GSE Proposal (available in the City Clerk's Reading File) — Santa Clarita City Council, July 9, 2024

BID SCHEDULE
Bid #PPOS-23-24-P2020
Old Orchard Park Phase I Construction
City Project No. P2020
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 t he 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 du ring 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
NO. DESCRIPTION QTY UNIT UNIT PRICE TOTAL

1. MOBILIZATION/DEMOBILIZATION,

BONDS AND INSURANCE,

PROJECT PHASING, UTILITY

COORDINATIONAND
PROTECTIONS (10% OF

PROJECT TOTAL)
1 LS $ $

2. MISC SWPPP WORK 1 LS $ $

3. TRAFFIC CONTROL 1 LS $ $

4. CONSTRUCTION FENCING 1,400 LF $ $

5. CLEARING GRUBBING &
REMOVALS 51,313 SF $ $

6. REMOVAL OF EXISTING TREES 44 EA $ $

7. DEMOLITION OPERATIONS 1 LS $ $

8. MISC. SITE REMEDIATION 1 ALLOWANCE $10,000 $10,000

9. EARTHWORK-IMPORTED FILL 87 CY $ $

10. EARTHWORK-UNCLASSIFIED
EXCAVATION 3,104 CY $ $
300,798.75
300,798.75
15,000
15,000
15,000
15,000
12 3,000
16,800
2 102,626
132,000
369,000
369,000
100
8,700
100
310,400

11. CLASSROOM AND RESTROOM

RENOVATION (INCLUDES
DEMOLITION) 1 LS $ $

12. ASBESTOS ABATEMENT &

REMOVAL AND LEAD-BASED
PAINT REMOVAL 1 LS $ $

13. REPLACE EXISTING WATER LINE
TO BUILDING 300 LF $ $

14. REPLACE EXISTING GAS LINE
TO BUILDING 300 LF $ $

15. NEW POLE LIGHTING 21 EA $ $

16. TRASH ENCLOSURE LIGHTING 1 LS $ $

17. CONDUIT AND WIRING 1 LS $ $

18. NEW PEDESTAL MOUNTED
METERED PANEL 1 LS $ $

19. EV CONDUIT & ELECTRICAL 1 LS $ $

20. EV CHARGER INSTALLATION
(OWNER FURNISHED,
CONTRACTOR INSTALLED) 1 LS $ $

21. EV CONDUIT (TO 25% OF

PARKING SPACES FOR FUTURE
USE) 1 LS $ $

22. 12" X 12" PRECAST CONCRETE
GRATED CATCH BASIN 6 EA $ $

23. 18" X 18" PRECAST CONCRETE
GRATED CATCH BASIN 1 EA $ $

24. 36" X 24" PRECAST CONCRETE
GRATED CATCH BASIN 2 EA $ $

25. 6" PERFORATED PVC
UNDERDRAIN 470 LF $ $

26. UNDERDRAIN CLEANOUT 11 EA $ $

27. CONCRETE COLLAR 1 EA $ $

28. 8" DUAL WALL HDPE PIPE
STORM DRAIN 519 LF $ $

29. 10" DUAL WALL HDPE PIPE
STORM DRAIN 84 LF $ $

30. 18" RCP STORM DRAIN 8 LF $ $
300,000
300,000
30,000
30,000
150
45,000
45,000
150
18,000
378,000
5,000
5,000
50,000
50,000
30,000
30,000
10,000
10,000
20,000
20,000
20,000
20,000
3,000
18,000
5,000
5,000
10,000
20,000
100
47,000
2,000
22,000
10,000
10,000
100
51,900
10,080
120
1,000
8,000

31. BARK MULCH (2" DEPTH-
BIORETENTION BASIN ONLY) 2,345 SF $ $

32. BIORETENTION SOIL MEDIA 261 CY $ $

33. NO. 8 DRAINAGE STONE 15 CY $ $

34. NO. 57 DRAINAGE STONE 351 CY $ $

35. NON-WOVEN 180N GEOTEXTILE
(MIRAFI) (BIORETENTION &
PERVIOUS PAVEMENT) 9,476 SF $ $

36. CRUSHED MISCELLANEOUS
BASE (CMB) 233 CY $ $

37. ENHANCED CONCRETE PAVING
(BLDG ENTRY & LYONS ENTRY) 676 SF $ $

38. PLACEMENT OF ASPHALT
CONCRETE PAVING 183 TON $ $

39. 7" THICK REINFORCED

CONCRETE PAVEMENT (AVE

ROTELLA PULL-OUT AND TRASH

ENCLOSURE APRON)
2,060 SF $ $

40. PARKING LOT - 8" THICK

PERVIOUS CONCRETE
PAVEMENT 2,400 SF $ $

41. PARKING LOT STRIPING 1,210 LF $ $

42. PARKING LOT MARKING 13 EA $ $

43. WHEEL STOP 4 EA $ $

44. CONCRETE CURB - 0" 126 LF $ $

45. CONCRETE CURB (TYPE A1-6) 370 LF $ $

46. CONCRETE CURB (TYPE A1-8) 51 LF $ $

47. CONCRETE CURB & GUTTER
(TYPE A2-8) 36 LF $ $

48. RETAINING CURB 25 LF $ $

49. ROLLED CURB 87 LF $ $

50. 6" THICK PCC DRIVEWAY 310 SF $ $

51. PCC SIDEWALK 23,289 SF $ $

52. CONCRETE STEPS & HANDRAIL 1 LS $ $
2 4,690
120
31,320
100
1,500
100
35,100
1 9,476
70 16,310
30 20,280
300
54,900
35 72,100
40 96,000
10 12,100
500
6,500
4,000
1,000
30 3,780
40 14,800
50 2,550
80 2,880
60 1,500
60 5,220
30 9,300
25 582,225
20,000
20,000

53. PCC HANDICAP ACCESS RAMP 587 SF $ $

54. DETECTABLE WARNING STRIP 125 SF $ $

55. PARKING SIGN (TOW AWAY, NO
PARKING, ADA SIGNAGE) 3 EA $ $

56. REINSTALL BUS STOP SHELTER

AND APPURTENANCES,

RECONSTRUCT BLOCK SLOUGH
WALL
1 LS $ $

57. THICKENED EDGE (SIDEWALK

AT PARKING LOT PLANTER AND
LYONS ENTRY) 49 LF $ $

58. CONCRETE HEADER (AT PLAY
AREA/TURF) 470 LF $ $

59. WOOD BRIDGE OVER BIO
SWALE 1 LS $ $

60. LODGEPOLE 3-RAIL FENCE 310 LF $ $

61. LOW BLOCK WALL (36" HEIGHT
MAX, SLUMPSTONE) 124 LF $ $

62. SEAT WALL (SLUMPSTONE) 41 LF $ $

63. STONE-VENEER WALL 60 LF $ $

64. NEW SLUMPSTONE PILASTERS 2 EA $ $

65. STONE PILASTER FOR
DEDICATION PLAQUE 1 EA $ $

66. CONCRETE PAD FOR PUBLIC
ART SCULPTURE 64 SF $ $

67. EXISTING BASKETBALL COURT
RE-STRIPING & RE-SURFACING 4,300 SF $ $

68. BENCHES 9 EA $ $

69. TRASH RECEPTACLES 4 EA $ $

70. RECYCLING RECEPTACLE 1 EA $ $

71. BIKE RACKS 1 EA $ $

72. ACCESSIBLE PICNIC TABLES 5 EA $ $

73. BBQ UNITS 4 EA $ $
50 29,350
50 6,250
1,000
3,000
30,000
30,000
50 2,450
30 14,100
20,000
20,000
100
31,000
100
12,400
300
12,300
300
18,000
8,000
16,000
10,000
10,000
50 3,200
10 43,000
2,000
18,000
2,000
8,000
3,000
3,000
3,000
3,000
3,000
15,000
2,000
8,000

