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2100 - Concept Consultant Inc. - Garvey Park Restroom Renovation Project you 4is . •-i:,r,/o/.-cA'.f11.G20mD2d0eN01049ic485 MM� ii� �r� lIll1101I111111n11IrI ���s l °off: aff wE1o =0o � R �sro,rzoA.o, o.AMA A �o.� FEES: 0.00 TAXES: 0.00 OTHER: 0.00 PAID: 0.00 III I IIIIIIIIIIIIIIIIII I I IIflII 1111111 I lII H lllI II I I III N0 LEADS EET Il I I III I lI 1101 II lIlI UI II 111111 1111111 II I Ill III 202009032850006 00018812732 111 I 11 II 01911111I1111111131111 II 101111 SEQ: 02 illamiEomiiuHuii1111 1111111 111110 11111 11111 lit 111111 � ill I lilt III 1111111101111111111101 III 111111111111111111111111111111111 Iii A RECORDING REQUESTED BY • CITY OF ROSEMEAD 18812732 II MIIIII AND WHEN RECORDED MAIL TO: IIII 11 1113 BattI chh NumNumber: 111122813 Name City of Rosemead 111111 II 11IIIIIIIIIIIIIIIIIIIIII II Street Address 8838 E. Valley Blvd. City&State Rosemead, CA 91770 ATTN: CITY CLERK SPACE ABOVE THIS LINE FOR RECORDER'S USE Notice of Completion Notice is hereby given that: 1. The undersigned is owner of the interest or estate stated below in the property hereinafter described. 2. The full name of the undersigned is: City of Rosemead 3. The full address of the undersigned is: 8838 E.Valley Blvd., Rosemead, CA 91770 4. The nature of the title of the undersigned is: In fee (If other than fee,strike"In fee"and insert,for example,"purchaser under contract of purchase",or"lessee") 5. The full names and full addresses of all persons, if any,who hold title with the undersigned are: Names Addresses N/A N/A 6. The names of the predecessors in interest of the undersigned, if the property was transferred subsequent to the commencement of the work of improvement herein referred to: Names Addresses N/A N/A (If no transfer made,insert,"none".) 7. A work of improvement on the property hereinafter described was completed on: June 5, 2020 8. The name of the contractor, if any for such work of improvement was: Concept Consultant, Inc. 9. The property on which said work of improvement was completed is in the City of Rosemead County of Los Angeles , State of California, and is described as follows: Garvey Park Restroom Renovation Project 10. The street address of said property is: as listed in No. 9 (If no street address has been officially assigned,insert"none") Signature of /Z5-6 � owner named Dated: 0 U in paragraph 2: Chris to Director of Public Works By: City of Rosemead I certify(or declare) under penalty of perjury that the foregoing is true and correct. ( / 7-51—t07 0 6 - Date Chris Director of Public Works City of Rosemead, California Rosemead, CA Place of Execution CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 as a - a - a - 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 44VV Jl On r_ L5, 2-11t0 before me, \ kk"\fO'1 099 ' WUUC Date Here Insert Name and Title of the Officer personally appeared ,1/ I• Names)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person/whose name is/ere subscribed to the within instrument and acknowledged to me that he/chc/thcy executed the same in his iter4t—'- authorized capacityand that by his/K.r/ll signature( 'on the instrument the persona), or the entity upon behalf of which the personV acted, executed the instrument. NATALIE HAWORTH I certify under PENALTY OF PERJURY under the r` Notary Public•California laws of the State of California that the foregoing County z .• _' Los Angeles oun paragraph is true and correct. ;-4,;,-0,,;.• Commission N 2272060 °. My Comm.Expires Dec 20,2022 WITNESS my hand and official seal. WO .r Signature �( Place Notary Seal and/or Stamp Above Signature _ Notary Public OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Docu n (�,\ '''l Title or Type of Document: � W �\a ,`vV\ Document Date: 6125 Zco Number of Pages: Signer(s) Other Than Named Above: IA Capacity(ies) Claimed by Signer(s) Signer's Name: _ Signer's Name: ❑ Corporate Officer—Title(s): 0 Corporate Officer—Title(s): ❑ Partner— 0 Limited 0 General 0 Partner— 0 Limited 0 General ❑ Individual 0 Attorney in Fact 0 Individual 0 Attorney in Fact ❑ Trustee 0 Guardian of Conservator 0 Trustee 0 Guardian of Conservator ❑ Other: 0 Other: Signer is Representing: Signer is Representing: ©2017 National Notary Association - . E M r 1. 5 F 9 O c2 07� (CIVIC PRID. ' L„ 6 1-_ ,•rte�• ,NCDRPORATED A09 CONSTRUCTION CONTRACT GARVEY PARK RESTROOM 111 �gRENOVATION PROJECT ri i /r 1. PARTIES AND DATE This Contract is made and entered into this B day of ® A92r , 20 VI (Effective Date) by and between the City of Rosemead, a municipal corporation of the State of California, located at 8838 E. Valley Blvd., Rosemead, California 91770, ("City") and Concept Consultant, Inc. with its principal place of business at 1220 Manning Avenue, Los Angeles, CA 90024 (hereinafter referred to as "Contractor"). City and Contractor are sometimes individually referred to as "Party" and collectively as "Parties" in this Contract. 2. RECITALS 2.1 Contractor Contractor desires to perform and__assume responsibility for the Garvey Park Restroom Renovation Project by the City on the terms and conditions set forth in this Contract. Contractor represents that it is experienced in providing such work services to public clients, that it and its employees or subcontractors have all necessary licenses and permits to perform the Services in the State of California, and that is familiar with the plans of City. 2.2 Project City desires to engage Contractor to render such services described herein as Project ("Project") as set forth in this Contract. 3. TERMS 3.1 Scope of Services and Term 3.1.1 General Scope of Services. Contractor promises and agrees to furnish to the City all labor, materials, tools, equipment, services, and incidental and customary work ` necessary to fully and adequately supply the professional construction services necessary for the Project ("Services"). The Services are more particularly described in Exhibit "A" attached hereto and incorporated herein by reference. All Services shall be subject to, and performed in accordance with, this Contract, the exhibits attached hereto and incorporated CONCEPT CONSULTANTS, INC. Page 2of11 herein by reference, and all applicable local, state and federal laws, rules and regulations. 3.1.2 Term. The term of this Contract shall be from Effective Date shown above to June 30, 2020 unless earlier terminated as provided herein. Contractor shall complete the Services within the term of this Contract, and shall meet any other established schedules and deadlines. The Parties may, by mutual, written consent, extend the term of this Contract if necessary to complete the Services. 3.2 Responsibilities of Contractor. 3.2.1 Control and Payment of Subordinates; Independent Contractor. The Services shall be performed by Contractor or under its supervision. Contractor will determine the means, methods and details of performing the Services subject to the requirements of this Contract. City retains Contractor on an independent contractor basis and not as an employee. Contractor retains the right to perform similar or different services for others during the term of this Contract. Any additional personnel performing the Services under this.Contract on behalf of Contractor shall also not be employees of City and shall at all times be under Contractor's exclusive direction and control. Contractor shall pay all wages, salaries, and other amounts due such personnel in connection with their performance of Services under this Contract and as required by law. Contractor shall be responsible for all reports and obligations respecting such additional personnel, including, but not limited to: social security taxes, income tax withholding, unemployment insurance, disability insurance, and workers' compensation insurance. 3.2.2 Schedule of Services: Contractor shall perform the Services expeditiously, within the term of this Contract, and within the schedules timeline. Contractor represents that it has the professional and technical personnel required to perform the Services in conformance with such conditions. In order .to facilitate Contractor's conformance with the Schedule, City shall respond to Contractor's submittals in a timely manner. Upon request of City, Contractor shall provide a more detailed schedule of anticipated performance to meet the Schedule of Services. 3.2.3 Conformance to Applicable Requirements. All work prepared by Contractor shall be subject to the approval of City. 3.2.4 City's Representative. The City hereby designates the Director of Public Works, Chris Daste, or his designee, to act as its representative for the performance of this Contract ("City's Representative"). City's Representative shall have the power to act on behalf of the City for all purposes under this Contract. Contractor shall not accept direction or orders from any person other than the City's Representative or his or her designee. 3.2.5 Contractor's Representative. Contractor hereby designates Mr. Nick Sammadi, or his designee, to act as its representative for the performance of this Contract ("Contractor's Representative"). Contractor's Representative shall have full authority to represent and act on behalf of the Contractor for all purposes under this Contract. The Contractor's Representative shall supervise and direct the Services, using his/her best skill and attention, and shall be responsible for all means, methods, techniques, sequences and procedures and for the satisfactory coordination of all portions of the Services under this CONCEPT CONSULTANTS, INC. Page 3 of 11 Contract. 3.2.6 Coordination of Services. Contractor agrees to work closely with City staff in the performance of Services and shall be available to City's staff, consultants and other staff at all reasonable times. 3.2.7 Standard of Care; Performance of Employees. Contractor shall perform all Services under this Contract in a skillful and competent manner, consistent with the standards generally recognized as being employed by professionals in the same discipline in the State of California. Contractor represents and maintains that it is skilled in the professional calling necessary to perform the Services. Contractor warrants that all employees and subcontractors shall have sufficient skill and experience to perform the Services assigned to them. Finally, Contractor represents that it, its employees and subcontractors have all licenses, permits, qualifications and approvals of whatever nature that are legally required to perform the Services, including a City Business License if applicable, and that such licenses and approvals shall be maintained throughout the term of this Contract. As provided for in the indemnification provisions of this Contract, Contractor shall perform, at its own cost and expense and without reimbursement from the City, any services necessary to correct errors or omissions which are caused by the Contractor's failure to comply with the standard of care provided for herein. Any employee of the Contractor or its sub-contractors who is determined by the City to be uncooperative, incompetent, a threat to the adequate or timely completion of the Project, a threat to the safety of persons or property, or any employee who fails or refuses to perform the Services in a manner acceptable to the City, shall be promptly removed from the Project by the Contractor and shall not be re-employed to perform any of the Services or to work on the Project. 3.2.8 Laws and Regulations. Contractor shall keep itself fully informed of and in compliance with all local, state aind federal laws, rules and regulations in any manner affecting the performance of the Project or the Services, including all Cal/OSHA, AQMD requirements, and shall give all notices required by law. Contractor shall be liable for all violations of such laws and regulations in connection with Services. If the Contractor performs any work knowing it to be contrary to such laws, rules and regulations and without giving written notice to the City, Contractor shall be solely responsible for all costs arising therefrom. Contractor shall defend, indemnify and hold City, its officials, directors, officers, employees and agents free and harmless, pursuant to the indemnification provisions of this Contract, from any claim or liability arising out of any failure or alleged failure to comply with such laws, rules or regulations. 3.2.9 Insurance: Contractor shall maintain, prior to the beginning of and for the duration of this Contract, insurance coverage as specified in Exhibit B attached to and part of this Contract. 3.2.10 Safety. Contractor shall execute and maintain its work so as to avoid injury or damage to any person or property. In carrying out its Services, the Contractor shall at all times be in compliance with all applicable local, state and federal laws, rules and regulations, and shall exercise all necessary precautions for the safety of employees appropriate to the nature of the work and the conditions under which the work is to be CONCEPT CONSULTANTS, INC. Page 4 of 11 performed. Safety precautions as applicable shall include, but shall not be limited to: (A) adequate life protection and life saving equipment and procedures; (B) instructions in accident prevention for all employees and subcontractors, such as safe walkways, scaffolds, fall protection ladders, bridges, gang planks, confined space procedures, trenching and shoring, equipment and other safety devices, equipment and wearing apparel as are necessary or lawfully required to prevent accidents or injuries; and (C)adequate facilities for the proper inspection and maintenance of all safety measures. 3.2.11 Prevailing Wages. Contractor is aware of the requirements of California Labor Code Section 1720, et seq., and 1770, et seq., as well as California Code of Regulations, Title 8, Section 1600, et seq., ("Prevailing Wage Laws"), which require the payment of prevailing wage rates and the performance of other requirements on "public works" and "maintenance" projects. If the Services are being performed as part of an applicable"public works"or"maintenance"project, as defined by the Prevailing Wage Laws, and if the total compensation is$1,000 or more, Contractor agrees to fully comply with such Prevailing Wage Laws. City shall provide Contractor with a copy of the prevailing rates of per diem wages in effect at the commencement of this Contract. Contractor shall make copies of the prevailing rates of per diem wages for each craft, classification or type of worker needed to execute the Services available to interested parties upon request, and shall post copies at the Contractor's principal place of business and at the project site. Contractor shall defend, indemnify and hold the City, its elected officials, officers, employees and agents free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. 3.2.12 Bonds. 3.2.12.1 Performance Bond: If specifically requested by City, Contractor shall execute and provide to City concurrently with this Contract a Performance Bond in the amount of the total, not-to-exceed compensation indicated in this Contract, and in a form provided or approved by the City. If such bond is required, no payment will be made to Contractor until it has been received and approved by the City. 3.2.12.2 Payment Bond. If required by law or otherwise specifically requested by City, Contractor shall execute and provide to City concurrently with this Contract a Payment Bond in the amount of the total, not-to-exceed compensation indicated in this Contract, and in a form provided or approved by the City. If such bond is required, no payment will be made to Contractor until it has been received and approved by the City. 3.2.12.3 Bond Provisions. Should, in City's sole opinion, any bond become insufficient or any surety be found to be unsatisfactory, Contractor shall renew or replace the affected bond within 10 days of receiving notice from City. In the event the surety or Contractor intends to reduce or cancel any required bond, at least thirty(30) days prior written notice shall be given to the City, and Contractor shall post acceptable replacement bonds at least ten (10) days prior to expiration of the original bonds. No further payments shall be deemed due or will be made under this Contract until any replacement bonds required by this Section are accepted by the City. To the extent, if any, that the total compensation is increased in accordance with the Contract, the Contractor shall, upon request of the City, cause the amount of the bonds to be increased accordingly and shall • CONCEPT CONSULTANTS, INC. Page 5 of 11 promptly deliver satisfactory evidence of such increase to the City. To the extent available, the bonds shall further provide that no change or alteration of the Contract (including, without limitation, an increase in the total compensation, as referred to above), extensions of time, or modifications of the time, terms, or conditions of payment to the Contractor, will release the surety. If the Contractor fails to furnish any required bond, the City may terminate this Contract for cause. 3.2.12.4 Surety Qualifications. Only bonds executed by an admitted surety insurer, as defined in Code of Civil Procedure Section 995.120, shall be accepted. The surety must be a California-admitted surety with a current A.M. Best's rating no less than A:Vlll and satisfactory to the City. If a California-admitted surety insurer issuing bonds does not meet these requirements, the insurer will be considered qualified if it is in conformance with Section 995.660 of the California Code of Civil Procedure, and proof of such is provided to the City. 3.3 Fees and Payments. 3 .. p it� p$ � kEce`e"doh er 3.3 1 Compensation. Th�''e��o alco �nsat�ion sh211f na die# 11rty �� e �. o a E M !r dry in µoar ( 3x33:8 :0,0 w mad e, written 1a'plr uo, 'ter' 9 rarec agera Extra Work may be authorized, as described below, and if authorized, will be compensated at the rates and manner set forth in this Contract. 3.3.2 Payment of Compensation. Contractor shall submit to City a monthly itemized statement that indicates work completed and hours of Services rendered by Contractor. The statement shall describe the amount of Services and supplies provided since the initial commencement date, or since the start of the subsequent billing periods, as appropriate, through the date of the statement. City shall, within 45 days after receiving such statement, review the statement and pay all approved charges. The payments will be subject to a 5% retention amount,which would be released and paid after all work under the Contract has been satisfactorily completed, and 35 days after a Notice of Completion is filed with the County of Los Angeles. 3.3.3 Reimbursement for Expenses. Contractor shall not be reimbursed for any expenses unless authorized in writing by City. 3.3.4 Extra Work. At any time during the term of this Contract, City may request that Contractor perform Extra Work. As used herein, "Extra Work"means any work that is determined by City to be necessary for the proper completion of the Project, but which the parties did not reasonably anticipate would be necessary at the execution of this Contract. Contractor shall not perform, nor be compensated for, Extra Work without written authorization from City's Representative. 3.4 Accounting Records. 3.4.1 Maintenance and Inspection. Contractor shall maintain complete and accurate records with respect to all costs and expenses incurred under this Contract. All such records shall be clearly identifiable. Contractor shall allow a representative of City CONCEPT CONSULTANTS, INC. Page 6 of 11 during normal business hours to examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Contract. Contractor shall allow inspection of all work, data, documents, proceedings, and activities related to the Contract for a period of three (3) years from the date offinal payment under this Contract. 3.5 General Provisions. 3.5.1 Termination of Contract. 