.1 Insurance. The Contractor and all subcontractors, if any, shall procure and maintain, at its sole cost and expense, in a form and content satisfactory to City, during the entire tenrr of this Agreement, including any extension thereof, insurance as set forth in Exhibit "C" attached hereto and incorporated herein by this reference.
Conditions:
In accordance with Public Contract Code Section 20170, the insurance of surety companies who provide or issue the policy shall have been admitted to do business in the State of California with a credit rating of A- or better.
The City of Placentia, its officers, officials, employees, agents, and volunteers shall be named as additional insureds.
Prior to commencement of any work under this contract, Contractor shall deliver to the City insurance endorsements confirming the existence of the insurance required by this contract, and including the applicable clauses as set forth in Exhibit "C" attached hereto and incorporated herein by this reference.
Such endorsements shall be signed by an authorized representative of the insurance company and shall include the signatory's company affiliation and title. Should it be deemed necessary by the City, it shall be Contractor's responsibility to see that the City receives documentation, acceptable to the City, which sustains that the individual signing said endorsements is indeed authorized to do so by the insurance company.
If the Contractor fails to maintain the aforementioned insurance, or secure and maintain the aforementioned endorsement, the City may obtain such insurance, and deduct and retain the amount of the premiums for such insurance from any sums due under the agreement. However, procuring of said insurance by the City is an alternative to other 7 Project No. 1801
remedies the City may have, and is not the exclusive remedy for failure of Contractor to maintain said insurance or secure said endorsement. In addition to any other remedies the City may have upon Contractor's failure to provide and maintain any insurance or policy endorsements to the extent and within the time herein required, the City shall have the right to order Contractor to stop work hereunder, and/or withhold any payment(s) which became due to Contractor hereunder until Contractor demonstrates compliance with the requirements hereof.
Nothing herein contained shall be construed as limiting in any way the extent to which Contractor may be held responsible for payments of damages to persons or property resulting from Contractor's or its subcontractor's performance of the work covered under this agreement.
Each contract between the Contractor and any subcontractor shall require the subcontractor to maintain the same policies of insurance that the Contractor is required to maintain pursuant to this Section 6.1.
6.2 Certificates of Insurance. Contractor shall provide to City certificates of insurance showing the insurance coverages, as well as providing the City with the required endorsements, in a form and content approved by City, prior to performing any services under this Agreement.
The certificates of insurance and endorsements shall be attached to this Agreement as Exhibit "D" and are incorporated herein by this reference.
6.3 Indemnification. Contractor shall protect, defend, indemnify, and hold free and harmless the City of Placentia, its officers, officials, employees, agents, and volunteers, at Contractor's sole expense, from and against any and all actions, suits, claims, damages to persons or property, losses, costs, penalties, obligations, errors, omissions, or liabilities (herein "claims or liabilities") that may be asserted or claimed by any person, firm, or entity arising or alleged to arise out of or in any way connected with the performance of the work, operations, or activities of Contractor, its agents, employees, subcontractors, or invitees, provided for herein, or arising or alleged to arise from the acts or omissions of Contractor hereunder, or arising or alleged to arise from Contractor's performance of or failure to perform any term, provision, covenant or condition of this Agreement including all acts or omissions, willful misconduct or negligent conduct, whether active or passive, on the part of the Contractor, its employees, and/or subcontractors. (a) Contractor will defend any action or actions filed in connection with any of said claims or liabilities and will pay all costs and expenses, including legal costs and attorneys' fees incurred in connection therewith. (b) Contractor will promptly pay any judgment rendered against the City, its officers, officials, employees, agents, or volunteers for any such claims or liabilities arising or alleged to arise out of or in connection with Contractor's (or its agents', employees', subcontractors', or invitees') negligent performance of or failure to perform such work, operations, or activities hereunder; and Contractor agrees to save and hold the City, its officers, officials, employees, agents, and volunteers harmless therefrom. (c) In the event the City, its officers, officials, employees, agents, or volunteers are made a party to any action or proceeding filed or prosecuted against Contractor for such damages or other claims arising or alleged to arise out of 8 Project No. 1801
or in connection with the performance of or failure to perform the work, operation or activities of Contractor hereunder, Contractor shall pay to the City, its officers, officials, employees, agents, or volunteers any and all costs and expenses incurred by the City, its officers, officials, employees, agents, or volunteers in such action or proceeding, including but not limited to, legal costs and attorneys' fees for counsel selected by City. (d) Contractor's duty to defend and indemnify as set out in this Section 6.3 shall include any claims, liabilities, obligations, losses, demands, actions, penalties, suits, costs, expenses or damages or injury to persons or property arising or alleged to arise from, in connection with, as a consequence of or pursuant to any State or Federal law or regulation regarding hazardous substances, including but not limited to the Federal Insecticide, Fungicide and Rodenticide Act ("FIFRA"), Comprehensive Environmental Response, Compensation and Liability Act of 1980 ("CERCLA"), Resource Conservation and Recovery Act of 1976 ("RCRA"), the Hazardous and Solid Waste Amendments of 1984, the Hazardous Material Transportation Act, the Toxic Substances control Act, the Clean Air Act, the Clean Water Act, the California Hazardous Substance Account Act, the California Hazardous Waste Control Law or the Porter -Cologne Water Quality Control Act, as any of those statutes may be amended from time to time.
Notwithstanding the foregoing, Contractor shall not be liable for the defense or indemnification of the City for claims, actions, complaints, or suits arising out of the sole active negligence or willful misconduct of the City.
The Contractor's indemnification obligations pursuant to this Section 6.3 shall survive the termination of this Agreement. Contractor shall require the same indemnification from all subcontractors.
6.4 Labor and Materials and Performance Bonds.. Concurrently with execution of this Agreement, Contractor shall deliver to City a labor and materials bond and a performance bond each in the sum of the amount of this Agreement, in the forms provided by the City Clerk, which secures the faithful performance of this Agreement. The bonds shall contain the original notarized signature of an authorized officer of the surety and affixed thereto shall be a certified and current copy of his power of attorney. The bonds shall be unconditional and remain in force during the entire term of the Agreement and shall be null and void only if the Contractor promptly and faithfully performs all terms and conditions of this Agreement.
6.5 Sufficiency of Insurer or Surety. Insurance required by this Agreement shall be satisfactory only if issued by companies qualified to do business in California, rated "A-" or better in the most recent edition of Best's Key Rating Guide or in the Federal Register, and only if they are of a Financial Size Category Class VII or larger, unless such requirements are waived by the Risk Manager of the City due to unique circumstances. In the event the Project Manager and Risk Manager determine that the work or services to be performed under this Agreement creates an increased risk of loss to the City, the Contractor agrees that the minimum limits of the insurance policies required by this Section 6 may be changed accordingly upon receipt of written notice from the Project Manager provided that the Contractor shall have the right to appeal a determination of increased coverage by the Project Manager to the City Council of City within ten (10) days of receipt of notice from the Project Manager.
9 Project No. 1801
6.6 Substitution of Securities. Pursuant to California Public Contract Code Section 22300, substitution of eligible equivalent securities for any monies withheld to ensure performance under the contract for the work to be performed will be permitted at the request and expense of the successful bidder.
7.0 RECORDS AND REPORTS
7.1 Reports. Contractor shall periodically prepare and submit to the Contract Officer such reports concerning the performance of the services required by this Agreement as the Contract Officer shall require. Contractor hereby acknowledges that the City is greatly concerned about the cost of work and services to be performed pursuant to this Agreement. For this reason, Contractor agrees that if Contractor becomes aware of any facts, circumstances, techniques, or events that may or will materially increase or decrease the cost of the work or services contemplated herein or, if Contractor is providing design services, the cost of the project being designed, Contractor shall promptly notify the Contract Officer of said fact, circumstance, technique or event and the estimated increased or decreased cost related thereto and. if Contractor is providing design services, the estimated increased or decreased cost estimate for the project being designed.
7.2 Records. Contractor shall keep, and require subcontractors to keep, such books and records (including but not limited to payroll records as required herein) as shall be necessary to perform the services required by this Agreement and enable the Contract Officer to evaluate the performance of such services. The Contract Officer shall have full and free access to such books and records at all times during normal business hours of City, including the right to inspect, copy, audit and make records and transcripts from such records. Such records shall be maintained for a period of three (3) years following completion of the services hereunder, and the City shall have access to such records in the event any audit is required.
7.3 Ownership of Documents. All drawings, specifications, reports, records, documents, and other materials prepared by Contractor, its employees, subcontractors, and agents in the performance of this Agreement shall be the property of City and shall be delivered to City upon request of the Contract Officer or upon the termination of this Agreement, and Contractor shall have no claim for further employment or additional compensation as a result of the exercise by City of its full rights of ownership of the documents and materials hereunder. Contractor may retain copies of such documents for its own use. Contractor shall have an unrestricted right to use the concepts embodied therein. All subcontractors shall provide for assignment to City of any documents or materials prepared by them, and in the event Contractor fails to secure such assignment, Contractor shall indemnify City for all damages resulting therefrom.
7.4 Public Records Act Disclosure. Contractor has been advised and is aware that this Agreement and all reports, documents, information, and data, including, but not limited to, computer tapes, discs or files furnished or prepared by Contractor, or any of its subcontractors, pursuant to this Agreernent and provided to City may be subject to public disclosure as required by the California Public Records Act (California Government Code Section 7920.000 et seq.). Exceptions to public disclosure may be those documents or information that qualify as trade secrets, as that term is defined in the California Government Code Section 7924.510, and of which Contractor informs City of such trade secret. The City will endeavor to maintain as confidential all information obtained by it that is designated as a trade secret. The City shall not, in any way, be liable or responsible for the disclosure of any trade secret including, without 10 Project No. 1801
limitation, those records so marked if disclosure is deemed to be required by law or by order of the Court.
8.0 GENERAL PROVISIONS
8.1 Governing Law. This Agreement shall be construed and interpreted both as to validity and to performance of the parties in accordance with the laws of the State of California. Legal actions concerning any dispute, claim, or matter arising out of or in relation to this Agreement shall be instituted in the Superior Court of the County of Orange, State of California, or any other appropriate court in such county, and Contractor covenants and agrees to submit to the personal jurisdiction of such court in the event of such action.
8.2 Representatives. The City Administrator or his or her designee shall be the representative of City for purposes of this Agreement and may issue all consents, approvals, directives, and agreements on behalf of the City, called for by this Agreement, except as otherwise expressly provided in this Agreement.
The Principal set forth in Section 5.1 above shall be the representative for Contractor for purposes of this Agreement, and shall be authorized to issue all consents, approvals, directives, and agreements on behalf of Contractor called for by this Agreement, except as otherwise expressly provided in this Agreement.
8.3 Disputes. In the event either party fails to perform its obligations hereunder, the nondefaulting party shall provide the defaulting party written notice of such default. The defaulting party shall have ten (10) days to cure the default; provided that, if the default is not reasonably susceptible to being cured within said ten (10) day period, the defaulting party shall have a reasonable time to cure the default, not to exceed a maximum of thirty (30) days, so long as the defaulting party commences to cure such default within ten (10) days of service of such notice and diligently prosecutes the cure to completion; provided further that if the default is an immediate danger to the health, safety and general welfare, the defaulting party shall take such immediate action as may be necessary. Notwithstanding the foregoing, the nondefaulting party may, in its sole and absolute discretion, grant a longer cure period. Should the defaulting party fail to cure the default within the time period provided in this Section, the nondefaulting party shall have the right, in addition to any other rights the nondefaulting party may have at law or in equity, to terminate this Agreement.
