PROPOSAL FORM
Bid #CIP-23-24-M01530A
2023-24 Overlay and Slurry Seal Program - Overlay A
City Project No. MO153
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, equipment, 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: LCR Earthwork & Engineering, Corp.
Company Address: 4791 Mt Rainier St
Jurupa Valley CA 92509
Phone: 951-934-3231
Email: [email protected]
By: Jorge L Mendoza
Print Name
Title: Vice President
Signature:
2127124
Date:
NOTICE TO BIDDERS REGARDING CONTRACTUAL REQUIREMENTS
Bid #CIP-23-24-M01530A
2023-24 Overlay and Slurry Seal Program - Overlay A
City Project No. MO153
City of Santa Clarita, California
SUMMARY OF INDEMNITY AND INSURANCE REQUIREMENTS
executed, the actual Indemnity language and Insurance Requirements may include additional provisions as deemed appropriate by City's Purchasing Agent.
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 CL 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.
II. 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 O Date: 2/27/24
Printed Name: Jorge L Mendoza
BID SCHEDULE
Bid #CIP-23-24-MO1530A
2023-24 Overlay and Slurry Seal Program - Overlay A
City Project No. MO153
City of Santa Clarita, California
1 out is them complete at mania in repaid es presenting ten pretent beene boa 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 BID ITEMS PAYMENT UNIT QTY UNIT | TOTAL COST
NO. REFERENCE PRICE
1 Mobilization, Bonds & Insurance G2-1 LS 1 $35,000.00 $ 35,000.00 2 Traffic Control G2-2.8 LS 1 $65.000.00 $ 65,000.00
3 Storm Water Pollution Control G1-8 LS 1 $7,500.00 $7,500.00 Program
4 1/2" Type A PG 64-28PM G2-8.4 TN 5,741 $ 140.00 $ 803,740.00 5 AC D2 PG 64-10 G2-8.4 TN 1,644 $148.00 $243,312.00
6 Keycut A1 G2-4.6 LF 29,882 $2.00 $ 59,764.00
Keycut B1 G2-4.6 1,006 $10.00 $ 10,060.00
8 4" Remove and Replace G2-6.4 SF 510 $20.00 $ 10,200.00 9 Install Shoulder Backing (Allowance) G2-12.4 LF 100 $10.00 $1,000.00 10 Lower and Adjust Manhole Covers G2-9.3 EA 44 $1,175.00 $51,700.00 to Finish Grade
11 Lower and Adjust Water Valve G2-9.3 EA 20 $550.00 $ 11,000.00 Covers to Finish Grade
12 12" White Crosswalk / Limit Line G2-10.4 LF 656 $5.00 $3,280.00 (Thermo)
Yellow Cont. Xwalk G2-10.4 SF 90 $6.00 $540.00
Install Blue RPM @ Fire Hydrant G2-10.4 EA 21 $ 10.00 $210.00 Striping Detail #22 (Thermo & G2-10.4 LF 82 $ 10.00 $820.00 Markers)
16 Striping Detail #23 (Thermo & G2-10.4 LF 920 $3.50 $3,220.00 Markers)
17 [Install Temporary Video Detection G2-11.4 EA 2 $15.000.00 $ 30,000.00 System
18 Remove and Install Permanent G2-11.4 EA $1, 100.00 $ 7,700.00 Traffic Loops
19 "STOP" Legend (Thermo) G2-10.4 EA 27 $ 300.00 $8,100.00 TOTAL BASE BID AMOUNT: $ 1,352,146.00
TOTAL BASE BID AMOUNT IN WORDS: One Million Three Hundred Fifty Two Thousand One Hundred Forty Six Dollars and Zero Cents
BIDDER'S INFORMATION AND CERTIFICATION
Bid #CIP-23-24-MO1530A
2023-24 Overlay and Slurry Seal Program - Overlay A
City Project No. MO153
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: LCR Earthwork & Engineering, Corp.