3.5.1.1 Grounds for Termination. City may, by written notice to Contractor, terminate the whole or any part of this Contract at any time and without cause by giving written notice to Contractor of such termination, and specifying the effective date thereof, at least seven (7) days before the effective date of such termination. Upon termination, Contractor shall be compensated only for those services that have been adequately rendered to City, and Contractor shall be entitled to no further compensation. Contractor may not terminate this Contract except for cause. 3.5.1.2 Effect of Termination. If this Contract is terminated as provided herein, City may require Contractor to provide all finished or unfinished Documents and Data and other information of any kind prepared by Contractor in connection with the performance of Services under this Contract. Contractor shall be required to provide such document and other information within fifteen (15) days of the request. 3.5.1.3 Additional Services. In the event this Contract is terminated in whole or in part as provided herein, City may procure, upon such terms and in such manner as it may determine appropriate, services similar to those terminated. 3:5.2 Delivery of Notices. All notices permitted or required under this Contract shall be given to the respective parties at the following address, or at such other address as the respective parties may provide in writing for this purpose: CONTRACTOR: Concept Consultants, Inc. 1220 Manning Avenue, #13 Los Angeles, CA 90024 Attn: Nick Sammadi Tel: (310) 439-8516 CITY: City of Rosemead 8838 E. Valley Boulevard Rosemead, CA 91770 Attn: Chris Daste, Director of Public Works Such notice shall be deemed made when personally delivered or when mailed, forty-eight (48) hours after deposit in the U.S. Mail, first class postage prepaid and addressed to the party at its applicable address. Actual notice shall be deemed adequate notice on the date actual notice occurred, regardless of the method of service. CONCEPT CONSULTANTS, INC. Page 7of11 3.5.3 Cooperation; Further Acts. The Parties shall fully cooperate with one another, and shall take any additional acts or sign any additional documents as may be necessary, appropriate or convenient to attain the purposes of this Contract. 3.5.4 Attorney's Fees. If either party commences an action against the other party, either legal, administrative or otherwise, arising out of or in connection with this Contract, the prevailing party in such litigation shall be entitled to have and recover from the losing party reasonable attorney's fees and all other costs of such action. 3.5.5 Indemnification. Contractor shall defend, indemnify and hold the City, its officials, officers, employees, volunteers and agents free and harmless from any and all claims, demands, causes of action, costs, expenses, liability, loss, damage or injury, in law or equity, to property or persons, including wrongful death, in any manner arising out of or incident to any alleged acts, omissions or willful misconduct of Contractor, its officials, officers, employees, agents, consultants and contractors arising out of or in connection with the performance of the Services,the Project or this Contract, including without limitation the payment of all consequential damages and attorneys fees and other related costs and expenses. Contractor shall defend, at Contractor's own cost, expense and risk, any and all such aforesaid suits, actions or other legal proceedings of every kind that may be brought or instituted against City, its directors, officials, officers, employees, agents or volunteers. Contractor shall pay and satisfy any judgment, award or decree that may be rendered against City or its directors, officials, officers, employees, agents or volunteers, in any such suit, action or other legal proceeding. Contractor shall reimburse City and its directors, officials, officers, employees, agents and/or volunteers, for any and all legal expenses and costs incurred by each of them in connection therewith or in enforcing the indemnity herein provided. Contractor's obligation to indemnify shall not be restricted to insurance proceeds, if any, received by the City, its directors, officials, officers, employees, agents or volunteers. 3.5.6 Entire Contract. This Contract contains the entire Contract of the parties with respect to the subject matter hereof, and supersedes all prior negotiations and understandings. This Contract may only be modified by a writing signed by both parties. 3.5.7 Governing Law. This Contract shall be governed by the laws of the State of California. Venue shall be in Los Angeles County. 3.5.8 Time of Essence. Time is of the essence for each and every provision of this Contract. 3.5.9 City's Right to Employ Other Contractors. City reserves right to employ other contractors in connection with this Project. 3.5.10 Successors and Assigns. This Contract shall be binding on the successors and assigns of the parties. 3.5.11 Assignment or Transfer. Contractor shall not assign, hypothecate, or transfer, either directly or by operation of law,this Contract or any interest herein without the prior written consent of the City. Any attempt to do so shall be null and void, and any • CONCEPT CONSULTANTS, INC. Page 8 of 11 assignees, hypothecates or transferees shall acquire no right or interest by reason of such attempted assignment, hypothecation or transfer. 3.5.12 Construction; References; Captions. Since the Parties or their agents have participated fully in the preparation of this Contract, the language of this Contract shall be construed simply, according to its fair meaning, and not strictly for or against any Party. Any term referencing time, days or period for performance shall be deemed calendar days and not workdays. All references to Contractor include all personnel, employees, agents, and subcontractors of Contractor, except as otherwise specified in this Contract. All references to City include its elected officials, officers, employees, agents, and volunteers except as otherwise specified in this Contract. The captions of the various articles and paragraphs are for convenience and ease of reference only, and do not define, limit, augment, or describe the scope, content, or intent of this Contract. 3.5.13 Amendment; Modification. No supplement, modification, or amendment of this Contract shall be binding unless executed in writing and signed by both Parties. 3.5.14 Waiver. No waiver of any default shall constitute a waiver of any other default or breach, whether of the same or other covenant or condition. No waiver, benefit, privilege, or service voluntarily given or performed by a Party shall give the other Party any contractual rights by custom, estoppels, or otherwise. 3.5.15 No Third Party Beneficiaries. There are no intended third party beneficiaries of any right or obligation assumed by the Parties. 3.5.16 Invalidity; Severability. If any portion of this Contract is declared invalid, illegal, or otherwise unenforceable by a court of competent jurisdiction, the remaining provisions shall continue in full force and effect. 3.5.17 Prohibited Interests. Contractor maintains and warrants that it has not employed nor retained any company or person, other than a bona fide employee working solely for Contractor, to solicit or secure this Contract. Further, Contractor warrants that it has not paid nor has it agreed to pay any company or person, other than a bona fide employee working solely for Contractor, any fee, commission, percentage, brokerage fee, gift or other consideration contingent upon or resulting from the award or making of this Contract. For breach or violation of this warranty, City shall have the right to rescind this Contract without liability. For the term of this Contract, no member, officer or employee of City, during the term of his or her service with City, shall have any direct interest in this Contract, or obtain any present or anticipated material benefit arising therefrom. 3.5.18 Equal Opportunity Employment. Contractor represents that it is an equal opportunity employer and it shall not discriminate against any subcontractor, employee or applicant for employment because of race, religion, color, national origin, handicap, ancestry, sex or age. Such non-discrimination shall include, but not be limited to, all activities related to initial employment, upgrading, demotion, transfer, recruitment or recruitment advertising, layoff or termination. Contractor shall also comply with all relevant provisions of City's Minority Business Enterprise program, Affirmative Action Plan or other related programs or guidelines currently in effect or hereinafter enacted. CONCEPT CONSULTANTS, INC. Page 9 of 11 3.5.19 Labor Certification. By its signature hereunder, Contractor certifies that it is aware of the provisions of Section 3700 of the California Labor Code that require every employer to be insured against liability for Worker's Compensation or to undertake self- insurance in accordance with the provisions of that Code, and agrees to comply with such provisions before commencing the performance of the Services. 3.5.20 Authority to Enter Contract. Contractor has all requisite power and authority to conduct its business and to execute, deliver, and perform the Contract. Each Party warrants that the individuals who have signed this Contract have the legal power, right, and authority to make this Contract and bind each respective Party. 3.5.21 Counterparts. This Contract may be signed in counterparts, each of which shall constitute an original. 3.6 Subcontracting. 3.6.1 Prior Approval Required. Contractor shall not subcontract any portion of the work required by this Contract, except as expressly stated herein, without prior written approval of City. Subcontracts, if any, shall contain a provision making them subject to all provisions stipulated in this Contract. [SIGNATURES ON NEXT PAGE] CONCEPT CONSULTANTS, INC. Page 10 of 11 CITY OF ROSEMEAD CONCEPT CONSULTANTS, INC. J ,UCiL 10 at I\ By: � L� 2 �41i Gloria Molleda, City Manager D e '� Signature\z Date' , _ Name: ✓iii/______17/-:41',/ /9:1,9;ft Print Attest: / ."' Title: ` ./9.,?a„. xa• Ericka Hernandez, City Clerk ate ffI rMirir TIN®SM T1ES, P:esi eR ,ePoP Ea,L ®F I ge'LIII ED] Approved as to Form: A-) By: diL. / 14. w Ti 1 Rachel Richman, City Gierk Dae Name: S'hoU(71161 /0c-LAFe-4 ktb.0`4- 1 Title: geC� ejirc, J�- City of Rosemead,California Garvey Park Restroom Renovation Project,Project No.31017 Document Control Page 56 of 452 CITY OF ROSEMEAD GARVEY PARK RESTROOM RENOVATION PROJECT PROJECT No. 31017 P'AYME NT BOND } 3 • City of Rosemead,California Garvey Park Restroom Renovation Project,Project No.31017 Document Control Page 57 of 452 Bond No.WCN5419626 PAYMENT (MATERIAL& LABOR)BOND WHEREAS the CITY OF ROSEMEAD (hereinafter "Obligee") has awarded to Concept Consultant, Inc. (hereinafter "Contractor"), a contract for work consisting of but not limited to,furnishing all labor,materials,tools,equipment, services,and incidentals for the GARVEY PARK RESTROOM RENOVATION PROJECT and all other required structures and facilities within the rights-of-way, easements and permits; WHEREAS, the Work to be performed by the Contractor is more particularly set forth in that certain contract for the said Public Work dated (hereinafter the "Public Work Contract"); and WHEREAS, said Contractor is required to furnish a bond in connection with said Public Work Contract providing that if said Contractor or any of his or its subcontractors shall fail to pay for any materials, provisions, or other supplies, or terms used in, upon, for or about the performance of the Work contracted to be done,or for any work or labor done thereon of any kind, or for amounts due under the provisions of 3248 of the California Civil Code,with respect to such work or labor,that the Surety on this bond will pay the same together with a reasonable attorney's fee in case suit is brought on the bond. NOW, THEREFORE, we Concept Consultant,Inc. , the undersigned Contractor, as Principal and Old Republic Surety Company ,a corporation organized and existing under the laws of the State of Wisconsin and duly authorized to transact business under the laws of the State of California, as Surety, are held and firmly bound unto the CITY OF ROSEMEAD and to any and all material men, persons, companies or corporations furnishing materials,provisions, and other supplies used in, upon,for or about the performance of the said Public Work, and all persons, companies or corporations renting or hiring teams, or implements or machinery, for or contributing to said Public Work to be done, and all persons performing work or labor upon the same and all persons supplying both work and materials as aforesaid excepting the said Contractor, the sum of Three Hundred Thirty Three Thousand Eight Hundred Five dollars, ($ 333,805.00 ), said sum being not less than 100%of the total amount payable by said Obligee under the terms of the said Public Work Contract,for which payment well and truly to be made,we bind ourselves,our heirs,executors and administrators,successors and assigns jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH that if the Principal,his or its subcontractors, heirs, executors, administrators, successors, or assigns, shall fail to pay for any materials,provisions,or other supplies or machinery used in,upon,for or about the performance of the Work contracted to be done, or for work or labor thereon of any kind, or fail to pay any of the persons named in California Civil Code Section 3181, or amounts due under the Unemployment Insurance Code with respect to work or labor performed by any such claimant,or for any amounts required to be deducted,withheld,and paid over to the Employment Development Department from the wages of employees of the contractor and his subcontractors pursuant to Section 13020 of the Unemployment Insurance Code with respect to such work and labor,and all other applicable laws of PAYMENT BOND- 1 City of Rosemead,California Garvey Park Restroom Renovation Project,Project No.31017 Document Control Page 58 of 452 the State of California and rules and regulations of its agencies,then said Surety will pay the same in or to an amount not exceeding the sum specified herein. In case legal action is required to enforce the provisions of this bond,the prevailing party shall be entitled to recover reasonable attorneys' fees in addition to court costs, necessary disbursements and other consequential damages. In addition to the provisions hereinabove, it is agreed that this bond will inure to the benefit of any and all persons, companies and corporations entitled to make claims under Sections 3110, 3111, 3112 and 3181 of the California Civil Code, so as to give a right of action to them or their assigns in any suit brought upon this bond. The said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or additions to the terms of the said Public Work Contract or to the Work to be performed thereunder or the specification accompanying the same shall in any way affect its obligations on this bond,and it does hereby waive notice of any such change,extension of time, alteration or addition to the terms of the Contract or to the Work or to the Specifications. IN WITNESS WHEREOF,we have hereto set our hands and seals this 3rd day on October , 20 19 . Concept Consultant, Inc. Principal/Contracto By. . President Old Republic Surety Company Surety / - . By: ! _ Attorney-i f cc David Za ' ary Noddle PAYMENT BOND-2 City of Rosemead,California Garvey Park Restroom Renovation Project,Project No.31017 Document Control Page 59 of 452 STATE OF CALIFORNIA ) COUNTY OF ) ss. On this day of ,in the year ,before me, , a Notary Public in and for said state, personally appeared ,known to me(or proved to be on the basis of satisfactory evidence)to be the person whose name is subscribed to the within instrument as the Attorney-in-Fact of the (surety) and acknowledged to me that he subscribed the name of the (surety)thereto and his own name as Attorney-in-Fact. Notary Public in and for said State (SEAL) My Commission Expires • PAYMENT BOND-3 City of Rosemead,California Garvey Park Restroom Renovation Project,Project No.31017 Document Control Page 60 of 452 CERTIFICATE AS TO CORPORATE PRINCIPAL I, , certify that I am the Secretary of the corporation named as principal in the attached bond, that who signed the said bond on behalf of the principal was then of said corporation;that I know his signature, and his signature thereto is genuine;and that said bond was duly signed,sealed and attested for and in behalf of said corporation by authority of its governing Board. (Corporate Seal) Signature Date NOTE: A copy of the power of attorney to local representatives of the bonding company may be attached hereto. PAYMENT BOND-4 ACKNOWLEDGMENT 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 OCT 0 3 2019 before me, A. Bisordi, Notary Public (insert name and title of the officer) personally appeared David Zachary Noddle who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. NOTARY PUBLIC-CAUFORNIA Y g LOS ANGELES COUNTY ` , S ^ c) A. COMMISSION#228573! 47ryri, MY COMM.EXPIRES MAY 11,2023 6»«c cor 1111. Signature v (Seal) • * *.* * * 01D REPUBLI(` SURETY URETCC)N'1PANY ** * ** POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That OLD REPUBLIC SURETY COMPANY,a Wisconsin stock insurance corporation,does make,constitute and appoint: DAVID ZACHARY NODDLE,RENEE TARICA,ANGELA BISORDI,SHEILA NODDLE,OF TARZANA,CA its true and lawful Attorney(s)-in-Fact,with full power and authority,not exceeding$50,000,000,for and on behalf of the company as surety,to execute and deliver and affix the seal of the company thereto(if a seal is required),bonds,undertakings,recognizances or other written obligations in the nature thereof uaranty bonds.self insurance workers d,rr ,waste remediation bonds or black lung bonds gttrtrantecing payment 01 uenc(lts,asbestos aoaicmelrt comra�l t0rl:1+,��.�LC;la:�_,),tttoc r �--_ bands), as follows: ALL WRITTEN INSTRUMENTS and to bind OLD REPUBLIC SURETY COMPANY thereby,and all of the acts of said Attorneys-in-Fact,pursuant to these presents,are ratified and confirmed. This appointment is made under and by authority of the board of directors at a special meeting held on February 18, 1982. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the board of directors of the OLD REPUBLIC SURETY COMPANY on February 18, 1982. RESOLVED that,the president,any vice-president,or assistant vice president,in conjunction with the secretary or any assistant secretary,may appoint attorneys-in-fact or agents with authority as defined or limited in the instrument evidencing the appointment in each case,for and on behalf of the company to execute and deliver and affix the seal of the company to bonds,undertakings,recognizances,and suretyship obligations of all kinds;and said officers may remove any such attorney-in-fact or agent and revoke any Power of Attorney previously granted to such person. RESOLVED FURTHER,that any bond,undertaking,recognizance,or suretyship obligation shall be valid and binding upon the Company (i)when signed by the president,any vice president or assistant vice president,and attested and sealed(if a seal be required)by any secretary or assistant secretary;or (ii)when signed by the president,any vice president or assistant vice president,secretary or assistant secretary,and countersigned and sealed(if a seal be required)by a duly authorized attorney-in-fact or agent;or (iii)when duly executed and sealed(if a seal be required)by one or more attorneys-in-fact or agents pursuant to and within the limits of the authority evidenced by the Power of Attorney issued by the company to such person or persons. RESOLVED FURTHER,that the signature of any authorized officer and the seal of the company may be affixed by facsimile to any Power of Attorney or certification thereof authorizing the execution and delivery of any bond,undertaking,recognizance,or other suretyship obligations of the company;and such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF,OLD REPUBLIC SURETY COMPANY has caused these presents to be signed by its proper officer,and its corporate seal to be affixed this 3RD day of JULY,2019. OLD REPUBLIC SURETY COMPANY } SWit As Secretary p SEAL „,/ek - tik STATE OF WISCONSIN,COUNTY OF WAUKESHA-SS ', President On this 3RD day of JULY,2019 ,personally came before me, Alan Pavlic and Kevin Abitz ,to me known to be the individuals and officers of the OLD REPUBLIC SURETY COMPANY who executed the above instrument,and they each acknowledged the execution of the same,and being by me duly sworn,did severally depose and say; that they are the said officers of the corporation aforesaid,and that the seal affixed to the above instrument is the seal of the corporation,and that said corporate seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority of the board of directors of said corporation. pyIP Notary Public sw My commission expires: 9/28/2022 CERTIFICATE (Expiration of notary commission does not invalidate this instrument) I,the undersigned,assistant secretary of the OLD REPUBLIC SURETY COMPANY,a Wisconsin corporation,CERTIFY that the foregoing and attached Power of Attorney remains in full force and has not been revoked;and furthermore,that the Resolutions of the board of directors set forth in the Power of Attorney,are now in force. O C I 0 3 2019 74-7167 "'sr✓ne'rY. Signed and sealed at the City of Brookfield,WI this day of L/ .. EPat3a*19 -Lt. SEAL p Y ' Assistant t., tary NODDLE SURETY&INS SERVICES ��:I • ,.