Compliance with the provisions of this Section 8.3 shall be a condition precedent to bringing any legal action, and such compliance shall not be a waiver of any party's right to take legal action in the event that the dispute is not cured.
8.4 Retention of Funds. Progress payments shall be made in accordance with the provisions of Section 3.2 of this Agreement. In accordance with said section, City shall pay Contractor a sum based upon ninety-five percent (95%) of the contract price apportionment of the labor and materials incorporated into the work under the contract during the month covered by said statement. The remaining five percent (5%) thereof shall be retained as performance security to be paid to the Contractor within sixty (60) days after final acceptance of the work by the City Council, after Contractor shall have furnished City with a release of all undisputed contract amounts if required by City. In the event there are any claims specifically excluded by Contractor from the operation of the release, the City may retain proceeds (per Public Contract Code 7107) of up to 150% of the amount in dispute. City's failure to deduct or withhold shall not affect Contractor's obligations hereunder.
11 Project No. 1801
8.5 Waiver. No delay or omission in the exercise of any right or remedy by a nondefaulting party on any default shall impair such right or remedy or be construed as a waiver. A party's consent to or approval of any act by the other party requiring the party's consent or approval shall not be deemed to waive or render unnecessary the other party's consent to or approval of any subsequent act. Any waiver by either party of any default must be in writing and shall not be a waiver of any other default concerning the same or any other provision of this Agreement.
8.6 Riohts and Remedies. Rights and Remedies are cumulative except with respect to rights and remedies expressly declared to be exclusive in this Agreement, the rights and remedies of the parties are cumulative and the exercise by either party of one or more of such rights or remedies shall not preclude the exercise by it, at the same or different times, of any other rights or remedies for the same default or any other default by the other party.
8.7 Leoal Action. In addition to any other rights or remedies, either party may take legal action, in law or in equity, to cure, correct or remedy any default, to recover damages for any default, to compel specific performance of this Agreement, to obtain declaratory or injunctive relief, or to obtain any other remedy consistent with the purposes of this Agreement.
8.8 Liquidated Damaaes. Since the determination of actual damages for any delay in performance of this Agreement would be extremely difficult or impractical to determine in the event of a breach of this Agreement, the Contractor and its sureties shall be liable for and shall pay to the City Five Hundred Dollars ($500.00) as liquidated damages for each working day of delay in the performance of any service required hereunder. as specified in the Scope of Services (Exhibit "A") or Schedule of Performance (Exhibit "B"). The City may withhold from any monies payable on account of services performed by the Contractor any accrued liquidated damages.
8.9 Termination for Default of Contractor. If termination is due to the failure of the Contractor to fulfill its obligations under this Agreement, Contractor shall vacate any City owned property which Contractor is permitted to occupy hereunder and City may. after compliance with the provisions of Section 8.3, take over the work and prosecute the same to completion by contract or otherwise, and the Contractor shall be liable to the extent that the total cost for completion of the services required hereunder exceeds the compensation herein stipulated (provided that the City shall use reasonable efforts to mitigate such damages), and City may withhold any payments to the Contractor for the purpose of setoff or partial payment of the amounts owed the City as previously stated.
8.10 Notice. Any notice, demand, request, document, consent, approval, or communication either party desires or is required to give to the other party or any other person shall be in writing and shall be deemed to be given when served personally or deposited in the U.S. Mail, prepaid, first-class mail, return receipt requested, addressed as follows:
To City:
City of Placentia
401 E. Chapman Ave.
Placentia, California 92870
Attn.: Gabriel Guerrero
To Contractor: CT&T Concrete Paving Inc.
324 S. Diamond Bar Blvd, PMB 275
Diamond Bar, CA 91765
Attn: Jose Carvajal
12 Project No. 1801
8.11 Non -liability of City Officers and Emolovees. No officer or employee of the City shall be personally liable to the Contractor, or any successor in interest, in the event of any default or breach by the City or for any amount which may become due to the Contractor or to its successor, or for breach of any obligation of the terms of this Agreement.
8.12 Conflict of Interest. The Contractor warrants that it has not paid or given and will not pay or give any third party any money or other consideration for obtaining this Agreement.
Contractor and its officers, employees, associates, and subcontractors, if any, will comply with all conflict of interest statutes of the State of California applicable to Contractor's services under this agreement, including, but not limited to, the Political Reform Act (Government Code Sections 81000, et seq.) and Government Code Section 1090. During the term of this Agreement, Contractor and its officers, employees, associates, and subcontractor shall not, without the prior written approval of the City Representative, perform work for another person or entity for whom Contractor is not currently performing work that would require Contractor or one of its officers, employees, associates, or subcontractors to abstain from a decision under this Agreement pursuant to a conflict of interest statute. Contractor's duties and services under this Agreement shall not include preparing or assisting the City with any portion of the City's preparation of a request for proposals, request for qualifications, or any other solicitation regarding a subsequent or additional contract with the City. The City shall at all times retain responsibility for public contracting, including with respect to any subsequent phase of this project. Contractor's participation in the planning, discussions, or drawing of project plans or specifications shall be limited to conceptual, preliminary, or initial plans or specifications. Contractor shall cooperate with the public entity to ensure that all bidders for a subsequent contract on any subsequent phase of this project, if any, have access to the same information, including all conceptual, preliminary, or initial plans or specifications prepared by Contractor pursuant to this Agreement.
8.13 Covenant Against Discrimination. Contractor covenants that, by and for itself, its heirs, executors, assigns, and all persons claiming under or through them, that there shall be no discrimination against or segregation of, any person or group of persons on account of race, color, creed, religion, sex, marital status, national origin, or ancestry in the performance of this Agreement.
To the extent required by law, contractor shall take affirmative action to insure that applicants are employed and that employees are treated during employment without regard to their race, color, creed, religion, sex, marital status, national origin, or ancestry.
8.14 Interpretation. The terms of this Agreement shall be construed in accordance with the meaning of the language used and shall not be construed for or against either party by reason of the authorship of this Agreement or any other rule of construction which might otherwise apply.
8.15 Severability. In the event that any one or more of the phrases, sentences, clauses, paragraphs, or sections contained in this Agreement shall be declared invalid or unenforceable by a valid judgment or decree of a court of competent jurisdiction, such invalidity or unenforceability shall not affect any of the remaining phrases, sentences, clauses, paragraphs, or sections of this Agreement which are hereby declared as severable and shall be interpreted to carry out the intent of the parties hereunder unless the invalid provision is so material that its invalidity deprives either party of the basic benefit of their bargain or renders this Agreement meaningless.
8.16 Hiring of Illegal Aliens Prohibited. Contractor shall not hire or employ any person to perform work within the City of Placentia or allow any person to perform work required under this 13 Project No. 1801
Agreement unless such person is properly documented and legally entitled to be employed within the United States. Further, Contractor shall comply with the following:
(a) Unauthorized Aliens. Contractor hereby represents and warrants that it will comply with all of the provisions of the Federal Immigration and Nationality Act, 8 U.S.C.A. §§ 1101, et seq., as amended, and in connection therewith, shall not employ unauthorized aliens as defined therein. Should Contractor so employ such unauthorized aliens for the performance of any work and/or services under this Agreement, and should any liability or sanctions be imposed against City for such use of unauthorized aliens, Contractor hereby agrees to reimburse City for any and all liabilities, actions, suits, claims, demands, losses, costs, judgments, arbitration awards, settlements, damages, demands, orders, or penalties which arise out of or are related to such employment, together with any and all costs, including attorneys' fees, incurred by City.
(b) E -Verify. If Contractor is not already enrolled in the U.S. Department of Homeland Security's E -Verify program, Contractor shall enroll in the E -Verify program within fifteen (15) days of the effective date of this Agreement to verify the employment authorization of employees assigned to perform work hereunder. Contractor shall verify employment authorization within three (3) days of hiring a new employee to perform work under this Agreement. Information pertaining to the E -Verify program can be found at http://www.uscis.gov , or access the registration page at https://e- verify.uscis.gov/enroll. Contractor shall certify its registration with E -Verify and provide City its registration number within sixteen days of the effective date of this Agreement. Failure to provide certification will result in withholding payment until full compliance is demonstrated.
8.17 Unfair Business Practices Claims. In entering into a public works contract or a subcontract to supply goods, services, or materials pursuant to a public works contract, the contractor or subcontractor offers and agrees to assign to the awarding body all rights, title, and interest in and to all causes of action it may have under Section 4 of the Clayton Act (15 U.S.C.
Sec. 15) or under the Cartwright Act (Chapter 2, (commencing with Section 16700) of Part 2 of Division 7 of the Business and Professions Code), arising from purchases of goods, services, or materials pursuant to the public works contract or the subcontract. This assignment shall be made and become effective at the time the awarding body renders final payment to the contractor without further acknowledgment by the parties. (Sec. 7103.5, California Public Contract Code).
8.18 Corporate Authority. The persons executing this Agreement on behalf of the parties hereto warrant that (i) such party is duly organized and existing, (ii) they are duly authorized to execute and deliver this Agreement on behalf of said party, (iii) by so executing this Agreement, such party is formally bound to the provisions of this Agreement, and (iv) the entering into this Agreement does not violate any provision of any other Agreement to which said party is bound.
8.19 PERS Eliaibility Indemnification. In the event that Contractor or any employee, agent, or subcontractor of Contractor providing services under this Agreement claims or is determined by a court of competent jurisdiction or the California Public Employees Retirement System (PERS) to be eligible for enrollment in PERS as an employee of the City, Contractor shall indemnify, defend, and hold harmless City for the payment of any employee and/or employer 14 Project No. 1801
contributions for PERS benefits on behalf of Contractor or its employees, agents, or subcontractors, as well as for the payment of any penalties and interest on such contributions, which would otherwise be the responsibility of City.
Notwithstanding any other agency, State, or Federal policy, rule, regulation, Iaw, or ordinance to the contrary, Contractor and any of its employees, agents, and subcontractors providing service under this Agreement shall not qualify for or become entitled to, and hereby agree to waive any claims to, any compensation, benefit, or any incident of employment by City, including but not limited to eligibility to enroll in PERS as an employee of City and entitlement to any contribution to be paid by City for employer contribution and/or employee contributions for PERS benefits.
8.20 Cooperation. In the event any claim or action is brought against City relating to Contractor's performance or services rendered under this Agreement, Contractor shall render any reasonable assistance and cooperation which City might require.
8.21 Least Responsibilities, The Contractor shall keep itself informed of City, State, and Federal laws, ordinances, and regulations, which may in any manner affect the performance of its services pursuant to this Agreement. The Contractor shall at all times observe and comply with all such laws, ordinances, and regulations. Neither the City, nor its officers, agents, or employees shall be liable at Iaw or in equity as a result of the Contractor's failure to comply with this section.
8.22 Termination for Convenience, The City may terminate this Agreement without cause for convenience of the City upon giving contractor 30 days prior written notice of termination of the Agreement. Upon receipt of the notice of termination the Contractor shall cease all further work pursuant to the Agreement. Upon such termination by the City the Contractor shall not be entitled to any other remedies, claims, actions, profits, or damages except as provided in this paragraph. Upon the receipt of such notice of termination Contractor shall be entitled to the following compensation:
1. The contract value of the work completed to and including the date of receipt of the notice of termination, less the amount of progress payments received by contractor.
2. Actual move -off costs including labor, rental fees, equipment transportation costs, the costs of maintaining on-site construction office for supervising the mover -off.