Business Address: 4791 Mt Rainier St Jurupa Valley CA 92509 Telephone No.: 951-934-3231
State CONTRACTOR's License No. & Class: 1048288 Class A, C-12 & C-21 DIR No.: 1000063065
Original Date: 12/26/18 Expiration Date: 6/30/25
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:
Jorge Mendoza/Vice President 16850 Scottsdale Rd Riverside CA 92509 951-934-3231
Jennifer Mendoza/President 16850 Scottsdale Rd Riverside CA 92509 951-934-3231 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 28 day of February 2024 BIDDER:
Signature
Jorge L Mendoza Nice President
Name and Title of Signatory
LCR Earthwork & Engineering, Corp.
Legal Name of Bidder
4791 Mt Rainier St Jurupa Valley CA 92509
Address
951-934-3231 831565574
Telephone Number Federal Tax I.D. No.
BIDDER'S QUESTIONNAIRE
Bid #CIP-23-24-MO1530A
2023-24 Overlay and Slurry Seal Program - Overlay A
City Project No. MO153
City of Santa Clarita, California
1. Submitted by: LOR Earthwork & Engineering, Corp. Telephone: 951-934-3231 Principal Office Address: 4791 Mt Rainier St Jurupa Valley CA 92509
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: 7/9/18 State of Incorporation: California President's Name: Jennifer Mendoza
Vice-President's Name: Jorge L Mendoza
Secretary or Clerk's Name: Jennifer Mendoza
Treasurer's Name: Jennifer Mendoza
3b. If a partnership, answer these questions:
Date of organization: N/A State Organized n: N/ A
Name of all partners holding more than a 10% interest: _ Designate which are General or Managing Partners.
BIDDER'S QUESTIONNAIRE (cont'd)
Bid #CIP-23-24-MO1530A
2023-24 Overlay and Slurry Seal Program - Overlay A
City Proiect No. MO153
City of Santa Clarita, California
4. Name of person holding CONTRACTOR's license: Jorge L Mendoza License number: 1048288 Class: A, C-12 & C-21 Expiration Date: 12/31/24 D.I.R. Registration # 1000063065
CONTRACTOR's Representative: Jorge L Mendoza
Title: Vice President
Alternate: Jennifer Mendoza
Title: President
6. List the major construction projects your organization has in progress as of this date:
A.
Owner: City of Industry
Project Location: Various locations City of Industry CA Type of Project: Replacement of existing asphalt pavement with PCC pavement B.
Owner: City of Orange
Project Location: Various locations City of Orange
Type of Project: Removal and replacement of P.C.C sidewalks, curbs, gutters, driveway arpon, cross gutter and spandrel.
C.
Owner:
Project Location:
Type of Project:
CERTIFICATION OF NON-SEGREGATED FACILITIES
Bid #CIP-23-24-M01530A
2023-24 Overlay and Slurry Seal Program - Overlay A
City Project No. MO153
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, under its control, where segregated facilities are maintained. The BIDDER certifies further that it will not maintain or provide for its employees any segregated facilities at any of its establishments, and that it will 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 Equal 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.
LCR Earthwork & Engineering, Corp.
BIDDER enmter menola, parklet
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 # CIP-23-24-M01530A
2023-24 Overlay and Slurry Seal Program - Overlay A
City Project No. M0153
City of Santa Clarita, California
Subcontractor DIR Registration No.* Dollar Value of Work Pavement Recycling Systems, Inc. 1000003363 $ 20,000.00 Location and Place of Business
10240 San Sevaine Way Jurupa Valley CA 91752
Bid Schedule Item No's: Description of Work
grinding
License No. Exp. Date: 5 / 31/ 25 Phone951) 682-1091
569352
Subcontractor DIR Registration No.* Dollar Value of Work Crosstown Electrical & Data Inc 1000000155 $19,850.00
Location and Place of Business
5454 Diaz St. Irwindale CA 91706
Bid Schedule Item No's: Description of Work
11 video detection System
License No. Exp. Date: 11/30 / 24 Phone 626) 813-6693
756309
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: T 1 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 Code, provided the BIDDER is registered to perform public work pursuant to Section 1725.5 of the Labor Code at the time the contract is awarded. *Pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code.
