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Bidder: Minco Construction CITY OF ROSEMEAD ROSEMEAD PARK PEDESTRIAN LIGHTING PROJECT PROJECT No. 43006 CONTRACT BID FORMS Minako America Corporation BIDDER: dba Minco Construction CONTRACT BID FORMS TABLE OF CONTENTS SECTION I BID SCHEDULE 1 -4 SECTION 2 BID DATA FORMS 2.A BID BOND 6 2.B LIST OF PROPOSED SUBCONTRACTORS 7-8 2.0 BID BOND 9 SECTION 3 NON-COLLUSION AFFIDAVIT 10- 11 Minako America Corporation BIDDER: dba Minco Construction SECTION 1 - BID SCHEDULE, CBF- 1 Minako America Corporation BIDDER: dba Minco Construction BID SCHEDULE SCHEDULE OF PRICES FOR ROSEMEAD PARK PEDESTRIAN LIGHTING PROJECT PROJECT No.43006 BASE BID SCHEDULE UNIT OF EST. UNIT ITEM NO. ITEM DESCRIPTION MEASURE QTY. PRICE COST 1 Clearing &Grubbing per plans LS 1 and specifications. See technical 3 o a° 3 d o-0 provisions TP-2&TP-3. 2 Disposal of Waste Materials. LS 1 30de 3 Install Pedestrian Lighting LS 1 including electrical conduit, foundations,wiring and 5 31 0O° 5 31a ev appurtenances per plans and specifications complete. TOTAL BASE BID PRICE(SCHEDULE BID PRICE):$ 5 3 7f 003 . 00 FryeliG.v,drcd.i -s<cum�i+cuoand cutel OXBa 0° ROCS 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. 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. The undersigned agrees that these Contract Bid Forms constitute a firm offer to the Owner which cannot be withdrawn for the number of Working Days indicated In the Notice Inviting Bids from and after the bid opening date,or until a Contract for the Work is fully executed by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 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. Attached hereto is a crating check, a cashier's check or a bid bond in the amount of 10%oI Ne Tots Bid Price Dollars($ Toldt Bid Pries)said amount being not less than ten percent(10%)of the Total CBF-2 Minako America Corporation BIDDER: dba Minco Construction Bid Price. The undersigned agrees that said amount shall be retained by the Owner if,upon award, we fall 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 contractors 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 of five hundred dollars($500.00)if prolect is not completed in FORTY-FIVE(45)calendar days.The Contract Time will begin to run ten(10)Working Days from the date of the Notice of Proceed 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 necessary bonds and accept the Total Bid Price as compensation in full for all Work under the contract. CBF-3 Minako America Corporation BIDDER: dba Minco Construction SII By: _ ,�_ 522 E Airline Way, Sign-tura Business Street Address Refaat H M na Gardena, CA 90248 Type or P iv me City, State and Zip Code President (310) 516-8100 Title Telephone Number 02/01/17 Date Bidders/Contractor's State of Incorporation: CA Partners or Joint Venturers: N/A Bidders License Number(s): 612429 Department Industrial Relations Registered No.: 1000002728 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 Bidden,Bidder will be required to provide evidence that the person signing on behalf of the corporation, partnership or joint venture has the autho_yt to do so. CBF-4 Minako America Corporation BIDDER: dba Minco Construction • SECTION 2 BID DATA FORMS CBF- 5 Bond No.. CMGB0000508 Minako America Corporation BIDDER: dba: Minco Construction Bidder shell submit Its Bid data M accordance with the format shown on each of the foWwTrp Bid Date Foams. Bidders shall prepare and use a many sheets acre nsonsaryto adagwblyprovide the In?onnation reputed. Bidder shall ensure that every page of its Bid Data Forms we properly identified with the Bidder's mama and page number. 