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2100 - R Dependable Construction, Inc. - Construction Of Dog Park At Garvey Park (C22102)EMI]1l This page is part of your document - DO NOT DISCARD lyof Los w 20230344487 QIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllllllll � { Recorded/Filed in Official Records It { Recorder's Office, Los Angeles County, California 05/26/23 AT 09:29AM LEADSHEET 202305262850008 00023470713 111111 BVI IYII IYII 1111111111 IYII IIIII IIIII 11111111 014088777 SEQ: 01 DAR - Mail (Intake) 111111 IIIVI IIII IIIII IIII IIIV IIIII IIIII VI VIYI IIIV 111111 VII IIII lVlll IIIII IIIY IIYI IIY VII VIII I�VI IIIII IIII YIII IIII 1111111 IIII VVII IVI IV1 IVVI IIII IIIII YIN IIIII VIII 1111111 VII THIS FORM IS NOT TO BE DUPLICATED FEES: TAXES: OTHER: IWh093 P0004 0.00 0.00 0.00 0.00 A RECORDING REQUESTED BY CITY OF ROSEMEAD AND WHEN RECORDED MAIL TO: Name City of Rosemead Street Address 8838 E. Valley Blvd. City & state Rosemead, CA 91770 ATTN: CITY CLERK Notice is hereby given that: 23470713 IIIIIIIVIIIVIIIVIIIVIIIVIIIVIIIVIIIIIIIIIII Batch Number: 14088777 IIIIII VIII VIII VIII VIII VIII Ilill VIII IIII IIII SPACE ABOVE THIS LINE FOR RECORDER'S USE Notice of Completion 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 no transfer made, insert, "none".) 7. A work of improvement on the property hereinafter described was completed on: May 9, 2023 8. The name of the contractor, if any for such work of improvement was: R Dependable Construction, 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: Rosemead Park Restroom Renovation Project No. 39003 10. The street address of said property is: 4343 Encinita Ave, Rosemead, CA 91770 no street address nas Dean orricially assigned, insert none Signature of owner named Dated: ftj It�j ! PIS in paragraph 2: Ben Kim i City Manager By: City of Rosemead I certify (or declare) under penalty of perjury that the foregoing is true and correct. b�l6�Za23 Date Ben Kim City Manager City of Rosemead, California Rosemead, CA Place of Execution CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of Californ' 1 County of Onbefore me, tV�t"`1WAWd� nN"^hl Q�, Date Here Insert Name and Title bf the Offlt&r personally appeared Signe who proved to me on the basis of satisfactory evidence to be the person( whose namefvfisA rrsubscribed to the within instrument and acknowledged to me that h0sfMalmyexecled the same in hisAerAkeir authorized capacity,(Wg), and that by his)'! erAl el r signatureVon the instrument the person or the entity upon behalf of which the personXacted, executed the instrument. RNATALIE HAWOirrH Notary Public •California Los Angeles County Commission R 2027955 o' My Comm. Expires Dec 20, 2026 Place Notary Seal and/or Stamp Above 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. Signature AW "IAMWNak Signaturejf Notary Public Completing this information can deter alteration of the document or fraudulent reattachment of this for to �1an unintt er�ncted document ��,pp�� Description of Attached Document\(�+ Wmt1�►`�� d"'r*'O" Title or Type of Document: P-JQl, ern�I h�i Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): O Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Other: Signer is Representing: ❑ Guardian or Conservator ©2019 National Notary Association ber of Pages: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner— ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: W 2 W C0 O w LL O T d Y � � m W >- _j 11J U � iJ H U u.i z co M Q co 0 O) Q U LU m LU O cr 00 W 0 r d a E m z r w f0 m C 0 0 U c 0 E U O i - This page is part of your document - DO NOT DISCARD - �yOf Los 20230220082 Q�"N+ II I I II I III II Iill I II III I I I II P0004 Recorded/Filed in Official Records Recorder's Office, Los Angeles County, k .X _ x California cAUFoaN`r 04/06/23 AT 01:07PM FEES: 0.00 TAXES: 0.00 RECEIVED OTHER: CITY OF ROSEMEAD 0.00 APR 10 2023 PAID: 0.00 CITY CLERIC$ OFFM BY: LEADSHEET 00023329856 I IIIIII VIII IIIII VIII VIII VIII VIII IIIII IIIII IIII IIII 014001781 SEQ: 01 DAR - Mail (Intake) IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllllllllllllllllllllllllllllllllllllllllllllllllll IIIIII IIIIII IIIIII IIII IIIII IIII IIIIII IIIIII IIII IIIII IIIIII IIII IIIII IIIII IIIIII IIII IIIII IIIII IIII IIII THIS FORM IS NOT TO BE DUPLICATED RECORDING REQUESTED BY CITY OF ROSEMEAD AND WHEN RECORDED MAIL TO: Name City of Rosemead Street Address 8838 E. Valley Blvd. City & State Rosemead, CA 91770 ATTN: CITY CLERK Notice is hereby given that: 23329856 IIIIIIIIIIII VIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIII Batch Number: 14001781 � 111111 VIII VIII VIII IIT VIII VIII VIII IIII IIII SPACE ABOVE THIS LINE FOR RECORDER'S USE Notice of Completion 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 no transfer made, insert, "none".) 7. A work of improvement on the property hereinafter described was completed on: March 8, 2023 8. The name of the contractor, if any for such work of improvement was: R Dependable Construction, 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: Dog Park at Garvey Park Proiect No. 41022 10. The street address of said property is: 7933 Emerson PI, Rosemead, CA 91770 no street address has been officially assigne , insert none Signature of owner named Dated: Z�//ZO Z 3 in paragraph 2: Michael Chung Director of Public Works By: City of Rosemead I certify (or declare) under penalty of perjury that the foregoing is true and correct. :,T/Z 1 V - Date Michael Chung Director of Public Works City of Rosemead, California Rosemead, CA Place of Execution CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of Californi cr 1 County of an 1}��(� 1�Q, `,ty,�� fit_ On i before me, �`^'vw1`' i1V�V}I�l�(l� wk -t , Date Here Insert Name and Title of the OtFcer personally appeared NameK who proved to me on the basis of satisfactory evidence to be the personKwhose namejEJ is/a"--subscribed to the within instrument and acknowledged to me that he#,*re/Rf27executed the same in his; 10 ft le .' authorized capacity(iPprand that by his/herRheA'signatureXon the instrument the person> or the entity upon behalf of which the personsy)"acted, executed the instrument. I certify under PENALTY OF PERJURY under the .- laws of the State of California that the foregoing NATAUE NAWOM paragraph is true and correct. S Notary Public - Cal NomA 4 Lm Angelos County C.ft,fon r 2.27955 - WITNESS my hand and official seal. My Comm. Eapil" Dec 20. 2026 Signature M huiwk Place Notary Seal and/or Stamp Above Signature o4lotary Public Completing this information can deter alteration of the document or fraudulent reattachment of this forrrr�rrrLi tto gn2,unintended document. Description of Attached Document fa, N� % V ` v"%%�a� IN '� n 4 ! Title or Type of Document: 7\ QW& mr OLIN4 ['rAl I1— Qi�11t 1 Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: O Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator n Other, Signer is Representing: 02019 National Notary Association Pages: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual o Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other Signer is Representing: • ROSEMEAD CITY COUNCIL STAFF REPORT TO: THE HONORABLE MAYOR AND CITY COUNCIL FROM: BEN KIM, CITY MANAGER* -f DATE: JULY 12, 2022 SUBJECT: DOG PARK AT GARVEY PARK - PROJECT NO. 41022 — AWARD OF CONSTRUCTION CONTRACT SUMMARY As part of the City's Fiscal Year 2017-18 Capital Improvement Program, the City Council approved the Dog Park at Garvey Park Project. The Project consists of demolition and grading, construction of fencing, decomposed granite walking path, shade structures, landscaping, irrigation, an infiltration drainage swale, ADA parking stalls, and installation of dog park amenities. On June 22, 2022, the City received and publicly opened six (6) sealed bids. After staff conducted a comprehensive bid analysis to determine the apparent lowest bid, the bid submitted by R Dependable Construction, Inc. in the amount of $640,008.01, is determined to be the lowest responsive bid. On January 23, 2018, the City Council authorized staff to submit a grant application to receive Land and Water Conservation Funds (LWCF) from the California State Department of Parks and Recreation to construct a new dog park at Garvey Park. In December of 2019, the City received the LWCF grant from the California State Department of Parks and Recreation in the amount of $290,375. The LWCF grant is a reimbursement grant that has a 50% matching funds requirement. On November 19, 2020, the City Manager approved a professional services agreement with David Volz Design in the amount of $29,950 to perform project research, data review, field investigation, and public outreach to prepare a Conceptual Plan to facilitate the design of the Project. On December 14, 2021, the City Council approved a contract with David Volz Design for design • engineering, construction management, and inspection services for the Project in the amount of $107,992. On June 2, 2022, staff published a Notice of Inviting Bids in local newspapers and trade publications. Sealed bids were received in the City Clerk's office until 10:30 a.m. on June 22, AGENDA ITEM 5.0 S6) �J City Council Meeting July 12, 2022 Page 2 of 3 2022. At 11:00 a.m. on June 22, 2022, the City Clerk publicly opened and read the six (6) sealed bids with the following results: Contractor from low to high amount Location Bid Amount R Dependable Construction, Inc. San Bernardino, CA $640,008.01 Marina Landscape, Inc. Orange, CA $683,560.00 Kasa Construction Chino, CA $698,262.50 Wright Construction Engineering Corp. San Marcos, CA $785,620.00 MLC Constructors, Inc. Corona, CA $1,272,130.00 RT Contractor Corp. Garden Grove, CA $1,696,207.00 Staff conducted a bid analysis for apparent low bid submitted by R Dependable Construction, Inc. and verified CA contractor's license, Department of Industrial Relations (DIR) registration, state and federal debarment files, and references for R Dependable Construction, Inc. The bid submitted by R Dependable Construction, Inc. in the amount of $640,008.01 is determined to be the lowest responsive bid. STAFF RECOMMENDATION It is recommended that the City Council authorize the City Manager to execute a construction contract with R Dependable Construction, Inc. in the amount of $640,008.01. In addition, authorize c 1 an amount of $52,500 (8%) as a contingency to cover the cost of unforeseen construction expenses, �! for a total construction budget of $692,508.01. FINANCIAL IMPACT The Project is included in the Fiscal Year 2022-23 CIP budget and consists of $290,375 in LWCF grant funds, $290,375 in General Funds as a 50% local match requirement, and $250,000 in Park Development Impact Fee funds, for a combined total approved budget of $830,750. The total estimated construction cost for the project is as follows: Construction Contract $640,008.01 Construction Contingency 8% $52,500.00 Total Estimated Construction Cost $692,508.01 ENVIRONMENTAL REVIEW The proposed work involves the rehabilitation of an existing public facility; therefore, the project is Class 1 Categorically Exempt pursuant to the California Environmental Quality Act (CEQA). n City Council Meeting July 12, 2022 Page 3 of 3 STRATEGIC PLAN IMPACT The Project is consistent with the City of Rosemead's Strategic Plan Goal C - Infrastructure and Facilities, which is to enhance streets, sidewalks, and public infrastructure; coordinate with relevant utility agencies regarding safety and enhancements; and modernize facilities by expanding the use of wireless network technology and renewable energy. PUBLIC NOTICE PROCESS This item has been noticed through the regular agenda notification process. Submitted by: ??7iCiGCtoe (�ICctX.�f- Michael Chung, P.E. Director of Public Works Attachment A: R Dependable Construction, Inc. Bid Proposal Attachment B: Bid Analysis Attachment C: Project Bid Package Attachment D: Construction Contract Agreement with R Dependable Construction, Inc. Attachment A R Dependable Construction, Inc. Bid Proposal • 0 0 Bid Package, Dog Park at Garvey Park, Project No: 41022 0 Document Control Page 16 of 197 BIDDER: R DEPENDABLE CONST INC CITY OF ROSEMEAD DOG PARK AT GARVEY PARK PROJECT No. 41022 SECTION 1- BID SCHEDULE CONTRACT BID FORMS CBF -1 • Addendum 1, Dog Park at Garvey Park, Project No: 41022 is Document Control Page 5 of 10 BIDDER: R DEPENDABLE CONST INC REVISED BID SCHEDULE PER ADDENDUM 1 SCHEDULE OF PRICES FOR DOG PARK AT GARVEY PARK PROJECT No. 41022 NO. ITEM DESCRIPTION EST. QTY. UNIT UNIT PRICE ITEM COST 1 Mobilization (Not to Exceed 5%) 1 LS $ 30,000.00 $ 30,000.00 2 Traffic Control 1 LS $_660 00 $660.00 3 Demolition and Site Clearing 1 LS $_L8,160 00 $ts,i60.0o 4 Earthwork, Removal and Grading 1 LS $J9,800 00 $19,800.00 5 Dust Control and BMP 1 LS $ 3.960.00 $_L960.00 6 Remove and Reconstruct Curb and Gutter 20 LF $_264 00 $1,280.00 7 Remove and Reconstruct Curb 50 LF $164--Oo $13.200.00 8 Construct Curb 160 LF $29800 $11,680.00 9 Curb Ramp 1 EA $_L772.00 $ 2,772.00 10 Concrete Block Slough Wall 60 LF $_L32.00 $ 7,920.00 11 8" Diameter PVC SDR 35 Drain Pipe 345 LF $ 39.60 $13,662.00 12 8 Diameter PVC SDR 35 Drain Pipe in Gravel Bed 100 LF $_19 60 $ 3,960.00 13 NDS 1212 Catch Basin with Solid Cover 1 EA $_L772.00 $ 2,772.00 14 Drain Inlet 8 EA $ 1,412.00 $ 11,616.00 15 Overflow Drain Structure per Detail on Plans 1 EA $__L1 88.00 $ 1,188.00 16 Remove and Reconstruct Asphalt Pavement 50 TON $ 64112 $ 32,076.00 Revised per Addendum 1, CBF - 2 0 E • • • 0 Addendum 1, Dog Park at Garvey Park, Project No: 41022 0 Document Control Page 6 of 10 BIDDER: R DEPENDABLE CONST INC N0. ITEM DESCRIPTION QTY EST. UNIT UNIT PRICE ITEM COST 17 2" Water Service 1 EA $ 7,920.00 $ 7,920.00 18 V Water Service 2 EA $_L280 00 $10,560.00 19 Traffic Striping and Signage 1 LS $ 6.204.00 $ 6,204.00 20 Surveying 1 LS $_1,320 00 $1,320.00 21 4" Thick Concrete Flatwork 2,100 SF $ 26.40 $ 55,440.00 22 Concrete Header (6" Wide) 530 LF $ 26.40 $_13,992 00 23 Concrete Header (9" Wide) 170 LF $26•� $ 4,488.00 24 Stabilized Decomposed Granite 8250 SF $1.98 $ 16,335.00 25 Boulder 2'x 3' 5 EA $198.00 $ 990.00 26 Boulder 3'x 4' 3 EA $ 264.00 $_192 00 27 