00 41 43 - BID FORMS
BID ACKNOWLEDGMENT
Sealed Bids will be received at the office of Public Works located at 201 N 'E' Street, 2n Floor, San Bernardino, California of the City of San Bernardino, before 3:00 p.m. o Tuesday, January 21, 2025.
RUBEN CAMPOS COMMUNITY CENTER - ASPHALT PAVING
NAME OF BIDDER: Prestige Paving Company Inc.
To the CITY OF SAN BERNARDINO, with its principal place of business at Vanir Tower, 290 North D Street, San Bernardino, California 92401.
A. In response to the Notice Inviting Bids dated December 19, 2024, and in accordance with the accompanying Instructions to Bidders, the undersigned hereby proposes to the City to furnish all labor, technical and professional services, supervision, materials and equipment, other than materials and equipment specified as furnished by the City, and to perform all operations necessary and required to construct the Project in accordance with the provisions of the Contract Documents and any addenda thereto, and at the prices stated opposite the respective items set forth in the Bid Schedule.
B. This Bid constitutes a firm offer to the City which cannot be withdrawn for 90 days after the date set for opening of Bids, or until a Contract is executed by the City and a third party, whichever is earlier.
C. The undersigned certifies that it has examined and is fully familiar with all of the provisions of the Contract Documents and any addenda thereto: that it has carefully checked all of the words and figures shown in its Bid Schedule: that it has carefully reviewed the accuracy of all statements in this Bid and attachments hereto; and that it understands and agrees that the City will not be responsible for any errors or omissions on the part of the undersigned in preparing this Bid.
D. If awarded a Contract, the undersigned agrees to execute and deliver to the City within ten (10) days after date of receipt of Notice of Award, a signed Contract and the necessary Performance Bond, Payment Bond, and Certificates of Insurance and Endorsements.
E. The following Bid Forms, which have been completed and executed by the undersigned Bidder, are incorporated by this reference and made a part of this Bid:
1. Bid Schedule
2. Bid Guarantee in the amount of not less than 10% of the Total Bid Price.
3. Completed Designation of Subcontractors form.
4. Fully executed Noncollusion Declaration form.
RUBEN CAMPOS COMMUNITY CENTER -13- 00 41 43 - BID FORMS
ASPHALT PAVING
5. Completed Iran Contracting Act Certification form.
6. Completed Public Works Contractor DIR Registration Certification form.
7. Completed Contractor's Certificate Regarding Workers' Compensation form.
8. Completed Bidder Information and Experience Form.
. The undersigned is hereby representing that it is and will be properly licensed both a he time that it submits a Bid as well as at the time the Contract is awarded, if the Contract is awarded to the undersigned.
• Individual Contractor. Undersigned certifies that it is now licensed in accordanc ith the provisions of the Contractor's License Law of the State of California License number_ 1110800
Expiration date_10/31/2025
License classification_ A, C12, C32
• Joint Venture. Undersigned certifies that the individual members of the joir enture are now licensed in accordance with the provisions of the Contractor License Law of the State of. California.
Member No. 1
Name
License number
Expiration date
License classification
Member No. 2
Name
License number_
Expiration date
License classification
(If there are more than two members of the joint venture, attach a page for the additional member(s) with the above information.)
RUBEN CAMPOS COMMUNITY CENTER -14- 00 41 43 - BID FORMS
ASPHALT PAVING
The undersigned acknowledges receipt, understanding, and full consideration of the following addenda to the Contract Documents:
Addenda No._ 1,2
[SIGNATURE ON FOLLOWING PAGE]
RUBEN CAMPOS COMMUNITY CENTER -15- 00 41 43 - BID FORMS
ASPHALT PAVING
hereby certify under penalty of perjury under the laws of the State of California that all of the information submitted in connection with this Bid and all of the representations made herein are true and correct.
BIDDER: Bidder's Business Address:
Prestige Paving Company Inc. 14656 Industry Circle La Mirada CA 90638 (Company Name)
Antho I ruj: 1ld Sabas Taguillo
(Type or print name)
R.M.O. Present
(Title)
La Miral, CA la Mirada, CA
(Where signed) (City, State)
(corporate seal)
Dated: Jammy 21 , 20 25
State of Incorporation: Califomia
(If the Prime Contractor is a corporation, two signatures of corporate officers are required.) Names and addresses of all partners or joint venturers:
N/A
Statement of the authority of signatory to bind Bidder:
Please see last document in bid packet
RUBEN CAMPOS COMMUNITY CENTER -16- 00 41 43 - BID FORMS
ASPHALT PAVING
BID SCHEDULE ADDENDUM NO. 2
UNIT OF
NO. ITEM DESCRIPTION MEASURE UNIT PRICE ITEM COST
1. Mobilization LS $2,994 $2,994
2. Clearing and Grubbing LS 1 $5,988 $5,988
Compliance with NPDES
3. requirements, erosion LS
1 $2,994 $2,994
control and BMPs
4. Remove and replace 4" of
Asphalt pavement (see SF 3,400 $5.29 $17,986
pictures).
