Palp, Inc. DBA Excel Paving CompanyMay 11 09 01:27p 6265692303 p.1
CITY OF ROSEMEAD
ROSEMEAD, CALIFORNIA
ADDENDUM NUMBER 1 I
To all prospective bidders under Bid Documents for the
RESIDENTIAL ROADWAY RESURFACING PROJECT
Project No. P46022
1. You are hereby inform that the Bid Opening schedule for 11:00 a.m. on
Wednesday May 13, 2009 has been changed to May 20, 2009 at 11:00 am. The
City of Rosemead will receive sealed bids up to 10:30 a.m. on May 20, 2009,
and they will be publicly opened at 11:00 a.m.
2. Exhibit "A" pages 1 to 5 are hereby added to the Residential Roadway
Resurfacing Project PS & E of Earle Avenue, Alternate Bid Item #3.
3. Bid Item # 31 of Alternate Bid Item #3 on CBF-4 UNIT OF MEASURE CY (cubic
yards) shall be replaced by LS (lump Sum Price) and EST. QTY. 1000 shall be
replaced by 1.
4. The rest of Bid Documents as originally issued shall be used in submitting bids, and
an acknowledgement of receipt of this Addendum Number 1 shall be entered on the
page CBF - 6 of the Contract Bid Forms. Failure to provide such
acknowledgement shall render the bid as non-responsive and subject to rejection.
BY ORDER OF THE CITY OF ROSEMEAD
Date: May 11, 2009.
By
Rafael Fajardo
Associate Civil Engineer
May 14 09 07:17a 6265692303 P.1
CITY OF ROSEMEAD
ROSEMEAD, CALIFORNIA
To all prospective bidders under Bid Documents for the
RESIDENTIAL ROADWAY RESURFACING PROJECT
Project No. P46022
1. Bid Item No. 21 of Alternate Bid Item 2 shall be read as follows:
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
21
Earthwork, Excavation and
LS
1
Removals.
2. Exhibit "A" pages 1 to 5 are hereby added to the Residential Roadway
Resurfacing Project PS & E of Egley Avenue, Alternate Bid Item #2.
3. Bid Item No. 31 of Alternate Bid Item 3 shall be read as follows:
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
31
Earthwork, Excavation and
LS
1
Removals.
4. The rest of Bid Documents as originally issued shall be used in submitting bids, and
an acknowledgement of receipt of this Addendum Number 2 shall be entered on
the page CBF - 6 of the Contract Bid Forms. Failure to provide such
acknowledgement shall render the bid as non-responsive and subject to rejection.
BY ORDER OF THE CITY OF ROSEMEAD
Date: May 13, 2009.
By'
Lucien J. LeBlanc, P. E.
City Engineer
CITY OF ROSEMEAD
RESIDENTIAL ROADWAY RESURFACING PROJECT
PROJECT No. P46022
CONTRACT BID FORMS
BIDDER: ' INC'QSA
EXCEL PAVING CC
t
CONTRACT BID FORMS
TABLE OF CONTENTS
SECTION 1 BID SCHEDULE ......................................................................................................1
SECTION 2 BID DATA FORMS 5
2.A BID BOND ................................................................................................................6
2.8 LIST OF PROPOSED SUBCONTRACTORS .........................................................7
SECTION 3 NON-COLLUSION AFFIDAVIT .............................................................................10
SECTION 1 -BID SCHEDUL
BIDDER: rAT INC.®BA
EXCEL PAVING COMPAW
BID SCHEDULE
SCHEDULE OF PRICES FOR
RESIDENTIAL ROADWAY RESURFACING PROJECT
PROJECT No. P46022
BASE BID SCHEDULE
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
UNIT
OTY.
PRICE
COST
1
Perform Clearing & Grubbing per
LS
1
plans and specifications. See
rovisions TP-2
te
hnical
.
p
c
V
,
2
Disposal of Waste Materials.
LS
1
10 000 -
0 4(o-
3
Place Compacted Selected Fill.
CY
100
20,
4
Earthwork, Roadway, Excavation
LS
1
& Fill.
I ~-000 -
I S DD0. J
5
Apply Crack Sealant
LS
1
ZUCb
6
Cold mill variable thickness 2-inch
i
h h
t
0
d
SF
142,620
20
0
20
er cu
.
nc
ea
to
-
.
7
Construct 1-1/2 inch thick
TONS
2,920
2015-1 trO
pavement overlay ARHM-GG-C
(PG 64-16).
8
Construct 1/2 inch thick Asphaltic
TONS
940
(
(03 p1 ,
Leveling course D1 PG 64-10.