* • - C i• i =»«M"t UN[? .* •mr,* * s "THE FACE THE COMPANY LOGO APPEARS ON THE. i.BACK OF THIS DOCUMENT AS A WATERMARK. IF THESE FEATURES ARE ABSENT.THIS DOCUMENT IS VOID ORSC 22262(5-10) City of Rosemead,California Garvey Park Restroom Renovation Project,Project No.31017 Document Control Page 51 of 452 CITY OF ROSEMEAD GARVEY PARK RESTROOM RENOVATION PROJECT PROJECT No. 31017 • Fu PERFORMANCE BOND 4' City of Rosemead,California Garvey Park Restroom Renovation Project,Project No.31017 Document Control Page 52 of 452 Bond No.WCN5419626 PERFORMANCE BOND WHEREAS the CITY OF ROSEMEAD (also herein "Obligee") has awarded to Concept Consultant, Inc. (hereinafter"Contractor"), a contract for work consisting of but not limited to,furnishing all labor,materials,tools,equipment, services,and incidentals for the GARVEY PARK RESTROOM RENOVATION PROJECT and all other required structures and facilities within the rights-of-way, easements and permits; WHEREAS, the Work to be performed by the Contractor is more particularly set forth in that certain contract for the said Public Work dated (hereinafter the "Public Work Contract"); and WHEREAS,the Contractor is required by said Public Work Contract to perform the terms thereof and to provide a bond both for the performance and guaranty thereof, NOW, THEREFORE, we Concept Consultant,Inc. , the undersigned Contractor, as Principal, and Old Republic Surety Company , a corporation organized and existing under the laws of the State of Wisconsin ,and duly authorized to transact business under the laws of the State of California, as Surety, are held and firmly bound unto the CITY OF ROSEMEAD in the sum of Three Hundred Thirty Three Thousand Eight Hundred Five &no/100 dollars, ($ 333,805.00 ), said sum being not less than 100% of the total amount payable by the said Obligee under the terms of the said Public Work Contract,for which payment well and truly to be made,we bind ourselves,our heirs,executors and administrators,successors and assigns,jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH,that if the Principal,his or its heirs,executors,administrators,successors or assigns, shall in all things stand to and abide by,and well and truly keep and perform the covenants,conditions and agreements in the said Public Work Contract and any alteration thereof made as therein provided, on his or their part, to be kept and performed at the time and in the manner therein specified, and in all respects according to their intent and meaning; and shall faithfully fulfill the one-year guarantee of all materials and workmanship;and indemnify and save harmless the Obligee,its officers and agents,as stipulated in the said Public Work Contract,then this obligation shall become null and void;otherwise it shall be and remain in full force and effect. In the event legal action is required to enforce the provisions of this agreement,the prevailing party shall be entitled to recover reasonable attorneys'fees in addition to court costs, necessary disbursements, and other damages. In case legal action is required to enforce the provisions of this bond,the prevailing party shall be entitled to recover reasonable attorneys' fees in addition to court costs, necessary disbursements and other consequential damages. The said Surety, for value received, hereby stipulates and agrees that no change, extensions of time,alteration or addition to the terms of the Public Work Contract or to the Work to be performed thereunder, or the specifications accompanying the same shall in any way affect its PERFORMANCE BOND- 1 • City of Rosemead,California Garvey Park Restroom Renovation Project,Project No.31017 Document Control Page 53 of 452 obligations on this bond, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the Contract, or to the Work or to Specifications. IN WITNESS WHEREOF,we have hereto set our hands and seals this 3rd day on October , 20 19 Concept Consultant, Inc. Principal/Contractor By: /li-�• President = . Old Republic Surety Company Surety By: Attorn -in-F. David Zac .'Noddle = The rate of premium on this bond is $30.00 per thousand. The total amount of premium charged, $ 10,014.00 (The above must be filled in by corporate surety.) PERFORMANCE BOND-2 City of Rosemead,California Garvey Park Restroom Renovation Project,Project No.31017 Document Control Page 54 of 452 STATE OF CALIFORNIA ) ss. COUNTY OF ) On this day of , in the year , before me, ,a Notary Public in and for said state,personally appeared ,known to me(or proved to be on the basis of satisfactory evidence)to be the person whose name is subscribed to the within instrument as the Attorney-in-Fact of the (surety)and acknowledged to me that he subscribed the name of the (surety) thereto and his own name as Attorney-in-Fact. Notary Public in and for said State (SEAL) My Commission expires • PERFORMANCE BOND-3 City of Rosemead,California Garvey Park Restroom Renovation Project,Project No.31017 Document Control Page 55 of 452 CERTIFICATE AS TO CORPORATE PRINCIPAL , certify that I am the Secretary of the corporation named as principal to the within bond;that who signed the said bond on behalf of the principal was then of said corporation;that I know his signature,and his signature thereto is genuine;and that said bond was duly signed, sealed and attested for and in behalf of said corporation by authority of its governing Board. (Corporate Seal) Signature Date NOTE: A copy of the power of attorney to local representatives of the bonding company may be attached hereto. PERFORMANCE BOND-4 ACKNOWLEDGMENT 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 OCT 0 3 2019 before me, A. Bisordi, Notary Public (insert name and title of the officer) personally appeared David Zachary Noddle who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS myhand and official seal. NOTARY PUBUC-CALIFORNIA ` LOS ANGELES COMr COMMISSION#2285731 MY COMM.EXPIRES MAY 11,2023 ;. ,� :[?4- Signature � (Seal) ** ** * OLD REPUBLIC SURETY COMPANY **** POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That OLD REPUBLIC SURETY COMPANY,a Wisconsin stock insurance corporation,does make,constitute and appoint: DAVID ZACHARY NODDLE,RENEE TARICA,ANGELA BISORDI,SHEILA NODDLE,OF TARZANA,CA its true and lawful Attorney(s)-in-Fact,with full power and authority,not exceeding S50,000,000,for and on behalf of the company as surety,to execute and deliver and affix the seal of the company thereto(if a seal is required),bonds,undertakings,recognizances or other written obligations in the nature thereof, ••:., than bail bonds,bank depository bonds,mortgage deficiency bonds,mortgage guaranty bonds,guarantees of inst:_ ted note guaranty 'mance workers compensation bonds guaranteeing payment of benefits,asbestos abatement contract bonds,waste management bonds,hazardous waste reutcu,utttn bonds or black lung bonds), as follows: ALL WRITTEN INSTRUMENTS and to bind OLD REPUBLIC SURETY COMPANY thereby,and all of the acts of said Attorneys-in-Fact,pursuant to these presents,are ratified and confirmed. I donttr,- . ,u unless printed on colored background and tt. This appointment is made under and by authority of the board of directors at a special meeting held on February 18,1982. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the board of directors of the OLD REPUBLIC SURETY COMPANY on February 18,1982. RESOLVED that,the president,any vice-president,or assistant vice president,in conjunction with the secretary or any assistant secretary,may appoint attorneys-in-fact or agents with authority as defined or limited in the instrument evidencing the appointment in each case,for and on behalf of the company to execute and deliver and affix the seal of the company to bonds,undertakings,recognizances,and suretyship obligations of all kinds;and said officers may remove any such attorney-in-fact or agent and revoke any Power of Attorney previously granted to such person. RESOLVED FURTHER,that any bond,undertaking,recognizance,or suretyship obligation shall be valid and binding upon the Company (i)when signed by the president,any vice president or assistant vice president,and attested and sealed(if a seal be required)by any secretary or assistant secretary;or (ii)when signed by the president,any vice president or assistant vice president,secretary or assistant secretary,and countersigned and sealed(if a seal be required)by a duly authorized attorney-in-fact or agent;or (iii)when duly executed and sealed(if a seal be required)by one or more attorneys-in-fact or agents pursuant to and within the limits of the authority evidenced by the Power of Attorney issued by the company to such person or persons. RESOLVED FURTHER,that the signature of any authorized officer and the seal of the company may be affixed by facsimile to any Power of Attorney or certification thereof authorizing the execution and delivery of any bond,undertaking,recognizance,or other suretyship obligations of the company;and such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF,OLD REPUBLIC SURETY COMPANY has caused these presents to be signed by its proper officer,and its corporate seal to be affixed this 3RD day of JULY,2019. OLD REPUBLIC SURETY COMPANY • As ecretary % SEAL ,, STATE OF WISCONSIN,COUNTY OF WAUKESHA-SS ""+�.�„�'' President On this 3RD day of JULY,2019 ,personally came before me, Alan Pavlic and Kevin Abitz ,to me known to be the individuals and officers of the OLD REPUBLIC SURETY COMPANY who executed the above instrument,and they each acknowledged the execution of the same,and being by me duly sworn,did severally depose and say; that they are the said officers of the corporation aforesaid,and that the seal affixed to the above instrument is the seal of the corporation,and that said corporate seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority of the board of directors of said corporation. *aster t Notary Pubhe My commission expires: 9/28/2022 CERTIFICATE (Expiration of notary commission does not invalidate this instrument) I,the undersigned,assistant secretary of the OLD REPUBLIC SURETY COMPANY,a Wisconsin corporation,CERTIFY that the foregoing and attached Power of Attorney remains in full force and has not been revoked;and furthermore,that the Resolutions of the board of directors set forth in the Power of Attorney,are now in force. 0 3 74-7167 ”"fiver 9 Signed and sealed at the City of Brookfield,WI this day of OCT �O1 'le poaway 7,$ SEAL 1 r? F 01 Assistant tary NODDLE SURETY&INS SERVICES THIS DOCUMENT HAS A COLORED (3ACKGROUIND AND IS MULTI-COLORED ON THE FACE THE COMPANY LOGO APPEARS ON THE BACK OF THIS DOCUMENT AS A WATERMARK. IF THESE FEATURES ARE ABSENT.THIS DOCUMENT IS VOID 22: I'M 6 (5-Is) CONCEPT CONSULTANTS, INC. EXHIBIT A SCOPE OF CONTRACT SERVICES SEE ATTACHED BID SCHEDULE/PROPOSAL CO.&Rii;ellead;.:CalifeWhia :GMerPak.:R6§triibm RenovatibriProjpOL,PfdjOdt:No.31017: Document CohtrafPage.1:8 of 452' 8.0;10M: Concept Consultant, Inc: -1310S.CIJEJAILlg :KIREMThrOf :;GARVEY1':ARKIZESTROOM REN.OATION•PROjECT lego:*CE1Sio..,.:310.17.• NO ITEM IMCRIMION :UNIT u.N1E COST :00,10-4 40.01polotsj aring Anel LS: 37,3751 37,375 Gro)3king R6.:Wiiitio:DPAcilitiOt;AP07awal:a4d2 disposal of , :ItAteriOr.,Odtiros : walls $. 24,374 s 24,374 plumbing, pavement, tilt,;;1111CiMital,§ torpla-as.44c14:06.164tiOrls: eicaletaP:'POttiliaa.t1013/ Slab Construct LS: 1! S. 5,925 5,925 104 f1.60.0:as.,s0POssallt Masonry Fix1Ali:441044.11itasolvy- 4 header at new opening and masonry 34,745 $i 34,745 wall:at.:41Stl0g*i1;Klg.w:Qpening70:pp-i.7.- 01.A00 all • .n4041400 metal and metal 5 fabrications.in place tp:tiVITY wall to LS: $S 2.J938 :$. 2,938 attach restroom fi/.1106s,TOrMil Walt • 40111adiatplatiti.tliP:epzitradata*-iii..gs. • Woo**;Plastics::Ro.ugik.:CaTeritty.i $: 2,585 $ 2,585 woos PlaSfici:; 114017i6p. • : 7. - •• • •• • •L$ i. $;•i 1,875 $! 1,875: CgraatTY • W.6.oils 44, 014stieg:, othdt • & • " -• .. $; 1,000, li,.000 Plastics: .9: Dciota Se,WiiidoWSI\fital.:DdrirS: -LS:: :1: s. 4,500 $i 4,500 10 D.Qick..rp Windpwsl:f1)::klard*are: :LS- 1 S. 3,000 . ••• • •-• • •• • •• • • • • • • • ••••• •• • wiligiekivietdilr4tning $ 21,2113 21,213 ....... •. . . ...... . . . . . :1 L 12 .TA•t1i: Arid iPortfand.Cement• • $.: 21,915 $. 2:1,915 : • - • - •• - • S Plakt6i! 'bBF- 2 -CiVeROsefriOpUalifdtliia tarit.d.eatkfle§trOaninociaticiii.PrOject„PrOjoct.No:3101:7DOcum6OtCoOtrol Pa 19 of 452 BIDDER: Concept Co.neultent,Inc. NO EST: ITEM' tr.E;111.1)...ESCRIPTIOIST :UNIT •• QTY... PRICE COST 13; ali$.fiqw::Oyps:umYi•Oar.4: $: 6,45Q: $-.6A.50 •• • '14: Pliligh-es:;::CerAtili6-Tift 1. $.42,041 .$. 42,041 1 ,LS $: 2,500 $!2,500 i . • 'LS:: ' 1. $ 1,500 $:1,5•00' Fit:04o; Other Firnshe RolMod 17 S0416:1.: :/concrete: :•yestrp-pm 375 $ 375 fitiUlied gd10 *ePlaties6TbiletP4dit):Piis:. $.10,625 $. 10,625 19i 1' $. 2,125 $. .2,125 p seciaties:: 7r.011.0t 13:4 . . . • .w ••:. • • • 'LS- 1 7,000 $: 7,000 Atootorlo Specialties •:0111:pr Specialties3 kap.ad. .211, stkiO4!13:4Uyeb.a.-0140tatibtig,: tc...atiil. :LS* .1 $;1,500 1,500 Vecificatioi* fl MpehATilUntitgg :1: $.79.,744 $. 79,744 23. Eltdttkalf:Rtki6. .0:tiitaif :LS. $.12,125 :$: 12,125 24: 'g:fp:6471pa4'.PiTiisliXI:Q.c0161 i.LS $.: 2,250 . $2,250 tikettkaaViti4g:Filldtiro.'s.. :LS.: 1 $ 4,125 .$: 4,1.25 'TOTAT.,!RIOAIVIOIR\T.T.INNUMBERS $333.,805 bBF- 3 .CifOikh;emoO:0;:;BAffikiiia: :6Ofvey.9&kAOttibiaffi POomiatiOn:Pfojpet;;PfOlOet•go..31b47 DOcf.frootiiitrol NO.20 of 452 [3.10,DER',i Concept:Consultant,. Inc... 1011.4.4.1no Amot:NriN vv.:0146,4: Three hundred thirty three thousand eight hundred five dollars.. City:of:kOsernead::reserves thb right ro.rcduceor increase the.quant i[iesof.auy items in j.ho.:],sate44k:orbi.ditems:::.above,:*thin;the limits define in cSection 3,21,1 of the- Standard tOst4::*014.i:4. sani:Ofint:of this PrOJeqt",. It the Bul f).Ocunlontslpegify alternatehitt!tun the:fe)Iowitng Alternate:oia.moliots.ghall be added to or'dednetedfroniiheitatatilidPiiice entered:above,The owner:can:Choose to include olt46:6initioilent the.alternates lin.the Total uitt of the Project.Ilany.....Ofthe Alternate lid§ : are utilized byt.ho'Ci.wnmihoosiittln amounishaH be: 011sitlereditho.Totaltid:Priee.for the The:nriderSi!gned:agreesi'ihaf fhese:eontraotitid Formscoustitut :a ifitra offer to the Owner which LdilIlO tYgi**It4Ver.11fOrtiwragtbd..Of WO400 froin and after the bid oponfog:clateor Contract forilieVOrk:is.folly e) te- .(ecu. d by the Owner and a thin!.;party.Whiehever is:earlier; The undergigned,aIS :agrees.thatif there:is-i diu ipdiscrepancy between te.Written:an)Onnt ol theBid ftice.apiPlie numeric LI'amount Of the Wide&the,Wtitten aMptint $1101;1g0Yen1:: .Aittaeh*ed hereto is. a certified check. a ::cashier'g -cheek or a bid bond in the :amonnt. of 0%. bid amount Aigilam.(C )said arriptmt•tiang not es&then-teaperpent .(.101(0);::of the Rita Bid Pi ILC 'Tlie,.tuid&rgigOd agrees,that said .athOunt hal1 be retained bythi Owner itupon award, we litil Of refuse to.exeeUt.c thc Contract and fithriahthe required bonds, :eertiffeatesian0 endorsements of inwranceiiand other certiffeatiO.M. within the time provided. Ifawatilod4.Contraot5itho:ondersigned..........oxoontetho:fortnateontraetwhich will.be.prepared by thoiOwner:for:execution. wilhiii ftve..(5).CaOndar:Days following the.totter of Award for the Corftracti;.:arawrijj:411*,erto.4)*OWOr.'W4hirli*O:so.Me..p.OriOdtNttcessaryioigin.01-Certificats,of insurance. Endcrsemen[s ol insurance;: Peifb.kwanee.- Bond; Payment Bond and all 'other docurnentation.antEcortifiOationo.Oked! theContraet,.. Ihottuders*. oct:off4s..ata4:greo$Aholt.irthiR:hittifs.aceeptoa:; it will assign tOthe purchasing-body all righb title,:and interest in and to all t atige8..olaction:ittio hav'enndOr SL lion 4 of the.:Clayton Act. Section 15) or uniterthetaftwiight.Aet.(Chapter 2::of.PArt 2:0ft:11V:ikon 7 of the Ocle):;:ori§ing from.:purehase*:.of goods.,.'rnaterials or.servfces.by the !IWO fOt:::041o.tO thoiAirataing:•tiody;ptirgnojt to.the WO, assig*ent Shalt be.inatle and :become:effective.afthetitne the:purchasing.:hody tenders final;payment to.heContractor.. Bidder:tindettn0 and dflTiC that her ro4n'osted by!(.) nit lie :proVide: (1) eyjden0e soli:gado1yto:the Owner of Bidder's :Californiai :contractor's'license(s) in good standing; (2) zvidgrigQ..that....fhpqrson signing ails.OM snUthOij7Cd 1i bindBidt.kr to this.Bid.and.to a contract ::teAnift lhLictwm 4114. (*)1.04.'::Oth.g..44701111.4tiOtt:44d..d.ob4ilie0tation, financial or otheitiise;. needed by Owner to.Awarcia.Contract.t tholawost responsible and responsive i bidder. • •dt3r.-.4 • • Oty.of Rosemead OtliVq.P*R.-**00111.130949r.k!:P.TO,10. :Pi..9.1*N.P.-410i7: Pburnefilt potArsol.P.§je!2.1.cif 452 BIDDER Concept Consultant, Inc •• . . . . . • • ..0.1darniid6iit6hdt.ankt•agiteogthatili4itidated.da • izi arnountspf 0fitiiidit4.diiltarg•-•($500.:00).:if .. workitvg..days; The sboatt64f rime will begin to Days horn the date otthe Notice of Fioceed arid " .„.tun ten(1O Woikin .jiibiidtt4111.6.•..tati&attd:.05fittitioils&sci'bedintie Conti Att Fenn and the-.Contract:Doctimrit$;. . . . .. . ..... . . .. • ...Old04e. 00670101gP :t1401t data submitted w h its Conti act id Forms which it requn es to b e mcoi poiated into 4corniac at ismg out at this Submittal has .......................Bit140..; Bidder • furthet Facknowledges'f4atthe Owner may at its disci etion, ilicorpol ae an of the remaining data . " • ; • •••:. • ;: •••• •••::::••• ••• • • ••••• . . . . 1'.'..ii: ;:fij.1dorsigri.01:•od•pa•fio.'04g:0 .iltjoirii;:•oHridoiitaiidi,eiiiicf full considiatiOn of the fbllowing • • • •• ••••• ,• • • • addenda to the Contract Documents Add.6fiddl\fo.$•... One ad two ........ • The Bidder undeistands arid agrees that the Total Bid Pt ice is inc1uive o afl laboi, rnateuals and equipment or supplies necessary to complete the ork a desci ihed in the Bid DocumentS if this bid is accepted, the dndeislgned Bidder agiees to enter into and execute the conti act with the necessary bonds and accept the Total Bid Pt ice as compensation in futi for ail \Voik undet the• . . orittoiot.. • .. • . • . ..... .. •••: •••• . . . .. ..... . •••• . :.:... : . . •• : ••••••••:::: :••• .. ............... ....... . . .....:•••••• :...-.• • • ..„...:.::•.:..... . ... .... . .. •••::. ••••••• . . :••••::•••••••. . . .. . . . . . •• . .„: . .. . ::•.:::.:.•:•:: ...... . . . • . . ... . • : : ••••. • : .. .. ........ . . ...... •:: ..:. .: .:. .:..... .. . ... . . . .. :......:.•-• .................••••••• . ....... ... .. .. ...... •::::• ... ...:......... .•••• . .:....... . ••:: . . . . . ... . .. ........ ........ . . ...... . . .. „ . . .. ..... , .............. . .......... . . •::. . •: •••• • .:•-• •::::. . :::,••••::::: . .:... ... ••• . • •••••••,.. ••• • ::.:•: • -••• .." • •:. ::::•.::• .:. :... •:::. . .. . . . .:.: •.. : ••::::•• • .:• .. .. . .-••••• ....:......... ..