74. TABLE TENNIS 1 EA $ $

75. CHESS TABLE 2 EA $ $

76. BAG TOSS BOARDS 1 EA $ $

77. TRASH ENCLOSURE 1 LS $ $

78. OVERHEAD STRUCTURE (AT
PICNIC AREA) 412 SF $ $

79. LANDSCAPE BOULDERS 90 TON $ $

80. NEW PARK MONUMENT SIGN 1 EA $ $

81. CAPPED SLEEVES FOR
PICKLEBALL NET 2 EA $ $

82. FITNESS EQUIPMENT: 2-

PERSON WHEELCHAIR

ACCESSIBLE CHEST PRESS &

CARDIO STEPPER
1 LS $ $

83. BASKETBALL COURT SYSTEM
(HOOP, NET, POST,
BACKBOARD) 2 EA $ $

84. MULTI-USE SPORTS COURT 1 EA $ $

85. CONCRETE (REINFORCED)

PAVING WITH SURFACING &
STRIPING 1,465 SF $ $

86. LITTLE TIKES NU-EDGE ADA X-
TOWER 1 EA $ $

87. LITTLE TIKES REVOLUTION
INCLUSIVE SPINNER 1 EA $ $

88. LITTLE TIKES FREESTYLER 1 EA $ $

89. LITTLE TIKES TEAM TOTTER 1 EA $ $

90. KOMPAN SUPERNOVA 1 EA $ $

91. LITTLE TIKES CUSTOM NU-EDGE
PLAY STRUCTURES 1 LS $ $

92. LITTLE TIKES CUSTOM SWING
SET 1 LS $ $

93. FAUX ROCK CLIMBING WALL 1 LS $ $
15,000
15,000
8,000
16,000
5,000
5,000
50,000
50,000
90 37,080
150
13,500
20,000
20,000
1,000
15,000
15,000
10,000
20,000
70,000
70,000
40 58,600
130,000
130,000
15,000
15,000
15,000
15,000
20,000
20,000
22,000
22,000
50,000
50,000
30,000
30,000
150,000
150,000
2,000

94. FAUX ROCK CLIMBING WALL -
12" THICK, REINFORCED
CONCRETE FOUNDATION 415 SF $ $

95. SYNTHETIC TURF SLIDE HILL 982 SF $ $

96. POURED-IN-PLACE
PLAY/SAFETY SURFACING 8,645 SF $ $

97. PRE-ENGINEERED FABRIC
TENSIONED STRUCTURES 1 LS $ $

98. CONNECT & ENSURE

OPERATION OF EXISTING FIELD
IRRIGATION 1 LS $ $

99. NEW WALL-MOUNT
CONTROLLER & ENCLOSURE 1 EA $ $
100.

BACKFLOW PREVENTER AND
ENCLOSURE 1 EA $ $
101. BOOSTER PUMP 1 LS $ $
102. CONTROLLER WIRE 12,277 LF $ $
103. 2" REMOTE CONTROL VALVE 1 EA $ $
104. 1 1/2" REMOTE CONTROL VALVE 9 EA $ $
105. 1 1/4" REMOTE CONTROL VALVE 11 EA $ $
106. 1" REMOTE CONTROL VALVE 3 EA $ $
107. MASTER VALVE 1 EA $ $
108. FLOW SENSOR 1 EA $ $
109. GATE VALVE 5 EA $ $
110. QUICK COUPLER 10 EA $ $
111. FLUSH VALVE 62 EA $ $
112. PULL BOX 4 EA $ $
113.
3" MAINLINE & LATERAL LINE
(CLASS 315) 951 LF $ $
114.
2 1/2" LATERAL LINE (SCH 40
PVC) 20 LF $ $
115. 2" LATERAL LINE (SCH 40 PVC) 309 LF $ $
50 20,750
35 34,370
35 302,575
500,000
500,000
15,000
15,000
15,000
15,000
25,000
25,000
40,000
40,000
2 24,554
2,000
2,000
1,500
13,500
1,200
13,200
500
1,500
3,000
3,000
2,000
2,000
2,000
10,000
500
5,000
100
6,200
100
400
20 19,020
20 400
15 4,635
116.
1 1/2" LATERAL LINE (SCH 40
PVC) 334 LF $ $
117.
1 1/4" LATERAL LINE (SCH 40
PVC) 465 LF $ $
118. 1" LATERAL LINE (SCH 40 PVC) 739 LF $ $
119. 3/4" LATERAL LINE (SCH 40 PVC) 9,031 LF $ $
120. CLASS 315 PIPE/WIRE SLEEVE 645 LF $ $
121. ROTORS ON POP-UP BODIES 52 EA $ $
122. POP-UP SPRAY HEADS 56 EA $ $
123

ROOT WATERING SYSTEMS -
NEW TREES IN TURF 10 EA $ $
124.

TREE BUBBLERS - EXISTING

TREES & NEW TREES IN
PLANTING AREAS 166 EA $ $
125. SHRUB BUBBLERS 626 EA $ $
126 ROOT BARRIER 390 LF $ $
127.

PLANTING AREA SOIL
PREPARATION & AMENDMENTS 41,218 SF $ $
128. SHRUBS 1 GALLON 1,333 EA $ $
129. SHRUBS 5 GALLON 224 EA $ $
130. TREES/SHRUBS 15 GALLON 14 EA $ $
131. 24" BOX TREES 52 EA $ $
132. 36" BOX TREES 10 EA $ $
133. NEW TURF (HYDROSEEDED) 10,095 SF $ $
134. PLANTING AREA FINE GRADING 51,313 SF $ $
135. 3" ORGANIC MULCH 382 CY $ $
136.

PROTECTION OF EXISTING

TREES TO REMAIN (INCLUDING
WATERING) 22 EA $ $
137.
90 DAY PLANT ESTABLISHMENT
AND MAINTENANCE PERIOD 51,313 SF $ $
TOTAL BASE BID AMOUNT: $
15 5,010
12 5,580
10 7,390
8 72,248
20 12,900
100
5,200
100
5,600
200
2,000
50 8,300
30 18,780
20 7,800
1 41,218
10 13,330
30 6,720
50 700
1,000
52,000
1,500
15,000
2 20,190
1 51,313
50 19,100
200
4,400

0.25 12,828.25
5,917,777
TOTAL BASE BID AMOUNT IN WORDS: _____________________________________________________ _____________________________________________________________________________________ Five Million Nine Hundred Seventeen Thousand Seven Hundred Seventy-Seven 00/100

BIDDER'S INFORMATION AND CERTIFICATION
Bid #PPOS-23-24-P2020
Old Orchard Park Phase I Construction
City Project No. P2020
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: __________________________________________________________________________

Business Address: _______________________________________________________________________

Telephone No.: _________________________________________________________________________

State CONTRACTOR's License No. & Class: ____________________________________________________

DIR No.: _______________________________________________________________________________

Original Date: _________________________________ Expiration Date: ____________________________

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:

______________________________________________________________________________________ Golden Sun Enterprise, Inc.
6732 White Oak Ave., Van Nuys, CA 91406
(310) 363-1015
1052941- A, B, C10, C20 & C36
02/25/2020 06/30/2026
PW-LR-1000569894
Mohammad Elikaee- President

______________________________________________________________________________________

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:

______________________________________________________________________________________

All current and prior DBAs, alias, and/or fictitious business names for any principal having an interest in this proposal are as follows:
______________________________________________________________________________________

______________________________________________________________________________________

IN WITNESS WHEREOF, BIDDER executes and submits this proposal with the names, title, hands, and seals of all aforementioned principals this _________ day of _____ 20___.

BIDDER: _________________________________________________________ Signature

_________________________________________________________ Name and Title of Signatory

_________________________________________________________ Legal Name of Bidder

_________________________________________________________ Address

_______________________ ___________________
Telephone Number Federal Tax I.D. No.

N/A
N/A
07 June 24
Mohammad Elikaee- President
Golden Sun Enterprise, Inc.
6732 White Oak Ave., Van Nuys, CA 91406
(310) 363-1015 83-1895596

BIDDER’S QUESTIONNAIRE
Bid #PPOS-23-24-P2020
Old Orchard Park Phase I Construction
City Project No. P2020
City of Santa Clarita, California

1. Submitted by: ___________________________ Telephone: ____________________________________________ Principal Office Address: ___________________________________________________________________________

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: _______________State of Incorporation: ____________________________________________ President’s Name: _________________________________________________________________________________ Vice-President’s Name: _____________________________________________________________________________ Secretary or Clerk’s Name: __________________________________________________________________________ Treasurer’s Name: _________________________________________________________________________________

3b. If a partnership, answer these questions:

Date of organization: _____________________State Organized in: _________________________________________ Name of all partners holding more than a 10% interest: ___________________________________________________ _____________________________ ______________________________ _______________________________ _____________________________ ______________________________ _______________________________ _____________________________ ______________________________ _______________________________ Designate which are General or Managing Partners.

