NOTICE TO BIDDERS REGARDING CONTRACTUAL REQUIREMENTS
Bid #PPOS-23-24-P4026
Bouquet Canyon Park Playground Installation
City Project No. P4026
City of Santa Clarita, California
SUMMARY OF INDEMNITY AND INSURANCE REQUIREMENTS
1. These are the Indemnity and Insurance Requirements for Contractors providing services or supplies to City of Santa Clarita (City). By agreeing to perform the work or submitting a proposal, you verify that you comply with and agree to be bound by these requirements. If any additional Contract documents are xecuted, the actual Indemnity language and Insurance Requirements may include additional provision s deemed appropriate by City's Purchasing Agen
Questions and requests for modification of these terms must be negotiated and approved prior to bid submission and are at the full discretion of the City.
2. You should check with your Insurance advisors to verify compliance and determine if additional coverage or limits may be needed to adequately insure your obligations under this agreement. These are the minimum required and do not in any way represent or imply that such coverage is sufficient to adequately cover the Contractor's liability under this agreement. The full coverage and limits afforded under Contractor's policies of Insurance shall be available to Buyer and these Insurance Requirements shall not in any way act to reduce coverage that is broader or includes higher limits than those required.
The Insurance obligations under this agreement shall be: 1—all the Insurance coverage and limits carried by or available to the Contractor; or 2—the minimum Insurance requirements shown in this agreement, whichever is greater. Any insurance proceeds in excess of the specified minimum limits and coverage required, which are applicable to a given loss, shall be available to City.
3. Contractor shall furnish the City with original Certificates of Insurance including all required amendatory endorsements and a copy of the Declarations and Endorsement Page of the CGL policy listing all policy endorsements to City before work begins. City reserves the right to require full-certified copies of all Insurance coverage and endorsements.
I. INDEMNIFICATION:
City and its respective elected and appointed boards, officials, officers, agents, employees, and volunteers (individually and collectively, "Indemnitees") shall have no liability to CONTRACTOR or any other person for, and CONTRACTOR shall indemnify, defend, protect, and hold harmless Indemnitees from and against, any and all liabilities, claims, actions, causes of action, proceedings, suits, damages, judgments, liens, levies, costs, and expenses of whatever nature, including reasonable attorney's fees and disbursements (collectively, "Claims"), which Indemnitees may suffer or incur or to which Indemnitees may become subject by reason of or arising out of any injury to or death of any person(s), damage to property, loss of use of property, economic loss, or otherwise occurring as a result of or allegedly caused by the CONTRACTOR'S performance of or failure to perform any services under this Agreement, or by the negligent or willful acts or omissions of CONTRACTOR, its agents, officers, directors, or employees, committed in performing any of the services under this Agreement.
If any action or proceeding is brought against Indemnitees by reason of any of the matters against which CONTRACTOR has agreed to indemnify Indemnitees as provided above, CONTRACTOR, upon notice from City, shall defend Indemnitees at its expense by counsel acceptable to City, such acceptance not to be unreasonably withheld. Indemnitees need not have first paid for any of the matters to which Indemnitees are entitled to indemnification in order to be so indemnified. The limits of the insurance required to be maintained by CONTRACTOR in this Agreement shall not limit the liability of CONTRACTOR hereunder. The provisions of this section shall survive the expiration or earlier termination of this agreement.
The provisions of this section do not apply to Claims occurring as a result of the City's active negligence or acts of omission.
Il. INSURANCE
CONTRACTOR shall maintain and submit certificates of all applicable insurance including, but not limited to, the following and as otherwise required by law. The terms of the insurance policy or policies issued to provide the above insurance coverage shall provide that said insurance may not be amended or canceled by the carrier, for non-payment of premiums or otherwise, without thirty (30) days prior written notice of amendment or cancellation to the CITY. In the event the said insurance is canceled, the CONTRACTOR shall, prior to the cancellation date, submit to the City Clerk new evidence of insurance in the amounts established.
Liability Insurance
During the entire term of this Agreement, the CONTRACTOR agrees to procure and maintain General Liability insurance at its sole expense to protect against loss from liability imposed by law for damages on account of bodily injury, including death therefrom, suffered or alleged to be suffered by any person or persons whomsoever, resulting directly or indirectly from any act or activities, errors or omissions, of the CITY, or CONTRACTOR or any person acting for the CITY, or under its control or direction, and also to protect against loss from liability imposed by law for damages to any property of any person caused directly or indirectly by or from acts or activities of the CITY, or CONTRACTOR or any person acting for the CITY, or under its control or direction. Such public liability and property damage insurance shall also provide for and protect the CITY against incurring any legal cost in defending claims for alleged loss. Such General, Public and Professional liability and property damage insurance shall be maintained in full force and effect throughout the term of the Agreement and any extension thereof in the amount indicated above or the following minimum limits:
Commercial General Liability Insurance, including coverage for Premises and Operations, Contractual Liability, Personal Injury Liability, Products/Completed Operations Liability, and Independent Contractors' Liability (if applicable), in an amount of not less than two million dollars ($2,000,000.00) per occurrence, four million dollars ($4,000,000.00) annual aggregate, written on an occurrence form.
Products/Completed Operations coverage shall extend a minimum of three (3) years after project completion. Coverage shall be included on behalf of the CONTRACTOR for covered claims arising out of the actions of independent contractors. If the CONTRACTOR is using subcontractors, the policy must include work performed "by or on behalf" of the CONTRACTOR. Policy shall contain no language that would invalidate or remove the CONTRACTOR'S duty to defend or indemnify for claims or suits expressly excluded from coverage. Policy shall specifically provide for a duty to defend on the part of the CONTRACTOR.
Worker's Compensation Insurance
The CONTRACTOR shall procure and maintain, at its sole expense, Worker's Compensation Insurance in the amount of $1,000,000 per occurrence or in such amount as will fully comply with the laws of the State of California and which shall indemnify, insure and provide legal defense for both the CONTRACTOR and the CITY against any loss, claim or damage arising from any injuries or occupational diseases happening to any worker employed by the CONTRACTOR in the course of carrying out the work within the Agreement. Such insurance shall also contain a waiver of subrogation naming the City of Santa Clarita.
Automotive Insurance
The CONTRACTOR shall procure and maintain, at its sole expense, throughout the term of this Agreement, and any extension thereof, public liability and property damage insurance coverage for automotive equipment with coverage limits of not less than $1,000,000 combined single limit for each accident. All such insurance shall be primary insurance and shall name the City of Santa Clarita as an additional insured.
Builder's Risk
Upon commencement of construction and with approval of CITY, CONTRACTOR shall obtain and maintain Builder's Risk Insurance for the entire duration of the Project until only the CITY has an insurable interest.
The Builder's Risk coverage shall include the coverages as specified below:
The named insureds shall be CONTRACTOR and CITY, including its officers, officials, employees, and agents. All subcontractors (excluding those solely responsible for design work) of any tier and suppliers shall be included as additional insureds as their interests may appear. CONTRACTOR shall not be required to maintain property insurance for any portion of the Project following transfer of control thereof to CITY.
The policy shall contain a provision that all proceeds from the Builder's Risk Policy shall be made payable to the CITY. The CITY will act as a fiduciary for all other interests in the Project.
Policy shall be provided for replacement value on an "all risk" basis for the completed value of the project.
There shall be no coinsurance penalty or provisional limit provision in any such policy. Policy must include:
(1) coverage for any ensuing loss from faulty workmanship, nonconforming work, omission or deficiency in design or specifications; (2) coverage against machinery accidents and operational testing; (3) coverage for removal of debris, and insuring the buildings, structures, machinery, equipment, materials, facilities, fixtures and all other properties constituting a part of the Project; (4) Ordinance or law coverage for contingent rebuilding, demolition, and increased costs of construction; (5) transit coverage (unless insured by the supplier or receiving contractor), with sub-limits sufficient to insure the full replacement value of any key equipment item; (6) ocean marine cargo coverage insuring any Project materials or supplies, if applicable; (7) coverage with sub-limits sufficient to insure the full replacement value of any property or equipment stored either on or off the site or any staging area. Such insurance shall be on a form acceptable to CITY to ensure adequacy of terms and sub-limits and shall be submitted to the CITY prior to commencement of construction.
Fire and Extended Coverage Insurance (Services involving real property only) CONTRACTOR agrees to procure and maintain, at its sole expense, during the term of this Agreement, and any extension thereof, a policy of fire, extended coverage and vandalism insurance.
Pollution Liability and/or Asbestos Pollution Liability and/or Errors & Omissions Contractors Pollution Liability and/or Asbestos Pollution Liability and/or Errors & Omissions with limit no less than $2,000,000 per claim or occurrence and $2,000,000 aggregate per policy period of one year.
Coverage must be included for bodily injury and property damage, including coverage for loss of use and/or diminution in property value, and for clean-up costs arising out of, pertaining to, or in any way related to the actual or alleged discharge, dispersal, seepage, migration, release or escape of contaminants or pollutants, arising out of or pertaining to the services provided by CONTRACTOR under this Agreement, including the transportation of hazardous materials or contaminants.
Professional Liability (if Design-Build)
Professional Liability Insurance, insuring against professional errors and omissions arising from CONTRACTOR'S work on the Project, in an amount not less than [$2,000,000] combined single limit for each occurrence. If CONTRACTOR cannot provide an occurrence policy, CONTRACTOR shall provide insurance covering claims made as a result of performance of work on this Project and shall maintain such insurance in effect for not less than three years following final completion of the Project.
Waiver of Subrogation
All insurance coverage maintained or procured pursuant to this Agreement shall be endorsed to waive subrogation against the CITY, its elected or appointed officers, agents, officials, employees and volunteers or shall specifically allow CONTRACTOR or others providing insurance evidence in compliance with these specifications to waive their right of recovery prior to a loss. CONTRACTOR hereby waives its own right of recovery against the CITY, and shall require similar written express waivers and insurance clauses from each of its subconsultants.
Separation of Insureds
A severability of interests provision must apply for all additional insureds ensuring that CONTRACTOR'S insurance shall apply separately to each insured against whom claim is made or suit is brought, except with respect to the insurer's limits of liability. The policy(ies) shall not contain any cross-liability exclusions.
Pass Through Clause
CONTRACTOR agrees to ensure that its subconsultants, subcontractors, and any other party involved with the project who is brought onto or involved in the project by CONTRACTOR, provide the same minimum insurance coverage and endorsements required of CONTRACTOR. CONTRACTOR agrees to monitor and review all such coverage and assumes all responsibility for ensuring that such coverage is provided in conformity with the requirements of this section. CONTRACTOR agrees that upon request, all Agreements with consultants, subcontractors, and others engaged in the project will be submitted to the CITY for review.
Self-Insured Retentions
Any self-insured retentions must be declared to and approved by the CITY. The CITY reserves the right to require that self-insured retentions be eliminated, lowered, or replaced by a deductible. Self-insurance will not be considered to comply with these specifications unless approved by the CITY.
Primary and Additional Insured
All of such insurance shall be primary and shall name the City of Santa Clarita as additional insured. A Certificate of Insurance and an additional insured endorsement (for general and automobile liability), evidencing the above insurance coverage with a company acceptable to the City's Purchasing Agent shall be submitted to the CITY prior to execution of this Agreement on behalf of the CITY.
Requirements
Should CONTRACTOR, for any reason, fail to obtain and maintain the insurance required by this Agreement, CITY may obtain coverage at CONTRACTOR'S expense and deduct the cost of such insurance from payments due to CONTRACTOR under this Agreement or terminate. In the alternative, should CONTRACTOR fail to meet any of the insurance requirements under this Agreement, CITY may cancel the Agreement immediately with no penalty.
Should CONTRACTOR'S insurance required by this Agreement be canceled at any point prior to expiration of the policy, CONTRACTOR must notify CITY within 24 hours of receipt of notice of cancelation.
Furthermore, CONTRACTOR must obtain replacement coverage that meets all contractual requirements within 10 days of the prior insurer's issuance of notice of cancelation. CONTRACTOR must ensure that there is no lapse in coverage.
If the operation under this Agreement results in an increased or decreased risk in the opinion of the City's Purchasing Agent, then the CONTRACTOR agrees that the minimum limits herein above designated shall be changed accordingly upon request by the City's Purchasing Agent.
The CONTRACTOR agrees that provisions of this paragraph as to maintenance of insurance shall not be construed as limiting in any way the extent to which the CONTRACTOR may be held responsible for the payment of damages to persons or property resulting from the CONTRACTOR'S activities or the activities of any person or persons for which the CONTRACTOR is otherwise responsible.
I have read and understand the above requirements and agree to be bound by them for any work performed for the City.