2A MUM KNOW ALL MEN BY THESE PRESENTS: THAT Minako America Corporation dba Minco Construction es Principal, and Argonaut 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 Greatest Amount Bid DOLLARS (E 10% of GAB. ), being not less than ten percent(10%)of the Total Bid Price:for the payment of which sum WIN and buy 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 ROSEMEAD PARK PEDESTRIAN LIONTINO PROJECT a set forth In the Notice Inviting Bids and accompanying Bid Documents, dated February 1st, 2017 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 obegation shat 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 30th day of January 2017 Minako America Corporation dba: Minco Co,aructio' (SEAL) Ar•onaut Insuranc Company(SEAL) EI ,1,1 Pdrxcipali Surety L.�?_llrl S"nature ', FAAT/f tnNR Sign- ` I Ha Grady,Attorney-In-Fact f CBE-6 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§1189 :rcerc,:aceercoccarcr..:secte xmc:ecr..rT.x—xx-rnereercceresx- cr tec,rsr rcrcfm.Msvtr..�,r.M..< A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California ) County of LOS ANGELES _ ) On JAN 3 0 2017 before me, SHIRLEY GIGGLES, NOTARY PUBLIC , Date Here Insert Name and Title of the Officer personally appeared GABRIELLA GRADY 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 _ SHIRLEY GIGGLES of the State of California that the foregoing paragraph Notary Public •California is true and correct. I l loo Angeles County n WITNESS my hang r d official seal. CD mission u 2163817 - rwCommfomm Fx[! SCD I7 � ' ""..-"—c .—rte..,.., _ , g20Signa g - VSA ' v Sig `hof 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): 11 Partner — I Limited General Partner — Limited General Individual f Attorney in Fact Individual Attorney in Fact H Trustee I Guardian or Conservator .Trustee Guardian or Conservator H Other: Other: Signer Is Representing: Signer Is Representing: xxxxxr 3RR.Zrar G'aC• ?'cara Z y,,sreorlarr r;cower"4wo ccrff'C eL , ©2014 National Notary Association• www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 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 at that document. State of California County of Los Angeles On FEB 01, 2017 before me, Raffi Varooj Thomassian, Notary Public Date Here Insert Name and Title of the Officer personally appeared Refaat H Mina Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(e) whose name(e) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/ker/thek authorized capacity(iee), and that by his/her/their signature(s)on the instrument the person(e), 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. RAFF I VAPOOJ THOMASSIAN [ WITNESS my hand and official seal. Notary Public California •`•`-n: Las Angeles County z q� Q z % Commission M 2152450 -- Signature ^�',///J�'/�V l tO/.UGI.�ICL. -_ MI Comm.Eaoim Ma412,2020E `Signature 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: 0 Corporate Officer — Title(s): 0 Corporate Officer — Title(s): D Partner — 0 Limited 0 General 0 Partner — D Limited D General 0 Individual 0 Attorney in Fact 0 Individual 0 Attorney in Fact 0 Trustee 0 Guardian or Conservator 0 Trustee D Guardian or Conservator ❑Other: 0 Other: Signer Is Representing: Signer Is Representing: ©2014 National Notary Association w w www.NationalNotary.org ••„1-800-US NOTARY(1-800-876-6827) Item #5907 Bond#CMGB0000508 Argonaut Insurance Company Deliveries Only: 225 W. Washington, 24th Floor Chicago, IL 60606 United States Postal Service: P.O. Box 469011, San Antonio, TX 78246 POWER OF ATTORNEY KM Al'OAl.I MEN BY THFSF PRESENTS. That the Argonaut Insurance Company.a Corporation duly organized and existing under the lays of the State Of Illinois and having us principal office in the County of Cook.Illinois does herehv nominate-constitute and appoint. Gabriella Grad',Shit()Lee Losino Stephanie Hope Shear Their true and lawful agent(s)and attorneatal-m-fact.each in then separate capacity if more than one is named above,to make,execute,seal and duly cr lot and on its behalf as surety,and as its act and deed any and all bonds contracts-agrcements of indemnity and other undGtakings