Boulder 3'x 5' 5 EA $ 330.00 $ 1,650.00 28 Chain Link Fencing - 5' High 60 LF $_L67 20 $ 10,032.00 29 Chain Link Fencing - 5' High wl Baseboard 145 LF $ 146.5 $11,25200 30 Chain Link Fencing - 8' High 105 LF $ 152.10 $15,972.00 31 Chain Link Fencing -12' High 150 LF $ 146.08 $21,912.00 32 Chain Link Double Gate - 8' High (12' Opening) 1 EA $ 8,976.00 $_8,976 00 33 Chain Link Double Gate - 5' High (12' Opening) 1 EA $_1,656 00 $7,656.00 34 Chain Link Single Gate - 8' High (4' Opening) 1 EA $ 7,656.00 $ 7,656.00 Revised per Addendum 1, CBF - 3 0 Addendum 1, Dog Park at Garvey Park, Project No: 41022 F,1 Document Control Page 7 of 10 BIDDER: R DEPENDABLE CONST INC (01 NO. ITEM DESCRIPTION EST. QTY. UNIT UNIT PRICE ITEM COST 35 Chain Link Single Gate - 5' High (4' Opening) 2 EA $7,656.00 $15,312.00 36 Baseboard - 2' High 320 LF $ 33.00 $ 10,560.00 37 Table (ADA) 3 EA $_224.00 1 $__2,772.00 38 Table 3 EA $_224 00 $ 2,772.00 39 Bench 6 EA $660.00 $_1,960 00 40 Drinking Fountain 2 EA $ 6,996.00 $13,992.00 41 Dog Play Equipment (including equipment, freight, tax, and installation 1 LS $_L6,896 00 $ 16,896.00 42 Dog Waste Bag Dispenser 3 EA $1,210.00 $3,630.00 43 Trash Receptacle 4 EA $_j,452 00 $ 5,808.00 44 Shade Structures (including structures, engineering, freight, taxes and installation 3 EA $14,31667 $ 72,950.00 45 Dog Wash Station 1 EA $ 4,752.00 $ 4,752.00 46 Irrigation System 1 LS $ 13,332.00 $ 13,332.00 47 Soil Prep and Grading 9,500 SF $ 1.65 $15,675.00 48 Weed Abatement 9,500 SF $ 0.86 $ 8.151.00 49 Tree - 24" box 5 EA $ 264.00 $1,320.00 50 Tree - 36" box 6 EA $_.196 00 $ 2,376.00 51 Shrub -15 gallon 10 EA $_L96.00 $ 3,960.00 52 Shrub - 5 gallon 63 EA $ 132.00 $ 4,316.00 53 Turf - Sod 8,900 SF $_1.65 $14,685.00 Revised per Addendum 1, CBF - 4 • L Addendum 1, Dog Park at Garvey Park, Project No: 41022 0 Document Control Page 8 of 10 BIDDER: R DEPENDABLE CONST INC NO. ITEM DESCRIPTION EST. QTY. UNIT UNIT PRICE ITEM COST 54 Mulch (3" Depth) 6 CY $__130 00 $ 1,980.00 55 90 Days Maintenance Period 1 LS $ 4,948.00 $ 4,948.o0 TOTAL BID AMOUNT IN NUMBERS $ 640,000.00 TOTAL BID AMOUNT IN WORDS: SIX HUNDRED FORTY THOUSAND Note: The City of Rosemead reserves the right to reduce or increase the quantities of any items in the schedule of bid items above, within the limits define in Section 3-2.2.1 of the Standard Specifications, to stay within the budgeted amount of this project. If the Bid Documents specify alternate bid items, the following Alternate Bid amounts shall be added to or deducted from the Total Bid Price entered above. The owner can choose to include one or more of the alternates in the Total Bid Price of the Project. If any of the Alternate Bids are utilized by the Owner, the resulting amount shall be considered the Total Bid Price for the Project. The undersigned agrees that these Contract Bid Forms constitute a firm offer to the Owner which cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and after the bid opening date, or until a Contract for the Work is fully executed by the Owner and a third party, whichever is earlier. The undersigned also agrees that if there is a discrepancy between the written amount of the Bid Price and the numerical amount of the Bid Price, the written amount shall govern. Attached hereto is a certified check, a cashier's check or a bid bond in the amount of 10% Dollars ($ ) said amount being not less than ten percent (10%) of the Total Bid Price. The undersigned agrees that said amount shall be retained by the Owner if, upon award, we fail or refuse to execute the Contract and furnish the required bonds, certificates and endorsements of insurance and other certifications within the time provided. If awarded a Contract, the undersigned agrees to execute the formal Contract, which will be prepared by the Owner for execution, within five (5) Calendar Days following the Letter of Award for the Contract, and will deliver to the Owner within that same period the necessary original Certificates of Insurance, Endorsements of Insurance, Performance Bond, Payment Bond and all • other documentation and certification required by the Contract Revised per Addendum 1, CBF - 5 r -I L-A Bid Package, Dog Park at Garvey Park, Project No: 41022 Document Control Page 21 of 197 BIDDER: R DEPENDABLE CONST INC • The undersigned offers and agrees that if this bid is accepted, it will assign to the purchasing body all rights, title, and interest in and to all causes of action it may have under Section 4 of the Clayton Act (15 U.S.C. Section 15) or under the Cartwright Act (Chapter 2 of Part 2 of Division 7 of the Business and Professional Code), arising from purchases of goods, materials or services by the Bidder for sale to the purchasing body pursuant to the bid. Such assignment shall be made and become effective at the time the purchasing body tenders final payment to he Contractor. Bidder understands and agrees that, when requested by Owner, he shall provide: (1) evidence satisfactory to the Owner of Bidder's California contractor's license(s) in good standing; (2) evidence that the person signing this Bid is authorized to bind Bidder to this Bid and to a contract resulting therefrom; and (3) any other information and documentation, financial or otherwise, needed by Owner to award a Contract to the lowest responsible and responsive bidder. Bidder understands and agrees that liquidated damages shall apply to this Contract in the amounts of five hundred dollars ($500.00) per calendar day if proiect is not completed in FORTY-FIVE procurement of longer lead time material prior to commencing with field work. The Contract Time will begin to run ten (10) Working Days from the date of the Notice of Proceed and subiect to the terms and conditions described in the Contract Form and the Contract Documents. Bidder acknowledges that data submitted with its Contract Bid Forms which it requires to be incorporated into a Contract arising out of this Submittal has been so identified by Bidder. Bidder • further acknowledges that the Owner may, at its discretion, incorporate any of the remaining data submitted herewith into a contract arising out of this Bid. The undersigned acknowledges receipt, understanding and full consideration of the following addenda to the Contract Documents. Addenda Nos. 01 The Bidder understands and agrees that the Total Bid Price is inclusive of all labor, materials, and equipment or supplies necessary to complete the Work as described in the Bid Documents. If this bid is accepted, the undersigned Bidder agrees to enter into and execute the Contract with the necessary bonds and accept the Total Bid Price as compensation in full for all Work under the contract. E CBF -6 • E 11 Bid Package, Dog Park at Garvey Park, Project No: 41022 By: Signature ROSEMARY PADILLA Type or Print Name PRESIDENT Title Bidder's/Contractor's State of Incorporation: CA Partners or Joint Venturers: 9W Bidder's License Number(s): NM Department Industrial Relations Registered No. 1000002054 • Document Control Page 22 of 197 BIDDER: R DEPENDABLE CONST INC 1019 W. 3RD ST., STE. B Business Street Address SAN BERNARDINO, CA 92410 City, State and Zip Code 909-381-2310 Telephone Number NOTES: 1) By its signature on this Bid, the Bidder certifies under penalty of perjury the accuracy of the representations made on the Contract Bid Forms. 2) If Bidder is a corporation, enter State of Incorporation in addition to Business Address 3) If Bidder is a partnership or joint venture, give full names of all partners or joint venturers. As further discussed in the Instructions to Bidders, Bidder will be required to provide evidence that the person signing on behalf of the corporation partnership or joint venture has the authority to do so. CBF -7 • 0 Bid Package, Dog Park at Garvey Park, Project No: 41022 Document Control Page 23 of 197 BIDDER: R DEPENDABLE CONST INC • SECTION 2 BID DATA FORMS • 0 w9mT 0 Bid Package, Dog Park at Garvey Park, Project No: 41022 2.B LIST OF PROPOSED SUBCONTRACTORS 0 Document Control Page 25 of 197 BIDDER: R DEPENDABLE CONST INC In compliance with the "Subletting and Subcontracting Fair Practices Act," Sections 4100 through 4114 of the California Public Contract Code, and any amendments thereto, each Bidder shall provide the information requested below for each subcontractor who will perform work, labor or render service to Bidder in or about the construction of the Work in an amount in excess of one-half of one percent (greater than 0.5 %) of the Bidder's Total Bid Price, or, in the case of bids or offers for the construction of streets or highways, including bridges, in excess of one-half of I percent of the Contractor's total bid or ten thousand dollars ($10,000), whichever is greater, and shall further set forth the portion of the Work which will be done by each subcontractor. Bidder shall list only one subcontractor for any one portion of the Work. Pursuant to Public Contract Code Section 4104, the Owner has determined that it will allow Bidders twenty-four (24) additional hours after the deadline for submission of bids to submit the information requested by the Owner about each subcontractor, other than the name and location of each subcontractor. If the Bidder fails to specify a subcontractor for any portion of the Work to be performed under the Contract, it shall be deemed to have agreed to perform such portion itself, and • shall not be permitted to subcontract that portion of the Work except under the conditions hereinafter set forth below. Subletting or subcontracting of any portion of the Work in excess of one half of one percent (greater than 0.5%) of the Total Bid Price or, in the case of bids or offers for the construction of streets or highways, including bridges, in excess of one-half of 1 percent of the Contractor's total bid or ten thousand dollars ($10,000), whichever is greater, for which no subcontractor was designated in the original bid shall only be permitted in cases of public emergency or necessity, and then only after Owner approval. • CBF -10 Bid Package, Dog Park at Garvey Park, Project No: 41022 • 0 Document Control Page 26 of 197 BIDDER: R DEPENDABLE CONST INC 2.B LIST OF PROPOSED SUBCONTRACTORS (continued) [**Duplicate Next 2 Pages if needed for listing additional subcontractors.**] Name and Location Description of Work of Subcontractor to be Subcontracted Name: USA SHADE & FABRIC Address: 2580 ESTERS BLVD., DFW AIRPORT, TX, 75261 License No.: 989458 Department of Industrial Relation Registration No. 1000003533 Name and Location of Subcontractor License No.: Department of Industrial Relation Registration Name and Location of Subcontractor Description of Work to be Subcontracted Description of Work to be Subcontracted License No.: Department of Industrial Relation Registration No. Name and Location Description of Work of Subcontractor to be Subcontracted Name: Address: License No.: Department of Industrial Relation Registration No Name and Location Description of Work of Subcontractor to be Subcontracted 0 0 Address: License No.: • Department of Industrial Relation Registration No. CBF - 11 C� Bid Package, Dog Park at Garvey Park, Project No: 41022 C Document Control Page 27 of 197 BIDDER: R DEPENDABLE CONST INC The following are the names, addresses and telephone numbers for three public agencies for which BIDDER has performed similar work within the past two (2) years: 1. MORENO VALLEY USD, 13911 PERRIS BLVD., MORENO VALLEY, CA, 92553 Name and Address of Owner JACOB ROMERO, 951-490-8968 Name and telephone number of person familiar with project $850,000.00 SUGAR HILL ELEMENTARY 9/2021 Contract amount Type of Work Date Completed 2. CITY OF LA QUINTA, 78-495 CALLE TAMPICO, LA QUINTA, CA Name and Address of Owner • UBALDO AYON, 760-777-7096 Name and telephone number of person familiar with project $539,000.00 FIRE STATION #70 REHAB 10/2021 Contract amount Type of Work Date Completed 3. HEMET UNIFIED SCHOOL DISTRICT, 1791 W. ACACIA AVE., HEMET, CA Name and Address of Owner MIKE SATTLEY, 951-765-5100 Name and telephone number of person familiar with project $136,500.00 HEMET HS #FAC2021-3 6/2021 Contract amount Type of Work Date Completed is CBF -12 Bid Package, Dog Park at Garvey Park, Project No: 41022 0 0 Document Control Page 28 of 197 BIDDER: R DEPENDABLE CONST INC 4. CITY OF PERRIS, 101 N. D STREET, PERRIS, CA, 92570 Name and Address of Owner DAWN BRAY, 951-943-6369 Name and telephone number of person familiar with project $197,300.00 101 BLDG. TENANT IMPROVEMENT Contract amount Type of Work CBF -13 11/2021 Date Com' • • C� Bid Package, Dog Park at Garvey Park, Project No: 41022 0 • Document Control Page 29 of 197 BIDDER: R DEPENDABLE CONST INC SECTION 3 NON-COLL USION AFFIDAVIT CBF - 14 4J V 6/30/2021 https:licadir.secure.force.com/ContractorSearch/PrintRegDetails Legal Entity Information Corporation Number: C3234199 Federal Employment Identification Number: President Name: ROSEMARY R PADILLA Vice President Name: Treasurer Name: Secretary Name: CEO Name: ROSEMARY PADILLA Agent of Service Name: ROSEMARY R PADILLA Agent of Service Mailing Address: 1019 W 3RD STREET, STE B SAN BERNARDINO 92410 CA United States of America Workers Compensation Do you lease employees No through Professional https:#cadir.secure.force.com/ContractorSearch/PrintRegDetails 112 Contractor Information Registration History Legal Entity Name Effective Date Expiration Date R DEPENDABLE CONST INC Legal Entity Type 6/8/2018 6/30/2019 Corporation 6/12/2017 6/30/2018 Status -, Active Registration Number 6/10/2016 6/30/2017 1000002054 Registration effective date 6/19/2015 6/30/2016 711/2021' Registration expiration date 10/21/2014 6/30/2015 6/30/2022 Mailing Address 7/1/2019 6/30/2020 1019 W 3RD STREET, STE B SAN BERNARDINO 92410 C... Physical Address 7/1/2020 6/30/2021 1019 W 3RD STREET, STE B SAN BERNARDINO 92410 C... Email Address 7/1/2021 6/30/2022 Trade Name/DBA License Number(s) CSLB:944088 i CSLB:944088 Legal Entity Information Corporation Number: C3234199 Federal Employment Identification Number: President Name: ROSEMARY R PADILLA Vice President Name: Treasurer Name: Secretary Name: CEO Name: ROSEMARY PADILLA Agent of Service Name: ROSEMARY R PADILLA Agent of Service Mailing Address: 1019 W 3RD STREET, STE B SAN BERNARDINO 92410 CA United States of America Workers Compensation Do you lease employees No through Professional https:#cadir.secure.force.com/ContractorSearch/PrintRegDetails 112 r) n z dCc� STACONTCTORS TE L CENSE BOARD ACTIVE LICENSE .