REFERENCES
Bid #CIP-23-24-MO1530A
2023-24 Overlay and Slurry Seal Program - Overlay A
City Project No. MO153
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. City of Bellflower
Name and Address of Owner / Agency
Jerry Stock 562-804-1424
Name and Telephone Number of Person Familiar with Project $478,350.00 Remove and Replace Parking Lot 9/6/23
Contract Amount Type of Work Date Completed
2. City of Victorville
Name and Address of Owner / Agency
Harry Mayo 760-955-5000
Name and Telephone Number of Person Familiar with Project $775,579.00 PA accessible dire rampoaches and 6/12/23
Contract Amount Type of Work Date Completed
3. City of Industry
Name and Address of Owner / Agency
Chris Lum 562-896-2260
$1,284,015.00 11/2/23
Contract Amount Type of Work Date Completed
The following are the names, addresses, and telephone numbers of all brokers and sureties from whom bidder intends to procure insurance bonds: Peter Micciche 3455 Ocean View Bld Suite 200 Glendale CA 91208 213-336-3714
IRAN CONTRACTING ACT CERTIFICATION
(Public Contract Code Sections 2200 et seq.)
Bid #CIP-23-24-M01530A
2023-24 Overlay and Slurry Seal Program - Overlay A
City Project No. MO153
City of Santa Clarita, California
As required by California Public Contract Code section 2204, Proposer certifies that the option checked below relating to Proposer's status in regard to the Iran Contracting Act of 2010 (Public Contract Code sections 2200 et seq.) is true and correct:
Proposer is not:
(i) identified on the current list of persons and entities engaging in investment activities in Iran prepared by the California Department of General Services in accordance with subdivision (b) of Public Contract Code section 2203; or
(ii) a financial institution that extends, for 45 days or more, credit in the amount of $20,000,000 or more to any other person or entity identified on the current list of persons and entities engaging in investment activities in Iran prepared by the California Department of General Services in accordance with subdivision (b) of Public Contract Code section 2203, if that person or entity uses or will use the credit to provide goods or services in the energy sector in Iran.
Los Angeles County has exempted Proposer from the requirements of the Iran Contracting Act of 2010 after making a public finding that, absent the exemption, Los Angeles County will be unable to obtain the goods and/or services to be provided pursuant to the Contract. • The amount of the Contract payable to Proposer for the Project is less than $1,000,000.
CERTIFICATION
1, the official named below, CERTIFY UNDER PENALTY OF PERJURY, that I am duly authorized to legally bind the Proposer to the above selected option. This certification is made under the laws of the State of California.
Contractor
LCR Earthwork & Engineering, Corp.
Firm
2/27/24 Jorge Mendoza/Vice President
Date Name/Title
Note: In accordance with Public Contract Code section 2205, false certification of this form shall be reported to the California Attorney General and may result in civil penalties equal to the greater of $250,000 or twice the Contract amount, termination of the Contract and/or ineligibility to bid on contracts for three years.
END OF DOCUMENT
NON-COLLUSION AFFIDAVIT
(Title 23 United States Code Section 112 and Public Contract Code Section 7106) Bid #CIP-23-24-MO1530A
2023-24 Overlay and Slurry Seal Program - Overlay A
City Project No. MO153
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 #CIP-23-24-M01530A
2023-24 Overlay and Slurry Seal Program - Overlay A
City Project No. MO153
City of Santa Clarita, California
TO BE EXECUTED BY EACH BIDDER OF A PRINCIPAL CONTRACT
STATE OF CALIFORNIA
COUNTY OF LOS ANGELES
Jorge L Mendoza
the being first duly sworn deposes and says that he/she is Vice President (sole owner, a partner, president, etc.) of LCR Earthwork & Engineering, Corp _ 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.
Bidder: Somephender
lature
Title Vice President
ACKNOWLEDGMENT
A notary public or other officer completing this
State of California
County of Biverside
On 02/27/2024 before me, Sebastian A. Fonsecallaas, Notary Avolic insert name and title of the officer'
personally appeared Torae L. Mendora
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
SEBASTIAN A. FONSECA-KAAS
WITNESS my hand and official seal. Notary Public - California Riverside County
Commission # 2469306
My Comm. Expires Nov 28. 2027
Signature (Seal)
Addendum No. 1
March 6, 2024
Addendum No. 1
BID # CIP-23-24-MO1530A
2023-24 Overlay and Slurry Seal Program - Overlay A
City of Santa Clarita, California
This addendum must be acknowledged via BidNet and should be included with the bid response.