Authorized Signature: Date: 10/12/23
Printed Name: Richard Schultz, President (Sole Officer)
REFERENCES
Bid #PPOS-23-24-P4026
Bouquet Canyon Park Playground Installation
City Project No. P4026
City of Santa Clarita, California
The following are the names, addresses, and telephone numbers of three public agencies for which bidder has performed and completed work of a similar scope and size within the past 3 years. If the scope of work/specifications requests references different than instructions above, the scope of work/specifications shall govern:
1. San Diego Unified School District: 4100 Normal Street, San Diego, CA 92103 Name and Address of Owner / Agency
Jim LeBeau: 858-361-7503
Name and Telephone Number of Person Familiar with Project _$894,205.00 Furnish & Install Shade Shelters 8/202
Contract Amount Type of Work ate Complete
_County of San Diego: 5560 Overland Ave., Suite 270, San Diego, CA 92123 Name and Address of Owner / Agency
Stephanie Kopplin: 858-401-0417
Name and Telephone Number of Person Familiar with Project $875,492.73 Park Renovation 2/2023
Contract Amount Type of Work Date Completed
3. Azusa Unified School District: 546 S Citrus Avenue, Azusa, CA 91702 Name and Address of Owner / Agency
Brian Allen: 626-732-4345
Name and Telephone Number of Person Familiar with Project $916,812.00 Playground Renovation at Multi School Sites 9/2023 Contract Amount Type of Work Date Completed
The following are the names, addresses, and telephone numbers of all brokers and sureties from whom bis Spectant to procure 3015 guer 5t. #700, Los Angeles CA 90027 / 310-649.0990 The Bond Connection: 27201 Puerta Real #300, Mission Vieio, CA 92691 / Blake Pfister: 949-248-1543
PROPOSAL FORM
Bid #PPOS-23-24-P4026
Bouquet Canyon Park Playground Installation
City Project No. P4026
City of Santa Clarita, California
TO THE CITY OF SANTA CLARITA, AS CITY:
In accordance with CITY's NOTICE INVITING BIDS, the undersigned BIDDER hereby proposes to furnish all materials, quipment, tools, labor, and incidentals required for the above-stated project as set forth in the plans, specifications and contract documents therefore, and to perform all work in the manner and time prescribed therein BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, INSTRUCTIONS TO BIDDERS, and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with CITY at the unit and/or lump sum prices set forth in the following BID SCHEDULE. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to CITY of the proposal guarantee accompanying this proposal.
BIDDER understands that a bid is required for the entire work that the estimated quantities set forth in BID SCHEDULE are solely for the purpose of comparing bids, and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE CITY RESERVES THE RIGHT TO INCREASE OR DECREASE THE AMOUNT OF ANY QUANTITY SHOWN AND TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum price(s) bid include all appurtenant expenses, taxes, royalties, and fees for the project's duration. In case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures.
If awarded the contract, the undersigned further agrees that in the event of the Bidder's default in executing the required contract and filing the necessary bonds and insurance certificates within ten working days after the date of the CITY's notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the CITY and this bid and the acceptance hereof may, at the CITY's option, be considered null and void.
Company Name: R.E. Schultz Construction, Inc.
Company Address: 1767 North Batavia Street
Orange, CA 92865
Phone: 714-649-2627
Email: [email protected]
By: Richard Schultz
Print Name
President, Sole Officer
Title:
Signature:
Date: 10/12/23
NON-COLLUSION AFFIDAVIT
(Title 23 United States Code Section 112 and Public Contract Code Section 7106) Bid #PPOS-23-24-P4026
Bouquet Canyon Park Playground Installation
City Project No. P4026
City of Santa Clarita, California
To the CITY OF SANTA CLARITA:
In conformance with Title 23 United States Code Section 112 and Public Contract Code 7106, the Bidder declares that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the Bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the Bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the Bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the Bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid.
THE BIDDER'S EXECUTION ON THE SIGNATURE PORTION OF THE "BIDDER'S CERTIFICATION" SHALL
ALSO CONSTITUTE AN ENDORSEMENT AND EXECUTION OF THOSE CERTIFICATIONS WHICH FORM A PART OF THE PROPOSAL. BIDDERS ARE CAUTIONED THAT MAKING A FALSE CERTIFICATION MAY SUBJECT THE CERTIFIER TO CRIMINAL PROSECUTION.
NON-COLLUSION AFFIDAVIT
Bid #PPOS-23-24-P4026
Bouquet Canyon Park Playground Installation
City Project No. P4026
City of Santa Clarita, California
TO BE EXECUTED BY EACH BIDDER OF A PRINCIPAL CONTRACT
STATE OF CALIFORNIA
COUNTY OF LOS ANGELES
Richard Schultz being first duly sworn deposes and says that he/she is the President, Sole Officer (sole owner, a partner, president, etc.) of R.E. Schultz Construction, Inc. the party making the foregoing bid; that such bid is not made in the interest of or behalf of any undisclosed person, partnership, company, association, organization or corporation, that such bid is genuine and not collusive or sham, that said BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham bid, or that anyone shall refrain from bidding, that said BIDDER has not in any manner, directly or indirectly sought by agreements, communication or conference with anyone to fix the bid price of said BIDDER or of any other BIDDER, or to fix the overhead, profit, or cost element of such bid price, or of that of any other BIDDER, or to secure any advantage against the public body awarding the Contract or anyone interested in the proposed Contract; that all statements contained in such bid are true, and further, that said BIDDER has not, directly or indirectly, submitted its bid price, or any breakdown thereof, or the contents thereof, or divulged information or date relative thereto, or paid and will not pay any fee in connection, therewith to any corporation, partnership, company, association, organization, bid depository, or to any member or CITY thereof, or to any other individual information or date relative thereto, or paid and will not pay any fee in connection, therewith to any corporation, partnership, company association, organization, bid depository, or to any member or CITY thereof, or to any other individual, except to such person or persons as have a partnership or other financial interest with said BIDDER in his general business.
eaSe
Bidder:
Signature
Title President, Sole Officer
California All-Purpose Certificate of 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 _ Drange S.S.
on 10-6-2023 botoreme. D. Mindedla Note Buthe
Richard Schults
personally appeared
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) islare subscribed to the within instrument and acknowledged to me that he/she/they executed the same in bis/her/their authorized capacity(ies), and that by bis/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.
D. MINDIOLA
WITNESS my hand and official seal. Notary Public - California Orange County
Commission # 2350274
Wh My Comm. Expires Mar 5. 2025
OPTIONAL INFORMATION
ion is not required by lawi could prevent fraudulent removal and reattachment of zonzed document and may prove useful to persons relying on the attached document.
Description of Attached Document ditional Information
The preceding Certificate of Acknowledgment is attached to a Method of Signer Identification document titled/for the purpose of JON - Collisis
Proved to me on the basis of satisfactory evidence:
• forms) of identification • credible witness(es)
containing pages, and dated Notarial event is detailed in notary journal on:
The signers) capacity or authority is/are as: Page # Entry # Individual(s) Notary contact:
Attorney-in-fact
Corporate Officers) Other
Additional Signer •] Signers) Thumbprints(s)
• Guardian/Conservator
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Trustee(s)
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representing:
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PROPOSAL FORM
Bid #PPOS-23-24-P4026
Bouquet Canyon Park Playground Installation
City Project No. P4026
City of Santa Clarita, California
TO THE CITY OF SANTA CLARITA, AS CITY:
In accordance with CITY's NOTICE INVITING BIDS, the undersigned BIDDER hereby proposes to furnish all materials, quipment, tools, labor, and incidentals required for the above-stated project as set forth in the plans, specifications and contract documents therefore, and to perform all work in the manner and time prescribed therein BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, INSTRUCTIONS TO BIDDERS, and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with CITY at the unit and/or lump sum prices set forth in the following BID SCHEDULE. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to CITY of the proposal guarantee accompanying this proposal.
BIDDER understands that a bid is required for the entire work that the estimated quantities set forth in BID SCHEDULE are solely for the purpose of comparing bids, and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE CITY RESERVES THE RIGHT TO INCREASE OR DECREASE THE AMOUNT OF ANY QUANTITY SHOWN AND TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum price(s) bid include all appurtenant expenses, taxes, royalties, and fees for the project's duration. In case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures.
If awarded the contract, the undersigned further agrees that in the event of the Bidder's default in executing the required contract and filing the necessary bonds and insurance certificates within ten working days after the date of the CITY's notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the CITY and this bid and the acceptance hereof may, at the CITY's option, be considered null and void.
Company Name: R.E. Schultz Construction, Inc.
Company Address: 1767 North Batavia Street
Orange, CA 92865
Phone: 714-649-2627
Email: [email protected]
By: Richard Schultz
Print Name
President, Sole Officer
Title:
Signature:
Date: 10/12/23
NOTICE TO BIDDERS REGARDING CONTRACTUAL REQUIREMENTS
Bid #PPOS-23-24-P4026
Bouquet Canyon Park Playground Installation
City Project No. P4026
City of Santa Clarita, California
SUMMARY OF INDEMNITY AND INSURANCE REQUIREMENTS
1. These are the Indemnity and Insurance Requirements for Contractors providing services or supplies to City of Santa Clarita (City). By agreeing to perform the work or submitting a proposal, you verify that you comply with and agree to be bound by these requirements. If any additional Contract documents are xecuted, the actual Indemnity language and Insurance Requirements may include additional provision s deemed appropriate by City's Purchasing Agen
Questions and requests for modification of these terms must be negotiated and approved prior to bid submission and are at the full discretion of the City.
2. You should check with your Insurance advisors to verify compliance and determine if additional coverage or limits may be needed to adequately insure your obligations under this agreement. These are the minimum required and do not in any way represent or imply that such coverage is sufficient to adequately cover the Contractor's liability under this agreement. The full coverage and limits afforded under Contractor's policies of Insurance shall be available to Buyer and these Insurance Requirements shall not in any way act to reduce coverage that is broader or includes higher limits than those required.
The Insurance obligations under this agreement shall be: 1—all the Insurance coverage and limits carried by or available to the Contractor; or 2—the minimum Insurance requirements shown in this agreement, whichever is greater. Any insurance proceeds in excess of the specified minimum limits and coverage required, which are applicable to a given loss, shall be available to City.
3. Contractor shall furnish the City with original Certificates of Insurance including all required amendatory endorsements and a copy of the Declarations and Endorsement Page of the CGL policy listing all policy endorsements to City before work begins. City reserves the right to require full-certified copies of all Insurance coverage and endorsements.
I. INDEMNIFICATION:
City and its respective elected and appointed boards, officials, officers, agents, employees, and volunteers (individually and collectively, "Indemnitees") shall have no liability to CONTRACTOR or any other person for, and CONTRACTOR shall indemnify, defend, protect, and hold harmless Indemnitees from and against, any and all liabilities, claims, actions, causes of action, proceedings, suits, damages, judgments, liens, levies, costs, and expenses of whatever nature, including reasonable attorney's fees and disbursements (collectively, "Claims"), which Indemnitees may suffer or incur or to which Indemnitees may become subject by reason of or arising out of any injury to or death of any person(s), damage to property, loss of use of property, economic loss, or otherwise occurring as a result of or allegedly caused by the CONTRACTOR'S performance of or failure to perform any services under this Agreement, or by the negligent or willful acts or omissions of CONTRACTOR, its agents, officers, directors, or employees, committed in performing any of the services under this Agreement.
If any action or proceeding is brought against Indemnitees by reason of any of the matters against which CONTRACTOR has agreed to indemnify Indemnitees as provided above, CONTRACTOR, upon notice from City, shall defend Indemnitees at its expense by counsel acceptable to City, such acceptance not to be unreasonably withheld. Indemnitees need not have first paid for any of the matters to which Indemnitees are entitled to indemnification in order to be so indemnified. The limits of the insurance required to be maintained by CONTRACTOR in this Agreement shall not limit the liability of CONTRACTOR hereunder. The provisions of this section shall survive the expiration or earlier termination of this agreement.
The provisions of this section do not apply to Claims occurring as a result of the City's active negligence or acts of omission.
Il. INSURANCE
CONTRACTOR shall maintain and submit certificates of all applicable insurance including, but not limited to, the following and as otherwise required by law. The terms of the insurance policy or policies issued to provide the above insurance coverage shall provide that said insurance may not be amended or canceled by the carrier, for non-payment of premiums or otherwise, without thirty (30) days prior written notice of amendment or cancellation to the CITY. In the event the said insurance is canceled, the CONTRACTOR shall, prior to the cancellation date, submit to the City Clerk new evidence of insurance in the amounts established.