-.,944088 CORP R DEPENDABLE CONST INC I CI.nMalog113 w� �.a,. 0313112024 www.cslm.ca.aov 0 My charge of business eddrassfname must be apoded to the Registrar within 90 days. This license is not transferrable, and shall be ratu mad to the Registrar upog demand when Suspended, revoked, or invalidated for any reason. This pocket card is valid through the ekpimtlon date only. H Found, drop in any mailbox Postage guaranteed by, Conhocams State License Board P O. Sm 760DO. Socamenlc C 95876 I Licensee Signature j.� r 0 0 Bid Package, Dog Park at Garvey Park, Project No: 41022 Document Control Page 30 of 197 BIDDER: R DEPENDABLE CONST INC NON -COLLUSION AFFIDAVIT • In accordance with Public Contract Code Section 7106, the undersigned, being fust duly sworn, deposes and says that he or she holds the position listed below with the bidder, the party making the foregoing bid, that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. t • Signature ROSEMARY PADILLA Typed or Printed Name PRESIDENT Title R DEPENDBLE CONST INC Bidder Subscribed and sworn before me This day of 2022 _ (Seal) Notary Public in and for the State of CaliforniaAeoary public or oaeroMratospledet as cetti0ese'aw.;—*thtresd ofae todi'lteo l whosigned the doemael to wbitb tW ealMleste Ir wtatthak ottd rat the truthfulsne. ateeseo,, or valbl of aottoeueanL My Commission Expires: STATE OF CALIFORNIA COUNTY OF SAN BERNARDINO Subscribed and sworn to (or affirmed) before me onk r ' thia4 day of f� a7n,� 20----------------- by Own mhru Vtl Lrl Trfj A. CAZARES OLIVO proved to me on t e be of satisfactory ovideace to be ared before me, COMM. #2362384 NOTARY PUBLIC *CALIFORNIA CBF - 15 SAN BERNARDINO COUNTY -- Corm Expires JUNE 24, 2025 0 0 Bid Package, Dog Park at Garvey Park, Project No: 41022 Document Control Page 24 of 197 BIDDER: R Dependable Const Inc Bidder shall submit its Bid data in accordance with the format shown on each of the following Bid Data Forms. Bidders shall prepare and use as many sheets as are necessary to adequately provide the information required. Bidder shall ensure that every page of its Bid Data For is are properly identified with the Bidder's name and page number. 2.A BTD BOND KNOW ALL MEN BY THESE PRESENTS: THAT R Dependable Const Inc as Principal, and The Ohio Casualty Insurance Company , as Surety, are held firmly bound unto the CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of Ten Percent Amount of Bid DOLLARS (� 10% ), being not less than ten percent (10%) of the Total Bid Price; for the payment of which sum will and truly to be made. we bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents. • WHEREAS, said Principal has submitted a bid to the OWNER to perform all Work required for the DOG PARK AT GARVEY PARK —as set forth in the Notice Inviting Bids and accompanying Bid Documents, dated June 22, 2022 • NOW, THEREFORE, if said Principal is awarded a Contract for the Work by the OWNER and, within the time and in the manner required by the above- referenced Bid Document.,, enters into the written form of Contract bound with said Bid Documents, furnishes the required bonds (one to guarantee faithful performance and the other to guarantee payment for labor and materials) furnishes the required insurance certificates and endorsements, and furnishes any other certifications as may be required by the Contract, then this obligation shall be null and void; otherwise it shall remain in full force and effect, In the event suit is brought upon this bond by the OWNER and judgment is recovered, said Surety shall pay all costs incurred by the OWNER in such suit, including reasonable attorneys' fees to be fixed by the court. SIGNED AND SEALED, this 21st day of June , 20 22 R Dependable Const Inc (SEAL) The Ohio Casualty Insurance Company (SEAL) Principal Surety By 1CRl1YL4/l lD>�itiC/�/n , By: —d��I Signature RoseVrll Padilla, President Signature Timothy C. Baker, Attomey-in-Fact CBF -9 M This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated. Liber Liberty Mutual Insurance Company Mutuals The Ohio Casualty Insurance Company Certificate No: 8208023-987721 West American Insurance Company SURETY POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the Ins of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Ashley N. Baker, Karen A. Eby, Kyle T. Baker, Timothy C. Baker all of the city of Murrieta state of CA each individually if there be more than one named, its true and lawful attomey-in-fact to make, execute, seat, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this Ilth day of May 2022 . Liberty Mutual Insurance Company �INSUR SY INSU A \NSUR The Ohio Casualty Insurance Company JP aP qy pPx'°avOry R9 `P °avoryPg2 j WestAmerican Insurance Company x e � e a 1912 � 0 1919 � s 1991 ° Yd 'e69cxU54' D 1O iyRMPa�P4 De Y �"°IPNP DY L(- �r<'^( HY'1 By: Go David M. Carey, Assistant Secretary M State of PENNSYLVANIA & County of MONTGOMERY ss WD On th's I I th day of May 2022 before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance m Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes > therein contained by signing on behalf of the corporations by himself as a duly authorized officer. m v IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written. ro A Pea 'C", j Mcnw�vr�( CommonwearlM1 °f Pennsylvania -Notary seal O) Teresa PasleXe, Notary Public .1-� �f N 6 Monlpmv[ Mau My rom imsi n pores r 112 20.2025 By: �p s f Commuspn number 1126094 \A`�c Mm,be,. P<nnayNam<n::x;.uo<mNclvi<i Teresa Pastella, Notary Public 2 This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: :? ARTICLE IV -OFFICERS: Section 12. Power ofAftorney. m Any officer or other official of the Corporation authorized for Thal purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman a the President may prescribe, shall appoint such attorneys -in -fad, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such allomeys-in-fact, subject to the limitations set forth in their respective powers of attorney, shag have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such U instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or affomey-in-fact under the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority. ARTICLE XIII - Execution of Contracts: Section 5, Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe, shall appoint such attomays-in-fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind Bre Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation -The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such afficur s -in - fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Authorization - By unanimous consent of the Companys Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with suroty bolds, shall be valid and binding upon the Company with the same force and efiecl as though manually affixed. I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Aftwney executed by said Companies, is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 21st day of June 2022 . (V INSp P WSU yJ °aPoegr� �P4°aPog9P-`�L° � /} (0(00 34 ee 'n"m 3 `"o miI' I� J 1919 n� 1991 °Ci i pW OQ �°By: °� a,Nve� a° rs"°I^"P dD Renee C, Llewellyn, Assistant Secretary LMS -12973 LMIC OCIC WAIC Mulll Cc 02121 0 v N N M m 0 zo M U • W C CALIFORNIA ALL- PURPOSE CERTIFICATE OF 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 Riverside } On �uJi1Q,�i before me, K. A. Eby, Notary Public (Here iren none dna tale cane o ecep personally appeared Timothy C. Baker W ed to me on the basis of satisfactory evidence to be the person whose �subscribed to the with instrument and acknowledged to me that h executed the same i Is r/tt�ir authorized capacity}, and that by eir signature on the instrument the perso%K,, or the entity upon behalf of which the person 2cted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. K. A. EBY • Y •��' COMM. #2333693 ti WITNES,S my hand d official eat. . MM•na[IeeeIEamnla y RIV!PSIcV Y Gn,m. E[ylm arntew[w 4 duan (Notary Public Seal) OPTIONAL INFORMA DESCRIPTION OF THE ATTACHED DOCUMENT (title or descdoon --ofcument) (Title or description of attached document continued) Document Date CAPACITY CLAIMED BY THE SIGNER ❑ Individual (s) ❑ Corporate Officer (Title) ❑ Partner(s) ❑ Attorney -in -Fact ❑ Trustee(s) ❑ Other INSTRUCTIONS FOR COMPLETING THIS FORM This form complies with crmynt California statures regarding notary wording and, if needed, should be completed mrd attached to the document. Acblowledgments from other states pray be completedfor docurnents being sett to that store so long as the wording does nor require the Calitmnla notary to violate Califonda notary /env. • State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s) personally appeared which must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title (notary public). • stint the namc(s) of document signer(s) who personally appcar at the time of notarization. • Indicate the correct singular or plural forms by crossing off incorrect forms (I.e. Wshettkey- is /al*) or circling the correct forms. Failure to correctly indicate tris information may lead to rejection of document recording. • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges, re -seal if a sufficient area permits, otherwise complete a different acknowledgment farm. • Signature of We notary public must match the signature on file with the office of the county clerk. v+ Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a different document. fi Indicate title or type of attached document, number of pages and date. v Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i.e. CEO, CFO, Secretary). • Securely attach this document to the signed document with a staple. Attachment B Bid Analysis E 0 r) R 8 8 8 8 8 8 8 N 8 8 8 8, 8 8 N 8 8 8 8 8 8 8 8 8 8 8 8 8 8 B 8 8 8 8 8 8 8 — S S 1 3 Y A Q 8 8 8 2 6 3 e R = 8�= 8 N 8 8 8 4 � � S e 9E 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 e 8 8 8 t e 5 8 8 � 8 x 8 8 8 8 8 8 8 8 8 8 8 8 8 8 B 8 8 8 8 s i 3 e � e • 9 $ f 8 ff 8 $ 8 8 8 8 8 % % $ 8 % 8 8 - d a t � t p G F? `o c Ep 1 Ec c u E m u w E 3 c Ya p�' • • s - a p tl • 0 • • 171 8 & 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 bo N N N a a a a a a e a a a a e a s s a s a e a •7 a � � Y � � � 4 � & � � 8 � $ � � °a 3 m o 8 a 8 d 8 $ e `a pp 3 SD p p a Qp � an 8 3 p - - - Q tl ppa 9 4 _ 8 8 8 8 8 & 8 8 B 8 8 8 8 8 8 8 8 8 8 8 m w 3 7 d ' C � z G � 2 � i _ • • 171 w r) EF | ` | | / . � �W4 \ \ \ \ \ \ \ } \ \ \ \ 0 \ } } ---- \§ \{ \ \ \ \ \ \ \ } ) \ \ \ \ § \; ( ( ) } \ \ \ \ ( \ 0z z - §)(})§�� (� - /E / \ \\��\\\ \\\\\\\\\\\\\ �W4 G D n /"1 N Q ]iv FJ AS C3A03H3 O U C M Mn 1O O W Z w z NIVOV a3V 01a1N0O a - 3H13HIH no), 111M O - Y MA1SNIVOVSW73 i y 3113 aO13Va1N003H1010 U W � W w r U g p ; s00ao3sNVH3 AaVSS303NNA a0l o a ASV a013Va1NOO 3H101C z o w - a ;lAC3HOS NO AV15 a a013Va1N00 3H1010 Q o U O Y L AaOMA nvnO a oa aOLOV'diNO3 3Hi a10 W � U 0-' 2 K W z M 0313ldW0331VC _ m - - 1NnOW o � � o_ o � m 0 0 3 o m 0 o � w a l3 c 4 a O w � o Q w w z > o o s w O � z w � a w w E U - � Z W w - V ' mj I 0 O a Q C co W O � V ` z Z O CL c U) o W U w d F o LULU v O o 0 O J 0l of no 0 FWF F 00 U) 0Fn w W Z O a z N M LU O C a W w ~ OL J Z ' mj I 0 O a • 0 Bid Analysis, City of Rosemead, Dog Park at Garvey Park, Project No: 41022 As I In CONTRACTORS STATE LICENSE BOAR OContractor's License Detail for License # 944088 DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. r CSLB wmplalm daowrz KmamoeE by law i111i124.6plthb entiryb wNws 0 public snmpla rn disdoore Clkk on hm, that will appear below for more wormnon. Cli CM hart roc a def riion or diadm abbeactions. r only Cnnswtlun related tlWliudgmzn6 reposed to 6Le ne disclosed (BLIP 2011.1). r NbitntiolS are MltisLLd unless NemnOeclwbiyto0mplywl[h Nettl,rs P DuecowoMON, there may be Havant information that has nMytt been anal mm Ne board's licenseconmee. Data current as of 6/23/2022 9:38:45 AM Business Information R DEPENDABLE CONST INC 1019 WEST 3RD STREET SUITE B SAN BERNARDINO. CA 92410 Business Phone Number'.