The purpose of this addendum is to address the following for this Invitation for Bid (IFB).
I. Q&A DEADLINE - UPDATE
The Q&A deadline has been extended to March 11, 2024 at 2:00 PM (PT).
II. BID CLOSING DEADLINE - UPDATE
The closing deadline has been extended to March 18, 2024 at 11:00 AM (PT).
END OF ADDENDUM
This addendum must be acknowledged via BidNet and should be included with the response. 3/16/24
contractor Represenerve Termiter enemaler. Date
Ler Earthwork-Enaineerina.corp.
Company Name
BID # CIP-23-24-M01530A
Addendum No. 2
March 7, 2024
Addendum No. 2
BID # CIP-23-24-MO1530A
2023-24 Overlay and Slurry Seal Program - Overlay A
City of Santa Clarita, California
This addendum must be acknowledged via BidNet and should be included with the bid response.
The purpose of this addendum is to address the following for this Invitation for Bid (IFB).
I. SECTION C- BID SUBMITTALS: UPDATED BID SCHEDULE
The quantities in Line Item #5 have been updated. Please fill out the updated Bid Schedule and submit it with your bid response.
END OF ADDENDUM
This addendum must be acknowledged via BidNet and should be included with the response. 3/1/24
Contractors kepresentative Jennufer Menderu, presslet Date LOR Earth work Fendineerina. (LrD.
Company Name
BID # CIP-23-24-M01530A
BID SCHEDULE
Bid #CIP-23-24-MO1530A
2023-24 Overlay and Slurry Seal Program - Overlay A
City Project No. MO153
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 BID ITEMS PAYMENT UNIT QTY UNIT TOTAL COST
NO. REFERENCE PRICE
1 Mobilization, Bonds & Insurance G2-1 LS 1 $ $
2 Traffic Control G2-2.8 LS 1
1 us es
3 Storm Water Pollution Control G1-8 LS $
Program
4 1/2" Type A PG 64-28PM G2-8.4 TN 5,741 $ $
5 AC D2 PG 64-10 G2-8.4 TN 1,644 $ $
6 Keycut A1 G2-4.6 LF 29,882 $ $
Keycut B1 G2-4.6 1,006 $ $
8 4" Remove and Replace G2-6.4 SF 510 $ $
Install Shoulder Backing (Allowance) G2-12.4 LF 100 $ $ 10 Lower and Adjust Manhole Covers G2-9.3 EA 44 $ $
to Finish Grade
Lower and Adjust Water Valve G2-9.3 EA 20 $ $
Covers to Finish Grade
12" White Crosswalk / Limit Line G2-10.4 LF 656 $ $
(Thermo)
Yellow Cont. Xwalk G2-10.4 SF 90 $ $
Install Blue RPM @ Fire Hydrant G2-10.4 EA 21 $
Striping Detail #22 (Thermo & G2-10.4 LF $
Markers)
16 Striping Detail #23 (Thermo & G2-10.4 LF 920 $ $
Markers)
17 Install Temporary Video Detection G2-11.4 EA 2 $ $
System
18 Remove and Install Permanent G2-11.4 EA 7 $
Traffic Loops
19 "STOP" Legend (Thermo) G2-10.4 EA 27 $ $
TOTAL BASE BID AMOUNT: $
TOTAL BASE BID AMOUNT IN WORDS:
DocuSign Envelope ID: 2F2A58B5-932F-4EB5-BE17-24A20D2B6860
OUTY OF SA
Addendum No. 3
March 8, 2024
Addendum No. 3
BID # CIP-23-24-MO1530A
2023-24 Overlay and Slurry Seal Program - Overlay A
City of Santa Clarita, California
This addendum must be acknowledged via BidNet and should be included with the bid response.
The purpose of this addendum is to address the following for this Invitation for Bid (IFB).