9
Remove 4-inches of existing
SF
11,100
3
'
33 300 -
pavement and replace it with 4-
inches of AC (B-PG 64-10) Base
Course over compacted native.
10
Construct PCC Curb Ramp per
EA
40
3SZ7i0 '
v4 D oar
APWA Std. Plan 111-3.
11
Construct PCC longitudinal cross
SF
4,560
gutter per APWA Std. Plan 122-1.
12
Install 4-inch thick PCC Sidewalk.
SF
7,166
13
Construct PCC Driveway
SF
1,780
Std
S
Approach per APWA Std. Plan
110-1.
14
Construct PCC Curb and Gutter
LF
450
per APWA Std. Plan 120-1.
CBF-1
BIDDER: nnr
15
Construct PCC variable height
retaining curb (6" -12") per APWA
LF
300
249J
-71560,
Std. Plan 120-1.
16
Install Survey Well Monument per
EA
26
City of Rosemead Std. Plan S08-
001. See Section 2-9 Surveying of
the General Provision-7 per
details (Cover, Sleeve & Dome will
be provided by the City at no cost).
17
Adjust Sewer Manhole to Grade
EA
50
per APWA Std. Plan 205-1 and
206-1.
18
Adjust Water Valve/Gas Valve to
EA
34
((00
Grade.
19
Install Traffic Striping, Traffic
LS
1
`O QL?i)'
I O D
Signal Loops, Pavement Markers
per Plans and Specifications
Complete.
TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ r14-10m.-
Dollar amount in written form
ALTERNATE BID ITEM 1
O~ o
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
20
Install 24-inch box Parkway Trees
EA
170
S
q ~
S -
as indicated on the plans including
J
90 calendar days maintenance
period.
TOTAL ALTERNATE BID ITEM 1 PRICE:
Dollar amount in written form
CBF-2
BIDDER: -m p-mir-nA
EXCEL PAV'NC, COMPAIN
ALTERNATE BID ITEM 2
EGLEY AVENUE STREET RECONSTRUCTION - SEE SHEET 2 OF 12
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
21
Earthwork, roadway, excavation
C
and removals.
LS
(
2
2S
22
Remove and dispose existing
TONS
963
pavement and Reconstruct with 4-
inch thick AHRM-GG-C (PG 64-
16).
23
Construct 6-inch thick Crushed
TONS
1450
Miscellaneous Base (CMB) over
90% compacted native soil.
24
Install 4-inch thick PCC Sidewalk.
SF
140
25
Construct PCC Driveway
SF
135
Approach per APWA Std. Plan
110-1.
26
Construct PCC Curb Ramp per
EA
12
3(o80-
APWA Std. Plan 111-3.
27
Adjust Sewer Manhole to Grade
EA
3
Z'~Q
8 (O _
per APWA Std. Plan 205-1 and
206-1.
28
Adjust Water Valve/Gas Valve to
EA
1
2-40-
Grade.
29
Install Survey Well Monument per
EA
4
280 l
2Q.
City of Rosemead Std. Plan S08-
001. See Section 2-9 Surveying of
the General Provision-7 per
details (Cover, Sleeve & Dome will
be provided by the City at no cost).
30
Install Traffic Striping, Traffic
LS
1
~
Lim J
Signal Loops, Pavement Markers
per Plans and Specifications
Complete.
TOTAL ALTERNATE BID ITEM 2 PRICE: $
Dollar amount in written
CBF-3
BIDDER: ''I ~:°~1~'•IDD/~
..CEL PAU°7~s^ CMAPA""l
ALTERNATE BID ITEM 3
EARLE AVENUE STREET RECONSTRUCTION - SEE SHEET 8 OF 12
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
CITY.
PRICE
COST
d
i
tVr".
- 996
Arm
31
on
Earthwork, roa
way, excavat
?L
and removals.
LS
I
."bj
32
Remove and dispose existing
TONS
1,030
01 1V
pavement and Reconstruct with fl-
inch thick AHRM-GG-C (PG 64-
16).
ESCX~
33
Construct 6-inch thick Crushed
TONS
1,550
Miscellaneous Base (CMB) over
90% compacted native soil.
2'~ S
34
Install 4-inch thick PCC Sidewalk.
SF
4,096
SID
35
Construct PCC Driveway
SF
580
,
_
Approach per APWA Std. Plan
•
110-1.
36
Construct PCC Curb Ramp per
EA
2
4 ~
c[OX '
APWA Std. Plan 111-3.
37
Construct PCC Curb and Gutter
LF
150
30 -
`t S-O
per APWA Std. Plan 120-1.