Golden Sun Enterprise, Inc.
(310) 363-1015
6732 White Oak Ave., Van Nuys, CA 91406
Mohammad Elikaee
Mohammad Elikaee
Sara J. Jafari
08/22/2018
Mohammad Elikaee
California

BIDDER’S QUESTIONNAIRE (cont’d)
Bid #PPOS-23-24-P2020
Old Orchard Park Phase I Construction
City Project No. P2020
City of Santa Clarita, California

4. Name of person holding CONTRACTOR’s license: ___________________________________________________ License number: __________ Class: __________Expiration Date: _____________________________________ D.I.R. Registration # _______________

5. CONTRACTOR’s Representative: _________________________________________________________________ Title: _______________________________________________________________________________________ Alternate: ___________________________________________________________________________________ Title: _______________________________________________________________________________________

6. List the major construction projects your organization has in progress as of this date:

Owner: _____________________________________________________________________________________ Project Location: ___________________________________________________ __________________________ Type of Project: ______________________________________________________________________________

Mohammad Elikaee
1052941
04/30/2025
A, C10
C20 & C36
PW-LR-1000569894
Mohammad Elikaee
President
Sara J. Jafari
V.P.

Please see attached.

pg. 1

PROJECTS LIST
Project Name: Lamanda Park Library Pocket Park
Project Type: Government
Location: 140 South Altadena Drive, Pasadena, CA 91107
Owner: City of Pasadena
Architect or Engineer: N/A
Construction Manager: Jeff Khun
Construction Manager Contact (Name and Current Phone #): (626) 744-7389, [email protected]
Description of Project, Scope of Work Performed: Playground Renovation & Site Works Date of Completion: 10/07/2022

Project Name: Central Park Dog Park
Project Type: Government
Location: 11200 Base Line Rd., Rancho Cucamonga, CA 91701 Owner: City of Rancho Cucamonga
Architect or Engineer: CWDG
Construction Manager: Michael Parmer
Construction Manager Contact (Name and Current Phone #): (909) 774 –2006, [email protected]
Description of Project, Scope of Work Performed: 4.7 Acre Dog Park Ground-up Date of Completion: 12/30/2023

Project Name: Greenhouse Projects at S El Monte HS and Arroyo HS Project Type: Government
Location: 1001 Durfee Ave., S El Monte, CA 91733
Owner: South El Monte Union High School District
Architect or Engineer: CSDA Design Group
Construction Manager: Lena Luna
Construction Manager Contact (Name and Current Phone #): (626) 444-9005, [email protected]
Description of Project, Scope of Work Performed: Building 2 Greenhouse Structures with Equipment Date of Completion: 01/30/2024

Project Name: Victory Park Restroom Replacement
Project Type: Government
Location: 2575 Paloma Street, Pasadena, CA 91107
Owner: City of Pasadena
Architect or Engineer: Onyx
Construction Manager: Tiffiny Chen
Construction Manager Contact (Name and Current Phone #): (626) 744 –6771, [email protected]
Description of Project, Scope of Work Performed: Building Park Restroom, Office and Storage Date of Completion: 01/27/2021

Project Name: Jefferson School Pickleball Courts Project Project Type: Government
Location: 1500 E Villa St., Pasadena, CA 91106
Owner: City of Pasadena
Architect or Engineer: N/A
Construction Manager: Jeff Khun
Construction Manager Contact (Name and Current Phone #): (626) 744-7389, [email protected]
Description of Project, Scope of Work Performed: 2 Pickleball Courts Construction Date of Completion: 09/30/2023

pg. 2

PROJECTS LIST

Project Name: Brenner Park Renovation
Project Type: Government
Location: 235 Barthe Dr., Pasadena, CA 91103
Owner: City of Pasadena
Architect or Engineer: N/A
Construction Manager: Jeff Khun
Construction Manager Contact (Name and Current Phone #): (626) 744-7389, [email protected]
Description of Project, Scope of Work Performed: Tennis, Basketball and Baseball Field Renovation Date of Completion: 12/30/2023

Project Name: Palm Crest Site Utilities Improvement
Project Type: Public Education
Location: 5025 Palm Drive, La Canada, CA 91011
Owner: La Canada Unified School District
Architect or Engineer: LPA
Construction Manager: Frank Navaro
Construction Manager Contact (Name and Current Phone #): (562) 980- 2515, [email protected]
Description of Project, Scope of Work Performed: Underground Utilities Replacement Date of Completion: 07/31/2020

Project Name: Fencing & Wayfinding at LCHS
Project Type: Public Education
Location: 4463 Oak Grove Dr., La Canada, CA 91011
Owner: La Canada Unified School District
Architect or Engineer: A4E
Construction Manager: Frank Navaro
Construction Manager Contact (Name and Current Phone #): (562) 980- 2515, [email protected]
Description of Project, Scope of Work Performed: Fencing, Ramp, Stairs, and Paving Date of Completion: 11/01/2020

Project Name: Portable Removal PH1-7 Sites
Project Type: Public Education
Location: 39139 10th Street East Palmdale, CA 93550
Owner: Palmdale School District
Architect or Engineer: N/A
Construction Manager: Tom Brown
Construction Manager Contact (Name and Current Phone #): (661) 373- 4312, [email protected]
Description of Project, Scope of Work Performed: Classroom Removal Date of Completion: 07/31/2020

Other Projects:

Palmdale Unified School District- Joshua Hills ES Future Learning Spaces- Completed in 2018.

Palmdale Unified School District- Sage Academy Kitchen Remodel- Completed in 2018.

pg. 3

PROJECTS LIST

Palmdale Unified School District- Sage Academy Emergency Kitchen Restoration- Completed in 2018.

Glendale Unified School District- Window Replacement at Franklin ES- Completed in 2018.

Glendale Unified School District- Play Area Improvements at Muir ES- Completed in 2018.

Glendale Unified School District- LED Lighting Upgrade at Various School Sites- Completed in 2018.

City of Alhambra- Stoneman Avenue Parking Lot Pavement Rehabilitation and Lid Improvements - Completed in 2018.

Glendale Unified School District- Cafe Wall & Window Repair - Verdugo Woodlands ES- Completed in 2019.

City of Pasadena- Installation of Restroom Building at Desiderio Park- Completed in 2020.

City of Santa Clarita- Mountain View Park Play Area Phase II- Completed in 2021.

Los Angeles Community Development Authority- Ocean Park Unit Flooring Replacement- Completed in 2021.

State of California- Department of General Services- Exposition Park Parking Gates and Kiosks- Completed in 2021.

Palmdale Water District – Conservation Garden Phase 1- Completed in 2022.

Azusa Unified School District- Underground Utility Replacement - In Progress.

City of Industry- Fire Damage Repair of EV and Solar Energy System at Metrolink Station- In Progress.

CERTIFICATION OF NON-SEGREGATED FACILITIES
Bid #PPOS-23-24-P2020
Old Orchard Park Phase I Construction
City Project No. P2020
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 ar e 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 fo r 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.

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).

Golden Sun Enterprise, Inc.

DESIGNATION OF SUBCONTRACTORS
Bid # PPOS-23-24-P2020
Old Orchard Park Phase I Construction
City Project No. P2020
City of Santa Clarita, California
Listed below are the names and locations of the places of business of each subcontractor, supplier, and vendor who will perform work or labor or render service in excess of ½ of 1 percent, or $10,000 (whichever is greater) of the prime contractor's total bid . If no Subcontractors will be used fill out the form with NA. Add addt. sheets if needed.