1. EXHIBIT A - REVISED PLANS LANGUAGE |
Please see the attached Plans with updated language.
Approved:
-DocuSigned by:
Damon Lets
City Engineer
- DS - DS
SP END OF ADDENDUM
This addendum must be acknowledged via BidNet and should be included with the response. 3/8/24
Date
coniactors Representativeler Minder, preslest
LeR Earnwork lEnaineerina, cre.
Company Name
BID # CIP-23-24-M01530A
850062034 02x1004
CITY OF SANTA CLARITA
2023-24 OVERLAY AND SLURRY SEAL PROGRAM - OVERLAY A Pavement Engineering Inc.
CITY PROJECT NO. M0153 You can ride on car repucation 485 Sacramero Drive, Suite 1 an Lull Oblipa, CA 9340 Corporate Office: 005.701.2265
SHEET INDEX
SHEET NO. SHEET DESCRIPTION
TITLE SHEET
BASE MO
• 1
ND-1 TOND-4 NEWHALL - NS
VBN-1 VALENCIA - VBN
TRUCTION TO ALLOW UTLITY ONNERS TO
AMIES, PUBLIS OR PROVATE, GHOW OR NOT SHOW ON
SANTA CLARITA MO153 2023-24 OVERLAY A PROJECT TITLE SHEET - OVERLAY A
MATI WORE CONTRACTOR
N9-
LOCATION MAP
NTS
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TO AVERS !! Pavement Engineering Inc. loa can ride on car reputation WHEELER RONO TYPICAL SECTION NO. 1 Corporate Olfice:
VANS AVEN
KEYCUT - TYPE A1 KEYCUT - TYPE B1
LONGITUDINAL KEYCUT TRANSVERSE KEYCUT
LEGEND
LYONS AVENUE 0118:88180-0 TYPE BI KEYCUT
NSTALL NEW LOOPS
SEYCUT BI (TYP.) LUE RETRORER TONVE PAN
VERMONT DRIVE CALTRANS STRPNO DETAL. XX
MATCHUNE N9-A - SEE SHEET N9-02 SANTA CLARITA M0153 2023-24 OVERLAY A PROJECT NEWHALL - N9 VARIOUS STREETS
LYONS AVENUE
EVERETT DRIVE
EVANS AVENUE
KEY MAP →
YPICAL SECTION NO.,
LYONS AVENUE 340541
- KEYCUT 81 (TYP)
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MATCHLINE NS-B - SEE SHEET N9.03
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WHEELER RONO
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VERMONT ORIVE •:861.•!| ELVE RETROREFLECTIVE PAVEVENT MURKE CALTRANS STRANG BETAL "I
MATCHLINE NO-A - SEE SHEET N9-01 12° VOLITE LIMIT LINE (THERMO REMOVE & REPLACE SANTA CLARITA MO153 2023-24 OVERLAY A PROJECT NEWHALL - N9 VARIOUS STREETS
PRUNE & REMOVE TREE ROOTE
YAICAL SECTIONNO. PICAL SECTION NO-!
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TYPICAL SECTION NO. 1 KEY MAP
CLOP THE CA
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KEYCUT - TYPE A1 KEYCUT - TYPE B1
LONGITUDINAL KEYCUT TRANSVERSE KEYCUT
A REVISION NO. 1 - 03/07/24 N9-2
отdолimаs0 212000432140548020000000
MATCHLINE N9-3 - SCE SHEET 10-01
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orporate Office
TYRICA SECTION NO. I
LYONS AVENUE
DE WOLFE ROAD
LEGEND
MATCHUNE NS-D - SEE SHEET N9-04 0188100•11
BLUE RETROREFLECTIVE PAVEVENT MARKER
CAL TRNIA STRIPINO DETAL "IX
12- VERTE LIMT UNE (THENNON
KEYCUT AT (TYP.)
