Steiny and Company, IncI
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SECTION 1 - BID SCHEDULE
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BIDDER: STMNYANDC0MPANY,1NC•
BID SCHEDULE
SCHEDULE OF PRICES FOR
RUSH AND ANGELUS TRAFFIC SAFELY IMPROVEMENTS PROJECT
PROJECT No. P82329
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
UNIT
QTY.
PRICE
COST
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Perform Clearing & Grubbing per
LS
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plans and specifications. See
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prov
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ons.
tec
n
ca
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Disposal of Waste Materials.
LS
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/,po, C)o
3
Construct 4-inch thick PCC
SF
2,200
GY>
~
sidewalk.
,
13 zo,00
4
Construct PCC Curb Ramp per
EA
4
r
APWA Std. Plan 111-4.
~~Q,pO
5
Construct PCC variable height
LF
200
retaining curb (6" - 12") per APWA
1
IF
A dfl
.
Std. Plan 120-
!(j,
340
6
Construct PCC Driveway approach
Plan 110-2
APWA Std
LF
300
Q
/ 6
'37
.
per
.
6
t
7
Install Traffic Striping, Pavement
LS
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Markers, Signs including Post per
Plans and Specifications
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t
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omp
e
e.
,
8
Install In-Road Warning Light
LS
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System from Spot Devices or
approved equal per Plans and
Specifications Complete.
9
Install Solar School Zone Safety
System Complete from Radarsign
EA
2
6
or approved equal per plans and
specifications.
TOTAL BASE BID PRICE (SCHEDULE BID PRICE): $ JOQ. 96D-dD
.~/I A ® P1/2"ow
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.
CBF-1
BIDDER: STMNY AND COMPANY, INC,
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cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and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 forthe Work is fully executed by the Owner and a third
' party, 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 bid bo in the amount of
Dollars (yi feaid 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 Ownerfor execution, within five (5) Calendar Days following the Letter of Award for
the Contract, and will deliverto 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.
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.
' 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
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' BIDDER: STEM AND COMPANY.INC,
necessary bonds and accept the Total Bid Price as compensation in full for all Work under the
contract.
12907 East Garvey Avenue
P.O. Box 8100
By: / Baldwin Park, CA 91706-0993
Signature Business Street Address
Richard Tesoriero
Type or Print Name City, State and Zip Code
Vice President 626438.9923
Title Telephone Number
Bidder's/Contractor's State of Incorporation: 1 A)tkn i
Partners or Joint Venturers:
State License No. 161273
Bidder's License Number(s): Class A, B. C-7 & C-10
NOTES:
' 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,
partnership or joint venture has the authority to do so.
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STEINY AND COMPANY. INC.
Certification by Secretary
of Corporate Resolution
At the meeting of the Directors of Steiny and Company, Inc., a corporation organized
and existing under the laws of the State of California, duly called and held in accordance
with the articles of incorporation and bylaws of the corporation at its office on May 28, 2009
at which a quorum of the directors were present the following resolution was adopted to wit:
Resolved, that:
Chairman of the Board
President and Treasurer
Chief Financial Officer
Vice President
Vice President
Vice President
Secretary
J.O. Steiny
Susan Steiny
Vincent P. Mauch
Willie B. Hadley
Walter E. Johansen III
Richard Tesoriero
Gayle C. Kappelman
Are hereby authorized to sign contracts/agreements in the name of and on behalf of Steiny
and Company, Inc.
I Gayle C. Kappelman, Secretary of Steiny and Company, Inc., do hereby certify that
I am the Secretary of Said corporation and that the above is a full, true, and correct copy of a
resolution of the Board of Directors of said corporation, duly adopted at the meeting held on
May 28, 2009 and that said resolution has not been revoked or rescinded.
In witness whereof, I have hereunto subscribed my name and affixed the seal of said
corporation.
Gay C. Kapp.°A n, Secretary-^-
I BIDDER: STEM AND CC)NVANY- 'NC'
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SECTION 2
' BID DATA FORMS
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I BIDDER: S7EINYANDCO1vMANY, INC,
' 2.13 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 Contractors 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, other than 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
' Contractors 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.
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BIDDER: rrFtwyAwnrnmPAwv C_
2.B LIST OF PROPOSED SUBCONTRACTORS (continued)
i"Duplicate Ne)d 2 Pages if needed for listing additional subcontractors.'I
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name:
Name and Location
of Subcontractor
Name:
Address ?6-o!57 / /i. - i~
~awhc, i~& •P/713
Description of Work
to be Subcontracted
/ Axt, PGe 4&,44.t,0,0%4,(,
Name and Location
of Subcontractor
Name:
Address:
Name and Location
of Subcontractor
Name:
Address:
Description of Work
to be Subcontracted
Description of Work
to be Subcontracted
Name and Location
of Subcontractor
Name:
Address:
CBF-7
Description of Work
to be Subcontracted
BIDDER: STEM AND COMPANY. INC.