3. The cost of materials custom made for this Agreement which cannot be used by the Contractor in the normal course of his business, and which have not been paid for by City in progress payments.
4. All costs shall not include any markups as might otherwise be allowed by any plans or specifications which were a part of the Agreement.
The provisions of this paragraph shall supersede any other provision of the Agreement or any provision of any plans, specification, addendums, or other documents which are or may become a part of this Agreement. City and Contractor agree that the provisions of this paragraph are a substantive part of the consideration for this Agreement. 8 23 Responsibility for Errors;. Contractor shall be responsible for its work and results under this Agreement. Contractor, when requested, shall furnish clarification and/or explanation 15 Project No. 1801
as may be required by the City's representative, regarding any services rendered under this Agreement at no additional cost to City. In the event that an error or omission attributable to Contractor occurs, then Contractor shall, at no cost to City, provide all necessary design drawings, estimates, and other Contractor professional services necessary to rectify and correct the matter to the sole satisfaction of City and to participate in any meeting required with regard to the correction.
8.24 Order of Precedence. In the event of an inconsistency in this Agreement and any of the attached Exhibits, the terms set forth in this Agreement shall prevail. If, and to the extent this Agreement incorporates by reference any provision of any document, such provision shall be deemed a part of this Agreement. Nevertheless, if there is any conflict among the terms and conditions of this Agreement and those of any such provision or provisions so incorporated by reference, this Agreement shall govern over the document referenced.
8.25 Costs. Each party shall bear its own costs and fees incurred in the preparation and negotiation of this Agreement and in the performance of its obligations hereunder except as expressly provided herein,
8.26 No Jhird Party Beneficiary Rights. This Agreement is entered into for the sole benefit of City and Contractor and no other parties are intended to be direct or incidental beneficiaries of this Agreement and no third party shall have any right in, under or to this Agreement.
8.27 Headings. Paragraphs and subparagraph headings contained in this Agreement are included solely for convenience and are not intended to modify, explain or to be a full or accurate description of the content thereof and shall not in any way affect the meaning or interpretation of this Agreement.
8.28 Construction. The parties have participated jointly in the negotiation and drafting of this Agreement. In the event an ambiguity or question of intent or interpretation arises with respect to this Agreement, this Agreement shall be construed as if drafted jointly by the parties and in accordance with its fair meaning. There shall be no presumption or burden of proof favoring or disfavoring any party by virtue of the authorship of any of the provisions of this Agreement.
8.29 Counterparts, This Agreement may be executed in one or more counterparts, each of which shall be deemed an original. All counterparts shall be construed together and shall constitute one agreement.
8.30 Fundina Source Conditions — Contractor's Obligation. Contractor acknowledges that the City may be paying for the Project by using funds it receives or will receive from various funding sources in the form of grants and/or subsidies, and the like under certain terms and conditions. Contractor warrants that it is not suspended or debarred from doing business with the United States government and can legally be paid from federal funds. Contractor acknowledges and agrees that any failure of the Contractor and/or its subcontractors to perform its obligations under the Contract, including, but not limited to, timely submitting accurate reports and records, that in any way results in the City not meeting the terms and conditions placed on the funds by the funding source, or forfeiting its entitlement to or, otherwise, not receiving, the funds, then the Contractor shall be liable to pay the City for the funds not granted to the City on the Project. 16 Project No. 18x1
8.31 Entire Agreement. This Agreement constitutes the entire agreement between the parties with respect to any matter referenced herein and supersedes any and all other prior writings and oral negotiations. This Agreement may be modified only in writing, and signed by the parties in interest at the time of such modification. The terms of this Agreement shall prevail over any inconsistent provision in any other contract document appurtenant hereto, including exhibits to this Agreement,
IN WITNESS WHEREOF, the parties have executed and entered into this Agreement as of the date first written above.
ATTEST:
CITY OF PLACENTIA,
A municipal corporation and Charter City
r J,
Jennifef Lampman, City Administrator
ATTEST
4.r*t
Robert S. McKinnell, City Clerk
APPROVED AS TO FORM
CONTRACTOR:
i naiure
Jose Carvajal, President
202642225
Social Security or
er
Christian -L. Bettenhausen, City Attorney
17 Date: 1 I Z.ti ittg
Date: 11/06/2025
Date: 1 - / Y
Project No. 160.1
APPROVED AS TO INSURANCE:
yndi ar= nga, Risk Manager
APPROVED AS TO CONTEEN1
brt rGuerrero, Project Manager
DEPARTMENTAL APPROVAL:
Date: IA 5 -
Date:
Date: i I�
Date: (2(q(26 -
Chris-
Chris Tanio
Director of Public Works/City Engineer
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE §111111 A notary public or other officer completing this certificate verifies only the Identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California
County of Los Angeles
on 11/07/2025 before me, Eduardo Flores-Najera, Notary Public Dote Here Insert Name and Title of the Officer
Personally appeared Jose Guadalupe Carvajal
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same In his/her/their authorized capacity{les),and that by his/her/theirslgnature(s) on the instrumentthe person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
EDUAIZWCI FLOPES•rra.JERA
Nota public • CiNhrrlA
Loi Angeles Caur ty 1
Commission N Z574�5a
M' Comm, Expores May 4, zoiv +
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 ofcflsjabPal
Signature
Signature of Notary Public
Place Notary Seal Above
. .. ... . ........_---------- .,.y------ ------- OPTIONAL------------------ -----------------,_,, .._.�_ Though this section Is aprionol, completing this information can deter alteration of the document or fraudulent reattachment of this forms to an unintended document_ Description of Attached Document
Title or Type of Document Document Date
Number of Pages Signer(s) OtherThan Named Above
Capacity(les) Claimed by Signers)
Signer's Name _ Signer's Name
Corporate Officer—Title(s) Corporate Officer—Title(s)
Partner Limited General Partner Limited General
IndMdual Attorney In Fact Individual Attorney in Fact
Trustee Guardian or Conservator Trustee Guardian or Conservator Other Other
Signer Is Representing Signer Is Representing
D2014National Notary Association • www_NatianalNotarv.ore• 1 -800 -US NOTARY (1-B00-876-6527) Item 4590
r• -
PREMIUM
PREMIUM INCLUDED IN PERFORMANCE BOND COST BOND NO. RCB0060130
EXECUTED IN TRIPLICATE
Project No. 1801
(Use of City Bond Form is Required)
LABOR AND MATERIAL PAYMENT BOND
PUBLIC WORK (CALIFORNIA)
KNOW ALL MEN BY THESE PRESENT:
WHEREAS, CTBT Concrete Paving, Inc , as Principal, has
entered into a contract dated November 18, 2025 . with the City of Placentia (Obligee) referred to and made a part hereof to perform the following work, GOLDEN AVENUE BRIDGE REPLACEMENT PROJECT FED PROJECT NO. BRLS-5269 (025) and all appurtenant work in accordance with PROJECT NO. 1801 which requires Principal to file this bond to secure claims made in relation to the project.
NOW THEREFORE, we, CTBT Concrete Paving, Inc. as Principal, and Contractors Bonding and Insurance Company 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 Four Million Six Hundred Eighty Seven Thousand Ten and 501100 Dollars ($4.587,010.50) 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
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE §1189
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document, State of California
County of Los Angeles
on 11/07/2025
Date
before me, Eduardo Flores-Najera, Notary Public
Here Insert Name and Title of the Officer
Personally appeared Jose Guadalupe Carvajal
Name(s) of Slgnerfs)
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)ad that by h1s/her/theirsgnature(s) on the instrumenttheperson(s}, or the entity upon behalf of which the persons) acted, executed the Instrument.
EDUAA00 FLORES•NAJE A
Notary Public • California L
Los Anseles County
Commission #2519450
my Comm, Expires May 4, 2029
certify under PENALTY OF PERJURY under the Taws of the
State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal
Signature
Signature of Notary Publfc
Place Notary Seal Above
»-- OPTIONAL--_._..�._�._- -----
Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to tin unintended document.
Description of Attached Document
Title or Type of Document Document Date
Number of Pages Signer(s) Other Than Named Above
Capacity(les) Claimed by Signer(s)
Signer's Name _ Signer's Name
Corporate Officer—Title(s) Corporate Office —Title(s)
Partner Limited General Partner Limited General
Individual Attorney in Fact Individual Attorney in Fact Trustee Guardian or Conservator Trustee Guardian or Conservator Other Other
Signer Is Representing Signer is Representing
el 2014 National NotaryAssociation • www,NationalNotarv.are,*1-80C-US NOTARY (1-800.876-6927) (tern Pt5,907
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the Identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
STATE OF CALIFORNIA
County of Orange
On NOV 0 b 2(J2 before me,
Date
personally appeared Emilie Young
Tt1�0 HGUYfN 1.1AI
Notary Public - Celll9rnl■ }
brans Coons.
Commission N 11 O4
My Corm. respires Jul r 8, 3017
Place Notary Seal Above
}
Theo Nguyen Luu
Insert Name of Notary exactly as 11 eppenrt an the official Sill (garnets) of Signor(s)
, Notary Public,
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the Instrument.
I certify under PENALTY OF PERJURY under the Taws of
the State of California that the foregoing paragraph is true and correct,
Witness my hand and official seal.
Signature r r.! -res. / —
signature Of Nolury Pudic
OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of the form to another document, Description of Attached Document
Title or Type of Document:
Document Date: Number of Pages:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
O Individual
❑ Corporate Officer—Titte(s):
O Partner ❑ Limited ❑ General
O Attorney in Fact
• Trustee
O Guardian or Conservator
❑ Other
Signer is Representing:
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
Signer's Name:
I=1 Individual
❑ Corporate Officer—Tltle(s):
❑ Partner 0 Limited Q General
D Attorney In Fact
❑ Trustee
© Guardian or Conservator
❑ Other:
Signer is Representing:
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
POWER OF ATTORNEY
RLI Insurance Company
Contractors Bonding and Insurance Company
9025 N. Lindbcsu+h Dr Peoria, IL 61615
Phone: 800-645-2402
Knorr All Men by These Presents:
That this Power of Attorney is not valid or in effect unless attached to the bond which it authorizes executed, but may be detached by the approving officer if desired.
That RLI Insurance Company and/or Contractors Bonding and Insurance Company, each an Illinois corporation, (separately and together, the "Company") do hereby make, constitute and appoint:
Yana T. Mullick. P. Austin Neff Irene Luther Emilie Younrf_ IlanielleHanson. Christine Wootford. AlexanderR. Holshelmer. Theo Luu. Joseph P. McClradv., iointiv eeseverally
.
in the City of Missi,gtt Viejo - , State of California its true and lawful Agent(s) and Attorney(s) in Feet, with full power and authority hereby conferred, to sign, execute, acknowledge and deliver for and on its behalf as Surety, in general, any and all bonds and undertakings in an amount not to exceed _ - Twenty give Million Dollars ( $25.000.QAQ.QQ
) for any single obligation_
Theacknowledgment and execution of such bond by the said Attorney in Fact shall be as binding upon the Company as if such bond had been executed and acknowledged by the regularly elected officers of the Company.
RLI Insurance Company and/or Contractors Bonding and Insurance Company, ns applicable, have each further certified that the following is atrue and exact copy of a Resolution adopted by the Board of Directors ofeach such corporation, and is now in force, to -wit:
"All bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by such other officers is the Board of Directors may authorize- The President, any Vice President, Secretary. any Assistant Secretary, or the Treasurer n -ay appoint Attorneys in Fact or Agents who shall have authority to issue bonds, policies or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile.' IN WITNESS WHEREOF, the RLI Insurance Company and/or Contractors Bonding and insurance Company, as applicable, have Sr. Vice Presirihnt with its corporate seal affixed this 9th day of caused these presents to be executed by its respective
September , 2025 .