m sures ship piwaded howucr-that the penal sum of any one such instrument executed hereunder shall not exceed the sum of $10 00000000 Ibis Power of Attorney is granted and is signed and sealed under and by the outhorits of the following Resolution adopted h}the Board of Direetora of Argonaut Insurance Company "RESOI.VEIJ l hat the President Senior Vice President-Vice President,Assistant Vice President,Seen:tar, treasurer and each of them hereby is authorized to exec me po of attorney.and such authority can be executed Ince of facsimile signature.which may be anested or acknowledged by any ulficer anoint:), of theCompany-qual ih-ing the attomev or attorneysmed in the given power of attorney execute in behalf of.and acknowledge as the act and deed of the Argonaut Insruuike Compairy.all bond undertakings and contracts of suretyship.and to affix the corporate seal thereto." IN WITNESS II'IIERLOF,Argonaut Insurance Company has caused its official seal to be hereunto affixed and these presents to he signed b>its dul' authorized officer on the I Nth da'of lids 20 I3. •••o., Brgo'ant Insurance Curpany fl. e 8T: .L_ :°;SEAL:=_ 1,48 et by Joshua C.Betz Senior Vice President STATE OP TEXAS ('01 N I Of I IARRIS SS. On this I nth day ofJul>.2011 A D.,before me,a Notary Public of the State of texas in in'and for the Cowry of Ilanisduly commissioned and qualified. came CHF ABOVE OFFICER OF THE COMPANY to me personally knower to be the individual and olTocr described inand who executed the preceding instniment and he acknowledged the execution of sans and being In me duly hVAIrli-deposed and said hat he is the officer of the said Company aforesaid and that the seal affixed to the preceding instrument is the Corporate Seal of said Coupons:and the said Cotpomle Seal and his signature as officer were duly affixed and subscribed to the said instrument h'the authority and direction of the said cunwotationand that Resolution adopted by the Board of Directors of said Company referied to in the preceding instrument is nm'In toll(' IN TES IIMONY WHEREOF.I hate hereunto set nn hand and affixed my Official Seal at the County of I Inrris,the day and wear first ribose written F%A NOTARY PUBLIC YYI.`TYLwaah ^� STATE OF TEXAS Zo MY COMM.LEP 07E5-2017 i Navy Public I the undersigned Offimr of the Argonaut Insurance Company-Illinois Corporation do hereby certify that the original POWER OF ATI t1RNEY of which the foregoing Is a full,cora and cone¢copy is still in lull force and Meet and has not been reyokel. IN WITNESS WHEREOF.I hate hereunto set myhand,and affixed the Seal of said Cotnpan> on the 30th day of January .2017 �oC``°u0M3?Fa_ °SEAL"` -5 ! t . a.� %((i., .... Sarah Heineman, VP-Ilnderwntine Surety 'f111S DOCIINESI IS NOT VALID UNLESS THE WORMS ARGO POWER OF A'TONNES ARE IN BLUE.IF Y OI MANE QU ES'I'IONS ON AUTHENTICITY OF THIS DOCUMENT CAI.1.(210)321-R400. Minako America Corporation BIDDER: dba Minco Construction 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,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 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-7 Minako America Corporation BIDDER: dba Mince Construction 2.B LIST OF PROPOSED SUBCONTRACTORS(continued) r'oWiate Next Pages needed for listing additional wbamnMo2"I Name and Location Description of Work of Subcontractor to be Subcontracted Name: Address: License No.: Department of Industrial Relation Registration No. Name and Location Description of Work of Subcontractor to be Subcontracted Name: Address: License No.: Department of Industrial Relation Registration No. Name and Location Description of Work of Subcontractor to be Subcontracted Name: Address: License No.: Department of Industrial Relation Registration No. Name and Location Description of Work of Subcontractor to be Subcontracted Name: Address: License No.: Department of Industrial Relation Registration