38
Adjust Sewer Manhole to Grade
EA
5
per APWA Std. Plan 205-1 and
206-1.
39
Adjust Water Valve/Gas Valve to
EA
5
Grade.
40
Install Survey Well Monument per
EA
2
ZE3~ -
C~
City of Rosemead Std. Plan S08-
001. See Section 2-9 Surveying of
the General Provision-7 per
details (Cover, Sleeve & Dome will
be provided by the City at no cost).
41
Install 24-inch box parkway tree
EA
22
5
Pyrus Kawakamii (Evergreen
Pear) per APWA Std. Plan 520-3
including 90 calendars days
maintenance period.
TOTAL ALTERNATE BID ITEM 3 PRICE:
!(olOgv~.
$
_Joel,
Dollar amount in written fohn CA
CBF-4
BIDDER: 1 11f
GRAND TOTAL (BASE BID AND ALTERNATES)
$ VIM 10.
ve&k
Dollar amount in written form
Note: The City of Rosemead reserves the right to reduce or increase the quantities of any items in
the schedule of bid items above, within the limits define in Section 3-2.2.1 of the Standard
Specifications, to stay within the budgeted amount of this project.
The undersigned agrees that these Contract Bid Forms constitute a firm offer to the Owner which
cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and
after the bid opening date, or until a Contract for the Work is fully executed by the Owner and a third
parry, whichever is earlier. The undersigned also agrees that if there is a discrepancy between the
written amount of the Bid Price and the numerical amount of the Bid Price, the written amount shall
govern.
If the Bid Documents specify alternate bid items, the following Alternate Bid amounts shall
be added to or deducted from the Total Bid Price entered above. The owner can choose to
include one or more of the alternates in the Total Bid Price of the Project. If any of the
Alternate Bids are utilized by the Owner, the resulting amount shall be considered the Total
Bid Price for the Project.
Attached hereto is a certified check, a cashier's check or a bid bond in the amount of
ID's U Wnk 160 Dollars said amount being not less than ten percent (10%) of the Total
Bid Price. The undersigned agrees that said amount shall be retained by the Owner if, upon award,
we fail or refuse to execute the Contract and furnish the required bonds, certificates and
endorsements of insurance and other certifications within the time provided.
If awarded a Contract, the undersigned agrees to execute the formal Contract, which will be
prepared by the Owner for execution, within five (5) Calendar Days following the Letter of Award for
the Contract, and will deliver to the Owner within that same period the necessary original Certificates
of Insurance, Endorsements of Insurance, Performance Bond, Payment Bond and all other
documentation and certification required by the Contract.
The undersigned offers and agrees that if this bid is accepted, it will assign to the purchasing body
all rights, title, and interest in and to all causes of action it may have under Section 4 of the Clayton
Act (15 U.S.C. Section 15) or under the Cartwright Act (Chapter 2 of Part 2 of Division 7 of the
Business and Professional Code), arising from purchases of goods, materials or services by the
Bidder for sale to the purchasing body pursuant to the bid. Such assignment shall be made and
become effective at the time the purchasing body tenders final payment to he Contractor.
Bidder understands and agrees that, when requested by Owner, he shall provide: (1) evidence
satisfactory to the Owner of Bidder's California contractor's license(s) in good standing; (2) evidence
that the person signing this Bid is authorized to bind Bidder to this Bid and to a contract resulting
therefrom; and (3) any other information and documentation, financial or otherwise, needed by
Owner to award a Contract to the lowest responsible and responsive bidder.
CBF-5
BIDDER: ara ~ni
Bidder understands and agrees that liquidated damages shall apply to this Contract in the amounts
and subject to the terms and conditions described in the Contract Form and the Contract
Documents.
Bidder acknowledges that data submitted with its Contract Bid Forms which it requires to be
incorporated into a Contract arising out of this Submittal has been so identified by Bidder. Bidder
further acknowledges that the Owner may, at its discretion, incorporate any of the remaining data
submitted herewith into a contract arising out of this Bid.
The undersigned acknowledges receipt, understanding and full consideration of the following
addenda to the Contract Documents.
Addenda Nos. 1 v
The Bidder understands and agrees that the Total Bid Price is inclusive of all labor, materials, and
equipment or supplies necessary to complete the Work as described in the Bid Documents. If this
bid is accepted, the undersigned Bidder agrees to enter into and execute the Contract with the
necessary bonds and accept the Total Bid Price as compensation in full for all Work under the
contract.
CBF-6
BIDDER:
t:, t .