Stale of Ohio
SS
County of Cuyahoga
On this _,9th day of _ September 2025 . before me, a Notary Public, personally appeared Fric Rnydins who being by me duly sworn, acknowledged that he signed the above Pow r of Attorney as the aforesaid officer of the RLI Insurance Company and/or Contractors Bonding and Insurance Company and acknowledged said instrument to be the volunrnry act and deed of said corporation.
By. ( 64
Jill A. Scott
JILL A scar
Ir.i,v Rays '.Y,Il6,p`n
I 1!, Ge14,41.6M1@,s IN
Buda .,9: 4470
Notary Public
RLI Insuronce Ccmpany
Contractors Bonding and ilnt uytnce Company
By:
Eric Raudins
CERTIFICATE
Sr. Vice President
1, the undersigned officer of RLI insurance Company and/or Contractors Bonding and lnauranee Company, do hereby certify that the attached Power of Attorney is in full force and effect and is irrevocable: and furthermore, that the Resolution of the Company as set forth in the Power of Attorney, is now in force. In testimony whereof. 1 have hereunto set my hand and the seal of the RLI Insurance Company and/or Contractors Bonding and Insurance Company this 5th day of November . 2025 -
RLI Insurance Company
Contractors Bonding and insurance Com nony
By:
01 Christ inn Dean Corporate Secretary
A40S8a14
No. 3000-1
STATE OF CALIFORNIA
DEPARTMENT OF INSURANCE
SAN FRANCISCO
Amended
Certificate of Authority
THIS IS TO CERTIFY that, pursuant to the Insurance Code ofihe State ofcafj/eiruln.
Contractors Banding and Insurance Company
rJllllnufs, organized order the latus op/Mots, subject to its Arlicles ofhIcorporafion or otherltindonrenial organisational edocumenis, is hereby authorised to transact within this Slate, subject malt prnwsinnsalihis Certificate, ilia fallowing classes of insurance
Firc, Marine, Surety, Plate Glass, Liability,
Moiler and Machinery, Burglary, Sprinkler,
Team and Vehicle, Autnmobilc, Legal, and Misccilaneoua
as such classes are now nr may hereafter be Wined m the insurance Laws of the Stole o1 California.
THIS CERTIFICATE is expressly conditioned upon the holder hereof' now and herea/ier being in fill compliance with nil, and nal in violation of any, of the applicable laws and lawful requirements made under authority of Nit lows Odle Stare of California as long as such !mil or requirements nrr rn u!jreci and appllcabk and es srrch laws and requirements nun are, or pray hereafter be changed or emended IN WITNESS WHEREOF, effeefr'e as of the 2tJ' da) of March, 2015, I hove hereunto ser my hand and caused my official smut ter he q/jlscd this 20ih day of Hardt. 2015.
By.
IJvc Jones
Wienorr 1 •anrwra
`'tY
Valerie Sarfaty
for Nettie 1 Iogc
cool %inn,
NOTICT:
Qualiflealion wish the Secretary of Sute must ba accompluhod m rag -nisei! by the California Curporation Coda promptly alter iasuanct orthis CcalAcAra of esulhoricy. ?ilium in da su w/1 Iv a •iolutimr of imtpuce Code section ia1 ant wlllbc irmunds r4 evoking slim Cenilleam of Authority purulent 10 due cownema made in rbe appheat inn therefor and the c0ndainns committed herein.
*nous 1
Project No. 1801
(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.
CTBT Concrete Paving Inc,
Jose Carvajal, President & Secretary
Jackie Carvajal, Treasurer
Business Address:
324 S. Diamond Bar Blvd, PMB 275
Diamond Bar, CA 91765
Telephone Number:
Date:
Print Name:
Signature:
909-629-8000
11/06)2025
rncipal
President
Title
Project No. 1801
TAX IDENTIFICATION NUMBER
(Use of City Farm is Required)
The Tax Equity and Fiscal Responsibility Act of 1982 requires the payer (City of Placentia) to report to the Internal Revenue Service taxable payments to payees.
You (as a payee) are required by law to 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 include, but are not limited to, interest, dividends, 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 law, to maintain a Tax Identification Number on file. PLEASE PROVIDE YOUR 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 X Telephone ( 969) 629-8000
CORPORATION; CT&T Concrete Paving Inc. - 20-2642225
U.S.A. OR ANY AGENCIES THEREOF: NIA
IRS CODE #501 TAX-EXEMPT ORGANIZATIONN/A
A NON-COMMISSIONED CITY OF PLACENTIA EMPLOYEE: N/A
SOLE PROPRIETOR: N/A
A PARTNERSHIP:A/A
OTHER: N/A (Explain)
Signature/Title: Date: 11/6/25
ase Carvajal, President
PREMIUM SUBJECT TO CHANGE BASED ON FINAL CONTRACT AMOUNT PREMIUM: $33,075.00
Project No. 1801
CITY OF PLACENTIA
PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENT: That,
BOND NO. RCB0060130
EXECUTED IN TRIPLICATE
WHEREAS, the CITY OF PLACENTIA (hereinafter called the "City") has awarded to CT&T Concrete Paving, Inc. , a California corporation (hereinafter "Principal"), an Agreement, dated November 18,20 25 ("Agreement"), whereby Principal agreed to provide construction services including GOLDEN AVENUE BRIDGE REPLACEMENT PROJECT FEDERAL PROJECT NO. BRLS-5269 (025) CITY PROJECT NO. 1801
WHEREAS, the Public Work to be performed by the Principal is more particularly set forth in the Agreement which is incorporated herein by reference and made a part hereof; and WHEREAS, said Principal is required under the terms of the Agreement to furnish a bond for the faithful performance of the Agreement;
Contractors Bonding and
NOW, THEREFORE, we, CT&T Concrete Paving, Inc. , as Principal, and Insurance Company as Surety, are held and firmly bound unto the City in the sum of Four Million Six Hundred Eighty Seven Thousand Ten and 50/100 Dollars ($ 4,687,010.50 ), this amount being not less than one hundred percent (100%) of the total contract price under Agreement, lawful money of the United States of America for payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, and successors jointly and severally, firmly by these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH THAT, the obligation shall become null and void if the above -bounded Principal, his or its heirs, executors, administrators, successors, or assigns, shall in all things stand to and abide by well and truly keep and perform all the undertakings, terms, covenants, conditions, and agreements in the said Agreement and any alteration thereof, made as therein provided, all within the time and in the manner therein designated and in all respects according to their true intent and meaning, and shall indemnify and save harmless the City, its officer, agents and employees, as therein stipulated; otherwise it shall be and remain in full force and virtue.
As a part of the obligation secured hereby, and in addition to the face amount specified, costs and reasonable expenses and fees shall be included, including reasonable attorneys' fees, incurred in successfully enforcing the obligation on the bond, all to be taxed as costs and included in any judgment rendered.
The said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or modification of the Agreement, the contract documents or of the work to be performed thereunder, shall in any way affect its obligations on this bond, and it does hereby waive notice of any such change, extensions of time, alteration or modification of Agreement, the contract documents or of the work to be performed thereunder.
Surety's obligation shall be a guarantee of payment and performance and shall not be diminished by any bankruptcy or reorganization in bankruptcy or liquidation or the result of the foregoing or otherwise of Principal. Accordingly, the filing of any petition in bankruptcy or for rearrangement or reorganization or liquidation (or proceedings similar in purpose or effect) of Principal under any Federal or State laws ("Insolvency Case") will not toll or delay the date due for payment or performance hereunder as more particularly specified in of the Construction Management Agreement. The City shall be not be required to await the outcome of an Insolvency Case or to enforce any of their respective rights under the Agreement, respectively, prior to
Project No 1801
obtaining payment in full from Surety. If for any reason payment received by the City in respect of the obligations of the Principal under the Agreement guaranteed pursuant to this bond is rescinded or must be returned or restored by the City, this bond shall be automatically reinstated and shall continue to be in effect as if such payment had not been made.
Collection of liquidated damages by City due to Principal's failure to timely achieve Substantial Completion shall not limit, modify, or act as an offset or credit against Surety's obligation to arrange for or cause the completion of the Public Work as and when required by the Agreement.
IN WITNESS WHEREOF three (3) identical counterparts of this instrument, each of which shall for all purposes be deemed an original thereof, have been duly executed by the Principal and Surety named herein, on the 5tn day of November , 20 25 , the name and corporate seal of each corporate party being hereto affixed and these presents duly signed by its undersigned representative pursuant to authority of its governing body. (Seal) (Seal)
Contractors Bonding and
SURETY..., Insurance Company PRINCIPAL
By CM1., By
r
Emilie Young, Attorney -in -Fact
9025 N Lindbergh Drive
CT&T Con rete Paving, Inc.
X
lose Car vayv_I Aresic1ev,:t 4seCr9t&►1
Peoria, IL 61615 324 S. Diamond Bar Blvd, PMB 275 Diamond Bar, CA 91765
ADDRESS
ADDRESS
APPROVED:
CITY ATTORN Y
INSTRUCTIONS
Two (2) Notarized Signatures required
from all Corporations.
1 The above bond must be executed by both the Principal and the Surety. 2, If the Principal is a corporation, the bond must be executed in the corporate name and signed by the President or a Vice -President and the Secretary or Assistant Secretary, and the corporate seal affixed. If the Principal is a partnership, all partners must sign it. If the Principal is an individual doing business under a fictitious name, it must be signed by ail persons having an interest in the business, and the fictitious name must be signed also, The bond must be notarized by both the Principal and the Surety.
3. The City Attorney of the City of Placentia must approve the bond. 4, The bond, after approval, must be filed with the City Clerk of the City of Placentia.
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE §1189
ir4;ec occ% . -.2r rseeed.tcr °=ti- t ti p.. �•.-�, rh.>•rix- r' A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California
County of Los Angeles
on 11/07/2025
Date
}
}
before me, Eduardo Flores-Najera, Notary Public
Here Insert Nome and Title of the Officer
Personally appeared Jose Guadalupe Carvajal
Narne(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose names) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in hls/her/theirauthorized capacity(ies),and thatbyhis/her/theirsignature(s}on the instrumenttheperson(s), or the entity upon behalf of which the person() acted, executed the instrument,
` ...y Eoi,'ARCO FLORES•NAJERA
""- Notary Public California
Las Angeles County
Cam mission # 1#19450
My Comm. Expires aMy 4, 2029
Place Notary Seal Above
'certify under PENALTY OF PERJURY underthe laws of the
State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
Slgnatur" _
Signature orTetary P
OPTIONAL-..- -- ---- -- - _._� ...�------- -
Though rhis section is optional, convicting this information can deter alteration of the document or fraudufent reattachment of this form to on unintended document, Description of Attached Document
Title or Type of Document
Number of Pages
Capacity(ies) Claimed by Signer(s)
Signer's Name
Corporate Officer—Titles)
Partner
Individual
Trustee
Other
Document Date
Signers)OtherThan Named Above
Limited General
Attorney in Fact
Guardian or Conservator
Signer Is Representing
Signer's Narne
Corporate officer—Titles)
Limited General
Attorney in Fact
Guardian or Conservator
Partner
Individual
Trustee
Other
Signer Is Representing
©2014 Na tionalNotaryAssociation • www.NationalNotarvore.+1-800-175 NOTARY {1-800-876-613271 item 45907
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
STATE OF CALIFORNIA
County or Orange
On NOV 0 5 fl )i before me,
Date
personally appeared Emilie Young
TH#0 NGUYEN LUU
Notary PUhlie - [rfrrrarryt■
f Cance County
L'Ty-11 Commission N 21jM;
AY Comm, expires ]u1 ia. 2417
Taco Notary Seel Above
}
Thao Nguyen Luu
Insert Mama of notary woolly as II appears an the Okla! use' Name(s) 4f Slgrteris)
, Notary Public,
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 capaclty(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of
the State of California that the foregoing paragraph is true and correct.