Liability Insurance
During the entire term of this Agreement, the CONTRACTOR agrees to procure and maintain General Liability insurance at its sole expense to protect against loss from liability imposed by law for damages on account of bodily injury, including death therefrom, suffered or alleged to be suffered by any person or persons whomsoever, resulting directly or indirectly from any act or activities, errors or omissions, of the CITY, or CONTRACTOR or any person acting for the CITY, or under its control or direction, and also to protect against loss from liability imposed by law for damages to any property of any person caused directly or indirectly by or from acts or activities of the CITY, or CONTRACTOR or any person acting for the CITY, or under its control or direction. Such public liability and property damage insurance shall also provide for and protect the CITY against incurring any legal cost in defending claims for alleged loss. Such General, Public and Professional liability and property damage insurance shall be maintained in full force and effect throughout the term of the Agreement and any extension thereof in the amount indicated above or the following minimum limits:
Commercial General Liability Insurance, including coverage for Premises and Operations, Contractual Liability, Personal Injury Liability, Products/Completed Operations Liability, and Independent Contractors' Liability (if applicable), in an amount of not less than two million dollars ($2,000,000.00) per occurrence, four million dollars ($4,000,000.00) annual aggregate, written on an occurrence form.
Products/Completed Operations coverage shall extend a minimum of three (3) years after project completion. Coverage shall be included on behalf of the CONTRACTOR for covered claims arising out of the actions of independent contractors. If the CONTRACTOR is using subcontractors, the policy must include work performed "by or on behalf" of the CONTRACTOR. Policy shall contain no language that would invalidate or remove the CONTRACTOR'S duty to defend or indemnify for claims or suits expressly excluded from coverage. Policy shall specifically provide for a duty to defend on the part of the CONTRACTOR.
Worker's Compensation Insurance
The CONTRACTOR shall procure and maintain, at its sole expense, Worker's Compensation Insurance in the amount of $1,000,000 per occurrence or in such amount as will fully comply with the laws of the State of California and which shall indemnify, insure and provide legal defense for both the CONTRACTOR and the CITY against any loss, claim or damage arising from any injuries or occupational diseases happening to any worker employed by the CONTRACTOR in the course of carrying out the work within the Agreement. Such insurance shall also contain a waiver of subrogation naming the City of Santa Clarita.
Automotive Insurance
The CONTRACTOR shall procure and maintain, at its sole expense, throughout the term of this Agreement, and any extension thereof, public liability and property damage insurance coverage for automotive equipment with coverage limits of not less than $1,000,000 combined single limit for each accident. All such insurance shall be primary insurance and shall name the City of Santa Clarita as an additional insured.
Builder's Risk
Upon commencement of construction and with approval of CITY, CONTRACTOR shall obtain and maintain Builder's Risk Insurance for the entire duration of the Project until only the CITY has an insurable interest.
The Builder's Risk coverage shall include the coverages as specified below:
The named insureds shall be CONTRACTOR and CITY, including its officers, officials, employees, and agents. All subcontractors (excluding those solely responsible for design work) of any tier and suppliers shall be included as additional insureds as their interests may appear. CONTRACTOR shall not be required to maintain property insurance for any portion of the Project following transfer of control thereof to CITY.
The policy shall contain a provision that all proceeds from the Builder's Risk Policy shall be made payable to the CITY. The CITY will act as a fiduciary for all other interests in the Project.
Policy shall be provided for replacement value on an "all risk" basis for the completed value of the project.
There shall be no coinsurance penalty or provisional limit provision in any such policy. Policy must include:
(1) coverage for any ensuing loss from faulty workmanship, nonconforming work, omission or deficiency in design or specifications; (2) coverage against machinery accidents and operational testing; (3) coverage for removal of debris, and insuring the buildings, structures, machinery, equipment, materials, facilities, fixtures and all other properties constituting a part of the Project; (4) Ordinance or law coverage for contingent rebuilding, demolition, and increased costs of construction; (5) transit coverage (unless insured by the supplier or receiving contractor), with sub-limits sufficient to insure the full replacement value of any key equipment item; (6) ocean marine cargo coverage insuring any Project materials or supplies, if applicable; (7) coverage with sub-limits sufficient to insure the full replacement value of any property or equipment stored either on or off the site or any staging area. Such insurance shall be on a form acceptable to CITY to ensure adequacy of terms and sub-limits and shall be submitted to the CITY prior to commencement of construction.
Fire and Extended Coverage Insurance (Services involving real property only) CONTRACTOR agrees to procure and maintain, at its sole expense, during the term of this Agreement, and any extension thereof, a policy of fire, extended coverage and vandalism insurance.
Pollution Liability and/or Asbestos Pollution Liability and/or Errors & Omissions Contractors Pollution Liability and/or Asbestos Pollution Liability and/or Errors & Omissions with limit no less than $2,000,000 per claim or occurrence and $2,000,000 aggregate per policy period of one year.
Coverage must be included for bodily injury and property damage, including coverage for loss of use and/or diminution in property value, and for clean-up costs arising out of, pertaining to, or in any way related to the actual or alleged discharge, dispersal, seepage, migration, release or escape of contaminants or pollutants, arising out of or pertaining to the services provided by CONTRACTOR under this Agreement, including the transportation of hazardous materials or contaminants.
Professional Liability (if Design-Build)
Professional Liability Insurance, insuring against professional errors and omissions arising from CONTRACTOR'S work on the Project, in an amount not less than [$2,000,000] combined single limit for each occurrence. If CONTRACTOR cannot provide an occurrence policy, CONTRACTOR shall provide insurance covering claims made as a result of performance of work on this Project and shall maintain such insurance in effect for not less than three years following final completion of the Project.
Waiver of Subrogation
All insurance coverage maintained or procured pursuant to this Agreement shall be endorsed to waive subrogation against the CITY, its elected or appointed officers, agents, officials, employees and volunteers or shall specifically allow CONTRACTOR or others providing insurance evidence in compliance with these specifications to waive their right of recovery prior to a loss. CONTRACTOR hereby waives its own right of recovery against the CITY, and shall require similar written express waivers and insurance clauses from each of its subconsultants.
Separation of Insureds
A severability of interests provision must apply for all additional insureds ensuring that CONTRACTOR'S insurance shall apply separately to each insured against whom claim is made or suit is brought, except with respect to the insurer's limits of liability. The policy(ies) shall not contain any cross-liability exclusions.
Pass Through Clause
CONTRACTOR agrees to ensure that its subconsultants, subcontractors, and any other party involved with the project who is brought onto or involved in the project by CONTRACTOR, provide the same minimum insurance coverage and endorsements required of CONTRACTOR. CONTRACTOR agrees to monitor and review all such coverage and assumes all responsibility for ensuring that such coverage is provided in conformity with the requirements of this section. CONTRACTOR agrees that upon request, all Agreements with consultants, subcontractors, and others engaged in the project will be submitted to the CITY for review.
Self-Insured Retentions
Any self-insured retentions must be declared to and approved by the CITY. The CITY reserves the right to require that self-insured retentions be eliminated, lowered, or replaced by a deductible. Self-insurance will not be considered to comply with these specifications unless approved by the CITY.
Primary and Additional Insured
All of such insurance shall be primary and shall name the City of Santa Clarita as additional insured. A Certificate of Insurance and an additional insured endorsement (for general and automobile liability), evidencing the above insurance coverage with a company acceptable to the City's Purchasing Agent shall be submitted to the CITY prior to execution of this Agreement on behalf of the CITY.
Requirements
Should CONTRACTOR, for any reason, fail to obtain and maintain the insurance required by this Agreement, CITY may obtain coverage at CONTRACTOR'S expense and deduct the cost of such insurance from payments due to CONTRACTOR under this Agreement or terminate. In the alternative, should CONTRACTOR fail to meet any of the insurance requirements under this Agreement, CITY may cancel the Agreement immediately with no penalty.
Should CONTRACTOR'S insurance required by this Agreement be canceled at any point prior to expiration of the policy, CONTRACTOR must notify CITY within 24 hours of receipt of notice of cancelation.
Furthermore, CONTRACTOR must obtain replacement coverage that meets all contractual requirements within 10 days of the prior insurer's issuance of notice of cancelation. CONTRACTOR must ensure that there is no lapse in coverage.
If the operation under this Agreement results in an increased or decreased risk in the opinion of the City's Purchasing Agent, then the CONTRACTOR agrees that the minimum limits herein above designated shall be changed accordingly upon request by the City's Purchasing Agent.
The CONTRACTOR agrees that provisions of this paragraph as to maintenance of insurance shall not be construed as limiting in any way the extent to which the CONTRACTOR may be held responsible for the payment of damages to persons or property resulting from the CONTRACTOR'S activities or the activities of any person or persons for which the CONTRACTOR is otherwise responsible.
I have read and understand the above requirements and agree to be bound by them for any work performed for the City.
Authorized Signature: Date: 10/12/23
Printed Name: Richard Schultz, President (Sole Officer)
BID SCHEDULE
Bid #PPOS-23-24-P4026
Bouquet Canyon Park Playground Installation
City Project No. P4026
City of Santa Clarita, California
Fill out this form completely and submit with the bid response. Line item pricing must be entered on BidNet. In the event any mathematical discrepancies are found, please refer to Section B, Bid Instructions.
The award of contract, if made, will be to the lowest responsive BIDDER determined solely by the AGENCY.
The AGENCY also reserves the right to add/delete the quantities to the existing bid items, or delete the entire bid item if they are found not required by the Agency during the course of the construction, or add new bid items or scope of work by Contract Change Order at any time during the project up to the last contract working day.
The BIDDER agrees to hold all unit prices in this Bid Schedule constant throughout the duration of the project up to the last contract working day.
ITEM DESCRIPTION QTY UNIT
NO. UNIT PRICE TOTAL
1. Mobilization/Demobilization 1 LS
$ 35,000.00 $35,000.00
2. Construction Fence 675 $ 4.00
$ 2,700.00
Demo and dispose of play equipment, safety
surfacing, and concrete 1 LS $ 20,000.00 $ 20,000.00
4. Tree removal 1 EA $ 3,500.00 $ 3,500.00
5. Sand Removal/disposal 1 LS $ 14,500.00 $ 14,500.00
6. Concrete flatwork installation 1 LS
$ 64,000.00 $ 64,000.00
7. Play equipment installation 1 LS $ 108,000.00 $ 108,000.00
8. Shade sails installation 1 LS $ 110,000.00 $ 110,000.00 9 Safety surfacing system installation 7900 SF $ 24.00 $ 189,600.00 TOTAL BASE BID AMOUNT: $ 547,300.00
TOTAL BASE BID AMOUNT IN WORDS: Five Hundred and Forty Seven Thousand Three Hundred Dollars.
BIDDER'S INFORMATION AND CERTIFICATION
Bid #PPOS-23-24-P4026
Bouquet Canyon Park Playground Installation
City Project No. P4026
City of Santa Clarita, CA
Bidder certifies that the representations of the bid are true and correct and made under penalty of perjury.
EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE
Bidder certifies that in all previous contracts or subcontracts, all reports which may have been due under the requirements of any CITY, State, or Federal equal employment opportunity orders have been satisfactorily filed, and that no such reports are currently outstanding.
AFFIRMATIVE ACTION CERTIFICATION
Bidder certifies that affirmative action has been taken to seek out and consider minority business enterprises for those portions of the work to be subcontracted, and that such affirmative actions have been fully documented, that said documentation is open to inspection, and that said affirmative action will remain in effect for the life of any contract awarded hereunder. Furthermore, Bidder certifies that affirmative action will be taken to meet all equal employment opportunity requirements of the contract documents.
CERTIFICATION REGARDING DIR CONTRACTOR/SUBCONTRACTOR REGISTRATION By my signature hereunder, as the Contractor, I certify that Contractor, and all Subcontractors listed on the Subcontractor Designations form are the subject of current and active contractor registrations pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code. Contractor's registration number is indicated below. Subcontractors' registration numbers are indicated on the Subcontractor Designations form.
Bidder's Name: R.E. Schultz Construction, Inc.
Business Address: 1767 North Batavia Street, Orange, CA 92865 Telephone No.: _714-649-2627
State CONTRACTOR's License No. & Class: 1007195 - A, B, C-61/D34, C-61/D12 Exp. 9/30/25 DIR No.: 1000033385
Original Date: 12/29/15 Expiration Date: 6/30/24
The following are the names, titles, addresses, and phone numbers of all individuals, firm members, partners, joint ventures, and/or corporate officers having a principal interest in this proposal:
Richard Schultz, President (Sole Officer)
The dates of any voluntary or involuntary bankruptcy judgments against any principal having an interest in this proposal, or any firm, corporation, partnership or joint venture of which any principal having an interest in this proposal was an owner, corporate officer, partner or joint venture are as follows:
N/A
All current and prior DBAs, alias, and/or fictitious business names for any principal having an interest in this proposal are as follows:
N/A
IN WITNESS WHEREOF, BIDDER executes and submits this proposal with the names, title, hands, and seals of all aforementioned principals this 12th _ day ofOctobezo 23 BIDDER:
Signature
Richard Schultz, President (Sole Officer)
Name and Title of Signatory
R.E. Schultz Construction, Inc.
Legal Name of Bidder
1767 North Batavia Street, Orange, CA 92865
Address
714-649-2627 32-0465469
Telephone Number Federal Tax I.D. No.