2230 LEMON AVENUE
By: c~ ^ ip- LONG BEACH, CA 90806
Signature Business Street Address
~.C. BH )iNN, PRESIDENT
Type or Print Name City, State and Zip Code
:sb?i b99.5b?+
Title Telephone Number
Bidder's/Contractor's State of Incorporation: rq1JF0RNIa
Partners or Joint Venturers:
Bidder's License Number(s):
NOTES:
STATE UC. 688659 W
1) By its signature on this Bid, the Bidder certifies under penalty of perjury the accuracy of the
representations made on the Contract Bid Forms.
2) If Bidder is a corporation, enter State of Incorporation in addition to Business Address
3) If Bidder is a partnership or joint venture, give full names of all partners or joint
venturers.
As further discussed in the Instructions to Bidders, Bidder will be required
to provide evidence that the person signing on behalf of the corporation,
uartnership or ioint venture has the authority to do so.
CBF-7
CALIFORNIA ALL-PURPOSE
CERTIFICATE OF ACKNOWLEDGMENT
State of California
County of Los Angeles
On MAY 2 0 2009 before me, C. PHILLIPS, NOTARY PUBLIC
(Here uuen name and title of the officer)
personally appeared PALP DBA EXCEL PAVING COMPANY BY C.P. BROWN, PRESIDENT
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/am subscribed to
the within instrument and acknowledged to me that heAA*MBy executed the same in his/IIW Ir authorized
capacity(ies), and that by hisAxtAkeilac 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.
C. PHILLIPS
• ' COMM. 01809758
WI my hand and official seal. a Notary PubllrCallfornia
LOS ANGELES COUNTY LL
MyCOMM, ExpimsAu& 16.2012
Signature: o teary Public (Notary 4~,.-;.,~~~•ea~
ADDITIONAL OPTIONAL INFORMATION
DESCRIPTION OF THE ATTACHED DOCUMENT
(Title or description of attached document)
(rifle or description of attached document continued)
Number of Pages Document Date
(Additional information)
CAPACITY CLAIMED BY THE SIGNER
❑
Individual (s)
❑
Corporate Officer
(ride)
❑
Partner(s)
❑
Attorney-in-Fact
❑
Trustee(s)
❑
Other - - -
INSTRUCTIONS FOR COMPLETING THIS FORM
Any aebrowledgmew completed in Californla must contain verbiage exactly as
appears above in the nowry section or a separate aebunrledgment form must be
poperly completed and attached to that document. 7Ne only exception is jf a
document is to be recorded oituide of Caljform a. In such instances, any alternative
acbwwledgment verbiage at may be printed on such a document so long as the
verbiage does rot nequire the notary to do something that is lllegd for a notary in
California (i.e. cerr&ng the ardhori:ed capoary of the signer). Please check the
document carefully for proper norariol wording and aCaeh this farm lfrequired
• Stale and County information must be the State and County where the document
signer(s) per3onay appeared before the notary public for acknowledgment.
• Date of notarization must be the date that the signer(s) personally appeared which
mutt also be the same date the acknowledgment is completed
-
• The notary public must print his or her name as it appears within his or her
commission followed by a comma and then your title (notary public).
• Print the name(s) of document signer(s) who personally appear at the time of
notarization
• Indium the correct singular or plural forms by crossing off incorrect forms (i-e
)dsW#wy, is two) or circling the correct forms Failure to correctly indicate this
information may Ind to rejection of document recording
• The notary sal impression must be clear and photographically reproducible
Impression must not cover text or lines If seal impression smudges, re-seal if a
sufficient area permits, otherwise complete a different acknowledgment form
• Signature of the notary public must match the signature on file with the office of
the county cleric
L Additional information is not required but could help to ensure this
acknowledgment is not misused or attached to a different document
Indicate title or type of attached document, number of pages and date
5 Indicate the capacity claimed by the signa If the claimed capacity is a
corporate officer, indicate the title (t e CEO, CFO, Secretary)
• Securely attach this document to the signed document
2008 version CAPA v12 10 07 800-173-9665 www NotarvClancs corn
BIDDER:
EKCEL PAVING CCMPAW
SECTION 2
BID DATA FORMS
CBF-8
BIDDER: y,e aL
2.6 LIST OF PROPOSED SUBCONTRACTORS
In compliance with the "Subletting and Subcontracting Fair Practices Act," Sections 4100
through 4114 of the California Public Contract Code, and any amendments thereto, each
Bidder shall provide the information requested below for each subcontractor who will
perform work, labor or render service to Bidder in or about the construction of the Work in an
amount in excess of one-half of one percent (greater than 0.5 of the Bidder's Total Bid
Price, or, in the case of bids or offers for the construction of streets or highways, including
bridges, in excess of one-half of 1 percent of the Contractor's total bid or ten thousand
dollars ($10,000), whichever is greater, and shall further set forth the portion of the Work
which will be done by each subcontractor. Bidder shall list only one subcontractor for any
one portion of the Work.