(909) 381-2310 Entity Corporation Issue Date 03/04/2010 ExpireDate 0/31/2D24 License Status This license is current and actiRe. All information below should be reviewed. B - GENERAL BUILDING Classifications Bonding Information contractor's Bond This license fled a Contractor's Bond with AMERICAN CONTRACTORS INDEMNITY COMPANY. Bond Number: 100114809 Bond Aral 535,000 Effective Date: 01/012016 Contractoi s Bond History Bond of Qualifying Individual The qualifying individual ROSEMARY RUIZ PADILIA certified that he/she owns 10 Percent or more of the Rating stock/membership interest of this company, therefore. the Bond of Qualifying Individual is rw[required. Effective Date: 03/04/2010 WorkersCompensation This license has worimmoompensation insurance with me STATE COMPENSATION INSURANCE • FUND Polity Numben9064846 Effective Date: 07/03/2014 Expire Deny: 07/03/2D23 Workers Compensation History Other r Personnel listed on this license(curent or disassociated) are listed on other licenses. Document Control Page 7 of 30 Back to Topp Bid Analysis, tiity of Rosemead, Dog Park at Garvey Park, Protect No 41022 Privacy Policy Accessibility Certification Copyright C 2022 State of California Conditions of Use Accessibility `4 Document Control Page 8 of 30 • 0 Bid Analysis, City of Rosemead, Dog Park at Garvey Park, Project No: 41022 ""'1 CONTRACTORS STATE LICENSE BOAR OContractor's License Detail for License # 989458 DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. I rsLSm ,Wrl dacmmre'¢reynled by I— (.P 712Ms)If Do non, in subject m Pubih-onnnot dine— II.. on bnx 11h wni aPp.,onow for more mrmmnbn. aid hart ron deomron omaneable non. Only eonsnunon mlatedd"iudgmento sponM w 6LB are disnused(BUP 701.1171, Arbil Pan. In'. unless tat mate.. hlk be rnmPly vnN the ba— s DIP to-Mow, the re may the relewIniMormanon Mrt has not no been emvM into the bmrd's liPense dauvha,. Data current as of 6/23/2022 9:42:39 AM This license is current and active. All Information below should be reviewed. B- GENERAL BUILDING Classifications Bonding Information Contractor's Bond This license filed a Contractors Bond with ATLANTIC SPECIALTY IN54.)RANCE COMPANY. Bond Number. BODl109TB5 Bond Amount $15,000 Effective Date: Ol/D1/2016 Contractor's Bond History Bond of Qualifying Individual This license filed Bond of Qualifying Individual number SON2742T for JOSE LUIS CEMLOS in the amount of $12,50 with ATLANTIC SPECIALTY INSURANCE COMPANY. Effective Date: 01/06/2017 Workers' Compensation • This license has workers compensation insurance with the PENNSYLVANIA MANUFACTURERS ASSOCIATION INSURANCE COMPANY Polity Number:2021750652321 Effishod eDale: 30/01/2021 Expire Data; 10/D1/2D22 Workers' Compensation Hotary Other Document Control Page 9 of 30 Business Information SHADE STRUCTURES INC dbe USA SHADE & FABRIC STRUCTURES P O BOX 3467 COPELL.U75019 Business Phone Numbec(214) 965-9500 Entity Corponmon Issue Date 12/31/2013 Expire Date 13/31/2023 License Status This license is current and active. All Information below should be reviewed. B- GENERAL BUILDING Classifications Bonding Information Contractor's Bond This license filed a Contractors Bond with ATLANTIC SPECIALTY IN54.)RANCE COMPANY. Bond Number. BODl109TB5 Bond Amount $15,000 Effective Date: Ol/D1/2016 Contractor's Bond History Bond of Qualifying Individual This license filed Bond of Qualifying Individual number SON2742T for JOSE LUIS CEMLOS in the amount of $12,50 with ATLANTIC SPECIALTY INSURANCE COMPANY. Effective Date: 01/06/2017 Workers' Compensation • This license has workers compensation insurance with the PENNSYLVANIA MANUFACTURERS ASSOCIATION INSURANCE COMPANY Polity Number:2021750652321 Effishod eDale: 30/01/2021 Expire Data; 10/D1/2D22 Workers' Compensation Hotary Other Document Control Page 9 of 30 I Personnel lis?ed Alllllil4nse Qurrent or dlsasso,m,dl are lls[ed on other licenses. Bid Analysis, City of Rosemead, Dog Park at Garvey Park, Project No: 41022 Document Control Page 10 of 30 Back to Top Conditions of Use Privacy Policy Accessibility V Accessibility Certification Copyright © 2022 State of California M Bid Analysis, City of Rosemead, Dog Park at Garvey Park, Project No: 41022 n Contractor Information Legal Entity Name R DEPENDABLE CONST INC Legal Entity Type Corporation Status Active Registration Number 1000002054 Registration effective date 7/1/2022 Registration expiration date 6/30/2023 Mailing Address 1019 W 3RD STREET, STE B SAN BERNARDINO 92410 C... Physical Address 1019 W 3RD STREET, STE B SAN BERNARDINO 92410 C... Email Address Trade Name/DBA License Number(s) CSL6:944088 CSLB:944088 Legal Entity Information Corporation Number: Federal Employment Identification Number: President Name: Rosemary Padilla Vice President Name: Treasurer Name: Secretary Name: CEO Name: Agent of Service Name: Rosemary Padilla Agent of Service Mailing Address: 1019 W. 3rd Street, Suite B San Bernardino 92410 CA United States of America Workers Compensation el Do you lease employees No through Professional Employer Organization (PEO)?: ri Document Control Page 11 of 30 Registration History Effective Date Expiration Date 6/8/2018 6/30/2019 6/12/2017 6/30/2018 6/10/2016 6/30/2017 6/19/2015 6/30/2016 10/21/2014 6/30/2015 7/1/2019 6/30/2020 7/1/2020 6/30/2021 7/1/2021 6/30/2022 7/1/2022 6/30/2023 `✓ iiiiii Bid Analysis, City of Rosemead, Dog Park at Garvey Park, Project No: 41022 Please provide your current workers compensation insurance information below: PEO PEO PEO PEO Information Name Phone Email Insured by Carrier Policy Holder Name:R DEPENDABLE CONST INCInsurance Carrier: STATE COMPENSATION INSURANCE FUNDPolicy Number:9064846-21Inception date: 7/3/202IExpiration Date:7/3/2022 Document Control Page 12 of 30 VL Bid Analysis. City of Rosemead, Dog Park at Garvey Park, Project No. 41022 Contractor Information Legal Entity Name SHADE STRUCTURES, INC. Legal Entity Type Corporation Status Active Registration Number 1000003533 Registration effective date 7/1/2021 Registration expiration date 6/30/2023 Mailing Address PO BOX 3467 Coppell 75019 TX United States of A... Physical Address 1085 N MAIN STREET SUITE C ORANGE 92867 CA ... Email Address Trade Name/DBA USA SHADE & FABRIC STRUCTURES License Number(s) CSLB:989458 Legal Entity Information Corporation Number: C3613628 Federal Employment Identification Number: President Name: Bryan Yeazel Vice President Name: DAVID SCHNEIDER Treasurer Name: Cary Glay Secretary Name: David Starr CEO Name: Agent of Service Name: David Schneider Agent of Service Mailing Address: 1085 N MAIN ST SUITE C ORANGE 92867 CA United States of America Workers Compensation w Document Control Page 13 of 30 Registration History Effective Date Expiration Date 6/13/2018 6/30/2019 6/13/2017 6/30/2018 6/8/2016 6/30/2017 6/5/2015 6/30/2016 12/8/2014 6/30/2015 7/1/2019 6/30/2021 7/1/2021 6/30/2023 Bid Analysis, City of Rosemead, Dog Park at Garvey Park, Project No 41022 Do you lease employees No through Professional Employer Organization (PEO)?: Please provide your current workers compensation insurance information below: PEO PEO PEO PEO Information Name Phone Email Insured by Carrier Policy Holder Name:SHADE STRUCTURES, INC.Insurance Carrier: PENNSYLVANIA MANUFACTURERS' ASSOCIATION INSURANCE COMPANYPolicy Number: 2020750652321Inception date:10/1/2020Expiration Date:10/1/2021 Document Control Page 14 of 30 Public Works • • https://www.dir.ca.gov/dlse/debar.htm • • Bid Analysis, City of Rosemead, Dog Park at Garvey Park, Project No: 41022 _ a s�— State of CalBornia DI I Department of IMME M. Industrial Relations PRIME AND SUB ARE NOT LISTED ON THE DLSE DEBARMENT LIST DLSE Debarments D=rnent Control Page 15 of 30 The following is a list of contractors barred from bidding on, accepting, or performing any public works contracts, either as a contractor or subcontractor. Please refer to the "Period of Debarment' for status of debarment period as noted below: As part of your due diligence, we suggest that you also check: • Contractor status at the Contractors State License Board (CSLB) • The Federal debarment list at the Excluded Parties List System Name of contractor MINAKO AMERICA CORPORATION DBA MINCO CONSTRUCTION; AND REFAAT HILMAY MINA, CSLB License Number: 612429 GRFCO, INC. DBA ONSITE KRUSHING; GARCIA JUAREZ CONSTRUCTION, INC.; GEORGE ROBERT FROST; AND JAMES CRAIG JACKSON CSLB License Number: 291013 and 84801 Period of debarment September 27, 2021 through September 26, 2022 Decision LB 6333 5/21/2021 through 5/20/2024 Decision LB 6629 Public Works 0 Bid Analysis, City of Rosemead, Dog Park at Garvey Park, Project No: 41022 Avi Shechter, Individually DBA Avi Shechter CSLB Number: 908891 and 1018353 Patrick Kim, Individually DBA Ritecon Plumbing CSLB Number: 991018 Bighorn Construction, Inc. CSLB Number: 597866 Doug Parks, Individually dba Doug Parks and Son Plumbing CSLB Number:411825 Worthington Construction, Inc.; Dale Worthington, an individual and CEO/RMO of Worthington Construction, Inc.; and, Holi Jeanne Worthington, an individual and Officer of Worthington Construction CSLB Number: 714836 RMV Construction, Inc., A California Corporation; and Robert Michael Vasil II a.k.a. Robert Michael Vasil a.k.a. Mike Vasil, an Individual and CEO/RMO 2of13 https://www.dir.ca.gov/dlse/debar.htm Document Control Page 16 of 30 5/6/2019 through • 5/5/2022 Decision LB 6328 8/21/2018 through 8/20/2019 Decision LB 6762 5/5/2018 through 5/4/2021 Decision LB 6658 10/11/2017 through 10/10/2019 Decision SC 5807 6/15/2018 through 9/16/2019 Decision LB 5267 4/1/2017 through 8/18/2018 Decision LB 5266 On 6/23/2022, 9:45 AN Public Works . Bid Analysis, City of Rosemead, Dog Park at Garvey Park, Project No: 41022 • /'\ n President of RMV Construction, Inc. CSLB Number: 892389 GewargisYoukhanis Narso, an individual dba GEHVAC and Technologies, a sole proprietorship, And GEHVAC Co., a sole proprietorship CSLB Number: 899312 and 1013848 Joseph Brothers Enterprise, Inc.; Ken Joseph Individually and as CEO CSLB Number: 849169 • https://www.dir.ca.gov/dlse/debar.htm Document Control Page 17 of 30 2/1/2017 through 1/31/2020 Decision 40-48480-516 4/3/2018 through 10/3/2019 Decision SC 6390 Dave Cook Concrete Construction, Inc., 3/1/2017 through and David William Cook 2/29/2020 34231 Camino Capistrano #102 Decision LB 6207 Capistrano Beach, CA 92624-1189 CSLB Number: 461897 Bannaoun Engineers Constructors 05/12/17 through Corporation; Omar Maloof, An 05/11/20 Individual Decision SC 5517 P.O. Box 16599 Beverly Hills, CA 90209-2599 CSLB Number: 827829 Evans Roofing Co., Inc. 10/31/16 through 2020 South Yale Street 10/30/19 Public Works • Bid Analysis, City of Rosemead, Dog Park at Garvey Park, Project No: 41022 Santa Ana, CA 92706 CSLB Number: 610549 Guillermo Ibaibarriaga dba Sierra Nevada Stucco and 2K Roofing Sierra Nevada Stucco P.O. Box 8472 Reno, NV 89502 CSLB Number: 915812 2K Roofing 820 Kuenzli Street Reno, NV 89502 CSLB Number: 954551 https://www.dir.ca.gov/dlse/debar.htrn Document Control Page 18 of 30 Decision LB 6270 05/14/17 through 05/13/20 Decision SC 6037 Del Norte Construction, And Trinidad 6/01/16 through 5/31/17 Manuel Canales, an Individual Decision LB 5533 PO Box 5101 Oxnard, CA 93030 5020 Wooley Rd. Oxnard, CA 93030 CSLB Number: #945723 Diversified Building & Electric Company, Inc. 409 Tennant Station Morgan Hill, CA 95037 Denis Andrew Maris, Individually and Doing Business as Diversified Electric Company 2/15/16 through 8/15/17 Decision SC 5714 • \/ 4 of 13 6/23/2022, 9:45 AN Public Works . Bid Analysis, City of Rosemead, Dog Park at Garvey Park, Project No: 41022 • CSLB Number: #765312 E Fast Demolition, Inc. 601-C East Palomar Street #123 Chula Vista, CA 91911 CSLB Number: #792729 Rogelio Medina Vazquez., an individual and in his capacity as Responsible Managing Officer of FAST DEMOLITION, INC. Amerivet Plumbing, Inc.; Walter Edward Jacob Kuhlmann III, Individually And dba Amerivet Plumbing Services CSLB Number: #969048 and #919761 • https://www.dir.ca.gov/dlse/debar.htm Document Control Page 19 of 30 4/1/44 through 3/31/47 Decision LB5742 4/1/41 through 3/31/44 Decision LB5665 4/1/36 through 3/31/39 Decision LB5740 4/1/33 through 3/31/37 Decision LB5651 4/1/33 through 3/31/37 Decision LB5739 4/1/24 through 3/31/27 Decision LB5741 4/1/30 through 3/31/33 Decision LB5743 4/1/27 through 3/31/30 Decision LB5666 4/1/21 through 3/31/24 Decision LB5667 4/1/18 through 3/31/21 Decision LB5668 4/01/15 through 3/31/18 Decision LB5345 8/6/15 through 8/5/18 Decision SC 5756 5 of 13 6/23/2022 9:45 AN Public Works 01I 11� https://www.dir.ca.gov/dlse/debar.htm Bid Analysis, City of Rosemead, Dog Park at Garvey Park, Project No: 41022 Document Control Page 20 of 30 Ultimate Inc., And, Enrique Vera, an 12/1/15 through • Individual 11/30/18 PO Box 571117 Decision LB 5655 & Ta rza na, CA 91356-1117 LBS659 CSLB Number: #949229 Travioli Construction, Inc. 9/11/15 through 3/10/17 PO Box 231 Decision SC 5800 Visalia, CA 93274 CSLB Number: #936832 Integrity Sheet Metal, Inc. 2/01/15 through 1/31/18 319 McArthur Way Decision LB 5596 Upland, CA 91786 CSLB #726770 William Ben Hicks, an individual; Margaret Mary Hicks, an individual L A Builders, Inc., a California 2/01/15 through 1/31/18 Corporation Decision LB5 171 15635 Saticoy Street, #H Van Nuys, CA 91406 CSLB #748591 Alon Gamliel, an individual USA Wall Systems, Inc. 4/01/15 through 3/31/18 8309 Sunshine Lane Decision LB 5323 Riverside, CA 92508 CSLB #929610 Edward Eugene, Brammer, an individual and in his capacity as 5 of 13 6/23/2022, 9:45 AN Public Works 0 Bid Analysis, City of Rosemead, Dog Park at Garvey Park, Project No: 41022 • President/CEO/RMO A'N Daughter Construction formerly dba Hy Carpentry Construction 15407 Thornlake Avenue Norwalk, CA 90650 CSLB #979297 Sharon Jin Yoo, an individual; Dae Hyun Yoo, an individual and in his capacity as manager/supervisor for Sharon Jin Yoo and in his capacity as General Partner for HY Construction, a General Partnership. RDA Construction, Inc. 1692 W. Bullard Ave., Fresno, CA 93711 CSLB# 383306 Titan Electrical Construction, Inc. Lucas Oliver Stickney, an individual Jamie Noel Furr, an individual 630 Natoma Street San Francisco, CA 94103 CSLB# 919516 Ramos Painting Carlos Ray Ramos, an individual P.O. Box 3871 • Paso Robles, CA 93447 CSLB# 753575 • https://www.dir.ca.gov/dlse/debar.htin D=ment Control Page 21 of 30 4/01/15 through 3/31/18 Decision LB 5466, L65467, LB5468 & LB5520 12/15/14 through 12/14/16 Decision 40-40508-522 & 44-40509-522 11/3/14 through 11/2/17 Decision SC 5539 11/3/14 through 11/2/15 Decision SC 5518 AK Public Works • • https://www.dir.ca.gov/dlse/debar.htm Bid Analysis, City of Rosemead, Dog Park at Garvey Park, Project No: 41022 Document Control Page 22 of 30 Dick Emard Electric. 