BIDDER'S QUESTIONNAIRE
Bid #PPOS-23-24-P4026
Bouquet Canyon Park Playground Installation
City Project No. P4026
City of Santa Clarita, California
1. Submitted by: Richard Schultz _Telephone: 714-649-2627 Principal Office Address:_1767 North Batavia Street, Orange, CA 92865
2. Type of Firm:
• C Corporation
• S Corporation
Individual/Sole Proprietor or Single -Member LLC
Partnership
• • Limited Liability Company "C" C-Corp
• Limited Liability Company "S" S-Corp
• Limited Liability Company "p" Partnership
• Other
3a. If a corporation, answer these questions:
Date of Incorporation: 4/21/2015 State of Incorporation: California President's Name: Richard Schultz
Vice-President's Name: Richard Schultz
Secretary or Clerk's Name: Richard Schultz
Treasurer's Name: Richard Schultz
3b. If a partnership, answer these questions: N/A
Date of organization: _State Organized in:
Name of all partners holding more than a 10% interest:
Designate which are General or Managing Partners.
BIDDER'S QUESTIONNAIRE (cont'd)
Bid #PPOS-23-24-P4026
Bouquet Canyon Park Playground Installation
City Project No. P4026
City of Santa Clarita, California
Name of person holding CONTRACTOR: , C-e/s Richard Schultz License number: 1007195_ Class:C-61/D12_ Expiration Date: _9/30/25 D.I.R. Registration # 1000033385
5. CONTRACTOR's Representative: Richard Schultz
Title: President, Sole Officer
Alternate:
Title:
6. List the major construction projects your organization has in progress as of this date:
A.
Owner: San Diego Unified School District
Project Location: (4) School Sites
Type of Project:_Removal and replacement of play equipment and surfacing Owner:_City of Monterey Park
Project Location: Various Locations
Type of Project:_Playground replacements.
c.
Owner:_Anaheim Elementary School District
Project Location:_(3) School Sites.
Type of Project: Playground equipment upgrade.
BIDDER PRE-QUALIFICATION QUESTIONNAIRE
Bid #PPOS-23-24-P4026
Bouquet Canyon Park Playground Installation
City Project No. P4026
City of Santa Clarita, California
In accordance with the California Public Contract Code Section 20101, the City of Santa Clarita will review this completed bidder's pre-qualification questionnaire immediately following bid closing, starting with the apparent low bidder. If the apparent low bidder answers in the negative OR does not meet the requirements outlined in this questionnaire, the City will find the apparent low bidder unresponsive, and will move on to the next apparent low bidder, and so and so forth.
1. In the past five years has any claim against your firm concerning your firm's work on a construction project been filed in court or arbitration? Yes • No X
If "yes," on separate signed sheets of paper identify the claims) by providing the project name, date of the claim, name of the claimant, a brief description of the nature of the claim, the court in which the case was filed and a brief description of the status of the claim (pending or, if resolved, a brief description of the resolution).
2. In the past five years has your firm made any claim against a project owner concerning work on a project or payment for a contract and filed that claim in court or arbitration? Yes • No IXI
If "yes," on separate signed sheets of paper identify the claim by providing the project name, date of the claim, name of the entity (or entities) against whom the claim was filed, a brief description of the nature of the claim, the court in which the case was filed and a brief description of the status of the claim (pending, or if resolved, a brief description of the resolution).
3. Has CAL OSHA (or Fed/OSHA) cited and assessed penalties against your firm for any "serious," "willful" or "repeat" violations of its safety or health regulations in the past five years? NOTE: If you have filed an appeal of a citation, and the Occupational Safety and Health Appeals Board has not yet ruled on your appeal, you need not include information about it.
Yes • No X
If "yes," attached a separate signed page describing the citations, including information about the dates of the citations, the nature of the violation, the project on which the citation(s) was or were issued, and the amount of penalty paid, if any. If the citation was appealed to the Occupational Safety and Health Appeals Board and a decision has been issued, state the case number and the date of the decision.
4. List your firm's Experience Modification Rate (EMR) (California workers' compensation insurance) for each of the past three premium years:
NOTE: An Experience Modification Rate is issued to your firm annually by your workers' compensation insurance carrier.
Current year: _1.02
Previous year: 1.04
Year prior to previous year: 1.05
If your EMR for any of these three years is or was 1.00 or higher you may, if you wish, attach a letter of explanation. Please see attached
5. Indicate your firm's capacity to complete this project based on any present commitments to other projects, whether that be pre-construction, post-construction, or ongoing construction. In other words, is your firm capable of performing or complying with the required delivery or performance schedules, considering all existing commercial and governmental business commitments? Please elaborate on separate signed sheets of paper. See attached.
6. Does your firm have the adequate financial capabilities including bonding capacity (up to $12,000,000) to perform the contract in question, together with all other pending work, or have the ability to obtain adequate financial resources in a timely manner? Please elaborate on separate signed sheets of paper, and provide confirmation letter from Surety. See attached Bondability Letter
7. Does your firm have a valid California Class B or A Contractors License? Yes X No O
8. Has your firm completed a minimum of two projects valued at $12,000,000+? Please elaborate on separate signed sheets of paper. See attached
9. Has your firm successfully constructed a fully enclosed multi-use sports complex? Please elaborate on separate signed sheets of paper. See attached.
10. Does your firm have insurance coverage of the following type and limits? Please see attached. • $5MM per Occurrence (General Liability or Excess)
• $10MM annual General Aggregate (General Liability or Excess) • Workers' Comp (statutory limits)
CERTIFICATION OF NON-SEGREGATED FACILITIES
Bid #PPOS-23-24-P4026
Bouquet Canyon Park Playground Installation
City Project No. P4026
City of Santa Clarita, California
The BIDDER certifies that it does not maintain or provide for its employees any segregated facilities at any of its establishments, and that it does not permit its employees to perform their services at any location, inder its control, where segregated facilities are maintained. The BIDDER certifies further that it will no naintain or provide for its employees any segregated facilities at any of its establishments, and that it wil not permit its employees to perform their services at any location, under its control, where segregated facilities are maintained. The BIDDER agrees that a breach of this certification is a violation of the Equa Opportunity clause in this Contract. As used in this certification, the term "segregated facilities" means any waiting rooms, work areas, rest rooms, and wash rooms, restaurants and other eating areas, time clocks, locker rooms and other storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, and housing facilities provided for employees which are segregated by explicit directive or are in fact segregated on the basis of race, creed, color, or national origin, because of habit, local custom, or otherwise. The BIDDER agrees that (except where it has obtained identical certifications from proposed subcontractors for specific time periods) it will obtain identical certifications from proposed subcontractors prior to the award of subcontracts exceeding $10,000 which are not exempt from the provisions of the Equal Opportunity clause, and that it will retain such certifications in its files.
R.E. Schultz Construction, Inc.
BIDDER
Required by the May 19, 1967 order on Elimination of Segregated Facilities, by the Secretary of Labor - 32 F.R. 7439, May 19, 1967 (F.R. Vol. 33, No. 33 - Friday, February 16, 1968 - p. 3065).
DESIGNATION OF SUBCONTRACTORS
Bid # PPOS-23-24-P4026
Bouquet Canyon Park Playground Installation
City Project No. P4026
City of Santa Clarita, California
Subcontractor DIR Registration No.* Dollar Value of Work Great Western Recreation 1000015526 $157,528.80
Location and Place of Business
P.O. Box 680121
Fort Payne, AL 35967
Bid Schedule Item No's: Description of Work
Line Item #9 Poured in Place Surfacing
License No. Exp. Date: / 7 Phone ()
CSLB#855664 3/31/2025 (435) 245-5055
Subcontractor DIR Registration No.* Dollar Value of Work Location and Place of Business
Bid Schedule Item No's: Description of Work
License No. Exp. Date: / / Phone (T
Subcontractor DIR Registration No.* Dollar Value of Work Location and Place of Business
Bid Schedule Item No's: Description of Work
License No. Exp. Date: / / Phone ( )
NOTE: A BIDDER or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5 of the Labor Code. It is not a violation of this section for an unregistered BIDDER to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract ode, provided the BIDDER is registered to perform public work pursuant to Section 1725.5 of the Labor Code at the time the contract varded. *Pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Coc
REFERENCES
Bid #PPOS-23-24-P4026
Bouquet Canyon Park Playground Installation
City Project No. P4026
City of Santa Clarita, California
The following are the names, addresses, and telephone numbers of three public agencies for which bidder has performed and completed work of a similar scope and size within the past 3 years. If the scope of work/specifications requests references different than instructions above, the scope of work/specifications shall govern:
1. San Diego Unified School District: 4100 Normal Street, San Diego, CA 92103 Name and Address of Owner / Agency
Jim LeBeau: 858-361-7503
Name and Telephone Number of Person Familiar with Project _$894,205.00 Furnish & Install Shade Shelters 8/202
Contract Amount Type of Work ate Complete
_County of San Diego: 5560 Overland Ave., Suite 270, San Diego, CA 92123 Name and Address of Owner / Agency
Stephanie Kopplin: 858-401-0417
Name and Telephone Number of Person Familiar with Project $875,492.73 Park Renovation 2/2023
Contract Amount Type of Work Date Completed
3. Azusa Unified School District: 546 S Citrus Avenue, Azusa, CA 91702 Name and Address of Owner / Agency
Brian Allen: 626-732-4345
Name and Telephone Number of Person Familiar with Project $916,812.00 Playground Renovation at Multi School Sites 9/2023 Contract Amount Type of Work Date Completed
The following are the names, addresses, and telephone numbers of all brokers and sureties from whom bis Spectant to procure 3015 guer 5t. #700, Los Angeles CA 90027 / 310-649.0990 The Bond Connection: 27201 Puerta Real #300, Mission Vieio, CA 92691 / Blake Pfister: 949-248-1543 PROPOSAL GUARANTEE BID BOND NO. 11-327-556
Bid #PPOS-23-24-P4026
Bouquet Canyon Park Playground Installation
City Project No. P4026
City of Santa Clarita, California
KNOW ALL PERSONS BY THESE PRESENTS that R.E. Schultz Construction, Inc. → as BIDDER, and U.S. Specialty Insurance Company _as SURETY, are held and firmly bound unto the City of Santa Clarita, as CITY, in the penal sum of ten percent of the amount bid in dollars (10%), which is ten percent (10%) of the total amount bid by BIDDER to CITY for the above-stated project, for the payment of which sum, BIDDER and SURETY agree to be bound, jointly and severally, firmly by these presents.
THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas BIDDER is about to submit a bid to CITY for the above-stated project, if said bid is rejected, or if said bid is accepted and the contract is awarded and entered into by BIDDER in the manner and time specified, then this obligation shall be null and void, otherwise it shall remain in full force and effect in favor of CITY.
IN WITNESS WHEREAS, the parties hereto have set their names, titles, hands, and seals, this 12' Day of October , 2023.
CONTRACTOR: Richard Schultz, President
Name and Title of Signatory Signature
R.E. Schultz Construction, Inc.
Legal Name of Bidder
1767 N Batavia Street, Orange, CA 92865
Bidder Address
714-649-2627 32-0465469
Telephone Number Federal Tax I.D. No.
SURETY*: U.S. Specialty Insurance Company Billi
Name
800-486-6695 [email protected]
Phone Number and Email
801 South Figueroa Street #700, Los Angeles, CA 90017
Address
*Provide BIDDER and SURETY name, phone number, email, and the name, title, address, and phone number for authorized representative. IMPORTANT - Surety Companies executing Bonds must appear on the Treasury Department's most current list (Circular 570, as amended) and be authorized to transact business in the State where the project is located.
Contractor and Surety signatures must be notarized prior to submittal.
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 _ Orange
On. October 9, 2023 before me, Lianne Nahina, Notary Public Date Here Insert Name and Title of the Officer
personally appeared Blake A. Pfister
Name(s) of Signers)
who proved to me on the basis of satisfactory evidence to be the person whose names) is/ag subscribed to the within instrument and acknowledged to me that he/ementsy executed the same in his/W#heir authorized capacity), and that by his/Wer signature(li) on the instrument the persong), or the entity upon behalf of which the person(.) acted, executed the instrument.
LIANNE NAHINA I certify under PENALTY OF PERJURY under the laws COMM. # 2314283 20 of the State of California that the foregoing paragraph NOTARY PUBLIC-CALIFORNIA 20 is true and correct.
ORANGE COUNTY N
MY COMM. EXP. DEC 5, 2023 WITNESS my hand and official seal.
Alannenahena
Signature
Signature of Notary Public
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 an unintended document.