5. Cold mill 2" uniform depth $30,067.96
per plans and specifications SF 57,823 $0.52
6. Construct 2" AC overlay per $82,725.66
TN 723 $114.42
plans and specifications
7. Apply 4" wide thermoplastic
reflective white Striping 1
LS $10,790 $10,790
(parking stalls) on west
parking lot.
8. Apply 4" wide white Striping LS 1 $3,187 $3,187
on basketball play area
Apply 4" wide thermoplastic
9. LS 1
reflective white striping, and blue
borders for handicap path per $5,745 $5,745
2023 CALTRANS standard
A90A and ISA marking per
specification and project plans
(see ADA striping plan)
Construct drainage swale per
10. LF 165 44.42 $ 7,329.30
plan and specifications (see plan
sheet 4)
11. Construct 4' x 8' Project Sign. 1 $599 $ 599
See info in Appendix EA
BASE BID (BID ITEMS #1-11) TOTAL $/70,405.92
ADDITIVE #1
A1. Cold mill 2" uniform depth SF 8,222 $ 1.51 $12,415.22 area East and North-East of
the building per plans and
specifications
A2. Construct 2"AC overlay for TN 102.7 $168.98
the area East and North- $17,354.24
East of the building per
lans and specifications
A3. Cold mill 2" uniform depth SF 11,818
parking lot East of the $1.00 $1,818
per plans and spes rations
A4. Construct 2"AC overlay for TN 147.7
parking lot East of the $162,40 $23,986.48
layfield next to 4* street
er plans and specifications
A5. Apply 4" wide thermoplastic LS 1
reflective white striping $4,302 $4,302
(parking stalls) on south
parking lot
A6. Remove and replace 4" of SF 130 $3,879.20
asphalt pavement. See $ 29.84
picture.
ADDITIVE #1 TOTAL • $73,155.14
BASE BID + ADDITIVE TOTAL • $244,161.06
TOTAL BID PRICE BASED ON BID SCHEDULE
$ IWO Hundred Fortu • Four Thousand One Handred Sixty one Dollars /six cents Total Base Bid in Numbers
BID ITEM A6: REMOVE AND REPLACE 4" OF ASPHALT PAVEMENT
(SEE PICTURES)
These bid items shall comply with the requirements of Sction 203-6, "Asphalt For purposes of evaluating Bids, the City will correct any apparent errors in the extension of unit prices and any apparent errors in the addition of lump sum and extended prices. he estimated quantities for Unit Price items are for purposes of comparing Bids only and th ity makes no representation that the actual quantities of work performed will not vary from th estimates. Final payment shall be determined by the Engineer from measured quantities of work performed based upon the Unit Price.
The undersigned agrees that this Bid Schedule constitutes a firm offer to the City which cannot be withdrawn for the number of calendar days indicated in the Notice Inviting Bids from and after the Bid opening, or until a Contract for the Work is fully executed by the City and a third party, whichever is earlier.
If the Contract Documents specify Alternate Bid items, the City can choose to include any, all, or none of the Alternate Bid items in the Work. If the City selects any of the Alternate Bid items the corresponding Alternate Bid prices shall be added to or deducted from Base Bid Price for the Work. The City can award/select Alternate Bid items at any time(s).
Prestige Paving Company Inc
Name of Bidder
Signature_
Anthony Trujillo RMO
Name and Title
1/21/25
Dated
RUBEN CAMPOS COMMUNITY CENTER -19- 00 41 43 - BID FORMS ASPHA! T PAVING
DESIGNATION OF SUBCONTRACTORS
The subcontractor listed below will perform work or labor or render service to the contractor in or about the construction of the work or improvement, or are subcontractors licensed by the State of california who will, under subcontract to the contractor, specially fabricate and install a portion of the work or improvement according to detailed drawings contained in the Contract Documents, in an amount in excess of one-half of one percent (1/2 of 1%) of the contractor's total bid.