11/3/14 thorough • dba Emard Electric Luke Richard Emard, 11/2/17 an individual and RMO Decision SC 5521 5930 Key Court, Suite A Loomis, CA 95650 CSLB# 794007 Nixon Electric 8/1/14 through 7/31/17 Gordon Fulton Nixon, an individual Decision LB 4495 5624 Faust Ave. Woodland Hills, CA 91367 CSLB# 796802 Neris General Contractors, a California 2/28/14 through 2/27/17 Corporation Decision LB 4511, Efren Ned, an individual LB4512 & LB4521 Servando Ned, an individual i Rebeca Neri, an individual Luis Abelardo Castro, an individual 6087 California Ave. Long Beach, CA 90805 CSLB# 797967 Southland Construction 10/14/14 through Reza Mohammedi, an individual 10/13/17 3943 Irvine Blvd., #405, Irvine, CA 92602 Decision SAC 5492 CSLB# 663784 (expired) National Drywall Corporation, A Dissolved California Corporation 603 S. Milliken Avenue, Suite F Ontario, CA 91761 CSLB #834335 Miguel Contreras, an Individual and 8/4/14 through 8/3/17 Decision SAC 5506 3 of 13 6/23/2022, 9:45 AN/ Public Works r-ls Bid Analysis, City of Rosemead, Dog Park at Garvey Park, Project No: 41022 Responsible Managing Officer/CEO /President Dora Maria Contreras, an Individual and Agent/Officer of the Corporation https://a vw.dir.ca.gov/dlse/debar.htn Document Control Page 23 of 30 Tadros &Youssef Construction, Inc. 5/10/14 through 5/9/17 Kamel Shaker Tadros & Makram Decision SAC 5308 Youssef Youssef, Individually 1221 E 8th Street, Unit A, Upland, CA 91786 CSLB# 698182 (expired) Serenity Fire Protection 5/1/14 through 4/30/17 417 S. Associated Road, Brea, CA 92821 Decision LB 4202 CSLB# 902927 Don Kelly Construction , Inc. 3/25/14 through 3/24/17 Don Kelly, Individual and Lisa Kelly, Decision LB 4484 Individual 171 Northview Ridge Lane, P.O. Box 10760, Bozeman, MT 59719 Aldan, Inc. 2/28/14 through 2/27/17 P.O. Box 9428, Brea, CA 92822 Decision LB5175 CSLB #949229 Public Works . Bid Analysis, City of Rosemead, Dog Park at Garvey Park, Project No: 41022 Russell/Thompson, Inc. James Jean Russell & Valery Alena Thompson, Individually 4684 Oak Glen Dr., Redding, CA 96001 CSLB# 915036 (revoked) https://www.dir.ca.gov/dlse/debar.htm Document Control Page 24 of 30 10/31/13 through 10/31/16 Decision SC 5309 Ayodejia A. Ogundare, Individual 5/15/2013 through Dba Pacific Engineering Company 5/15/2014 6310 Stewart Way, Bakersfield, CA 93308 Decision SAC 1039 CLSB#710322 Wallcrete Industries, Inc.; Garit David 7/29/12 through 7/28/15 Wallace and Amber Anderson, Decision SAC 5175 Individuals 400 Kansas, Redlands, CA 92373 CSLB#834220 FEI Enterprises, Inc Gabriel Fedida, Individual 5749 Venice Blvd., Los Angeles, CA 90019 CSLB#659252 Jeffrey Alan Mott and Michelle Mott, individuals Dda Integrity Landscape 37561ndependenceAvenue Sanger, CA 93637 CSLB#774222 6/14/12 through 6/13/15 Decision SC 5198 3/29/12 through 3/28/15 Decision SC 5160 • 10 of 13 6/23/2022, 9:45 AN Public Works 0 Bid Analysis, City of Rosemead, Dag Park at Garvey Park, Project No: 41022 . Jensen Drywall & Stucco Jeffrey E. Jensen 3714 Lynda Place National City, CA 91950-8121 CSB # 664168 Exp. 2/18/11 (expired) All West Construction, Inc. Donald Kent Russell 495 N. Marks Ave. Fresno, CA 93706 CSB # 592321 Exp. 4/3/12 (suspended) Country Builders, Inc. Weldon Offill, individually 5915 Graham Ct. • Livermore, CA 94550 CSB # 699574 Exp. 11/30/12 (active) https://www.dir.ca.gov/dlse/debar.htm Document Control Page 25 of 30 3/31/11 through 3/30/13 Decision SC 5095 3/31/11 through 3/30/13 Decision se 5013 3/1/11 through 2/28/14 DecisionSC 5053 ....-.._........... _._...... Addendum SC 5053 Sutter Foam & Coating, Inc. 7/1/10 through 6/30/13 909 A. George Washington Decision SAC 5012 Yuba City, CA 95993 CSB # 732014 Exp. 1/31/09 (inactive) David Alvin Trexler, an individual 909 A. George Washington Yuba City, CA 95993 Kenneth A. Trexler, an individual 2603 Lago Lane Marysville, CA 95901 • Soo Dong Kim, an individual, 4/19/10 through 4/18/13 dba Soo Kim Electric Company Decision SAC 1064 16224 Ridgeview Lane La Mirada, CA 90638 ?ublic Works Bid Analysis, City of Rosemead, Dog Park at Garvey Park, Project No: 41022 CSB # 568103 Exp. 8/1/09 (inactive) https://www.dir.ca.gov/dlse/debar.htm Document Control Page 26 of 30 E Hyo Nam Jung, an individual, dba Lucid Electric 18621 Well Street Rowland Heights, CA 91748 CSB # 914692 Exp. 4/3/10 Southwest Grading, 3/18/10 through 3/17/13 dba Southwest Grading Services, Inc., Decision SAC 1058 22031 Waite Street Wildomar, CA 92595 David Waiter Cholewinski, an individual 22031 Waite Street Wildomar, A 92595 29970 Technology Drive, Ste. 205 Murrieta, CA 92563 CSB #840416 Exp. 6/30/10 S.J. Cimino Electric, Inc., a California 10/15/09 through corporation, 10/14/12 3267 Dutton Ave. Decision SAC 1052 Santa Rosa, CA 95404 Salvatore Joseph Cimino, RMO, CEO and President of S.J. Cimino Electric, Inc. and sole owner of S.J. Cimino Electric, an individual 5825 Heights Rd. Santa Rosa, CA 95401 CSB #343802 Exp. 2/28/10 CSB #294141 Exp. 9/30/13 (inactive) Cedar Development Corporation 8/5/09 through 8/4/12 Serghon Gabriel Afram, individually I? of 13 6/23/7022, 9'.45 AN Public Works • Bid Analysis, City of Rosemead, Dog Park at Garvey Park, Project No: 41022 12477 Feather Dr Mira Loma, CA 91752 CSB # 839898 Exp. 6/30/10 (suspended) /''N All Floors Commercial and Residential Flooring, Inc. Salvador Elias Perea, individually 750 E. McGlincy Lane, #103 Campbell, CA 95008 CSB #430969 Exp. 7/31/09 1 -AMD Construction, Inc. Alberto Mordoki, individually Mirella Mordoki, individually 5300 Beach Blvd., Suite 110-416 Buena Park, CA 90621 CSB #787533, revoked Updated: May 2021 Vaccinate ALL 58 F' https://www.dir.ca.gov/dlse/debar.htm Document Control Page 27 of 30 Decision SAC 1042 5/14/09 through 5/13/12 Decision SAC 1040 3/16/09 through 3/15/12 Decision SAC1037 3AM.gov I Search • https:Hsam.gov%search/?i*x&sort=-relevance&page=l&pageSize.. 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Document Control Page 29 of 30 "R DEPENDABLE" x Classification Classification Firm Excluded Firm Federal Organizations Exclusion Type Exclusion Program Location Dates C� No matches found We couldn't find a match for your search criteria. Please try another search or go backto previous results. Go Back n v v v v v v Reseto 6/23/2022, 9:49 AN' 3AM.gov I Search 0 Bid Analysis, City of Rosemead, Dog Park at Garvey Park, Project No: 41022 Our Website About This Site Our Community Release Notes System Alerts Policies Privacy Policy Disclaimers Freedom of Information Act Accessibility https://sam.gov/search/? W—ex&sort=relevance&page=l &pageSize.. Document Control Page 30 of 30 0 Feedback Our Partners Acquisition.gov USASpending.gov Grants.gov More Partners Customer Service Help Check Registration Federal Service Desk External Resources Contact This is a U.S. General Services Administration Federal Government General Services computer system that is "FOR OFFICIAL USE ONLY." This system is Administration subject to monitoring. Individuals found performing unauthorized activities are subject to disciplinary action including criminal prosecution. • r'1 LJ • 3 of 3 6/23/2022, 9:49 AN 6 E M E C2 2102 O 9 AT F CO ,�'•.'VMTED X050 CONSTRUCTION CONTRACT DOG PARK AT GARVEY PARK (R DEPENDABLE CONSTRUCTION, INC.) PARTIES AND DATE This Contract is made and entered into this 12th day of July, 2022 (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 R Dependable Construction, Inc. with its principal place of business at 1019 W 3rd St., Ste B, San Bernardino, CA 92410 (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 Dog Park at Garvey Park 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 Tenn 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 herein by reference, and all applicable local, state and federal laws, rules and regulations. R Dependable Construction, Inc. Page 2 of 11 3.1.2 Term. The term of this Contract shall be from Effective Date shown above to July 12, 2023 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 City Manager, Ben Kim, 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 Rosemary Padilla, or 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 Contract. R Dependable Construction, Inc. Page 3 of 11 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 performed. Safety precautions as applicable shall include, but shall not be limited to: (A) R Dependable Construction, Inc. Page 4 of 11 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 promptly deliver satisfactory evidence of such increase to the City. To the extent available, R Dependable Construction, Inc. Page 5 of 11 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:VIII 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. 3.3.1 Compensation. The total compensation shall not exceed Six Hundred Forty Thousand Eight Dollars and one cent ($640,008.01) without advance written approval of the City's Representative. 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 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 R Dependable Construction, Inc. Page 6 of 11 inspection of all work, data, documents, proceedings, and activities related to the Contract for a period of three (3) years from the date of final 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: R Dependable Construction, Inc. 1019 W 3'd St., Ste B CITY: San Bernardino, CA 92410 Attn: Rosemary Padilla Tel: (909) 381-2310 City of Rosemead 8838 E. Valley Boulevard Rosemead, CA 91770 Attn: Ben Kim, City Manager 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. R Dependable Construction, Inc. Page 7 of 11 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 assignees, hypothecates or transferees shall acquire no right or interest by reason of such R Dependable Construction, Inc. Page 8 of 11 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. R Dependable Construction, 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] R Dependable Construction, Inc. Page 10 of 11 CITY OF ROSEMEAD 7 1, 2Z Ben Kim, y Manager Date Attest: Ericka Hernandez, City Clerk Date Approved as to Form: /�L iZchel Ric man, City Attorney Date R DEPENDABLE CONSTRUCTION, INC. By 1 p-4122122 Sign a Date Name: gose m'qte`1 WILLP, Print Title: ppslow— [If Corporation, TWO SIGNATURES, President OR Vice PresidentAND Secretary, AND CORPORATE SEAL OF CONTRACTOR REQUIRED] Name: (?OSENIPrI2q P/-FUIUpr I P =n Name: (?OSENIPrI2q P/-FUIUpr R Dependable Construction, Inc. EXHIBIT A SCOPE OF CONTRACT SERVICES SEE ATTACHED BID SCHEDULE/PROPOSAL Addendum 1, Dog Park at Garvey Park, Project No: 41022 Document Control Page 5 of 10 BIDDER: R DEPENDABLE CONST INC REVISED BID SCHEDULE PER ADDENDUM 1 SCHEDULE OF PRICES FOR DOG PARK AT GARVEY PARK PROJECT No. 41022 NO. ITEM DESCRIPTION EST. QTY. UNIT UNIT PRICE ITEM COST 1 Mobilization (Not to Exceed 5%) 1 LS $ 30,000.00 $ 30,000.00 2 Traffic Control 1 LS $_L60 00 $ 660.00 3 Demolition and Site Clearing 1 LS $_!8,160.00 $ 18,160.00 4 Earthwork, Removal and Grading 1 LS $ 19,800.00 $19,800.01 5 Dust Control and BMP 1 LS $3,960. 0 $3,960.00 6 Remove and Reconstruct Curb and Gutter 20 LF $_L64.00 $ 5,280.00 7 Remove and Reconstruct Curb 50 LF $264.00 $13,200.00 8 Construct Curb 160 LF $L98.00 $L1,680 _00 9 Curb Ramp 1 EA $_1,772.00 $_2,772.00 10 Concrete Block Slough Wall 60 LF $ 132.00 $1,92000 11 8" Diameter PVC SDR 35 Drain Pipe 345 LF $39.60 $13,662.00 12 8" Diameter PVC SDR 35 Drain Pipe in Gravel Bed 100 LF $_L9 60 $3,960.00 13 NDS 1212 Catch Basin with Solid Cover 1 EA $ 2,772.00 $2,772.00 14 Drain Inlet 8 EA $_!,452.00 $ 1,616.00 15 Overflow Drain Structure per Detail on Plans 1 EA $ 1,188.00 $ 1,188.00 16 Remove and Reconstruct Asphalt Pavement 50 TON $ $ 32,076.00 _641.52 Revised per Addendum 1, CBF - 2 Addendum 1, Dog Park at Garvey Park, Project No: 41022 Document control Page 6 of 10 BIDDER: R DEPENDABLE CONST INC NO. ITEM DESCRIPTION EST. QTY. UNIT UNIT PRICE ITEM COST 17 2" Water Service 1 EA $ 7,920.00 $ 7,920.00 18 1" Water Service 2 EA $ 5,280.00 $ 10,560.00 19 Traffic Striping and Signage 1 LS $ 6,204.00 $_6,204.00 20 Surveying 1 LS $ 1,320.00 $ 1,320.00 21 4" Thick Concrete Flatwork 2,100 SF $ 26.40 $_51,440 00 22 Concrete Header (6" Wide) 530 LF $ 26.40 $ 13,992.00 23 Concrete Header (9" Wide) 170 LF $ 26.40 $ 3,488.00 24 Stabilized Decomposed Granite 8250 SF $1.98 $ 16,335.00 25 Boulder 2'x 3' 5 EA $198.00 $190 00 26 Boulder 3'x 4' 3 EA $264.00 $ 79z.00 27 Boulder Tx 5' 5 EA $ 330.00 $_L610 00 28 Chain Link Fencing - 5' High 60 LF $ 167.20 $ 10,032.00 29 Chain Link Fencing - 5' High w/ Baseboard 145 LF $ 146.8 $ 21212.00 30 Chain Link Fencing - 8' High 105 LF $ 152.10 $15,972.00 31 Chain Link Fencing -12' High 150 LF $ 146.08 $21,912.00 32 Chain Link Double Gate - 8' High (12' Opening) 1 EA $ 8.976.00 $_1,971 00 33 Chain Link Double Gate - 5' High (12' Opening) 1 EA $ 7,656.00 $ 7,656.00 34 Chain Link Single Gate - 8' High (4' Opening) 1 EA $ 7,656.00 $ 7,656.00 Revised per Addendum 1, CBF - 3 Addendum 1, Dog Park at Garvey Park, Project No: 41022 Document Control Page 7 of 10 BIDDER: R DEPENDABLE CONST [NC NO. ITEM DESCRIPTION EST. QTY. UNIT UNIT PRICE ITEM COST 35 Chain Link Single Gate - 5' High (4' Opening) 2 EA $ 7.656.00 $1s,31z.00 36 Baseboard - 2' High 320 LF $ 33.00 $ 10,560.00 37 Table (ADA) 3 EA $ 924.00 $ 1772.00 38 Table 3 EA $ 924.00 $ 2,772.00 39 Bench 6 EA $ 660.00 $_L,961 11 40 Drinking Fountain 2 EA $ 6,996.00 $ 13,992.00 41 Dog Play Equipment (including equipment, freight, tax, and installation 1 LS $ 16,896.00 $16,89600 42 Dog Waste Bag Dispenser 3 EA $1,210.00 $ 3,630.00 43 Trash Receptacle 4 EA $ 1,452.00 $ 5,808.00 44 Shade Structures (including structures, engineering, freight, taxes and installation 3 EA $ ' t ;16.67 $_72,111 V 45 Dog Wash Station 1 EA $ 4,752.00 $_4,752 00 46 Irrigation System 1 LS $ 13,332.00 $ 13,332.00 47 Soil Prep and Grading 9,500 SF $ 1.65 $15,675.00 48 Weed Abatement 9,500 SF $ 0.86 $ s, i 5100 49 Tree - 24" box 5 EA $ 264.00 $ 1.320.00 50 Tree - 36" box 6 EA $ 396.00 $2,376.00 51 Shrub -15 gallon 10 EA $ 396.00 $ 3,960.00 52 Shrub - 5 gallon 63 EA $ 132.00 $ 8,316.00 53 Turf - Sod 8,900 SF $ 1.65 $14,685.00 Revised per Addendum 1, CBF - 4 Addendum 1, Dog Park at Garvey Park, Project No: 41022 Document control Page 8 of 10 BIDDER:!',DABLECONST INC NO. ITEM DESCRIPTION EST. QTY. UNIT UNIT PRICE ITEM COST 54 Mulch (Y Depth) 6 CY$ 3 0.00 $ 1,910.00 55 90 Days Maintenance Period 1 LS $ 4.941.00 $ 4,941.00 TOTAL BID AMOUNT IN NUMBERS $_L40,000 00 TOTAL BID AMOUNT IN WORDS: SIX HUNDRED FORTY THOUSAND Note: The City of Rosemead reserves the right to reduce or increase the quantities of any items in the schedule of bid items above, within the limits define in Section 3-2.2.1 of the Standard Specifications, to stay within the budgeted amount of this project. If the Bid Documents specify alternate bid items, the following Alternate Bid amounts shall be added to or deducted from the Total Bid Price entered above. The owner can choose to include one or more of the alternates in the Total Bid Price of the Project. If any of the Alternate Bids are utilized by the Owner, the resulting amount shall be considered the Total Bid Price for the Project. The undersigned agrees that these Contract Bid Forms constitute a firm offer to the Owner which cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and after the bid opening date, or until a Contract for the Work is fully executed by the Owner and a third party, whichever is earlier. The undersigned also agrees that if there is a discrepancy between the written amount of the Bid Price and the numerical amount of the Bid