2.C REFERENCES
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. ~5 ~L A~ ach td-
e and Address of Owner
t
Name and telephone number of person familiar with project
e of Work
t T
Date Completed
yp
Contract amoun
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
S
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CBF-8
STEINY AND COMPANY, INC.
ELeatY6GGIL GOwtv'pc'tDYs awd C-ne),vweeYs
CURRENT, PREVIOUS. AND MAJOR PROJECTS
4822
OCTA SR22
4695
Fair Oaks Corridor Transportation Improvements
Owner:
Orange County Transportation Authority (OCTA
Owner:
City of Pasadena
General:
Granite-Myers-Rados
General:
Stein & Company
Value:
$22,140,890.00
Value:
$1,814,489
Contact:
David Smith (GMR) (714) 712-1600
Contact:
Dave Ortega (626) 744-4312
Completion:
7/112008
Completion:
10/18!1005
4895
FY2005 Street & Park Lighting
4853
TSMODIO151 Traffic Signal Mod. Artesia BI. ETAL
Owner:
City of Santa Monica
Owner:
County of Los Angeles
General:
Stein & Company
General:
Stein & Company
Value:
$2,045,021.04
Value:
$914,000.00
Contact:
Gene Higginbotham (310) 458-8721
Contact:
Issa Adawi a (626) 458-5100
Completion:
2282008
Completion:
04117108
4811
LACO - Pacific
4819
RD00013015, Eastern Ave/Garfield Av Traffic Sync.
Owner:
County of Los Angeles
Owner:
County of Los Angeles
General:
Stein & Company
General:
Stein & Company, Inc.
Value:
$1,229,488.16
Value:
$1,020,690.66,
Contact:
Cliff Craig (626) 458-5100
Contact:
Cliff Craig 626) 458-5100
Completion:
02/28108
Completion:
0520108
4769
Phase III Res. Street Lighting Improvements
4506
L.A. -ATSAC (S.D. F . Corridor)
Owner:
City of Bever! Hills
Owner:
County of Los Angeles
General:
Balfour Beat Infrastructure, Inc.
General:
Stein & Company, Inc.
Value:
$7,050,023.89
Value:
$12,130,768.40
Contact:
Chris Theisen (310) 285-2504
Contact:
Manoochehr Adhami (213) 847-5102
Completion:
1015/2006
Completion:
07/31/05
4926
University Park
4908
Mission Viejo - Crown Valle Parkway Widening
Owner:
Palm Desert Funding Co., LP
Owner:
City of Mission Viejo
General:
Granite Construction Co.
General:
All American Asphalt
Value:
1,387,745.29
Value:
$1,037,218
Contact:
Joe Richardson (760) 775-7500
Contact:
Jerry LeBouef (951) 739-4671
Completion:
12/3012007
Completion:
open
4998
1683-Bed Bath & Beyond
4997
Anaheim - Garden Walk
Owner:
ABAH LLC/KDMM LLC
Owner:
Anaheim GW, LLC
General:
VCC - West Coast
General:
Bayley Construction
Value:
$795,428.10
Value:
$876,255.00
Contact:
George Erskine (949) 851-8474
Contact:
Chuck Hi'azi 714) 540-8863
Completion:
121162007
Completion:
Dec-08
4935
Rosecrans Ave./Aviation BI. Intersection Project PH11
4124
08-Riv.,SBd-10,91,215-Var., Contract 08 OK5004
Owner:
City of Hawthorne
Owner:
State of CA Dept. of Transportation
General:
Griffith Company
General:
Stein & Company, Inc.
Value:
$1,373,079.95
Value:
$2,992,124.00
Contact:
Jason Spear (562) 929-1128
Contact:
John C. McMillan (916) 227-6300
Completion:
11111/2007
Completion:
Aug-09
4912
Agoura Hills - Kanan Rd.
4107
RD00015060 - As Needed Traffic Signals
Owner:
City of Agoura Hills
Owner:
County of Los Angeles
General:
Security Paving Company, Inc.
General:
Stein & Company, Inc.