Notwithstanding the foregoing, if the work involves the construction of streets and highways, then he Bidder shall list each subcontractor who will perform work or labor or render service to the Bidder in or about the work in an amount in excess of one-half of one percent (0.5%) of the Bidder's Total Bid Price or $10,000, whichever is greater. No additional time shall be granted to provide the below requested information.
in compliance with the Subletting and Subcontracting Fair Practices Act Chapter 4 (commencing at Section 4100), Part 1, Division 2 of the California Public Contract Code, the Bidder shall set forth below:
(a) The portion of the work to be done by the subcontractor; (b) The name and the location of the place of business; (c) The California contractor license number; and
(d) The DIR public works contractor registration number.
If a Bidder fails to specify a subcontractor or if a Bidder specifies more than one subcontractor for the same portion of work, then the Bidder shall be deemed to have agreed that it is fully qualified to perform that portion of work and that it shall perform that portion itself.
Portion of CSLB DIR
Work to be Name of Location of Contractor Registration
done by Subcontractor Business License No. Number
Subcontractor
Superior Pavement PO Box 278 776306 1000001476
Markings Beaumont CA
Striping 92223
RUBEN CAMPOS COMMUNITY CENTER -24- 00 41 43 - BID FORMS
ASPHALT PAVING
ortion o CSLB DIR
Vork to b Name of Location of contracto Registratio
done by Subcontractor Business icense No Jumbe
Subcontractor
RUBEN CAMPOS COMMUNITY CENTER -25- 00 41 43 - BID FORMS
ASPHALT PAVING
Portion of CSLB DIR
Work to be Name of Location of Contractor Registratio
done by Subcontracto Business License No. Jumbe
Subcontractor
(Attach additional sheets if necessary)
Name of Bidder Prestige Paving Company Inc
Signature.
Name and Title Anthony Trujillo RMO
1/21/25
Dated
RUBEN CAMPOS COMMUNITY CENTER -26- 00 41 43 - BID FORMS
ASPHALT PAVING
BIDDER INFORMATION AND EXPERIENCE FORM
A. INFORMATION ABOUT BIDDER
(Indicate not applicable ("N/A") where appropriate.)
NOTE: Where Bidder is a joint venture, pages shall be duplicated and information provide for all parties to the joint venture
Name of Bidder: Prestige Paving Company Inc
1.0 2.0 Type, if Entity: _C Corporation
3.0 14656 Industry Circle La Mirada CA 90638
Bidder Address:
714-455-7246 714-888-7555
Facsimile Number Telephone Number
[email protected]
Email Address
4.0 How Years years has Bidder's organization been in business as a Contractor?
5.0 How many years has Bidder's organization been in business under its present name? 3 Years
.1 Under what other or former names has Bidder's organizatio perated? Prestige Striping Services Inc. dba Prestige Paving Compan