REMOVE & REPLACE SANTA CLARITA MO153 2023-24 OVERLAY A PROJECT NEWHALL - N9 VARIOUS STREETS
LYONS AVENUE PRUNE & REHOVE TREE ROOTE
FOURL ROAD
EVANS AVENLE
KEY MAP
TYPICAL SECTION NO.1
VILEY CANYON ROM
IZZZZF ERIFY SCALE
KEYCUT - TYPE A1 KEYCUT - TYPE B1
LONGITUDINAL KEYCUT TRANSVERSE KEY T
A REVISION NO. 1 - 03/07124 N9-3
VARIOUS STREETS
805 301 26a. C12401
348S Sacramerãs Drive, Sailo A NEWHALL - N9
Corporate Olfee: HEREYSCHE FEBRUARY 3324 N9-4
ou can ride on cur ropulation. M0153 2023-24 OVERLAY A PROJECT Pavement Engineering Inc. SANTA CLARITA
ISE RITROREFLECTIVE PAV CALTRANS STRING DETAL XC RUNE & REMOVE TREE ROOTS PROPERTY TO WICH 1S ACED
HORE SERACE KEY MAP
TYPICAL SECTION NO. 1 KEYCUT - TYPE B1 TRANSVERSE KEYCUT A HOLE LEGEND
A REVISION NO. 1 - 03/07/24
KEYCUT - TYPE A1 LONGITUDINAL KEYCUT
CUTAI (TYP) PICAL SECTIONNO-1
WELL DRIVE
WILEY CANYON ROAD
FOURL ROAD
MATCHANE Nº-0 - SEE SHEET N8-08
A REVISION NO. 1 - 03/07/24
V8N-1
REVOVE & REFLACE TYPICAL SECTION NO. 2
12-HERITE LINT USE (THERMOS
VEREY SCHE PREMORST (OX) 7
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Читает по се ст то,
KEY MAP REMOVES REPLACE F AC
LONGITUDINAL KEYCUT
KEYCUT - TYPE A1
REMOVE & REPLACE 4 AC 130331492 7
CAMERON COURT VALENCIA - V8N M0153 2023-24 OVERLAY A PROJECT SANTA CLARITA (-7x7)
CAMERON COURT
an leis Coispo, CA 9340 405 Sacramendo Drive, Suite A Orate Officer: You can ride on cur reputation GRANDVIEW DRIVE Pavement Engineering Inc.
Parter Imals 0: 272402600221 40s 050 2006CMN
DocuSign
Certificate Of Completion
Envelope Id: 2F2A58B5932F4EB5BE1724A20D2B6860 Status: Completed Subject: Please DocuSign: Plans & Addendum #3 - 2023-24 Overlay and Slurry Seal Program - Overlay A, M0153 Source Envelope:
Document Pages: 7 Signatures: 3 Envelope Originator:
Certificate Pages: 5 Leah Becker
AutoNav: Enabled 23920 Valencia Boulevard
Envelopeld Stamping: Enabled City of Santa Clarita, CA 91355 Time Zone: (UTC-08:00) Pacific Time (US & Canada) [email protected] IP Address: 216.152.79.2
Record Tracking
Status: Original Holder: Leah Becker Location: DocuSign 3/8/20248:15:59 AM [email protected]
Signer Events Signature Timestamp
Connor Hahm -DocuSigned by: Sent: 3/8/2024 8:23:46 AM
[email protected] Connor Halem Viewed: 318/2024 10:05:25 AM Security Level: Email, Account Authentication - D6510316A8A14B... Signed: 318/2024 10:06:14 AM (Optional)
Signature Adoption: Pre-selected Style
Using IP Address: 75.12.21.83
Signed using mobile
Electronic Record and Signature Disclosure:
Accepted: 3/8/2024 10:05:25 AM
ID: Od7b7d55-d061-43c1-b829-facc5ac7998f
-DS Sent: 3/8/2024 10:06:16 AM
Shannon Pickett
[email protected] SP Viewed: 3/8/2024 10:43:58 AM Assistant City Engineer Signed: 318/2024 10:44:20 AM
Security Level: Email, Account Authentication Signature Adoption: Pre-selected Style (Optional)
Using IP Address: 216.152.79.2
Electronic Record and Signature Disclosure:
Accepted: 3/8/2024 10:43:58 AM
ID: e478506d-bfa7-4c70-861a-335285f46f35
Damon Letz -Docusigned by: Sent: 3/8/2024 10:44:22 AM
[email protected] Damon Lets Viewed: 3/8/2024 10:49:24 AM •B70E99383E0A436... Signed: 3/8/2024 10:50:18 AM
Assistant City Engineer
Septity level: Email, Account Authentication Signature Adoption: Pre-selected Style Using IP Address: 216.152.79.2
Electronic Record and Signature Disclosure
Accepted: 3/8/2024 10:49:24 AM
ID: 9e1e92e6-dbdf-4c53-9e6c-445008eb2d18
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Leah Becker Sent: 3/8/2024 10:50:20 AM
[email protected] COPIED