Pursuant to Public Contract Code Section 4104, the Owner has determined that it will allow
_ Bidders twenty-four (24) additional hours after the deadline for submission of bids to submit
the information requested by the Owner about each subcontractor, otherthan the name and
location of each subcontractor.
If the Bidder fails to specify a subcontractor for any portion of the Work to be performed
under the Contract, it shall be deemed to have agreed to perform such portion itself, and
shall not be permitted to subcontract that portion of the Work except under the conditions
hereinafter set forth below.
Subletting or subcontracting of any portion of the Work in excess of one half of one percent
(greater than 0.5%) of the Total Bid Price or, in the case of bids or offers for the construction
of streets or highways, including bridges, in excess of one-half of 1 percent of the
Contractor's total bid or ten thousand dollars ($10,000), whichever is greater, for which no
subcontractor was designated in the original bid shall only be permitted in cases of public
emergency or necessity, and then only after Owner approval.
CBF-10
BIDDER: 2EXrE. ~ lv
2.B LIST OF PROPOSED SUBCONTRACTORS (continued)
["Duplicate Next 2 Pages if needed for listing additional subcontractors."]
Name and Location Description of Work
of Subcontractor to be Subcontracted
Q ~ Cpld lctn~
Name: ~
Address: tl1.~
a CA
Name and Location
of Subcontractor
Description of Work
to be Subcontracted
.1.. urc- C~
Name:
Address: In3S
u G Atnoi-
Name and Location
of Subcontractor
Name: KOW % CQ.ae
Address: ~2.i U ~tL~JT
toe 17-
Description of Work
to be Subcontracted
Name and Location
of Subcontractor
Name:
Address: 1) lp~
CAou~ (A a M3
Description of Work
to be Subcontracted
L4&s
Name and Location
of Subcontractor
Name:
Sr 1_
Address: 1-5-x a
t',mi, Ck z~
(~A
Description of Work
to be Subcontracted
AUTv sr
4AT-*- R"
CBF - 11
BIDDER: :2.C REFERENCES j; .MTAGHEC-
The following are the names, addresses and telephone numbers for three public agencies for which BIDDER
has performed similar work within the past two (2) years:
1.
Name and Address of Owner
Name and telephone number of person familiar with project
Contract amount Type of Work Date Completed
2. -
Name and Address of Owner
Name and telephone number of person familiar with project
Contract amount Type of Work Date Completed
3.
Name and Address of Owner
Name and telephone number of person familiar with project
Contract amount Type of Work Date Completed
4.
Name and Address of Owner
Name and telephone number of person familiar with project
Contract amount Type of Work Date Completed
CBF-12
BIDDER:
EXCEL PAVING CQ,U}PA?f(
SECTION 3
NON-COLLUSION AFFIDAVIT
CBF - 13
BIDDER:
NON-COLLUSION AFFIDAVIT
EXCEL PAVING M.'APANY
In accordance with Public Contract Code Section 7106, the undersigned, being first duly
sworn, deposes and says that he or she holds the position listed below with the bidder, the
parry making the foregoing bid, that the bid is not made in the interest of, or on behalf of, any
undisclosed person, partnership, company, association, organization, or corporation; that the
bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced
or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly
colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham
bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly
or indirectly, sought by agreement, communication, or conference with anyone to fix the bid
price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the
bid price, or of that of any other bidder, or to secure any advantage against the public body
awarding the contract of anyone interested in the proposed contract; that all statements
contained in the bid are true; and, further, that the bidder has not, directly or indirectly,
submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged
information or data relative thereto, or paid, and will not pay, any fee to any corporation,
partnership, company association, organization, bid depository, or to any member or agent
thereof to effectuate a collusive or sham bid.
Signature
G.P. BROWN, PRESIDEK
Typed or Printed Name
Title
-P INWTSA
Bidder
Subscribed and sworn before me
This day of MAY 2 0 201520
(Seal)
- C 2"
Notary Public in a for
the State of Califor
My Commission Expires: I;' (LIA01t,
C. PHILLIPS
Comm 04 600768
4 Notery PubIIC-0OIHotR111 I
`aa} LOS ANGELES COUNTY
My Comm, ExpIra Aug. id, 2012
CBF-14
Y
PALP Inc. dba
BIDDER: Excel Paving Company
Bidder shall submit its Bid data In accordance with the format shown on each of the following Bid
Data Forms. Bidders shall prepare and use as many sheets as are necessary to adequately provide
the information required. Bidder shall ensure that every page of its Bid Data Forms are properly
identified with the Bidder's name and page number.