6.0 If Bidder's organization is a corporation, answer the following:
6.1 Date of Incorporation: 12/16/2022
6.2 State of Incorporation: California
Sabas Trujllo
6.3 President's Name:
Sabas Trujillo
6.4 Vice-President's Name(s):
6.5 Secretary's Name: Sabas Trujillo
6.6 Treasurer's Name: Sabas Trujillo
RUBEN CAMPOS COMMUNITY CENTER -27- 00 41 43 - BID FORMS
ASPHALT PAVING
7.0 If an individual or a partnership, answer the following:
7.1 Date of Organization: N/A
7.2 Name and address of all partners (state whether general or limited partnership):
N/A
8.0 If other than a corporation or partnership, describe organization and name principals:
9.0 List other states in which Bidder's organization is legally qualified to do business.
N/A
10.0 What type of work does the Bidder normally perform with its own forces? Asphalt, Seal Coat, Concrete,
11.0 Has Bidder ever failed to complete any work awarded to it? If so, note when, where, and why:
No
12.0 Within the last five years, has any officer or partner of Bidder's organization ever been an officer or partner of another organization when it failed to complete a contract? If so, attach a separate sheet of explanation:
No
RUBEN CAMPOS COMMUNITY CENTER -28- 00 41 43 - BID FORMS
ASPHALT PAVING
13.0 List Trade References:
Diversified Asphalt Products Inc Phone # (714) 44908666 1227 North Olive St Anaheim CA 92801
uperior Pavement Markings, Inc. Phone # 714-995-910
312 Cypress ST Cypress CA 9063
pad Works, Inc. Phone # (909) 496-51
03 Short St Pomona CA 917
P. BOx 22 Corona CA 926 182736-7660
14.0 List Bank References (Bank and Branch Address):
Citizens Business Bank
225 W Sixth St Corona CA 92882
15.0 Name of Bonding Company and Name and Address of Agent:
Ohio Casualty Insurance Company
100 Liberly Way, Dover NH 03820-4597
(206) 473-6210
[REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK]
RUBEN CAMPOS COMMUNITY CENTER -29- 00 41 43 - BID FORMS
ASPHALT PAVING
B. LIST OF CURRENT PROJECTS (BACKLOG)
[**Duplicate Page if needed for listing additional current projects.**] Project Client Reference Description of Completion Date Cost of Bidder's (agency Bidder's Work Work
name/contact
info)
CM Corp
America's Tire Chuck Mickelsor Asphalt, Rock Base April 2025 $200,000 62-787-2816
RUBEN CAMPOS COMMUNITY CENTER -30- 00 41 43 - BID FORMS
ASPHALT PAVING
C. LIST OF COMPLETED PROJECTS - LAST THREE YEARS
(**Duplicate Page if needed for listing additional completed projects.**] Please include only those projects which are similar enough to demonstrate Bidder's ability to perform the required Work.
Project Client Reference Description of Completion Date Cost of Bidder's (agency Bidder's Work Work
nameícontact
City of Santa Fe
Clarke Estate Springs Alex Flores $153,756
6/17/24
562-332-4240
Huntington Beach Asphay. Seal Coat
MOT Lot Jnified Richard Walsh 12/20/24 $41,739
Taran Oned
Playground Resurface School District Jared ind & Over 10/11/24 Robison 310-972-6291 al coat, Restr S666,053
Fallbrook Public
Paving Services Jility District Kevir emove & Replac $107,970 eal Co: 5/11/23
Collins 760-999-2734
Saugus Union School
Cedarcreek E.S. District Kathie Pisano Asal Core Base 8/9/23 $376,080 Downey Unified
22/23 Various Sites School District Annie ind & Overla 7/11/22 $126,769 cal Coat and Stri
ung 562-469-6752
City of El Monte
Trolly Station Paving Frank Drevdahl Remove & Replace 9/29/22 626-258-8637 $42,970
RUBEN CAMPOS COMMUNITY CENTER -31- 00 41 43 - BID FORMS
ASPHALT PAVING
D. EXPERIENCE AND TECHNICAL QUALIFICATIONS QUESTIONNAIRE Personnel:
The Bidder shall identify the key personnel to be assigned to this project in a management, construction supervision or engineering capacity.
List each person's lob titl
h's Trile, MO-and percent of time to be allocated to this projec Martin De La Torre - Superintendent (80%)
Griffin Christensen - (100%)
. Summarize each person's specialized educatior
dustry Associations and Organizations, On-The-Job Trainir Industry Associations and Organizations, On-The-Job Training Industry Associations and Organizations, On-The-Job Training
3. List each person years of construction experience relevant to the project:
30 + Years
9 Years
Summarize such experience
ertifications and Om-Site Experien
Handled 10,000 + Projects. Trade Skills
Oversaw 1,000 + Projects. Project Oversite and Communication Bidder agrees that personnel named in this Bid will remain on this Project until completion of all relevant Work, unless substituted by personnel of equivalent experience and qualifications approved in advance by the City.
RUBEN CAMPOS COMMUNITY CENTER -32- 00 41 43 - BID FORMS
ASPHALT PAVING
E. ADDITIONAL BIDDER'S STATEMENTS:
if the Bidder feels that there is additional information which has not been included in the questionnaire above, and which would contribute to the qualification review, it may add that information in a statement here or on an attached sheet, appropriately marked:
N/A
Name of Bidder Prestige Paving Company Inc
Signature
Name and Title Anthony Trujllo RMO
1/21/25
Dated
RUBEN CAMPOS COMMUNITY CENTER -33- 00 41 43 - BID FORMS
ASPHALT PAVING
NON-COLLUSION DECLARATION
The undersigned declares:
I am the RMO of Prestige Paving Company Inc. , the party making the foregoing Bid.
he Bid is not made in the interest of, or on behalf of, any undisclosed person, partnershi ompany, association, organization, or corporation. The Bid is genuine and not collusive o Bidder has not in any manner, directly or indirectly, sought by agreement, communication, or overhead, profit, or cost element of the Bid Price, or of that of any other Bidder. All statements contained in the Bid are true. The Bidder has not, directly or indirectly, submitted his or her Bic rice or any breakdown thereof, or the contents thereof. or divulded information or data relativi thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose.