• .... . .. ......... . . ... . . . ••••••••• .• •• .. ..... .. . .:. . ... .:•:• ...... •.: . .. . -::.::..••• •••••,: :. .:.:•••••• •• :•::. :• : • : „ :„. .:.....,. ... ....:.... . : •••••••.•... ......:••:::: • •• • . •••• ........ • •............... • • •.••::•. • "-.• .... •••• . • . . :.. .... . . . . . . •.:: . ..•. •.. •••••••••••••• ••• . . . .• • . . ..:.. . ... . ...... .... • ::•::•..: .:. .•-•• . . •••••••::. :•••••• . • : •••• ••• .•• . .... .:......... . .............. --•. .,••••••••, • • .. . •:::: . . ..••••••-••••••::::::. .:. . . . :. .•....:.. . . . .::::::•• ....„.;;. :•......•...... .:.: .... :::....:.• • •..'••-••: • ••• ••• • .... :.•• ... . . .. ...... .... . •••••H •• :•:: .•:. ••• • ..... •• •••• . .:. ... .. . .. . : " , . . • : •i . •••• •••• : • • . •• . . . • 0E1. • ::••••••••::•:;::•:••••••• • . . •—•• ••••... • ".: • ... • .• •••• : . . : .•• •• P.It.k.4.11R06004;p:0604:- Garvoy.Nrk:A4.tripqrii P.-.:v0'i PAO.:P*0 r, 2UT • 1.0.t.u.Ment Concept tonstilfani• • •-•'• • t2ZO:Moriring•Ave.#.1$! • • •. . . . • Stiltet.Addres$. NjW$o.fprno41too Atio-ofos . r ....... . . - 1. . (10.;. i4t .:64:01210•Coclo. • • • • • :B1d:d..01., -/:0•00.40#1 ::atat.6;of lopotpototion — Cafornia . . . :";'.... P&b).010 er.r,:lp•W:VOryturor$:, • ..... •• .•. :. •••• •• •••• •• • ••• •• .. --- • ••••-•-•:.: • • • ••• : -• • • •-• ..• •::::.:.. .. • • . • • ... ..... . ..• • ::• POprompt.T.tilitirklItolom . . . RgisteiedNQ 10()Q0Ce440. • 1: NOTES: • • e Ilyi4.gigti4tigggagi1016;:oloBlilaot.00rtitlOs.:ogOrpri.44ptpgrI4ty th00put4.0Y.Ottifi 0.; .1f8lader is a corporaticul orwiSWe ol 1icorpratc.r; n additkw i.e 3usines Address: • ).: if Bidderis a 1arership or ont ceuune ive. ftianames of 40. A0407tAigil . required..to::prOvit4iqiOniqp•ttit4t.At pso sgng on behf of the • corporatiozyp.kriterstiip..ox!lohif*tc(fiiretios.itio:aptitiority to do so,.• 08P• • . . .........::.... •••• ••• • ••• ••• •• • ••••••••••• • • • ••• ••• •• • • ••:?•••• . . . ....•:: ••••*.:•:::•.::••::;•i.:: ;:: •:.•• :; • •.: • • ••••• tity-oftfOn:mgcli............. 23 of1DDE tonGppf:aonsLiftentAttp., ••: • . ..... .<• ••• •• • . . • • .... •, • • • --• ••• *''''''''' •:•••••• '''''' ' '''''' ''' ' '•••.;' ':''''•••• •• ''' ''' '' ...• ''''''''' ' ' '''':' ' ''''''':'' ' ''''':' ... ................ ......... ...... ....... ..•................ . .••••••••••••••••••••-•••••••••••••••••••;•:,•,- i•- .......:••••• ... ••• • •• . . . . . .... ..... .............. ......... .......:::.... .............. ...... ..... . .... ..... . .. ..... ......... .:"..1.••••• • ...... ........... ......*•*:- .....*•••••••••••••••••••••••••::::::::••••• . .... ... ••:••••••••)•'. • .:.:.:.:. . . .... .......... . .. .... ............. • ...... •• •••••-••-•"••••••••••••,:••. .. . .. .„:....•-•" :-;••••••••••••••••••••.......••............... ....... .... ... .. ....... . ••.••••••••• .:::::"••••• •••• ••••• • . .........• ":'......... .... • . ..... .. ....... ...:.. . . .:. . • ... • ••"•••••7-..................••............. ...... ..... .••••••••••••••••••• .....•• • •••••• • •• •••••'• .... . . .. . • .... ... .• ::•.-:•:..-.• • •::.:.. ..•.:.• • • ••• • .................. . •"""":::":::. . ...................... : • . . •••••'••••,••••:•••••.::.::. ... ... ... ••••••••••••••••••• . .. •••••••• . . ..••;. .... ... . . ..•. ..... • .........• ••••• . . .:.•.. . •:..•:::• ......• .:.. ..................... ........... • ••••••• ... . .. .... . . :::•. ••••••::•••.. .•••. ......... -•:. .-:•• ... .. .....•::...... ..• ......... ..... ............. ........... .... .. •••••••:::::•••••••:::::•*i••••:••••• ••:.:.....:. ... ........... . . .... ..... • • • • 7.• •• •..••••• •• ••• .. • • 0047.•!,4•• •• • • ••• .FORMS • •• •• •••• • • ••••••• . .,.... ::•• : .:..: . .:... ..• • .... ...:.:.„:„.:::::::::.:. . .... ". . ..........••. • .: . ...... . . • •,:: •-•.........•• ........... .. .:::..:,........... . • •• ... . • .....••• • ................. .. .:„::. ......:. : .. .... . .... .......... ..... . •••••••• :::• •.- . .....••• "" ••::.... ••••••••.: "•••.••.„.„. . . •..••••• •:.•.••:.:• . •• ...... ••• .••..... •••• ••. • :•••••••. • •::• .•.:.:.::•.•::.... . .. ......:•...:..... . .....;;; .......... . .. •••••• •. :„ • •••••• •.: . . •::•:• .......................• .:.. .:.. .:.. .: •.:•..: •• ..• .: • • •: ..•••• • •,:. . . . . . . . . . ....:..• •:: • •.: . .. . ":... :" •: • :.:::.-• ...:. • .. : .. :•:•.- •:. ::• :.„ .• : . .••• .....••••..•:•,:- .::::.,:...:„.•.,..:......:. ..,.:•.:::•:,.• „„ .: . ; •i . . . • • •*• :• .......•. • :• . . • • ••-• ••• • ••............. .. . .:•: .. . .•:•• •• ::•• . ... • ...... ••••••'••:-::: • ...:..... . . .... . • •••-:: • • • ••• ... •:•„: .. . •. ... .. ........... .,,„. . . . •• : ...... . ... ... .•-..••• " """..... . . ....:.:::::.:.. . ........ ••• ... : . ..::::.:: . : .„.,. .. ....:........... •.:.. . ............. :....:•.2 .:„:..„ ..:........... ...... ...... ::.:• ............... ..... ....: •. . . .... ..... ; ••••••,- . . .. „..:::::::::„.„•••::-.:...... :........ .:„.:::.••::..... . ....... ...•: .. :.•„•..,... ...... .. .. .. . . „ • ••• ...:::::::::........................ . ....... .:. ................... ...... :.• ........ ::••••••• • ::............ _.••••••........•..........•. ....... ................ . ...„„ . . .. ...... . ... .... ".."" . .......... . ..... .:.:........... ......:. ....... . .., • ..•:•.:: . ..... .•:;::::;;•••••••••. . .... . . ........„. ..,. .:,„„„::,::...„.„::„„. .... .. .„:„•::.„... .:..• ..:•.•... .:.•. • . . •........••••.....• •„...•........... ..... ........ .:.....................„ .......... .... :E.: • . ..•::.:,:„.,„,,:„.::::::•:•„•:::::::............. ......... . . ........ ............... . .. .,„:::::„:„.„„.:..:. .......... ... .................................... ......... . ... ........ .. . .::::::..: ••••::::•::::::•.::•••• .......... ...... ....... ...... ..................... ...... .. .•.•• •• ..• •• . . . . . . . . „ .. • : ••• •:.- : • ...:. .. • . . : • • • • . • • . .:. toiommiTioadx004: •00.mT:0*•0**Ii.q01)00.0 l' *Pt.**,0.07 ti.Wffienttianiiti.Pog04*02. gtobER,Concept Consultant,:Inc . ... ....... . . . . ,• 1.19:10 $Wsow.4ttabOOI• • .! . . ,... mar:00,g0ttit*OfcL.data 4aceordanee:.witlt the-i.OrMat.5hOwn.onegh:Ot'th0 following Bid • Data FoiinK: Biddeis shall prepare and itisa as many$4eetsas are necessary tO adequately*civi4o theinfannatikorroquiied..14i4dOthaattisitreth4t:evet.y.pa0:45.f itkOid.DatalYorms..are properly .. ....... . .. idatitigetiVitlithellidderfsname and page , . 24. 'BIIIBONW . . • • . . ..kNOV.f, la MtNlAY:THEE.P.RESENT$'... . .. . • - • THAT Piin.oi*: ilia. ........... ,.... ..... ......... .. , .... . .... ..... . ............ ... ... . .: ... .. ......:.•............... ..•. .. .. .. . "": • " •..•• i:; • as:suroty,:are held .firmly bond,1.1nto.tho. ciVir OP. ROSt1%.00:.*•(horeintiOli .611-01i. to.: OWN0.0:. in. the• : $.10, or . , .. ..:.... . .• .. . '.- . DOLLOS .... . .. ... ...... . . ,. . .. . .. . ....... ... .... . ... -I. • ($i.. ................... ... ........ ..., being- not less than ten percent(10%)of the:Total pici; Wig.qfor*6.:pitlytripaof which sum will#44 liglY•t4b00:104webinti:oursawsi -.. our sheira;iiteeiltors ,adinint07atior .,successors, atictAggn,5ii0i#0 and severally, ,i, •fitnily:by:t.b.ep.e prO.ent : - , • . .. .... :: WPIEPEA,S;taid;Pftitiali4 $1115TiW:6:.biatOlhe OWNER toperform allNVOrk. teolgotf Or ite:OAg.V;Ey•PAIWIttSTROOM.MOVATION41000"•••04 set,.fOA.Jit tii.4.•!Ndfitb:ItiVititiO..Di&ma.aeompany.W:tqd:.:D.00ntneng,'OW. . ......... .,: • ...... . . -,, ... .. ... . NQW.i..7flERENM if. afdPritioipal.''i ,.awardrad,a Contract for the Work by kho, • Oti.$100.41•4wittiWs ft4tiiigiPlct*tgWOexilleOikOdi by the 449.9t'..r06fPAP04„ 7,..: Bid Datittient§...onterp;into.th :-voiiten.formOf Contract bound With said #114. 0401#001:$ iggi4i0§iitioiteoji.edNiidg.i(etleto:patatitO&f4ittat-.13.0401T6400;03.4 • tl*ottier.to guaiautee.payment::for labor.and.InAterialsi. furnishes the teofnired! f.puranceioettifioatea>andi.ondOrsemen*:And.firitnioh.e.g any alio-certifications:as - .01,4y.'15.0, k04-40.00.,15.y t...ti., ::004-ttgpt. ,*ii::this obligation i-shall be Twit: and void.; • f • 0.thowio.o.it shall remainin:folt fore0.04.!.effett:. In:ft'event:S.)400 brought upon -. flibilkodbytheOWN'tRandp4mehils.:,teeovered,sai4.:Surety.phaIl p4y.all costs t'. • liwnii.edbititiOWNEItililAto.h..014.111•6141.itaea'sonalik attotii0$'4•0$:to-b Mod. bysttie ,. . • .. • . i: %9N.'.4P.AND.$.E4FA.thiai tby•of:' ,.. • . - ... . Ogal. — ... . --:'• . •• PAO.- . .I.P41:' • . .. ...:.... .. .. .. .SntOt'y: ,,. ES.y:: --.,, i' • ' 8.!ii.iiir $ iii .:... ... ..... .... .„... . 04tut#:. • • • • t: • oar,•-•a • • -1... .. ....... ......... ,. :.:::.::.:.:.:.::::.::.•,,,..,.::.,:::.::.:-:.:::.:,::....: .:•:.J:i:::,.:•.:;•:;:: ;:•:••••,:,!L.• :::;!:...:,:,,,:,:::::::::-::.::::::.:••ii.,: ::•i'i:•::::::::::•:::.:::...]•••-•:::: H,.i.:::.:::'*•:: '';';••••••-• •': :•.,•:•::-••••• :. , • • . • - . • . ._... .P0•!p1.•!Rp: etivad;:.•006.*- : qgry.0y.FOcl.Ri#9900.ti0.010.i.(10.00i0.0t110,Moll. IN.Ohjog.t..01110-Pocil 26 t)t 4•6 : : .C405.0.00i0P01±00,.. Inc . . " ,.. 1,0.: LIST OF PROPOSED SUBCONTOAeralt.S..• : . :. .:.• •., • •-- - • •.• • •• .• • In compliance with;tli6::1:'Slbtatiii$ignd:$4hc.gp-Or4etii.i.g.P4tilrractices:Aet,i..!:gectionsi:4100. iiiiti.00:4114.•611 tiio:e4;11fOrnia:.hbfi (ov4aet;COd•o:a•n4..a4y•tuapndirtents••:ttictoto,;gadi .oidadt,i than:15rovide,the;.frifimp004::rgi0:1 :$tat:below for each .P01?,P011147•40tqt-wlig w:::111-• •.-- por•f6gin:••work.14:16ot or rpo,0riservWO:10::Biiidetih::61`:.-Abalt.th0 048,trPOtign:00*:VP&in an iTli)04-t it:p.,*,..:p. -0:folpi,liattiif'10.popd.totrit Orouterfhatt0.5.:%)of the Bjdderts Tot4:11i:d.• :Pkio;;,cir,.111;ti) :OW of bict: ;or:•offets.:fortlie;.00lutrootioo.oftitrq0qiqr highways, including _. brioio;-:.iiii,..0;eq :of:00440f of 1 percent of tha:CopItaptof total bid or ten•thousand• 41.).11.4r1::040101,:•whkhoor i;i.0,•i..ivOr$;:Ara:$11.4..tr;16)ig.r set.:forth:the portion..of the Work. .0:04ialio•done by each 611)00:110 WO:.;::..14i440t.,*.41 list only one:subcontractor for Orty.. ,.. . • one portion of 410.W01%... .. .!•:,„ •:..., .-• .. - . . .. . . . Pursuant to Public tdritta.ct.Code 86ctioii:4404;tb.. .0*0-1.0.17.fips(Iptettnii*.c14.114ji Witi:P11.0w 131dkrstWgritY4.jiit(24)Oilditibilathotitgottortho:deadliOfOroit**1 $10ti of bids to sgbAiit. .: ,00:1i4fOraigtion,rople5tod.ii*Ibt:.Owner about each:splioonfitoor;.0-010 0140140 name and 'WW1 611,0f: :a0.ti.,5:41j06•1074.000.:r. :.: ,. • ..:.: .:• : • • - - .. -. , • ..•.. • ... ... • ... ••. • . . . - -... • - - • • • • -- ..--: If the iiiliddee?faii,5:10.votify:gf$06pgaltroapri for any portion-of thP.:Work:t0 liP::PerfOtrk04 01:400:0:C0134.4Pt:ii:;s1).411fliAdtemedlo•havo4g•Noil.;toper001.§144;portionE*t•Xiiiikt s 4611: ... not be permitted;•.to'.::gibtatititat that•portion of the,VOrk.except utWer.the 0004.00.1§. • h:e..t'eif.iii.(iefi.,iet.f.otabelow... .. ..•.: ... : . .. ..,. •::.. : . . . .... .. .. . . . • • -• Subletting or Alb.cOrit6,0ti.itig:Ot4rty:port104pftfo.:%.rkjn,excess.of one half pf.00pprcpnt. (0 eater th.41.:O;PAY 4'0 Total l':.j:014'.tic• -•o,G.iftl:11P:040.014:d ...07:000.1'gfOr the construction• .. of'. 40015::•or.•4ighwap;. lilaWitig: budges, in excess of.one-half of 1 percent of the 061.ttrgetOit ....tot41:bid:of ten thattgaadoliar$01::0,00q:•14.100.v:Or is greater,for which N. subcontractor was designated;i:ittho.!ot-iingl-iiiki.:4141.1.•00.3.i.,1*Ofitill41•4.t.400,00).114.0 emergency or neee$0y.;•-oad.!iber.1,-00b•e....atippOwrkp:F.::apprcival,.. . : .: •; :.:•:: •• . • • • . . . . .. . . • • . • ..•••.:,•: ......• :. -......: :•...••.:.: •••- • • - • • :••:.:..:::::.:::.::::;.:.::::.::.......::..:......•::..............:•:..::: ..................................,..............:: .:..,•::.:..;;:::;:;:;::.:•;;;:•;;;;:•;:•:•.:••i;::.•••i•••;:,:•:.: •; -••••••:;••••;•;• •;• •••• -::•::•••• ........................ ••• •••••-......... • --• • :•;.;:.••:... ......:::...............:..:::.:: .. .. •-•.:..... . •;:. ,,;::..;.::::.•••............:.......................::::.:::. • . ::,;:.,...:, .-..:::..:...-.•••••,•;;;;:;;;•:::..:..::::...,. .:••:.:.;.:::::-::.::;:: •::; :.:••: • ..•.: ::::•:::::•. . :..:..::.::;.::::::............:::..:..•:.::::.-:::.:.:..iii:.::•::::.....:.:...:::.:::•.•......:::.:....::...:.:: •..::•::.::•::::.:::.....;.!:.--; :•::•:::::::-:::::.:: ::: .........:••• •••:- •.•:.• : : •:::•:. :::::::::::......... ;;;....:•-•,...........:::.:::.::::.:::..:......••••••••• ••••.....-• •...................................................:::...:::::::.::.:::..:•• • • •-::-... •:.• ••••••::.::::.::;;;::::..--.-; ..::...•-: :;...;....;.,.:::„:::,:::::..........;;.;....:. :..:... .. ....... ..-::••:•.::::.......::.::.:::.::..........:;;...:;;..:::::••::•:::..:;:::••••........•••;•;;;;;;;.;;.;....::;;;::;•::::::.:.:.;::•:::::;:-:.:•:.•:•::..: :-..:::.::::::•.:.::.:::.:.:::.:.:..• ..:..... . .:•.• ••::::.:.::.:::...::..•••••:... ••.-.:.:.:.-.: •-•'•• ........•••• :::::,.; •:::.: ::::::::::•:•...::.;-:::::::::::.ii:•:.::::•.•::::. . ....:... :: .........: ...........:::::: ................. ;,:::::: :::::::;•;:....;•::::„;;,;;.:,:,::: : : :;••••• -•••••.• .••••...... • • • :-:.:....:•...- -•••••:..:.:::..•:::::.::::::::.::::;:'::..;•;•••• •• •••:-.;•;•••.:..... ••• • ••••••• .::•::: :::;;:::.:•;;:::;..;:.:......••••••-- •••-- -:::.:::::.:.i:.::::.:•:K• •••••••••• :••:•:-:::.-, ......-:; '::::':•••••--• .••••.; --• ::::::••;i:.•i;;;:•:••••:.•• ;••• - •• • •• ; -::•:::-.:.:::::.:•:::•::::.::•:.:•....... -•••••••.......••• • ••••••• :::::....:.::.:. :::•.-::.......:::!::.::::•.:..:.:..:.:::::::::::::.•: -•. -•-: .:.: • • - ••••1.::.•-•:••:. - - . ....... .... . ...::::::..... ...:::. .........:::•::::;.:::::.:::::;;;•::::::-;;:::::.;:.::...--:•::::::••• -...: :-.-• • . . . . . . . ... ... .. . •• • • . . . . : •• • 6 :;.,...:.o. . • . . , i :. • • ity,,of Fk0:04.*d;-Colifortil Osirvq•O'atici4).stiv.b.lil Aeriopiipo Project;Ofojti,No •1i7 bccigrie0Cotit1 Page 6 4 45.2 BIDDER i Concept Consultant Inc:. i • • 1•:;,B• LIST O1' SUBCCINTitAiOTO170:( otiiitillod) PP'441)4liao,.fe:Nekt::.1 iiraggi itti6;ii•44Z)i'ligtilig 4.4/4000.5.ubonAractor, .*I'l .; . .. . . . . . . .. . . - • . . •• Naite„titd.toeitithi; • 1.). oriptiop.9....r WO* • ....................... ..... • . of Subcontractor to.be:Si.ibeolitraeted: . .:. ... ..... . . .. • •:-: Name l.] •itoiFaoragroiPrologtioty,BzP100510q ..• '01PITI WrIg•• . ... .. - .. . ....,...........:... .. .... .. . . .:...• Address V:•'V.I,..*14:b4: ........ ............................. .... . . ... . . ..... ....„ . .:. ...... . .. .... . ...,.. . ... LibmseN6::;...I5705: ... . . ::. ...• - • ' -00Prl*.i$.011644siWge..4.6*'....::•Aigil ::ti."4:611).. NIP•-!:-::4:600 05$.0 .:ifiL.. ••.• • .. .... . . .... .. .. ... .. . .. .. . . . . .. . ... • - . ,• . ;: ..: • i • 15;00tiPtiO of Wei.tic bk.§6&)iitilAii4: ... . to be Subconkacted. •• - • : N:'•. 0001 A0M0011110.'i •,, .,. . ... , . .„,.. 4c)ustigal Gelling:Ti10. . . . .. .A•dthwL Corona GA ..•..:.... ........• . .. ........ • Lteene.N.4.;;:.. 4.$At,... :: ...... .... .. . ... . : 11.:.:.1. :::.: .• . .. .. ... • i • tregitgiOntdtrilejt.*riarRotOtiOti.0411tieitciti N6: 1.0"..60.1)$0.10 ...•..... „, • Naitte.;.and:Lotaffiz: Dewriptibti•of mtork. • ..„ -.. ..• •....• : •• • .... 6.f Si4cohirattti: • be Subcontracted . . , . ...... . .. ... -. ..... .. . .. ..... .... Ceram.c.Tile 'f . Nath:cL:Oba,TifoipW.rtt#:Ig arid.docol.Tafing,: ____ ,844te§ :::Los Anqetes CA. : :: . . . • • . .: . .. .,...... •,. liddiT. Sei.kti i.880 .;... . --:.: ... .......... . ... • .1.?tpat.(tootii:6fliiiditOitifitiiiii.otii . i'gtliti6ii:Nii:i.•1,00.60 .0 „ 'i • . - . :'list*fie iitid Location D00.1.0i:OP:of.Work: •cd:§iib&fiiiiik:t6ii:!;-.. • :to,be Subcontracted Toilet F617003.11•;Si.A66si-ii0ss.. ,.- Nime.:', Y.TVi-iteitillse.5,4116. :. . . . bidtes.k Araliiiiii:,:•:0A! .. . ... ... . . .. tibOiti$0.0.0.::;:64.628.0.. • • Department of ftidostriAllttlaibh:•k006110iiV6',:.1PP•p0P57N.. ..... • • :Mate:inct.Loatiort.: - • Des.etiptibtistif:WOrk• .. • . :of Subcontractor i , ci:heiSi6coittrattd ..... ....• ...„ .• ..... Ef.e461: Now:'J36.€00RE109ttig.ii100,.. ..... • • .. ”::...*,--.•:.:-:-••..:::...:.......:::.:..:. :: • Address • ,.a6...Atil606.gi.t;cc: - • - •• . Li6enmiX0,;!.;08.401 . .. .. .... ...... .. .. . . .... ... .. • 004110101%dliiditiiiif ketaikvi. Registration 140:.:.ici.adoi06... . :.. . . . .. .. . .. • -.19;• .- • :;;.:-:::.:.i.;;::•.: :m :::;'•.:::::::.:::;:'::::;!.•.::•!:..:...::::::::.::::•:•:.;..:.:•.::::.::::::::::.:i:::.!.i:::::::.i::.;.::.:i,::: :.::;::....: : • -..":'..: :: . -r; ':':••;::;-.."•!..::•:..:...:].:;::•-;*.i.:.:•:: .;•':.• , .; CiViif.ROefftead:talitiiniO .baiveSe.P4k;RetfrOom PitjpOigo:3101:1 ,DocuinehtGOOtrol.fcage:26 of 452 LIST OF PROPOSED:SUBCONTRACTORS (continued): • P •c*:Diii4fica:te:iNat.2:P4ga;if.:riedaed.foniifiog:additioridtssiibbontraotors:**I Miri.0.6.rdLotatiOA: pOseatitiog of Work Stiljtoiltradofto.be.Subortra.ted e /71 c/f/p3,-,,,c• /./ c; :12C-V17es 4,1 .Addrags /Icb.K. tkerAL441.9, fe?.?r,Ccel q23 ç5 4-)vartmotofwciiwtiopReoio g414:rgicill /0‘700Z5-33 I ....... ..... .... .... ........ .. ......... . ... . ... . . Name and Location Description:of Wm* of Stib.coraraotor• uibeStibeoiltraoto.d Add ; 136041#001t:Of TU•O;Ustlgt:ittp.ti.o.4 Name • . . .„.... .„ . . . . . . . . . .. . and Locaticw. Descnption of Work Si bcorittactOr lb be Sub bOlittabtdd .:AddrOgg;j: tftPuW: ;.; ii[1.1411ariaIROt4b.i)jRetra;ioii Of, . ........ ................ ........... . . . . . NAti10•diddLoatioil. Docriptioa,of WOrk • of SUbdotittabtot tbbeStthitracted N . •Liqn5Qi:X•di.::, .1)004-tri.):.41t•6f.71101.0agig0.40-0.i IjÔ1 No.: Name and Looaticit. I)Oscdptiorl:of Work dThibtottEadtot gtibdofitfaaed Adake:gs. tieus •D04#40.1ta 410*.tiag6iatiOii Rg.i.*.4.tiOP:NO. CBF - 16 . . ' , • .--.• 2 City:0:10rnegq,...Pklifq;* Oavir$Y:F.5.P.r ?strP9fIll*Nat!01.1.09K01..:,f'1.010..110.31017. 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List of Proposed,Subcontractors (Submit APPENDIX:.*.P4go:P.47: 4.4 Atlditioos.kt:Classification and 11,1de.. .:- • RUD Form 4230A(submit with Bid)7 APPENDIX A, Paw •111:-;;Ntiti,*-6.f•Ei.lutd, fiiripti)mpfit.Opportunity: CitiotiktititiojotOltiipdt:y40i0d0: • APPEIOIX;* :EXtion:13.,::.:;,.*otiee ofS•e0io.n.3.:Coidoitd40:(41440it with • • 9 ArrgNgitAJ.;rRgp.k,.;30 --.iExnffgrvt: ,..S-&tioisi 3 Etortomic:Opportunity PIowt-Biidosngit. vottii.P4 . • • IlL APPENDIX A, j5-Section Resident c-OrtjfiOtioji(Submit Bid) IL.APPENDIX:114.rao:P...3a-r-:EXEMBIT:16-;,,,8e:oitig 3 j31.141.4.0g.Certification;(Subitut with Bid) • ArTEN•DikiA4104te104f.X/II.BIT.!1,71R.700cr,#):LoOyth.i.gC-Ottilfioititifit,:(Soilgadi igvidi Bid) •:•:. j: p is " ."-: :::: : .... ••: •.••• •-• . ...•• •••••••. . :•••::...:..... ... ....•• ..::•••.•;. .; .;;;;.•,; ;; •.:-;.• •..: •:.:•.:. ..:::.::..•. •:.:• •..; •:. s.: .... .... ..................... ....... . ....... • ....... .. ...:.:. . . 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"....:" • •.. . ,...„..... ;;; ••• ••. • •"" ... . •• .......• • • -"....." •••• • ...... ;„........... „ „.. „ •..: .•.••.. . . . ......... .• •• • ••••:: ;:i;::::. . .;;;-:. .......; ...........;;:;::;. . . ..........• ••::::.......... . .. . .:.. .. :*: . . .•::. :•••:.: : .....:. .:.:. ......... .. . .............. "..... "....." •• •"""""......."• ." •• .. . .• ..•. . .. ....... . . .. ...... . . • .;•:;.. ••••• "Hs":. • .• .. ::::• .. . :.:::::::::. .:.:::.:::":.::::.::. : . .......... .. . .... . ....;. ...;;...;;••• .• ••• ;; •••••;••;;;•• •• ; • ..; ;.• • •• •••••.....••••• "•••• ....... . ....... .. ---• • •-•::...• • ....... • • • ••••• •• ••• • • •. • : • ...•...::. ".::..•:.• •.... " •:••••• •::••• •*:::•*;•:..;.. ••••::::.. ... . •:••::::•.:.• .. ;..;;•:::::::!'!::: • • • • City ofROptrOrnia. opkvoy Phric.kAitoo.g.Renoyatico Pigject:PrpietiNci.31917 Dgcuipant Porktroi Pivei Rs 0452 . . GARVEY PARK RESTROOM RENOVATION: PROJECT . . P,O.:E•..717.'NO: 31017. NOWSIEGREOAT. .. .