Value:
$984,975.00
Value:
$1,949,905.00
Contact:
Chris Wenzel (818) 767-8418
Contact:
Robert Eisenhamer (626) 458-3155
Completion:
12/162007
Completion:
open
4960
Tustin - Offsite Backbone Infrastructure
4030
Caltrans RT 710 Project
Owner:
Vestar/Kimco Tustin, L.P., Bayley Slater Tustin Venture
Owner:
Caltrans
General:
Sema Construction
General:
Atkinson Construction
Value:
$931,920.00
Value:
$9,178,065.00
Contact:
Eric Westman (949) 470-0500
Contact:
Felipe Oliver (949) 855-9755
Com letion:
11/92008
Completion:
open
Offices in Vallejo, Los Angeles, EI Cajon and Baldwin Park
Page 1 of 2 Current Div. 4
STEINY AND COMPANY, INC.
ELectrCeaL CDvbtractors avid C-v i n.ders
CURRENT, PREVIOUS. AND MAJOR PROJECTS
4105
5 Traffic Signal Synch. Sys., Project SV 07-24
4012
Si nalization Improvements - Audie Murphy Ranch
Owner:
City of Simi Valle
Owner:
Audie Murphy Ranch,LLC
General:
Stein & Company, Inc.
General:
Woodside Homes of CA, Inc.
Value:
$978,666.30
Value:
$1,026,516.00
Contact:
David Medina (805) 583-6810
Contact:
Pat Celella (951) 710-1900
Completion:
open
Completion:
open
4055
2nd & 4th St. Pod. Streetsca a Project - Contract 8814
4996
San Clemente - Marblehead Coasta TTM 8817)
Owner:
City of Santa Monica
Owner:
City of San Clemente
General:
Griffith Company
General:
Suncal Companies
Value:
$2,480,568.08
Value:
$1,588,740.00
Contact:
Jason Spear (562) 929-1128
Contact:
Cynthia Kendall 949) 241-8437
Completion:
open
Completion:
open
4114
Crystal Cove State Park - Laguna Beach
4957
Rancho Cucamonga - 5 Signals
Owner:
State of California - Department of Parks & Recreation
Owner:
The City of Rancho Cucamonga
General:
L.A. Engineering, Inc.
General:
Stein & Company, Inc.
Value:
$899,221.00
Value:
$1,087,302.00
Contact:
John Risch (626) 454-5222
Contact:
Jim Harris (909) 477-2740
Completion:
open
Completion:
12101/07
4982
Jefferson Blvd. Widening, Contract 2006-3001
4945
Port Incident M mt. System Project HDS2232
Owner:
Playa Capital Company, LLC
Owner:
Port of Lon Beach
General:
Excel Pavin Company
General:
Peterson Chase General Engineering
Value:
$1,047,782.89
Value:
$1,058,579.50
Contact:
David Cook (562) 599-5841
Contact:
Dick Vo els (949) 252-0441
Completion:
10/07/08
Completion:
728!1009
4963
SANBAG - Various
4661
L.A.- Wilshire Center
Owner:
San Bernardino Associated Governments
Owner:
City of Los Angeles
General:
Stein & Company, Inc.
General:
Stein & Company, Inc.
Value:
$1,537,866.00
Value:
$2,314,512.00
Contact:
David Nelson TES (909) 291-2424
Contact:
Greg Tworek 213) 978-0262
Completion:
open
Completion:
51182008
4040
Chino Hills - Paton Drive
4038
Fred Waring Widening Project #655-01
Owner:
City of Chino Hills
Owner:
City of Palm Desert
General:
Herman Weissker, Inc.
General:
Granite Construction Co.
Value:
$634,543.00
Value:
$782,885.00
Contact:
Jimmy Lee (951) 826-8800
Contact:
Joe Richardson (760 775-7500
Completion:
1 1/3 02 0 0 8
Completion:
7242008
4216
SCRRA - Various
4218
Corona - AIMS Phase2
Owner:
SCRRA - Metrolink Commuter Rail System
Owner:
City of Corona
General:
Herzog Contracting Corp.
General:
Stein &Com an ,Inc.
Value:
$5,116,124.00
Value:
$1,697,687.40
Contact:
Deron Ha tonstall (714) 938-0977
Contact:
Clint Herrera (951) 739-4888
Completion:
open
Completion:
open
4213
07-LA-10.50.2153.4
4198
LA CO - West Coast Basin
Owner:
State of California
Owner:
County of Los Angeles
General:
Flan Construction Corporation
tiro
General:
Stein & Company, Inc.
Value:
$2,
834,429.00
Value:
$2,623,506.00
Contact:
Sean Tarp (760) 535-8175
Contact:
Jose Pou (626) 458-4951
Completion: l
o pen
Completion:
open
Offices in Vallejo, Los Angeles, El Cajon and Baldwin Park
Page 2 of 2
Current Div. 4
' BIDDER: STMNY AND COMPANY, ENC.