City of Santa Clarita
Security Level: Email, Account Authentication
(Optional)
Elector record bod signature Disclosure:
Connor Hahm Sent: 3/8/2024 10:50:21 AM
[email protected] COPIED
Security Level: Email, Account Authentication
(Optional)
Electronic Record and Signature Disclosure:
ccepted: 3/8/2024 10:05:25 AN
D: 0d7b7d55-d061-43c1-b829-facc5ac7998
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 3/8/20248:23:46 AM
Certified Delivered Security Checked 3/8/2024 10:49:24 AM Signing Complete Security Checked 3/8/2024 10:50:18 AM
Completed Security Checked 3/8/2024 10:50:21 AM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
Electronic Record and Signature Disclosure created on: 5/11/2023 1:07:24 PM Parties agreed to: Connor Hahm, Shannon Pickett, Damon Letz, Connor Hahm
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PROPOSAL GUARANTEE BID BOND
Bid #CIP-23-24-M01530A
2023-24 Overlay and Slurry Seal Program - Overlay A
City Project No. MO153
City of Santa Clarita, California
KNOW ALL PERSONS BY THESE PRESENTS that LCR Earthwork & Engineering, Corp., as BIDDER, and The Gray Casualty & Surety Company _as SURETY, are held and firmly bound unto the City of Santa Clarita, as CITY, in the penal sum of dollars ($ 10% J, 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. *Ten Percent of the Total Amount of the Bid
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 March 2024.
13th Day of
ice presiden
CONTRACTOR: Jone LMencozn
Name and Title of Signatory Signature
LOR Earthwork & Engineering, Corp
Legal Name of Bidder
4791 Mt. Rainier St. Jurupa Valley, CA 92509
Bidder Address
(951) 934-3231 831565574
Telephone Number Federal Tax I.D. No.
Surety: The Gray Casualty & Surety Company
SURETY*: Agent: Preferred Bonding & Insurance Services Dut Pietro Micciche, Attorney-in-Fact
Name
Surety: (877) 857-6006 Email: [email protected]
Agent: (323) 663-7814 Email: [email protected] Phone Number and Email
urety: 1225 W. Causeway Approach, Mandeville, LA 704.
gent: 3455 Ocean View Bivd #200. Glendale, CA 9120
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 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 Los Angeles
on March 13th, 2024 before me, Angel Nunez, Notary Public Here Insert Name and Title of the Officer
personally appeared Pietro Micciche
Name(s) of Signers)
who proved to me on the basis of satisfactory evidence to be the person(a) whose name(x) is/a subscribed to the within instrument and acknowledged to me that he/sixe bex executed the same in his/*#x*ix authorized capacityles), and that by his/koxxxxsignature(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.
ANGEL NUNEZ
Notary Public • California
Los Angeles County
Commission # 2321675
My Comm. Expires Mar 14, 2024
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: Document Date:
Number of Pages: Signers) Other Than Named Above:
Capacity(ies) Ciaimed by Signer(s)
Signer's Name: Signer's Name:
• Corporate Officer - Title(s): • Corporate Officer - Title(s):
• Partner - • Limited C General Partner - [ Limited • General • Individual V. Attorney in Fact Individual • Attorney in Fact • Trustee • Guardian or Conservator Trustee • Guardian or Conservator * Other: Other:
Signer Is Representing: Signer Is Representing:
©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 Preferred Bonding Services
12 07 2023 14:11 1049598040576
THE GRAY INSURANCE COMPANY
THE GRAY CASUALTY & SURETY COMPANY
GENERAL POWER OF ATTORNEY
Bond Number: BB Principal: LCR Enrthwork fa Engineering, COrP.