•FACILr.raV.::C •CEP.ZTII•Fl 11 N OI3gRAL07440RSTMCO.kOTRu.cTooka•PR04:E.mr0 • • . • the federally-assisted construction.00040t0(0.01.0 that he/she 1:)0S. NOT and WILL NOT: Maintain or provide, for hissitiO employees,. ?e.g regated fealties at any•0.hiather 2 . Perrnit,•hiSTher semployees,t0:per.forrktheir services at any)00atiort,..:00er his/her 00.0:frot.Wher*segregated faaltiee.are maintained. The federallY.,agitted,,dontractOr:agrees:that;a breach o! this dertification:•ts a violation of the Equal - C.V.pOrtpnity•Olause.in:thia.contrapt; 44.m?edinthic:certificationi the term tegregatedfacilities•rneans any waiting room,work•areas,:reWoonleand washrooms, restatirants.and.other eating area*. tirbecloCKS, locker room.and i other storage or dressing: areas, perking lots, drinking fbuntains,. recreation or ,entertainenent areas, transportation, and housing facilities provided for errooyeos which are segregated. by explicit directive or are in fact segregated on the baait:ofrace;creed,-polar,or national origin; hecause Of..11011;;.1ocal:okistorn,.:or otheni:iff*. The federally-assisted contractor agrees that-(exCeOX Wherehe/she haa:*obtained identical certification from;AtOposed:subcontractOr?.for specific time period?).1)0/?he,wiI obtain identical certifications from propc?ed.?OcOtixtte0tOrs•priortd;the'alivard„.0f.w.bcontract? exceeding:$10,1300 which are not exempt from the;provieions,of,the-aqua);Qtiportunity'elapse,.and..that:sbeishe•will.retain such certific.ations in his/herflle* NOralt.h•O:pot4,for Riatortgfaiaet.tateroewiri:offera:le•pire?ctiOed in la 1L8G. 1001, . 6/29/2019. PrOject Number: .31017 . ...• . 'Cômpan noept Co.nsulta. •• •....• • --•• •, ••• • • . ::" •:Address ••• • • •• • • • •• 220. Manning*Ave #i 13 Los Angeles, CA Mr.:* • : Ave • • • • • • . . . ; ..„. „ . By Nick Sammadi . Thj President • •• .: . . •.:•• • •. :••• F-2Z. . . . ..• . : .• ••:..• ••• ••••:,..• •. ••• •: . . • • . .„ . . . • . •• • • ••••••• • ••••• : :• •: :•• : ••• • ..• ••• • • ••• •• • • •• • • ••• . •• . .. ••• :••• • • . . .••• • • ...„ . . • • , . . . ' . . 4,... !- qtyiOf,flO;i0;My4-Q0110*' Om:y.4PM);postoor#R.OrgivatiOr)PAVii Prcgeot ,IC),.410 IT Qocor§X; ;;07ti of#52 OGARVEYPARK.RESTROOM:RENOVATION PROJECT ",...-•••,--- • PROJECT.NO::..31017. .i:. i•• CERTIFiGATION •••• - • --•• -- •-• .-- -•- •• • ---•• • • - WITWREGARLYTO.THE:PERFORMAKg!qr•FRaVictij. :00HT:Pt.:Apia OR, • --.-1' SIJOCOMAMSSUBJECT'TO:THEE00.41:4:OPPORTVRITY 01-00 AND.- . . THEflUtita..O.F.:REQUilkED:RE OORtS • . . .. Tti. .cloio.00r, cloropc*0-404,014roctett.h&eby•tertifies that heithei:Ohas, phashot,:parkipated :, live.OteVibiLiSttifitradt:tirti4b0httaa:SObje.0t to..tho. citiot .opportunitt .C10.u.sse, as-required by •• • -.. - .. .. • -- •• • ••• •• •-• • •-•• - ... •• xecutlY,0'-gfooN..19•9•25;- 1111A; 0(41-24. .; and that:ha/she,Ohas:,•InhaS•rriot, fit-ad:with14.Joitit. ...• , - • ..., . •• • • • . Reporting Committee. the Director of tha qt:100.•df.Fedarat Contract Compliance, a Federal: ...„. Government caltractiriljOr administering Agosoy; orthe,former-Re$fderitS•Oommittep•Oh Equal ..,...... .• ... . • Ernployakeht Opportonity; aili..repoft$•dpa•tindortho.app.110.able filing.requirements.. ...7 •• D .„te,.. 8/ 9/2019 •Projeot Nut.obtor,: .31017 0Ontract Award: $: • . .. , ... . ,.. . Awardiifg-A4ehyCity of.Rosemead,. CA .. ... ... . • . ... —• • :. :.: .... •• ••• • •-- --:-•.....................:,..:::;•:::.•.:: -::-.•::-•-, --::..:::.•,•: , • • ..•-- --. • - - • • - • Cotitract&Naniet. Concept Consultant, TOtatiMphi.bprofErivioyaet. . .... . . .. .... ......... . ... . ..„..... ... . ..... ... ... . _. .. Affiliata Q0.toparly:: •Nick.aammadi... . . .,,;---..-- .,-. ... .... . . . . .... :.. . •• . • • • • ,-; .i„---. _......_ _ _...... By: ,. i'<. ..-nt • . .. ...• . • • -..-- -•• .. -•.........•-• ••• • - - -"• • - •• - • - Title: ..1°. - .-''t' '''.! :,.... .....:.• . . .... .. . . ..... . . . •.:. :: • .. ... . •• ....•. .. •.. . ... • ... .• I.: .. .. „. . NOM::The above.oartlfioelipn is rectqlreti by.tfie: 40a1,Ernplpyrhebt;Oportunity Roguiaioris of the Secretary of Labor (41.:.CFR:60,;11(b)(1);and liitietbe,§ebniiteedbbitlacim. nd propotod.tub.dotittadoN.ortjyjh connection with contra and eutloonteattiyhioh.-pre subject to theatiderobportonitrpleoeei.Coritfdotvarici aubootitkacteWhjOherea*envtfrom ii• th.o.tiquE#00.0046hitydladde,are.eetfeithih 41 CFR 004,.5.!("Geriefally:Only.contracts or sUbbontrecle sof$1 Q,000.or under prO:pc,,fmpo,.. Proposed prime contractors and euboohlrootoro.woo.11.0.e..ipottiootg.-00:if3.0.ppoloki$contract qt:tt.ibqohtraot phjopt to the Exocutive•9tooto:ohoha.i.i.o.hotVad thei*Llredfepor.t0 should note that•-41.. F.R$0-1..7(h)i1)-prev ,thil.•aword of oghvgpts:000.sooeqtytrooto 401q4.-p,..4.!gh.•00)-..gract0f*.ori*OrOp,o.d:c0.4rina the opiiiiquoritpood-or• gt4ottor period -.1. 515.400 by the U.S. Peparttnerk of the Interior or by the •D'irectO.r,..Office of Federal.Contracti„Cornpliance? U.S. De.Partitertt:Of.Leben SF.400::(E50,1);.tridst..be-filed ify. -1. (4).'Ail::.019ate..0010yers'yiihart:. .... ,. 11 StkipOtt0.1100V,1,1)Of.thOigil.Niil.fiight .Apt.0106.4.0'. :effie.nded.):M*:1(0-:or more ettipjoyeee1... • (2) sOolgetv:Titto.y4whciohogfOwoohoh.i..(g):employees, if.the opmpahy:ie owned or affiliated with ohotho,c6iTIO.N....,..iithei:eit centralized•ownership.Ponta Pi.*:itOitieftion'tialtit:t1*.ginkfolegally rphoitoos..a 0000,:oterp..00,4fiti,the.eritke.enierprise.employe.e,tetal.of 101)or more employees. (RN.1: 1074[ onttactot .itx.'WO:ernPayer4,0,0;...: . . (1)::. :Ato 1.1c4:0-xottlig..a$,.P.roideitt for by.41.CtR:66.1.0 . (n: Have-50 ori more employees,and' • e'.- ktiOtinte.dcitittactOrs:btfireklet:eubsoOrittactpit.;and have e:Pentl'ebt.?'et3bpoptOot, or porohape 1.. cedar amounting to$50,000 oritoto.i.A* b. Sortt.o.,4$.0:ilepOgitOry:•Of Governmeafteds-tholy.amourk or u. Is A:finaritiei;ihatitalloh:,,which le an lealliti..eild:pyin#ager. for(1::4..$.evinos.i.$0hcfs:and.Np.w., ‘i. #,•2..., :.. ;..."..::: ::.:: : :.:::.!..::-..!-:!:-::::.::.-" ...i.::•••::.:,.....:.......... ::.::::..:::..:....:.•• ..•.: .: .....•:......:. • :. .. • : . •... . .. " •. .• " .. .... .. . .. . .... ••• :. . .......:•"" "::.:•:....••••::,.:::•:::,:•••:• ,.:,.,:::.:•:.: :•,,,.:,..,.,::. ,.. ..:.. ..:.•.::•••••.:.:. :••:. :••:,. .. :• ••••• : . ••• .... ....• • • • . : . . . . . .. . .. . ..... . ••" . ". ". ••::::. •,. ..::,:.: . ". • CityOf RO8p1ead;.:COlife010. Oorcigy...i>ork•f6.istpoottIkf§ndOtio.Prpj.e.Gii DO-cutneotCorIttoli:PAgem.of 452 county.(16:0•630t.'00.rtjfio.a.tion: concept consultant,. .)116;•.;:1 •'• : .• y!.• •••••• Uate:. ..8/27120191220 Manning Ave # 13 LOS Angles, CA 90024 . . • TekIv'ie •• •..... ::•••:- • . •••• t 349,1 430: . .$5-10........... ,•••::; r••••:.. ••• .• ••:••.: •:. •:•. '•••• •:•:• •.: .••••• !-: : .'s. • : • • • • ::•:',.• • •• •• :•••.•• . • :: • : •• • •: County of of L-:O.O:14110-416c.:10:th6:0611:11-pini19.:•06v.01fOgol.00ti:OOMMtp$1014,:... 001)tY, tL.o •Ato*$;otlsOLAo....ktio.; Okt•of:.14:M#40a;:qs'140004.cPntr4P.OP::40PfloYILOA.).; .• : . . •:: . . . • 1) it sunderstoqd.ths .eac-h.person, entity, or firm who arplles for a cpmmuniy Deveiopmenr . . . . Commtisiorf•-contracti::andasiparibfibati•prowSs;•. .hall oatityqh.ot the' trg..,pr.pitit-..-vot!gi.0. • •• ..:tootoitioto Cf.i#OtOr 41.01) t o Angeles COL ii • Ordinance:93-0031) and; comply• with theCounty Code, and: • ..." " "•—• 01; 'Ma any eson entiW. b:f4..trin,:,030.....:poOt •a ;9.h0:74ct)(41).••ttip,.ca.mt.iiimity 00v0ippmq(it. • ••' • • • • • •• COr.b0110s*:•*4011:•b.0.4:00.qVAtift00:Itigr00.0.0.1::•Wt•cf denied IP.i -Ocibtr.•40-6nCti•$h41.b0-1(00.i•in. if any iobbyist,. ortibythg;.tit.th; 16.1jbiSt-eniorc4.iir or:. ..1.19-:.cliher.15. 000: Of etiitity. fa11•4•to.ocoplywithAhp:provisions of the County Code. . .. • ':.• • • •... his GCiLIfiCcLlO't i :-41.1:4:tori61:•riggrosqhtatibrrpf'fOc.t$:vp..on:which roti4rmo:w4S:p.Iced:wliqrt•thiss. wortsactio.n: ' ":. .• : •••:: „.• •..•: „.• •••.• ••• • ••••• ••• • • • • •• Aisthq.00:011641;:) ••' Nick:Sammagli /•• • •••-• • poi,#Amitojf..catittootookialbiao... a00.):-.• • • . (MO* pt: kspntijtii24.. ••* 2•President , ... 8/29/2019 . . • •••. . •. ..• . . • • ••:. :•:•• .•• ••i . •:. : • • • $:24. •• ••:••• .;:. •:•••;:••••••••••:-.s'';•••••••• : •••;•:;•:'• . .;..:.;: •;.:;•. ••••::. ;•. • :;; .; .::-; • ,.....•••: ;; ••!.. •:. 041.01i13000aid,:Cslifornia: -001vOy:Pak-1.,ZOtoott ROofiqtion P.ftit.ti,,Pkifect.Np; p.9cti.t*t.Coritpl Pa .3.82 of 452 EXHIBIT 9' GARVEY PARK RESTROOM RENOVATION.PROJECT, j_::yF3Q4Egjt.fspxalz. WORKift,?*COMPENSATION Ce.riTIFNCO. • certify,: tigooft00,:below, thOt.1;041..aw:Ote of tho provisiOns or$OOtion- 3700 of the California Labor 000 which require everyrlyloy.e.r. he insured against iiabili.y for • Nivotic0Aooriloena.otioobr.to.4tidOttkO;s6f.f4ilst4itride in accordance with the provisions.of that.4.0d0,..aol:twill comply with such provisions before commencing iffp.ptilpftrAarideof tho:wotkoftht$.:00.)tract,: i• ...... Project Number: . 3191 . . Project Name: Garvey Park 13,StrOprels.,:. cOrnpAnyiNailm• Concept .................................. ....... •••••••••• ••••••-- •• • • •• ••• • • • - • • • • •• • • • Address: 1220 Manning Ave: # Los Angeles, CA 90024 . : • ...:. • •• • • •• •, •••• .•• • • ...• • • • • - • •• -• Print Nan NteK SAMMAbI • Tit : • • Pre§iciOn. . • .....::.. 'f• . :•.::.•.,:.:'. •:':s. •..:- • • .•• •. ••••,•:• :•: •.-•: • •.:. H•:• • .::.• .• • •• •••• ••••••••,- •• • •-..: • :.: .:-.:••• ....• .•.. .• • : . ...•.•.• . •..•. . . . . . . . .:,.:...,::.. ..... •••. • • •- ..:: . . :•:* ;pliy0040sorn.e.0;;:Cali1ornia: :t. Evpy,1:1•61(:-ReA!onm:Reiiovatitirifrctigt.Projf.j10.'.3:1017, :.Dmiro* etit..toiltrot'Pbo.a:.3,53..of•45.Z ,.. c ..•• , .. . . ••• I.).W.FRAC:rOlt tiVri:OFPROPOSEOVSUK0141V,AM.R.S; . .)cHIPt117:—.1P. • — ' ... ...:. Garvey Park Restroom Renovation F- .. .. . . : ; • ''' :-..C.it :::OT:RoSeM.00d, CA :::•:: #.10...#1••:m.*#..... :. • ....*:-.** .:*.. •— ....l. ' ..-'.. -''.•... . ..""• .." "." • .......0kAoijo.40.: 60-•..0: . •• • . ..• • . . :':•. toGxikilt: 7933 Emerson Place,. RP$P1110•01,; CA 91770 . :: • . • . 31017 :.„ ..... . :: :••Pf0104 Number - .'•:: .-- •••••• •• • • • - •-,• - - - ' .,.. ;. gt1)0101:0!•' 1. ctipt:r04tip SCO .: . • .!i 'f.rstirrAW.1: :::::::: ' F*1.100- •:. • •• .... trta1-40135:.: .. . .. . . . . • -:.: :IdOlitirON0- - ititenk: :: ':Otitt.a..ct :StIft •-•.: ItomPletion: :..: -: . .: - • • :::i•:.: : O .... ..:.. . .. d . .: . : NarViAdareSsiancfT& hire0trt0rNumber AVVTA .P rate TRADES .! :. ., . . . L-6:144ii.6 Flib:Proto.ofistii..8,,P16615.1i.i4 :..::Will 110.:110000Pcii:'.:• :.7.6798 : . : 63 40 : Aa,i0066;1?.:Within 45 AAir): i.: it.,,,,,,,,,,i.i.,,,:•: ••• • Sahlikilii••.....•• •..••......••- •••• : . r'"..":"°'09: ...... . .•• ... ••• • - :: i .. ': • . r ' .,.•..o ": d ••h• -:.. Excd !ipWin 54 provided 7g011fot tow Wkiin45M:,a• • A65040••'6.6-.1 Metal Ceiling .- •• :• •• . ... - • • - :,:. - - • •• • :;::::;: :....-.• :04Pf.tii0.#0itiliti9 0Pd•riOGOY.#.1ir19:AO; :: Wil.:: be provided .7-6.$-4.7'. - :', .:20.;-.66.0: •:* raicitcrlh"ItY'•::•..iVithrn*-4p-W,P :i gqqa:i.i. .P1.9.: .H:-. :.:•••:.::.:..• , •:.i i;:.;.• .F.-. .... -:-.*. :: ".-... , : . :., ..•.•.....• .... • .. •• .. . . .. .. -..., .• .Y1-17:Er.i.terpris:e.s,Inc .•Will be lira:IMO :::: :.$2,0:46 • ,: 15 300 ::., :.,,,:=19 TP 5i: .,:...W!tiiiti-:.4q..W,0. : Toilet pnrbtion& . . .,- • • ••• • ••••••••••- •• • ••• •••••••• ....-: - .. i.,. •Acepk$0.tig..9. • •:-• ;: •• • ::...;'•' .!'..'1.11fslAOY.L.P0.0t.r.iq,10.9,. •: Will.-150 p.(1709/1);Od 4681:th. .; :; 14.400 ::. '.'W. LTIV .:Within..461-•pc, : Q•9otti64. .... . ... -....::,': :• ... ... ',:',.. .. :. .... . ... - . : •••., .... • . •• • • . : : :: :::.::: .. . • •: •:. :::: :...,.. ... : : .:. . •. 17 A00 .:. ... . . . .. ...•--. . . . , . .... . .: : •:,::,::: PkiViliktkOtOjn .: .. •:Will..be provided, : . '9q.2.3.0.$ :•''''''.9i.:61'°:`9'419::•°/•::Withih itt' -i:S- 1- Demolition • • •• •••••• • • - -.:•-- •: ••: - •• . .... ' ',.:I.PJ :" • -...::,•:•:.:• :: ••• " • : •••••::. • • - . . • . . . -•••'- • •.- ......... , . .. . . . . . .. ... . . - . • . , . . .. . : . .. .. • .. . ••• , .. • . : • .• .:.:.. . . . . . • • . .. . • • • . .. ..: .• .:-....:• . . . . . . .. . . .... .... .. ... . . . ., .:.... .:. .. • • . ..,•, , _ ---, • — . . Il:i•• .. * .....;;;:- • •:-.•.: . . : ••:::'::..'. •• • . • . • - . • . . . . . . .. .. " .•.... . .,,,_-____, - • •• . .. . .: • ' • • " • •.•:. ,..:...... . ,..... .. . . .„ .. .. ... - ' . , . . ,.... .. •''''''- • ' ..... ... . . . . , •.. • •• - • __-----< ::. • . .. . : .. . .... ::. . . ... ... . • . • .."..._,.. .„.. ........"-'(i.'--"-...-.------.------ • . . . . . .....N i ck Sammadi.... President: • • . ,-- ..."- •• . .. .. . . . . ••• • . ... ..••i • :•Si9nature .••:' ::-.!, ..: .•::',:. .'•-.. ••%R.) .r.i ctliffe• :.•::. '.•'• :.:..••• ..:. ..• • ... . .. . .... . .. „. . .. . .. . .._ ... ... . . .. .. :. 8/29120.14 . Concept Consultant, Inc, - . .:.• . .. . . .. .. . ... .. • 0t8. .c„oerip4riy tOrne: ..• • F;26 . . . . - . • . , , , , , , , .. • .. , .. , . S.. • �,(/v+ Ot i!9 i aG }#A 71i"'v i t x "fiyrl ..®.F �.w �\ Yt_ki8py .. .N 0; 1�������Ii�I.I�Ii� . 4 6 :P ' F'R ADDITIONAL.: I ; IFI ATI ., RATE. ogtooroVoir ee O1 o71.:I• .. 4 pa P-AonoPs):i: -i.. 8 1 .FROM tname:and'addl ss of:ret esung a jency,}):` 2: PROJECT WAt4 E ANCD N.'B MEt.R i City•of Rosemead 130.0c.works•Department Garvey Park I •'e•tro:o•m Renovation I .-, : Project.# 3:1017 i 8838 Valley Blvd; :...:: ... .. . Rosemead, CA.91770. Lt� . CA`i'#ta i bF eActoE` 'r.{P.ity,'oounty rico ofoo I City'of. Rosemead ,, CA 4 BRtEr'DESCRIPTfON:O PRO: '. ,..::..:..:..... ..:::... :S; gii g7MR OP CONSTRUCTIO ' 'Improvement of Mena and Women restrooms BUitarrt : Cl Reside0ti i Plumbing, sewer line, electrical,: ceramic tiles H HVy IJ Other{s yHtg.hway re-plastering, sidewalk ... ,. . . ::�:. ° 5 littAGE DEOtts#ONNC {tnOyde rnt?diflcatian.nzrmhet,lapY}: 7;:l tWAGE:DECtsCQN. 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I • '• . - .6.66::*.ii.i.i.iiiit,it:':: •::*.••• "I.-— .sOr•9P-••••"" •:. ---'•-••:- .. - r---——'•. - ••-. •--• pf•*Littioi..."-•.-".::.•-.•: - ••• - -::. . . . .. q/1.401ft.: •• . ... . ... : " eamoxitits!: 149:0.9.c.04:6014:404."""....................: ,., "• • *Hari 3:06001714r— .. - NNip.alt.on: ' . . • • .. . • - •: •. ...••:::..:..:::-.• -•i::.::::-:::•..,:i.i;:i.i:.i:::•:j: .::::::::.::::::.•::: .....•:::.,::: •••:::,::...:.:.•.:...:::•.::::i.,::.:.:,..: .-.:-:.... :::_:i::. .. :::::........:.•:.:.ii: ::::::•::::;::..::: ::..•••: ::•:.-::-• .-. ::.•::...•. :..i:.:.•.: ••. • . . • --1 .Qitif:ork.o4f.7,00.COola . 6a0e-Y..F.?rgEP09111.ROOValioti:Pr.OjOt.teR!opct.119. :1017. OttpligrtPagi f of 452 PEDERAL•iLoaayist:dERTIFICATION: . i Nameof Firml!...P0nOOKOPOOOM.1P :,.... , ..... . .. . . . .. . . . . . . .. .... ... . ..... .. ..,.... . .......:. . .... . . . .. . ... ••... Address:.. 1220..:MOtrijr.i0:.AV.64;15: • • •-•- -• Stat . CA ... .. .. Zip Code 9002*. . telephone Number: :( 310 .) 43 .78516 . . ..._,; • Ading:00.!hehalf Of the above named firiilraSitS Authot#040:Ocial.,I make the following Certification to the U.S.. De............Of Housing and Qdian'beir.eloprnent and the Community Development Commission, County of Los: Ai0010,: —• : I). No Federal,•appropri.ato-er funds;have:00.ii.01tf...by.br•bri:b0hSif-of the above named firm to any person for influencing or attempting to influence an employee of any agency,a Member of --, Congress,•an officer:or.6mriloyeo::,:OfCongress.,.:or an employee of a Member of Congress in oonris6tiOn•witbsthq.-awardjno'*Of any Federal contract, the,nlaidno..of.and Federal grant, Imo or toopOSthiscaOtestrie014::priii-atly skiertOOh,•continuation, renewal,•amendment, or modification . .. .. .. thereof,.anck..•:•:*:;,,•.---...! •:.:i:.„..,:.. :: . .•-•":- , • •• • . • ...:: . „, •• . . • • . . . • . .. . . . . . . . - • 2.): if any.f(midsoffisrib.sr(Fstoraf soprobrithed•futidstiave been paid or will be paid to any person for influencing Or.:atternptingitbinflUeite an officer or orany agency,a Member of Congress ,..:. en-offjoer or employee of Congress or an empiOyee:.-Of.a MerfAer:of Congress in connection with -- this . Federal contract, grant loan,or cooperative agreement, the above named firm Shall complete and tubhilt. Standard 1i3mir,!Lo,.., "lpiolosor.eForm• to Report •Lobbying', in accordance with its instructions,and;: -1 . ; s):. Theabove,:namostv.shalt-rOuire:thot:•fbg language of this Cenifioation be included in the award 1:0.c.umentsfor.:•sii sub-awards at all tiers On Oitidiht.subcontracts, sub-grants,and contracts under mi :,.........::,•!!..:::•...••• .:••,AtOlit$,....!:641*i4rPPQP•PrO.IIVA). ..gr- tr.,1Pr.rt)::4PdIlat#1:§10) 1,epiPielliP.shali.•,0{P•rtifY•allcl4100.104e :•• • .,s . 1 ...,: • ••• •• This certification IS 0:rria0ji.af representation of fact upon ithtehreliance was placed when this transaction was ....triade:Ceritefed into, Submission of this certffication is.,a!pierecitilsite for Making or entering,intothe-transaction iroPosotf•bY:.$00ti00:1$5?:TitIO 31,:U. S. Code.,.Any-,person Who fails to file the required certification shall be ..:,, : subject to acivil penalty of tibvies,thoh:00,odo:and.not more than$100,000 for each such failure. . :. . • • • - - . • . • . . : Authorized Official: . . . .--- • . ------- ••• . . ... ! .•. • .•...comopt.e.pnoiltont Inc.-. .N.rpK, orri.0:3soii• 8Y.: • ..../.-1' . ...:: .•:.:- •:•'••:- :::••feNitiaetirririli4olitroctoil. •••• •-. . '..•'7 — -... t6 •. • • • •• •• • '.80/0049. .Preido•rit . . . . . . . .. . . . . .. . . • •triM • • • • • -*•1 . . F-34 . . .. - . • • . • • • - • • . . . . . . . . . . . . . ' .... .- tOgROa.0140i.:0:41.0*: . ..aist.0:Fi*ROtrqcift.t:Raioimticiii.Prpj0t,RO1001No;31017 TVMigifftOfff'2 F.E.OgRA14.1.!Q:PaYAT:.P. RTIFICATIQK ....,.... Nameof tirtn:• •Oicgt6iit'0•6i.) kilfa0,-to ,i.. .... . . ... . .... .... . .... .. • .. .. .. • ••• ,„. ... , . . . .... . .. . . . .. .. .... . .. . .. .... ... .. .. .. Addr.6.80f: I22CvM.Arillit10.4v0i#1$,• . . .. . ... . • .•:• . •:...• •• :, . . . ..... •.. ..• • iStata;::i:ox• • .2lp.abete::. 9t,i:.). 4: . .:iiteptibrieisriwilber.( .E.3:4'0. Y -.4...:.0:4.. *: .. ;., • Acfliv•pia:5ehott.of#10:000ve...nameci•ifign,::00;:itO:AIAPTI40 Official, I 001Kathatoltowilig:GertifiCatiort-to the.U. S. :Departtnantof.Housina ardurbgn:.DaVaipptriatit arid:111a.CPffliticinity Development Commit$ItiVeoLitIfy of Loa: .Mg0100!•;• - •-• 11 . 116 RedoraliaPProPriatatt•Itinds.have:bea sOald:.t.y:-'stir behalf of 00 above named firm.to:any pargari:far:filffy..anqiiig:pc;.agairptihg:tp.iritkehe'. 6:Offier eie:m1plOadanyeOpriey,'?ttilerni.?er of : Ong.re884:arr-officar of.:6.7noloytal.O.f.:Obri.oroa.,.ot:-00.:. rividysio!.:0:;05M.em.ber:.:.of.:00.fig•rOs in edritiactiP6.0itil:14 4w0fictiii4..0::06:i.. 60.0i1VafgOct, tt*:Ma.1000.-Of-ana F0d6fal grant; 10ai.! pr cppparaffs.ro agrparparit,ap.d any,axte08j0m.contindatiOn, renewat,. amen.dment, or modificatipri •- ::- ••••• •• •th .ttofi:•and1Li:': • ••: .: ..•:i •::-..::::..!':-.::. ::::•••i: ' • •." •.•••'. •:•.:•:- -• ::••r.;.•-;.....::••:•••.:•..:1..- ....:.:::.•,,.c.........: : .?. . .4: 'If any fUnds other thari.Federai approoriated fwicrs have ben pcjd pr will be.paid'16-60Y.person for th:f(ga.OP:iiiOptatiamWv•tilfi.v.. apeapp oftbars:prierripigyaa,praby agengyA a Mart:Oar:Of O prIty.0 ••,t,••.-... . aq-PfAcOr'PrertiptoYoq:of..0cirioreiorairk*TiplOOg.tif 4-MO.rOpi.:'rf!Ocr4ra0.111, 0firta:Ptii,n with ..:.::: this;! .. . 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GENERAL CONTRACTOR LIC.