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' NON-COLLUSION AFFIDAVIT
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BIDDER: STENYANDCOMPANY,NC-
NON-COLLUSION AFFIDAVIT
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
party 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, orthe 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
Richard Tescriem
Typed or Printed Name
Vice President
Title
STEINY AND COMPANY. NC-
Bidder
Subscribed and sworn before me
Thisy3&~-dayof Mj>j-LmbW 20bq
(obli r~ kddu
'Notary Public in and for V
the State of California
My Commission Expires: aS01)
(Seal)
SHAWN R. BRADFIE LD
Commisslon # 1738049
Notary Public - California
Riverside County
MyCOnm. Fxdres May 9, 2011
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BIDDER:gteiny and Company. Inc.
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 SID BOND
KNOW ALL MEN BY THESE.PRESENTS:
THAT Stein,
Principal, and
as
as Surety, are held firmly bound unto the CITY
OF ROSEMEAD (hereinafter called the OWNER) in the sum of
Ten percent of the total bid Price
I.VLLAM0
($_107 of total bid 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, jointlyand severally, firmly
by these presents.
WHEREAS, said Principal has submitted a bid to the OWNER to perform all Work
required for the Rush and Angelus Traffic Safety Improvements Project as set
forth in the Notice Inviting Bids and accompanying Bid Documents, dated
December 2 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 furnishes 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 fined by the
court.
SIGNED AND SEALED, this 24th day of November , 2012_.
Safeco Insurance Company
Stein and Com an nc. (SEAL) of America -(SEAL)
Principal Surety
By; By:
Signature Sig ture Rhonda-C. Abel_
hiichard Tesoriero, Vice President Attorney-in-Fact
CBF-5
CALIP'ORIN LA CER'I'It IUA
State of California l
County of Los Angeles j ss.
On November 30, 2009 before me, Shawn R. Bradfield, Notary Public
D. Name and rule of ORcn bug. "Jane Doc, Now n, Public")
personally appeared Richard Tesoriero
N-ce) of S.,nao)
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#heif authorized capacity(ies), and that by his,/hen4h° f 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.
WITNESS my hand and official seal.
fLI~Y~
si\@a1(IC~s1)
SignPtum
SHAWN R. BRADFIELD
Commission # 1738049
-u Notary Public - California
_ Riverside County
My Comm. Expires May9, 2011
OPTIONAL
Though the information below is mn required bylaw, it may prove valuable to persons relying on The document and cou/dprevenf fraudulent
removal and reattachment-al his form to another document.
Description of Attached Document:
Title or Type of Document: Bid Bond
Document Date: November 24, 2009
Number of Pages:
Signer(s) Other Than Named Above: Rhonda C. Abel, Safeco Insurance Co. of America
Capacity(ies) Claimed by Signer
Signer's Name:
Richard Tesoriero
❑ Individual
Q Corporate Officer - Title(s):
❑ Partner(s) - ❑ Limited
❑ Anomey-in-Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Vice President
❑ General
Signer is Representing: STEINY AND COMPANY, INC.
M:\SHAWN\Nolary\Copy of 2008 Notary Forms 1 12/1/2009
CALIFORNIA ALL-PURPOSE
CERTIFICATE OF ACKNOWLEDGMENT
State of California
County of Orange
On 11 NOV 2 4 2009
before me, K. Luu, Notary Public
(Here insert name and title of the officer)
personally appeared Rhonda C. Abel
who proved to me on the basis of satisfactory evidence to be the person(R) whose name(a) is/pw subscribed to
the within instrument and acknowledged to me that hatshehbuq executed the same in his/her/theia authorized
capacity( , and that by bxa/her/tbaiy 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. K. w i
commission # 1778641
--m Notary Public - California
WITNESS no d and official seal. a orange County
My Comm. Expires Nov 6.2011
Signature of Notary Public (Notary Seal)
ADDITIONAL OPTIONAL INFORMATION
DESCRIPTION OF THE ATTACHED DOCUMENT
(Title or description of attached document)
(Title or description of attached document continued)
Number of Pages _ Document Date
(Additional information)
CAPACITY CLAIMED BY THE SIGNER
❑ Individual (s)
❑ Corporate Officer
❑ Partner(s)
I& Attorney-in-Fact
❑ Trustee(s)
❑ Other
INSTRUCTIONS FOR COMPLETING THIS FORM
Any acknowledgment completed in California must contain verbiage exactly as
appears above in the notary section or a separate acknowledgment form mutt be
property completed and attached to that document The only exception is if a
document is to be retarded outride of California. In such instances, any alternative
acknowledgment verbiage as my be printed on such a document so long as the
verbiage does not require the notary to do something that is illegal for a notary in
California (is. certifying the authorized capacity of the signer). Please check the
document carefullyfor proper notarial wording and attach this form ifrequired.