No. Name and Location Description of Work of Subcontractor to be Subcontracted Name: Address: License No.: Department of Industrial Relation Registration No. CBF-8 Minako America Corporation BIDDER: dba Minco Construction 2.0 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. Compton Community College District,1111 E. Artesia Blvd., Compton 90221 Name and Address of Owner Linda Owens , (310) 900-1600 x2606 Name and telephone number of person familiar with project $10,594,225.23 Utilities Infrastructure Project, Electrical, Lighting 04/30/15 Contract amount Type of Work Date Completed 2, San Bernardino Community College District 114 South Del Rosa Drive San Bernardino, CA 92408 Name and Address of Owner Xavier Rene Adrian, (714)278-4499 Name and telephone number of person familiar with project $4,614079.51 Construction New building Complex, Lighting 02/01/15 Contract amount Type of Work Date Completed 3. El Camino College District, 16007 Crenshaw Blvd., Torrance, CA 90506 Name and Address of Owner Hanson Yu, (213)430 4660 Name and telephone number of person familiar with project $2,012,037.00 Parking Lot Lighting 8 Security Upgrades 03/01/13 Contract amount Type of Work Date Completed 4. La Habra City School District, 500 N Walnut St, La Habra, CA 90631 Name and Address of Owner David Decker, (562)690-2305 Name and telephone number of person familiar with project $474,493.10 Construction of 4000 square feet courtyards for elementary school 01/24/14 Contract amount Type of Work Date Completed CBF-9 Minako America Corporation BIDDER: dba Minco Construction SECTION 3 NON-COLLUSION AFFIDAVIT CBF- 10 Minako America Corporation BIDDER: dba Minco Construction 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,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. Si ef a R Refs- a Typ=• nnted Name Pre t TitleW Minako America Corporation dba Minco Construction Bidder Subscribed and sworn before me This_day of "Please see notary attached" , 20 (Seal) Notary Public in and for the State of California My Commission Expires: CBF- 11 CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE§8202 ©See Attached Document (Notary to cross out lines 1-6 below) ❑See Statement Below (lines 1-6 to be completed only by document signer[s],not Notary) Signature of Document Signer No. I 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 (v affir—sd) before me County of Los Angeles on this 1st day of FEB , 2017 , by Date Month Year (1)Refaat H Mina RAFEI VAROOJ TNOMASSIAN E {0 d (2) ), 1 Notary Public-California [ Name(*) of Signer(a) <E$§ vLos Angeles County i z ) Commission♦2152450 ' proved to me on the basis of satisfactory evidence ;_ M/Comm.EEis Hai 12.2020; to be the "pp1eerrs/oo�,(n((sss) who appeared before me. Signature 4 S Ventral//c0N ignature 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: NON-COLLUSION AFFIDAVIT Document Date: 02/01/17 Number of Pages: One Signer(s)Other Than Named Above: No Other Signers ©2014 National Notary Association• H www.NationalNotary.org org 1-800-US NOTARY(1-800-876-6827) Item#5910 RESOLUTION OF MINAKO AMERICA CORPORATION DBA '... MINCO CONSTRUCTION Whereas, the Board of Directors of Minako America Corporation convened on November 1, 2004; and Whereas, by unanimous vote authorized Refaat Mina, as President and Secretary of the corporation,to sign on behalf of the corporation. RESOLVED, that the Chairman of the Board, the President and any Vice President of the corporation be, and that each of them hereby is, authorized to execute any and all documents necessary for the transaction of corporate business, including but not limited to contracts, bonds, leases, loans and documents of title; and that said officers and the corporation agree to be bound by the execution of any obligations executed by said officers. IN WITNESS WHEREOF, Minako America Corporation, dba, Minco Construction, has