Description of Attached Document
Title or Type of Document: Bid Bond 11-327-556 Document Date: October 12, 2023 Number of Pages: _ Signers) Other Than Named Above: N/A, None Capacity(ies) Claimed by Signer(s)
Signer's Name: Blake A. Pfister Signer's Name:
• Corporate Officer Ties: • Corporate Officer - Title(s):
• Partner - • Limited • General • Partner - • Limited • General • Individual [* Attomey in Fact © Individual • Attorney in Fact • Trustee • Guardian or Conservator C Trustee • Guardian or Conservator • Other: _ • Other:
Signer Is Representing: U.S. Specialty Signer Is Representing:
Insurance Company
©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 VOID. VOID VOID VOID VOID VOI
VO TOKIO MARINE VOID VOID VOID VOU
HCC
POWER OF ATTORNEY
VOID AMERICAN CONTRACTORS INDEMNITY COMPANY TEXAS BONDING COMPANY ID VOI UNITED STATES SURETY COMPANY U.S. SPECIALTY INSURANCE COMPANY KNOW ALL MEN BY THESE PRESENTS: That American Contractors Indemnity Company, a California corporation, Texas Bonding VO Company, an assumed name of American Gontractors Indemnity Company, United States Surety Company, a Maryland corporation OIL and appoint clay insurance company, a Texas corporation collectively, the "Companies, do by these presents make, constitute Blake A. Pfister of Mission Viejo, California
its true and lawful Attorney(s)-in-fact, each in their separate capacity if more than one is named above, with full power and authority OIL hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include riders, amendments, and consents of surety, providing the bond penalty does not exceed *****Five Million***** Dollars VO (**$5,000,000.00**_) This Power of Attorney shall expire without further action on April 23ld 2026. This Power of Attorney is granted OIl under and by authority of the following resolutions adopted by the Boards of Directors of the Companies:
Be it Resolved, that the President, any Vice-President, any Assistant Vice-President, any Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorneys)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions:
Attomey-in-Fact may be given full power and authority for and in the name of and on behalf of the Company, to execute, acknowledge and deliver, any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings, including any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts, and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary VO Be it Resolved, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any OIl certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached.
VO SIN WITNESS WHEREOF, The Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this 18" day of April 2022.
AMERICAN CONTRACTORS INDEMNITY COMPANY TEXAS BONDING OMPANY UNITED STATES SURETY COMPANY U.Sv.SPECIALTY INSURANCE COMPANY
ONDINO CO
State of California
VO LOT
County of Los Angeles By:
Daniel P. Aguilar, Vice President
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 On this 18t day of April 2022, before me, Sonia O. Carrejo, a notary public, personally appeared Daniel P. Aguilar, Vice President of American Contractors Indemnity Company, Texas Bonding Company, United States Surety Company and U.S. Specialty Insurance Company who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument. and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or the entity upon behalf of which the person 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 VO WITNESS my hand and official seal. MOID VOI
Can Cupe My Corim. Expires Apr 23, 2024
Signature (seal)
VO 1, Kio Lo, Assistant Secretary: & American Contractors Indemnity Company, Texas Bonding Company, United States Surety Company and U.S. Specialty Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a Power OIl of Attorney, executed by said Companies, which is still in full force and effect; furthermore, the resolutions of the Boards of Directors, set out in the Power of Attorney are in full force and effect.
VO hereunto set my hand and affixed, the seals of said Companies at Los Angeles, California this OLI day of
Corporate Seals CORDING STATES S
Bond. No. 11-327-556
VO * toLs VOI
Agency No. 3074 Kio Lo, Assistant Secretary
VOID VOID
California All-Purpose Certificate of 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
Vrange S.S.
County of
On 10-11-2023 before me, _ D. Mindiola Notay Publi
personally appeared Richard Schulty
who proved to me on the basis of satisfactory evidence to be the personts) 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 capacityies), 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.
D. MINDIOLA
WITNESS my hand and official seal. Notary Public - California Orange County
Commission # 2350274
My Comm. Expires Mar 5 2025
OPTIONAL INFORMATION
Description of Attached Document
The preceding Certificate of Acknowledgment is attached to a Method of Signer Identification document titled/for the purpose of Tropiat
Proved to me on the basis of satisfactory evidence:
Smartee Bid Bond #11-327-532 • forms) of identification credible witnesses) containing pages, and dated Notarial event is detailed in notary journal on:
Page # Entry #
The signer(s) capacity or authority is/are as:
* Individual(s) Notary contact:
Attorney-in-fact
Corporate Officers) Other
Additional Signer • Signers) Thumbprints(s)
Guardian/Conservator
Partner - Limited/General
Trustee(s)
• Other:
representing:
NON-COLLUSION AFFIDAVIT
(Title 23 United States Code Section 112 and Public Contract Code Section 7106) Bid #PPOS-23-24-P4026
Bouquet Canyon Park Playground Installation
City Project No. P4026
City of Santa Clarita, California
To the CITY OF SANTA CLARITA:
In conformance with Title 23 United States Code Section 112 and Public Contract Code 7106, the Bidder declares that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the Bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the Bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the Bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the Bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid.
THE BIDDER'S EXECUTION ON THE SIGNATURE PORTION OF THE "BIDDER'S CERTIFICATION" SHALL
ALSO CONSTITUTE AN ENDORSEMENT AND EXECUTION OF THOSE CERTIFICATIONS WHICH FORM A PART OF THE PROPOSAL. BIDDERS ARE CAUTIONED THAT MAKING A FALSE CERTIFICATION MAY SUBJECT THE CERTIFIER TO CRIMINAL PROSECUTION.
NON-COLLUSION AFFIDAVIT
Bid #PPOS-23-24-P4026
Bouquet Canyon Park Playground Installation
City Project No. P4026
City of Santa Clarita, California
TO BE EXECUTED BY EACH BIDDER OF A PRINCIPAL CONTRACT
STATE OF CALIFORNIA
COUNTY OF LOS ANGELES
Richard Schultz being first duly sworn deposes and says that he/she is the President, Sole Officer (sole owner, a partner, president, etc.) of R.E. Schultz Construction, Inc. the party making the foregoing bid; that such bid is not made in the interest of or behalf of any undisclosed person, partnership, company, association, organization or corporation, that such bid is genuine and not collusive or sham, that said BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham bid, or that anyone shall refrain from bidding, that said BIDDER has not in any manner, directly or indirectly sought by agreements, communication or conference with anyone to fix the bid price of said BIDDER or of any other BIDDER, or to fix the overhead, profit, or cost element of such bid price, or of that of any other BIDDER, or to secure any advantage against the public body awarding the Contract or anyone interested in the proposed Contract; that all statements contained in such bid are true, and further, that said BIDDER has not, directly or indirectly, submitted its bid price, or any breakdown thereof, or the contents thereof, or divulged information or date relative thereto, or paid and will not pay any fee in connection, therewith to any corporation, partnership, company, association, organization, bid depository, or to any member or CITY thereof, or to any other individual information or date relative thereto, or paid and will not pay any fee in connection, therewith to any corporation, partnership, company association, organization, bid depository, or to any member or CITY thereof, or to any other individual, except to such person or persons as have a partnership or other financial interest with said BIDDER in his general business.
eaSe
Bidder:
Signature
Title President, Sole Officer
California All-Purpose Certificate of 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 _ Drange S.S.
on 10-6-2023 botoreme. D. Mindedla Note Buthe
Richard Schults
personally appeared
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) islare subscribed to the within instrument and acknowledged to me that he/she/they executed the same in bis/her/their authorized capacity(ies), and that by bis/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.
D. MINDIOLA
WITNESS my hand and official seal. Notary Public - California Orange County
Commission # 2350274
Wh My Comm. Expires Mar 5. 2025
OPTIONAL INFORMATION
ion is not required by lawi could prevent fraudulent removal and reattachment of zonzed document and may prove useful to persons relying on the attached document.
Description of Attached Document ditional Information
The preceding Certificate of Acknowledgment is attached to a Method of Signer Identification document titled/for the purpose of JON - Collisis
Proved to me on the basis of satisfactory evidence:
• forms) of identification • credible witness(es)
containing pages, and dated Notarial event is detailed in notary journal on:
The signers) capacity or authority is/are as: Page # Entry # Individual(s) Notary contact:
Attorney-in-fact
Corporate Officers) Other
Additional Signer •] Signers) Thumbprints(s)
• Guardian/Conservator
Partner - Limited/General
Trustee(s)
• Other:
representing:
→ 2009-2045 Notary Learning Center - Al Rights Reserved purchase capies of this form from our wab sita at www.TheNotarysStore com Addendum No. 1
September 26, 2023
Addendum No. 1
BID # PPOS-23-24-P4026
Bouquet Canyon Park Playground Installation
City of Santa Clarita, California
This addendum must be acknowledged via BidNet and should be included with the bid response.
There was a non-mandatory, pre-bid meeting on September 26, 2023 beginning at 11:00 AM (PT). The meeting was located at 28127 Wellston Dr, Santa Clarita, CA 91350.
Attending Staff:
• Juan Martinez - Project Manager, Neighborhood Services • Mariela Delgado - Buyer, Administrative Services
• Alyssa Herrera - PTS Office Clerk, Administrative Services • Cesar Alvarez - Mail Clerk, Administrative Services
• Annette Guzman - Administrative Analyst, Public Works Attending Vendors:
• UBD Inc.
• R.E. Schultz Construction Inc.
The following questions were asked and answered:
Q1) Will all of the existing playground equipment and sand need to be removed by the contractor? A1) Yes, there is also concrete removal needed.
Q2) When is the anticipated start date of the project?
A2) November 2023.
Q3) Can we place storage containers in the parking lot? A3) Yes, that is acceptable.
Q4) Does the City have a preference on any specific design for the pour in place? A4) A 50/50 color mix.
The following was reviewed:
• Project scope of work
• Bidding Guidelines
• Labor Compliance
• Job Walk
BID # PPOS-23-24-P4026
Addendum No. 1
September 26, 2023
END OF ADDENDUM
This addendum must be acknowledged via BidNet and should be included with the response.
RESE Richard Schultz, President (Sole Officer) 10/11/23 Contractor's Representative Date
R.E. Schultz Construction, Inc.
-
Company Name
BID # PPOS-23-24-P4026
City of Santa Clarita Pre-Bid Meeting Sign-In Sheet
September 26, 2023 at 11:00 AM (PT)
BID# PPOS-23-24-P2406
OUNDED I DECENT Bouquet Canyon Park Playground Installation Bid Closing: October 12,2023 BEFORE 11:00 AM (PT)
Questions Due by October 05,2023 BEFORE 11:00 AM (PT)
I hereby waive, release, and hold harmless from any liability or claims for damages for personal injury, including negligence, as well as from claims for property damage which may arise in connection with the above-named activity, against the supervisors, the City of Santa Clarita, and its elected and appointed officials, agents, and employees. My signature below indicates that I have read, understand, and agree to all of the above.
Company First & Last Name Signature Contact Information ist Print Clearly) Or Business Card Provided (write yes) VBD Inc hii Ubeda Yes.
1G SChulTZ
(Eusebro Saigado Yes
UBD INC.
C21 License #1040819
DEMOLITION SERVICES
Yuri Ubeda
President 6707 Camellia Ave., #205
[email protected] North Hollywood. CA 91606
818-482-8014 ubdincdemolitionservices.com
construction, Inc.
General Engineering
Contractors Lic. #1007195
DIR #1000033385
Dffice: (714) 649-2627 • Fax: (714) 740-5049
[email protected]
www.reschultzconstruction.com
General Engineering
Contractors Lic. #1007195
EMR Rating Statement
In 2020, an employee violated company policy and procedures resulting in him reinjuring his back for which was an undisclosed injury sustained prior to employment with R.E. Schultz Construction, Inc. As a result, our EMR Rating for 2021, 2022, 2023 were rated higher than 1.00.
RESS
Richard Schultz
President, Sole Officer
R.E. Schultz Construction, Inc.
1767 N. Batavia St., Orange, CA 92865 | 714.649.2627 | 714.740.5049 | www.reschultzconstruction.com
RESERVIEZ
Construction, Inc.
eneral Engineering
Contractors Lic. #1007195
Firm's Work Capacity
With consideration of our pre-construction, post-construction, or ongoing construction projects, R.E.
Schultz Construction, Inc. is capable of performing or complying with the required delivery or performance schedules of this project.
RESe
Richard Schultz
President, Sole Officer
R.E. Schultz Construction, Inc.
1767 N. Batavia St., Orange, CA 92865 | 714.649.2627 | 714.740.5049 | www.reschultzconstruction.com Toklo Marine HCC
TOKIO MARINE 1 MacArthur Piace, Suite 550
HCC Santa Ana, CA 92707
September 25, 2023
R.E. Schultz Construction, Inc.
1767 N Batavia
Orange, CA 92865
RE: Bond Capacity Letter / Bondability Certification
To Whom It May Concern,
Tokio Marine HCC - Surety Group is a leading provider of surety bonds; comprised of American Contractors Indemnity Company and U.S. Specialty Insurance Company. Our underwriting companies are rated AA- (Very Strong) by Standard & Poor's and At+ (Superior) by A.M. Best Company. Both American Contractors Indemnity Company and U.S. Specialty Insurance Company are approved underwriting surety companies per the most current U.S. Treasury Department listed Circular 570 and complies with the provisions of the California Code of Civil Procedure, Section 995.600.