2.A BID BOND
KNOW ALL MEN BY THESE PRESENTS:
THAT PALP Inc. dba Excel Paving Company as
Principal, and Federal Insurance Company
, as Surety, are held firmly bound unto the
CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of
Ten percent of the total amount of the bid
10% being not less than ten percent (10%) of the Total
Bid Price; for the payment of which sum will and truly to be made, we bind ourselves,
our heirs, executors, administrators, successors, and assigns, jointly and severally,
firmly by these presents.
WHEREAS, said Principal has submitted a bid to the OWNER to perform all Work
required for the Residential Roadway Resurfacing Project as set forth in the Notice
Inviting Bids and accompanying Bid Documents, dated May 20, 2009
NOW, THEREFORE, if said Principal is awarded a Contract for the Work by the
OWNER and, within the time and in the manner required by the above- referenced
Bid Documents, enters into the written form of Contract bound with said Bid
Documents, furnishes the required bonds (one to guarantee faithful performance
and the other to guarantee payment for labor and materials) furnishes the required
insurance certificates and endorsements, and fumishes any other certifications as
may be required by the Contract, then this obligation shall be null and void; otherwise
it shall remain in full force and effect. In the event suit is brought upon this bond by
the OWNER and judgment is recovered, said Surety shall pay all costs incurred by
the OWNER in such suit, including reasonable attorneys' fees to be fixed by the
court.
SIGNED AND SEALED, this 12th day of May P 20 09
PALP Inc. dba Excel Paving Company (SEAL)
Principal
By: fly:
Signature L,.F. BROW,
PRESIDENT
Federal Insurance
CB1=-9
~s -
CALIFORNIA ALL-PURPOSE
CERTIFICATE OF ACKNOWLEDGMENT
State of California
County of Orange
On 05/12/2009 before me, Debra Swanson, Notary Public ,
(Here insert tame and tide of the officer)
personally appeared Douglas A Rapp
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/e## subscribed to
the within instrument and acknowledged to me that he/6heAkay executed the same in him authorized
capacity(iats), and that by his4w/dwipsignature4) on the instrument the person(.&), or the entity upon behalf of
which the person(*) acted, executed the'instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph
is true and correct.
WITNESS my hand and official seal.
Siptatwe orNotary Public
N EBRA SVYANSON
~`c`rk'u D
t COMM. # 1822117 X
s N0TAAfiYY RDX-CAlJFOft
ORANGE COUNTY N
Ny Cw& Ex0rm WY to 2012
(Notary Seal)
ADDITIONAL OPTIONAL INFORMATION
DESCRIPTION OF THE ATTACHED DOCUMENT
(Title or description of artachod doewnem)
(Title or description of attached dwxmt cotttinuod)
Number of Pages Document Date
(Additional informsdon)
CAPACITY CLAIMED BY THE SIGNER
O
Individual (s)
❑
Corporate Officer
- (Tale)
❑
Partner(s)
❑
Attorney-in-Fact
❑
Trust*s)
❑
Other
INSTRUCTIONS FOR COMPLETING THIS FORM
AtV acksowlyd mete cowpkrrd in CalVbmia trust contain verbiage exactly as
appmo abow in dw notary ifedan or a sepwase acbrowledgmrnt form must be
pYpab complard and auadod to that doctonent. The aJy esccpnon is if a
documW L to be mo ded orastde cf Cal(/arnta In retch instances. any alrernarrve
aebawkdVw ne wrbtage at may be pruned on such a documenr so long as the
verbiage dory not require the notary to do soenething chat is illegal for a notary to
Caljkvnla (if. cr►r( tV the authorized capacity of the signer). Please check the
documem coral dlyfor proper notarial wording and attach this form ff regwred
• Stm told Counly tafomnation trust be the Stste and County where the document
aipsar(s) porsoaally appeared bofm the nary public for acknowtodpncnt.
• Date of uotariadoa must be the date that the sip or(s) petsorWly appeared which
mW also be the same date the acknowledprtatt b completed.