Price, the written amount shall govern. Attached hereto is a certified check, a cashier's check or a bid bond in the amount of 10% Dollars ($ ) said amount being not less than ten percent (10%) of the Total Bid Price. The undersigned agrees that said amount shall be retained by the Owner if, upon award, we fail or refuse to execute the Contract and furnish the required bonds, certificates and endorsements of insurance and other certifications within the time provided. If awarded a Contract, the undersigned agrees to execute the formal Contract, which will be prepared by the Owner for execution, within five (5) Calendar Days following the Letter of Award for the Contract, and will deliver to the Owner within that same period the necessary original Certificates of Insurance, Endorsements of Insurance, Performance Bond, Payment Bond and all other documentation and certification required by the Contract. Revised per Addendum 1, CBF - 5 Bid Package, Dog Park at Garvey Park, Project No: 41022 Document Control Page 21 of 197 BIDDER: R DITENDABLE CONS I INC The undersigned offers and agrees that if this bid is accepted, it will assign to the purchasing body all rights, title, and interest in and to all causes of action it may have under Section 4 of the Clayton Act (15 U.S.C. Section 15) or under the Cartwright Act (Chapter 2 of Part 2 of Division 7 of the Business and Professional Code), arising from purchases of goods, materials or services by the Bidder for sale to the purchasing body pursuant to the bid. Such assignment shall be made and become effective at the time the purchasing body tenders final payment to he Contractor. Bidder understands and agrees that, when requested by Owner, he shall provide: (1) evidence satisfactory to the Owner of Bidder's California contractor's licenses) in good standing; (2) evidence that the person signing this Bid is authorized to bind Bidder to this Bid and to a contract resulting therefrom; and (3) any other information and documentation, financial or otherwise, needed by Owner to award a Contract to the lowest responsible and responsive bidder. -- a,aia .,vv.vv Per caienaar as iT ro ect is not completed in FORTY-FIVE (451 working days Contractor will be allowed 15 additional working days to coordinate procurement of longer lead time material prior to commencing with field work The Contract Time will begin to run ten U 9) Working Days from the date of the Notice of Proceed and subject to the terms and conditions described in the Contract Form and the Contract Documents. Bidder acknowledges that data submitted with its Contract Bid Forms which it requires to be incorporated into a Contract arising out of this Submittal has been so identified by Bidder. Bidder further acknowledges that the Owner may, at its discretion, incorporate any of the remaining data submitted herewith into a contract arising out of this Bid. The undersigned acknowledges receipt, understanding and full consideration of the following addenda to the Contract Documents. Addenda Nos. 01 The Bidder understands and agrees that the Total Bid Price is inclusive of all labor, materials, and equipment or supplies necessary to complete the Work as described in the Bid Documents. If this bid is accepted, the undersigned Bidder agrees to enter into and execute the Contract with the necessary bonds and accept the Total Bid Price as compensation in full for all Work under the contract. CBF -6 Bid Package, Dog Park at Garvey Park, Project No: 41022 By: Signature ROSEMARY PADILLA Type or Print Name PRESIDENT Title Bidder's/Contractor's State of Incorporation: Partners or Joint Venturers: Bidder's License Numberi 944088 Department Industrial Relations Registered No. 1000002054 NOTES: CA N/A Document Control Page 22 of 197 BIDDER: R DEPENDABLE CONST INC 1019 W. 3RD ST., STE. B Business Street Address SAN BERNARDINO, CA 92410 City, State and Zip Code 909-381-2310 Telephone Number 1) By its signature on this Bid, the Bidder certifies under penalty of perjury the accuracy of the representations made on the Contract Bid Forms. 2) If Bidder is a corporation, enter State of Incorporation in addition to Business Address 3) If Bidder is a partnership or joint venture, give full names of all partners or joint venturers. As further discussed in the Instructions to Bidders, Bidder will be required to provide evidence that the person signing on behalf of the corporation, partnership or joint venture has the authority to do so. CBF -7 R Dependable Construction, 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. Contractor shall maintain commercial general liability insurance with coverage at least as broad as Insurance Services Office form CG 00 01, in an amount not less than $1,000,000 per occurrence, $2,000,000 general aggregate, for bodily injury, personal injury, and property damage, and a $2,000,000 completed operations aggregate. The policy must include contractual liability that has not been amended. Any endorsement restricting standard ISO "insured contract" language will not be accepted. Automobile liability insurance. Contractor shall maintain automobile insurance at least as broad as Insurance Services Office form CA 00 01 covering bodily injury and property damage for all activities of the Contractor arising out of or in connection with Work to be performed under this Agreement, including coverage for any owned, hired, non -owned or rented vehicles, in an amount not less than $1,000,000 combined single limit for each accident. Workers' compensation insurance. Contractor shall maintain Workers' Compensation Insurance (Statutory Limits) and Employer's Liability Insurance (with limits of at least $1,000,000) for Contractor 's employees in accordance with the laws of the State of California, Section 3700 of the Labor Code In addition, Contractor shall require each subcontractor to similarly maintain Workers' Compensation Insurance and Employer's Liability Insurance in accordance with the laws of the State of California, Section 3700 for all of the subcontractor's employees. Excess or Umbrella Liability Insurance. (Over Primary) Contractor shall obtain and maintain an umbrella or excess liability insurance policy that will provide bodily injury, personal injury and property damage liability coverage at least as broad as the primary coverages set forth above, including commercial general liability, automobile liability, and employer's liability. Such policy or policies shall include the following terms and conditions: Contractor shall obtain and maintain an umbrella or excess liability insurance policy that will provide bodily injury, personal injury and property damage liability coverage at least as broad as the primary coverages set forth above, including commercial general liability, automobile liability, and employer's liability. Such policy or policies shall include the following terms and conditions: R Dependable Construction, Inc. • A drop down feature requiring the policy to respond in the event that any primary insurance that would otherwise have applied proves to be uncollectable in whole or in part for any reason; • Pay on behalf of wording as opposed to reimbursement; • Concurrency of effective dates with primary policies; and • Policies shall "follow form" to the underlying primary policies. • Insureds under primary policies shall also be insureds under the umbrella or excess policies. Builder's risk insurance. Upon commencement of construction and with approval of Agency, Contractor shall obtain and maintain builder's risk insurance for the entire duration of the Project until only the Agency has an insurable interest. The Builder's Risk coverage shall include the coverages as specified below. The named insureds shall be Contractor and Agency, including its officers, officials, employees, and agents. All Subcontractors (excluding those solely responsible for design Work) of any tier and suppliers shall be included as additional insureds as their interests may appear. Contractor shall not be required to maintain property insurance for any portion of the Project following transfer of control thereof to Agency. The policy shall contain a provision that all proceeds from the builder's risk policy shall be made payable to the Agency. The Agency will act as a fiduciary for all other interests in the Project. Policy shall be provided for replacement value on an "all risk" basis for the completed value of the project. There shall be no coinsurance penalty or provisional limit provision in any such policy. Policy must include: (1) coverage for any ensuing loss from faulty workmanship, Nonconforming Work, omission or deficiency in design or specifications; (2) coverage against machinery accidents and operational testing; (3) coverage for removal of debris, and insuring the buildings, structures, machinery, equipment, materials, facilities, fixtures and all other properties constituting a part of the Project; (4) Ordinance or law coverage for contingent rebuilding, demolition, and increased costs of construction; (5) transit coverage (unless insured by the supplier or receiving contractor), with sub -limits sufficient to insure the full replacement value of any key equipment item; (6) Ocean marine cargo coverage insuring any Project materials or supplies, if applicable; (7) coverage with sub -limits sufficient to insure the full replacement value of any property or equipment stored either on or off the Site or any staging area. Such insurance shall be on a form acceptable to Agency to ensure adequacy of terms and sublimits and shall be submitted to the Agency prior to commencement of construction. 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 policies shall provide or be endorsed to provide that Agency and its officers, officials, employees, agents, and volunteers shall be additional insurer under such policies R Dependable Construction, Inc. using standard ISO endorsement No. CG 2010.. 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. 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. R Dependable Construction, Inc. 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. 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 R Dependable Construction, Inc. 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 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. ACORO® CERTIFICATE OF LIABILITY INSURANCE `� DAM(MMIDD/YYYY) 1 07/2112022 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(les) 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 Diamond Valley Insurance Services, Inc. CONTA T NAME: Frances L. BfO0k8 Be. (951)553-7400 ac Nol: (951)296-6808 41856 Ivy Street # 108 MURRIETA, CA 92562 noose : frances@diamondvalleyins.com INSURERS AFFORDING COVERAGE NAIC# License #: OH9471 6 INSURER A: Great American E&S Ins, Co.7 2 06/17/2022 INSURED R DEPENDABLE CONSTRUCTION, INC. 1019 W 3RD STREET, STE B SAN BERNARDINO, CA 92410 INSURER B: AmGuard Insurance 42390 INSURERC: Ategrity Specialty InsuranceC. 16427 uRERO: to Compensation Insurance Fund INNSsURER E: tars n National Insurance Company 96 INSURER F: Evanston Insurance Comoany COVERAGES CERTIFICATE NUMBER: 00001415-0 REVISION NIIMRER- Rin 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 LTR rypE OF INSURANCE ADDLSUBR Rosemead, CA 91770 POLICY NUMBER POLICY EFF MMMDIYYYYI POUCYEXP IMIVIDDIfff(I UMITS A X COMMERCIAL GENERALLIABILITY Y Y E732680 06/17/2022 0611712023 EACH OCCURRENCE $ 10100000 CLAIMS -MADE OCCUR PRMMI E T Ea oc Rene $ 100,000 MED EXP (Anyma erson E 5,000 X Contr Liab Included PERSONAL B ADV INJURY S 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE E 2,000.000 POLICY JECT FILOC PRODUCTS-COMP/OPAGG E 2,000,000 Dad $ 2.600 OTHER. B AUTOMOBILE LIABILITY Y N RDAU345955 03102/2022 0310212023 CEa OMBINEDSINGLELIMIT $ 1,000,000 000000 BODILY INJURY (Per person) S ANY AUTO OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY (Per accident)S HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY PROPERTY DAMAGE Per accident $ E C X UMBRELLA UAB OCCUR 01 -P -XL -P70001118-1 06/1712022 0611712023 EACH OCCURRENCE $ 7,000,000 AGGREGATE $ 7,000,000 EXCESS LIAS CLAIMS -MADE X DED RETENTIONS 0 $ D WORKERS COMPENSATION AND EMPLOYERS' UABIUTY AND ANY PROPRIETORIPARTNEWEXECUTIVE YIN 07103/2022 0710312023 X PT AT 014"_ ERH E.L. EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? El (Mandatory In NH) NIA E. L. DISEASE - EA EMPLOYEE $ 1,000,000 mes, describe.nder SCRIPTON OF OPERATIONS below E. L. DISEASE -POLICY LIMIT $ 1,000,000 E Commercial Umbrella M87959220ALI 06117/2022 06117/2023 Occ/Agg 5,000,000 F Pollution ECPENV02270 11/1612020 11118/2022 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Ramarks Schedule, may be aaached N mon space Is requited) Certificate holder is named as an additional insured. 