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 ( )
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 ( )
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 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.

Cybertech Construction
Company, Inc.
1000030859
6732 White Oak Ave., Van Nuys, CA 91406
Concrete Works
08/31/2024
921223
(818) 330-3379
Delta 4 Environmental, Inc.

PW-LR-1000707164
15K
11823 Slauson Ave., Unit 22, Santa Fe Springs, CA 90670 Abatement
1070662
11/30/2024
(562) 484-0009
Robertson Industries, Inc.
1000002700
200K
2140 E. Cedar St., Tempe, AZ 85281
Safety Surfacing
667261
03/31/2025
(800) 858-0519
12 96
44-53
200K

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 ( )
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 ( )
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 ( )

California Surfacing
404352
05/31/2025
(909) 621-2195
20K
PW-LR-1000410300
1461 Northridge Dr., Prescott, AZ 86301
Playgrounnd Surfacing
Siteone Landscape Supply, LLC
50K
995244
07/31/2024
(661) 775-0930
1000017523
300 Colonial Center PKWY, STE 600, Rosewell, GA 30076
99-126
67 Shade Structures, Inc.
200K
P.O. Box 3467, Coppell, TX 75019
989458
12/31/2025
(214) 905-9500
1000003533
Landscape Supply
Shade Structure Fabrication
97 DESIGNATION OF SUBCONTRACTORS
Bid # PPOS-23-24-P2020
Old Orchard Park Phase I Construction
City Project No. P2020
City of Santa Clarita, California
Listed below are the names and locations of the places of business of each subcontractor, supplier, and vendor who will perform work or labor or render service in excess of ½ of 1 percent, or $10,000 (whichever is greater) of the prime contractor's total bid . If no Subcontractors will be used fill out the form with NA. Add addt. sheets if needed.

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 ( )
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 ( )
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 ( )

50K
1000023617
1747 Colgate Dr., Thousand Oaks, CA 91360
PSI
88-92
Playgrounnd Installation
522475
01/31/2026
(818) 618-2333

EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION

Bid #PPOS-23-24-P2020
Old Orchard Park Phase I Construction
City Project No. P2020
City of Santa Clarita, California

This bidder _____________________, proposed subcontractor ____________________, hereby certifies that it has , has not , participated in a previous contract or subcontract subject to the equal opportunity clause, as required by Executive Orders 10925.11114, or 11246, and that it has , has not _____, filed with the Joint Reporting Committee, and Director of Office of Federal Contract Compliance, a Federal Government contracting or administering AGENCY, or the former President's Committee on Equal Employment Opportunity, all reports that are under the applicable filing requirements.

Company: _______________________________________

By: _______________________________________

Title: _______________________________________

Date: _______________________________________

Note: The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (41 CFR 60-1.7(b)(1)) and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth in 41 CFR 60-1.5, (Generally only contracts or subcontracts of $10,000 or under are exempt.)

Currently, the Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations.

Proposed prime CONTRACTORS/BIDDER and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such BIDDER submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor.

Cybertech Construction
Company, Inc.

X
X
Golden Sun Enterprise, Inc.

Mohammad Elikaee
President
06/07/2024
Golden Sun Enterprise, Inc.

DOCUMENT CHECKLIST
Bid #PPOS-23-24-P2020
Old Orchard Park Phase I Construction
City Project No. P2020
City of Santa Clarita, California

The following documents must be completed and submitted by the bidder as per the outlined timeframes.

The following documents must be provided by ALL bidders:

Uploaded via BidNet (see Section C)
❑ Proposal Form
❑ Notice to Bidders Regarding Contractual Requirements
❑ Bid Schedule
❑ Bidder’s Information and Certification
❑ Bidder’s Questionnaire
❑ Certification of Non-Segregated Facilities
❑ Designation of Subcontractors
❑ References
❑ Equal Employment Opportunity Certification
❑ Iran Contracting Act Certification
❑ Government-Wide Debarment and Suspension (Nonprocurement) ❑ Certifications and Restrictions on Lobbying
❑ Non-Collusion Affidavit
❑ All signed addendums (if any) – Digitally acknowledged on BidNet in addition to uploaded via BidNet

Delivered to City Hall, Attn: Purchasing, Suite 120 prior to bid closing:
❑ Proposal Guarantee Bond/Bidder’s Bond (Notarized)

The following documents must be provided at time of bid or no later than 48 hours after bid closing:
❑ EEO Certs of subcontractors over $10,000

The following documents must be provided by the AWARDEE ONLY (With Agreement) Delivered to City Hall, Attn: Katie Knybel
❑ Capital Improvement Project Agreement
❑ Faithful Performance Bond (Notarized)
❑ Labor & Material Bond (Notarized)
❑ Insurance Required by Contract
❑ W9
❑ Fringe Benefit Statement

BIDDER’S BOND

Bid #PPOS-23-24-P2020
Old Orchard Park Phase I Construction
City Project No. P2020
City of Santa Clarita, California

Proposals must be accompanied by a proposal guarantee consisting of a certified check, cashier's check or BIDDER's bid bond payable to the CITY or cash deposit in the amount not less than ten (10) percent of the total amount bid. Certified check, cashier’s check or Bidder’s bid bond must be received at City Hall, 23920 Valencia Blvd., Santa Clarita, CA 91355, Attn: Purchasing, Suite 120, and marked with the words “BID BOND FOR” and the bid #, no later than the bid closing date and time, for the BIDDER to be considered responsive.

NOTE: The following form shall be used in case check accompanies bid.

Accompanying this Proposal is a *certified/cashier's check payable to the order of the City of Santa Clarita for: ____________________________________________ dollars ($__________), this amount being not less than ten percent (10%) of the total amount of the bid. The proceeds of this check shall become the property of said CITY provided this Proposal shall be accepted by said CITY through action of its legally constituted contracting authorities, and the undersigned shall fail to execute a contract and furnish the required bonds within the stipulated time; otherwise, the check shall be returned to the undersigned.

Project Name: Old Orchard Park Phase I Construction
Bid No. PPOS-23-24-P2020
Project No. P2020

________________________________________________________ Bidder’s Signature

________________________________________________________

CONTRACTOR/BIDDER

________________________________________________________ Address

________________________________________________________ City, State, Zip Code

* Delete the inapplicable work.

NOTE: If the bidder desires to use a bond instead of a check, the following f orm shall be executed.

The sum of this bond shall be not less than ten percent (10%) of the total amount of the bid. 10% Bid Amount
10% Bid Amount
Golden Sun Enterprise, Inc.
6732 White Oak Ave.

Van Nuys, CA 91406

BUY AMERICA CERTIFICATION
(STEEL OR MANUFACTURED PRODUCTS)

Bid # PPOS-23-24-P2020M
Materials Testing for Old Orchard Park
City Project No. P2020
City of Santa Clarita, California

This Cerfitication relates to the implementation of the Buy America Preference (BAP) imposed by the Build America, Buy America Act (BABA) enacted through the Infrastructure Investment and Jobs Act (IIJA), signed into law on November 15, 2021. The Final Rule and statutory requirements can be found at 2 CFR 184 and 200.

BAP applies to all projects which use CDBG or HOME funds ; however, a general waiver is in place until November 23, 2027 which exempts projects with a total cost (from all sources) of under $250,000, or projects in which non-domestically produced materials comprise no more than 5% of the total cost of covered materials used in a project (not to exceed $1 million).

BAP applies to all Community Development Block Grant (CDBG) funds obligated by the United State Department of Housing and Uban Development (HUD) to the City of Santa Clarita, on or after November 15, 2022 when they are used in public infrastructure projects (2 CFR 184.3).

The bidder must certify to the following statements.

1. Compliance with BABA: The bidder complies with all applicable provisions of the BABA Act, as outlined in the IIJA, ensuring that all iron, steel, manufactured products, and construction materials used in the project are produced in the United States unless an appropriate waiver has been granted.

2. Produced in the United States:
a. Iron and Steel: All iron and steel products used in the project are melted and poured in the United States.
b. Manufactured Products: All manufactued products used in the projct are produced in the United States, with more than 55% of the total cost of components manufactured domestically.
c. Construction Materials: All construction materials are manufactured in the United States, in accordance with BABA requirements.

