Vernon City Council
August 6, 2024

CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

State of California
county of lus AnG1115
before me,_ Aruleli Flwes, Notary Public
Date Here Insert Name and Title of the Officer
personally appeared will am b vacub
Name(s) of Signers)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph is true and correct.

ARACELI FLORES WITNESS my hand ane official sea
Notary Public • California
Los Angeles County
Commission # 2335087
My Comm. Expires Oct 9, 2024
Signature.

Signature of Notary Public
Place Notary Seal Above

OPTIONAL
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Description of Attached Document
Title or Type of Document: Document Date:

Number of Pages: Signers) Other Than Named Above:

Capacity(ies) Claimed by Signer(s)
Signer's Name: Signer's Name:

Corporate Officer - Title(s): Corporate Officer - Title(s):

Partner - [ Limited • Generall Partner - [ Limited • General Individual • Attorney in Fact Individual • Attorney in Fact Trustee 3 Guardian or Conservator Trustee • Guardian or Conservator Other: Other:

Signer Is Representing: Signer Is Representing:
©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907

BOND ACKNOWLEDGMENT
FOR

SURETY'S ATTORNEY-IN-FACT

STATE OF CALIFORNIA

COUNTY OF
On this day of _ 20
before me, _(name), a Notary Public for said County, personally appeared _(name), who proved to me on the basis of
Satisfactory evidence to be the person whosename is subscribed to this instrument as the attorney in fact of, and ackmowledged to me that halsha popsgribed the name of . thereto as principal, and his/he own namelas attorney in fact.

I certify under PENALTY OF EURY under the laws of the State of Calfornia that the foregoing paragraph is true Notary Public
SEAL

CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189

XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXYXXXXXXI A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

State of California
County of _ Orange
Оп _ 06-18-2024 before me, Lisa Marie Saumur, Notary Public Date Here Insert Name and Title of the Officer
personally appeared Jan Rivera
Name(s) of Signers)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph is true and correct.

LISA MARIE SAUMUR
Notary Public - California WITNESS my hand and official seal.

Orange County
Commission # 2487918
My Comm. Expires May 3, 2028
signature dan fu
Sighature of Notary Public
Place Notary Seal Above
- OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.

Description of Attached Document
Title or Type of Document:

Document Date: Number of Pages:

Signers) Other Than Named Above:

Capacity(ies) Claimed by Signer(s)
Signer's Name: Signer's Name:
• Corporate Officer - Title(s): • Corporate Officer - Title(s):

Partner - O Limited • General • Partner - O Limited O General • Individual • Attorney in Fact [Individual • Attorney in Fact • Trustee • Guardian or Conservator • Trustee • Guardian or Conservator • Other: • Other:

Signer Is Representing: Signer Is Representina:
82-822082222442244772277277777***X*
©2015 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907

his Power of Attorney limits the acts of those named herein, and they have no authority ind the Company except in the manner and to the extent herein state Libertv Liberty Mutual Insurance Company
Mutual® The Ohio Casualty Insurance Company Certificate No: 8207986-969520 West American Insurance Company
SURETY

POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casually Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Jan Rivera: Lisa Saumur: Lourdes Landa: Mark W. Rosskopf: Terri Amsbury all of the city of Irvine state of CA each individually if there be more than one named, its true and lawful attorney-in-fact to make execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance of these presents and shail be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons.

IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 4th day of May 2022
Liberty Mutual Insurance Company
The Ohio Casually Insurance Company
CASUALTY West American Insurance Company
MUT
1912 1919 1991

OTHO ANTAND
LS3N INDIANA
By:

David M. Carey. Assistant Secretary
State of PENNSYLVANIA
sS
County of MONTGOMERY
On this 4th day of May 2022 before me personally appeared David M. Carey, who acknowledged himself lo be the Assistant Secretary of Liberty Mutual Insurance letter of credit.

Company. The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. interest rate or residual value guarantees. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written. loan, RESA PASTELLA
Commonwealth of Pennsylvania - Notary Seal
Teresa Pastella. Notary Public
Montgomery County Pastella - or bond and/or Power of Attornev (POA) verification inquiries niease call 610-832-8240 or email [email protected].

My commission expite: March 28, 2025 By:

Commission number 1126044
Teresa Pastella, Notary Public
Member. Pennsylvania Association of Notaries
This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casually Insurance Company, Liberty Mutual Not valid for mortgage, note, Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows ARTICLE IV - OFFICERS: Section 12. Power of Altorney.

Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the currency rate. President may prescribe, shall appoint such attomeys-in-fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attoreys-in-fact, subject to the limitations set forth in their respective powers of attorney, shal have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such instruments shall be as binding as if signed by the President and altested to by the Secretary. Any power or authority granted to any representative or attorney-in-fact under the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority ARTICLE XIll - Execution of Contracts: Section 5. Surety Bonds and Undertakings.

Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe. shall appoint such altomeys-in-fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surely any and all undertakings. bonds, recognizances and other surely obligations. Such attorneys-in-fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to altach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and attested by the secretary.

Certificate of Designation - The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary lo appoint such attomeys-in- fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations.

Authorization - By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed.

1. Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 18th day of June - 2024

INSURANCE INSURANCE
•CORPORATES AMERICAN
1912 1919 1991 Rani clu
OHI ANTOND By:

INDIANA Renee C. Llewellyn, Assistant Secretary
ISEM
LMS-12873 LMIC OCIC WAIC Mulli Co 02/21

Executed in Three (3) Originals
EXHIBIT 3
Bond No.: 024277497
Premium Amount: $ Included
Bond's Effective Date: Date of Contract

MAINTENANCE BOND
RECITALS:

1. The City of Vernon, California ("City"), has awarded to WGJ Enterprises, Inc. dba PCI
975 W. 1st Street, Azusa, CAr 315, 8nd telephone of Contractor) ("Principal"),
Contract No. 20240404 Citywide Striping and Pavement Markings FY23-24n Vernon, CA.

2. Principal is required under the terms of the Contract— and all contract documents referenced in it ("Contract Documents") after completion of the Work and before the filing and recordation of a Notice of Completion for the Work, to furnish a bond to secure claims for Maintenance equal to ten percent (10%) of the total amount of the Contract Which shall hold good for a period of one (1 year from the date the City's Notice of Completion and Acceptance of the Work is filed with the County Recorder, to protect the City against the result of faulty material or workmanship during that time.

3. The Contract and Contract Documents, including all their amendments and supplements, are incorporated into this Bond and made a part of it by this reference.

OBLIGATION:

THEREFORE, for value received, We, Principal and
The Ohio Casualty Insurance Company
(Name, address, and telephone of Surety)
790 The City Dr. South, Suite 200 Orange, CA 92868 (Surety"), a duly admitted surety insurer under California's laws, agree as follows:
y this Bond, We jointly and severally obligate and bind ourselves, and our respective heirs, executors, administrators, successors and assigns to pay City the penal sum of Twenty-Six Thousand Five Hundred Ninety anc 00/100ths Dollars ($26,590.00 > ("the Bonded Sum"), this amount comprising not less than ten percent (10%) of the total Contract Sum, in lawful money of the United States of America.

The Licensed Agent for Surety is:

McGriff Insurance Services, LLC - 130 Theory Suite 200, Irvine, CA 92617 (Name, address, and telephone)
Registered Agent's California Department of Insurance License No. 0C64544 THE CONDITION OF THIS BOND'S OBLIGATION IS THAT if the said Principal or any of his or her or its subcontractors, or the heirs, executors, administrators, successors, or assigns or assigns of any, all, or either of them, shall fail to execute within a reasonable amount of time, or fail to respond within seven (7) days with a written schedule acceptable to the City for same, repair or replacement of any and all Work, together with any other adjacent Work which may be displaced by so doing, that proves to be defective in its workmanship or material for the period of one (1) year (except when otherwise required in the Contract to be for a longer period) from the date the City's Notice of Completion and Acceptance, or equivalent, is filed with the County Recorder, ordinary wear and tear and unusual abuse or neglect excepted with respect to such Work and fabor, the Surety herein shall pay for the same, in an amount not exceeding the sum specified in this Bond.

1. When City declares that Principal is in default under the Contract, or Contract Documents, or both, Surety shall promptly

remedy the default using a procurement methodology approved by City, select a contractor or contractors acceptable to City to complete all of the Work, and arrange for a contract between the contractors) and City Surety shall make available sufficient funds to pay the cost of repair or replacement of any and all Work and to pay and perform all obligations of Principal under the Contract and Contract Documents including other costs and damages for which Surety is liable under this Bond except that Surety's total obligation, as described here, will not exceed the Bonded Sum.

2. Should the condition of this bond be fully performed, then this obligation shall become null and void, otherwise it shall be and remain in full force and effect.

Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration, or addition to the terms of said Contract or to the Work to be performed thereunder or the specifications accompanying the same shall in any manner affect its obligations on this bond, and it does hereby waive notice of any such change, extension, alteration, or addition.

Surety's obligations under this Bond are separate, independent from, and not contingent upon any other surety's guaranteeing Principal's faithful performance of the Work.

5. No right of action accrues on this Bond to any entity other than City or its successors and assigns.

6. If an action at law or in equity is necessary to enforce or interpret this Bond's terms, Surety must pay, in addition to the Bonded Sum, City's reasonable attorneys' fees and litigation costs, in an amount the court fixes.

Surety shail mail City written notice at least 30 days before: (a) the effective date on which the Surety will cancel, terminate, or withdraw from this Bond; or (b) this Bond becomes void or unenforceable for any reason.

8. Death of the Principal shall not relieve Surety of its obligations hereunder.

Mancha Bond Best on Nox Passl

On the date set forth below, Principal and Surety duly executed this ME with the name of each party appearing below and signed by its representative(s) under the authority of its governing body.

Date: June 18, 2024
PRINCIPAL: SURETY:

WGJ Enterprises, Inc. dba PCI The Ohio Casualty Insurance Company (Company Name (Company Name)
lend Saran
(Signature)
By: William Go. boras. Prositent By. _Jan Rivera, Atorney-in-Fact (Name and Title) (Name and Title)
Address for Serving Notices or Other Documents: Address for Serving Notices or Other Documents:
975 W. 1st Street 2710 Gateway Oaks Drive, Suite 150N
Azusa, CA 91702 Sacramento, CA 95833-3505

CORPORATE SEAL CORPORATE SEAL
THIS BOND MUST BE EXECUTED IN TRIPLICATE.

EVIDENCE MUST BE ATTACHED OF THE AUTHORITY OF ANY PERSON SIGNING AS ATTORNEY-IN-FACT.

THE ATTORNEY-IN-FACT'S SIGNATURE MUST BE NOTARIZED.

A CORPORATE SEAL MUST BE IMPRESSED ON THIS FORM WHEN THE PRINCIPAL, OR THE SURETY, OR BOTH, ARE A CORPORATION.

APPROVED AS TO SURETY AND APPROVED AS TO FORM:

AMOUNT OF BONDED SUM:

By:

Daniel Wall, Director of Public Works BY maynah N. Moussa, City Attorney

CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 Kốtấtốố tố tốt chất ốế nt ốt đi ấtátt nt ất tnt th th tt đt st ch tt stố ctat nt nhntt xat ntn ct at nt ct st ctat A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

State of California
county of Lus Angels
on June 2n, 20i before me, - Avacli Flwen, Notary Pablic.

Date Here Insert Name and Title of the Officer
personally appeared William G. Jaioh
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph is true and correct.

ARACELI FLORES
Notary Public • California WITNESS my hang and official, Los Angeles County
Commission # 2335087
My Comm. Expires Oct 9, 2024 Signatur traati Uf
Place Notary Seal Above
• OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.

Description of Attached Document
Title or Type of Document: Document Date:

Number of Pages: Signer(s) Other Than Named Above:

Capacity(ies) Claimed by Signer(s)
Signer's Name: Signer's Name:

Corporate Officer - Title(s): | Corporate Officer - Title(s):

Partner - [ Limited D General Partner - • Limited C General Individual • Attorney in Fact Individual C Attorney in Fact Trustee • Guardian or Conservator Trustee • Guardian or Conservator Other: Other:

Signer Is Representing: Signer Is Representing:
©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907

BOND ACKNOWLEDGMENT
FOR

SURETY'S ATTORNEY-IN-FACT

STATE OF CALIFORNIA

COUNTY OF
On this day of _ 20
before me, (name, a Notary Public for said County, personally appeared < (nane), who proved to me on the basis of
satisfactory evidence to be the person whose name ig sitscribed to this instrument as the attorney in fact of and acknowledged to me that helshe subscribed the
name of _thereto as principal, and his/he own name as
attorney in fact.

I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

Notary Public
SEAL

CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 NÀNXXXXYXXXXXXXXXXXXXXXXXXXXXXXXZ
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

State of California
County of _ Orange
on 06-18-2024 before me, Lisa Marie Saumur, Notary Public Date Here Insert Name and Title of the Officer
personally appeared Jan Rivera
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph LISA MARIE SAUMUR is true and correct.

Notary Public • California
Orange County WITNESS my hand and official seal.

Commission # 2487918
My Comm. Expires May 3, 2028
Sighature of Notary Public
Place Notary Seal Above
- OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.

Description of Attached Document
Title or Type of Document:

Document Date: Number of Pages:

Signer(s) Other Than Named Above:

Capacity(ies) Claimed by Signer(s)
Signer's Name: Signer's Name:
• Corporate Officer - Title(s): • Corporate Officer - Title(s):
• Partner - O Limited • General • Partner - • Limited • General • Individual • Attorney in Fact • Individual • Attorney in Fact • Trustee • Guardian or Conservator • Trustee • Guardian or Conservator • Other: • Other:

Signer Is Representing: Signer Is Representina:

XX>*5**XX5Xx***
©2015 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907

This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated.

Liberty Liberty Mutual Insurance Company
Mutuál The Ohio Casualty Insurance Company Certificate No: 8207986-969520 West American Insurance Company
SURETY

POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Jan Rivera: Lisa Saumur: Lourdes Landa: Mark W. Rosskopt: Terri Amsbury all of the city of Irvine state of CA each individually if there be more than one named, its true and lawful attorney-in-fact to make, xecute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuanc f these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own prope persons.