Any person executing this declaration on behalf of a Bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the Bidder.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on [date], at [city],
Name and Title Anthony Trujillo RMO
Dated 1/21/25
RUBEN CAMPOS COMMUNITY CENTER -34- 00 41 43 - BID FORMS
ASPHALT PAVING
IRAN CONTRACTING ACT CERTIFICATION.
(Public Contract Code section 2200 et seq.)
s required by California Public Contract Code Section 2204, the Contractor certifies subject t enalty for perjury that the option checked below relating to the Contractor's status in regard the Iran Contracting Act of 2010 (Public Contract Code Section 2200 et seg.) is true and correct:
2 The Contractor is not:
(1) identified on the current list of person and entities engaged in investment activities in Iran prepared by the California Department of General Services in accordanc with subdivision (b) of Public Contract Code Section 2203; ol (2) a financial instruction that extends, for 45 days or more, credit in the amount of $20,000,000 or more to any other person or entity identified on the current list of ersons and entities engaging in investment activities in Iran prepared by th alifornia Department of General Services in accordance with subdivision (b) Public Contract Code Section 2203, if that person or entity uses or will use the credit to provide goods or services in the energy sector in Iran. • The City has exempted the Contractor from the requirements of the Iran Contracting Act of 2010 after making a public finding that, absent the exemption, the City will be unable to obtain the goods and/or services to be provided pursuant to the Contract • The amount of the Contract payable to the Contractor for the Project does not exceed $1,000,000.
Signature:
Printed Name: Anthony Trujilo
RMO
Title:
Firm Name: Prestige Paving Company Inc.
1/21/25
Date:
Note: In accordance with Public Contract Code Section 2205, false certification of this form shall be reported to the California Attorney General and may result in civil penalties equal to the greater of $250,000 or twice the Contract amount, termination of the Contract and/or ineligibility to bid on RUBEN CAMPOS COMMUNITY CENTER -35- 00 41 43 - BID FORMS
ASPHALT PAVING
PUBLIC WORKS CONTRACTOR REGISTRATION CERTIFICATION
Pursuant to Labor Code sections 1/25.5 and 1//1.1, all contractors and subcontractors that wish to bid on, be listed in a bid proposal, or enter into a contract to perform public work must be registered with the Department of Industrial Relations. See http://www.dir.ca.gov/Public- Works/PublicWorks.html for additional information.
No bid will be accepted nor any contract entered into without proof of the contractor's and subcontractors' current registration with the Department of Industrial Relations to perform public Bidder hereby certifies that it is aware of the registration requirements set forth in Labor Code sections 1725.5 and 1771.1 and is currently registered as a contractor with the Department of Industrial Relations.'
Name of Bidder: Prestige Paving Company Inc
DIR Registration Number: 1001110905
6/30/2026
DIR Registration Expiration:
Small Project Exemption: _ Yes or * _No
Unless Bidder is exempt pursuant to the small project exemption, Bidder further acknowledges:
1. Bidder shall maintain a current DIR registration for the duration of the project.
2. Bidder shall include the requirements of Labor Code sections 1725.5 and 1771.1 its contract with subcontractors and ensure that all subcontractors are register the time of bid opening and maintain registration status for the duration of t
3. Failure to submit this form or comply with any of the above requirements may result in a finding that the bid is non-responsive.
Name of Bidder Prestige Paving Company Inc.
Signature 24
Name and Title Anthony Trujillo RMO
1/21/25
Dated
* If the Project is exempt from the contractor registration requirements pursuant to the small project exemption under Labor Code Sections 1725.5 and 1771.1, please mark "Yes" in response to "Small Project Exemption." RUBEN CAMPOS COMMUNITY CENTER 00 41 43 - BID FORMS
CONTRACTOR'S CERTIFICATE REGARDING WORKERS' COMPENSATION. commencing the performance of the work of this Contract.
Name of Bidder Prestige Paving Company Inc.
Signature
Name and Title Anthony Trujillo RMO
Dated 1/21/25
-37- 00 41 43 - BID FORMS
RUBEN CAMPOS COMMUNITY CENTER
SPHALT PAVING
FLEET COMPLIANCE CERTIFICATION
Polices, res and reguledges and area maiar wilieved ture rain of file Cares a codis The Fleet is subject to the requirements of the Regulation, and the appropriate Certificate(s) of Reported Compliance have been attached hereto. • The Fleet is exempt from the Regulation under section 2449.1(f)(2), and a signed description of the subject vehicles, and reasoning for exemption has been attached hereto.