• State and County information must be the State and County where the document
signin(s) personalty 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 dale the acknowledgment is completed.
• The notary public must print his or her time 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.
• Indicate the correct singular or plural forms by crossing off incorrect forms (i.e.
hatahdthey, is /ere) 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-scat 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 clerk.
Additional information is not required but could help to ensure this
acknowledgment is not misused or attached to a different documenL
Indicate title or type of attached document, number of pages and date.
Indicate the capacity claimed by the signer. If the claimed capacity is a
corporate officer, indicate the title (i.e. CEO, CFO, Secretary).
• Securely attach this document to the signed document
Liberty POWER
MUtUc11. OF ATTORNEY
KNOW ALL BY THESE PRESENTS:
Safeco Insurance Company of Amenca
General Insurance Company of America
1001 4th Avenue
Suite 1700
Seattle, WA 98154
No.
9675
That SAFECO INSURANCE COMPANY OF AMERICA and GENERAL INSURANCE COMPANY OF AMERICA, each a
Washington corporation, does each hereby appoint
**RHONDA C. ABEL; JERI APODACA; LISA K. CRAIL; LINDA ENRIGHT; JANE KEPNER; NANETTE MARIELLA-MYERS;
MIKE PARIZINO; RACHELLE RHEAULT; JAMES A. SCHALLER; Irvine, California*****"*»*»'**""""**»*****'******"»»
its true and lawful attomey(s}in-fact, with full authority to execute on its behalf fidelity and surety bonds or undertakings and other
documents of a similar character issued in the course of its business, and to bind the respective company thereby.
IN WITNESS WHEREOF, SAFECO INSURANCE COMPANY OF AMERICA and GENERAL INSURANCE COMPANY OF
AMERICA have each executed and attested these presents
this
21 st March 2009
day of -
j~x~r a. yU1~ ~ u
Dexter R. Long Secretary Timothy A. Mikolalewskl Vice President
CERTIFICATE
Extract from the By-Laws of SAFECO INSURANCE COMPANY OF AMERICA
and of GENERAL INSURANCE COMPANY OF AMERICA:
"Article V, Section 13. - FIDELITY AND SURETY BONDS... the President, any Vice President, the Secretary, and any Assistant Vice
President appointed for that purpose by the officer in charge of surety operations, shall each have authority to appoint individuals as
attomeys-in-fact or under other appropriate titles with authority to execute on behalf of the company fidelity and surety bonds and
other documents of similar character issued by the company in the course of its business... On any instrument making or evidencing
such appointment, the signatures may be affixed by facsimile. On any instrument conferring such authority or on any bond or
undertaking of the company, the seal, or a facsimile thereof, may be impressed or affixed or in any other manner reproduced;
provided, however, that the seal shall not be necessary to the validity of any such instrument or undertaking."
Extract from a Resolution of the Board of Directors of SAFECO INSURANCE COMPANY OF AMERICA
and of GENERAL INSURANCE COMPANY OF AMERICA adopted July 28, 1970.
"On any certificate executed by the Secretary or an assistant secretary of the Company setting out,
(I) The provisions of Article V, Section 13 of the By-Laws, and
(ii) A copy of the power-of-attorney appointment, executed pursuant thereto, and
(iii) Certifying that said power-of-attomey appointment is in full force and effect,
the signature of the certifying officer may be by facsimile, and the seal of the Company may be a facsimile thereof."
I, Dexter R. Legg Secretary of SAFECO INSURANCE COMPANY OF AMERICA and of GENERAL INSURANCE COMPANY
OF AMERICA, do hereby certify that the foregoing extracts of the By-Laws and of a Resolution of the Board of Directors of these
corporations, and of a Power of Attorney issued pursuant thereto, are true and correct, and that both the By-Laws, the Resolution and the
Power of Attorney are still in full force and effect.
IN WITNESS WHEREOF, 1 have hereunto set my hand and affixed the facsimile seal of said corporation
NOV 2 4 2009
this day of
CORPMATE
a 1953.~wt raze
~~IRSM"'lof~
S-09741DS 3109-
SEAL ~ W SEAL
~X* R.kjj
Dexter R. Legg, Secretary
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