IN WITNESS WHEREOF, this Power of Attomey has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this day of May 2022
Liberty Mutual Insurance Compan
INSURANCE INSURANCE The Ohio Casualty Insurance Compan
MUTURE CORPORATE CAN CORPORATE West American Insurance Company 1912 1919 1991
114391) ROSACHUSE OHIO ANTONIO

INDIANA
By:

David M. Carey. Assistant Secretary
State of PENNSYLVANIA
sS
County of MONTGOMERY
On this before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance (POA) verification inquiries, HOSUR @libertvmutual.com.

Company. The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer.

IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written Commonwealth of Pennsylvania - Nolary Seal
currency rate, interest rate or residual value guarantees Teresa Pastella. Notary Public Montgomery County tereas Pastella
Not valid for mortgage, note, loan, letter of credit, My commission expires March 28. 2025 By:

Commission number 1126044
Member. Pennsyivania Association of Notaries Teresa Pastella, Notary Public This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: For bond and/or Power of Attornev olease call 610-832-8240 or email
ARTICLE IV - OFFICERS: Section 12. Power of Attorney
Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the President may prescribe, shall appoint such attomeys-in-fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surely obligations. Such attomeys-in-fact, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney-in-fact under the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority ARTICLE XIII - Execution of Contracts: Section 5. Surety Bonds and Undertakings.

Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe shall appoint such atlomeys-in-fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings. bonds, recognizances and other surety obligations. Such attorneys-in-fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and atlested by the secretary.

Certificate of Designation - The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attomeys-in- fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surely obligations.

Authorization - By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed.

I. Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mulual Insurance Company, and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and has not been revoked.

IN TESTIMONY WHEREOF. I have hereunto set my hand and affixed the seals of said Companies this 18th day cf June 2024

CASUALTY CORPORATE ICAN INSURANC
1912 1919 1991
By:

INVIN INDIANA ANYON Renee C. Lewellyn, Assistant Secretary LSEM
LMS-12873 LMIC OCIC WAIC Multi Co 02/21

EXHIBIT 4

INSURANCE REQUIREMENTS

1.0 REQUIRED INSURANCE POLICIES
At its own expense, Contractor shall obtain, pay for, and maintain - and shall require each of its Subcontractors to obtain and maintain - for the duration of the Agreement, policies of insurance meeting the following requirements:

A. Workers' Compensation/Employer's Liability Insurance shall provide workers' compensation statutory benefits as required by law. The policy shall be endorsed to waiver all rights of subrogation against City, its directors, commissioners, officers, employees, and volunteers for losses arising from performance of this Contract.

1. Employer's Liability insurance shall be in an amount not less than:
(a) ONE MILLION DOLLARS ($1,000,000) per accident for bodily injury or disease; (b) ONE MILLION DOLLARS ($1,000,000) per employee for bodily injury or disease; and
(c) ONE MILLION DOLLARS ($1,000,000) policy limit.

Commercial General Liability (CGL") (primary). City and its employees and agents shall be added as additional insureds, not limiting coverage for the additional insured to "ongoing operations" or in any way excluding coverage for completed operations. The policy shall be endorsed to include a waiver of subrogation. Coverage shall apply on a primary, non-contributing basis in relation to any other insurance or self-insurance, primary or excess, available to City or any employee, representative or agent of City. Coverage shall not be limited to the vicarious liability or supervisory role of any additional insured. Coverage shall contain no contractors' limitation or other endorsement limiting the scope of coverage for liability arising from explosion, collapse, or underground property damage.

1. CGL insurance must not be written for less than the limits of liability specified as follows:
(a) TWO MILLION DOLLARS ($2,000,000) per occurrence for bodily injury (including accidental death to any one person;
(b) IWO MILLION DOLLARS ($2,000,000) per occurrence for personal and advertising injury to any one person;
(c) TWO MILLION DOLLARS ($2,000,000) per occurrence for property damage; and (d) FOUR MILLION DOLLARS ($4,000,000) general aggregate limit.

2. CGL insurance must include all major divisions of coverage and must cover:
(a) Premises Operations (including Explosion, Collapse, and Underground ["X,C,U"] coverages as applicable);
(b) Independent Contractor's Protective;

(c) Independent Contractors;
(d) Products and Completed Operations (maintain same limits as above until five (5) years after recordation of Notice of Completion);
(e) Personal and Advertising Injury (with Employer's Liability Exclusion deleted); (f) Contractual Liability (including specified provision for Contractor's obligation under Article 11 of the General Conditions); and
(g) Broad Form Property Damage.

C. Business Automobile Liability Insurance

1. Business Automobile Liability Insurance must cover all vehicles, whether rented, leased, hired, scheduled, owned or non-owned. If Contractor does not own any vehicles, this requirement may be satisfied by a non-owned vehicle endorsement to the general and umbrella liability policies. Business Automobile Liability Insurance coverage amounts shall not be less than the following:
(a) TWO MILLION DOLLARS ($2,000,000) per occurrence for bodily injury (including accidental death to any one person; and
(b) TWO MILLION DOLLARS ($2,000,000) per occurrence for property damage; or (c) MILLION DOLLARS ($2,000,000) combined single limit.

D. Contractors Pollution Liability Insurance (CPL) and/or Asbestos Pollution Liability and/or Errors & Omissions applicable to the work being performed.

1. Contractor or Subcontractor shall obtain, pay for, and maintain for the duration of the Contract Contractors Pollution Liability insurance that provides coverage for liability caused by pollution conditions arising out of the operations of the Contractor. Coverage shall be included on behalf of the insured for covered claims arising out of the actions of independent contractors. If the insured is using Subcontractors, the policy must include work performed "by or on behalf" of the insured.

2. The policy limit shall provide coverage of no less than two million dollars ($2,000,000) per claim and in the aggregate. Coverage shall apply to bodily injury; property damage, including loss of use of damaged property or of property that has not been physically inured; cleanup costs; and costs of defense, including costs and expenses incurred in the

investigation, defense, or settlement of claims.

3. All activities contemplated in the Contract shall be specifically scheduled on the CL policy as "covered operations." In addition, the policy shall provide coverage for the hauling of waste from the Project site to the final disposal location, including non-owned disposal sites.

4. The policy shall specifically provide for a duty to defend on the part of the insurer. City, its officers, employees and agents shall be added to the policy as additional insureds by endorsement.

E Umbrella or Excess Liability Policy (over primary), if provided Contractor may use an umbrella or excess policies to provide the liability limits as required in the Contract. This form of insurance will be acceptable, provided that all of the primary and umbrella or excess policies shall provide all of the insurance coverages herein required, including, but not limited to, primary and non-contributory, additional insured, Self-Insured Retentions (SIRs), indemnity, and defense requirements. The umbrella or excess policies shall be provided on a true "following form" or broader coverage basis, with coverage at least as broad as provided on the underlying Commercial General Liability Insurance.

F. If Contractor maintains broader coverage and/or higher limits than the minimums shown above, City requires and shall be entitled to the broader coverage and/or the higher limits maintained by the Contractor. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to the City. 2.0 GENERAL REQUIREMENTS-ALL POLICIES
Qualifications of Insurer. At all times during the term of this Contract, Contractor's insurance company must meet all of the following requirements:

1. "Admitted" insurer by the State of California Department of Insurance or be listed on the California Department of Insurance's "List of Surplus Line Insurers" ("LESLI"), or non- admitted insurer approved by the City:

Domiciled within, and organized under the laws of, a State of the United States; and

3. Carry an A.M. Best & Company minimum rating of "A:VIII".

B. Continuation Coverage. For insurance coverages that are required to remain in force after the Final Payment, and if reasonably available, Contractor shall submit to City, with the final Application for Payment, all certificates and additional insured endorsements evidencing the continuation of such coverage.

Deductibles or Self-Insured Retentions. All deductibles or self-insured retentions are subject to City's review and approval, in its sole discretion.

D. Commercial General Liability and Business Automobile insurance policies must be written on an "occurrence" basis and must add the City of Vernon and its officers, agents, employees and representatives as additional insureds.

Contractor's Insurance Primary. Other insurance (whether primary, excess, contingent or self- insurance, or any other basis available to City, or its representatives, or both, is excess over Contractor's insurance.

City's insurance, or self-insurance, or both, will not contribute with Contractor's insurance policy.

F. Waiver of Subrogation Endorsement. Contractor and Contractor's insurance company waive- and shall not exercise any right of recovery or subrogation that Contractor or the insurer may have against City, or its representatives, or both.

Separation of Insureds. Contractor's insurance policy applies separately to each insured or additional insured who is seeking coverage, or against whom a claim is made or suit is brought, except that the naming of multiple insureds will not increase an insurance company's limits of liability.

Claims by Other Insureds. Contractor's insurance policy applies to a claim or suit brought by an additional insured against a Named Insured or other insured, arising out of bodily injury, personal injury, advertising injury, or property damage.

Premiums. City is not liable for a premium payment or another expense under Contractor's policy J. At any time during the duration of this Contract, City may do any one or more of the following:

1. Review this Agreement's insurance coverage requirements;

2. Require that Contractor obtain, pay for, and maintain more insurance depending on City's assessment of any one or more of the following factors:
(a) City's risk of liability or exposure arising out of, or in any way connected with, the services of Contractor under this Agreement;
b) The nature or number of accidents, claims, or lawsuits arising out of, or in any way connected with, the services of Contractor under this Agreement; or (c) The availability, or affordability, or both, of increased liability insurance coverage.

3. Required the Contractor to obtain, pay for, or maintain a bond (as a replacement for an insurance coverage) from a California corporate surety, guaranteeing payment to City for liability, or costs, or both, that City incurs during City's investigation, administration, or defense of a claim or a suit arising out of this Agreement; or K. Contractor shall maintain the insurance policy without interruption, from the Project's commencement date to the Final Payment date, or until a date that City specifies for any coverage that Contractor must maintain after the Final Payment.

Contractor shall not allow any insurance to expire, cancel, terminate, lapse, or non-renew.

Contractor's insurance company shall mail City written notice at least thirty (30) days in advance of the policy's cancellation, termination, non-renewal, or reduction in coverage and ten (10) days before its insurance policy's expiration, cancellation, termination, or non-renewal, Contractor shall deliver to City evidence of the required coverage as proof that Contractor's insurance policy has been renewed or replaced with another insurance policy which, during the duration of this Agreement, meets all of this Agreement's insurance requirements.

M. At any time, upon City's request, Contractor shall furnish satisfactory proof of each type of insurance coverage required— including a certified copy of the insurance policy or policies; certificates, endorsements, renewals, or replacements; and documents comprising Contractor's self-insurance program all in a form and content acceptable to the City Attorney or City's Risk Manager.

If Contractor hires, employs, or uses one or more Subcontractors) to perform work, services, operations, or activities on Contractor's behalf, Contractor shall ensure that the Subcontractor complies with the following.

1. Meets, and fully complies with, this Agreement's insurance requirements; and

2. Furnishes City at any time upon its request, with a complete copy of the Subcontractor's insurance policy or policies for City's review, or approval, or both. Failure of City to request copies of such documents shall not impose any liability on City, or its employees.

Contractor's failure to comply with an insurance provision in this Agreement constitutes a material breach upon which City may immediately terminate or suspend Contractor's performance of this Agreement, or invoke another remedy that this Agreement or the law allows. At its discretion and without waiving any other rights it may have pursuant to law, City has the right but not a duty to obtain or renew the insurance and pay all or part of the premiums. Upon demand, Contractor shall repay City for all sums or monies that City paid to obtain, renew, or reinstate the insurance, or City may offset the cost of the premium against any sums or monies that City may owe Contractor.

3.0 CONTRACTOR'S SUBMITTAL OF CERTIFICATES AND ENDORSEMENTS A. Contractor shall have its insurance carriers) or self-insurance administrators) complete and execute the following insurance documents and shall deliver said documents at the same time Contractor delivers this Agreement to City. City will neither sign this Agreement nor issue a "Notice to Proceed" until the City Attorney or City's Risk Manager has reviewed and approved all insurance documents. City's decision as to the acceptability of all insurance documents is final. Sample insurance documents in the City's approved format are set forth in Exhibit 4.

B. Required Submittals for Commercial General Liability and Business Automobile Insurance and Contractor's Pollution Liability Insurance. The following submittals must be on forms satisfactory to the City Attorney or City's Risk Manager, and signed by the insurance carrier or its authorized representative - which fully meet the requirements of, and contain provisions entirely consistent with, all of the insurance requirements set forth herein.

1. "Certificate of Insurance"
2 "Additional Insured Endorsement"

3. Waiver of Subrogation Endorsement: "Waiver of Transfer to Rights of Recover Against Others" Both Certificates of Insurance and Additional Insured Endorsements must read as follows: "The City of Vernon, and its officers, agents, employees and representatives are included as additional insureds under the policys). This insurance is primary to all other insurance of the City. The City's insurance and self-insurance will apply in excess of, and will not contribute with this insurance. This insurance applies separately to each insured or additional insured who is seeking coverage, or against whom a claim is made or a suit is brought. The issuing company shall mail thirty (30) days advance notice to the City for any policy cancellation, termination, non-renewal, or reduction in coverage." Required Submittals for Workers' Compensation Insurance. Contractor shall provide City with a certificate of insurance and a subrogation endorsement on forms satisfactory to the City Attorney or City's Risk Manager, and signed by the insurance carrier or its authorized representative - which fully meet the requirements of, and contain provisions entirely consistent with, this Contract's workers compensation insurance requirements. If Contractor is self-insured for workers' compensation, a copy of the "Certificate of Consent to Self-insure" from the State of California is required; or if Contractor is lawfully exempt from workers' compensation laws, an "Affirmation of Exemption from Labor Code §3700" form is required.