L Bidder and/or their subcontractor is unable to procure R99 or R100 renewable diesel fuel The Fleet is exempt from the requirements of the Regulation pursuant to section 2449(i)(4) because this Project has been deemed an Emergency, as defined under section 149(c)(18). Bidder shall only operate the exempted vehicles in the emergency situati id records of the exempted vehicles must be maintained, pursuant to section 2449(i) The Fleet does not fall under the Regulation or are otherwise exempted and a detailed reasoning is attached hereto.
Name of Bidder: Prestige Paving Company Inc
Signature:
Anthony Trujillo
Name:
RMO
Title:
Date: 1/21/25
00 41 43 - BID FORMS
RUBEN CAMPOS COMMUNITY CENTER -38-
ASPHALT PAVING
BID GUARANTEE
BID BOND
[Note: Not required when other form of Bidder's Security, e.g. cash, certified check or cashier's check, accompanies Bid.]
The makers of this bond are, Prestige Paving Company, Inc.
Principal, and The Ohio Casualty Insurance Company
and are held and firmly bound unto the CITY OF SAN BERNARDINO, with its principal place of business at Vanir Tower, 290 North D Street, San Bernardino, California 92401, hereinafter called the City, in the penal sum of TEN PERCENT (10%) OF THE TOTAL BID PRICE of the THE CONDITION OF THIS OBLIGATION IS SUCH that whereas the Principal has submitted the accompanying bid dated January 21st, 2025, for RUBEN CAMPOS COMMUNITY
CENTER - ASPHALT PAVING
If the Principal does not withdraw its Bid within the time specified in the Contract Documents; and if the Principal is awarded the Contract and provides all documents to the City as required by the Contract Documents; then this obligation shall be null and void. Otherwise, this bond will remain in full force and effect.
Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Contract Documents shall affect its obligation under this bond, and Surety does hereby waive notice of any such changes.
In the event a lawsuit is brought upon this bond by the City and judgment is recovered, the Surety shall pay all litigation expenses incurred by the City in such suit, including reasonable attorneys' fees, court costs, expert witness fees and expenses.
IN WITNESS WHEREOF, the above-bound parties have executed this instrument under their several seals this day of January _ 2025. the name and corporate seal of each corporation.
(Corporate Seal) Prestige Paving Company, Inc.
Contractor/ Principal
Byx e
Print Name/ Title Anthony Tyilla R.M.0.
The Ohio Casualty Insurance Company
(Corporate Seal) Surety
RUBEN CAMPOS COMMUNITY CENTER -20- 00 41 43 - BID FORMS
ASPHALT PAVING
Keen Fran
By X
Attorney-in-Fact Kelly Vincent, Attorney-in-Fact
(Attach Attorney-in-Fact Certificate) Title:
RUBEN CAMPOS COMMUNITY CENTER -21- 00 41 43 - BID FORMS
ASPHALT PAVING
ALL- PURPOSE
CERTIFICATE OF ACKNOWLEDGMENT
State of California }
County of Orange }
On JANunry 15* 2025 before me, Susan E. Morales, Notary Public personally appeared Kelly Vincent
who proved to me on the basis of satisfactory evidence to be the person(s) whose namefs) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacityfies), and that by his/her/their signature(3) 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.
AAAAAAA
SUSAN E. MORALES
WITNESS my hand and official seal. C1 COMM. #2444309 ET - NOTARY PUBLIC- CALIFORNIA O)
ORANGE COUNTY
Monadeo MY COMM. Expires April 14, 2027
Notary Public Signature (Notary Public Seal)
ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM This form complies with curren California statutes regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT if needed, should be completed and attached to the document. Acknolwedgents from other states may be completed for documents being sent to that state so long as the The Okie Cascally Asserance Compan- wording does not require the California notary to violate California notary law. (Title or description of attached document) •State and County information must be the State and County where the document BID BOND signer(s) personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s) personally appeared which (Title or description of attached document continued) must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her Number of Pages 2_ Document Date / -15•25 commission followed by a comma and then your title (notary public). • Print the names) of document signers) who personally appear at the time of notarization.
CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms (i.e he/she/they, is /are) or circling the correct forms. Failure to conectly indicate this • Individual (s) information may lead to rejection of document recording. • Corporate Officer • The notary seal impression must be clear and photographically reproducible.