Project: 2023-24 Overlay and slurry seal Program- overlay A Bin #179-23-24-101530A
KNOW ALL BY THESE PRESENTS. THAT The Ciray Insurance Company and The Ciray Casualty & Surety Company. corporations duls organized and existing under the laws of Louisiana. and having their principal offices in Metairic. Louisiana. do hereby make. constitute, and appoint: Patricia Zenizo, Elisabete Salazar, and Pietro Micciche of Los Angeles, California jointly and severally on behall of cach of the Companies named above its true and lawful Attorney (s)-in-Fact. to make. elecute. seal and deliver. for and on its behall and as its deed. honds. or other writings obligatory in the nature of'a bond. as surch!. contracts of surety ship as are or may be required or pormitted by law. regulation. contract or otherwise. provided that no bond or undertaking or contract of suret ship executed under this authority shall exceed the amount of $25.000.000.00
This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of hoth The Gray Insurance Company and The Ciray C'asualty & Surely Company at mectings duly called and held on the 26" day of June. 2003.
RESOLVED. that the President. Exccutive Vice President any Vice President. or the Sccretary he and cach or any of them hereby is authorized to elecule a power of Attorney qualifying the attorney named in the given Pomer of Attornes to evecute on behalf of the Compan bonds. undertakings. and all contracts of surety. and that cach or any of then is herch! authorized to attest to the execution of such Power ol Attorne!. and to attach the scal of the Company: and it is
FURTHER RESOLVED. that the signature of such officers and the scal of the Company may he allised to any such Power of Attorney or to any certilicate relating thercto by facsimile. and any such Power of Attorney or certilicate bearing such facsimile signature or facsimile seal shall he hinding upon the Company now and in the future when so affixed with regard to any bond. undertaking or contract of surcy to u hich it is attached.
IN WITNESS WHEREOF. The Gray Insurance Company and The Ciray Casually & Surely Company have caused their official scals to he hercinto allised, and these presents to be signed by their authorized officers this 4* day of November. 2022.
ASURANCE Mirded They
SURELY
SEA. B!: Michael I. (iras Cullen S. Piske
HE B President GRAY SEAL
President
The Ciray Insurance (ompan! The Ciray Casualty & Surety Company State of Louisiana
SS:
On this 4' das of Norember. 2022. before me. a Notary Public. personally appeared Michal T. Ciray. President of The Gray Insurance Company, and Cullen S. Piske. President of The Gray Casualty & Surely Company. personally known to me. heing duly sworn, acknowledged that they signed the abore Power of Attorney and affixed the scals of the companies as oflicers of and acknon lodged said instrument to be the voluntary act and decd. of their companics.
Friggiene serican
Notary Pubic
Notary ID No. 92653 Leigh Anne Ilenican
Nolars Public. Parish of Oricans State of l.ouisiana
Orleans Parisn, Louisiana
My Commission is for Lite
1. Mark S. Manguno. Secretars of The Gras Insurance Company. do herebs certify that the above and forgoing is a true and correct copy of'a Pomer of Attorney given by the companics, which is still in full force and effect. IN WITNESS WHEREOF. I have set my hand and affixed the seals of the Company this / 3th day of March .2024 Mando Marcons
I. Leigh Anne Henican. Sccretary of The Ciray C'asualty & Surely Company. do herchy cerity that the abore and forgoing is a true and correct copy ofa Pover of Attornes giren by the companics. which is still in full force and effect. IN WITNESS WHEREOF. I hate set my hand and affixed the seals of the Company this 3th day of March . 2024
TRURANCE SURETY
SEEL SEAL
ACKNOWLEDGMENT
State of California
County of Riverside
On 02/27/2024 before me. Sebastian A. Fonieca-kras, entary Public (insert name and title of the officer)
personally appeared Torge L. Mendora
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
SEBASTIAN A. FONSECA-KAAS
WITNESS my hand and official seal. Notary Public - California Riverside County
Commission # 2469306
My Comm. Expires Nov 28. 2027
Signature sals (Seal)