Required Evidence of Builder's Risk Coverage. Contractor will provide a certificate of insurance and

a declarations page on a form satisfactory to the City Attorney or City's Risk Manager, and signed by the insurance carrier or its authorized representative. The policy terms must fully meet the requirements of, and contain provisions entirely consistent with, all of the insurance requirements set forth herein. The City shall be named as a loss payee on the insurance policy for the full replacement value of all buildings, structures, fixtures and materials to be constructed, maintained, repaired or supplied pursuant to this Contract.

Contractor agrees to monitor and review all such coverage and assumes all responsibility for ensuring that all required coverage is provided. Contractor agrees to obtain certificates evidencing such coverage.

Contractor agrees to provide immediate notice to City of any claim or loss against Contractor that includes City or any other indemnitee as a defendant. City assumes no obligation or liability by such notice, but has the right (but not the duty) to monitor the handling of any such claim or claims if they are likely to involve City.

No liability policy shall contain any provision or definition that would serve to eliminate so-called "third party action over" claims, including any exclusion for bodily injury to an employee of the insured or of any contractor or subcontractor.

H. Any "self-insured retention" must be declared and approved by City. City reserves the right to require the self-insured retention to be eliminated or replaced by a deductible as approved by the City, Self-funding, policy fronting or other mechanisms to avoid risk transfer are not acceptable. If Contractor has such a program, Contractor must fully disclose such program to City.

EXHIBIT 5
Statement of Intent to Comply with Minimum Requirements of the Stormwater Permit

CITY OF VERNON

PUBLIC WORKS DEPARTMENT
Construction Stormwater Program
Permit Number: Date:

Applicant: Phone:

Project Address:

Property Owner: City of Vernon
Contractor: WGJ Enterprises, Inc., dba PCI
Contractor's Address: 975 West 1st Street, Azusa, CA 91702 The National Pollutant Discharge Elimination System (NPDES) is a portion of the Clean Water Act that applies to the protection of receiving waters. Under permits from the Los Angeles Regional Water Quality Control Board (RWQCB), certain activities are subject to RWQCB enforcement. To meet the standards of the Waste Discharge Requirements for Municipal Separate Storm Sewer System (MS4) Discharges within the Coastal Watershed of Los Angeles County, Except those Discharges Originating from the City of Long Beach MS4 (CAS004001), the City of Vernon has adopted minimum standards for stormwater runoff from development construction activities.

These minimum standards require the implementation of an effective combination of erosion and sediment control Best Management Practices (BMPs) to prevent erosion and sediment loss, and the discharge of construction waste at each site. At a minimum, the construction activity associated with the construction project identified above shall be conducted in such a manner that:
> Prevents illicit construction-related discharges of pollutants into the MS4 and receiving waters. • Implements and maintains structural and non-structural BMPs to reduce pollutants in stormwater runoff from construction sites.
> Reduces construction site discharges of pollutants to the MS4 to the maximum extent practicable. > Prevents construction site discharges to the MS4 from causing or contributing to a violation of water quality standards.

Note: The Stormwater BMP Construction Handbook sheets developed by the California Stormwater Quality Association shall be used as guidance in determining and implementing required BMPs. The BMP sheets may be reviewed at the Public Works Department counter during regular business hours. A General Construction Permit shall be obtained and maintained for all construction sites one (1) acre or greater. Additional conditions may be required for these sites.

I have read and understand the requirements listed above and certify that I will comply with the minimum requirements above.
cell
Signature:

William G. Jacob
Print Name:

Title: President
City of Vernon
Property Owner:

EXHIBIT 6
Statement of Intent to Comply with Minimum Requirements of the California Covid-19 Industry Guidance: Construction

CITY OF VERNON

PUBLIC WORKS DEPARTMENT
Project Address:

Property Owner:

Contractor: WGJ Enterprises, Inc., dba PCI
Contractors Address: 975 West 1st Street, Azusa, California 91702 The latest COVID-19 industry guidelines can be accessed at the following web address:
https://www.dir.ca.gov/dosh/coronavirus/Guidance-by-Industry.html This document provides guidance for the construction industry to support a safe, clean environment for workers. The guidance is not intended to revoke or repeal any worker rights, either statutory, regulatory or collectively bargained, and is not exhaustive, as it does not include county health orders, nor is it a substitute for any existing safety and health-related regulatory requirements such as those of Cal/OSHA.1 Stay current on changes to public health guidance and state/local orders, as the COVID-19 situation continues. Cal/OSHA has more safety and health guidance on their Cal/OSHA COVID-19 Infection Prevention for Construction 2 Employers and Workers webpage.

CDC has additional guidance for businesses and employers.

I have read and understand the requirements listed above and certify that I will comply with the minimum requirements above.

Signature: June 7, 2024
Print Name: William G. Jacob
Title: President

EXHIBIT B

SPECIAL PROVISIONS

SPECIFIC FOR THIS PROJECT

EXHIBIT B - SPECIAL PROVISIONS

SPECIFIC FOR THIS PROJECT
Citywide Striping and Pavement Markings
FY23-24
Contract No. 20240404
20250017
EXHIBIT 8 - SPECIAL PROVISIONS
Contract No. 20240404
20250017

Table of Contents
A. General. ..3

1. Scope of Work. ....3

2. Specifications ...3
mi l Length of Contract ..3

4. Liquidated Damages. ...3

5. Delays and Extensions of time ...3

6. Quality of Work. 4
Unit Prices... ....4

8. Extra Work ..4

9. Compliance with Laws, Regulations, and Safe Practices 4 B. Construction Phase Specifications

1. Scheduling of Work.. 4
Material Submittals... 5

3. Weather Limitations. ...5

4. Construction Hours.. ...5

5. Traffic Control 5

6. Protection of the Public ..6

7. Noise Restrictions

8. Construction Order of Work 7

9. Character of Workers ...7

10. Examination of Site.. 7

11. Mobilization.. 7

12. Dust Control..

13. Best Management Practices (BMP's) 8

14. Cleaning of Site During Construction. ...8

15. Sanitary Facilities ..8

16. Final Cleaning of Site and Restoration ...8

17. Contractor Responsibility ...8
C. Material Specifications ..9

1. Striping Improvements ..9
a. General. ..9
b. Paint Materials ..9
C. Stencils 10

EXHIBIT B - SPECIAL PROVISIONS
Contract No. 20240404
20250017

A. General

1. Scope of Work
This project consists of furnishing and installing traffic striping, pavement markers, and pavement markings (legends) over existing traffic striping per Attachment "A" incorporated into this Agreement by this reference.

2. Specifications
Installation and payment for all the work shall conform to the Standard Specifications for Public Works Construction (2024 Edition), State of California Department of Transportation (Caltrans) Standard Plans and Standard Specifications (2023 Edition), latest edition of the California Manual on Uniform Traffic Control Devices (MUTCD), and the City of Vernon Standard Plans. The Standard Specifications for Public Works Construction (2024 Edition) shall be referred to hereafter as the Standard Specifications. The Caltrans Standard Plans (2023 Edition) shall be referred to hereafter as the Caltrans Standard Plans.

3. Length of Contract
All work in this project shall be completed within thirty (30) calendar days from the Notice to Proceed.

4. Liquidated Damages
In accordance with Section 6-9 of the Standard Specifications, for each consecutive calendar day in excess of the time specified for completion of the work, as adjusted in accordance with Section 6-9 of the Standards Specifications, the Contractor shall pay to the agency, or have withheld from monies due it, the sum of two hundred and fifty ($250) per calendar day.

5. Delays and Extensions of time
The provisions of Section 6-4 entitled "Delays and Extensions of Time" of the Standard Specifications shall apply except as modified and supplemented below.

The second paragraph of subsection 6-4.1 is hereby deleted and the following paragraph shall be inserted in its place:

No extension of time will be granted for a delay caused by the inability of the Contractor to obtain materials, equipment and labor, except as authorized by the City Engineer. The length of contract time stipulated includes any time which may be required to obtain materials, equipment and labor, and the Contractor in submitting a bid shall be deemed to have ascertained the availability of materials, equipment and labor and considered same in his/her proposed construction

EXHIBIT B - SPECIAL PROVISIONS
Contract No. 20240404
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6. Quality of Work
The provisions of Section 3 entitled "Control of the Work" of the Standard Specifications shall apply. In addition, any work deemed unacceptable by the City Engineer, whether a cause is determined or not shall be repaired or replaced by the Contractor at his/her expense.

7. Unit Prices
All costs not covered by specific unit prices but required for a complete job in place, shall be included in the items most related to the work.

8. Extra Work
In the event the City and the Contractor are unable to negotiate an agreed price for extra work, which is acceptable to both parties, payment shall be made based on time and materials as follows:
• Work by the Contractor: The following percentages shall be added to the Contractor's cost and shall constitute the markup for all overhead and profits:

1. Labor 33%
Materials 15%

3. Equipment Rental 15%

4. Other Items and Expenditures 15%
• Work by the Subcontractor: When all or any part of the extra work is performed by a subcontractor, the markup provided by the Contractor as mentioned above shall apply to the subcontractor's actual costs. A markup of 5% of the subcontracted portion of each extra work may be added for the Contractor.

9. Compliance with Laws, Regulations, and Safe Practices The Contractor shall perform all work in a safe, competent manner and in accordance with all federal, state, and local statues, regulations, ordinances, rules, and governmental orders. The Contractor will be solely and completely responsible for the conditions of the job site, including safety of all persons and property during performance of the work. This requirement will apply continuously and not be limited to normal working hours. Inspection of the Contractor's performance by the City, its agents, or employees is not intended to include review of the adequacy of the Contractor's safety measures in or near the job site.

B. Construction Phase Specifications

1. Scheduling of Work
The Contractor shall submit his/her work schedule to the City Engineer prior to the pre- construction meeting. The construction schedule shall show the sequence of work, critical path and estimated time for completion of each segment of work. This schedule must be reviewed and accepted by the City Engineer before the Contractor will be permitted to begin work. In

EXHIBIT B - SPECIAL PROVISIONS
Contract No. 20240404
20250017

addition, the Contractor shall submit a detailed schedule forecasting two weeks of work describing each day's work. This schedule shall be updated and submitted to the City every other Monday during the construction period. The Contractor shall give 48 hours' notice to the City Engineer prior to the start of the work.

2. Material Submittals
The Contractor shall provide all required submittals including, but not limited to the following:
• Shop drawings
• Materials and mix designs (submitted upon reward of the contract for review and approval before the construction); and
The "Notice to Proceed" will not be issued to the Contractor until all the submittals have been reviewed and approved by the City.

3. Weather Limitations
Placement operations shall not be performed during wet conditions or if rain or cold conditions (less than 45°F) are imminent or predicted to exist at any time. "Imminent or predicted" is defined as being forecasted within a 48-hour period on the National Weather Service Web Site http://www.wrh.noaa.gov for the most representative and nearest location listed where placement is to begin and end.

4. Construction Hours
Work shall be completed Monday through Friday between the hours of 9:00 pm to 5:00 am.

5. Traffic Control
Contractor shall provide all necessary traffic control and no extra compensation will be paid to the contractor.

The Contractor shall comply with Section 600 and 601 of the Standard Specifications and provide safe and continuous passage for pedestrian and vehicular traffic at all times. The Contractor shall provide and maintain all necessary flagmen, barricades, delineators, signs, flashers and any other safety equipment as set forth in the latest publication of the State of California, Division of Highways, Traffic Manual or as required by the City Engineer to ensure safe passage of traffic.

The following provisions shall apply unless otherwise directed by the City Engineer. • Traffic control shall be conducted in accordance with the latest edition of the California Manual on Uniform Traffic Control Devices (MUTCD).
• Traffic Control Work shall include all labor, materials, tools, equipment, transportation and incidentals necessary to maintain and control all vehicular and pedestrian traffic through the construction site. The cost of furnishing and maintaining traffic control during the construction including flagmen as necessary must be included in the various bid items, and no extra compensation will be paid to the Contractor.

EXHIBIT B - SPECIAL PROVISIONS
Contract No. 20240404
20250017

• The posting of "NO PARKING" signs within the construction limits is permitted with the approval of the City Engineer. "NO PARKING" signs shall contain a "TOW AWAY" warning.

These signs shall be furnished and maintained by the Contractor and shall be of the type approved by the City Engineer. Each sign posted shall have the date and time indicating the duration of the "NO PARKING" prohibition printed clearly in a manner acceptable to the City Engineer. New signs shall be posted when changes occur in the parking prohibitions indicated on the previously posted signs. Signs must be posted at least seventy-two (72) hours in advance of construction or they are invalid. Signs shall not be attached to trees or taped to street light or traffic signal poles. Contractor shall only post "NO PARKING SIGNS" on one side of the street at a time unless otherwise approved by the City Engineer. The signs shall be effective for no more than five (5) working days and shall be removed within twenty-four (24) hours after the work is complete. If signs are not removed in a timely manner, the City Engineer may suspend all work until the signage requirement is corrected. All signs, lights and other warning devices used shall be in accordance with State of California Business and Transportation City Department of Public Works Manual of Warning Signs, Lights and Devices for Use in Performance of Work upon Highways.

6. Protection of the Public
The Contractor shall take such steps and precautions as his/her operations warrant to protect the public from danger, loss of life, loss of property or interruption of public services. Unforeseen conditions may arise which will require that immediate provisions be made to protect the public from danger or loss, or damage to life and property, due directly or indirectly to prosecution of work under the contract. Whenever, in the opinion of the City Engineer, a condition exists in which the Contractor has not taken sufficient precaution of public safety, protection of utilities, and/or protection of adjacent structures or property, the City Engineer will order the Contractor to provide a remedy for the condition. If the Contractor fails to act on the situation within a reasonable time period as determined by the City Engineer, or in the event of an emergency situation, the City Engineer may provide suitable protection by causing such work to be done and material to be furnished as, in the opinion of the City Engineer, may seem reasonable and necessary. The cost and expense of all repairs (including labor and materials) as are deemed necessary, shall be borne by the Contractor. All expenses incurred by the City for emergency repairs will be deducted from the final payment due to the Contractor.