Impression must not cover text or lincs. If scal impression smudges, re-scal if a (Title) sufficient arca permits, otherwise complete a different acknowledgment form. • Signature of the notary public must match the signature on file with the office of Partners)
the county clerk
Attorney-in-Fact dditional information is not required but could help to ensure th ‹nowledoment is not misused or attached to a different docume Trustee(s) Indicate title or type of attached document, number of pages and date. • Other Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i.e. CEO, CFO, Secretary). 2015 Version www.NolaryClasses.com 800-873-9355 • Securely attach this document to the signed document with a staple.
This Power of Attorney Imits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated.
Liberty Liberty Mutual Insurance Company
Mutual. The Ohio Casualty Insurance Company Cerfificate No: 8212122-977490 West American Insurance Company
SURETY
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS: That The Chio Casualty Insurance Company is a corpcration duly organized under the laws of the State of New Hampshire, that Uberty Mutual Insurance Company is a corporation duly organized under thie laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the State of indiana (herein collecively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, consitute and appoint, Cally Kennedy, Cheryl Thomas, David S. Jacobson; Kelly Vincent, Patrick Thomas, Shane Woll, Wrenetta Walker all of the city of Lyme state of CA each individually if there be more than one named, its true and lawful attorey-in-fact to make, execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance of these presents and strail be as binding upon the Companies as if they have been duty signed by the president and attested by the secretary of the Companies in their own proper persons.
IN WITNESS WHEREOF, this Power of Afforney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 18th day of July 2024
Liberty Mutual Insurance Company
The Chio Casualty Insurance Company
ORE OFTE RICAN West American Insurance Company
912 1919 1991
INVARIOD OHIO. Hail? Cary
LSaM By:
David M. Carey, Assistant Secretary
State of PENNSYLVANIA
Coumty of MONTGOMERY S
etter of credit, before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance POA) verification inquiries.
Compen The Obe Casualy Campany, and rest Anterican patronal Carpery, Bada ra, as uh, being sign is to de it in ring often for the parence. rate or residual value guarantees. therein contained by signing on behalf of the corporations by himself as a duly authorized officer.
IN WITNESS WHEREOF, I have hereunto subscribed my name and aflixed my notarial seal at Plymouth Meeting, Pennsylvania, on the day and year first above written. loan, PASTE
Commaweaith of Pennsy varia - Natay Smal
Teresa Pastóth, Notary Public
Morigorzery County cess Pastello
Mi commissian expires Manch 28, 2025 By:
BASY VALE Comunission rumber 1128044 Teresa Pastella, Notary Public Nember, Parasylvania Asscciaton of Notarles
NOTARY PUBLIC
This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizaions of The Ohio Casualty Insurance Company, Liberty Mutual Not valid for mortgage, note, Insurance Company, and West American Insurance Company which resolutons are now in full force and effect reading as follows:
ARTICLEIV- OFFICERS: Section 12. Power of Attorney.
currency rate, interest i Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limation as the Chaiman or the President may prescribe, shall appoint such attoreys-in-fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizandes and other surety obligations. Such altomeys-in-fact, subject to the limitations set forth in their respective powers of attomey, shail have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corpcration. When so executed, such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attomey-in-fact under the provisions of this aricle may be revoked at any me by the card, the Chairman, the President or by the officer or officers granting such power or authority.
ARTICLEXII - Execution of Contracts: Section 5. Surety Bonds and Undertakings.
Any officer of the Company aulhortzed for that purpose in writing by the chaiman or the president, and subject to such limitatons as the chairman or the president may prescribe, shall appoint such attomeys-in-fact, as may be necassary to act in beiaif of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, honde remaizances and ofer surely chinations. Sch attomers in fast subled to the limilalions set forth in their respective powers of attomey, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and atlested by the secretary.
ertificate of Designation - The President of the Company, acing pursuantto the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such altomeys-ir abligations.
Authorization - By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a cerfified copy of any power of alterey issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed.
1, Renee C. Llewelyn, the undersigned, Assistant Secretary, The Ohio Cesuaity Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the original power of attomey of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in ful force and effect end has not been revoked.
IN TESTIMONY WHEREOF. I have hereunto set my hand and afixed the seals of said Companles this 54L 1 day of AWAKeL, 2025 «CORPORATE
1912 1919 1991
ANYANOR By:
INCLANA Renee C. Llewellyn, Assistant Secretary
LMS-12873 LMIC OCIC WAIC Multi Co 02/21
CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189
30R330R8904380898:880068808080808390089080383038399080005080508050E 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.
Son or Callon us Anaeles
County of
on Janvany 21,2015 before me,.