3. Waivers: If any materials or products used in the project are not produced in the United States, the bidder has secured appropriate waivers from the relevant authorities and will provide documentation of these waivers in the contract package.

4. Documentation and Verification: The bidder maintains detailed documentation and records verifying compliance with BABA requirements and is prepared to provide such documenation upon request by the CDBG progam administratrs or any other authorized representative.

Certificate of Compliance with Buy America Requirements The bidder or offeror hereby certifies that it will comply with the requirements of 49 U.S.C. 5323(j)(1), and the applicable regulations in 49 CFR part 661 as summarized above.

Bidder’s Name:________________________________________________________________________ Authorized Representative’s Name: ___________________ Authorized Representative’s Title:_________________________________________________________ Authorized Representative’s Signature: ________________________ Date:_______________________________________________________________________________

Golden Sun Enterprise, Inc.

Mohammad Elikaee
President
06/07/2024

HUD Section 3 Policies and Procedures
Recipient must complete form and submit to Project Manager. (page 1 of 2)

City of Santa Clarita
Community Preservation Division
SECTION 3 COMPLIANCE

CERTIFICATION

PURPOSE, AUTHORITY AND RESPONSIBILITY
Section 3 is a provision of the Housing and Urban Development (HUD) Act of 1968 that promotes local economic development and individual self-sufficiency.

Section 3 requires that, to the greatest extent possible, economic opportunities that are generated by the use of Federal funds be made available to low- and very low-income persons, particularly those who receive Federal financial assistance for housing and those residing in communities where the financial assistance is expended. Section 3 established benchmark goals for (a) 25% of total labor hours worked by Section 3 workers; and (b) 5% of total labor hours worked by Targeted Section 3 workers.

(hereinafter called the Contractor) hereby
CERTIFIES that upon being awarded a contract to participate in the following HUD-funded project:
(the “Project”) located at
in the City of Santa Clarita, that the Contractor:

(a) is under no contractual or other impediment that would prevent it from complying with requirements of Section 3 as set forth in 24 CFR part 75; and (b) will comply with HUD's regulations in 24 CFR Part 75; and (c) will submit to the City of Santa Clarita appropriate Section 3 documentation of total labor hours performed per contractor/subcontractor, certifications of Section 3 workers, and confirmation of Section 3 business concerns and YouthBuild participants; and (d) will include the Section 3 Clause and this Section 3 Certification of Compliance in every subcontract and further agrees to take the appropriate action pursuant to those regulations in the event the contractor/subcontractor is found to be in violation of 24 CFR Part 75; and (e) will not contract/subcontract with any contractor/subcontractor where theContractor has notice or knowledge that the contractor/subcontractor has been found in violation of any provision of 24 CFR Part 75.

By:

Authorized Representative’s Signature

Name and Title:

Date:

Form 3.1
Golden Sun Enterprise, Inc.

Old Orchard Park Phase I Construction
Mohammad Elikaee- President
06/07/2024

HUD Section 3 Policies and Procedures
Section 3 Clause must be included in contracts with all contractors/subcontractors/lower-tier subcontractors. (page 2 of 2)

Section 3 Clause

A. The work to be performed under this contract is subject to the requirements of Section 3 of the Housing and Urban Development Act of 1968, as amended, 12 U.S.C. 1701u (section 3), contributes to the establishment of stronger, more sustainable communities by ensuring that employment and other economic opportunities generated by Federal financial assistance for housing and community development programs are, to the greatest extent feasible, directed toward low- and very low-income persons, particularly those who receive Federal financial assistance for housing and those residing in communities where the financial assistance is expended.

B. The parties to this contract agree to comply with HUD's regulations in 24 CFR part 75, which implement section 3. As evidenced by their execution of this contract, the parties to this contract certify that they are under no contractual or other impediment that would prevent them from complying with the part 75 regulations.

C. The contractor agrees to include this section 3 clause in every subcontract subject to compliance with regulations in 24 CFR part 75, and agrees to take appropriate action, as provided in an applicable provision of the subcontract or in this section 3 clause, upon a finding that the subcontractor is in violation of the regulations in 24 CFR part 75. The contractor will not subcontract with any subcontractor where the contractor has notice or knowledge that the subcontractor has been found in violation of the regulations in 24 CFR part 75.

D. Noncompliance with HUD's regulations in 24 CFR part 75 may result in sanctions, termination of this contract for default, and debarment or suspension from future HUD assisted contracts.

Form 3.1 Continued
Form 3.2

HUD Section 3 Policies and Procedures

Definitions

Section 3 worker means (24 CFR 75.5):
(1) Any worker who currently fits or when hired within the past five years (time period only goes back to the 24 CFR 75 effective date of 11-30-2020) fit at least one of the following categories, as documented:
(i) The worker's income for the previous or annualized calendar year is below the income limit established by HUD.
(ii) The worker is employed by a Section 3 business concern. (iii) The worker is a YouthBuild participant.
(2) The status of a Section 3 worker shall not be negatively affected by a prior arrest or conviction. (3) Nothing in this part shall be construed to require the employment of someone who meets this definition of a Section 3 worker. Section 3 workers are not exempt from meeting the qualifications of the position to be filled.

Targeted Section 3 worker means [24 CFR 75.21(a)]:

A Targeted Section 3 worker for housing and community development financial assistance means a Section 3 worker who is:
(1) A worker employed by a Section 3 business concern; or (2) A worker who currently fits or when hired five years (time period only goes back to the 24 CFR 75 effective date of 11-30-2020) fit at least one of the following categories, as documented within the past five years:
(i) Living within the service area or the neighborhood of the project, as defined in § 75.5; or (ii) A YouthBuild participant.

Section 3 business concern means (24 CFR 75.5):
(1) A business concern meeting at least one of the following criteria, documented within the last six - month period:
(i) It is at least 51 percent owned and controlled by low- or very low-income persons; (ii) Over 75 percent of the labor hours performed for the business over the prior three-month period are performed by Section 3 workers; or
(iii) It is a business at least 51 percent owned and controlled by current public housing residents or residents who currently live in Section 8-assisted housing. (2) The status of a Section 3 business concern shall not be negatively affected by a prior arrest or conviction of its owner(s) or employees.
(3) Nothing in this part shall be construed to require the contracting or subcontracting of a Section 3 business concern. Section 3 business concerns are not exempt from meeting the specifications of the contract.

HUD Section 3 Policies and Procedures
Form 3.3

Contractor must complete this form and submit to Project Manager.

Additional Reporting if Section 3 Benchmarks are not met [24 CFR 75.25(b)]

The Contractor must undertake efforts to include Section 3 Workers, Targeted Section 3 Workers, and Section 3 Business Concerns in the economic opportunities that are generated by the use of Federal funds. To that end, Contractor must choose at least two of the activities listed below and undertake them as part of the initial hiring process. Contractor must provide documentation of the efforts undertaken.

Engage in outreach efforts to generate job applicants who are Targeted Section 3 workers.

Provide training or apprenticeship opportunities.

Provide technical assistance to help Section 3 workers compete for jobs ( e.g., resume assistance, coaching).

Provide or connected Section 3 workers with assistance in seeking employment including: drafting resumes, preparing for interviews, and finding job opportunities connecting residents to job placement services.

Hold one or more job fairs.

Provide or refer Section 3 workers to services supporting work readiness and retention ( e.g., work readiness activities, interview clothing, test fees, transportation, child care).

Provide assistance to apply for/or attend community college, a four-year educational institution, or vocational/technical training.

Assist Section 3 workers to obtain financial literacy training and/or coaching.

Engage in outreach efforts to identify and secure bids from Section 3 business concerns. Provided Provide technical assistance to help Section 3 business concerns understand and bid on contracts.

Divide contracts into smaller jobs to facilitate participation by Section 3 business concerns.

Provide bonding assistance, guaranties, or other efforts to support viable bids from Section 3 business concerns.

Promote use of business registries designed to create opportunities for disadvantaged and small businesses.

Outreach, engagement, or referrals with the state one-stop system as defined in Section 121(e)(2) of the Workforce Innovation and Opportunity Act.