7. Noise Restrictions
The Contractor may not operate certain power equipment, within a residential area or within a radius of five-hundred (500) feet from a residential area, except during the following times:
• From 7:00 am to 4:00 pm, Monday through Thursday
• From 6:00 am to 5:00 pm on Saturday and Sunday

EXHIBIT B - SPECIAL PROVISIONS
Contract No. 20240404
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In addition, the noise level from the Contractor's operations shall not exceed eighty-five (85) dBA when measured within a one hundred (100) foot radius at any time.

8. Construction Order of Work
Work shall be scheduled so as to lessen the impact upon businesses. All construction shall conform to the latest edition of the Standard Specifications and shall proceed in a smooth, efficient, timely and continuous manner. As such, once construction is started in a work area, the Contractor will be required to work continuously in that work area until construction has been completed and the work area is open and accessible to both vehicular and pedestrian traffic in a manner approved by the City Engineer before the next stage of work will be allowed to begin.

Once construction is started in a work area, the Contractor shall not withdraw manpower or equipment from that work area in order to start construction in another work area if doing so, in the opinion of the City Engineer, delays the completion of the work presently under construction.

The Contractor shall maintain continuous access to all residents and businesses within the project limits, including drive approaches, unless the Contractor has obtained the approval of the City Engineer to close either such access or drive approach.

No stockpiling of material and construction equipment on public streets or sidewalks will be permitted on this project unless approved by the City Engineer. Material and equipment placed on public streets, sidewalks and on the construction areas shall be used the same day.

9. Character of Workers
If any subcontractor or person employed by the Contractor shall fail or refuse to carry out directions of the City Engineer or shall appear to the City Engineer to be incompetent or act in a disorderly or otherwise improper manner, he/she shall be immediately discharged from the project on the request of the City Engineer, and such person shall not be reemployed on the work. If said individual has an ownership interest in the contracting entity, the City Engineer will serve written notice upon the Contractor and the Surety providing the faithful performance bond, in accordance with Section 6-8, "Termination of the Contractor by Default" of the Standard Specifications, demanding complete and satisfactory compliance with the Contract.

10. Examination of Site
The Contractor is required to examine the site and judge for themselves the location. Physical conditions, substructures and surroundings of the proposed work.

11. Mobilization
The cost of all preparatory work and operations for the multiple movements of personnel, equipment, supplies, and incidentals to the project site must be included in the various bid items, and no extra compensation will be paid to the Contractor.

EXHIBIT 8 - SPECIAL PROVISIONS
Contract No. 20240404
20250017

12. Dust Control
Throughout all phases of construction, including suspension of work, and until final acceptance of the project, the Contractor shall abate dust nuisance by cleaning, sweeping and sprinkling water, or other means as necessary when requested by the City. Failure of the Contractor to comply with the City Engineer cleanup orders may result in an order to suspend work until the condition is corrected. No additional compensation or extension of contract completion time will be allowed as a result of such suspension. The cost of furnishing and operating dust control during the construction project shall be included in the various bid items, and no extra compensation will be paid to the Contractor.

13. Best Management Practices (BMPs)
The Contractor shall submit a copy of their Best Management Practices (BMPs) to the City Engineer for review ten (10) days prior to the beginning of any work.

The Contractor is hereby notified that specific construction practices in the Standard Specifications, Section 3-12.6.2, "Best Management Practices (BMPs)" are considered to be Best Management Practices. The Contractor shall implement and maintain such BMP's as are relevant to the work, and as are specifically required by the Plans or Special Provisions. The Contractor shall not commence activity until the BMP submittal has been reviewed and approved.

14. Cleaning of Site During Construction
During construction, all existing improvements, including pavement, sidewalk, curb and gutter, adjacent to the work area shall be swept free from soils, gravel, dirt or debris on a daily basis.

The Contractor is responsible for maintaining all sidewalk, curb and gutter areas within the construction zone free from loose materials at all times.

15. Sanitary Facilities
The Contractor shall furnish and maintain sufficient sanitary facilities by the worksites for the entire duration of construction activities. The cost of furnishing and maintaining sufficient sanitary facilities shall be included in the various bid items, and no extra compensation will be paid to the Contractor.

16. Final Cleaning of Site and Restoration
The Contractor shall be responsible for cleaning and restoration of all damaged existing improvements such as sidewalk, driveway, curb and gutter, and private property at no cost to the City. The Contractor shall remove all loose aggregates by sweeping all the sidewalks and gutters. The cost of furnishing and operating such sweeping after the construction of the project must be included in the various bid items, and no extra compensation will be paid to the Contractor.

17. Contractor Responsibility
The Contractor shall be responsible for the final product and shall make any quality control, adjustments and corrections necessary to obtain the final product accepted by the City Engineer.

The Contractor shall perform process and quality control sampling and testing and exercise EXHIBIT 8 - SPECIAL PROVISIONS
Contract No. 20240404
20250017

management control the work of his/her subcontractors, technicians and workers to ensure that the milling, transporting, spreading, compaction, and finishing processes conform to these Specifications. The City Engineer shall have unrestricted access to the laboratory, sampling, testing sites, and all information resulting from mix design and quality control activities. All Quality Control testing results shall be submitted to the City Engineer on a daily basis.

C. Material Specifications

1. Striping Improvements
a. General
Furnishing and installing traffic striping, pavement markers, and pavement markings (legends) shall conform to Section 214 of the Standard Specifications and/or the provision in Section 84 "Traffic Stripes and Pavement Markings", and in Section 85, "Pavement Markers" of the Caltrans Standard Specifications. Once the submittals have been approved by the City, the striping of all the street shall be installed with one coat of water based Ennis paint with beads. Traffic striping shall be placed upon the finished asphalt concrete or PCC pavement surface per the existing conditions. The Contractor shall be responsible for the completeness and accuracy of the layout and re-striping to the satisfaction of the City.

A blue retro reflective raised pavement marker per Caltrans Traffic Manual Section 6-03.4, Figure 6-44 shall be placed at all fire hydrant locations where needed.

Caltrans Standard Plans (2023 Edition) shall apply to all lane line striping, pavement markings, legends, turn arrows, numbers etc. The Contractor shall provide all required templates/stencils at no additional cost to the City of Vernon. b. Paint Materials
Furnishing and installing traffic striping, pavement markers, and pavement markings (legends) shall conform to Section 214 of the STANDARD SPECIFICATIONS FOR PUBLIC WORKS CONSTRUCTION "GREENBOOK" (2024 Edition and supplements) and/or the provision in Section 84 "Traffic Stripes and Pavement Markings", and in Section 85, "Pavement Markers" of the Cal Trans State Specifications. The paint to be used on all work done under this contract shall be Ennis Paint Company, water-based traffic paint, 8010- 20MAX white and 8010-20MAX lead-free yellow and shall conform to the Standard Specifications Section 214. Paint shall be installed per manufacturer's instructions and the Special Provisions.

Beads Materials:
• Beads shall be colorless and free from milkiness.
• No. 2 beads shall be used.
• Beads shall be kept in a dry storage to prevent moisture absorption. • Beads shall be applied uniformly at the rate of five (5) pounds to seven (7) pounds of beads per gallon of paint.

EXHIBIT B - SPECIAL PROVISIONS
Contract No. 20240404
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• Beads shall be uniformly heated to not less than eighty (80) degrees Fahrenheit when applied.

The cost of all paints, beads, other material and equipment required to complete the job must be included in the respective lump sum bid item, and no extra compensation will be paid to the contractor.

C. Stencils
Contractor shall provide stencils for all pavement markings (legends) per the 2023 Edition of the Caltrans Standard Plans at no additional cost to the City of Vernon.

EXHIBIT B - SPECIAL PROVISIONS
Contract No. 20240404
20250017

ATTACHMENT A
7 PIER

OAIILFYARD
L.A. RIVER

PACKERS

STHKET BOULEVARO
L.A. RIVER

FRUITCARD
DELL
SSTH
<
BLUE PAVEMENT MARKER: •ALRIVER

VERNON AVE

FRUITLAND AVE BEALENESE
2005

LEONIS BLVD / DISTRICT BLVD
CITY OF VERNON LEGEND:

CITYWIDE STRIPING AND STRIPING IMPROVEMENTS

PAVEMENT MARKINGS
_EGENDS, CROSSWALKS AND LIMIT LINES / STOF
IMPROVEMENTS fY. 23-24
Pace 124 of 182

EXHIBIT C

EQUAL EMPLOYMENT OPPORTUNITY

PRACTICES PROVISIONS
A. Contractor certifies and represents that, during the performance of this Agreement, the contractor and each subcontractor shall adhere to equal opportunity employment practices to assure that applicants and employees are treated equally and are not discriminated against because of their race, religious creed, color, national origin, ancestry, handicap, sex, or age. Contractor further certifies that it will not maintain any segregated B. Contractor agrees that it shall, in all solicitations or advertisements for applicants for employment placed by or on behalf of Contractor, state that it is an "Equal Opportunity Employer" or that all qualified applicants will receive consideration for employment without regard to their race, religious creed, color, national origin, ancestry, handicap, sex or age.

C. Contractor agrees that it shall, if requested to do so by the City, certify that it has not, in the performance of this Agreement, discriminated against applicants or employees because of their membership in a protected class.

D. Contractor agrees to provide the City with access to, and, if requested to do so by City, through its awarding authority, provide copies of all of its records pertaining or relating to its employment practices, except to the extent such records or portions of such records are confidential or privileged under state or federal law.

E. Nothing contained in this Agreement shall be construed in any manner as to require or permit any act which is prohibited by law.

BIDDING FORMS

BIDDER'S PROPOSAL
The undersigned submits this Bid in response to the Notice Inviting Bids issued by the City to construct the Work of the following Project in accordance with the Contract Documents:

PROJECT: Citywide Striping and Pavement Markings FY23-24, Contract No. 2024XXXX A. Enclosed herewith and by this reference incorporated herein and made a part of this Bidder's Bid are the following completed forms:

Bidder's Proposal
Schedule of Bid Prices

3. Incumbency Certificate

4. Bid Security in the following form (check one):
• Cashier's Check • Certified Check * Bid Bond L Cash

5. Bidder's Statement of Qualifications

6. Experience Form
Statement of Violations of Federal, State or Local Law, if applicable Contractor Safety Questionnaire

9. Designation of Subcontractors

10. Contractor's Affidavit of Non-Collusion

11. Insurance Requirements Affidavit

12. Pre-Bid Site Inspection Certification
B. Acknowledgment of Addenda. The Bidder shall acknowledge the receipt of all Addenda by attaching a signed copy of all Addenda, and by listing all Addenda received and attached in the space below. none
If an Addendum or Addenda have been issued by the City and not attached and noted above as being received by the Bidder, the Bid may be rejected.

C. Inspection of the Work and Contract Documents. Bidder certifies that it has carefully examined and is fully familiar with all of the provisions of the Bidding Documents and said Bidding Documents contain sufficient detail regarding the Work to be performed; that it has notified City of any errors or omissions in the Bidding Documents and/or any unusual site conditions; and that it has carefully checked all words, prices, and statements in this Bidding Document. Bidder hereby certifies that he/she and his/her Subcontractors have inspected the site and related Drawings and Specifications of Work and fully acquainted themselves with all conditions and matters which may in any way affect the Work, time of completion or the costs thereof.

Bidder also certifies he/she has observed the designated Contractor Work areas and access routes, if disclosed or shown, as part of the Work in this Contract.

PRE-BID SITE INSPECTION - CERTIFICATION:

Person(s) who inspected site of the proposed Work for your firm:

Name: Jaime Villegas Date of Inspection 4/25/2024
Title: Project Manager
Name: Date of Inspection
Title:

Bidder agrees that all costs of Work shown in the Bidding Documents, including work reasonably inferable therefrom and necessary thereto, are included in his/her Bid. All Work shown in the Contract Documents for which a specitic line item is not provided in the Bidding Form is included in the Bidder's Total Base Bid Price.

Contractor shall be reimbursed for the actual direct cost of all Permit Fees, if any, as defined in Paragraph 1.01 and addressed in Paragraph 1.03 of the General Conditions. Bidder shall exclude the cost of Permit Fees from Bidder's Base Bid sum; Base Bid sum shall include the cost of administration and coordination of Governmental Approvals and Utility Fees. Bidder agrees that City will not be responsible for any errors or omissions on the part of the undersigned in making this Bid.

Forfeiture of Bid Security. Bidder further agrees that, in case of his/her default in executing the required Contract and the required bonds, or furnishing the required insurance, the money payable under the Bid Security accompanying this Bid shall be applied by the City towards payment of the damage to the City on account of such default, as provided in the Bidding Documents.

Period of Irrevocability. Bidder agrees that this Bid shall remain open and shall not be withdrawn for a period of not less than ninety (90) calendar days from the date of award of Contract, or until rejected by the City, whichever period is shorter.

Bid Dispute Indemnification. In the event of a Bid dispute based upon the Bidder's submission of this Bid and the City acceptance of same, the Bidder shall indemnify, defend (with counsel acceptable to City), and hold harmless the City, its City Council members, employees, and agents from liability, claims, demands, damages, and costs arising therefrom if such dispute or action arises solely upon the award of a Contract in compliance with federal, state, and local laws.

The Bidder declares that neither he/she nor any member of his/her firm or corporation is an officer or employee of the City of Vernon.

I hereby certify under penalty of perjury under the laws of the State of California that the representations made herein are true and correct.

Executed this 30 day of April 2024at Azusa California
City State

Bidder's Proposal
Respectfully Submitted

NAME OF BIDDER
COMPANY NAME: WGJ Enterprises Inc., dba PCI
ADDRESS: 975 W 1st Street, Azusa, CA 91702
CONTACT PERSON: Jaime Villegas
TELEPHONE NUMBER: 562-218-0504
E-MAIL: [email protected]
CALIFORNIA STATE CONTRACTOR'S LICENSE NUMBER: 415490
EXPIRATION DATE: 7/31/2025
TAX IDENTIFICATION NO.: 71-0912317
SURETY COMPANY: The Ohio Casualty Insurance Company
All Bid forms must be signed where so indicated by the person or persons duly authorized to sign on behalf of the Bidder. By signing the Bid, the person signing is deemed to represent that he or she has authority to bind the Bidder.