Witness my hand and official seal.
Signature _ `I7. +•
Signatwe of !Votary Pubfic
OPTIONAL --
Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent frauo'utent removal and reattachment of the form to another document.
Description of Attached Document
Title or Type of Document:
Document Date; Number of Pages,
Signer(s) Other Than Named Above:
Capacity(les) Claimed by Signer(s)
Signer's Name:
D Individual
❑ Corporate Officer —Title('s).
O Partner ❑ Limited ❑ General
O Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer is Representing:
Tap of thumb here
Signer's Narne:
O Individual
❑ Corporate Officer—Tille(s):
O Partner 0 Limited 0 General
O Attorney In Fact
❑ Trustee
❑ Guardian or Conservator
O Other
Signer is Representing:
RIGHT THUMBPRINT
OF SIGNER
Iap cf thumb here
r1)
00 POWER OF ATTORNEY
RLI Insurance Company
Contractors Bonding and Insurance Company
9025 N. Lindbergh Dr. Peoria, IL 61 615
Phone: $00.645-2402
Know All Men by These Presents:
That this Power of Attorney is not valid or in effect unless attached to the bond which it authorizes executed, but may be detached by the approving officer if desired_
That RLI Insurance Company and/or Contractors Bonding rind Insurance Company, each an Illinois corporation, (separately and together, the "Company") do hereby make. constitute and appoint:
Yunv T. Mullick, P. Austin Nei IreneLuona. Emilie Younp. DarttelHe Hanson. Christine Woolford_ Alexander R. Holsheimer. Thao Lup..losenh P, M.Qfirndv. ioirnly orle_verally
in the City of Orli ion Vieio , State of - California its true and lawful Agent(s) and Attorney(s) in Fact, with full power and authority hereby conferred, to sign, execute, acknowledge and deliver for and on its behalf as Surety, in general, any and all bonds and undertakings in an amount not to exceed Twenty Five Min Dollars ( S25,00O )00 OD_) for any single obligation.
The acknowledgment and execution of such bond by the said Attorney in Fact shall be as binding upon the Company as if such bond had been executed and acknowledged by the regularly elected officers of the Company.
RLI Insurance Company and/or Contractors Bonding and Insurance Company, as applicable, have each further certified that the following is a true and exact copy of a Resolution adopted by the Board of Directors of each such corporation, and is now in force, to -wit:
"All bonds, policies, undertakings, Powers of Attorney or other obligations of tete corporation shall be executed in the corporate name of the Company by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by such other officers as the Board of Directors may authorize, The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys in Fact or Agents who shall have authority to issue bonds, policies or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation, The signature of any such officer and the corporate seal may be printed by facsimile." IN WITNESS WHEREOF, the RLI Insurance Company and/or Contractors Bonding and Insurance Company, as applicable, have caused these presents to be executed by its respective Sr Vice President with its corporate seal affixed this 9th day of ,Sentembeer 2025 .
State of Ohio
County of Cuyahoga
} Ss
600
R
SEAL
le' SEAL ic.MOM
On this 9th day of Sentcmjr , 2025 . before me, a Notary Public, personalty appeared f audins , who being by me duly sworn, acknowledged that he signed the above Power of Attorney as the aforesaid officer of the RLI lnsurnnce Company and/or Contractors ponding and lnsuranee Company and acknowledged said instrument to be the voluntary act and deed of said corporation.
ICY:/(/Vt
Jill A. Scott •
. 1
;tL .S Leen
i4atrdhlt -Art 00,7
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6W P•d'ot. 41 :'90
Notary Public
a.1sslsssyra2ra
RLI Insurance Company
13/Contractors inand Isttu ancc Company
Erie Raudins
By:
CERTIFICATE'
Sr_ Vice President
1, the undersigned °Meer of RLI Insurance Company and/or Contractors Bantling and Insurance Company, do hereby certify that the attached Power of Attorney is in full force and effect and is irrevocable; and furthermore. that the Resolution of the Company as set forth in the Power of Attorney, is now in force. In testimony tvhereof, I have hereunto set ray hand and the seal of the RLI Insurance Company and/or Contractors Bonding and Insurance Company this 5th day of November ,
RLI Insurance Company
Contractors Bonding and Insurance Company
Ey. 6,1116.14440.144
Christina Dean Corporate Secretary
AO058D19
Project No. 1$01
BID GUARANTEE
TO THE CITY OF PLACENTIA
PROJECT NO, 1801
As a material inducement to the City to award the contract for Project No. 1801 to CT&T Concrete Paving Inc. , the undersigned ("Guarantor") has agreed to enter Into this guarantee. The Guarantor hereby unconditionally guarantees to the fullest extent allowed by law the following work included in this project: Golden Ave Bridge Replacmern Project ("the work").
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 specifications, Guarantor will, at the City's sole election: 1) reimburse the City, upon written demand, for all of the City's expenses incurred replacing or restoring any such equipment or materials, 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 project. 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 repair, 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 replacement, repairs itself, 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 al! costs and expenses, including attorneys and expert fees, reasonably incurred by reason of Guarantor's failure or refusal.
Guarantor
Date 11)06/2025
Contractor: CTBT Concrete Paving Inc. By:
Title: Jose Carvajal, President
Project No. 1801
STATEMENT OF NON COLLUSION BY CONTRACTOR
The undersigned who submits herewith to the City of Placentia a bid or proposal does hereby certify:
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, company, association, organization or corporation. c. That such bid or proposal is genuine and not collusive or sham. d. That said bidder has not, directly or indirectly by agreement, 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 indirectly, collude, conspire, connive or agree with anyone else that said bidder or anyone else would submit a false or sham bid or proposal, or that anyone should refrain from bidding or withdraw his bid or proposal.
f. Did not in any manner, 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 price, or that of anyone else.
Did not, directly or indirectly, submit his bid or proposal price or any breakdown thereof, or the contents thereof, or divulge information or data relative thereto, to any corporation, partnership, company, association, 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 or indirectly to any officer or employee of the City of Placentia any gratuity, entertainment, meals, or anything of value, whatsoever, which could be objectively construed as intending to invoke any form of reciprocation or favorable treatment.
That no officer or principal of the undersigned firm is related to any officer or employee of the city by blood or marriage within the third degree or is employed, either full or part time, by the City of Placentia either currently or within the last two (2) 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, collusion, 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 entity, within the fast three years.
I certify, under penalty of perjury under the laws of the State of California, that the foregoing is true and correct and that this certification was executed:
on November 6, 2025 at Diamond Bar California.
Firm CTBT Concrete Paving Inc.
Street324 S. Diamond Bar Blvd PMB 275
City Diamond Bar State
g.
J.
CA zip 91765
(Signature)
Jose Carvajal, President
(Print Name & Title)
EXHIBIT C
INSURANCE REQUIREMENTS
A. Minimum Scope and Limits of Insurance
City reserves the right to review any and all of the required insurance policies and/or endorsements, but has no obligation to do so. Failure to demand evidence of full compliance 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 performance, 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 (ISO) form CG 00 01,
• Minimum Limits_ $2,000,000.00 per occurrence; $4,000,000.00 general aggregate; $4,000,000.00 products/completed operations aggregate. The aggregate limit, encompassing the above coverage, shall apply separately to this project/location. 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 limits, 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 deductible or self-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 request, regardless of whether Contractor has a claim against the insurance or is 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 completed operations by or an behalf of the Contractor. City shall 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: CG 20 37, 2039 (not allowed from subcontractors), or CG 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' definition of insured contract in ISO form CG 00 01, or equivalent). • The insurance provided to the additional insureds shall be primary to, and non- contributory with, any insurance or self-insurance program maintained by there
• The policy shall cover inter -insured suits and include a "separation of insureds" or "severability" 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.
• Reauired evidence of coverage:
1. Copy of the endorsements naming the City of Placentia, its officers, officials, employees, agents, and volunteers as additional insureds;
2. Copy of the endorsement or policy language indicating that coverage applicable to the additional insureds is primary and non-contributory;
3. Properly completed certificate of insurance; and
4. Completed and signed Agent/Broker Questionnaire with supporting documentation as required.
2. Business Automobile Liability Insurance
• Minimum Limit $2,000,000.00 combined single limit per accident. • Coverage shall apply to all owned, hired, leased, and non -owned vehicles. • City shall be endorsed as additional insured.
• Reauired evidence of coverage:
1. Copy of the endorsement naming the City of Placentia, its officers, officials, employees, agents, and volunteers as additional insureds; and
2. Properly 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; $1,000,000.00 disease per employee; $1,000,000.00 disease per policy.
• The policy shall include a written waiver of the insurer's right to subrogate against City. • Reauired evidence of coverage:
1. Subrogation waiver endorsement; and
2. Properly completed certificate of insurance.
4. Contractor's Pollution Liability insurance
• Minimum Limits: $2,000,000.00 per pollution incident; $2,000,000.00 policy aggregate. • Coverage shall apply to pollution incidents at or from any location at which Contractor
is performing work under this Agreement.
• Any deductible or self-insured retention shall be shown on the certificate of insurance If the deductible or self-insured retention exceeds $25,000.00, it shall be approved in advance by City. Contractor is responsible for any deductible or self-insured retention and shall fund it upon City written request, 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 liability arising out of ongoing and completed operations by or on behalf of the 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 of coverace:
1. Copy of the endorsement naming the City of Placentia, its officers, 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
• AN 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'. [Golden Avenue Bridge Replacement Project]
2. The name and address for additional insured endorsements and certificates of insurance is: City of Placentia, 401 E. Chapman Ave., Placentia, CA 92870
3. Defense fees and costs shall not deplete the limits 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 Placentia, its officers, officials, employees, agents, 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,
6. 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 officers, officials, agents, employees, and volunteers. Any other insurance maintained by the City of Placentia shall 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, limited, 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.
9. 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 within thirty (30) days.