#982335 PJII.0 NG AND ENGINEERING ..._ 2355 Westwood'Blvd#901 :tos Angeles;CA 90064' " '` tel 310.439.8516 I fax 310.400.5829 I nicksammadi@gmail.com • Date :8/29/2019 Subject :Authorization Reference :Garvey Park Restroom Renovation-City of Rosemead—Project#3017 Dear City Clerk Manager: We would like to inform you that we herby authorize our president Mr. Nick Sammadi To do all related work to the above-named project,and his signature on behalf of the corporation has the authority to do so. Sincerely, 1;;;; Nick Sammadi President . ' `,uranEGp/ J r.wn /�J Federal Register/Vol. 84, No. 181/Wednesday, September 18, 2019/Notices 49175 DATES:Written comments should be DEPARTMENT OF TRANSPORTATION award funds under the Pilot Program for submitted by November 18,2019. Transit-Oriented Development(TOD) ADDRESSES:Please send written Federal Transit Administration Planning(TOD Pilot Program)through a comments: competitive process,as described in this FY 2019 Competitive Funding notice,to local communities to integrate By Electronic Docket: g www.regulations.gov(Enter docket Opportunity: Pilot Program for Transit- land use and transportation planning Oriented Development Planning with a new fixedguidewayor core number into search field). By mail:Michael E.Dostert,Federal AGENCY:Federal Transit Administration capacity improvement transit capital Aviation Administration,Transport (FTA),DOT. project as defined in Federal transit Standards Branch,2200 South 216th ACTION:Notice of Funding Opportunity statute. (See section C of this NOFO for Street,Des Moines,WA 98198. (NOFO). more information about eligibility.) By fax:206-231-3168. As outlined in MAP-21,the TOD FOR FURTHER INFORMATION CONTACT: SUMMARY:The Federal Transit Pilot Program is intended to fund Michael E.Dostert by email at: Administration(FTA)announces the comprehensive planning that supports Mike.Dostert@faa.gov;phone: 206-231— opportunity to apply for approximately economic development,ridership, 3168. $19.19 million of funding under the multimodal connectivity and Pilot Program for Transit-Oriented accessibility,increased transit access for SUPPLEMENTARY INFORMATION: Development Planning(Catalog of pedestrian and bicycle traffic,and Public Comments Invited:You are Federal Domestic Assistance#20.500). mixed-use development near transit asked to comment on any aspect of this As required by federal transit law and stations.The TOD Pilot Program also information collection,including(a) subject to funding availability,funds encourages identification of whether the proposed collection of will be awarded competitively to infrastructure needs and engagement information is necessary for FAA's support comprehensive planning with the private sector. performance;(b)the accuracy of the associated with new fixed guideway and Consistent with direction in MAP-21, estimated burden; (c)ways for FAA to core capacity improvement projects. FTA is seeking comprehensive planning enhance the quality,utility and clarity DATES:Complete proposals must be projects covering an entire transit of the information collection;and(d) submitted electronically through the capital project corridor,rather than ways that the burden could be GRANTS.GOV"APPLY"function by proposals that involve planning for minimized without reducing the quality 11:59 p.m.EDT November 18,2019. individual station areas or only a small of the collected information.The agency Prospective applicants should initiate section of the corridor.To ensure any will summarize and/or include your the process by registering on the proposed planning work reflects the comments in the request for OMB's GRANTS.GOV website promptly to needs and aspirations of the local clearance of this information collection. ensure completion of the application community and results in concrete, OMB Control Number:2120-0710. process before the submission deadline. specific deliverables and outcomes, Title:Reduction of Fuel Tank Instructions forapplying can be found transit project sponsors must partner Flammability on Transport Category with entities with land use Tannin Airplanes. on FTA's website at https:// planning www.transit.dot.gov/TODPilot and in authority in the transit project corridor Form Numbers:There are no FAA the"FIND"module of GRANTS.GOV. to conduct the planning work. forms associated with this collection. The GRANTS.GOV funding opportunity B.Federal Award Information Type of Review:Renewal of an ID is FTA-2019-010—TPE.Mail and fax information collection. submissions will not be accepted. Federal transit law authorizes FTA to Background:Design approval holders make grants for eligible comprehensive use flammabilityanalysis FOR FURTHER INFORMATION CONTACT:Ken y Cervenka,FTA Office of Planning and planning projects under Section documentation to demonstrate to their Environment, (202)493-0512,or 20005(3)of MAP-21,with funding FAA Oversight Office that they areauthorized by 49 U.S.C. 5338(a)(2)(B). Ken.Ceivenka@dot.gov.with the Fuel Tank en.Cervenka@dot.gov.A TDD is FTA intends to award all available Flammability Safety rule(73 FR 42443). available at 1-800-877-8339 (TDD/ funding to selected applicants Semi-annual reports submitted by FIRS)• responding to this NOFO. design approval holders provide listings SUPPLEMENTARY INFORMATION: Only proposals from eligible of component failures discovered during Table of Contents recipients for eligible activities will be scheduled or unscheduled maintenance considered for funding.FTA anticipates so that the reliability of the flammability A.Program Description minimum grant awards of$250,000 and reduction means can be verified by the B.Federal Award Information maximum grant awards of$2,000,000. FAA. C.Eligibility Information Respondents:Approximately five D.Application and Submission Information C.Eligibility Information design holders. E.Application Review Information gapprovalF.Federal Award Administration 1.Eligible Applicants Frequency:Information is collected Information Applicants under the TOD Pilot on occasion. G.Federal Awarding Agency Contacts Program must be FTA grantees (i.e., Estimated Average Burden per H.Technical Assistance and Other Program existing direct and designated Response:100 hours. Information Estimated Total Annual Burden: Appendix A:Registration in SAM and recipients)as of the publication date of 4,000 hours. GRANTS.GOV this NOFO.An applicant must either be the project sponsor of an eligible transit Issued in Washington,DC. A.Program Description capital project as defined below in Joy Wolf, Section 20005(b) of the Moving Ahead section C,subsection 3 or an entity with Directives&Farms Management Officer for Progress in the 21st Century Act land use planning authority in an (DMO/FMO),Aircraft Certification Service. (MAP-21;Pub.L. 112-141,July 6, eligible transit capital project corridor. [FR Doc.2019-20163 Filed 9-17-19;8:45 am] 2012),with funding authorized by 49 Except in cases where an applicant is BILLING CODE 4910-13—P U.S.C.5338(a)(2)(B),authorizes FTA to both the sponsor of an eligible transit . t 49176 Federal Register/Vol. 84, No. 181/Wednesday, September 18, 2019/Notices project and has land use authority in at extension to an existing fixed guideway advance the metropolitan planning least a portion of the transit project system;or organization's metropolitan corridor,the transit project sponsor and (B) a fixed guideway bus rapid transit transportation plan.Further,MAP-21 at least one entity in the project corridor project that is a minimum operable requires applicants to establish with land use planning authority must segment or an extension to an existing performance criteria for the partner on the proposed comprehensive bus rapid transit system. comprehensive planning effort. planning project.Documentation of this A fixed guideway bus rapid transit Following are examples of the types partnership must be included with the project is defined more specifically in application;see section D,subsection 2 statute as a bus capital project: of substantial deliverables that may of this NOFO for further information. (A)In which the majority of the result from the comprehensive planning Only one application per transit project operates in a separated right-of- work.Substantial deliverables are capital project corridor may be way dedicated for public transportation reports,plans and other materials that submitted to FTA.Multiple applications use during peak periods; represent the key accomplishments of submitted for a single transit capital (B)that represents a substantial the comprehensive planning effort and project corridor indicate that investment in a single route in a defined that must be submitted to FTA as each partnerships are not in place and FTA corridor or subarea;and is completed.Substantial deliverables will reject all of the applications. (C)that includes features that emulate may include,but are not restricted to, the services provided by rail fixed the following: 2. Cost Sharing or Matching guideway public transportation systems, i.A comprehensive plan report that The maximum Federal funding share including: includes corridor development policies is 80 percent. (i)Defined stations; and station development plans,a Eligible sources of local match (ii)traffic signal priority for public proposed timeline,and recommended include the following:cash from non- transportation vehicles; financing strategies for these plans; Government sources other than (iii)short headway bidirectional services for a substantial part of ii.A strategic plan report that revenues from providing public transportation services;revenues weekdays and weekend days;and includes corridor specific planning derived from the sale of advertising and (iv) any other features the Secretary strategies and program concessions;amounts received under a may determine are necessary to produce recommendations to support service agreement with a State or local high-quality public transportation comprehensive planning; services that emulate the services social service agency or private social iii.Revised TOD-focused zoning service organization;revenues generated Provided by rail fixed guideway public codes and/or resolutions; from value capture financingtransportation systems. P A core capacity improvement project iv.A report evaluating and mechanisms;or funds from an is defined in statute as a substantial recommending financial tools to undistributed cash surplus;replacement corridor-based capital investment in an encourage TOD implementation such as or depreciation cash fund or reserve; or existing fixed guideway system that land banking,value capture,and new capital.In-kind contributions are increases the capacity of the corridor by development financing; permitted.Transportation Development not less than 10ercent.The term does Credits(formerly referred to as Toll P v.Policies to encourage TOD, Revenue Credits)may not be used to not include project elements designed to including actions that reduce regulatory maintain a state of good repair of the barriers that unnecessarily raise the satisfy the local match requirement. FTA projects proposed existing fixed guideway system. costs of housing development or impede with a mayhiprioritize non-Federal share. Comprehensive planning work in a the development of affordable housing; corridor for a transit capital project that and/or 3. Other Eligibility Criteria does not meet the statutory definition vi.Local or regional resolutions to above of either a new fixed guideway i.Eligible Transit Projects implement TOD plans and/or establish project or a core capacity improvement Any comprehensive planning work project is not eligible under the TOD TOD funding mechanisms. proposed for funding under the TOD Pilot Program. iii.Ineligible Activities Pilot Program must be associated with ii.Eligible Activities an eligible transit capital project. Applications should not include the Although not required to be part of the Any comprehensive planning efforts following activities: Capital Investment Grant program,to be funded under the TOD Pilot Program i.TOD planning work in a single eligible,the proposed transit capital must address all six aspects of the transit capital project station area; project must be a new fixed guideway general authority stipulated in Section project or a core capacity improvement 20005(b)(2) of MAP-21: ii.Transit project development project as defined in Section 5309(a)of i.Enhances economic development, activities that would be reimbursable title 49,United States Code. ridership,and other goals established under an FTA capital grant,such as A fixed guideway is a public during the project development and project planning,the design and transportation facility: engineering processes; engineering of stations and other (A)using and occupying a separate ii.facilitates multimodal connectivity facilities,environmental analyses right-of-way for the exclusive use of and accessibility; needed for the transit capital project,or public transportation; iii.increases access to transit hubs for costs associated with specific joint (B)using rail; pedestrian and bicycle traffic; development activities; (C)using a fixed catenary system; iv.enables mixed-use development; iii.Capital projects,such as land (D)for a passenger ferry system;or v.identifies infrastructure needs acquisition,construction,and utility (E)for a bus rapid transit system. associated with the eligible project;and relocation;and A new fixed guideway capital project vi.includes private sector is defined in statute to be: participation. iv.Site-or parcel-specific planning, (A)a new fixed guideway project that MAP-21 also requires the such as the design of individual is a minimum operable segment or comprehensive planning effort to structures. Federal Register/Vol. 84, No. 181/Wednesday, September 18, 2019/Notices 49177 D.Application and Submission recommends saving the form on your into the region's unified planning work Information computer and ensuring that JavaScript program, completing major tasks and 1.Address is enabled in your PDF reader.The substantial deliverables,and completing information listed below MUST be the overall planning effort. Applications must be submitted included on the SF 424 and 16.Describe how the comprehensive electronically through GRANTS.GOV. supplemental forms for TOD Pilot planning work advances the General information for submitting Program funding applications. metropolitan transportation plan of the applications through GRANTS.GOV can The SF 424 and supplemental form metropolitan planning organization. be found at https://www.transit.dot.gov/ will prompt applicants to address the 17.Propose performance criteria for funding/grants/applying/applying-fta- following items: the development and implementation of funding along with specific instructions 1.Provide the name of the lead the comprehensive planning work. for the forms and attachments required applicant and,if applicable,the specific 18.Identify potential State,local or for submission.Mail and fax co-sponsors submitting the application. other impediments to the products of submissions will not be accepted. 2.Provide the applicant's Dun and the comprehensive planning work and 2. Content and Form of Application Bradstreet Data Universal Numbering its implementation,and how the work Submission System(DUNS)number. will address them. 3.Provide contact information FTA will not consider any additional Proposals should include only a including:Contact name,title,address, materials submitted by applicants in its completed SF 424 Mandatory form phone number,and email address. evaluation of proposals.The total length (downloaded from GRANTS.GOV) and 4.Specify the Congressional districts) of the completed supplemental form the following attachments to.the where the planning project will take and documentation of partnerships and completed SF 424: place. funding commitments should be no i.A completed Applicant and 5.Identify whether the planning more than 15 pages. Proposal Profile supplemental form for project is located in a qualified the TOD Pilot Program(supplemental opportunity zone designated pursuant for. Unique ManEntitagement nt IdentifierS and System form)found on the FTA website at to 26 U.S.C. 1400Z-1. Award Management(SAM) https://www.transit.dot.gov/TODPilot. 6.Identify the project title and project Each applicant is required to: (1) The information on the supplemental scope to be funded,including Register in SAM before submitting an form will be used to determine anticipated substantial deliverables and application; (2)provide a valid unique applicant and project eligibility for the the milestones at when they will be entity identifier;and(3)continue to program,and to evaluate the proposal provided to FTA. maintain an active SAM registration against the selection criteria described 7.Identify and describe an eligible with current information at all times in part E of this notice; ' transit project that meets the during which the applicant has an ii.A map of the proposed study area requirements of section C,subsection 3 active Federal award or an application showing the transit project alignment of this notice. or plan under consideration by FTA. and stations,major roadways,major 8.Provide evidence of a partnership These requirements do not apply if the landmarks,and the geographic between the transit project sponsor and applicant: (1)Is an individual; (2)is boundaries of the proposed at least one agency with land use excepted from the requirements under 2 comprehensive planning activities; authority in the transit capital project CFR 25.110(b)or(c);or(3)has an iii.Documentation of a partnership corridor,as described earlier in this exception approved by FTA under 2 between the transit project sponsor and subsection. CFR 25.110(d).FTA may not make an an entity in the project corridor with 9.Address the six aspects of general award until the applicant has complied land use planning authority to conduct authority under MAP-21 Section with all applicable unique entity the comprehensive planning work,if the 20005(b)(2). identifier and SAM requirements.If an applicant does not have both of these 10.Address each evaluation criterion applicant has not fully complied with responsibilities.Documentation may separately,demonstrating how the the requirements by the time FTA is consist of a memorandum of agreement project responds to each criterion as ready to make an award,FTA may or letter of intent signed by all parties described in section E. determine that the applicant is not that describes the parties'roles and 11.Provide a line-item budget for the qualified to receive an award and use responsibilities in the proposed total planning effort,with enough detail that determination as a basis for making comprehensive planning project;and to indicate the various key components a Federal award to another applicant. iv.Documentation of any funding of the comprehensive planning project. Registration in SAM may take as little commitments for the proposed 12.Identify the Federal amount as 3-5 business days,but since there comprehensive planning work. requested. could be unexpected steps or delays, Information such as the applicant's 13.Document the matching funds, FTA recommends allowing ample time, name,Federal amount requested,local including amount and source of the up to several weeks,for completion of match amount, description of the study match(may include local or private all steps.For additional information on area,etc.may be requested in varying sector financial participation in the obtaining a unique entity identifier, degrees of detail on both the SF 424 project).Describe whether the matching please visit www.sam.gov. form and supplemental form. funds are committed or planned,and 4. Submission Dates and Times Applicants must fill in all fields unless include documentation of the stated otherwise on the forms. commitments. Project proposals must be submitted Applicants should use both the"Check 14.Address whether other Federal electronically through http:// Package for Errors"and the"Validate funds have been sought or received for www.GRANTS.GOV by 11:59 p.m. Form"buttons on both forms to check the comprehensive planning project. November 18,2019. GRANTS.GOV all required fields,and ensure that the 15.Provide a schedule and process for attaches a time stamp to each Federal and local amounts specified are the development of the comprehensive application at the time of submission. consistent.In the event of errors with plan that includes anticipated dates for Proposals submitted after the deadline the supplemental form,FTA incorporating the planning work effort will only be considered under 49178 Federal Register/Vol. 84, No. 181/Wednesday, September 