• list notary public must print his or her tame as it appears within his or her
contrassion followed by a comma and then your title (notary public)
• Pritu the namo(s) of document signer(s) who personally appear at the tune of
o0tatiat104
• Indicate the corrvd singular or plural forms by crossing off uxoaw forms (t.c
WaW%ayr it /aye ) or cirding the correct forms. Failure to eom xdy indicate this
inform tiaa may lad to mjoction of document reoon tg.
• 7be ao41y sal impression must be dear and photopiphically reproducible
Ilsrpr=-iw must not cover text or litres. if seal impression smudges, rt-seal tr a
sufficient area permits, otherwise complete a different acknowiedgment Corm
• Siptattue of the notary public must match the signarwe on file with the office of
the county clot
i' ♦ Addaioasl informstioo is not mquitvd but could help to eruttre th s
admowledgmew is tot misused or au&cJwd m a different docutneaL
O Irdiatte dik or type of attached document, number or pages and dace
♦ Indicates do capacity claimed by the signer. If dw claimed capacity u e
oorporatr; officer, indicate the tide (i.e. CEO, CFO, So=tary)
• Sccurvly attach this document to the signed docurnent
2001 Version CAPA 02.10.07 300477-9865 www.NoWyClasta.com
Chubb POWER Federal Instuance Co mpwq Attn: Surety Department
OF Violant Ir>surance Company 15 Mourdaln View Road
y _ + Surety ATTORNEY Psemc Indtlnbeilty Company Warren, NJ 07059
Know AR by These Presents, Thal FEDERAL INSURANCE COMPANY, an Indiana corporabon, VIGILANT UOURANCE
COMPANY, a New York corporation, and PACIRC INDEMNITY COMPANY, a Wisconsin corporation, do each hen3tN constitute and
appoint Linda D. Coate, Ltatdww J. Coats, Douglas A_ Rapp and Timothy 0. Rapp Of Laguns Mite, California--
each as their "and 4whO Aeomey- in- Fad b oxeam under such deslpne0w in der names and to aNtx deer carpam seats b and d01hW for wV MOWN behak as surety
t1mew or o#WVAW. barbs and a ndertekoge and odw welt Vs obilgataty in the mare dwred (aewr own bad bards) given or eAeeuW in Me cares of business. and any
irwrunents arrwnrFrp or arorkq ee ame,and oonemnb a Lie modprcaborh or 8%K1e n d any mwwerprd referred to In said bonds 0rabe9eaane.
M Vftmems Wheneee, saW FEOGRAL N9URANCS COMANV. VWWANT NSURANCE C(MPANY, and PACIFIC aa)F_WJn'V CN W&W haw sech eaaerded and aMaahd
Lleee Preaente and eNuued u,ak caporaro seats on ors 30th day d March, 2009.
(/r f ~ ss •
C. Wendel, Anksont 9uaa ery - DsNd Jr, Vim Prmdd&
STATE OF NEW JERSEY
sae
C ur*y a sarwrm
On this aft day of Mwch, 2009 before me, a Notary Public of New Jersey, personally came Kenneth C. Wendel, to me
mK m so be Amdswd Secretary of FEDERAL INSURANCE COMPANY, VKWLANT N9URANCE COMPANY. and PACIFIC INDEMNITY COMPANY, de orarsraies rdieh
samcutad Ow l nq*q Porw d Albaw and ew said Krrrsl+ C Wader. bOV by nne duy sworn, dd depaPI and may than tw Is Agiseent 3scrairy or FEDERAL.
NSUfWiCF COMPANY, VKMLANT INSURANCE COMPANY. end PACIFIC INDEMNITY COMPANY and knows ne a0 Mee assts Owed, IW ore semis dlbwd to he
w,egak Pawor d AUmrney as avdh oo,pe a.a„ and ewe a,wa W araead by moveey of are ery Lane of aura C"mwoa and wee he a" mold pwm at Amway as
Awi rd Secretary d sold Gbmpwaes by We auenorlty, and fir he Is eog4~ doh David B. hw* Jr, and knDm tan b be Vkm President d Bald Companies and that ne
"nature or David B. Noma Jr., subeabed to amid Power d Atbaey Is In de gems hwK%Mtkhp d Dario B. Nordm..r.. and was /woo Wombed by viewrey of sub By-
tAre and in dmpatamrm prewr+oe.