caused these presents to be signed by its respective President and attested by its Secretary this 1"day of November, 2004. / / yYWvti •eft, ina,President ATTEST: / a 'efaat a, Secretary 15 - 112913 State of California .S- Secretaryof State OJr ale; 5r (-4=1, Statement of Information (Domestic Stock and Agricultural Cooperative Corporations) x) FILED FEES(Filing and Disclosure):$25.00. Secretary of State If this is an amendment,see instructions. State of California IMPORTANT—READ INSTRUCTIONS BEFORE COMPLETING THIS FORM 1. CORPORATE NAME SEP 08 2015 MINAKO AMERICA CORPORATION 522 E. AIRLINE WAY GARDENA CA 90248 2. CALIFORNIA CORPORATE NUMBER AT2$(CCF C2482226 This Space for Filing Um Only No Change Statement (Not applicable if agent address of record is a P.O.Box address. See instructions.) a If there have been any changes to the information contained In the last Statement of Information filed with the California Secretary of State,or no statement of information has been previously filed,this form must be completed in its entirety. O If there has been no change in any of the information contained in the last Statement of Information filed with the California Secretary of State,check the box and proceed to Item 17. Complete Addresses for the Following (Do not abbreviate the name of the city. Items 4 and 5 cannot be P.O.Boxes.) 4. STREET ADDRESS OF PRINCIPAL EXECUTIVE OFFICE CITY STATE ZIP CODE 522 E.AIRLINE WAY GARDENA CA 90298 GARDENA CA 90248 5. STREET ADDRESSOF PRINCIPAL BUSINESS OFFICE IN CALIFORNIA.IF ANY CITY STATE ZIP CODE 522 E.AIRLINE WAY GARDENA CA 90298 GARDENA CA 90248 6 MAILING ADDRESS OF CORPORATION,IF DIFFERENT THAN ITEM 4 CITY STATE ZIP CODE Names and Complete Addresses of the Following Officers (The corporation must list these three officers. A comparable title ler the specific officer may be added;however,the preprinted lilies on this form must not be altered.) T. CHIEF EXECUTIVE OFFICER/ ADDRESS CITY STATE ZIP CODE REFAAT H MINA 522 E AIRLINE WAY GARDENA CA 90298 B SECRETARY ADDRESS CITY STATE ZIP CODE REFAAT H MINA 522 E AIRLINE WAY GARDENA CA 90298 9, CHIEF FINANCIAL OFFICER/ ADDRESS CITY STATE ZIP CODE REFAAT H MINA 522 E AIRLINE WAY GARDENA CA 90298 Names and Complete Addresses of All Directors, Including Directors Who are Also Officers (The corporation must have at feast one director. Attach additional pages.if necessary.) 10. NAME ADDRESS CITY STATE ZIP CODE REFAAT H MINA 522 E AIRLINE WAY GARDENA CA 90248 I1. NAME ADDRESS CITY STATE ZIP CODE 12 NAME ADDRESS CITY STATE ZIP CODE IS NUMBER OF VACANCIES ONTHE BOARD OF DIRECTORS,IF ANY: Agent for Service of Process If the agent is an individual,the agent must reside in California and Item 15 must be completed with a California street address,a P.O. Box address is not acceptable. If the agent is another corporation,the agent must have on file with the California Secretary of State a cenificale pursuant to California Corporations Code section 1505 and Item 15 must be left blank. 14. NAME OF AGENT FOR SERVICE OF PROCESS REFAAT Fl MINA 15. STREET ADDRESS OF AGENT FOR SERVICE OF PROCESS IN CALIFORNIA,IF AN INDIVIDUAL CITY STATE ZIP CODE 522 E AIRLINE WAY CA 90298 Type of Business IS. DESCRIBE THE TYPE OF BUSINESS OF THE CORPORATION CONSTRUCTION q IT, BY SUBMITTING THIS STATEMENT OF INFORMATION TO THE CALIFORNIA SECRETARY OF STATE, H CORPO ION RTIFIES THE INFORMATION CONTAINED HEREIN,INCLUDING ANY ATTACHMENTS IS TRUE AND CORRECT 08/28/2015 REFAAT H MIA PRESIDENT �i'�il DATE TYPE/PRINT NAME OF PERSON COMPLETING FORM TITLE ( SIGNATURE 51700(REV 011201)) F APPROVED BY SECRETARY OF STATE � / 1 dCONTAICTORS a OCa STATE LICENSE BOARD Ix _ —•••••--^— - ACTIVE LICENSE I 612429 I_ CORP ._..,.... MINAKO AMERICA CORPORATION DBA MINCO CONSTRUCTION ,e..,,,A 6 C-7 C10 .0..,0. 09/30/2018 www.cslb.ca.gov ©- 0 ,t2 Io Fa in 2 < V 0 E 2 fr 8 � 8 0 0 0 6 ll E < z" E