Other, please describe:

By signing this document, as an authorized employee of the Recipient, I certify the above efforts are true and accurate to the best of my knowledge and belief.

Recipient Signature Date

Mohammad Elikaee- President
06/07/2024

Required With-Bid Submittals at Time of Bid
Project Name: Old Orchard Park Renovation
Bid No: P2020
Per Specifications for Bid Item #97 Pre-Engineered Fabric Tension Shade Structures – Section 1.3.1:

1. Please find proof of reference sites engineered to CBC Specifications:
60’ x 60’ 4-Posted Hip – Los Alamos Sports Park, Murrieta CA 60’ Hexago
n – Los Alamos Sports Park, Murrieta CA
40’ x 40’ Mu
ltilevel/layer – MacCambridge Park, Burbank CA
20’x 36’Fla
t Truss Cantilever with 20’ projection – Delano Fields - Los Angeles, CA

2. Quality Assurance Items:

3 Reference Sites:

Cameron Park – Cameron Park, CA
Cedar Park – Brentwood, CA
Los Alamos Sports Park – Murrieta, CA
 Please find attached documentation of proof of Liability Insu rance and
Umbrella Insurance

Please find attached documentation of proof of current CA Contractors License

Please find attached documentation of proof of the Corporate Injury & Illness Prevention and Safety Program
AllHolder Identifier : 7777777707070700077763616065553330763735666027445607762107460615111072653557264132100716273313253233007106322463033377076551073572775750723513356233106707362075132076110077727252025773110777777707000707007 6666666606060600062606466204446200620020626204220006222024060240000062202260622600020622020624006000006222006040042002062222042600420200622000424006202006200006042260200066646062240664440666666606000606006 Certificate No : 570102148795

CERTIFICATE OF LIABILITY INSURANCE

DATE(MM/DD/YYYY)
10/06/2023
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS

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

PRODUCER
Aon Risk Services Central, Inc.

St. Louis MO Office
4220 Duncan Avenue
Suite 401
St Louis MO 63110 USA
PHONE
(A/C. No. Ext):

E-MAIL
ADDRESS:

INSURER(S) AFFORDING COVERAGE NAIC #
(866) 283-7122
INSURED 12203James River Insurance CompanyINSURER A:

AA1128121Lloyd's Syndicate No. 2121INSURER B:
15792Underwriters At Lloyds LondonINSURER C:
12262Pennsylvania Manufacturers' Assoc Ins CoINSURER D:
19489Allied World Assurance Company (US) IncINSURER E:

INSURER F:

FAX
(A/C. No.):
(800) 363-0105
Columbia Casualty Company 31127
CON
TACT
NAME:

Shade Structures, Inc.

USA SHADE & FABRIC STRUCTURES C/O VPS
2580 Esters Blvd., Suite 100
DFW Airport, TX 75261 USA

COVERAGES
CERTIFICATE NUMBER: 570102148795 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.

Limits shown are as requested

POLICY EXP
(MM/DD/YYYY)

POLICY EFF
(MM/DD/YYYY)
SUBR
WVD
INSR
LTR
ADDL

INSD POLICY NUMBER TYPE OF INSURANCE LIMITS

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

POLICY LOC

EACH OCCURRENCE

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

PERSONAL & ADV INJURY

GENERAL AGGREGATE

PRODUCTS - COMP/OP AGG
X
X
X X
GEN'L AGGREGATE LIMIT APPLIES PER:
$1,000,000
$300,000
$10,000
$1,000,000
$2,000,000
$2,000,000
A 10/01/2023 10/01/2024Y Y 000959654
PRO-
JECT
OTHER:

AUTOMOBILE LIABILITY

ANY AUTO
OWNED

AUTOS ONLY

SCHEDULED
AUTOS

HIRED AUTOS
ONLY

NON-OWNED

AUTOS ONLY
BODILY INJURY ( Per person)

PROPERTY DAMAGE
(Per accident)
X
BODILY INJURY (Per accident)
$1,000,000D 10/01/2023 10/01/2024
152300 0652321AD 10/01/2023 10/01/2024
Auto AOS

Y Y COMBINED SINGLE LIMIT
(Ea accident)
152300 0652321B

EXCESS LIAB

X OCCUR

CLAIMS-MADE AGGREGATE

EACH OCCURRENCE
DED
$5,000,000
$5,000,000
$10,000
10/01/2023
00 Umbrella
UMBRELLA LIABE 10/01/202403140086

RETENTIONX
X
E.L. DISEASE-EA EMPLOYEE
E.L. DISEASE-POLICY LIMIT
E.L. EACH ACCIDENT $1,000,000
X
OTH-
ER
PER STATUTED 10/01/2023 10/01/2024
$1,000,000
Y / N
(Mandatory in NH)

ANY PROPRIETOR / PARTNER / EXECUTIVE
OFFICER/MEMBER EXCLUDED? N / A
Y
N

WORKERS COMPENSATION AND

EMPLOYERS' LIABILITY
If yes, describe under
DESCRIPTION OF OPERATIONS below
$1,000,000
2023750652321
per Claim/Agg LimitB0621PPLAY000423 10/01/2023 10/01/2024 Shade Structure Professio
Architects & Engineers
Professional
B $3,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Evidence of Insurance. RE: Playground Equipment Mfg/Installation. The per location aggregate is subject to a policy cap of $10,000,000. The General Liability (Ongoing & Completed Operations) & Automobile Liability include a blanket additional insured endorsement that provides this feature only when there is a written contract with the named insured that requires such status.

General Liability insurance is primary and non-contributory. The General Liability, Automobile Liability and Workers' Compensation policies include a blanket Waiver of Subrogation endorsement that provides this feature only when there is a written contract with the named insured that requires such status. Umbrella Liability policy follows form.

CANCELLATIONCERTIFICATE HOLDER

AUTHORIZED REPRESENTATIVE
Shade Structures, Inc.
dba USA Shade & Fabric Structures
2580 Esters Blvd., Suite 100
DFW Airport TX 75261 USA
ACORD 25 (2016/03)
©1988-2015 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE

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

AGENCY CUSTOMER ID:ADDITIONAL REMARKS SCHEDULELOC #: ADDITIONAL REMARKSTHIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,FORM NUMBER:ACORD 25FORM TITLE:Certificate of Liability InsuranceEFFECTIVE DATE:CARRIERNAIC CODEPOLICY NUMBERNAMED INSUREDAGENCYSee Certificate Number:See Certificate Number: 570102148795 570102148795 Aon Risk Services Central, Inc. 570000052633 ADDITIONAL POLICIESIf a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits.INSURERINSURERINSURERINSURERINSURER(S) AFFORDING COVERAGEPage _ of _ NAIC #Shade Structures, Inc.

TYPE OF INSURANCEPOLICY NUMBERLIMITSEXCESS LIABILITYF 704044066410/01/202310/01/2024OTHERCE&O - Miscellaneous Professional-ExcessB0621PPLAY00252310/01/202310/01/2024Aggregate$5,000,000Each Occurrence$5,000,000Excess limits$2,000,00001 Excess Liab $5M x $5MEPL-E&O-PL-XS

ADDL INSDINSR LTRSUBR WVDPOLICY EFFECTIVE DATE (MM/DD/YYYY)POLICY EXPIRATION DATE (MM/DD/YYYY) ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved.The ACORD name and logo are registered marks of ACORD

COMMERCIAL GENERAL LIABILITY
CG 20 26 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CG 20 26 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 ADDITIONAL INSURED – DESIGNATED

PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

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

Where required by written contract or written agreement.

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

A. Section II – Who Is An Insured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury", "property damage" or "personal and advertising injury"
caused, in whole or in part, by your acts or
omissions or the acts or omissions of those acting
on your behalf:

1. In the performance of your ongoing operations;
or

2. In connection with your premises owned by or
rented to you.

However:

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

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

B. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III – Limits Of Insurance:

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

1. Required by the contract or agreement; or

2. Available under the applicable Limits of
Insurance shown in the Declarations;
whichever is less.

This endorsement shall not increase the
applicable Limits of Insurance shown in the
Declarations.