Project No. 1601
EXHIBIT D
CERTIFICATES OF INSURANCE AND ENDORSEMENTS
ACD CERTIFICATE OF LIABILITY INSURANCE
0)
DATE ;MMID07YYYYI
01/21/2026
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 hoider Is an ADDITIONAL INSURED, the policy{les) 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 efdareement(S),
PRODUCER I CONTACT
NAME:
McRae Associates Insurance Services Pham
[.61 Na. Erle
1265 N. Manassero St Suite 303 EMAIL
ADDRESS:
Anaheim, CA 92807
INSURED
CT & T CONCRETE PAVING, INC,
324 5 DIAMOND BAR BLVD. PMB 275
DIAMOND BAR, CA 91765
Hiarlcela Aguirre
(714)77E-6999 I FA, Not ((71417794903
mariceiamcraeinsurance.insure
INSURER'S) AFFORDING COVERAGE
TRAVELERS PROPERTY CASUALTY COMPANY of AM!R FA
INSURER A
INSURER B
INSURER C: BENCHMARK SPECIALTY INSURANCE COMANK 17180
INSURER D :
INSURER E
INSURER F :
COVERAGES CERTIFICATE NUMBER: 01041005-0 REVISION NUMBER: 174
NAIL IM
25674
GREAT AMERICAN INSURANCE 22136
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. (LTR TYPE 4F INSURANCE ADDL SUER POLICY EFF POLICY EXP
!NW W',lr1 POLICY NUMBER 1MM117CFYYYY1 IMMIDPIYYYYI UM T3 A X COMNERCIAI. GENERAL UABILJTY y Y DTE-CO-2X94621A-TIL-25 1010112026 10/0112026 EACH OCCURRENCE > ENT a 1,000,000 5 L DISEASE - EA EMPLOYEE 5 1.000,000
E L. DISEASE- POLICY LiM IT 5 1A000,000
04(27/2025 04/27/2026 SCHEDULED EEQUIPME NT $129,692
09/13/2026 087/8/2026 EACH OCC/ GEN $2 mill / $2 mill
Y Y CUP-2X94920A-25-26 10/01'2020
NIA
In Excess of GL , Auto. and WC
Y UB -2X937955-25-26 10r0112025
MACE2289310201
52430192
1,000.000
300,000
5,000
11,000,000
2.000 000
2,000.000
1.000.000
DESCRIPTION OF OPERATIONS /LOCATIONS 1 VEHICLES (ACORD 101, Additional Remiche Schedule, may he attached a mere owe la required) Project Name. Golden Avenue Bridge Replacement Project, FEDERAL PROJECT NO. BRLS-5269 (025) CITY PROJECT NO. 1801 City of Placentla, its officers, officials, employees. agents, and volunteers are named as additional insured with respects to the above mentioned policies per attached endorsement(s). Coverage is primary & noncontributory as required by written contract, per attached endorsement Forms. Waiver of subrogation applies to general liability and excess liability, if required by written contract.
(continued on ACORD 101 Additional Remarks Schedule)
CERTIFICATE HOLDER
City of Placentia
401 E Chapman Ave.
Placentia, CA 92870
ACORD 25 (2016/03)
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES 9E CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
-7
tr,_, (MAG)
O 1988-2015 ACORD CORPORATION, All tights reserved.
The ACORD name and logo are registered marks of ACORD Printed by MAO on 11/0412025 at 01.00PM
AGENCY CUSTOMER ID:
LOC #:
Amo LP ADDITIONAL REMARKS SCHEDULE
AOENCY NAMED INSURED
McRae Associates Insurance Services CT & T CONCRETE PAVING, INC.
POLICY NUMBER
NIA
CARRIER
Multiple Carriers
NAIC CODE
EFFECTIVE DATE:
C)
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE! Certificate of Liability Insurance {continued from Description of Operations)
"Should any of the above-described policies be canceled before the expiration date thereof, a 30 days written notice will be mailed to the certificate holder(s).
ACORD 101 (2008/01)
2008 ACORD CORPORATION. All rights reserved.
The ACORD name and [Ogo are registered marks of ACORD
Printed by MAG on November 04, 2025 at 01;O0PM
Policy Number: DTE-C0-2X94621A-TI l--25
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED
(Includes Products -Completed Operations If Required By Contract) This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PROVISIONS
The following is added to SECTION II — WHO IS AN
INSURED:
Any person or organization that you agree in a
written contract or agreement to Include as an
additional insured on this Coverage Part is an
insured, but only.
a. With respect to liability for "bodily injury" or
"property damage" that occurs, or for "personal
injury" caused by an offense that is committed,
subsequent to the signing of That contract or
agreement and while that part of the contract or
agreement is in effect; and
b. if, and only to the extent that, such injury or
damage is caused by acts or omissions of you or
your subcontractor in the performance of your
work" to which the written contract or agreement
applies. Such person or organization does not
qualify as an additional insured with respect to
the independent acts or omissions of such
person or organization.
The insurance provided to such additional insured is
subject to the following provisions:
a. If the Limits of Insurance of this Coverage Part
shown in the Declarations exceed the minimum
limits required by the written contract or
agreement. the insurance provided to the
additional insured will be limited to such
minimum required limits. For the purposes of
determining whether this limitation applies, the
minimum limits required by the written contract or
agreement will be considered to include the
minimum limits of any Umbrella or Excess
liability coverage required for the additional
insured by that written contract or agreement.
This provision will not increase the limits of
insurance described in Section III — Limits Of
insurance.
b. The insurance provided to such additional
insured does not apply toy
CG D2 46 04 19
(1)
Any "bodily injury", "property damage" or
"personal injury" arising out of the providing,
or failure to provide, any professional
architectural, engineering or surveying
services, including:
(a)
The preparing, approving, or failing to
prepare or approve, maps, shop
drawings, opinions, reports, surveys,
field orders or change orders, or the
preparing, approving, or failing to
prepare or approve, drawings and
specifications; and
(b) Supervisory, inspection, architectural or
engineering activities.
(2) Any "bodily injury" or "properly damage"
caused by "your work" and included in the
"products -completed operations hazard"
unless the written contract or agreement
specifically requires you to provide such
coverage for that additional insured during
the policy period.
c. The additional insured must comply with the
following duties:
(1)
Give us written notice as soon as practicable
of an "occurrence" or art offense which may
result in a claim. To the extent possible, such
notice should include:
(a) How, when and where the "occurrence"
or offense took place;
(b) The names and addresses of any injured
persons and witnesses; and
(c) The nature and location of any injury or
damage arising out of the "occurrence"
or offense.
(2) If a claim is made or "suit" is brought against
the additional insured:
2018 The Travelers Indemnity Company. All rights reserved, Page 1 of 2
COMMERCIAL GENERAL LIABILITY
(a) Immediately record the specifics of the
claim or "suit" and the date received: and
(b) Notify us as soon as practicable and see
to it that we receive written notice of the
claim or "suit" as soon as practicable,
(3) Immediately send us copies of all legal
papers received in connection with the claim
or "suit", cooperate with us in the
investigation or settlement of the claim or
defense against the "suit", and otherwise
comply with all policy conditions.
Page2of2
(4) Tender the defense and indemnity of any
claim or "suit" to any provider of other
insurance which would cover such additional
insured for a loss we cover. However, this
condition does not affect whether the
insurance provided to such additional
insured is primary to other insurance
available to such additional insured which
covers that person or organization as a
named insured as described in Paragraph 4.,
Other Insurance, of Section IV — Commercial
General Liability Conditions.
CD 20i The Travelers Indemnity Company All rights reserved. CG D2 46 04 19
Policy Number: DTE-C0.2X94621A-TIL-25
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
XTEND ENDORSEMENT FOR CONTRACTORS
This endorsement modifies insurance provided under the following
COMMERCIAL GENERAL LIABILITY COVERAGE PART
GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage far any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general coverage description only. Read all the provisions of this endorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered.
A. Who Is An Insured — Unnamed Subsidiaries
B. Blanket Additional Insured — Governmental
Entities — Permits Or Authorizations Relating To
Operations
PROVISIONS
A, WHO IS AN INSURED — UNNAMED
SUBSIDIARIES
The following is added to SECTION II — WHO IS
AN INSURED:
Any of your subsidiaries, other than a partnership,
joint venture or limited liability company, that is
not shown as a Named Insured in the
Declarations is a Named Insured if:
a. You are the sole owner of, or maintain an
ownership interest of more than 50% in, such
subsidiary on the first day of the policy period;
and
b. Such subsidiary is not an insured under
similar other insurance.
No such subsidiary is an insured for "bodily injury"
or "property damage" that occurred, or "personal
and advertising injury" caused by an offense
committed:
a. Before you maintained an ownership interest
of more than 50% in such subsidiary; or
b. After the date, it any, during the policy period
that you no longer maintain an ownership
interest of more than 50% in such subsidiary_
For purposes of Paragraph 1. of Section II — Who
Is An Insured, each such subsidiary will be
deemed to be designated in the Declarations as;
CG Di 16 02 19
C. Incidental Medical Malpractice
D. Blanket Waiver Of Subrogation
E. Contractual Liability — Railroads
F. Damage To Premises Rented To You
a. An organization other than a partnership, joint
venture or limited liability company; or
b. A trust;
as indicated in its name or the documents that
govern its structure_
B. BLANKET ADDITIONAL INSURED —
GOVERNMENTAL ENTITIES — PERMITS OR
AUTHORIZATIONS RELATING TO OPERATIONS
The following is added to SECTION II -- WI-tO IS
AN INSURED;
Any governmental entity that has issued a permit
or authorization with respect to operations
performed by you or on your behalf and that you
are required by any ordinance, law, building code
or written contract or agreement to include as an
additional insured on this Coverage Part is an
insured, but only with respect to liability for "bodily injury", "property damage" or "personal and
advertising injury" arising out of such operations.
The insurance provided to such governmental
entity does not apply to:
a. Any "bodily injury", "property damage" or
"personal and advertising injury" arising out of
operations performed for the governmental
entity; or
b. Any "bodily injury" or "property damage"
included in the "products -completed
operations hazard
© 2017 The Travelers Indemnity Company. All rights reserved. Page 1 of 3 includes copyrighted material or Insurance Services Office, inc., with its permission
COMMERCIAL GENERAL LIABILITY
C. INCIDENTAL MEDICAL MALPRACTICE
1. The following replaces Paragraph b. of the
definition of "occurrence" in the
DEFINITIONS Section;
b. An act or omission comrnitled in providing
or failing to provide "incidental medical
services", first aid or "Good Samaritan
services" to a person, unless you are in
the business or occupation of providing
professional health care services.
2. The following replaces the last paragraph of
Paragraph 2.a,(1) of SECTION II - WHO IS
AN INSURED:
Unless you are in the business or occupation
of providing professional health care services.
Paragraphs (1)(a), (b), (c) and (d) above do
not apply to "bodily injury" arising out of
providing or failing to provide;
(a) "Incidental medical services" by any of
your "employees" who is a nurse, nurse
assistant, emergency medical technician
or paramedic; or
(b) First aid or "Good Samaritan services" by
any of your "employees" or "volunteer
workers", other than an employed or
volunteer doctor, Any such "employees"
or "volunteer workers" providing or failing
to provide first aid or "Good Samaritan
services" during their work hours for you
will be deemed to be acting within the
scope of their employment by you or
performing duties related to the conduct
of your business.
3. The following replaces the last sentence of
Paragraph 5. of SECTION III - LIMITS OF
INSURANCE.
For the purposes of determining the
applicable Each Occurrence Limit, all related
acts or omissions committed in providing or
failing to provide "incidental medical
services", first aid or "Good Samaritan
services" to any one person will be deemed to
be one "occurrence".
4. The following exclusion is added to
Paragraph 2., Exclusions, of SECTION I -
COVERAGES - COVERAGE A - BODILY
INJURY AND PROPERTY DAMAGE
LIABILITY;
Sale Of Pharmaceuticals
"Bodily injury" or "property damage" arising
out of the violation of a penal statute or
ordinance relating to the sale of
pharmaceuticals committed by, or with the
knowledge or consent of, the insured.
5. The following is added to the DEFINITIONS
Section:
"Incidental medical services" means'
a. Medical, surgical, denial, Laboratory, x-ray
or nursing service or treatment, advice or
instruction, or the related furnishing of
food or beverages; or
b. The furnishing or dispensing of drugs or
medical, dentat, or surgical supplies or
appliances.