Failure to sign the Bidder's Proposal may invalidate the Bid.

BIDDER'S PROPOSAL - SIGNATURE(S):

Form of Entity of Bidder:

Please check the appropriate signature block below and fill in all related information.

Sole Proprietorship:

Name:

Title:

Signature:

List all d/b/a's:

Partnership: •General Partner Limited Partner
Name:

Title:

Signature:

Corporation:

Name: William G, Jacob Corporate Officer Title: President/Owner tezel.=
Signature: Corporate Seal
Joint Venture: •Corporation •Partnership
Individual • Other
Name:

Title:

Signature:

Name of all Joint Venturers:
[If the Bidder is a corporation or a limited liability company, enter state or county of incorporation in addition to the business address and include an incumbency certificate executed by a Secretary thereof in the form set forth herein listing each officer with signing authority and his/her corresponding office. If the Bidder is a partnership or joint venturer stating that the respective partner or joint venturer agrees to be held jointly and severally liable for any and all of the duties and obligations of the Bidder under the Bid and under any contract arising therefrom. Attach evidence to the Bid Proposal Form that the individual signing has authority to do so.]

SCHEDULE OF BID PRICES
PROJECT: Citywide Striping and Pavement Markings FY23-24, Contract No. 2024XXX BIDDER'S NAME: WGJ Enterprises Inc., dba PCI

BASE BID
Pursuant to and in compliance with your Notice Inviting Bids and Contract Documents relating to the Project including all Addenda (attach signed copies), Bidder, having become thoroughly familiar with the terms and conditions of the Contract Documents and with local conditions affecting the performance and the costs of the Work at the place where the Work is to be done, hereby proposes and agrees to fully perform the Work within the time stated in strict accordance with the Contract Documents (including the furnishing of any and all labor, materials, tools, expendable equipment, and utility and transportation services necessary to fully perform the Work and complete it in a workmanlike manner) for the total Base Bid sum of:

Two hundred Sixty five Dollars ($265,900)
thousand, nine hundred Dollars andzero cents

SECTION I - STREET STRIPING
Item
Item Description Unit Qty Unit Price Total Item Cost
No.
1 DOUBLE YELLOW 100,000 $ 0.28 $28,000. 00
2 TWO-WAY LEFT TURN LF 70,000 $0.34 $ 23,800
,00
3 6" BROKEN WHITE LF 200,000 $ 0.16
$ 32,000. 00
4 8" SOLID WHITE LF 28,000 $0.30 $8,400.
00 5 4" SOLID WHITE LF 4,000 $1,200-08
$0.30
6 6" SOLID YELLOW 500 $ 2.00 $ 1,000.0
7 6" BROKEN YELLOW LF 30,000 $ 0.20
$6,000-
SUBTOTAL FOR ITEMS NO. 1 THROUGH NO. 7 (PAINT) $ 184,200.00

SECTION II- PAVEMENT MARKINGS (LEGENDS)
Item Item Description
No. Unit Qty Unit Price Total Item Cost
8 STOP LEGEND (WHITE ) EA 175 $100.00 $17,500. 00
STOP BARS 12" (WHITE ) LF 6,500 $1.00
6,500.
10 12" WHITE CROSSWALK LF 15,500
$1,50 $23,250.00
11 12" YELLOW CROSSWALK LF 1,000
$1.85 $1,85°.
12 12" LIMIT LINE LF 5,000
$1,00 $5,000.00

24" LIMIT LINE LF 7,000 $

1.50 $10,500. 00
14 RR CROSSING LEGEND EA 225
$/25.00 $ 28,125.00
15 ARROW LEFT, RIGHT, OR STRAIGHT EA 350
$ 34.00 $11,900.
16 YIELD LEGEND EA 1
$300.20 $ 300.00
KEEP CLEAR LEGEND EA 30
$ |60.00 $4,860.00
WAIT HERE LEGEND EA 3
$300.00 $ 900.00
AHEAD LEGEND EA 3 $ 150.00 $450.00
20 SIGNAL LEGEND EA 2 $150.00 $300.00
21 FWY LEGEND EA 3 150. 00 $450. 00
22 ONLY LEGEND EA 3 $
150.06 $450.00
23 EA 45
YIELD LINE (SHARK TEETH) LEGEND $ 15.00 $675.00
CROSSWALK-LADDER PATTERN (WHITE) LF 4,000 $ 7,30
$28, 000.00
25 CROSSWALK-LADDER PATTERN (YELLOW) LF 300 $8.00 $2,400.00 26 LETTER/NUMBER 8' EA 4 $300.00
$75.00
27 TWO-WAY BLUE REFLECTIVE MARKERS EA 500
$ 20.00 $10,000.06
28 RAISED PAVEMENT MARKERS (TYPE D) EA 1,500
$4.00 $6,000.00
29 RAISED PAVEMENT MARKERS (TYPE G) EA 1,500 $
$3,90 5,850.00
SUBTOTAL FOR ITEMS NO. 8 THROUGH NO. 29 (PAINT) $
165,500.00
All other work items, labor, materials, tools and incidentals which are not specifically listed in the above bid items, but are necessary to complete the project per specifications, and all other applicable standards and codes are considered to be included in the above bid items.

If there is a discrepancy between (1) the "Grand Total" shown immediately above, (2) any of the "total costs" shown in the far right column above, or (3) the individual Unit Price, then the Unit price shall control over the total cost, and the total cost shall control over the total. If, however, the unit price is ambiguous, unintelligible, or uncertain for any cause or is omitted, or is the same amount as the entry for the item total, then the item total shall prevail and shall be divided by the estimated quantity for the item and the price thus obtained shall be the unit price.

Bidder shall exclude the cost of Permit Fees from Bidder's Base Bid sum; Base Bid sum shall include the cost of administration and coordination of Governmental Approvals and Utility Fees.

Respectfully submitted:
975 W 1st Street, Azusa, CA 91702
Signature Address
President/Owner 4/30/2024
Title Date
415490 7/31/2025
License Number Date of Expiration
(SEAL - if Bid is by a corporation)
Attest:

Amount of Certified or Cashier's Check or Bid Bond $ 26, 590 Name of Bonding Company: McGriff Insurance Services

INCUMBENCY CERTIFICATE
Print legibly the names and title of the president and all officers of the Company who are authorized to sign the Bid Forms:

PRESIDENT'S & OFFICERS' NAME: TITLE:

William G, Jacob President/Owner
The undersigned hereby certifies to the City of Vernon that he/she is the duly elected and acting Secretary of WGJ Enterprises Inc., dba PCI (the "Company"), and that, as such, he/she is authorized to execute this Incumbency Certificate on behalf of the Company, and further certifies that the persons named above are the duly elected, qualified and acting officers of the Company, holding on the date hereof, the titles and positions set forth opposite their names and are authorized to sign the Bid Forms.

IN WITNESS WHEREOF, the undersigned has executed this Incumbency Certificate this 30 day of April _ 2024
Cinnamon Rodriguez
Secretary's Name-Printed
Secretary's Signature
Bond No.: N/A
Premium Amount: $_
Bond's Effective Date:

BID BOND

RECITALS
The City of Vernon, California ("City"), has issued a Notice Inviting Bids for the Work described as follows:

Contract No. 2024XXXX in Vernon, CA. ("Project").

2. In response to the Notice Inviting Bids, WGJ Enterprises, Inc. dba: PCI - (Name, address, and telephone of Contractor)
975 W. 1st Street, Azusa, CA 91702 _ ("Principal"), has submitted the accompanying Bid for the Project.

3. Principal is required under the terms of the Specification and all Bidding Documents referenced in it to furnish a bond with the

4. The Specification, including all its amendments and supplements, and Principal's Bid are incorporated into this Bond and made a part of it by this reference.

OBLIGATION:

THEREFORE, for value received, We, Principal and
The Ohio Casualty Insurance Company -
(Name, address, and telephone of Surety)
790 The City Dr. South Suite 200, Orange, CA 92868 ("Surety"), a duly admitted surety insurer under California's laws, agree as follows:

By this Bond, We jointly and severally obligate and bind ourselves, and our respective heirs, executors, administrators, successors nd assigns to pay City the penal sum of Ten Percent of the Total Amount Bic Dollars ($_10% (the Bonded Sum"), this amount comprising not less than TEN PERCENT (10%) of Principal's Base Bid, in lawful money of the United States of America.

The Licensed Agent for Surety is:_ McGriff Insurance Services LLC - 130 Theory Suite 200 Irvine, CA 92617 (Name, address, and telephone)
Registered Agent's California Department of Insurance License No. OC64544 THE CONDITION OF THIS BOND'S OBLIGATION IS THAT, if: (1) Principal does not (a) withdraw its Bid for the period specified in the Bidding Documents, or if no period is specified for ninety (90) calendar days after City awards the Contract for the Project, or (b) attempt to withdraw its Bid when the requirements of California Public Contract Code §5101 et seq., or any successor egislation, are not met; or (2) City awards Principal the Contract in response to Principal's Bid, and within the time and manne specified by the Specification or Contract Documents or if no period is specified within fourteen (14) calendar days after the Contract's award, Principal (a) signs and delivers to City the Contract, in accordance with the Bid as accepted, (b) furnishes the required bonds for not only Principal's faithful performance and proper fulfillment of the Contract, but also Principal's payment for labor and materials used in the Project, and (c) furnishes the required insurance, then this obligation becomes null and void Surety's obligations under this Bond are separate, independent from, and not contingent upon any other surety's guaranteeing that upon City's awarding the Contract to Principal, the Principal will enter into the Contract with City.

2. No right of action accrues on this Bond to any entity other than City or its successors and assigns.

If an action at law or in equity is necessary to enforce or interpret this Bond's terms, Surety must pay in addition to the Bonded Sum City's reasonable attorneys' fees and litigation costs, in an amount the court fixes.

4. Surety shall mail City written notice at least 30 days before: (a) the effective date on which the Surety will cancel, terminate, or withdraw from this Bond; or (b) this Bond becomes void or unenforceable for any reason.

On the date set forth below, Principal and Surety duly executed this Bond, with the name of each party appearing below and signed by its representatives) under the authority of its governing body.

Date: May 3, 2024
PRINCIPAL: SURETY:

WGJ Enterprises, Inc. dba: PCI The Ohio Casualty Insurance Company (Company Name) (Company Name)
lece
(Signature) (Signature)
By: William C, Jacob By:_Lourdes Landa
(Name) (Name)
Its: Presicent/owner Its: Attorney-in-Fact
(Title) (Title)
Address for Serving Notices or Other Documents: Address for Serving Notices or Other Documents:
975 W. 1st Street 2710 Gateway Oaks Drive. Suite 150N
Azusa, CA 91702 Sacramento CA 95833-3505

CORPORATE SEAL CORPORATE SEAL
EVIDENCE MUST BE ATTACHED OF THE AUTHORITY OF ANY PERSON SIGNING AS ATTORNEY-IN-FACT. : THE ATTORNEY-IN-FACT'S SIGNATURE MUST BE NOTARIZED.

A CORPORATE SEAL MUST BE IMPRESSED ON THIS FORM WHEN THE PRINCIPAL, OR THE SURETY, OR BOTH, ARE A CORPORATION.

BOND ACKNOWLEDGMENT
FOR

SURETY'S ATTORNEY-IN-FACT

STATE OF CALIFORNIA
1 85

COUNTY OF
On this day of _ 20_
before me, _(name), a Notary Pubhchor said County, personally appeared (name), who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to this instrument as the attorney in fact of _ and acknowledged to me that he/she subscribed the name of thereto as principal, and his/he own name as attorney in fact.

I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

Notary Public
SEAL

•
•
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

State of California )
County of Orange )
on 05-03-2024 before me, Jan M. Rivera, Notary Public
Date Here Insert Name and Title of the Officer
personally appeared Lourdes Landa
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph is true and correct.

JAN M. RIVERA
Notary Public • California WITNESS my hand and fficial seal.

Los Angeles County
Commission # 2399343
My Comm. Expires Apr 1, 2026 Signature
ignature of Notary Public
Place Notary Seal Above
- OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.

Description of Attached Document
Title or Type of Document:

Document Date: Number of Pages:

Signer(s) Other Than Named Above:

Capacity(ies) Claimed by Signer(s)
Signer's Name: Signer's Name:
• Corporate Officer - Title(s): ] Corporate Officer - Title(s):
• Partner - • Limited O General ] Partner - • Limited • General Individual Attorney in Fact • Individual • Attorney in Fact • Trustee ] Guardian or Conservator Trustee • Guardian or Conservator • Other: ] Other:

Signer Is Representing: Signer Is Representing:
©2015 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907

This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated.

Liberty Liberty Mutual Insurance Company
Mutuál. The Ohio Casualty Insurance Company Certificate No: 8207986-969520 West American Insurance Company
SURETY

POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Jan Rivera: Lisa Saumur: Lourdes Landa: Mark W. Rosskopf: Terri Amsbury all of the city of Irvine state of each individually if there be more than one named, its true and lawful attorney-in-fact to make, execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons.

IN WITNESS WHEREOF, this Power of Attorey has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this
Liberty Mutual Insurance Company
INSURANCE The Ohio Casually Insurance Company
CASUALTY IMSURANCE ERICAN West American Insurance Company 1912 1919 1991

OH HAMPS ANTAWOD

INDIANA
1S3M By:

David M. Carey, Assistant Secretary
State of PENNSYLVANIA
County of MONTGOMERY ss
On this (POA) verification inquiries
letter of credit, 4th day of May 2022 before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. interest rate or residual value guarantees IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written. loan, ESA PASTELL
Commonwealth of Pennsylvania - Notary Seal
Teresa Pastella. Notary Public
Montgomery County Meresa Pastella please call 610-832-8240 or email [email protected].

My commission expires March 28, 2025 By:

Commission number 1126044
Teresa Pastella, Notary Public
Member. Pennsyivania Association of Notanes
pUB
This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual Not valid for mortgage, note, Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows:

For bond and/or Power of Attorney
rate, ARTICLE IV - OFFICERS: Section 12. Power of Attorney.

Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the President may prescribe, shall appoint such attomeys-in-fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowiedge and deliver as surety currency any and all undertakings, bonds, recognizances and other surely obligations. Such attomeys-in-fact, subject to the limitations set forth in their respective powers of altorney, shal have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such instruments shall be as binding as if signed by the President and altested to by the Secretary. Any power or authority granted to any representative or attorney-in-fact under the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority.

ARTICLE XIII - Execution of Contracts: Section 5. Surety Bonds and Undertakings.

Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe. shall appoint such attomeys-in-fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings bonds, recognizances and other surely obligations. Such attorneys-in-fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and attested by the secretary.

Certificate of Designation - The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary lo appoint such attomeys-in- fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligalions.

Authorization - By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of altorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed.

I. Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casually Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and has not been revoked.

IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 3rd _ day of May 2024

INSURAN INSURAN RICAN INSURANC
1912 1919 1991
By:

ANTO INDIANA ANVAW Renee C. Liewellyn, Assistant Secretary SHI 1S3M
LMS-12873 LMIC OCIC WAIC Multi Co 02/21 Page 154 of 186 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

State of California
county of 105 Angeles
on May 1, 20 W before me, araceli Flues, Notary Public
Date Here Insert Name and Title of the Officer
personally appeared William G. Jacob
Name(s) of Signers)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph is true and correct.

ARACELI FLORES WITNESS my hand and official seal.

Notary Public - California
Los Angeles County
Commission # 2335087 trauli
My Comm. Expires Oct 9, 2024 Signature_
Signature of Notary Public
Place Notary Seal Above
— OPTIONAL
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Description of Attached Document
Title or Type of Document: Document Date:

Number of Pages: Signer(s) Other Than Named Above:

Capacity(ies) Claimed by Signers)
Signer's Name: Signer's Name:

Corporate Officer - Title(s): ] Corporate Officer - Title(s):

Partner - C Limited • General Partner - C Limited • General Individual Attorney in Fact | Individual Attorney in Fact Trustee • Guardian or Conservator I Trustee Guardian or Conservator Other: ] Other:

Signer Is Representing: Signer Is Representing:
©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907

BIDDER'S STATEMENT OF QUALIFICATIONS

1. ORGANIZATION

1.1 How many years has your organization been in business as a Contractor? 32

1.2 How many years has your organization been in business under its present name? 32.

1.2.1 Under what other names has your organization operated? none

1.3 If your organization is a corporation, answer the following:
3/19/1992

1.3.1 Date of incorporation/organization:

1.3.2 State of incorporation/organization: California

1.3.3 Corporate ID number: _ C1704576

1.3.4 Name of President: William G, Jacob

1.3.5 Agent for Service of Process:

1.4 If your organization is a partnership, answer the following:

1.4.1 Date of organization/formation:

1.4.2 Type of partnership (if applicable):

1.4.3 Name(s) of general partners):

1.4.4 List all states in which you are registered and state ID numbers for each:

1.5 If your organization is individually owned, answer the following:

1.5.1 Date of organization:

1.5.2 Name of owner:

1.6 If the form of your organization is other than those listed above, describe it and name the principals:

LICENSING
List jurisdictions in which your organization is legally qualified to do business, indicate registration or license numbers, and category of license, if applicable.

California 415490 C-32

2.2 List jurisdictions in which your organization's partnership or trade name is filed.

California

2.3 List any licensing suspensions and/or violations assessed against your organization within the past five years.
none

3. EXPERIENCE

3.1 List the categories of Work that your organization normally performs with its own personnel.

Parking lot and Highway Improvement

3.2 On the Experience Form, list the project information that establishes that Bidder meets the essential requirements for qualification set forth in the Mandatory Qualifications paragraph of the Notice Inviting Bids for this Project.

3.3 On a separate sheet, list projects to which your firm or business has been awarded a government contract since your firm or business has been in existence (giving the name and address of the project, the government agency, contact name and phone number, the contract amount, and contract's starting date and ending date).

3.4 On a separate sheet, list the experience and present commitments of the key individuals of your organization.

4. CLAIMS; LAWSUITS; CRIMINAL ACTS
For the following questions, the term "owner" does not include owners of stock in your firm if your firm is a publicly traded corporation.

4.1 In the past five (5) years, have, you, your firm or any of its owners, partners, officers, or employees been a defendant in court, or participated in an arbitration or mediation, on a matter related to:

975 W. 1st Street Phone (562) 239-8384
Azusa, CA 91702 E-mail
[email protected]
John Davey
Work 1/1997 - Current PCI Azusa, CA
experience
General Superintendent
• Plan and manage the construction and implementation
of construction projects including responsibility for
insuring scheduled completion, cost containment,
project performance and results; and ensures project is completed as planned and on-time.
• Approve work schedules, and construction materials
and methods; coordinate work with General contractors
to avoid errors or delays; review contract plans and
documents; resolve issues related to plans and
specifications; monitor and approve payments of
various projects.
• Review engineering reports and specifications;
coordinate work with the City Construction Inspectors;
Project Engineer and the General Contractor during
construction.
• Develop reports, memoranda, letters, and other
documents regarding project issues for both internal
and external distribution; work with engineers,
architects and construction contractors regarding
normal and unusual project problems and phases;
ensure and maintain detailed records of project
activities, findings, progress and results.
• Ensured that the assigned project compliance with
Federal, State and local laws, regulations and policies.

Certifacations: • OSHA 30 Hour for Construction Industry • First Aid CPR AED
• ATSSA certified for traffic control

75 W. Street Pra 562) 234-3151
azusa, CA 9170:
[email protected]
Jaime Villegas
Work 4/2007 — Current PCI Azusa, CA
experience
Estimator / Project Manager
• Plan and manage the construction and implementation of construction projects including responsibility for insuring scheduled completion, cost containment, project performance and results; and ensures project is completed as planned and on-time.
• Approve work schedules, and construction materials and methods; coordinate work with General contractors to avoid errors or delays; review contract plans and documents;
resolve issues related to plans and specifications; monitor and approve payments of various projects.
• Review engineering reports and specifications; coordinate work with the City Construction Inspectors; Project Engineer and the General Contractor during construction.
• Develop reports, memoranda, letters, and other documents regarding project issues for both internal and external distribution; work with engineers, architects and construction contractors regarding normal and unusual project problems and phases; ensure and maintain detailed records of project activities, findings, progress and results.
• Ensured that the assigned project compliance with Federal, State and local laws, regulations and policies.

Certifacations: • OSHA 30 Hour for Construction Industry • First Aid CPR AED

The performance, non-performance, default, violation, or breach of a contract or agreement?

D YES DI NO

4.1.2 A vehicle collision or accident involving your firm's employees? • YES IXI NO

4.1.3 Damage to real property arising out of your services or operations? • YES IX NO

4.1.4 Employment-related litigation brought by an employee of your firm?

L YES IX NO

4.1.5 Payment to a subcontractor or supplier?
• YES •I NO

4.1.6 Defective, deficient, or substandard work?

LJ YES E NO
If the answer to any questions in 4.1.1 to 4.1.6 is YES, identify the name of the person or entity that sued (i.e., "the plaintiff") or was involved in the mediation or arbitration; list the date, court, court address, and case number; describe the facts and circumstances giving rise to the lawsuit, mediation, or arbitration; and set forth the outcome or disposition. Attach additional sheets as necessary.

4.2 Have you or your firm ever filed a claim for damages or a lawsuit, or requested arbitration or mediation, against a government entity or a Client?

YES XI NO
If YES, identify the government entity or client; list the date, court and case number; describe the facts and circumstances about the claim for damages, or the lawsuit, or both; and set forth the outcome or disposition. Attach additional sheets as necessary.

4.3 Are there any pending or outstanding judgments or liens against you, your firm, or any of its owners, partners, officers, or employees?
• YES NO
If YES, identify the name of the person or entity entitled to payment; list the date court and case number; describe the facts and circumstances giving rise to the judgment or lien; and set forth the amount of the judgment or lien. Attach additional sheets if necessary.

4.4 In the past five (5) years, has any government entity ever: (a) investigated, cited, disciplined,

or assessed any penalties against you, your firm, or any of its owners, partners, officers, or employees, or (b) determined or concluded that your firm or any of its owners, partners, officers, or employees violated any laws, rules, or regulations?

LYES XI NO
If YES, identify the government entity; list the date, and describe the facts and circumstances about each instance. Attach additional sheets as necessary.

4.5 In the past five (5) years, have you, your firm or any of its owners, partners, officers or employees been convicted of a crime related to the bidding of a government contract, the awarding of a government contract, or the performance of a government contract? ("Convicted" includes a verdict of guilty by a judge or jury, a plea of guilty, a plea of nolo contendere, or a forfeiture of bail.)
• YES IX NO
If YES, identify the government entity; list the date, court and case number; describe the facts and circumstances about each instance; and set forth the penalty or punishment imposed . Attach additional sheets as necessary.

4.6 In the past five 5) years, have you, your firm, or any of its owners, partners, officers or employees been convicted of a crime involving embezzlement, theft, fraud, forgery. bribery, deceptive or unlawful business practices, perjury, falsifying or destroying records or evidence, or receiving stolen property, or making or submitting a false claim? L YES * NO
If YES, identify the crime or offense; list the date, court and case number; describe the facts and circumstances about each instance; and set forth the penalty or punishment imposed. Attach additional sheets as necessary.

4.7 Have you or, if Bidder is a corporation, any principal of the corporation ever been convicted of a felony?
•YES XI NO
If YES, please explain the details of that conviction and, if so, whether you or said officer have served his or her sentence.

4.8 In the past five (5) years, has a government entity determined or concluded that you, your firm, or any of its owners, partners, officers or employees made or submitted a false claim (including a false claim for payment), or made a material misrepresentation? • YES * NO
If YES, identify the government entity, and describe the facts and circumstances about each instance. Attach additional sheets as necessary.

4.9 Have you or your company ever been charged by any governmental agency for failure to follow safety procedures? If YES, please explain.

LI YES EI NO

4.10 Has any governmental agency ever submitted a complaint against you or your firm to the California State Labor Commission for failure to submit certified payrolls? If your answer is "Yes", please provide the details of such complaint. •YES * NO

5. FIRM'S OPERATIONAL STATUS

5.1. In the past seven (7) years, has your firm, or anyone else acting on behalf of your firm, filed for bankruptcy, insolvency, receivership, or reorganization? • YES LI NO
If YES, list the filing date, identify the court and case number; describe the facts and circumstances giving rise to each instance; and set forth the disposition or current status.

Attach additional sheets as necessary.

5.2. In the past five (5) years, has your firm had an consolidations, mergers, acquisitions, closings, layoffs or staff reductions?
• YES E NO
If YES, list the filing date, and describe the facts and circumstances about each instance.

Attach additional sheets as necessary.

5.3. Is your firm in the process of, or in negotiations toward: (a) consolidating, merging, selling or closing its business, or (b) laying off employees or reducing staff? DYES * NO
If YES, describe the transaction; list the anticipated date for completing the transaction, laying off employees, or reducing staff; and describe the facts, circumstances, and reason for taking the action. Attach additional sheets as necessary.

6. BIDDING; DEBARMENT; CONTRACT PERFORMANCE

6.1. Has a government entity ever debarred, disqualified, removed, suspended, or otherwise prevented you or your firm from bidding on, contracting, or completing a construction project?
• YES • NO

If YES, identify the name of the government entity, list the date, and describe the facts and circumstances about each instance, and state the reason for the government entity's action against your firm. Attach additional sheets as necessary.

6.2. Has a government entity ever rejected your firm's Bid or Proposal on the ground that you or your firm is a "non-responsible" bidder or proposer? • YES [XI NO
If YES, identify the name of the government entity, list the date, describe the facts and Circus dates about earbustan and sale sponsor be frach are man. sheets as necessary.

6.3. ave you free aled for perfor eer partialy or completely - a government entity or a clien
YES NO
If YES, identify the name of the government entity or client, list the date, and describe the facts and circumstances about each instance. Attach additional sheets as necessary.

6.4. In the past five (5) years, have you or any officer or principal of your firm been an officer of another firm which failed to perform a contract or agreement? •YES NO
If YES, list the date, and describe the facts and circumstances about each instance. Attach additional sheets as necessary.

6.5. Has your firm ever advised a government entity or a client, while your firm was under contract with the government entity or client, that your firm could not (or would not) fulfill or erform - either partially or completely - the contract or the agreement based on the price lat vour firm had oriainally submitted in a Bid or a Proposa • YES * NO
If YES, list the date, identify the name of the government entity or client, and describe the facts and circumstances about each instance. Attach additional sheets as necessary.

6.6. Has your firm ever requested a government entity or a client, while your firm was under contract with the government entity or client, to renegotiate one or more terms of the existing contract or agreement?
• YES I NO
If YES, identify the name of the government entity or client, list the date, and describe the facts and circumstances about each instance. Attach additional sheets as necessary.

6.7. L YES • NO
If YES, identify the name of the government entity or client, list the date, and describe the facts and circumstances about each instance. Attach additional sheets as necessary.

6.8. Has a government entity or a client ever terminated, suspended, or non-renewed your firm's contract or agreement before its completion?
• YES * NO
If YES, identify the name of the government entity, list the date, and describe the facts and circumstances about each instance. Attach additional sheets as necessary.

6.9. Has a government entity or a client ever notified or advised your firm that your firm's Comorance under a contract or agreement was poor, sub-standard, deficient, or non- XI NO
If YES, identify the name of the government entity or client, list the date, and describe the facts and circumstances about each instance. Attach additional sheets as necessary.

6.10. In the past five (5) years, has your firm paid, or has your firm been assessed, liquidated damages on a contract or agreement?
XI NO
If YES, identify all such contracts/projects by owner, owner's address, the date of completion of the project, amount of liquidated damages assessed, and all other informatio necessary to fully explain the assessment or payment of liquidated damages. Attac additional sheets as necessary.