18, 2019/Notices extraordinary circumstances not under 5.Funding Restrictions roles and responsibilities of proposed the applicant's control.Mail and fax See section C of this NOFO for staff;and submissions will not be accepted. detailed eligibility requirements.FTA v.Whether the performance measures Within 48 hours after submitting an emphasizes that any comprehensive identified in the application relate to the electronic application,the applicant planning projects funded through the goals of the comprehensive planning should receive two email messages from TOD Pilot Program must be associated work. GRANTS.GOV:(1)Confirmation of with an eligible transit project, c.Funding Commitments successful transmission to specifically a new fixed guideway GRANTS.GOV;and(2)confirmation of project or a core capacity improvement FTA will assess the status of local project as defined in Federal transit matching funds for the planning work. successful validation by GRANTS.GOV. pro j FTA will then validate the application statute,49 U.S.C. 5309(a).Projects are Applications demonstrating that and will attempt to notify any not required to be within the Capital matching funds for the proposed applicants whose applications could not Investment Grant Program. comprehensive planning work are PP committed will receive higher ratings be validated.If the applicant does not 6. Other Submission Requirements from FTA on this factor.Proposed receive confirmation of successful comprehensive planningprojects for validation or a notice of failed Project proposals must be submitted com P validation or incom Tete materials,the electronically through http:// which matching funding sources have P www.GRANTS.GOV by 11:59 p.m. been identified,but are not yet applicant must address the reason for E.D.T. on November 18,2019.Mail and committed,will be given lower ratings the failed validation,as described in the fax submissions will not be accepted. under this factor by FTA,as will email notice,and resubmit before the proposed comprehensive planning submission deadline.If making a E.Application Review Information projects for which in-kind contributions resubmission for any reason,include all 1. Criteria constitute the primary or sole source of original attachments regardless of which matching funds. attachments were updated and check FTA will evaluate proposals that the box on the supplemental form include all components identified in 2.Review and Selection Process indicating this is a resubmission.An section D of this notice according to the In addition to other FTA staff that application that is submitted at the following three criteria: may review the proposals,a technical deadline and cannot be validated will a.Demonstrated Need evaluation committee will evaluate be marked as incomplete,and such proposals based on the published applicants will not receive additional FTA will evaluate each project to evaluation criteria.Members of the time to re-submit. determine the need for funding based on technical evaluation committee and the following factors: other FTA staff mayrequest additional Any addenda that FTA releases on the i.Potential state,local or other application process will be posted at impediments to implementation of the information from applicants,if https://www.transit.dot.gov/TODPilot. products of the comprehensive planningnecessary.Based on the findings of the Important:FTA urges applicants to p technical evaluation committee,the g pp effort,and how the workplan will FTA Administrator will determine the submit their applications at least 96 address them; final selection of projects for program hours prior to the due date to allow time ii.How the proposed work will funding.Among the factors,in to receive the validation messages and advance TOD implementation in the determining the allocation of program to correct any problems that may have corridor and region; funds FTA may consider geographic caused a rejection notification. iii.Justification as to why Federal diversity,diversity in the size of the GRANTS.GOV scheduled maintenance funds are needed for the proposed work; grantees receiving funding,projects and outage times are announced on the and located in or that support public GRANTS.GOV website at http:// iv.Extent to which the transit project transportation service in a qualified www.GRANTS.GOV.Deadlines will not corridor could benefit from TOD opportunity zone designated pursuant be extended due to scheduled planning. to 26 U.S.C. 1400Z-1,and/or the maintenance or outages. b. Strength of the Work Plan,Schedule applicant's receipt of other competitive Applicants are encouraged to begin and Process awards.FTA may prioritize projects the registration process on the FTA will evaluate the strength of the proposed with a higher local share. GRANTS.GOV site well in advance of In addition to the criteria and work plan,schedule and process the submission deadline.Registration is included in an application based on the considerations outlined in this section, a multi-step process,which may takefollowing factors: the FTA Administrator will take into several weeks to complete before an i.Extent to which the schedule account the following key Departmental application can be submitted.Registered contains sufficient detail,identifies all objectives: applicants may still be required to take steps needed to implement the work (A)Supporting economic vitality at steps to keep their registration up to proposed,and is achievable; the national and regional level; date before submissions can be made ii.The proportion of the project (B)Leveraging Federal funding to successfully: (1)Registration in the corridor covered by the work plan; attract other,non-Federal sources of System for Award Management(SAM) iii.Extent of partnerships,including infrastructure investment,including is renewed annually and(2)persons with non-public sector entities; value capture; making submissions on behalf of the iv.The partnerships'technical (C)Using innovative approaches to Authorized Organization Representative capability to develop,adopt and improve safety and expedite project (AOR)must be authorized in implement the comprehensive plans, delivery; GRANTS.GOV by the AOR to make based on FTA's assessment of the (D)Encourage State and local and submissions.Instructions on the applicant's description of the policy tribal governments to reduce regulatory GRANTS.GOV registration process are formation,implementation,and barriers that unnecessarily raise the listed in Appendix A. financial roles of the partners,and the costs of housing development or impede Federal Register/Vol. 84, No. 181/Wednesday, September 18, 2019/Notices 49179 the development of affordable housing; costs are incurred.Funds under this 4.Reporting and NOFO cannot be used to reimburse Post-award reporting requirements (E)Holding grant recipients applicants for otherwise eligible include submission of Federal Financial accountable for their performance and expenses incurred prior to FTA award Reports and Milestone Progress Reports achieving specific,measurable of a Grant Agreement until FTA has in FTA's electronic grants management outcomes identified by grant applicants. issued pre-award authority for selected system on a quarterly basis.Awardees Prior to making an award,FTA is projects,or unless FTA has issued a must also submit copies of the required to review and consider any "Letter of No Prejudice"for the project substantial deliverables identified in the information about the applicant that is before the expenses are incurred.For work plan to the FTA regional office at in the Federal Awardee Performance more information about FTA's policy on the corresponding milestones. and Integrity Information Systems pre-award authority,please see the FY (FAPIIS)accessible through SAM.An 2019 Apportionment Notice published G.Federal Awarding Agency Contact applicant may review and comment on on July 3,2019.https:// For program-specific questions,please information about itself that a Federal www.govinfo.gov/content/pkg/FR-2019- contact Ken Cervenka,Office of awarding agency previously entered. 07-03/pdf/2019-14248.pdf. Planning and Environment, (202)493— FTA will consider any comments by the 0512,email:Ken.Cervenka@dot.gov.A applicant,in addition to the other ii. Grant Requirements TDD is available at 1-800-877-8339 information in FAPIIS,in making a If selected,awardees will apply for a (TDD/FIRS).Any addenda that FTA judgment about the applicant's integrity, grant through FTA's Transit Award releases on the application process will business ethics, and record of Management System(TrAMS). be posted at https:// performance under Federal awards Recipients of TOD Pilot Program funds www.transit.dot.gov/TODPilot.To when completing the review of risk are subject to the grant requirements of ensure applicants receive accurate posed by applicants as described in the the Section 5303 Metropolitan Planning information about eligibility or the 2 CFR 200.205 Federal awarding agency program,including those of FTA program,the applicant is encouraged to review of risk posed by applicants. Circular 8100.1C and Circular 5010.1E. contact FTA directly,rather than F.Federal Award Administration All competitive grants,regardless of through intermediaries or third parties. Information award amount,will be subject to the FTA staff may also conduct briefings on Congressional Notification and release the FY 2019 competitive grants 1.Federal Award Notices process.Technical assistance regarding selection and award process upon The FTA Administrator will these requirements is available from request. announce the final project selections on each FTA regional office. the FTA website.Project recipients H.Technical Assistance and Other should contact their FTA Regional iii.Planning Program Information Offices for additional information FTA encourages applicants to notify This program is not subject to regarding allocations for projects under the appropriate metropolitan planning Executive Order 12372, the TOD Pilot Program.FTA will issue organizations in areas likely to be served "Intergovernmental Review of Federal specific guidance to recipients regarding by the funds made available under this Programs."FTA will consider pre-award authority at the time of program. Selected projects must be applications for funding only from selection;see subsection 3 below for incorporated into the unified planning eligible recipients for eligible projects as further information. work programs of metropolitan areas listed in Section C. before they are eligible for FTA funding Complete applications must be 2.Award Administration or pre-award authority. submitted through Grants.gov by 11:59 Funds under the TOD Pilot Program p.m.EDT November 18,2019.For issues are available to existing FTA grantees. iv. Standard Assurances with Grants.gov please contact The anticipated minimum and The applicant assures that it will Grants.gov by phone at 1-800-518-4726 maximum award amounts are$250,000 comply with all applicable Federal or by email at support@grants.gov. and$2,000,000,respectively. Only statutes,regulations,executive orders, Contact information for FTA's regional proposals from eligible recipients for FTA circulars,and other Federal offices can be found on FTA's website eligible activities will be considered for administrative requirements in carrying at www.transit.dot.gov. funding.Due to funding limitations, out any project supported by the FTA K.Jane Williams, applicants that are selected for funding grant.The applicant acknowledges that may receive less than the amount it is under a continuing obligation to Acting Administrator. originally requested.In those cases, comply with the terms and conditions Appendix A applicants must be able to demonstrate of the grant agreement issued for its Registration in Sam and Grants.gov that the proposed comprehensive project with FTA.The applicant planning projects are still viable and canunderstands that Federal laws, Registration in Brief: be completed with the amount awarded. regulations,policies,and administrative Registration takes approximately 3-5 g business days,but allow 4 weeks for 3.Administrative and National Policy practices might be modified from time completion of all steps. Requirements to time and may affect the q implementation of the project.The Step 1:Obtain DUNS Number i.Pre-Award Authority applicant agrees that the most recent Same day.If requested by phone(1-866— FTA will issue specific guidance to Federal requirements will apply to the 705-5711)DUNS is provided immediately.If recipients regarding pre-award authority project,unless FTA issues a written your organization does not have one,you at the time of selection.FTA does not determination otherwise.The applicant will need to go to the Dun Bradstreet providepre-award authorityfor must submit the Certifications and (EXIT Tte at Disclaimer]http:erto obtain the number. form P [EXIT to obtain the number. competitive funds until projects are Assurances before receiving a grant if it *Information for Foreign selected and even then there are Federal does not have current certifications on Registrants.*Webform requests take 1-2 requirements that must be met before . file. business days. i 49180 Federal Register/Vol. 84, No. 181/Wednesday, September 18, 2019/Notices Step 2:Register With SAM ADDRESSES:Direct all written comments • Evaluate whether the proposed Three to five business days or up to two to Laurie Brimmer,Internal Revenue collection of information is necessary weeks.If you already have a TIN,your SAM Service,Room 6129,1111 Constitution for the proper performance of the registration will take 3-5 business days to Avenue NW,Washington,DC 20224. functions of the agency,including process.If you are applying for an EIN please Requests for additional information or whether the information will have allow up to 2 weeks.Ensure that your copies of the regulations should be practical utility; organization is registered with the System for directed to R.Joseph Durbala,at Internal • Evaluate the accuracy of the Award Management(SAM)at System for enc Revenue Service,Room 6129, 1111 agency's estimate of the burden of the Award Management(SAM).If your g Y' organization is not,an authorizing official of Constitution Avenue NW,Washington, proposed collection of information, your organization must register. DC 20224,or through the internet,at including the validity of the Step 3:Username&Password RJoseph.Durbala@irs.gov. methodology and assumptions used; Same day.Complete your AOR SUPPLEMENTARY INFORMATION: • Enhance the quality,utility,and (Authorized Organization Representative) Title:Electronic Payee Statements. clarity of the information to be profile on Grants.gov and create your OMB Number:1545-1729. collected;and username and password.You will need to Regulatory Number:TD 9114. • Minimize the burden of the use your organization's DUNS Number to Abstract:This collect contains final collection of information on those who complete this step.https:// regulations,TD 9114(published are to respond,including using apply07.grants.gov/apply/OrcRegister. February 18,2004 [69 FR 7567]), appropriate automated,electronic, Step 4:AOR Authorization relating to the voluntary electronic mechanical,or other technological *Same day.The E-Business Point of furnishing of statements on Forms W-2, collection techniques or other forms of Contact(E-Biz POC)at your organization "Wage and Tax Statement,"under information technology,e.g.,by must login to Grants.gov to confirm you as sections 6041 and 6051,and statements permitting electronic submissions of an Authorized Organization Representative on Forms 1098—T,"Tuition Statement," responses. (AOR).Please note that there can be more and Forms 1098—E,"Student Loan Comments submitted in response to than one AOR for your organization.In some Interest Statement,"under section this notice will be summarized and/or cases the E-Biz POC is also the AOR for an 6050S.These final regulations affect included in the ICR for OMB approval organization. *Time depends on of the extension of the information businesses,other for-profit institutions, responsiveness of your E-Biz FOG. and eligible educational institutions that collection;they will also become a Step 5:Track AOR Status wish to furnish these required matter of public record. At any time,you can track your AOR status statements electronically.The Approved:September 9,2019. by logging in with your username and regulations will also affect individuals R.Joseph Durbala, password.Login as an Applicant(enter your (recipients),principally employees, IRS Tax Analyst. username&password you obtained in Step students, and borrowers,who consent to 3)using the following link:Applicant_ receive these statements electronically. [FR Doc.2019-20167 Filed 9-17-19;8:45 am] profile.jsp. Current Actions:There is no change to BILLING CODE 4830-01-P [FR Doc.2019-20192 Filed 9-17-19;8:45 am] the burden previously approved by BILLING CODE P OMB.This form is being submitted for DEPARTMENT OF VETERANS renewal purposes only. Type of Review:Extension of a AFFAIRS DEPARTMENT OF THE TREASURY currently approved collection. [OMB Control No.2900-0565] Affected Public:Business or other for- Internal Revenue Service profit organizations. Agency Information Collection Activity Proposed of Information Estimated Number of Respondents: Under OMB Review:State Application Proposedollection Extensionensst Submitted for 15,200. for Interment Allowance Under 38 Public Comment; Comment Request Estimated Time per Respondent:6 U.S.C.Chapter 23 Relating to Electronic Payee mins. AGENCY:Veterans Benefits Estimated Total Annual Burden Statements Hours:2,844,950. Administration,Department of Veterans AGENCY:Internal Revenue Service(IRS), The following paragraph applies to all Affairs. Treasury. the collections of information covered ACTION:Notice. ACTION:Notice and request for by this notice: SUMMARY In compliance with the comments. An agency may not conduct or Paperwork Reduction Act(PRA)of sponsor,and a person is not required to 1995,this notice announces that the SUMMARY:The Internal Revenue Service, respond to,a collection of information Veterans Benefits Administration, as part of its continuing effort to reduce unless the collection of information Department of Affairs,will paperwork and respondent burden, displays a valid OMB control number. submit the collectionfVeteransAinformationa ,will invites the public and other Federal Books or records relating to a sbmittabstracted below to ofe Office agencies to take this opportunity to collection of information must be e and (OMB)for f comment on proposed and/or retained if their contents may become and Managementcand Budgett.The PRA continuing information collections,as material in the administration of any submissionreview ntheTnaturePof required by the Paperwork Reduction internal revenue law.Generally,tax describes its expectedf the Act of 1995. Currently,the IRS is returns and tax return information are costinformation and burden and collectionit includesdthe soliciting comments concerning the confidential,as required by 26 U.S.C. actual data collection instrument. requirements relating to electronic 6103. payee statements. Desired Focus of Comments:The DATES: Comments must be submitted on DATES:Written comments should be Internal Revenue Service(IRS)is or before October 18,2019. received on or before November 18, particularly interested in comments ADDRESSES: Submit written comments 2019 to be assured of consideration. that: on the collection of information through CONCEPT CONSULTANTS, INC. EXHIBIT B INSURANCE REQUIREMENTS Prior to the beginning of and throughout the duration of the Work, Contractor will maintain insurance in conformance with the requirements set forth below. Contractor will use existing coverage to comply with these requirements. If that existing coverage does not meet the requirements set forth here, Contractor agrees to amend, supplement or endorse the existing coverage to do so. Contractor acknowledges that the insurance coverage and policy limits set forth in this section constitute the minimum amount