6. The following is added to Paragraph 4.b.,
Excess Insurance, of SECTION IV -
COMMERCIAL GENERAL LIABILITY
CONDITIONS:
This insurance is excess over any valid and
collectible other insurance, whether primary,
excess, contingent or on any other basis, that
is available to any of your "employees" for
"bodily injury" that arises out of providing or
failing to provide "incidental medical services"
to any person to the extent not subject to
Paragraph 2.a.(1) of Section 11 - Who Is An
Insured,
D. BLANKET WAIVER OF SUBROGATION
The following is added to Paragraph 13., Transfer
Of Rights Of Recovery Against Others To Us,
of SECTION IV -- COMMERCIAL GENERAL
LIABILITY CONDITIONS:
If the insured has agreed in a contract or
agreement to waive that insured's right of
recovery against any person or organization, we
waive our right of recovery against such person or
organization, but only for payments we make
because of;
a. "Bodily injury" or "property damage" that
occurs; or
b. "Personal and advertising injury" caused by
an offense that is committed;
subsequent to the execution of the contract or
agreement.
E. CONTRACTUAL LIABILITY - RAILROADS
1. The following replaces Paragraph c. of the
definition of "insured contract" in the
DEFINITIONS Section:
c. Any easement or license agreement;
(0 2017 The Travelers Indemnity Company. All rights reserved. CG 03 16 02 19 Includes copyrighted material of Insurance Services Office, Inc , with its permission.
2. Paragraph f.(1) of the definition of "insured
contract" in the DEFINITIONS Section is
deleted.
F. DAMAGE TO PREMISES RENTED TO YOU
The following replaces the definition of "premises
damage" in the DEFINITIONS Section:
"Premises damage" means "property damage" to:
CG 03 16 0219
COMMERCIAL GENERAL LIABILITY
a. Any premises while rented to you or
temporarily occupied by you with permission
of the owner; or
b. The contents of any premises while such
premises is rented to you, if you rent such
premises for a period of seven or fewer
consecutive days.
1+2017 The Travelers Indemnity Company, All rights reserved Page 3 of 3 Includes Cppyrighted material of Insurance Services Office, Inc., with its permission.
Policy Number: DTE-Cts-2X94621A-11L-25
COMMERCIAL GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights. duties and what is and is not covered.
Throughout this policy the wards "you" and "your" refer to the Named Insured shown in the Declarations, and
any other person or organization qualifying as a Named
Insured under this policy. The words "we", "us" and
"our" refer to the company providing this insurance.
The word "insured" means any person or organization
qualifying as such under Section 11 — Who Is An
Insured_
Other words and phrases that appear in quotation
marks have special meaning. Refer to Section V --
Definitions.
SECTION I — COVERAGES
COVERAGE A — BODILY INJURY AND PROPERTY
DAMAGE LIABILITY
1. Insuring Agreement
a. We will pay those sums that the insured
becomes legally obligated to pay as damages
because of "bodily injury' or "property damage"
to which this insurance applies. We will have
the right and duty to defend the insured against
any "suit" seeking those damages, However,
we will have no duty to defend the insured
against any "suit" seeking damages for "bodily
injury" or 'property damage" to which this
insurance does not apply. We may, at our
discretion, investigate any "occurrence" and
settle any claim or "suit" that may result, But:
(1) The amount we will pay for damages is
limited as described in Section 111 — Limits
Of Insurance: and
(2) Our right and duty to defend end when we
have used up the applicable limit of
insurance in the payment of judgments or
settlements under Coverages A or B or
medical expenses under Coverage C.
No other obligation or liability to pay sums or
perform acts or services is covered unless
explicitly provided for under Supplementary
Payments,
b. This insurance applies to "bodily injury" and
"property damage" only if:
CG T1 00 02 1g
(1) The "bodily injury" or "property damage" i5
caused by an 'occurrence" that takes place
in the 'coverage territory";
(2) The "bodily injury" or "property damage"
occurs during the policy period: and
(3) Prior to the policy period, no insured listed
under Paragraph 1. of Section 11 — Who Is
An Insured and no "employee" authorized
by you to give or receive notice of an
"occurrence" or claim knew that the "bodily
injury" or "property damage" had occurred,
in whole or in part If such a listed insured
or authorized "employee" knew, prior to the
policy period, that the "bodily injury" or
"property damage" occurred, then any
continuation, change or resumption of such
"bodily injury" or "property damage" during
or after the policy period will be deemed to
have been known prior to the policy period.
c. "Bodily injury" or "property damage" which
occurs during the policy period and was not,
prior to the policy period, known to have
occurred by any insured listed under Paragraph
1. of Section 11 — Who Is An Insured or any
"employee" authorized by you to give or receive
notice of an "occurrence" or claim, includes any
continuation, change or resumption of that
"bodily injury" or "property damage" after the
end of the policy period.
d. "Bodily injury" or "property damage" will be
deemed to have been known to have occurred
at the earliest time when any insured listed
under Paragraph 1. of Section 11 — Who Is An
Insured or any "employee" authorized by you to
give or receive notice of an "occurrence" or
claim:
(1) Reports all, or any part, of the "bodily
injury" or "property damage" to us or any
other insurer;
(2) Receives a written or verbal demand or
claim for damages because of the "bodily
injury' or "property damage"; or
(3) Becomes aware by any other means that
"bodily injury" or "property damage" has
occurred or has begun to occur.
'0 201 ? The Travelers Indemnity Company . All rights reserved, Page 1 of 21 Includes copyrighted material or Insurance Services Office, Inc, With Its perrnisst❑n.
COMMERCIAL GENERAL LIABILITY
c. Method Of Sharing
If all of the other insurance permits contribution
by equal shares, we will follow this method also.
Under this approach each insurer contributes
equal amounts until it has paid its applicable
limit of insurance or none of the loss remains,
whichever comes first.
If any of the other insurance does not permit
contribution by equal shares, we will contribute
by limits. Under this method, each insurers
share is based on the ratio of its applicable limit
of insurance to the total applicable limits of
insurance of all insurers,
d. Primary And Non -Contributory Insurance If
Required By Written Contract
if you specifically agree in a written contract or
agreement that the insurance afforded to an
insured under this Coverage Part must apply on
a primary basis, or a primary and non-
contributory basis. this insurance is primary to
other insurance that is available to such insured
which covers such insured as a named insured.
and we will not share with that other insurance,
provided that:
(1) The "bodily injury" or "property damage" for
which coverage is sought occurs; and
(2) The "personal and advertising injury" for
which coverage is sought is caused by an
offense that is committed:
subsequent to the signing of that contract or
agreement by you.
S. Premium Audit
a. We will compute all premiums for this Coverage
Part in accordance with our rules and rates,
b. Premium shown in this Coverage Part as
advance premium is a deposit premium only. At
the close of each audit period we will compute
the earned premium for that period and send
notice to the first Named Insured. The due date
for audit and retrospective premiums is the date
shown as the due date on the bill. If the sum of
the advance and audit premiums paid for the
policy period is greater than the earned
premium. we will return the excess to the first
Named Insured,
c, The first Named Insured must keep records of
the information we need for premium
computation, and send us copies at such times
as we may request.
6. Representations
By accepting this policy, you agree:
a. The statements in the Declarations are
accurate and complete:
b. Those statements are based upon
representations you made to us; and
c. We have issued this policy in reliance upon
your representations.
The unintentional omission of, or unintentional error
in, any information provided by you which we relied
upon in issuing this policy will not prejudice your
rights under this insurance. However, this provision
does not affect our right to collect additional
premium or to exercise aur rights of cancellation or
nonrenewal in accordance with applicable insurance
laws or regulations.
7. Separation Of Insureds
Except with respect to the Limits of Insurance. and
any rights or duties specifically assigned in this
Coverage Part to the first Named Insured, this
insurance applies:
a. As if each Named Insured were the only
Named Insured; and
b. Separately to each insured against whom claim
is made or "suit" is brought.
8. Transfer Of Rights Of Recovery Against Others
To Us
If the insured has rights to recover all or part of any payment we have made under this Coverage Part.
those rights are transferred to us. The insured must
do nothing after loss to impair them. At our request,
the insured will bring "suit" or transfer those rights
to us and help us enforce them.
9. When We Do Not Renew
If we decide not to renew this Coverage Part, we will
mail or deliver to the first Named Insured shown in
the Declarations written notice of the nonrenewal
riot less than 30 days before the expiration date.
If notice is mailed, proof of mailing wilt be sufficient proof of notice.
SECTION V — DEFINITIONS
1. "Advertisement" means a notice that is broadcast or
published to the general public or specific market
segments about your goods, products or services
for the purpose of attracting customers or
supporters. For the purposes of this definition:
a. Notices that are published include material
placed on the Internet or on similar electronic
means of communication; and
b. Regarding websites, only that part of a website
that is about your goods, products or services
for the purposes of attracting customers or
supporters is considered an advertisement.
2011 The Travelers Indemnity Company . AI{ rights reserved. CG Ti 00 02 19 Includes copyrighted material of insurance Services 011ice, Inc. with its permission.
Policy Number: BA -2X930002 -25-26-G
COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BUSINESS AUTO EXTENSION ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered.
A. BROAD FORM NAMED INSURED
B. BLANKET ADDITIONAL INSURED
C. EMPLOYEE HIRED AUTO
D. EMPLOYEES AS INSURED
E, SUPPLEMENTARY PAYMENTS — INCREASED
LIMITS
F. HIRED AUTO — LIMITED WORLDWIDE COV-
ERAGE — INDEMNITY BASIS
G. WAIVER OF DEDUCTIBLE — CLASS
PROVISIONS
A, BROAD FORM NAMED INSURED
The following is added to Paragraph A.1.. Who Is
An Insured, of SECTION 11 — COVERED AUTOS
LIABILITY COVERAGE:
Any organization you newly acquire or form dur-
ing the policy period over which you maintain
50% or more ownership interest and that is not
separately insured for Business Auto Coverage,
Coverage under this provision is afforded only un-
til the 180th day after you acquire or form the or-
ganization or the end of the policy period, which-
ever is earlier.
B. BLANKET ADDITIONAL INSURED
The following is added to Paragraph c. in A.1..
Who Is An Insured, of SECTION II — COVERED
AUTOS LIABILITY COVERAGE:
Any person or organization who is required under
a written contract or agreement between you and
that person or organization, that is signed and
executed by you before the "bodily injury" or
"property damage" occurs and that is in effect
during the policy period, to be named as an addi-
tional insured is an "insured" for Covered Autos
Liability Coverage, but only for damages to which
CA T3 53 02 15
H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF
USE — INCREASED LIMIT
I. PHYSICAL DAMAGE — TRANSPORTATION
EXPENSES -- INCREASED LIMIT
J. PERSONAL PROPERTY
K. AIRBAGS
L. NOTICE AND KNOWLEDGE OF ACCIDENT OR
LOSS
M. BLANKET WAIVER OF SUBROGATION
N. UNINTENTIONAL ERRORS OR OMISSIONS
this insurance applies and only to the extent that
person or organization qualifies as an "insured"
under the Who Is An Insured provision contained
in Section II.
C. EMPLOYEE HIRED AUTO
1. The following is added to Paragraph A.1.,
Who Is An Insured, of SECTION II — COV-
ERED AUTOS LIABILITY COVERAGE:
An "employee" of yours is an "insured" while
operating an "auto" hired or rented under a
contract or agreement in an "employee's"
name, with your permission, while performing
duties related to the conduct of your busi-
ness.