POLICY NUMBER: 00095965-4
POLICY NUMBER: 00095965-4 COMMERCIAL GENERAL LIABILITY
CG 20 10 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 ADDITIONAL INSURED – OWNERS, LESSEES OR
CONTRACTORS – SCHEDULED PERSON OR

ORGANIZATION
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s) Location(s) Of Covered Operations
Where required by written contract or written agreement All operations of the Named Insured Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

1. Your acts or omissions; or

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

However:

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

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

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

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

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

Page 2 of 2 ends

C. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III – Limits Of Insurance:

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

1. Required by the contract or agreement; or

2. Available under the applicable Limits of
Insurance shown in the Declarations;
whichever is less.

This endorsement shall not increase the
applicable Limits of Insurance shown in the
Declarations.

COMMERCIAL GENERAL LIABILITY
CG 20 37 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 ADDITIONAL INSURED – OWNERS, LESSEES OR
CONTRACTORS – COMPLETED OPERATIONS
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s) Location And Description Of Completed Operations Where required by written contract or written
agreement All operations of the Named Insured
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

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

However:

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

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

B. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III – Limits Of Insurance:

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

1. Required by the contract or agreement; or

2. Available under the applicable Limits of
Insurance shown in the Declarations;
whichever is less.

This endorsement shall not increase the applicable
Limits of Insurance shown in the Declarations.

POLICY NUMBER: 00095965-4
POLICY NUMBER: 00095965-4 COMMERCIAL GENERAL LIABILITY
CG 20 37 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 2 of 2

PRIMARY AND NON CONTRIBUTORY

ENDORSEMENT
Name Of Additional Insured Person(s)
Or Organization(s):

ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 00095965-4
POLICY NUMBER: 00095965-4 COMMERCIAL GENERAL LIABILITY
CG 24 04 05 09
CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

SCHEDULE
Name Of Person Or Organization:

Where required by written contract or written agreement Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

The following is added to Paragraph 8. Transfer Of
Rights Of Recovery Against Others To Us of
Section IV – Conditions:

We waive any right of recovery we may have against
the person or organization shown in the Schedule
above because of payments we make for injury or
damage arising out of your ongoing operations or
"your work" done under a contract with that person
or organization and included in the "products-
completed operations hazard". This waiver applies
only to the person or organization shown in the
Schedule above.

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

AP5011US 12-03 Page 1 of 1
POLICY LIMITATION – AMENDED AGGREGATE

LIMITS OF INSURANCE PER LOCATION
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART
SECTION III – LIMITS OF INSURANCE - The General Aggregate Limit applies separately to each “Location” of the Named Insured.

Notwithstanding the application of the General Aggregate Limit to each “Location” of the Named Insured, under no circumstances will we pay more than$10,000,000 for all claims under this policy that are subject to the General Aggregate limit.

For the purpose of this endorsement, the following definition is added:
“Location” means premises involving the same or connecting lots, or premises whose connection is interrupted only by a street, roadway, waterway or right-of-way of a railroad.

ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED.

POLICY NUMBER: 00095965-4
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

AP5012US 12-03 Page 1 of 1
POLICY LIMITATION – AMENDED AGGREGATE

LIMITS OF INSURANCE PER PROJECT
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

CONTRACTORS COMBINED LIABILITY POLICY
SECTION III – LIMITS OF INSURANCE - The General Aggregate Limit applies separately to each “Project” of the Named Insured.

Notwithstanding the application of the General Aggregate Limit to each “Project” of the Named Insured, under no circumstances will we pay more than$10,000,000 for all claims under this policy that are subject to the General Aggregate limit.

For the purpose of this endorsement, the following definition is added:
“Project” means all work done by you or on your behalf, away from premises owned or rented to you, to complete an individual bid or negotiated contract to provide services for a specified period of time. Multiple jobs, work orders, purchase orders, or work done at multiple “locations” under one contract are not separate “projects” within the meaning of this coverage.

ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED.

POLICY NUMBER: 00095965-4

COMMERCIAL AUTO
CA 04 49 11 16
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CA 04 49 11 16 © Insurance Services Office, Inc., 2016 Page 1 of 1

PRIMARY AND NONCONTRIBUTORY

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

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

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

A. The following is added to the Other Insurance
Condition in the Business Auto Coverage Form
and the Other Insurance Primary And Excess
Insurance Provisions in the Motor Carrier
Coverage Form and supersedes any provision to
the contrary:

This Coverage Form's Covered Autos Liability
Coverage is primary to and will not seek
contribution from any other insurance available to
an "insured" under your policy provided that:

1. Such "insured" is a Named Insured under such
other insurance; and

2. You have agreed in writing in a contract or
agreement that this insurance would be
primary and would not seek contribution from
any other insurance available to such
"insured".

B. The following is added to the Other Insurance
Condition in the Auto Dealers Coverage Form and
supersedes any provision to the contrary:

This Coverage Form's Covered Autos Liability
Coverage and General Liability Coverages are
primary to and will not seek contribution from any
other insurance available to an "insured" under
your policy provided that:

1. Such "insured" is a Named Insured under such
other insurance; and

2. You have agreed in writing in a contract or
agreement that this insurance would be
primary and would not seek contribution from
any other insurance available to such
"insured".

INSURED COPY
POLICY NUMBER: 152300 0652321A
AGENT
POLICY NUMBER: COMMERCIAL AUTO
CA 20 48 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CA 20 48 10 13 Insurance Services Office, Inc., 2011 Page 1 of 1

DESIGNATED INSURED FOR

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

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

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

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

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

Named Insured:

Endorsement Effective Date:

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

Each person or organization shown in the Schedule is
an ‘‘insured’’ for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an ‘‘insured’’ under the Who Is An Insured
provision contained in Paragraph A.1. of Section II - - - - Covered Autos Liability Coverage in the Business
Auto and Motor Carrier Coverage Forms and
Paragraph D.2. of Section I - - - - Covered Autos
Coverages of the Auto Dealers Coverage Form.

Name Of Person(s) Or Organization(s):
10/1/2023
PCA 05 04 04 14 Includes copyrighted material of Insurance Services Office, Inc. Page 1 of 1 with its permission
The PMA Insurance Group, 2014
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

WAIVER OF RECOVERY RIGHTS
This endorsement modifies coverage provided under the following:

BUSINESS AUTO COVERAGE FORM

AUTO DEALERS COVERAGE FORM

MOTOR CARRIER COVERAGE FORM
We waive any right of recovery that we may have
against the person or organization shown in the
SCHEDULE because of payments we make for
injury or damage arising out of the operation of an
insured "auto", but such waiver is only effective if the Named Insured has entered into a written contract or
agreement with that person or organization, if such
contract or agreement is made and dated prior to the
injury or loss, and if such written contract or
agreement requires a waiver of recovery rights. This
waiver applies only to the person or orga nization
shown in the SCHEDULE below.

SCHEDULE
Name of Person or Organization:

AS REQUIRED BY WRITTEN CONTRACT.

COMMERCIAL AUTO
PCA 05 04 04 14

INSURED COPY
152300 0652321A
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 0313

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.

SCHEDULE

AS REQUIRED BY WRITTEN CONTRACT EXECUTED PRIOR TO THE DATE OF LOSS.
1983 National Council on Compensation Insurance.

INSURED COPY
202375 0652321

INJURY & ILLNESS

PREVENTION

PROGRAM
(Includes Safety Program & JHA)
Revised: October 12, 2020
Data current as of 6/8/2024 1:25:09 PM
Home | Online Services | License Details
Contractor's License Detail for License #
522475
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.

Business Information
P S I
1747 COLGATE DRIVE
THOUSAND OAKS, CA 91360
Business Phone Number:(818) 618-2333
Entity Sole Ownership
Issue Date 01/07/1988
Expire Date 01/31/2026
License Status
This license is current and active.

All information below should be reviewed.

Classifications
Bonding Information
Contractor's Bond
This license filed a Contractor's Bond with OLD REPUBLIC SURETY COMPANY.