7. INSURANCE AND BONDS

7.1. In the past ten years, has an insurance company or a surety company:

7.1.1. Refused to insure your firm for liability coverage? •YES XI NO

7.1.2. Canceled or non-renewed your firm's insurance coverage?

LI YES KNO

7.1.3. Refused to issue your firm a bond?
•YES [X NO

7.1.4. Canceled or revoked a bond obtained by your firm?

LI YES IX NO
If the answer to any questions in 7.1.1 to 7.1.4 is YES, identify the name of the insurance company or surety company, list the date, and describe the facts and circumstances about each instance. Attach addition sheets as necessary.

7.2 In the past ten (10) years, has an insurance company or surety company made any payments on your firm's behalf as a result of a default, to satisfy any claims against a performance bond, payment bond, or maintenance bond issued on your firm's behalf? L YES [x] NO
If YES, identify each contract completed or amount of each claim, the name and telephone number of the claimant, the date, grounds and current status of the claim, and if resolved the method, nature, and amount of the resolution. Attach addition sheets as necessary.

8. SURETY

8.1 If a performance and/or payment bond is required by this bid, identify the bonding company if arrangements for the bond have been made; if not, identify the bonding company for the Contractor's most recent project:

McGriff Insurance Services

8.2 Name and address of agent:

Jan Rivera 130 Theory Suite 200 Irvine, CA 92617
All of the above statements as to experience, financial qualifications, and available plant and equipment are submitted in conjunction with the proposal, as a part thereof, and the truthfulness and accuracy of the information is guaranteed by the Bidder.

I hereby certify under penalty of perjury under the laws of the state of California that the representation made herein are true and correct.

Signature of Bidder_
William G, Jacob President/Owner

BIDDER'S EXPERIENCE FORM
PROJECT NAME: Citywide Striping and Pavement Markings FY23-24 CONTRACT NO. 2024XXXX COMPANY NAME: WGJ Enterprises Inc., dba PCI
***Please use additional sheets if necessary
List below the project information that establishes that Bidder meets the essential requirements for qualification set forth in the Mandatory Qualifications paragraph of the Notice Inviting Bids for this Project.

CONTRACT CONTRACT CONTRACT PROJECT NAME AND CONTACT PHONE START DATE END DATE $ AMOUNT AGENCY ADDRESS CONTACT NAME NUMBER 1 PLEASE SEE

ATTACHED
2 3
All of the above statements as to experience are submitted in conjunction with the proposal, as a part thereof, and the truthfulness and accuracy of the information is guaranteed by the Bidder. I hereby certify under penalty of perjury under the laws of the state of Califomia that the representation made herein are true and Signalure of Bidder
Print Name: William G, Jacob
State of California Contractor's License No. 415490
Contractor's License expiralion dale 7/31/2025

PCI Striping • Sealcoat
A Parking & Highway Improvement Contractor
Prime References
1) Owner: City of Palm Desert (10411C)
Address: 73-510 Fred Waring Drive, Palm Desert, CA 92260 Type of Project: Signage, Markings, Striping, and Markers Project Name: Citywide Bike-Golf Cart Lane Improvements Contact Person: Chris Gerry - (760) 346-0611
Email: [email protected]
Contract Amount: $94,773.00
Start Date:4/5/2021
Date Completed: 4/4/2022
2) Owner: City of Vernon (11215C)
Address: 4305 Santa Fe Ave, Vernon CA 90058
Type of Project: Restripe, Relocate ADA Spots, Install Wheel Stops, Paint curd, pavement markings Project Name: City Hall Lot #2 Restripe b
Contact Person: Andrew Egula 323-583-8811
Email: [email protected]
Contract Amount: $6,939.50
Start Date: 10/07/2022
Date Completed: 11/14/2022
3) Owner: Los Angeles World Airport (9421C)
Address: 7411 world way west, los Angeles CA 90045
Type of Project: Paint Markings, Parking lots and Streets Project Name: Paint Markings, Parking lots and Streets LAX & Van Nuys Contact Person: Manuel Franco 424-646-7688
Email: [email protected]
May 8, 2023 CR

PCI Striping • Sealcoat
A Parking & Highway Improvement Contractor
Contract Amount: $149,225
Start Date: 2/28/2019
Date Completed: 3/3/2022
4) Owner: City of Glendora (11152C)
Address: 116 E Foothill Blvd, Glendora, CA 91741
Type of Project: Striping
Project Name: Gladstone St @ Nearglen Ave
Contact Person: Steve Flores 626-852-4803
Email: [email protected]
Contract Amount: $8,796
Start Date: 8/23/2022
Date Completed: 12/30/2022
5) Owner: City of Calabasas (10121C)
Address: 100 Civic Center Way, Calabasas, CA 91302
Type of Project: Striping
Project Name: On Call As Needed Pavement Striping
Contact Person: Alba Lemus 818-224-1677
Email: [email protected]
Contract Amount: $233,212
Start Date: 8/17/2016
Date Completed: 7/31/2021
6) Owner: City of Santa Monica (10161C)
Address: 1685 Main St #113, Santa Monica, CA 90401
Type of Project: Striping, Markings and Signs
Project Name: Ocean Ave Protected Bikeway
May 8, 2023 CR

PC Striping • Sealcoat
A Parking & Highway Improvement Contractor
Contact Person: Zach Pollard 310-458-8726
Email: [email protected]
Contract Amount: $212,875.25
Start Date: 9/28/2020
Date Completed: 12/10/2021
7) Owner: City of Santa Monica (10215C)
Address: 1315 Valley Drive, Hermosa Beach, CA 90254
Type of Project: Striping AND Pavement Markings
Project Name: Downtown Hermosa Beach Temporary Lane
Contact Person: Andrew Nguyen 310-318-0220
Email: [email protected]
Contract Amount: $74,097.40
Start Date: 11/10/2020
Date Completed: 1/31/2021
8) Owner: City of Azusa (10243C)
Address: 213 Foothill Blvd, Azusa, CA 91702
Type of Project: Striping AND Pavement Markings
Project Name: Street Striping Services
Contact Person: Richard Gardea 626-812-5244
Email: [email protected]
Contract Amount: $24,999
Start Date: 11/9/2020
Date Completed: 9/6/2021
9) Owner: LAUSD Hollywood Elementary School (10247C)
Address: 4545 Huntington Dr South Los Angeles, CA 90032 May 8, 2023 CR

PCI Striping • Sealcoat
A Parking & Highway Improvement Contractor
Type of Project: Striping
Project Name: Seal and Restripe of playground
Contact Person:

Email:

Contract Amount: $13,500
Start Date: 12/2/2020
Date Completed: 10/12/2021
10) Owner: City of Glendora (10305C)
Address: 116 E Foothill Blvd, Glendora, CA 91741
Type of Project: Striping
Project Name: On-call As Needed Striping
Contact Person: Alex Cardona (626)852-4817
Email: [email protected]
Contract Amount: $16,190
Start Date: 12/28/2020
Date Completed: 4/2021
11) Owner: City of Los Alamitos (10313C)
Address: 3191 Katella Ave, Los Alamitos, CA 90720
Type of Project: Striping and Pavement Markings
Project Name: Old Town West Traffic Calming
Contact Person: Chris Kelley 562-321-1204
Email: [email protected]
Contract Amount: $48,806
Start Date: 12/15/2020
Date Completed: 6/1/2021
May 8, 2023 CR

PCI Striping • Sealcoat
A Parking & Highway Improvement Contractor
12) Owner: City of Glendora (10332C)
Address: 116 E Foothill Blvd, Glendora, CA 91741
Type of Project: Striping AND Pavement Markings
Project Name: Glendora Ave to Foot hill Blvd
Contact Person: Alex Cardona (626)852-4817
Email: [email protected]
Contract Amount: $12,450
Start Date: 12/15/2020
Date Completed: 3/31/2021
13) Owner: City of Bell (10348C)
Address: 6330 Pine Ave, Bell CA 90201
Type of Project: Striping AND Pavement Markings
Project Name: Striping, Pavement Markings, and Curb Rehabilitation Contact Person: Elizabeth Martinez 323-923-2624
Email: [email protected]
Contract Amount: $443,879.50
Start Date: 2/15/2021
Date Completed: 6/23/2021
May 8, 2023 CR

CONTRACTOR SAFETY QUESTIONNAIRE
Company Name: WGJ Enterprises Inc., dba PCI
Primary Type of Work: Parking Lot and Highway Striping
Person Completing Form:_ Cinnamon Rodriguez
Title: Accounts Payable/ Administrator Phone Number:_562-218-0504 Date: 4/30/2024

SAFETY PERFORMANCE

1. List your company's Interstate Experience Rating Modifier (ERM)1 for the three most recent years. 2023 0.86
2022 1.00
2021 1.31
List your company's number of injuries/illnesses from your OSHA 300 logs for the three most recent years.

20.23 20 22 | 21
a. Fatalities 0
b. OSHA recordable incidents 0
c. Lost work day incidents 0 0
d. Total lost work days 0 0
e. Total hours worked 108,271 8,2,930 98,710

3. Upon request from the City, the contractors) shall provide copies of the following items (a-g); and Items (d- g) for each listed Subcontractor
a). OSHA 300 logs for the most recent three years e). Training Plans and current year-to-date
b). Verification of ERM from your insurance carrier f). Training Certificates for Employees c). Injury/Illness Report g). Emergency Response Training d). Complete written Safety Program

4. Company Safety Contact:
a. Name Eddie Molinar
b. Phone 562-218-0504
1 ERM = applies to workers' compensation policies. It compares the experience of this contractor to others of similar size, type and ratio. Used against annual premium. It has a direct correlation to how much the contractor pays in workers' comp premium.

CONTRACTOR SAFETY QUESTIONNAIRE (continued)

SAFETY PROGRAM
SAFETY PROGRAM DOCUMENTATION Circle One
a. Do you have a written safety program manual? Yes No
1) Last revision date 4/5/2024
b. Do you have a written safety field manual? Yes No
Are all workers given a booklet that contains work rules, responsibilities, and other appropriate information? Yes No

2. POLICY AND MANAGEMENT SUPPORT
a. Do you have a safety policy statement from an officer of Ves No the company?
b. Do you have a disciplinary process for enforcement Yes No of your safety program?
c. Does management set corporate safety goals? Yes No
d. Does executive management review:

X Accident reports? Yes No
[ Safety statistics? Yes No
Ly Inspection reports? Yes No
e. Do you safety pre-qualify subcontractors? Yes No
f. Do you have a written policy on accident reporting Yes No and investigation?
g. Do you have a light-duty, return-to-work policy? Yes No h. Is safety part of your supervisor's performance evaluation? Yes) No i. Do you have a personal protective equipment (PPE) policy? Yes No j. Do you have a written substance abuse program? Yes No If yes, does it include (check all applicable boxes):

X Pre-employment testing Return-to-duty testing
y Random testing J Disciplinary process
* Reasonable cause testing ] Alcohol testing
& Post accident testing National Institute on Drug Abuse • Panel Screen
k. Does each level of management have assigned safety (Yes) No duties and responsibilities?

3. TRAINING AND ORIENTATION
a. Do you conduct safety orientation training for each
employee? Yes No
b. Do you conduct site safety orientation for every Yes No person new to the job site?
c. Does your safety program require safety training meetings? (VeS) No for each supervisor (foreman and above)?
How often?
X Weekly Monthly Quarterly Annually • Other_
d. Do you hold tool box/tailgate safety meetings
focused on your specific work operations/exposures?
How often?
[X Weekly Daily • Other
e. Do you require equipment operation/certification training? (Yes No

4. ADMINISTRATION AND PROCEDURES
a. Does your written safety program address
administrative procedures? Yes No
If yes, check which apply:

Pre project/task planning Emergency procedures
X Record keeping Audits/inspections
_ Safety committees X Accident investigations/reporting HAZCOM Training documentation
X Substance abuse prevention Hazardous work permits
x Return-to-work * Subcontractor prequalification
b. Do you have project safety committees? Yes No
c. Do you conduct job site safety inspections? Yes No
How often?
•Daily Weekly Monthly Other
Do these inspections includes a routine safety
inspection of equipment (e.g., scaffold, ladders, fire
extinguishers, etc.)? Yes No
d. Do you investigate accidents? Kes No
How are they reported?
- Total company XBy superintendent
y By project * By project manager
• By foreman In accordance with OSHA
e. Do you discuss safety at all preconstruction and progress meetings? Yes No

Do you perform rigging and lifting checks prior to lifting? Yes No E For personnel For equipment Heavy lifts (more than 10,000 Ibs.)

5. WORK RULES
a. Do you periodically update work rules Yes No
hen was the last update? 4/ 2024
What work practices are addressed by your work rules?
A. CPR/irst aid •Access--entrances/stairs
I Barricades, signs, X Respiratory protection
and signals
Blasting * Material handling/storage
I Communications Temporary heat
• Compressed air and gases * Vehicle safety
- Concrete work > Traffic control
Confined-space entry > Site visitor escorting
Cranes/rigging and hoisting • Public protection
Electrical grounding Equipment guards and grounding
Environmental controls and Monitoring equipment
Occupational health
-Emergency procedures Flammable material handling/storage X Fire protection and prevention Site sanitation
Floor and wall openings • Trenching and excavating
Fall protection • Lockout/Tagout
Housekeeping • Energized/pressurized equipment
Ladders and scaffolds
Mechanical equipment/ Personal protective equipment
maintenance/pre-op checks/ & Tools, power and hand
operation • Electrical power lines
J Welding and cutting (hot work) Other

6. OSHA INSPECTIONS
a. Have you been inspected by OSHA in the last three years? Yes No b. Were these inspections in response to complaints? Yes No c. Have you been cited as a result of these inspections? Yes No If yes, describe the citations (add additional sheets if necessary):

DESIGNATION OF SUBCONTRACTORS
NAME OF BIDDER: WGJ Enterprises Inc., dba PCI
Each Bidder must list, on the form provided on the next page, each Subcontractor who will perform work or labor or render service to the Contractor in or about the construction of the Work or improvement, or a Subcontractor licensed in the State of California who, under subcontract to the Contractor, specially fabricates and installs a portion of the Work or improvement according to detailed drawings contained in the Drawings and Specifications, in an amount in excess of one-half of one percent of the Contractor's Base Bid Amount. Each Subcontractor must have an active and current license, and all requisite specialty certifications, when listed.