2. The following replaces Paragraph b. in B.5.,
Other Insurance. of SECTION IV — BUSI-
NESS AUTO CONDITIONS:
b. For Hired Auto Physical Damage Cover-
age, the following are deemed to be cov-
ered 'autos" you own:
(1) Any covered "auto" you lease, hire,
rent or borrow; and
(2) Any covered "auto" hired or rented by
your "employee" under a contract in
an "employee's" name, with your
2015 The Travelers Indemnity Company. All rights reserved. Page 1 of 4 Includes copyrighted material of Insurance Services Office, Inc. with its permission
COMMERCIAL AUTO
permission, while performing duties
related to the conduct of your busi-
ness.
However, any "auto" that is leased, hired,
rented or borrowed with a driver is not a
covered "auto".
D. EMPLOYEES AS INSURED
The following is added to Paragraph A.1., Who Is
An Insured, of SECTION II -- COVERED AUTOS
LIABILITY COVERAGE:
Any "employee" of yours is an "insured" while us-
ing a covered "auto" you don't own, hire or borrow
in your business or your personal affairs.
E. SUPPLEMENTARY PAYMENTS —INCREASED
LIMITS
1. The following replaces Paragraph A.2.a.(2),
of SECTION II — COVERED AUTOS LIABIL-
ITY COVERAGE:
(2) Up to $3,000 for cost of bail bonds (in-
cluding bonds for related traffic law viola-
tions) required because of an "accident"
we cover. We do not have to furnish
these bonds.
2. The following replaces Paragraph A.2.a.(4),
of SECTION II — COVERED AUTOS LIABIL-
ITY COVERAGE:
(4) All reasonable expenses incurred by the
"insured" at our request, including actual
Toss of earnings up to $500 a day be-
cause of time off from work.
F. HIRED AUTO — LIMITED WORLDWIDE COV-
ERAGE — INDEMNITY BASIS
The following replaces Subparagraph (5) in Para-
graph B.7., Policy Period, Coverage Territory,
of SECTION IV — BUSINESS AUTO CONDI-
TIONS:
(5)
Anywhere in the world, except any country or
jurisdiction while any trade sanction, em-
bargo, or similar regulation imposed by the
United States of America applies to and pro-
hibits the transaction of business with or
within such country or jurisdiction, for Cov-
ered Autos Liability Coverage for any covered
"auto" that you lease, hire, rent or borrow
without a driver for a period of 30 days Or less
and that is not an "auto" you lease, hire, rent
or borrow from any of your "employees",
partners (if you are a partnership), members
(if you are a limited liability company) or
members of their households.
(a) With respect to any claim made or "suit"
brought outside the United States of
America, the territories and possessions
of the United States of America, Puerto
Rico and Canada:
(i) You must arrange to defend the "in-
sured" against, and investigate or set-
tle any such claim or "suit" and keep
us advised of all proceedings and ac-
tions.
(11) Neither you nor any other involved
"insured" will make any settlement
without our consent.
(iii) We may, at our discretion, participate
in defending the "insured" against, or
in the settlement of, any claim or
"suit".
(iv) We will reimburse the "insured" for
sums that the "insured" legally must
pay as damages because of "bodily
injury" or "property damage" to which
this insurance applies, that the "in-
sured" pays with our consent, but
only up to the limit described in Para-
graph C., Limits Of Insurance, of
SECTION Il -- COVERED AUTOS
LIABILITY COVERAGE.
(v) We will reimburse the "insured" for
the reasonable expenses incurred
with our consent for your investiga-
tion of such claims and your defense
of the "insured" against any such
"suit", but only up to and included
within the limit described in Para-
graph C., Limits Of Insurance, of
SECTION II — COVERED AUTOS
LIABILITY COVERAGE, and not in
addition to such limit. Our duty to
make such payments ends when we
have used up the applicable limit of
insurance in payments for damages,
settlements or defense expenses.
This insurance is excess aver any valid
and collectible other insurance available
to the "insured" whether primary, excess,
contingent or on any other basis.
(c) This insurance is not a substitute for re-
quired or compulsory insurance in any
country outside the United States, its ter-
ritories and possessions, Puerto Rico and
Canada.
(b)
Includes copyrighted material of Insurance Services office, Inc. with its permission.
(d)
You agree to maintain all required or
compulsory insurance in any such coun-
try up to the minimum limits required by
local law. Your failure to comply with
compulsory insurance requirements will
not invalidate the coverage afforded by
this policy, but we will only be liable to the
same extent we would have been liable
had you complied with the compulsory in-
surance requirements.
It is understood that we are not an admit-
ted or authorized insurer outside the
United States of America, its territories
and possessions, Puerto Rico and Can-
ada. We assume no responsibility for the
furnishing of certificates of insurance, or
for compliance in any way with the laws
of other countries relating to insurance.
G. WAIVER OF DEDUCTIBLE — GLASS
The following is added to Paragraph D.. Deducti-
ble, of SECTION III — PHYSICAL DAMAGE
COVERAGE:
No deductible for a covered "auto" will apply to
glass damage if the glass is repaired rather than
replaced.
H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF
USE — INCREASED LIMIT
The following replaces the last sentence of Para-
graph A.4.b., Loss Of Use Expenses, of SEC-
TION III — PHYSICAL DAMAGE COVERAGE:
However, the most we will pay for any expenses
for loss of use is $65 per day, to a maximum of
$750 for any one "accident".
PHYSICAL DAMAGE — TRANSPORTATION
EXPENSES — INCREASED LIMIT
The following replaces the first Sentence in Para-
graph A.4.a., Transportation Expenses, of
SECTION III — PHYSICAL DAMAGE COVER-
AGE:
We will pay up to $50 per day to a maximum of
$1,500 for temporary transportation expense in-
curred by you because of the total theft of a cov-
ered "auto" of the private passenger type.
J. PERSONAL PROPERTY
The following is added to Paragraph A.4., Cover-
age Extensions, of SECTION III — PHYSICAL
DAMAGE COVERAGE:
Personal Property
We will pay up to $400 for "loss" to wearing ap-
parel and other personal property which is:
(1) Owned by an "insured"; and
CAT3530215
COMMERCIAL AUTO
(2) In or on your covered "auto".
This coverage applies only in the event of a total
theft of your covered "auto".
No deductibles apply to this Personal Property
coverage.
K. AIRBAGS
The following is added to Paragraph B.3., Exclu-
sions, of SECTION III •- PHYSICAL DAMAGE
COVERAGE:
Exclusion 3.a, does not apply to "loss" to one or
more airbags in a covered "auto" you own that in-
flate due to a cause other than a cause of "loss"
set forth in Paragraphs A.1,b. and A,1.c,, but
only:
a. If that "auto" is a covered "auto" for Compre-
hensive Coverage under this policy;
b. The airbags are not covered under any war-
ranty; and
c. The airbags were not intentionally inflated,
We will pay up to a maximum of $1,000 for any
one "loss".
L. NOTICE AND KNOWLEDGE OF ACCIDENT OR
LOSS
The following is added to Paragraph A.2.a., of
SECTION IV — BUSINESS AUTO CONDITIONS:
Your duty to give us or our authorized representa-
tive prompt notice of the "accident" or "loss" ap-
plies only when the "accident" or "loss" i5 known
to:
(a) You (if you are an individual);
(b) A partner (if you are a partnership);
(c)
(d)
A member (if you are a limited liability com-
pany);
An executive officer, director or insurance
manager (if you are a corporation or other or-
ganization); or
(e) Any "employee" authorized by you to give no-
tice of the "accident" or "loss
M. BLANKET WAIVER OF SUBROGATION
The following replaces Paragraph A.5., Transfer
Of Rights Of Recovery Against Others To Us,
of SECTION IV — BUSINESS AUTO CONDI-
TIONS:
5. Transfer Of Rights Of Recovery Against
Others To Us
We waive any right of recovery we may have
against any person or organization to the ex-
tent required of you by a written contract
signed and executed prior to any "accident"
or "loss", provided that the "accident" or "loss"
arises out of operations contemplated by
02015 The Travelers Indemnity Company. All rights reserved, Page 3 of 4 Includes copyrighted material of Insurance Services Office, Inc. with its permission.
COMMERCIAL AUTO
such contract. The waiver applies only to the
person or organization designated in such
contract.
N. UNINTENTIONAL ERRORS OR OMISSIONS
The following is added to Paragraph B.2., Con-
cealment, Misrepresentation, Or Fraud, of
SECTION IV — BUSINESS AUTO CONDITIONS:
The unintentional omission of, or unintentional
error in, any information given by you shall not
prejudice your rights under this insurance. How-
ever
owever this provision does not affect our right to col- lect additional premium or exercise our right of
cancellation or non -renewal.
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
POLICY NUMBER. BA -2X930002 -25-26-G
COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED - PRIMARY AND
NON-CONTRIBUTORY WITH OTHER INSURANCE -
CONTRACTORS
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
PROVISIONS
1. The following is added to Paragraph c, in A.1.,
Who Is An Insured, of SECTION fl — COVERED
AUTOS LIABILITY COVERAGE:
This includes any person or organization who you
are required under a written contract or
agreement, that is signed by you before the
"bodily injury" or "property damage" occurs and
that is in effect during the policy period, to name
as an additional insured for Covered Autos
Liability Coverage, but only for damages to which
this insurance applies and only to the extent of
that person's or organization's liability for the
conduct of another "insured".
CA T4 99 02 16
2. The following is added to Paragraph 8.5., Other
Insurance of SECTION IV — BUSINESS AUTO
CONDITIONS!
Regardless of the provisions of paragraph a. and
paragraph d. of this part 5. Other Insurance, this
insurance is primary to and non-contributory with
applicable other insurance under which an
additional insured person or organization is a
named insured when a written contract or
agreement with you, that is signed by you before
the "bodily injury' or "property damage" occurs
and that is hi effect during the policy period,
requires this insurance to be primary and non-
contributory.
2016 The Travelers Indemnity Company. M rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with Its permission.
TRAVELERS)
WORKERS COMPENSATION
AND
EMPLOYERS LIABILITY POLICY
ENDORSEMENT WC 99 03 76 ( A)—
POLICY
)—POLICY NUMBER: UB -2X937955 -25-26-G
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS
ENDORSEMENT - CALIFORNIA
(BLANKET WAIVER)
We have the right to recover our payments from anyone Liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule.
The additional premium for this endorsement shall be °/u of the California workers' compensation pre- mluM_
Schedule
Person or Organization Job Description
As required by written contract
This endorsement changes the policy to which it is attached and is effective on the date Issued unless otherwise stated.
(The information below is required only when this endorsement is issued subsequent to preparation of the policy)
Endorsement Effective Insured Policy No. UB -2X937955 -25-26-G Endorsement No to101l2o25 Premium
Insurance Company Countersigned by
Trevelers Property Casualty Company
09/30/2025
McRAE ASSOCIATES INSURANCE SERVICES
Te whom this may concern,
Please be advised that if we get notified by any of the insurance companies listed on the certificate that the insured, CT & T Concrete Paving, Inc. will be receiving a notice of cancellation for any of the below reasons a written notice will be mailed or delivered to you. 1) 10 days before the effective date of cancellation if they cancel for non-payment of premium or 2) 30 days' notice of cancellation will state the effective date of cancellation. The policy will end an that date.
If you have any questions or concerns please feel free to contact our office.
Thank you,
. r
Patrick McRae
R Cense No 0637431
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