Here Insert Name and Title of the Officer
Anthony A. Truillo
personally appeared
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the persons whose namels* 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/hef/theif signature/s) on the instrument the personts), or the entity upon behalf of which the personts) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the
ESLY BRAYLLAM GABRIEL HERRERA laws of the State of California that the foregoing Notary Public - California paragraph is true and correct.
Los Angeles County
Commission # 2473417 WITNESS my hand and official seal.
My Comm. Expires Nov 22, 2027
Signatu
Place Notary Seal and/or Stamp Above
OPTIONAL
Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Document Date: _ Number of Pages:
Signer(s) Other Than Named Above:_
Capacity(ies) Claimed by Signer(s)
Signer's Name: Signer's Name:
J Corporate Officer - Titles): _ • Corporate Officer - Title(s):
5 Partner - O Limited • General • Partner- O Limited • General • Individual D Attorney in Fact • Individual • Attorney in Fact • Trustee • Guardian or Conservator • Trustee • Guardian or Conservator • Other: • Other:
Signer is Representing: Signer is Representing:
©2019 National Notary Association
SPECIAL MEETING OF
BOARD OF DIRECTORS OF
Prestige Paving Company, INC.
A California Corporatior
Date
A special meeting of the Board of Directors of Prestige Paving Company, INC. was held at 8:00 AM on 06/24/24 at Corona, California.
Call to Order
the Bylaws of the corporation.
Authority of Agents to Contract on Behalf of Corporation The Bylaws of the corporation define the authority of the Officers and other Agents to act on behalf of the corporation as follows:
Section 3. CORPORATE CONTRACTS AND INSTRUMENTS; HOW
EXECUTED. The board of directors, except as otherwise provided in these bylaws, may authorize any officer or officers, agent or agents, to enter into any contract or execute any instrument in the name of and on behalf of the corporation, and this authority may be general or confined to specific instances; and, unless so authorized or ratified by the board of directors or within the agency power of an officer, no officer, agent, or employee shall have any power or authority to bind the corporation by any contract or engagement or to pledge its credit or to render it liable for any purpose or for any amount.
The Board discussed authorizing Anthony Trillo to contract and execute instruments in the name of the corporation. After discussion, and on motion duly made seconded and carried, it was
RESOLVED, that Anthony Trujillo be and the same hereby is/are, authorized to sign contracts and obligations of the Corporation in the ordinary course of its business; provided that no contract or obligation involving the transfer of any substantial right in any major asset of the Corporation shall be so signed and no substantial indebtedness shall be incurred without prior approval of the Shareholders) and/or Board of Directors.
There being no further business to come before the meeting, it was duly adjourned.
There being no further business to come before the meeting, it was duly adjourned Name, President/Chairperson
ATTEST:
Name Secretary
CALIFORNIA 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.
County of _ state or calames Angeles
on TUMeZs, 2014
personally appeared
who proved to me on the basis of satisfactory evidence to be the person(st whose namelsy is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/hef/tbeir authorized capacity(ies), and that by his/her/their signature(st on the instrument the persone), or the entity upon behalf of which the persong) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the
ESLY BRAYLLAM GABRIEL HERAERA laws of the State of California that the foregoing Notary Public - California
Los Anteles County paragraph is true and correct.
Commission # 2473417
My Comm. Expires Nov 22, 2027 WITNESS my hand and official seal.
Signature nature of Notary Public
Place Notary Seal and/or Stamp Above
OPTIONAL
Description of Attached Document
Title or Type of Dosument:
Document Date: Number of Pages: _
Signer(s) Other Than Named Above!
Capacity(ies) Claimed by Signer(s)
Signer's Name: Signer's Name:
• Corporate Officer - Title(s): • Corporate Officer - Title(s):
• Partner - O Limited • General • Partner - O Limited • General • Individual 1 Attorney in Fact • Individual • Attorney in Fact • Trustee • Guardian or Conservator • Trustee • Guardian or Conservator • Other: • Other:
Signer ja Representing: Signer is Representing:
000003888:808:818281@0818:808080808:80810480808083808180508:808093808381@N0N8080818180800:@:810:81008:81018:3430908:@08081810:E09:S081808U31 ©2019 National Notary Association
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Entity Name: Entity DBA Name: Entity Status: Most Recent Issued Prestige Paving Active Date - Affirmation of
Company, Inc Fleet Wide
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n/a
US DOT Number CA PUC ID CA MCP ID MC or MX Number
4204157 706595785
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