Bond Number: GCL5934196
Bond Amount: $25,000
Eective Date: 01/01/2023
Contractor's Bond History
Workers' Compensation
This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND
Policy Number:9038386
Eective Date: 01/01/2017
Expire Date: 01/01/2025
Workers' Compensation History
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. C46 - SOLAR
C13 - FENCING
D34 - PREFABRICATED EQUIPMENT
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Privacy Policy Accessibility
Copyright © 2024 State of California
Accessibility Certification

GOVERNMENT-WIDE DEBARMENT AND SUSPENSION (NONPROCURMENT) Bid #PPOS-23-24-P2020
Old Orchard Park Phase I Construction
City Project No. P2020
City of Santa Clarita, California

Instructions for Certification: By signing and submitting this bid or proposal, the prospective lower tier participant is providing the signed certification set out below.

(1) It will comply and facilitate compliance with U.S. DOT regulations, “Nonprocurement Suspension and Debarment,” 2 CFR part 1200, which adopts and supplements the U.S. Office of Management and Budget (U.S. OMB) “Guidelines to Agencies on Governmentwide Debarment and Suspension (Nonprocurement),” 2 CFR part 180,

(2) To the best of its knowledge and belief, that its Principals and Subrecipients at the first tier:

a. Are eligible to participate in covered transactions of any Federal department or agency and are not presently:
(1) Debarred,
(2) Suspended,
(3) Proposed for debarment,
(4) Declared ineligible,
(5) Voluntarily excluded, or
(6) Disqualified,

b. Its management has not within a three-year period preceding its latest application or proposal been convicted of or had a civil judgment rendered against any of them for:
(1) Commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction, or contract under a public transaction,
(2) Violation of any Federal or State antitrust statute, or (3) Commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making any false statement, or receiving stolen property,

c. It is not presently indicted for, or otherwise criminally or civilly charged by a governmental entity (Federal, State, or local) with commission of any of the offenses listed in the preceding subsection

2.b of this Certification,

d. It has not had one or more public transactions (Federal, State, or local) terminated for cause or default within a three-year period preceding this Certification,

e. If, at a later time, it receives any information that contradicts the statements of subsections 2.a –

2.d above, it will promptly provide that information to FTA,

f. It will treat each lower tier contract or lower tier subcontract under its Project as a covered lower tier contract for purposes of 2 CFR part 1200 and 2 CFR part 180 if it:
(1) Equals or exceeds $25,000,
(2) Is for audit services, or

(3) Requires the consent of a Federal official, and

g. It will require that each covered lower tier contractor and subcontractor:
(1) Comply and facilitate complian ce with the Federal requirements of 2 CFR parts 180 and 1200, and
(2) Assure that each lower tier participant in its Project is not presently declared by any Federal department or agency to be:

a. Debarred from participation in its federally funded Project, b. Suspended from participation in its federally funded Project, c. Proposed for debarment from participation in its federally funded Project, d. Declared ineligible to participate in its federally funded Project, e. Voluntarily excluded from participation in its federally funded Project, or f. Disqualified from participation in its federally funded Project, and

(3) It will provide a written explanation as indicated on a page attached in FTA’s TEAM-Web or the Signature Page if it or any of its principals, including any of its first tier Subrecipients or its Third Party Participants at a lower tier, is unable to certify compliance with the preceding statements in this Certification Group.

_____________________________________________________________________________________

Certification

Contractor ________________________________________________________________

Signature of Authorized Official ______________________________ Date ___/___/___

Name and Title of Contractor's Authorized Official ______________________________

Golden Sun Enterprise, Inc.
06 07 2024
Mohammad Elikaee- President

IRAN CONTRACTING ACT CERTIFICATION
(Public Contract Code Sections 2200 et seq.)

Bid #PPOS-23-24-P2020
Old Orchard Park Phase I Construction
City Project No. P2020
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 an d 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 identifi ed 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
I, 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

Firm Signed

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 ci vil penalties equal to the gr eater 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

Golden Sun Enterprise, Inc.
06/07/2024 Mohammad Elikaee- President

NON-COLLUSION AFFIDAVIT
(Title 23 United States Code Section 112 and Public Contract Code Section 7106)

Bid #PPOS-23-24-P2020
Old Orchard Park Phase I Construction
City Project No. P2020
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 bi d, or that anyone shall refrain from bidding; that the Bidder has not in any manner, directly or indi rectly, 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 PORT ION 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-P2020
Old Orchard Park Phase I Construction
City Project No. P2020
City of Santa Clarita, California

TO BE EXECUTED BY EACH BIDDER OF A PRINCIPAL CONTRACT

STATE OF CALIFORNIA )
) §

COUNTY OF LOS ANGELES )

__________________________________________ being first duly sworn deposes and says that he/she is the _______________________________________ (sole owner, a partner, president, etc.) of __________________________________________________ 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: _________________________________________________ Signature

Title _________________________________________________

Mohammad Elikaee
President
Golden Sun Enterprise, Inc.

Mohammad Elikaee- President

NOTICE TO BIDDERS REGARDING CONTRACTUAL REQUIREMENTS
Bid #PPOS-23-24-P2020
Old Orchard Park Phase I Construction
City Project No. P2020
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 requi rements. If any additional Contract documents are 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 covera ge and limits afforded under Contractor’s policies of Insurance shall be av ailable 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 Endo rsement 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 CONTRA CTOR or any other person for, and CONTRACTOR shall indemnify, defend, protect, and hold harmless Indemnitees from and against, any and all liabilities, claims, action s, causes of action, proceedings, suits, damages, judgments, liens, levies, costs, and expenses of whatever nature, incl uding 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 occu rring as a result of or allegedly caused by the CONTRACTOR’S performance of or failure to perf orm any services under this Agreement, or by the negligent or willful acts or omissions of CONTRACT OR, 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 counse l 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 in demnified. 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, su ffered 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 CONT RACTOR is using subcontractors, the policy must include work performed “by or on behalf” of the CO NTRACTOR. 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 occupati onal 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 prop erty damage insurance coverage for automotive equipment with coverage limits of not less than $1,0 00,000 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 re sponsible 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, stru ctures, 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 co sts 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 su fficient 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 term s 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 poli cy period of one year.

Coverage must be included for bodily injury and pr operty 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 pertai ning 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 agains t professional errors and omissions arising from CONTRACTOR’S work on the Project, in an amount no t 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 agains t 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 th e 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, lo wered, 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 an d 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 obta in 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 para graph 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: ___________________

Printed Name: ____________________________________

06/07/2024
Mohammad Elikaee- President

PROPOSAL FORM
Bid #PPOS-23-24-P2020
Old Orchard Park Phase I Construction
City Project No. P2020
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. TH E 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: _______________________________________

Company Address: _______________________________________

_______________________________________

Phone: _______________________________________

Email: ______________________________________

By: _______________________________________
Print Name

Title: _______________________________________

Signature: _______________________________________

Date: _______________________________________

Golden Sun Enterprise, Inc.

Van Nuys, CA 91406
6732 White Oak Ave.
(310) 363-1015
President
[email protected]
06/07/2024
Mohammad Elikaee

REFERENCES

Bid #PPOS-23-24-P2020
Old Orchard Park Phase I Construction
City Project No. P2020
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. __________________________________________________________________________________ Name and Address of Owner / Agency

__________________________________________________________________________________ Name and Telephone Number of Person Familiar with Project

__________________________________________________________________________________ Contract Amount Type of Work Date Completed

2. __________________________________________________________________________________ Name and Address of Owner / Agency

___________________________________________________________________________________ Name and Telephone Number of Person Familiar with Project

__________________________________________________________________________________ Contract Amount Type of Work Date Completed

3. __________________________________________________________________________________ Name and Address of Owner / Agency

__________________________________________________________________________________ Name and Telephone Number of Person Familiar with Project

__________________________________________________________________________________ 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: __________________________________________________

______________________________________________________________________________________

Please see attached.

Harco National Insurance Company- 4200 Six Forks Rd., STE 1400, Raleigh, NC 27609- (714) 602-9170 KPS Insurance Services, Inc.- 555 W. Beech St., STE 503, San Diego, CA 92101- (858) 538-8822