Bidder must provide the following information for EACH Subcontractor.

1. The name of the Subcontractor;

2. The trade and type of work that the Subcontractor will perform;

3. Location (address) of Subcontractor's place of business;

4. Subcontractor's license number; and any specialty licenses;

5. Subcontractor's public works contractor registration number; and

6. Dollar value of the Work that the Subcontractor will perform.

Subletting or subcontracting of any portion of the Work in excess of one-half of one percent of the Contractor's Base Bid to which no Subcontractor was designated in the original Bid shall only be permitted in cases of public emergency or necessity, and then only after a finding reduced to writing as a public record of the City setting forth the facts constituting the emergency or necessity.

If the Contractor violates any of the above provisions the Contractor may be in breach of this Contract and the City may exercise the option, in its own discretion, to (1) cancel this Contract, or (2) assess the Contractor a penalty in an amount not more than ten percent (10%) of the amount of the subcontract involved, and this penalty shall be deposited in the fund out of which the prime Contract is awarded.

If the Contractor fails to specify a Subcontractor, or if the Contractor specifies more than one Subcontractor for the same trade or type of Work to be performed under the Contract in excess of one-half of one percent of the Contractor's Base Bid Amount, then the Contractor agrees that he/she is fully qualified to perform that Work himself/herself, and that he/she shall perform that Work himself/herself. If after award of Contract, the Contractor subcontracts any such Work, the Contractor will be subject to the statutory penalties.

DESIGNATION OF SUBCONTRACTORS FORM

IS ON THE FOLLOWING PAGE

Please type or legibly print (attach additional sheets as necessary).

Public Works
Name of Subcontractor Email Contact Trade and Type License Contractor Business Location Dollar ($) Value
Information of Work to be Number Registration
Performed Number
NONE

The Contractor shall not:

A. Substitute any person as Subcontractor in place of the Subcontractor listed in the original Bid, except that the City may consent to the substitution of another person as Subcontractor in any of the following situations:

1. When the Subcontractor listed in the Bid, after having had a reasonable opportunity to do so, fails or refuses to execute a written contract for the scope of Work specified in the Subcontractor's bid and at the price specified in the Subcontractor's bid, when that written contract, based upon the general terms, conditions, Drawings and Specifications for the Project or the terms of Contractor's written Bid, is presented to the Subcontractor by the Contractor;

2. When the listed Subcontractor becomes insolvent or the subject of an order for relief in bankruptcy;

3. When the listed Subcontractor fails or refuses to perform his/her subcontract;

4. When the listed Subcontractor fails or refuses to meet the bond requirements of the Contractor as set forth in Public Contract Code Section 4108;

5. When the Contractor demonstrates to the City that the name of the Subcontractor was listed as the result of an inadvertent clerical error;

6. When the listed Subcontractor is not licensed pursuant to the Contractors License Law;

7. When the City determines that the Work performed by the listed Subcontractor is substantially unsatisfactory and not in substantial accordance with the Drawings and Specifications, or that the Subcontractor is substantially delaying or disrupting the progress of the Work;

8. When the listed Subcontractor is ineligible to work on a public works project pursuant to Section 1777.1 or 1777.7 of the Labor Code; or

9. When the City determines that the listed Subcontractor is not a responsible contractor.

B. Permit any subcontract to be voluntarily assigned or transferred or allow it to be performed by anyone other than the original Subcontractor listed in the original Bid, without the consent of the City.

C. Other than in the performance of "change orders" causing changes or deviations from the original Contract, sublet or subcontract any portion of the Work in excess of one-half of one percent of the Contractor's Base Bid Amount as to which his/her original Bid did not designate a Subcontractor.

Prior to approval of the Contractor's request for a Subcontractor substitution, the City shall give notice in writing to the listed Subcontractor of the Contractor's request to substitute and of the reason for the request. The notice will be served by certified or registered mail to the last known address of the Subcontractor. The listed Subcontractor who has been so notified shall have five (5) Working Days within which to transmit to the City written objections to the substitution. Failure to file these written objections shall constitute the listed Subcontractor's consent to the substitution.

If written objections are filed, the City shall give notice in writing of at least five (5) Working Days to the listed Subcontractor of a hearing by the City on the Contractor's request for substitution.

The Contractor, as a condition to asserting a claim of inadvertent clerical error in the listing of a Subcontractor, shall within two (2) Working Days after the time of the Bid Deadline, give written notice to the City and copies of such notice to both the Subcontractor he/she claims to have listed in error and the intended Subcontractor who had bid to the Contractor prior to the Bid Deadline.

QUESTIONNAIRE REGARDING SUBCONTRACTORS
Bidder shall answer the following questions and submit with his/her Contract proposal.

1. Were bid depository or registry services used in obtaining subcontractors bid figures in order to compute your Yes U NOT

2. If the answer to No. 1 is "Yes", please forward a copy of the rules of each bid depository you used with this questionnaire.

3. Did you have any source of subcontractors' bids other than bid depositories? NO

4. Has any person or group threatened you with subcontractor boycotts, union boycotts, or other sanctions to attempt to convince you lo use the services or abide by the rules of one or more tat deposilories?

5. If the answer to No. 4 is "Yes", please explain the following details:
(a) Date:
(b) Name of person or group:
(c) Job involved (if applicable):
(d) Nature of the threats:
(e) Additional comments:
(Use additional paper if necessary)

6. Was a conscious effort made to recuit or provide equal opportunity for bid by panority or project area subcontractors? Yes D
Was a conscious effort made to recruit and hire project area lower-income residents? Yes O No X
Please submit statement.

8. We declare under penalty of perjury that the foregoing is true and correct.

Dated this 30 day of_ APril _ 2024.

All of the above statements as to experience, financial qualifications, and available plant and equipment are submitted in conjunction with the proposal, as a part thereof, and the truthfulness and accuracy of the information is guaranteed by the bidder.

Name of Company?
By:

Title: • President/Owner

CONTRACTOR'S AFFIDAVIT OF NON-COLLUSION

STATE OF CALIFORNIA )
) sS

COUNTY OF )
being first duly sworn, deposes and says:

That he/she is the President/Owner (Title of office if a corporation, "sole owner," "Partner," or other proper title) of WGJ Enterprises Inc., dba PCI (hereinafter called "Contractor") who has submitted to the City of Vernon a Bid for the construction of the Citywide Striping and Pavement Markings FY23-24, Contract No. 2024XXXX;

2. That said Bid is genuine; that the same is not sham; that all statements of fact therein are true;

3. That said Bid is not made in the interest or behalf of any person, partnership, company, association, organization, or corporation not named or disclosed;

4. That Contractor did not, directly or indirectly induce, solicit, agree, collude, conspire or contrive with anyone else to submit a false or sham bid, to refrain from bidding, or withdraw his/her bid, to raise or fix the Bid price of Contractor or of anyone else, or to raise or fix any overhead profit, or cost element of Contractor's price or the price of anyone else; and did not attempt to induce action prejudicial to the interests of the City of Vernon, or of any other Bidder, or anyone else interested in the proposed Contract;

5. That the Contractor has not in any manner sought by collusion to secure for himself an advantage over any other Bidders or induce action prejudicial to the interests of the City of Vernon or of any other Bidder, or anyone else interested in the proposed Contract;

6. That the Contractor has not accepted any bid from any Subcontractor or material supplier through any bid depository, the bylaws, rules or regulations of which prohibit or prevent the Contractor from considering any bid from any Subcontractor or material supplier, which is not processed through said bid depository, or which prevent any Subcontractor or material supplier from bidding to any Contractor who does not use the facilities of or accept bids from or through such bid depository; Ill
III
III
/II
#II
III

CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202 * See Attached Document (Notary to cross out lines 1-6 below) O See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if any) A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

State of California Subscribed and sworn to (or affirmed) before me county of lus Angells May
on this day of , 20 25.

Date Month Year
by
William 6. Un ub
(1).
(and (2) ),
ARACELI FLORES Name(s) of Signer(s)
Notary Public - California
Los Angeles County
Commission # 2335087 proved to me on the basis of satisfactory evidence My Comm. Expires Oct 9, 2024
to be the person(s) who appeared before me.

CArach Ul
Signature
Signature of Notary Public
Seal
Place Notary Seal Above
- OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.

Description of Attached Document
Title or Type of Document: _ Document Date:

Number of Pages: _ . Signer(s) Other Than Named Above:

XưY30030003838838888333C8K33 KG G C C Bx x B B c e cx
©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5910

7. That the Contractor did not, directly or indirectly, submit the Contractor's Bid price or any breakdown thereof, or the contents thereof, or divulge information or data relative thereto, to any corporation partnership, company, association, organization, bid depository, or to any member or agent thereof, o to any individual or group of individuals, except to the City of Vernon, or to any person or persons who have partnership or other financial interest with said Contractor in his/her business.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. at Azusa CA
Dated this 30 _ day of April, 2024
Month/Year City State
WGJ Enterprises Inc.,dba PCI
Contractor (Please Print)
Contractor's Signature
President/Owner
Title

THE BIDDER'S INSURANCE COMPANYS) OR INSURANCE AGENT MUST COMPLETE THIS FORM AND
THE BIDDER MUST SUBMIT THIS CERTIFICATION WITH THE BID FORMS. 1, the undersigned (Please check one box) • underwriter • agent, certify that I and the Contractor listed below have jointly reviewed the "Insurance Requirements" in these Bidding Documents and the Contract Documents. If the City of Vernon ("City") awards the Contractor the Contract for this project, I will be able-within fourteen (14) calendar days after the Contractor is notified of the Contract's award-to furnish the City with valid insurance forms (including one or more insurance certificates and additional insured endorsements) that fully meet all of the Insurance Requirements.

Executive Risk Indemnity / Federal Insurance Company / Navigators Specialty 05/06/2024 Name of Insurance Company Date
Burnham WGB Insurance Solutions Katherine Ignelis
Insurance Agent's Name (Printed) Insurance Agent's Name signature) Katherine Ignelis
15901 Red Hill Avenue Tustin CA 92780
Address City State Zip Code
714-505-7000 [email protected]
Telephone Number Email Address
WC5 Enterprises Inc., dba PCI 2024XXXX
Contractor's Name City Contract Number
Below State the Name of Insurance Company Providing Coverage:

DO NOT write "Will Provide," "To Be Determined," When Required," or similar phrases.

Executive Risk Indemnity Federal Insurance Company
Commercial General Liability Automobile Liability
Federal Insurance Company
Workers' Compensation Liability
City Will Purchase Policy, if required Navigators Specialty Builders Risk Pollution Liability
[NOTE TO CONTRACTOR: See "Insurance Requirements" EXHIBIT 4 of the Contract for the requirement of obtaining Pollution Liability Insurance.]
NOTE TO THE UNDERWRITER/ AGENT: If the insurance forms that the Contractor submits to the City do not fully comply with the Insurance Requirements, and/or if the Contractor fails to submit the forms within the 14-day time limit, thodity may: (1) declare the Contractor's Bid on responsive, and (2) ward the Contract to the next lowestresponsible

CERTIFICATE OF EQUAL OPPORTUNITY PRACTICES
City of Vernon
4305 Santa Fe Avenue
Vernon, CA 90058
(323) 583-8811
Website: www.cityofvernon.ora
Article I. Affidavit of Equal Opportunity Employment &
Non-segregation (Form AA-1)
Article II. Vendor List Questionnaire (Forms AA-2 & 3)
In order to be placed to the City's vendor list and be eligible to receive City business, you must provide the following information except where indicated as "optional." By submitting this form you are declaring under penalty of perjury under the laws of the State of California and the laws of the United States that the information is true and correct. Furthermore, you are certifying that your firm will adhere to equal opportunity employment practices to assure that applicants and employees are not discriminated against because of their race, religion, color, national origin, ancestry, disability, sex or age. And, your firm does not and will not maintain or provide for its employees any segregated facilities at any of its establishments, and that it does not and will not permit its employees to perform their services at any location, under its control, where segregated facilities are maintained.

Name of Company: WGJ Enterprises Inc., dba PCI
Business Telephone: 562-218-0504
Address: 975 W 1st Street
City:_Azusa State: CA Zip 91702
Contact Person Jaime Villegas E-mail Address [email protected] (optional)
Tax ID Number (or Social Security Number) 71-0912317
Remit Address (if different)
Please state clearly and concisely the types) of goods and services your company provides:

Striping and Signage
The following section is OPTIONAL and is for statistical reporting purposes only. Ownership (please check all that apply):

African-American Asian Armenian Hispanic_ Native American Disabled_ Female

Project Workforce Utilization (Form AA-2)
This form is to be included in all bid documents for projects involving labor or services valued at $25,000 or more.

Instructions: Please indicate the job titles/classifications to be used in the performance of this contract should it be awarded to your firm. Please indicate the number of employees in each job classification as well as the number of new hires, if any, as a result of this contract.

Name of Company: WGJ Enterprises Inc., dba PCI Project: Citywide Striping and Pavement Markings FY23-24 Job Titles/Classification timated number of existing staff to be employed Estimated number of new hires to be employed in is classification if awarded the contra this classification if awarded the contract Journeyman Group 1-4
Are any current employees or potential
new hires Vernon residents? If so, how
none
many?

Current Permanent Workforce Utilization (Form AA-3)
Name of Company: WGJ Enterprises Inc., dba PCI
Project: Citywide Striping and Pavement Markings FY23-24 Completion of this form is OPTIONAL. Any information supplied by vendors is for reporting purposes only and will not be factored into the award of any contract.

Instructions: Please indicate the number of employees in each Job Classification belonging to the following groups.

White African-American Hispanic Asian/Pacific Native Armenian Male Female (not of Hispanic (not of Hispanic Islander American
origin)

CLASSIFICATION
Officials/
3 9
Managers
Professionals
Technicians
Office/Clerical 4 6
Skilled Craft Workers
Operators
(semi-skilled)
Laborers 27 33
Service Workers
TOTAL 37
45 6