Netarirl s.r
Ho. Z?1d68;1
ID K ~ NEw BEY
cmwommian Repko July & mm Navy
Public
CERTiFICAT10N
Extract from the By, Laws of FEDERAL INSURANCE COMPANY, VIGN.ANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY-
'AM powers d aeoney fa end on bowl d ne company may and stwe be axw4ftd n ft name and m behsl d ne Conhpany, SOW by re Chairman or Ow
Pntldwd Or a V-" Pru"" or an Ambient Vbs Presiderd. >oi nay with ft Beaemry or an Asswunt aeaeary. under ewir respackre desipmaeona. Ttw
signature d such d5com may be wpraved, pAnW or nhogreOwd. The MWwAws d each of on bNoabp oMiuxra Chdmwr Presided, any Vice Pym*wd. any
i. Kawalh C. Wendel. AseWaM SmoeUry d FEDERAL RAURANCE COMPANY. VIGILANT INSURANCE COMPANY, and PACIFIC WOEM NNTY COMPANY
(Ie'C-WW ea') OD hKOMY Certify net
re) to bregoft soap or Ie Or Lam of the Commnies is ma and maso,
(N) Ie Congmies are duty" m I a and and need b transact strey business in at 60 d the Wrbd Stamm d Ananias and Ie DbMd d Columbia and are
A,madean sans. Qum
tir> are kgownsa Pow at
all tom are
siren wdar my hand and seals ot said cunhpanies at wwren, Ni d* 12th day of May, 2009
*(Do
KOMOM C. W *KW, Ank0b M Seaeiuy
IN THE EVENT YOU VASH TO NOTIFY US OF A GJUMA, VERIFY THE AUTHENTICITY OF Ti#S BOND OR NOTIFY US OF ANY OTHER
MATTER, PL LASE CONTACT US AT ADOrW8G LISTED ABOVE, OR BY Teimpho (900) 903 3493 Fax (906) 903-3a,%
Mgt1: surety0chubb.com j
Form 15-10-QMx-U (Ed.5.03) CONSENT
CALIFORNIA ALL-PURPOSE
CERTIFICATE OF ACKNOWLEDGMENT
State of California
County of Los Angeles
On y % ~CC9
before me, C. PHILLIPS, NOTARY PUBLIC
(Here insert name and tide of the officer)
personally appeared PALP DBA EXCEL PAVING COMPANY BY C. P. BROWN, PRESIDENT
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/aw subscribed to
the within instrument and acknowledged to me that he7M75y executed the same in his/libl€NlAff authorized
capacity(ies), and that by hiss 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.
COMM. #1809758 n
08my C. PHILLIPS
official seal. Notary Public-California
LOS ANGELES COUNTY LL
Comm. Expires Aug 16.2012
(Notary Seal)
ADDITIONAL OPTIONAL INFORMATION
DESCRIPTION OF THE ATTACHED DOCUMENT
(Tide or description of attached document)
(ride or description of attached document continued)
Number of Pages Document Date
information)
CAPACITY CLAIMED BY THE SIGNER
❑
Individual (s)
❑
Corporate Officer
(Title)
❑
Partner(s)
❑
Attorney-in-Fact
❑
Trustee(s)
❑
Other
INSTRUCTIONS FOR COMPLETING THIS FORM
Any acknowleafgmreme completed in California mutt contain verbiage exactly as
appears above in tae notary section or a separate acknowledgment form must be
properly completed and attached to that document. The only exception is (f a
document it to be recorded onside of California In such instances, any alternartw
acknowledgment verbiage as may be printed on such a document so long as the
verbiage does not require the notary to do somelhhv tint is illegal for a notary to
California (i.e. certtfyirtg rue authorised capadty of the signer). Please check the
document carefully for proper nnoarf& wording and anach dds form if required
• State and County itformation must be the State and County where the document
signer(s) personally appeared before the notary public for acknowledgment.
• Date of notarization must be the date that the signer(s) personally appeared which
must also be the same date the acknowledgment Is completed
• The notary public must print his or her name as p appears within his or her
commission followed by a corrrta and then your title (notary public).
• Print the nurse(s) of document signer(s) who personally appear at the time of
notarization
• Indicate the correct singular or plural forms by crossing off incorrect forma (i.e
hdshd*wy- is her) or circling the correct forms Failure to correctly indicate this
information may lead to rejection of document recording.
• The notary seal impression must be clear and photographically reproducible
Impression must not cover text or lines If seal impression smudges, re-seal if a
sufficient area permits, otherwise complete a different uknowledgment form.
• Signature of the notary public must match the signature on file with the office of
the county cleat
fi Additional information is not required but could help to ensure this
acknowledgment is not misused or attached to a different document
Indicate title or type of attached documenk number of pages and date
Indicate the capacity claimed by the signet If the claimed capacity is a
corporate offica, indicate the title It a CEO, CFO, Secretary)
• Securely attach this document to the signed document
2008 Version CAPA vi2.10 07 NO-g7;-9865 www NotwClassa com