of coverage required. Any insurance proceeds available to City in excess of the limits and coverage required in this Contract and which is applicable to a given loss, will be available to City. Contractor shall provide the following types and amounts of insurance: Commercial General Liability Insurance using Insurance Services Office "Commercial General Liability" policy form CG 00 01 or the exact equivalent. Defense costs must be paid in addition to limits. There shall be no cross liability exclusion for claims or suits by one insured against another. Limits are subject to review but in no event less than $1,000,000 per occurrence. Business Auto Coverage on ISO Business Auto Coverage form CA 00 01 including symbol 1 (Any Auto) or the exact equivalent. Limits are subject to review, but in no event to be less that$1,000,000 per accident. If Contractor owns no vehicles,this requirement may be satisfied by a non-owned auto endorsement to the general liability policy described above. If Contractor or Contractor's employees will use personal autos in any way on this project, Contractor shall provide evidence of personal auto liability coverage for each such person. Workers Compensation on a state-approved policy form providing statutory benefits as required by law with employer's liability limits no less than $1,000,000 per accident or disease. Excess or Umbrella Liability Insurance (Over Primary) if used to meet limit requirements, shall provide coverage at least as broad as specified for the underlying coverage. Any such coverage provided under an umbrella liability policy shall include a drop down provision providing primary coverage above a maximum $25,000 self-insured retention for liability not covered by primary but covered by the umbrella. Coverage shall be provided on a "pay on behalf" basis, with defense costs payable in addition to policy limits. Policy shall contain a provision obligating insurer at the time insured's liability is determined, not requiring actual payment by the insured first. There shall be no cross liability exclusion precluding coverage for claims or suits by one insured against another. Coverage shall be applicable to City for injury to employees of Contractor, subcontractors or others involved in the Work. The scope of coverage provided is subject to approval of City following receipt of proof of insurance as required herein. Limits are subject to review. FOR NON-CONSTRUCTION CONTRACTS: Professional Liability or Errors and Omissions Insurance, as appropriate, shall be written on a policy form coverage specifically designed CONCEPT CONSULTANTS, INC. to protect against acts, errors or omissions of the Contractor and "Covered Professional Services" as designated in the policy must specifically include work performed under this Contract. The policy limit shall be no less than $1,000,000 per claim and in the aggregate. The policy must "pay on behalf of" the insured and must include a provision establishing the insurer's duty to defend. The policy retroactive date shall be on or before the effective date of this Contract. Insurance procured pursuant to these requirements shall be written by insurers that are admitted carriers in the state of California and with an A.M. Bests rating of A-or better and a minimum financial size VII. General conditions pertaining to provision of insurance coverage by Contractor. Contractor and City agree to the following with respect to insurance provided by Contractor: 1. Contractor agrees to have its insurer endorse the third party general liability coverage required herein to include as additional insured City, its officials, employees and agents, using standard ISO endorsement No. CG 2010 with an edition prior to 1992. Contractor also agrees to require all contractors, and subcontractors to do likewise. 2. No liability insurance coverage provided to comply with this Contract shall prohibit Contractor, or Contractor's employees, or agents, from waiving the right of subrogation prior to a loss. Contractor agrees to waive subrogation rights against City regardless of the applicability of any insurance proceeds, and to require all contractors and subcontractors to do likewise. 3. All insurance coverage and limits provided by Contractor and available or applicable to this Contract are intended to apply to the full extent of the policies. Nothing contained in this Contract or any other Contract relating to the City or its operations limits the application of such insurance coverage. 4. None of the coverage required herein will be in compliance with these requirements if they include any limiting endorsement of any kind that has not been first submitted to City and approved of in writing. 5. No liability policy shall contain any provision or definition that would serve to eliminate so-called "third party action over"claims, including any exclusion for bodily injury to an employee of the insured or of any contractor or subcontractor. 6. All coverage types and limits required are subject to approval, modification and additional requirements by the City, as the need arises. Contractor shall not make any reductions in. scope of coverage (e.g. elimination of contractual liability or reduction of discovery period) that may affect City's protection without City's prior written consent. CONCEPT CONSULTANTS, INC. 7. Proof of compliance with these insurance requirements, consisting of certificates of insurance evidencing all of the coverage required and an additional insured endorsement to Contractor's general liability policy, shall be delivered to City at or prior to the execution of this Contract. In the event such proof of any insurance is not delivered as required, or in the event such insurance is canceled at any time and no replacement coverage is provided, City has the right, but not the duty, to obtain any insurance it deems necessary to protect its interests under this or any other Contract and to pay the premium. Any premium so paid by City shall be charged to and promptly paid by Contractor or deducted from sums due Contractor, at City option. 8. Certificate(s) are to reflect that the insurer will provide 30 days notice to City of any cancellation of coverage. Contractor agrees to require its insurer to modify such certificates to delete any exculpatory wording stating that failure of the insurer to mail written notice of cancellation imposes no obligation, or that any party will "endeavor" (as opposed to being required) to comply with the requirements of the certificate. 9. It is acknowledged by the parties of this Contract that all insurance coverage required to be provided by Contractor or any subcontractor, is intended to apply first and on a primary, noncontributing basis in relation to, any other insurance or self insurance available to City. 10.Contractor agrees to ensure that subcontractors, and any other party involved with the project who is brought onto or involved in the project by Contractor, provide the same minimum insurance coverage required of Contractor. Contractor agrees to monitor and review all such coverage and assumes all responsibility for ensuring that such coverage is provided in conformity with the requirements of this section. Contractor agrees that upon request, all Contracts with subcontractors and others engaged in the project will be submitted to City for review. 11.Contractor agrees not to self-insure or to use any self-insured retentions or deductibles on any portion of the insurance required herein and further agrees that it will not allow any contractor, subcontractor, Architect, Engineer or other entity or person in any way involved in the performance of work on the project contemplated by this Contract to self-insure its obligations to City. If Contractor's existing coverage includes a deductible or self-insured retention, the deductible or self- insured retention must be declared to the City. At that time the City shall review options with the Contractor, which may include reduction or elimination of the deductible or self-insured retention, substitution of other coverage, or other solutions. 12.The City reserves the right at any time during the term of the contract to change the amounts and types of insurance required by giving the Contractor ninety(90) days advance written notice of such change. If such change results in substantial additional cost to the Contractor, the City will negotiate additional compensation proportional to the increased benefit to City. CONCEPT CONSULTANTS, INC. 13.For purposes of applying insurance coverage only, this Contract will be deemed to have been executed immediately upon any party hereto taking any steps that can be deemed to be in furtherance of or towards performance of this Contract. 14.Contractor acknowledges and agrees that any actual or alleged failure on the part of City to inform Contractor of non-compliance with any insurance requirement in no way imposes any additional obligations on City nor does it waive any rights hereunder in this or any other regard. 15.Contractor will renew the required coverage annually as long as City, or its employees or agents face an exposure from operations of any type pursuant to this Contract. This obligation applies whether or not the Contract is canceled or terminated for any reason. Termination of this obligation is not effective until City executes a written statement to that effect. 16.Contractor shall provide proof that policies of insurance required herein expiring during the term of this Contract have been renewed or replaced with other policies providing at least the same coverage. Proof that such coverage has been ordered shall be submitted prior to expiration. A coverage binder or letter from Contractor's insurance agent to this effect is acceptable. A certificate of insurance and/or additional insured endorsement as required in these specifications applicable to the renewing or new coverage must be provided to City within five days of the expiration of the coverage. 17.The provisions of any workers' compensation or similar act will not limit the obligations of Contractor under this Contract. Contractor expressly agrees not to use any statutory immunity defenses under such laws with respect to City, its employees, officials and agents. 18.Requirements of specific coverage features or limits contained in this section are not intended as limitations on coverage, limits or other requirements nor as a waiver of any coverage normally provided by any given policy. Specific reference to a given coverage feature is for purposes of clarification only as it pertains to a given issue, and is not intended by any party or insured to be limiting or all-inclusive. 19.These insurance requirements are intended to be separate and distinct from any other provision in this Contract and are intended by the parties here to be interpreted as such. 20.The requirements in this Section supersede all other sections and provisions of this Contract to the extent that any other section or provision conflicts with or impairs the provisions of this Section. 21.Contractor agrees to be responsible for ensuring that no contract used by any party involved in any way with the project reserves the right to charge City or Contractor for the cost of additional insurance coverage required by this Contract.. Any such provisions are to be deleted with reference to City. It is not the intent of City to CONCEPT CONSULTANTS, INC. reimburse any third party for the cost of complying with these requirements. There shall be no recourse against City for payment of premiums or other amounts with respect thereto. Contractor agrees to provide immediate notice to City of any claim or loss against Contractor arising out of the work performed under this Contract. City assumes no obligation or liability by such notice, but has the right (but not the duty) to monitor the handling of any such claim or claims if they are likely to involve City. 7 ® DATE(MM/DD/YYYY) AC® CERTIFICATE OF LIABILITY INSURANCE 10/02/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). . PRODUCER CONTACT NAME: Jason Zamani Zamani Insurance Agency Inc (A/CNN. Eat): (949)424-0808 FAX No): (949)272-9940 23276 S Pointe Dr Suite 103 ADDRESS: zamani23276@gmail.com INSURER(S)AFFORDING COVERAGE NAIC# Laguna Hills CA 92653 INSURERA: CONTRACTORS BONDING&INS CO 37206 INSURED INSURER B: Concept Consultants,Inc INSURER C: 1220 Manning Ave INSURER D: Unit 13 INSURER E: Los Angeles CA 90024 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MMIDDIYYYY) (MM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE I $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 A QCGL0009228 07/17/2019 07/17/2020 PERSONAL&ADV INJURY $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 • X POLICY JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: - - $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR -EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION PER H STATUTE ER AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below _ E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Garvey Park Restrooms Renovation Project number :31017 Project address :7933 Emerson Place Rosemead,CA 91770 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Rosemead 8838 E Valley Blvd AUTHORIZED REPRESENTATIVE Rosemead CA 91770 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD • THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ' • • BLANKET ADDITIONAL INSURED • • This endorsement modifies insurance provided under the following: • COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is reports, surveys, field orders, amended toinclude as an additional in- change orders or drawings and sured any person or organization for specifications;or whom you areperforming operations • when you and such person or organize- b. . Supervisory, inspection, archi- tion have agreed in a written contract or tectural or engineering activities. agreement that such person or organi- 2. "Bodily injury" or "property damage" zation is to be added as an additional • occurring after: • insured on your policy. Such-person or organization is an additional insured on- a. All work, including materials, ly with respect to "bodily injury or"prop- parts or equipment furnished in erty damage" caused by your negli- connection with such work, on • gence in the performance of your ongo- the project (other than service, ing operations performed for that addi- maintenance or repairs) to be tional insured.- . . performed,by or on behalf of the additional insured(s)at the loca- A person's or organization's status as tion of the covered operations an additional insured under this en- has been completed;or dorsement ends when your operations for that additional insured are comb b. That portion of"your worts"out of pleted. which the injury or damage aris- • es has been,put to its intended To the extent required under said written use by any.person or organize- contract or agreement, this policy will • tion other than another contrac- apply as primary insurance to additional tor or subcontractor engaged in insureds and other insurance which may performing operations for a prin- be available to such additional insureds cipal as a part of the same will be non-contributory.We waive our project. right of recovery against such additional insureds. . 3. "Bodily injury", "property damage" or occurring or commencing before B. With respect to the insurance afforded to execution of the written contract or • these additional insureds, the following agreement that requires such per- additional exclusions apply: son or organization be added as an • additional insured on your policy. This insurance does not apply to: 1. "Bodily injury", "property damage" or C. Definitions arising out of the rendering of, or the "Ongoing operations" means operations failure to render, any professional • , not included in the "products-completed. • . architectural, engineering or survey- operations hazard." , ing services, including but not limited to: • . a. The preparing, approving, or • failing to prepare or approve, . maps, shop drawings, opinions, ' • CBGL 00 71 0512 • Includes copyrighted material of Page 1 of 1 • Insurance Services Office,Inc.,with its permission. 7 F t1 Interinsurance Exchange of the Automobile Club ' :� 'v= Mailing Address:P.O.BOX 25001 SANTA ANA,CALIFORNIA 92799-5001 V141+671 F \Fo RN CA� BINDER OF INSURANCE Name and Address of Lienholder or Additional Insured Policy Number: CAA062388584 Hyundai Lease Titling Trust NOTICE TO LIENHOLDER PO BOX 20809 IN THE EVENT OF CANCELLATION OF THIS Fountain Valley CA 92728 BINDER, THE EXCHANGE WILL GIVE THE LIENHOLDER 10' DAYS' WRITTEN NOTICE OF CANCELLATION. • Loan Number: The Interinsurance Exchange of the Automobile Club hereby acknowledges itself bound to the named insured for the coverages specified in the schedule subject to all the provisions of the Exchange's applicable policy form.The issuance of a policy to the named insured or,if a policy is in force, the issuance of an endorsement covering the automobile,boat or trailer described herein shall void this binder.A pro rata premium charge computed for the term of coverage in accordance with the current rates of the Exchange in effect at inception of the binder will be made unless such a policy or policy endorsement is issued.This binder shall not be construed to afford cumulative insurance with any existing policy. Name of Insured: NICK SAMMADI DESCRIPTION OF AUTOMOBILE, BOAT,OR TRAILER Car No. Year Trade Name Type of Body or Boat Identification Number 7 2017 Kia Sportage EX KNDPN3AC2H7187674 AUTOMOBILE INSURANCE LIMITS OF LIABILITY "✓"indicates coverage bound and afforded. Car# 7 Car# Bodily Injury Liability $ 1,000,000 thousand dollars,each person ❑ $ 1,000,000 thousand dollars,each occurrence • Property Damage Liability $ 1,000,000 thousand dollars,each occurrence 0 ❑ Medical Payments $ 5,000 each person ® ❑ UnderinsuredlUninsured Motorists Not Less Than$15,000 each person/$30,000 each accident ❑ 0 (a)Actual Cash Value less$250 deductible 121 ❑ Comprehensive(incl. Fire and Theft) (b)Limit of Liability of$ less$ deductible ❑ ❑ Collision (a)Actual Cash Value less$ 1,000 deductible [� ❑ ®Uninsured Deductible Waiver (b)Limit of Liability of$ less$ deductible 0 ❑ Uninsured Collision ❑ ❑ WATERCRAFT INSURANCE(Boat) LIMITS OF LIABILITY "✓"indicates coverage bound and afforded. Bodily Injury Liability and Property Thousand Dollars,each occurrence Damage Liability Actual cash value not to exceed Limit of Liability of Physical Damage $ less $ deductible Effective Date of Binder: 01/27/19-01/27/20 12:01 A.M. Pacific Standard Time This binder shall expire 30 days from the effective date or may be cancelled by the named insured at any time during such 30-day period.The Exchange may cancel this binder by mailing to the named insured at the address shown above written notice stating when,not less than 10 days thereafter,such cancellation shall be effective.The mailing of such notice shall be sufficient proof of notice. District Office: PMGLA • ACSC Management Services, Inc. By: Jose P. ATTORNEY-IN-FACT (Authorized Representative) 30510(12/10) POLICYHOLDER COPY sc STATE • COMPENSATION P.O. BOX 8192, PLEASANTON, CA 94588 INSURANCE FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 10-04-2019 GROUP: POLICY NUMBER: 9070420-2019 CERTIFICATE ID: 29 CERTIFICATE EXPIRES: 08-31-2020 08-31-2019/08-31-2020 CITY OF ROSE-MEAD SC JOB:GARVEY PARK RESTROOM RENOVATION 7933 EMERSON PLACE 8838 VALLEY BLVD ROSEMEAD ROSEMEAD CA 91770-1714 CA 91770 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. /exv,- .17eWt.,e/ Authorized Representative President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #0015 ENTITLED ADDITIONAL INSURED EMPLOYER EFFECTIVE 2019-10-04 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. NAME OF ADDITIONAL INSURED: CITY OF ROSE-MEAD ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 08-31-2015 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. ENDORSEMENT #1651 - NICK SAMMADI PRESIDENT - EXCLUDED. • • EMPLOYER CONCEPT CONSULTANT, INC. ; SC 1220 MANNING AVE APT 13 ' LOS ANGELES CA 90024 [P19,SC] (REV.7-2014) PRINTED : 10-04-2019