For many years, R.E. Schultz Construction, Inc. has been a highly regarded and valued client of both American Contractors Indemnity Company and U.S. Specialty Insurance Company. We understand that you are considering them for future projects. Although we have not set a maximum single bond or aggregate limit, we will consider our client for payment and performance bonds of $3,000,000 single limit within a $6,000,000 aggregate program. We continue to be confident in our client's ability to perform and we recommend them for your favorable consideration. Our experience with our client has been excellent.
Please be advised that execution of all final bonds is subject to review and acceptance of the final contract terms, conditions, and financing by our client and Tokio Marine HCC - Surety Group at the time of each request. This letter does not guarantee the execution of any final bonds. The information contained herein is furnished as a matter of courtesy for your confidential use and is merely an expression of opinion as of the date of this letter. If you have any questions please do not hesitate to contact me at 949-248-1543.
Sincerely,
Billi
Blake A Pfister, Attorney-in-fact
On Behalf of American Contractors Indemnity Company and U.S. Specialty Insurance Company cc: Paul Dito
A member of the Tokio Marine HCC group of companies
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 800
A notary public or ather officer competing 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
OnSeptember 25, 2023 _ before me, Lianne Nahina, Notary Public Date Here Insert Name and Title of the Officer
personally appeared _Blake A. Pfister
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(() whose name(s) is/and subscribed to the within instrument and acknowledged to me that he/ettity executed the same in his/titkn69y authorized capacityle), and that by his/16t0 i signature(i on the instrument the person, of the entity upon behalf of which the person acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws
LIANNE NAHINA
COMM. # 2314283 2 of the State of California that the foregoing paragraph NOTARY PUBLIC CALIFORNIA GI is true and correct.
ORANGE COUNTY N
•MY COMM. EXP. DEC 6, 2023 WITNESS my hand and official seal.
Signature Avenutatuna
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 an unintended document.
Description of Attached Document
Title or Type of Document: _ Bond Letter _ Document Dateseptember 25,2023 Number of Pages: 1 _ Signer(s) Other Than Named Above: N/A, None Capacity(ies) Claimed by Signer(s)
Signer's Name: Blake A. Pfister Signer's Name:
• Corporate Officer - Tities): - • Corporate Officer - Title(s): — • Partner - • Limited • General • Partner - O Limited • General O Individual. [ Attorney in Fact • individual • Attorney in Faot • Trustee • Guardian or Conservator • Trustee • Guardian or Conservator DOther: D Other:
Signer Is Representing: U.S. Specialty Signer Is Representing:
Insurance Company
BEASTER
©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907
TOKIO MARINE
HCC
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That, U.S. SPECIALTY INSURANCE COMPANY (the "Company"), a corporation duly organized and existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents make, constitute and appoint.
Blake A. Pfister
its true and lawii Attorney-in-fact, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge None, Bond Letter Only
amount not to exceed - Is melon and abusiness and to bind the Company thereby, _. Said appointment is made under and by authority of the following resolutions of the Board of Directors of u.S.
Specialty Insurance Company:
"Be it Resolved, that the President, any Vice-President, any Assistant Vice-President, any Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions:
Attorney-in-Fact may be given full power and authority for and in the name of and on behalf of the Company, to execute, acknowledg and deliver, any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory undertaking:
including any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts, and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary.
Be it Resolved, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached." Adopted by unanimous written consent in lieu of meeting on September 15t, 2011.
The Attorney-in-Fact named above may be an agent or a broker of the Company. The granting of this Power of Attorney is specific to this bond and does not indicate whether the Attorney-in-Fact is or is not an appointed agent of the Company.
IN WITNESS WHEREOF, U.S. Specialty Insurance Company has caused its seal to be affixed hereto and executed by its Senior Vice President on this 18h day of April, 2022.
insurance
State of California U.S. SPECIALTY INSURANCE COMPANY
County of Los Angeles SS: By:
Adam S. Pessih, Senior Vice President
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.
On this 18" day of April, 2022, before me, Sonia O. Carrejo, a notary public, personally appeared Adam S. Pessin, Senior Vice President of U.S. Specialty Insurance Company, who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument.
I certity 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.. SONIA D. CARREN
Man lang
Signature (seal)
My Corn. Expires pr 23, 2026
I, Kio Lo, Assistant Secretary of U.S. Specialty Insurance Company, da hereby certify that the Power of Attorney and the resolution adopted by the Board of Directors of said Company as set forth above, are true and correct transcripts thereof and that neither the said Power of Attorney nor the resolution have been revoked and they are now in full force and effect.
IN WITNESS WHEREOF, I have hereunto set my hand this 25th day of September 2023 Bond No. None, Bond Letter Only
Agency No. 3074 Kio Lo, Assist Secretary
Visit tmhcc.com/surety for more information HCCSOZZPOAUSSIC04/2022 R.E. Schultz
Construction, Inc.
General Engineering
Contractors Lic. #1007195
Completion of Projects
R.E. Schultz Construction, Inc. has completed numerous projects identical to the scope of this project and valued at $12,000,000.00+ in the past 30 years of business as a subcontractor.
RESe
Richard Schultz
President, Sole Officer
R.E. Schultz Construction, Inc.
1767 N. Batavia St., Orange, CA 92865 | 714.649.2627 | 714.740.5049 | www.reschultzconstruction.com RE SChultZ
construction, Inc.
General Engineering
Contractors Lic. #1007195
Completion of Multi-Use Sports Complex Projects
R.E. Schultz Construction, Inc. has completed numerous projects identical to the scope of this project and larger in the past 30 years of business.
Reference:
Tyler Kyriopoulos
Principal Partner/Playologist
Great Western Recreation
435-760-5103 c
435-245-5055 0
805-512-7156 f
Richard Schultz
President, Sole Officer
R.E. Schultz Construction, Inc.
1767 N. Batavia St., Orange, CA 92865 | 714.649.2627 | 714.740.5049 | www.reschultzconstruction.com
DATE (MM/DD/YYYY)
ACORD CERTIFICATE OF LIABILITY INSURANCE
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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder 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 policles may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements).
Carol Knox, Monica Avelar or Kory Butler
KGIB, INC. PHONE FAC, No): (714) 744-6537
LA/C No. Exl): (714) 744-3300
KNOX GENERAL INSURANCE BROKERS E-MAIL
ADDRESS: [email protected], [email protected], [email protected] 226 SOUTH GLASSELL STREET INSURER(S) AFFORDING COVERAGE NAIC # ORANGE CA 92866 INSURER A: SCOTTSDALE INSURANCE COMPANY 41297 INSURED INSURER B: CLEAR BLUE SPECIALITY INSURANCE COMPAN 28860 R.E. SCHULTZ CONSTRUCTION, INC INSURER C:
1767 N BATAVIA STREET INSURER D:_
INSURER E:
ORANGE CA 92865 INSURER F:
REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
CLAIMS-MADE X OCCUR DAMAGE TO RENTED
PREMISES (Ea occurrence) $ 100,000
MED EXP (Any one person) $ EXCLUDED
A BCS2000828 08/16/2023 08/16/2024 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY EXPECT LOC PRODUCTS - COMP/OP AGG 3. 2.000.000
OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMI $ 1,000,000
(Ea accident
X ANY AUTO BODILY INJURY (Per porson) $
OWNED SCHEDULED BW02-STR-2300180-00 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS 06/19/2023 06/19/2024
HIRED NON-OWNED PROPERTY DAMAGE
AUTOS ONLY AUTOS ONLY (Per accident
UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000
A X EXCESS LIAB CLAIMS-MADE XLS2002647 08/16/2023 08/16/2024 AGGREGATE $ 2,000,000 DED RETENTIONS Over General Liability ș & Work Comp
WORKERS COMPENSATION STATUTE
AND EMPLOYERS' LIABILITY Y/N
Y PROPRIETOR/PARTNER/EXECUT EL. EACH ACCIDENT $
FICER/MEMBER EXCLUDE NIA -N/A-
(Mandatory In NH) EL. DISEASE - EA EMPLOYEE $
es, describe und
ESCRIPTION OF OPERATIONS belg ELL DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) **FOR INFORMATIONAL PURPOSE ONLY**
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN R.E. SCHULTZ CONSTRUCTION, INC ACCORDANCE WITH THE POLICY PROVISIONS. 1767 N. BATAVIA STREET AUTHORIZED REPRESENTATIVE
ORANGE CA 92865-4103
© 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD A0779521
3779421
Certificate of Amendment
FILED
Of Articles of Incorporation Secretary of State
State of California
The undersigned certify that: JAN 07 2016
ICC
1. They are the President and the Secretary, respectively, of RES ENTERPRISES, INC., a California corporation.
2. Article L of the Articles of Incorporation of this corporation is amended to read as follows:
The name of the corporation is: R.E. Schultz Construction, Inc.
3. The foregoing amendment of Articles of Incorporation has been duly approved by the board of directors.
4. The corporation has issued no shares.
We further declare under penalty of perjury under the laws of the State of California that the matters set forth in this certificate are true and correct of our own knowledge.
DATE: Jan 5, 2016
Richard Schultz, President
Richard Schultz Secretaly
Senders Contact Information:
Richard Schultz
2914 E. Katella Ave #102
Orange CA 92867
714-649-2627
Entity #C3779421
Home CONTRACTORS STATE LICENSE BOARD
•Contractor's License Detail for License # 1007195
DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. • CSLB complaint disclosure is restricted by law (B&P 7124.6) If this entity is subject to public complaint disclosure click on link that will appear below for more information. Click here for a definition of disclosable actions. • Only construction related civil judgments reported to CSLB are disclosed (B&P 7071.17). •Arbitrations are not listed unless the contractor fails to comply with the terms. • Due to workload, there may be relevant information that has not yet been entered into the board's license database.
Data current as of 10/12/2023 10:01:40 AM
Business Information
RE SCHULTZ CONSTRUCTION INC
1767 N BATAVIA STREET
ORANGE, CA 92865
Business Phone Number: (714) 649-2627
Entity Corporation
Issue Date 09/10/2015
Expire Date 09/30/2025
License Status
This license is current and active.
All information below should be reviewed.
Classifications
• A - GENERAL ENGINEERING
• C-61/ D34 - PREFABRICATED EQUIPMENT
• B-GENERAL BUILDING
• C-61/D12 - SYNTHETIC PRODUCTS
Bonding Information
Contractor's Bond
This license filed a Contractor's Bond with AMERICAN CONTRACTORS INDEMNITY COMPANY.
Bond Number: 100320462
Bond Amount: $25,000
Effective Date: 01/01/2023
Contractor's Bond History
Bond of Qualifying Individual
This license filed Bond of Qualifying Individual number 100731718 for CHRIS LEE THOMAS in the amount of $25,000 with AMERICAN CONTRACTORS_INDEMNITY_COMPANY.
Effective Date: 03/07/2023
BQl's Bond History
• The qualifying individual RICHARD EARL SCHULTZ certified that he/she owns 10 percent or more of the voting stock/membership interest of this company; therefore, the Bond of Qualifying Individual is not required.
Effective Date: 06/24/2016
BOl's Bond History
Workers' Compensation
This license has workers compensation insurance with the INSURANCE COMPANY OF THE WEST Policy Number:WSD506512001
Effective Date: 04/14/2022
Expire Date: 04/14/2024
Workers' Compensation History
Other
• Personnel listed on this license (current or disassociated) are listed on other licenses.
Back to Top Conditions of Use Privacy Policy Accessibility Accessibility Certification Copyright © 2023 State of California
10/12/23, 10:02 AM cadir.my.salesforce-sites.com/ContractorSearch/PrintRegDetails Contractor Information Registration History
Legal Entity Name Effective Date Expiration Date
R.E. SCHULTZ CONSTRUCTION, INC
Legal Entity Type 5/25/2018 6/30/2019
Corporation
Status 5/17/2017 6/30/2018
Active
Registration Number 5/3/2016 6/30/2017
1000033385
Registration effective date 12/29/2015 6/30/2016
7/1/2022
Registration expiration date 7/1/2019 6/30/2021
6/30/2024
Mailing Address 7/1/2021 6/30/2022
1767 N. BATAVIA ST. ORANGE 92865 CA United...
Physical Address 7/1/2022 6/30/2024
1767 N. BATAVIA ST. ORANGE 92865 CA United ...
Email Address
Trade Name/DBA
R.E. SCHULTZ CONSTRUCTION, INC
License Number(s)
CSLB:1007195
CSLB:755160
Legal Entity Information
Corporation Number:
Federal Employment Identification Number:
President Name:
Richard Schultz
Vice President Name:
Treasurer Name:
Secretary Name:
CEO Name:
Agent of Service Name:
Richard Schultz
Agent of Service Mailing Address:
1767 N Batavia St Orange 92865 CA United States of America Workers Compensation
Do you lease employees No
through Professional
https://cadir.my.salesforce-sites.com/ContractorSearch/PrintRegDetails 1/2 10/12/23, 10:02 AM cadir.my.salesforce-sites.com/ContractorSearch/PrintRegDetails Employer Organization
(PEO)?:
Please provide your
current workers
compensation insurance
information below:
PEO PEO PEO
PEO InformationName Phone Email
Insured by Carrier
Policy Holder Name:R E SCHULTZ CONSTRUCTION, INC.Insurance Carrier:
Insurace Company Of The WestPolicy Number:WSD5065120-00Inception date:4/14/2022 Expiration Date:4/14/2023
https://cadir.my.salesforce-sites.com/ContractorSearch/PrintRegDetails 2/2 National Recreation and Park Association
Let it be known that
RICHARD SCHULTZ
has met the requirements of the standards set forth by the National Certification Board
and is hereby granted certification as a
Certified
СРЛ Playground
Safety Inspector
April 19, 2021
CHAIRPERSON DATE CERTIFIED
51153-0524
NRPA PRESIDENT AND CEO CERTIFICATION NUMBER
May 01, 2024
and Park Association EXPIRATION DATE
Because everyone deserves a great park
CERTIFICATE OF ACHIEVEMENT
Awarded to:
Rick Schultz
Has completed the
RECREATION INSTALLATION SPECIALIST
CERTIFICATION COURSE
This certificate of achievement is valid for the above individual who has successfully passed the required training as set by the National Playground Contractors Association, Inc.
RISE • NPCAI
Recreation Installation Specialist
CERTIFICATION NATIONAL PLAYGROUND CONTRACTORS ASSOCIATION INC. 2022-1272 12/31/2024 12/31/2021
Certificate Number Expiration Date Edward Miller, Jr., NPCAI Chairman Issue Date GameTime®
A PLAYCORE Company
CERTIFICATE OF ACHIEVEMENT
THIS CERTIFICATE IS PROUDLY PRESENTED TO
R.E. Schultz Construction, Inc.
Has successfully completed a course in techniques and procedures required for proper installation of GameTime playground Equipment In recognition of the successful completion of this training and in acknowledgement for a certified installer, R.E. Schultz Construction, Inc. is hereby designated
OFFICIAL CERTIFIED INSTALLER
By receipt of this designation, R.E. Schultz Construction, Inc. agrees to install GameTime playground equipment in accordance with GameTime specifications and installation instructions
This Designation is effective from February 2, 2023 to February 1, 2025 Within the territorial boundaries of Great Western Recreation In witness whereof, we have affixed our signature this 2°d day of February 2023 Mike MolUllams
Mike McWilliams
GameTime
Vice President of Customer Service
CERTIFIED
Professional Spencer Chaak
Installer
Spencer Cheak
Group President
DESIGNATION OF SUBCONTRACTORS
Bid # PPOS-23-24-P4026
Bouquet Canyon Park Playground Installation
City Project No. P4026
City of Santa Clarita, California
Subcontractor DIR Registration No.* Dollar Value of Work Great Western Recreation 1000015526 $157,528.80
Location and Place of Business
P.O. Box 680121
Fort Payne, AL 35967
Bid Schedule Item No's: Description of Work
Line Item #9 Poured in Place Surfacing
License No. Exp. Date: / 7 Phone ()
CSLB#855664 3/31/2025 (435) 245-5055
Subcontractor DIR Registration No.* Dollar Value of Work Location and Place of Business
Bid Schedule Item No's: Description of Work
License No. Exp. Date: / / Phone (T
Subcontractor DIR Registration No.* Dollar Value of Work Location and Place of Business
Bid Schedule Item No's: Description of Work
License No. Exp. Date: / / Phone ( )
NOTE: A BIDDER or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5 of the Labor Code. It is not a violation of this section for an unregistered BIDDER to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract ode, provided the BIDDER is registered to perform public work pursuant to Section 1725.5 of the Labor Code at the time the contract varded. *Pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Coc
CERTIFICATION OF NON-SEGREGATED FACILITIES
Bid #PPOS-23-24-P4026
Bouquet Canyon Park Playground Installation
City Project No. P4026
City of Santa Clarita, California
The BIDDER certifies that it does not maintain or provide for its employees any segregated facilities at any of its establishments, and that it does not permit its employees to perform their services at any location, inder its control, where segregated facilities are maintained. The BIDDER certifies further that it will no naintain or provide for its employees any segregated facilities at any of its establishments, and that it wil not permit its employees to perform their services at any location, under its control, where segregated facilities are maintained. The BIDDER agrees that a breach of this certification is a violation of the Equa Opportunity clause in this Contract. As used in this certification, the term "segregated facilities" means any waiting rooms, work areas, rest rooms, and wash rooms, restaurants and other eating areas, time clocks, locker rooms and other storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, and housing facilities provided for employees which are segregated by explicit directive or are in fact segregated on the basis of race, creed, color, or national origin, because of habit, local custom, or otherwise. The BIDDER agrees that (except where it has obtained identical certifications from proposed subcontractors for specific time periods) it will obtain identical certifications from proposed subcontractors prior to the award of subcontracts exceeding $10,000 which are not exempt from the provisions of the Equal Opportunity clause, and that it will retain such certifications in its files.
R.E. Schultz Construction, Inc.
BIDDER
Required by the May 19, 1967 order on Elimination of Segregated Facilities, by the Secretary of Labor - 32 F.R. 7439, May 19, 1967 (F.R. Vol. 33, No. 33 - Friday, February 16, 1968 - p. 3065).
BID SCHEDULE
Bid #PPOS-23-24-P4026
Bouquet Canyon Park Playground Installation
City Project No. P4026
City of Santa Clarita, California
Fill out this form completely and submit with the bid response. Line item pricing must be entered on BidNet. In the event any mathematical discrepancies are found, please refer to Section B, Bid Instructions.
The award of contract, if made, will be to the lowest responsive BIDDER determined solely by the AGENCY.
The AGENCY also reserves the right to add/delete the quantities to the existing bid items, or delete the entire bid item if they are found not required by the Agency during the course of the construction, or add new bid items or scope of work by Contract Change Order at any time during the project up to the last contract working day.
The BIDDER agrees to hold all unit prices in this Bid Schedule constant throughout the duration of the project up to the last contract working day.
ITEM DESCRIPTION QTY UNIT
NO. UNIT PRICE TOTAL
1. Mobilization/Demobilization 1 LS
$ 35,000.00 $35,000.00
2. Construction Fence 675 $ 4.00
$ 2,700.00
Demo and dispose of play equipment, safety
surfacing, and concrete 1 LS $ 20,000.00 $ 20,000.00
4. Tree removal 1 EA $ 3,500.00 $ 3,500.00
5. Sand Removal/disposal 1 LS $ 14,500.00 $ 14,500.00
6. Concrete flatwork installation 1 LS
$ 64,000.00 $ 64,000.00
7. Play equipment installation 1 LS $ 108,000.00 $ 108,000.00
8. Shade sails installation 1 LS $ 110,000.00 $ 110,000.00 9 Safety surfacing system installation 7900 SF $ 24.00 $ 189,600.00 TOTAL BASE BID AMOUNT: $ 547,300.00
TOTAL BASE BID AMOUNT IN WORDS: Five Hundred and Forty Seven Thousand Three Hundred Dollars.
BIDDER'S QUESTIONNAIRE
Bid #PPOS-23-24-P4026
Bouquet Canyon Park Playground Installation
City Project No. P4026
City of Santa Clarita, California
1. Submitted by: Richard Schultz _Telephone: 714-649-2627 Principal Office Address:_1767 North Batavia Street, Orange, CA 92865
2. Type of Firm:
• C Corporation
• S Corporation
Individual/Sole Proprietor or Single -Member LLC
Partnership
• • Limited Liability Company "C" C-Corp
• Limited Liability Company "S" S-Corp
• Limited Liability Company "p" Partnership
• Other
3a. If a corporation, answer these questions:
Date of Incorporation: 4/21/2015 State of Incorporation: California President's Name: Richard Schultz
Vice-President's Name: Richard Schultz
Secretary or Clerk's Name: Richard Schultz
Treasurer's Name: Richard Schultz
3b. If a partnership, answer these questions: N/A
Date of organization: _State Organized in:
Name of all partners holding more than a 10% interest:
Designate which are General or Managing Partners.
BIDDER'S QUESTIONNAIRE (cont'd)
Bid #PPOS-23-24-P4026
Bouquet Canyon Park Playground Installation
City Project No. P4026
City of Santa Clarita, California
Name of person holding CONTRACTOR: , C-e/s Richard Schultz License number: 1007195_ Class:C-61/D12_ Expiration Date: _9/30/25 D.I.R. Registration # 1000033385
5. CONTRACTOR's Representative: Richard Schultz
Title: President, Sole Officer
Alternate:
Title:
6. List the major construction projects your organization has in progress as of this date:
A.
Owner: San Diego Unified School District
Project Location: (4) School Sites
Type of Project:_Removal and replacement of play equipment and surfacing Owner:_City of Monterey Park
Project Location: Various Locations
Type of Project:_Playground replacements.
c.
Owner:_Anaheim Elementary School District
Project Location:_(3) School Sites.
Type of Project: Playground equipment upgrade.
BIDDER PRE-QUALIFICATION QUESTIONNAIRE
Bid #PPOS-23-24-P4026
Bouquet Canyon Park Playground Installation
City Project No. P4026
City of Santa Clarita, California
In accordance with the California Public Contract Code Section 20101, the City of Santa Clarita will review this completed bidder's pre-qualification questionnaire immediately following bid closing, starting with the apparent low bidder. If the apparent low bidder answers in the negative OR does not meet the requirements outlined in this questionnaire, the City will find the apparent low bidder unresponsive, and will move on to the next apparent low bidder, and so and so forth.
1. In the past five years has any claim against your firm concerning your firm's work on a construction project been filed in court or arbitration? Yes • No X
If "yes," on separate signed sheets of paper identify the claims) by providing the project name, date of the claim, name of the claimant, a brief description of the nature of the claim, the court in which the case was filed and a brief description of the status of the claim (pending or, if resolved, a brief description of the resolution).
2. In the past five years has your firm made any claim against a project owner concerning work on a project or payment for a contract and filed that claim in court or arbitration? Yes • No IXI
If "yes," on separate signed sheets of paper identify the claim by providing the project name, date of the claim, name of the entity (or entities) against whom the claim was filed, a brief description of the nature of the claim, the court in which the case was filed and a brief description of the status of the claim (pending, or if resolved, a brief description of the resolution).
3. Has CAL OSHA (or Fed/OSHA) cited and assessed penalties against your firm for any "serious," "willful" or "repeat" violations of its safety or health regulations in the past five years? NOTE: If you have filed an appeal of a citation, and the Occupational Safety and Health Appeals Board has not yet ruled on your appeal, you need not include information about it.
Yes • No X
If "yes," attached a separate signed page describing the citations, including information about the dates of the citations, the nature of the violation, the project on which the citation(s) was or were issued, and the amount of penalty paid, if any. If the citation was appealed to the Occupational Safety and Health Appeals Board and a decision has been issued, state the case number and the date of the decision.
4. List your firm's Experience Modification Rate (EMR) (California workers' compensation insurance) for each of the past three premium years:
NOTE: An Experience Modification Rate is issued to your firm annually by your workers' compensation insurance carrier.
Current year: _1.02
Previous year: 1.04
Year prior to previous year: 1.05
If your EMR for any of these three years is or was 1.00 or higher you may, if you wish, attach a letter of explanation. Please see attached
5. Indicate your firm's capacity to complete this project based on any present commitments to other projects, whether that be pre-construction, post-construction, or ongoing construction. In other words, is your firm capable of performing or complying with the required delivery or performance schedules, considering all existing commercial and governmental business commitments? Please elaborate on separate signed sheets of paper. See attached.
6. Does your firm have the adequate financial capabilities including bonding capacity (up to $12,000,000) to perform the contract in question, together with all other pending work, or have the ability to obtain adequate financial resources in a timely manner? Please elaborate on separate signed sheets of paper, and provide confirmation letter from Surety. See attached Bondability Letter
7. Does your firm have a valid California Class B or A Contractors License? Yes X No O
8. Has your firm completed a minimum of two projects valued at $12,000,000+? Please elaborate on separate signed sheets of paper. See attached
9. Has your firm successfully constructed a fully enclosed multi-use sports complex? Please elaborate on separate signed sheets of paper. See attached.
10. Does your firm have insurance coverage of the following type and limits? Please see attached. • $5MM per Occurrence (General Liability or Excess)
• $10MM annual General Aggregate (General Liability or Excess) • Workers' Comp (statutory limits)
BIDDER'S INFORMATION AND CERTIFICATION
Bid #PPOS-23-24-P4026
Bouquet Canyon Park Playground Installation
City Project No. P4026
City of Santa Clarita, CA
Bidder certifies that the representations of the bid are true and correct and made under penalty of perjury.
EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE
Bidder certifies that in all previous contracts or subcontracts, all reports which may have been due under the requirements of any CITY, State, or Federal equal employment opportunity orders have been satisfactorily filed, and that no such reports are currently outstanding.
AFFIRMATIVE ACTION CERTIFICATION
Bidder certifies that affirmative action has been taken to seek out and consider minority business enterprises for those portions of the work to be subcontracted, and that such affirmative actions have been fully documented, that said documentation is open to inspection, and that said affirmative action will remain in effect for the life of any contract awarded hereunder. Furthermore, Bidder certifies that affirmative action will be taken to meet all equal employment opportunity requirements of the contract documents.
CERTIFICATION REGARDING DIR CONTRACTOR/SUBCONTRACTOR REGISTRATION By my signature hereunder, as the Contractor, I certify that Contractor, and all Subcontractors listed on the Subcontractor Designations form are the subject of current and active contractor registrations pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code. Contractor's registration number is indicated below. Subcontractors' registration numbers are indicated on the Subcontractor Designations form.
Bidder's Name: R.E. Schultz Construction, Inc.
Business Address: 1767 North Batavia Street, Orange, CA 92865 Telephone No.: _714-649-2627
State CONTRACTOR's License No. & Class: 1007195 - A, B, C-61/D34, C-61/D12 Exp. 9/30/25 DIR No.: 1000033385
Original Date: 12/29/15 Expiration Date: 6/30/24
The following are the names, titles, addresses, and phone numbers of all individuals, firm members, partners, joint ventures, and/or corporate officers having a principal interest in this proposal:
Richard Schultz, President (Sole Officer)
The dates of any voluntary or involuntary bankruptcy judgments against any principal having an interest in this proposal, or any firm, corporation, partnership or joint venture of which any principal having an interest in this proposal was an owner, corporate officer, partner or joint venture are as follows:
N/A
All current and prior DBAs, alias, and/or fictitious business names for any principal having an interest in this proposal are as follows:
N/A
IN WITNESS WHEREOF, BIDDER executes and submits this proposal with the names, title, hands, and seals of all aforementioned principals this 12th _ day ofOctobezo 23 BIDDER:
Signature
Richard Schultz, President (Sole Officer)
Name and Title of Signatory
R.E. Schultz Construction, Inc.
Legal Name of Bidder
1767 North Batavia Street, Orange, CA 92865
Address
714-649-2627 32-0465469
Telephone Number Federal Tax I.D. No.
PROPOSAL GUARANTEE BID BOND NO. 11-327-556
Bid #PPOS-23-24-P4026
Bouquet Canyon Park Playground Installation
City Project No. P4026
City of Santa Clarita, California
KNOW ALL PERSONS BY THESE PRESENTS that R.E. Schultz Construction, Inc. → as BIDDER, and U.S. Specialty Insurance Company _as SURETY, are held and firmly bound unto the City of Santa Clarita, as CITY, in the penal sum of ten percent of the amount bid in dollars (10%), which is ten percent (10%) of the total amount bid by BIDDER to CITY for the above-stated project, for the payment of which sum, BIDDER and SURETY agree to be bound, jointly and severally, firmly by these presents.
THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas BIDDER is about to submit a bid to CITY for the above-stated project, if said bid is rejected, or if said bid is accepted and the contract is awarded and entered into by BIDDER in the manner and time specified, then this obligation shall be null and void, otherwise it shall remain in full force and effect in favor of CITY.
IN WITNESS WHEREAS, the parties hereto have set their names, titles, hands, and seals, this 12' Day of October , 2023.
CONTRACTOR: Richard Schultz, President
Name and Title of Signatory Signature
R.E. Schultz Construction, Inc.
Legal Name of Bidder
1767 N Batavia Street, Orange, CA 92865
Bidder Address
714-649-2627 32-0465469
Telephone Number Federal Tax I.D. No.
SURETY*: U.S. Specialty Insurance Company Billi
Name
800-486-6695 [email protected]
Phone Number and Email
801 South Figueroa Street #700, Los Angeles, CA 90017
Address
*Provide BIDDER and SURETY name, phone number, email, and the name, title, address, and phone number for authorized representative. IMPORTANT - Surety Companies executing Bonds must appear on the Treasury Department's most current list (Circular 570, as amended) and be authorized to transact business in the State where the project is located.
Contractor and Surety signatures must be notarized prior to submittal.
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 _ Orange
On. October 9, 2023 before me, Lianne Nahina, Notary Public Date Here Insert Name and Title of the Officer
personally appeared Blake A. Pfister
Name(s) of Signers)
who proved to me on the basis of satisfactory evidence to be the person whose names) is/ag subscribed to the within instrument and acknowledged to me that he/ementsy executed the same in his/W#heir authorized capacity), and that by his/Wer signature(li) on the instrument the persong), or the entity upon behalf of which the person(.) acted, executed the instrument.
LIANNE NAHINA I certify under PENALTY OF PERJURY under the laws COMM. # 2314283 20 of the State of California that the foregoing paragraph NOTARY PUBLIC-CALIFORNIA 20 is true and correct.
ORANGE COUNTY N
MY COMM. EXP. DEC 5, 2023 WITNESS my hand and official seal.
Alannenahena
Signature
Signature of Notary Public
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 an unintended document.
Description of Attached Document
Title or Type of Document: Bid Bond 11-327-556 Document Date: October 12, 2023 Number of Pages: _ Signers) Other Than Named Above: N/A, None Capacity(ies) Claimed by Signer(s)
Signer's Name: Blake A. Pfister Signer's Name:
• Corporate Officer Ties: • Corporate Officer - Title(s):
• Partner - • Limited • General • Partner - • Limited • General • Individual [* Attomey in Fact © Individual • Attorney in Fact • Trustee • Guardian or Conservator C Trustee • Guardian or Conservator • Other: _ • Other:
Signer Is Representing: U.S. Specialty Signer Is Representing:
Insurance Company
©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 VOID. VOID VOID VOID VOID VOI
VO TOKIO MARINE VOID VOID VOID VOU
HCC
POWER OF ATTORNEY
VOID AMERICAN CONTRACTORS INDEMNITY COMPANY TEXAS BONDING COMPANY ID VOI UNITED STATES SURETY COMPANY U.S. SPECIALTY INSURANCE COMPANY KNOW ALL MEN BY THESE PRESENTS: That American Contractors Indemnity Company, a California corporation, Texas Bonding VO Company, an assumed name of American Gontractors Indemnity Company, United States Surety Company, a Maryland corporation OIL and appoint clay insurance company, a Texas corporation collectively, the "Companies, do by these presents make, constitute Blake A. Pfister of Mission Viejo, California
its true and lawful Attorney(s)-in-fact, each in their separate capacity if more than one is named above, with full power and authority OIL hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include riders, amendments, and consents of surety, providing the bond penalty does not exceed *****Five Million***** Dollars VO (**$5,000,000.00**_) This Power of Attorney shall expire without further action on April 23ld 2026. This Power of Attorney is granted OIl under and by authority of the following resolutions adopted by the Boards of Directors of the Companies:
Be it Resolved, that the President, any Vice-President, any Assistant Vice-President, any Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorneys)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions:
Attomey-in-Fact may be given full power and authority for and in the name of and on behalf of the Company, to execute, acknowledge and deliver, any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings, including any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts, and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary VO Be it Resolved, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any OIl certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached.
VO SIN WITNESS WHEREOF, The Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this 18" day of April 2022.
AMERICAN CONTRACTORS INDEMNITY COMPANY TEXAS BONDING OMPANY UNITED STATES SURETY COMPANY U.Sv.SPECIALTY INSURANCE COMPANY
ONDINO CO
State of California
VO LOT
County of Los Angeles By:
Daniel P. Aguilar, Vice President
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 On this 18t day of April 2022, before me, Sonia O. Carrejo, a notary public, personally appeared Daniel P. Aguilar, Vice President of American Contractors Indemnity Company, Texas Bonding Company, United States Surety Company and U.S. Specialty Insurance Company who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument. and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or the entity upon behalf of which the person 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 VO WITNESS my hand and official seal. MOID VOI
Can Cupe My Corim. Expires Apr 23, 2024
Signature (seal)
VO 1, Kio Lo, Assistant Secretary: & American Contractors Indemnity Company, Texas Bonding Company, United States Surety Company and U.S. Specialty Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a Power OIl of Attorney, executed by said Companies, which is still in full force and effect; furthermore, the resolutions of the Boards of Directors, set out in the Power of Attorney are in full force and effect.
VO hereunto set my hand and affixed, the seals of said Companies at Los Angeles, California this OLI day of
Corporate Seals CORDING STATES S
Bond. No. 11-327-556
VO * toLs VOI
Agency No. 3074 Kio Lo, Assistant Secretary
VOID VOID
California All-Purpose Certificate of 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
Vrange S.S.
County of
On 10-11-2023 before me, _ D. Mindiola Notay Publi
personally appeared Richard Schulty
who proved to me on the basis of satisfactory evidence to be the personts) 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 capacityies), 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.
D. MINDIOLA
WITNESS my hand and official seal. Notary Public - California Orange County
Commission # 2350274
My Comm. Expires Mar 5 2025
OPTIONAL INFORMATION
Description of Attached Document
The preceding Certificate of Acknowledgment is attached to a Method of Signer Identification document titled/for the purpose of Tropiat
Proved to me on the basis of satisfactory evidence:
Smartee Bid Bond #11-327-532 • forms) of identification credible witnesses) containing pages, and dated Notarial event is detailed in notary journal on:
Page # Entry #
The signer(s) capacity or authority is/are as:
* Individual(s) Notary contact:
Attorney-in-fact
Corporate Officers) Other
Additional Signer • Signers) Thumbprints(s)
Guardian/Conservator
Partner - Limited/General
Trustee(s)
• Other:
representing:
Addendum No. 1
September 26, 2023
Addendum No. 1
BID # PPOS-23-24-P4026
Bouquet Canyon Park Playground Installation
City of Santa Clarita, California
This addendum must be acknowledged via BidNet and should be included with the bid response.
There was a non-mandatory, pre-bid meeting on September 26, 2023 beginning at 11:00 AM (PT). The meeting was located at 28127 Wellston Dr, Santa Clarita, CA 91350.
Attending Staff:
• Juan Martinez - Project Manager, Neighborhood Services • Mariela Delgado - Buyer, Administrative Services
• Alyssa Herrera - PTS Office Clerk, Administrative Services • Cesar Alvarez - Mail Clerk, Administrative Services
• Annette Guzman - Administrative Analyst, Public Works Attending Vendors:
• UBD Inc.
• R.E. Schultz Construction Inc.
The following questions were asked and answered:
Q1) Will all of the existing playground equipment and sand need to be removed by the contractor? A1) Yes, there is also concrete removal needed.
Q2) When is the anticipated start date of the project?
A2) November 2023.
Q3) Can we place storage containers in the parking lot? A3) Yes, that is acceptable.
Q4) Does the City have a preference on any specific design for the pour in place? A4) A 50/50 color mix.
The following was reviewed:
• Project scope of work
• Bidding Guidelines
• Labor Compliance
• Job Walk
BID # PPOS-23-24-P4026
Addendum No. 1
September 26, 2023
END OF ADDENDUM
This addendum must be acknowledged via BidNet and should be included with the response.
RESE Richard Schultz, President (Sole Officer) 10/11/23 Contractor's Representative Date
R.E. Schultz Construction, Inc.
-
Company Name
BID # PPOS-23-24-P4026
City of Santa Clarita Pre-Bid Meeting Sign-In Sheet
September 26, 2023 at 11:00 AM (PT)
BID# PPOS-23-24-P2406
OUNDED I DECENT Bouquet Canyon Park Playground Installation Bid Closing: October 12,2023 BEFORE 11:00 AM (PT)
Questions Due by October 05,2023 BEFORE 11:00 AM (PT)
I hereby waive, release, and hold harmless from any liability or claims for damages for personal injury, including negligence, as well as from claims for property damage which may arise in connection with the above-named activity, against the supervisors, the City of Santa Clarita, and its elected and appointed officials, agents, and employees. My signature below indicates that I have read, understand, and agree to all of the above.
Company First & Last Name Signature Contact Information ist Print Clearly) Or Business Card Provided (write yes) VBD Inc hii Ubeda Yes.
1G SChulTZ
(Eusebro Saigado Yes
UBD INC.
C21 License #1040819
DEMOLITION SERVICES
Yuri Ubeda
President 6707 Camellia Ave., #205
[email protected] North Hollywood. CA 91606
818-482-8014 ubdincdemolitionservices.com
construction, Inc.
General Engineering
Contractors Lic. #1007195
DIR #1000033385
Dffice: (714) 649-2627 • Fax: (714) 740-5049
[email protected]
www.reschultzconstruction.com