30 days notice of intent to cancel, except 10 days for non payment of premium. Project No. 41022- Dog Park At Garvey Park CERTIFICATE HOLDER CANCELLATION ©196 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks kLT D Printed by FLB on 07121/2022 at 01:57PM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Rosemead THE EXPIRATION DATE THEREOF, ACCORDANCE WITH THE POLICY PROTVISIONISL BE DELIVERED IN 8838 East Valley Blvd. AUTHORIZED REPRESENTA Rosemead, CA 91770 FLB ©196 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks kLT D Printed by FLB on 07121/2022 at 01:57PM ACC?Rbr CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDpryyYY) CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 07/2112022HOLDER. THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE THIS CERTIFICATE DOES N OT 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: lithe certificate holder Is an ADDITIONAL INSURED, the policy(les) 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 rl hts to the certificate holder In lieu of such endorsement(s). PRODUCER Diamond Valley Insurance Services, Inc. Ivy 41856 Iv Street # 108 MURRIETA, CA 92562 CONTACT NAME: Frances L. Brooks PHONE , (951)553.7400 ac Na : (951)296-6808 .M L trances diamondvalle ns.com INSURERS AFFORDING COVERAGE NAIC* License#: OH94716 INSURERA: Indian HarborInsurance Com an INSURED R DEPENDABLE CONSTRUCTION, INC. 1019 W 3RD STREET, STE B SAN BERNARDINO, CA 92410 INSURERB: INVURERC: INSURERD: NSU ITER E: NSURERF: THIS IS TO CERTIFYTHAT 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMBS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. ILTR NSR TYPE OF INSURANCE POUCYEFF POLICY UP ell mSUER POUCYNUMRIIB (MMI (MMI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ R CLAIMS -MADE ❑ OCCUR $ MED EXP (Ary oneperson) PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ POLICY [:] PRO - PRODUCTS - COMP/OP AGO $ ,ECT LOC OTHER: AUTDMOBIE LIABILITY COMBINED SINGLE LIMIT— IMITANYADTG Ea MY AUTO BODILY INJURY (Per person) $ OWNED DULED SCHE $ BODILY INJURY(Pereccitle )NO J AUTOS ONLY AUTOS HIRED PN_OAUTOS N AUTOS ONLY AUTOS ONLY LY _R PERTY AMAGE $ (Per acodend) UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS -MADE AGGREGATE $ DED RETENTION WORIoERS COMPENSATION PER OTH- ANDEMPLOYERS'LIABILRY YIN I STATUT ER E.L EACH ACCIDENT $ ANYPROPRIETORIPARTNEREXECUTIVE OFRCERIhEMEER EXCLUDED? (Mandator, In NH) be ESLZIOSM81 EL DISEASE - EA EMPLOYE EL DISEASE - POLICY LIMIT $ DESCRIPTIdeswON OF OPERATIONS below A Builder's risk o712512022 09/3012022 Limit At Any Single 640,009 DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHCLES (ACORD 101, AEdidonM Romarka Schedub, may be attached P mors apace is required) City of Rosemead 8838 East Valley Blvd. Rosemead, CA 91770 ACORD 25 (2016103) SH W LDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS AUTHORIZED O 198"b1AJLACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks 41 AC`•'IRD Printed by FL13 on 07212022 at 01:52PM COMMERCIAL AUTO BA 99 04 06 18 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED WHEN REQUIRED BY CONTRACT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This provision does not apply in regard to any ownership, maintenance or use of the additional insured's "autos." Additional Insured When Required by Contract (1) Paragraph A.I. — WHO IS AN INSURED — of Section II — Liability Coverage is amended to add: d. When you have agreed, in a written contract or written agreement, that a person or organization be added as an additional insured on your business auto policy, such person or organization is an "insured", but only to the extent such person or organization is liable for "bodily injury" or "property damage" caused by the conduct of an "insured" under paragraphs a. or b. of Who Is An Insured with regard to the ownership, maintenance or use of a covered "auto." The insurance afforded to any such additional insured applies only if the "bodily injury" or "property damage" occurs: (1) During the policy period, and (2) Subsequent to the execution of such written contract, and (3) Prior to the expiration of the period of time that the written contract requires such insurance be provided to the additional insured. (2) How Limits Apply If you have agreed in a written contract or written agreement that another person or organization be added as an additional insured on your policy, the most we will pay on behalf of such additional insured is the lesser of: (a) The limits of insurance specified in the written contract or written agreement; or (b) The Limits of Insurance shown in the Declarations. Such amount shall be a part of and not in addition to Limits of Insurance shown in the Declarations and described in this Section. (3) Additional Insureds Other Insurance If we cover a claim or "suit" under this Coverage Part that may also be covered by other insurance available to an additional insured, such additional insured must submit such claim or "suit" to the other insurer for defense and indemnity. However, this provision does not apply to the extent that you have agreed in a written contract or written agreement that the insurance is primary and non- contributory with the additional insured's own insurance. (4) Duties in The Event Of Accident, Claim, Suit or Loss If another person or organization is added as an additional insured on your policy, the additional insured shall be required to comply with the provisions in A. Loss Conditions 2. — Duties In The Event Of Accident, Claim, Suit Or Loss — of SECTION IV — BUSINESS AUTO CONDITIONS, in the same manner as the Named Insured. BA 99 04 06 18 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1 Policy # E732680 COMMERCIAL GENERAL LIABILITY CG 20 0104 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the This insurance is primary to and will not seek additional insured, contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 04 13 0 Insurance Services Office, Inc., 2012 Page 1 of 1 Policy # E732680 COMMERCIAL GENERAL LIABILITY CG 20 10 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Locations Of Covered Operations Any person or organization for whom you are performing All locations where'your work" is performed as "your work" when you and such person or organization specified in the contract or written agreement have agreed in writing in a contract or agreement that between you and the Additional Insured(s). such person or organization be added as an Additional Insured on your policy. Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work including materials parts or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 2. 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or That portion of 'your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 04 13 0 Insurance Services Office, Inc., 2012 Page 1 of 2 Policy # E732680 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 0 Insurance Services Office, Inc., 2012 CG 2010 0413 Policy # E732680 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Any person or organization for whom you are All locations where'your work" is performed as performing'your work", when you and such person or specified in the contract or written agreement between organization have agreed in writing in a contract or you and the Additional Insured(s). agreement that such person or organization be added as an Additional Insured for Completed Operations Covera a on vour icolicy. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "Property damage" caused, in whole or in part, by 'Your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 37 0413 0 Insurance Services Office, Inc., 2012 Page 1 of 1 Policy # E732680 COMMERCIAL GENERAL LIABILITY CG 24 04 06 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization when you have agreed in writing in a contract or agreement to waive your right of recovery against such person or organization. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV —Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or 'Your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 HOME OFFICE SAN FRANCISCO ALLEFFECTIVE DATES ARE AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME ENDORSEMENT AGREEMENT BROKER COPY WAIVER OF SUBROGATION REP D3 BLANKET BASIS 9064646-22 RENEWAL NA 5-37-32-44 EFFECTIVE JULY 3, 2022 AT 12.01 A.M. PAGE 1 OF 1 AND EXPIRING JULY 3, 2023 AT 12.01 A.M. R DEPENDABLE 1019 W 3RD ST SAN BERNARDINO, CA 92410 WE HAVE THE RIGHT TO RECOVER OUR PAYMENTS FROM ANYONE LIABLE FOR AN INJURY COVERED BY THIS POLICY. WE WILL NOT ENFORCE OUR RIGHT AGAINST THE PERSON OR ORGANIZATION NAKED IN THE SCHEDULE. THIS AGREEMENT APPLIES ONLY TO THE EXTENT THAT YOU PERFORM WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT FROM US. THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2.00% OF THE TOTAL POLICY PREMIUM. SCHEDULE PERSON OR ORGANIZATION JOB DESCRIPTION ANY PERSON OR ORGANIZATION BLANKET WAIVER OF FOR WHOM THE NAMED INSURED SUBROGATION HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: JULY 6, 2022 2572 AUTHORIZED REPRESENT IVE PRESIDENT AND CEO SC1F FORM 10217 (REV.7-2014) OLD DP 217 'GUARDn INSURANCE COMMERCIAL AUTO GROUP A- A V� � �� s�`�.� � BA 99 02 09 08 a Berkshire Hathaway company . ; . pip BLANKET WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. SECTION IV - BUSINESS AUTO CONDITIONS, A. Loss Conditions, 5. Transfer Of Rights Of Recovery Against Others To Us is amended by adding the following: We waive any right of recovery we may have against any person or organization with whom you have a written contract that requires such waiver because of payments we make for damages under this Coverage Form. BA 99 02 09 0111 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1 Bid Package, Dog Park at Garvey Park, Project No: 41022 Document Control Page 47 of 197 CITY OF ROSEMEAD DOG PARK AT GARVEY PARK PROJECT No. 41022 PERFORMANCE BOND Bid Package, Dog Perk at Ga OY Park, Project No: 41022 PERFORMANCE BOND Domment Control Page 48 of 197 Bond# 18L005574 Premium: 16,640 WHEREAS the CITY OF ROSEMEAD (also herein "Obligee") has awarded to R Dependable Const Inc (hereinafter "Contractor"), a contract for work consisting of but not limited to, famishing all labor, materials, tools, equipment, services, and incidentals for the DOG PARK AT GARVEY PARK 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 July 12, 2022 (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 R Dependable Const Inc , the undersigned Contractor, as Principal, and The Ohio Casualty Insurance Company a corporation organized and existing under the laws of the State of New Hampshire , 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 Sunn of Six Hundred Forty Thousand Eight Dollars and One Cent dollars ($ 640,008.01 ), 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 PERFORMANCE BOND - 1 Bid Package, Dog Park at Garrey Perk, Project No: 41022 Document Control Page 49 of 197 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 Specifications. IN WITNESS WHEREOF, we have hereto set our hands and seals this 21st day Oil July '2022 — R Dependable Const Inc Principal/Contractor - By: President The Ohio Casualty Insurance Company Surety By: Attorney -in -Fact I imothy G. SaFer The rate of premium on this bond is $26.00 per thousand The total amount of premium charged, $ 16,640.00 (The above must be filled in by corporate surety.) PERFORMANCE BOND - 2 Bid Package, Dog park at Garvey Park, Project No. 41022 STATE OF CALIFORNIA ss. COUNTY OF Document Control page W of 197 On this _ day of in the year before me, o ry 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 Attomey-in-Fact. (SEAL) My Commission expires (surety) thereto and his own name as Notary Public in PERFORMANCE BOND - 3 for said State altl Package, Dog Park at Ganey Park, PMIW No. 41022 CERTIFICATE A5 TO CORPORATE PRINCIPAL Documanl CWIMI Paga 51 of 107 Corporate 1, Rosemary Padilla certify that 1 am the Secretary of the corporation named as principal to the withinbond; that RosemaryPadilla who signed the said bond on behalf of the principal was then President 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. l (Corporate Seal) Signature 07/22/2022 Date NOTE: A'copy of the power of attorney to local representatives of the bonding company may be attached hereto. This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated. Liberty Liberty Mutual Insurance Company MutualThe Ohio Casualty Insurance Company Certificate No 8208023-987721 ® SURETY West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the Stale of Massachusetts, and Wes( American Insurance Company is a corporation duly organized under the laws of the Stale of Indiana (herein colledively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Ashley N. Baker, Karen A. Eby, Kyle T. Baker, Timothy C. Baker all of the city of Murrieta state of CA each individually ffthere be more than one named, its true and lawful attorney-in-fact (o make, execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this Ilth day of May 2022 Liberty Mutual Insurance Company tNSU SY WSU tN3Uk The Ohio Casualty Insurance Company J a`°pPO��o~m i 3`°�Ow'6o y`oPa`OpP°ej'6~m West American Insurance Company 1912 1919 n 1991 tu be''e d ; i Rao ad cups`/ vi m ,p ecxos da � NIYP4'r' D'� Y iu°uxP L m `e State of PENNSYLVANIA David M. Carey, Assistant Secretary County of MONTGOMERY ss On this I Ith day of Mav 2022 before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance m Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. m IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written. ur N 9a PASr I e4, F� CwnmonxeaM of Pennsylvania -Notary Seal o� �; y Teres1�NmryubNc ,/� /I G° My canmissiw expires March 29.2025////'//�1`-`Se��--) /.� e Commissar number 1t290M By. �rysYLVP'sc, Memper.Pen,uyh.ruAasoaaamNrvrM,iea Teresa Pastella, Notary Public a�Wi 'tur4Rv v�e•- :; This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: ai ARTICLE IV -OFFICERS: Section 12 Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the cPresident may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, rei ognizances and other surety obligations. Such attorneys -in -fact, subject to the limilabons set forth in their respective powers of attorney, shall have full power to bind the Corporafion by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attomey-in-fact under the - provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority. t ARTICLE All - Execution of Contracts: Section 5. Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe, shall appoint such attomeys-in-fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attomeysJn-fact subject to the limitations set forth in their respective powers of attorneyshall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation -The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attomeys-in- fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizanoes and other surety obligations. Authorization - By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon tne Company with the same force and effect as though manually affixed. I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the anginal power of attorney of which the foregoing is a full, true and cored copy of the Power of Attorney executed by said Companies, is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 21st day of July , 2022 (0(90 'tV IN3(xa 1NSUq°avogsr'PyypP `oePOgrr4q-(///�)% '�'Fo m d `^0 Fi�` 6611+41919�0< 1991 c'9Auvs"�+DrY xnuxP >�By- 1 + r-� �TJ'M + FNa Renee C. Llewellyn, Assistant Secretary LMS -12973 LMIC OCIC WAIC MA Co 02121 CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this rertiffcate 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 Riverside �. ) On &tG ,2 efore me, K. A. Eby, Notary public (Hem inson name and [led ieofcer7 j �' personally appeared les-1— who ih who pro ed to me on the basis of satisfactory evidence to be the person(s5 whose n e subscribed to the within Instrument and acknowledged to me that V/ e/th4 executed the same i is rAtAr authorized capacity, and that by e isJher/their signature on the instrument the persono f, or the entity upon behalf of which the personi4 cted, 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. NNW WITNESS gly ham nd official seal.,,. K. A. EBY F- =OMCOMMx2333643 :®_:••¢ IIOTMYYUYK WBORWn MVENSYX C(%INiY V YV•u�E•ir^M.w fYK •iOLZ Notary Pujilific Signature ( dary Public Seal) IAL OPTIONAL INFORI OF THE ATTACHED DOCUMENT (ride or description ofattached document) (Tile or description of attached document continued) of Pages _ Document Date CAPACITY CLAIMED BY THE SIGNER ❑ Individual (s) ❑ Corporate Officer le ❑ Partner(s) ❑ Attorney -in -Fact ❑ Trustee(s) ❑ Other 2055 UPrtlJil r,vr:H hlo[arfClas,as. ror, 8CA}�739 05 INSTRUCTIONS FOR COMPLETING THIS FORM This form complies with current California statutes regarding notary wording and, ifneeded should be conrtokled and attached to the document. Acknowledgments from other states may be completed for documents being sent to thin state so long ar the wording does not require the California notary to violate California notary law. • State and County information must be the State and County where the document signers) personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signers) personally appeared which must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her commission followed by a comma and than your title (notary public). • Print the names) of document signer(s) who personally appear at the time of notarization. • Indicate the correct singular or plural fortes by crossing off incorrect fortes (i.e. ts/shchhey- is /ars) or circling the correct fors. Failure to correctly indicate this information may lead to rejection of document recording. • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges, re -seal if a sufficient area permits, otherwise complete a different acknowledgment for. • Signature of the notary public must match the signature on file with the office of the county clerk. Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a different document. fi Indicate title or type of attached document, number of pages and date. 4 Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i.e. CEO, CFO, Secretary). • Securely attach this document to the signed document with a staple. Bid Package, Dog Park at Garvey Park, Project No: 41022 Doman Control Page 52 of 197 CITY OF ROSEMEAD DOG PARK AT GARVEY PARK PROJECT No. 41022 PAYMENT BOND BW Package, Dog Patk at Garvey Perk, Projed No: 41022 Document Control Page 53 of 197 Bond# 18L005574 PAYMENT (MATERIAL & LABOR) BOND WHEREAS the CITY OF ROSEMEAD (hereinafter "Obligee") has awarded to R Dependable Const Inc (hereinafter "Contractor"), a contract for work consisting of but not limited to, furnishing all labor, materials, tools, equipment, services, and incidentals for the DOG PARK AT GARVEY PARK 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 July 12, 2022 , (hereinafter the "Public Work Contract")z 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 R Dependable Const Inc , the undersigned Contractor, as Principal and The Ohio Casualty Insurance Company , a corporation organized and existing under the laws of the State of New Hampshire 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 perforating work or labor upon the same and all persons supplying both work and materials as aforesaid excepting the said Contractor. the sum of Six Hundred Forty Thousand Eight Dollars and One Cent dollars, ($ 640,008.01 ), 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 PAYMENTBOND-I Bid Package, Dog Park at Garvey Park, Project No: 41022 Domment Controt Page 54 of 197 Section 13020 of the Unemployment Insurance Code with respect to such work and labor, and all other applicable laws of 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 terns of the Contract or to the Work or to the Specifications. IN WITNESS WHEREOF, we have hereto set our hands and seals this 21st day on July —,20 22 R Dependable Const Inc Principal/Contractor By: _ President s ary Padilla The Ohio Casualty Insurance Company Surety By: Attomey-in-Fact Timothy C. Baker _ PAYMENT BOND -2 Bid Package, Dog Park at Garvey Park, Project No: 41022 Dowmant Control Page 55 of 197 STATE OF CALIFORNIA ) COUNTY OF On this _ day of in the year , before me,Ljl�tip $ublic in and for said state, personally appeared 1—I C LJ 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. (SEAL) My Commission Expires Notary Public in and for said State PAYMENTBOND-3 Bid Pockaga. Dog Park at Ganey Perk, Pf*c1 No: 41912 CLRTWICATG AS TO CORPORATL PRINCIPAL cowmen Control Page 56 of 197 1, Rosemary Padilla certify that I ant the Corporate Secretary of the corporation named as 'principal in the attached 'bond, that Rosemary Padilla who signed the said bond on behalf of the principal Was then President of said corporation; that I latow, his signature, and his signature thereto is genuine; and that said bond was duly signed, sealed and attested for and in behal f of said corporation by authority of its governing Board. (Corporate Seal) Signature 07/2212022. Date - NOTE: A copy of the power.of attorney to local representatives of the bonding company may be attached hereto. This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated. Liberty Liberty Mutual Insurance Company Mutual. The Ohio Casualty Insurance Company Certificate No: 8208023-987721 SURETY West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint Ashley N. Baker, Karen A. Eby, Kyle T. Baker, Timothy C. Baker all of the city of Murrieta state of CA each individually if there be more than we named, its true and lawful attorney-in-fact to make, execute, seal, acknowledge and deliver, fa and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed theretothis Ilth day of May , 2022 . f PENNSYLVANIA of MONTGOMERY ss Liberty Mutual Insurance Company PV 1NSU �SY INSUq a The Ohio Casualty Insurance Company J 3° °w cio Y 3°°�OwJo~yn WestAmeencan Insurance Company 6��1912Nda;scr�g1919PW o- / /1%11ACNV �~NAMPSA ori`r✓�/// / /�' > . �h1 A x�By David M. Carey, Assistant Secretary —= On this I I th day of May 1 2022 before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance to Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes :" therein contained by signing on behalf of the corporations by himself as a duly authorized officer. m -o IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written. N Sp PAST CanmoMP PloaMPuNia Seal `0 Temw ty a 4<; Teresa Montgomery Courtar, y d cr My Cnmission expires Ma"r 112 26, 2025 B 5 , CwnmissioniaamberttzscfN y �evesa Pastella, Nota Public �j„ �NSyIVP \G MemCn. P¢n,uNl'aniaAuxiaYm NNds,iev Notary � Ar7y P)6" d1 a? This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: ARTICLE IV -OFFICERS: Section 12. Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman a the President may prescribe, shall appoint such attomeys-in-fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Corporation by their signature and execution of any such insbuments and to attach thereto the seal of the Corporation. When so executed, such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative a attorney-in-fact under the Provisions of this article may be revoked at anytime by the Board, the Chairman, the President or by the officer or officers granting such power or authority. ARTICLE XIII -Execution of Contracts: Section 5. Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president and subject to such limitations as the chairman or the president may prescribe, shall appoint such attomeys-in-fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such aHomeys-in-fact subject to the limitations set forth in their respective powers of attorney, shall have full power lc bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instrumenb shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation - The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attomeys-in- fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Authorization - By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and bindilrg upon the Company with the same force and effect as though manually affixed. I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby caddy that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 21st day of July 2022 9(00( IN3UN 1NSUgq�xvoge>•�9,J,6P °oneON�r 'rOJFo m� t "bm919 o 1991 0bA*Pq*HaD r��°�x*Nora'; By Renee C. Llewellyn, Assistant Secretary LMS -12873 LMIC OCIC WAIC Mulb Co 02121 CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this rertificate 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 Riverside �� } On a` O��SeTore me, K. A. Eby, Notary Public ( era mseR name amp [tlle o t e o cep personally appeared Timothy C. Baiter who pro ed to me on the basis of satisfactory evidence to be the persono whose ?!/Rheqr/their subscribed to the with instrument and acknowledged to me that /texecuted the same i i r/ttt�ir authorized capacity, and that by signature on the instrument the persona. or the entity upon behalf of which the person cted, 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. A. EBY WITNESS y hand d official seal. L --X:. . r:By 93 f•VI'Wl• 1e WM Notary Public Signa re ary Public Seal) DESCRIPTION OF THE ATTACHED DOCUMENT (Tide or description of attached document) (Tide or description of attached document continued) Number of Pages Document Date CAPACITY CLAIMED BY THE SIGNER ❑ Individual (s) ❑ Corporate Officer (Title) ❑ Partner(s) ❑ Attorney -in -Fact ❑ Trustee(s) ❑ Other 7!15 Version en v Notary C lases.—,. on J0-8?3 S34B INSTRUCTIONS FOR COMPLETING THIS FORM Thisformcomplleswith current Californiastmutesrega &ngrrotarywordingond, if needed should be completed and attached to the document. Ack wwledgwitts from other states may be completed for documents being seat to that mate so long as the wording does not require the California notary to violate California notary law. • State and County information must be the State and County where the document signer(s) personally appeared before the notarypublic for acknowledgment. • Date of notarization must be the date that the signers) personally appeared which must also be the same date the acknowledgment is completed. • The notary public must print his or her time as it appears within his or her commission followedbya comma and then your title (notary public). • Print the names) of document signer(s) who personally appear at the time of notarization. • Indicate the torted singular or plural forms by crossing off incorrect fortes (i.e. tWshe/N4e5 -is /are) or circling the correct forms. Failure to correctly indicate this infatuation may lead to rejection of document recording. • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges, re -seal if a sufficient area permits, otherwise complete a different acknowledgment form. • Signature of the notary public must match the signature om file with the office of the county clerk. Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a different document. Indicate title or type of attached document, number of pages and date. Indicate the capacity claimed by the signer. If the claimed rapacity is a corporate officer, indicate the title (i.e. CEO, CFO, Secretary). • Securely attach this document to the signed document with a staple. Form Wr.y Request for Taxpayer (Rev. October 2018) Identification Number and Certification Give Form to the requester. Do not Department of the Treasury Internal Revenue Service ► Go to www.irs.gov/FormW9 for instructions and the latest information. send to the IRS. 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. R DEPENDABLE CONST INC 2 Business name/disragarded entity name, if different from above C63 y Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the 4 Exemptions (codes apply only to following seven boxes. certain emilies, not individuals; see a o ❑ Indi dual/sole proprietor or ElCCorporation ❑� SCorporation Elp ❑ TrusVestate Partnershi instructions on page 3): gc single -member LLC Exempt payee code IIf any) u ❑ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership)► p Note: Check the appropriate box in the line above for the tax classiFlcaticn of the single -member owner. Do not check Exemption from FATCA reporting LLC if the LLC Is classified as a single -member LLC that is disregarded from the owner unless the owner of the LLC is d u another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single -member LLC that code (rf any) is disregarded from the owner should check thea appropriate prate box for the tax classification of its owner. g❑ Other (see Instructions)► vnMbsro•xo�m �,.imireeo.rw.e. usr y 5 Adtlress (number, street, and apt. or suite no.) Sea instructions. Requesters name and address (optionap y 1019 W 3RD STREET, STE B 8 City, state, and ZIP code SAN BERNARDINO, CA. 92410 7 List account numbers) here (optional) identification Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. RMOMMOMMOV Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. 1 am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (f any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part 11, later. Signature of Here I U.S. Person 0- K aAk v� f „�JJ AData 11- 07/21/2022 General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number QTIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. • Form 1099 -INT (interest earned or paid) • Form 1099 -DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231X Form VV -%l (Rev. 10-2018) Contractor Information Legal Entity Name R DEPENDABLE CONST INC Legal Entity Type Corporation Status Active Registration Number 1000002054 Registration effective date 7/1/2022 Registration expiration date 6/30/2023 Mailing Address 1019 W 3RD STREET, STE 8 SAN BERNARDINO 92410 CA United Sta... Physical Address 1019 W 3RD STREET, STE B SAN BERNARDINO 92410 CA United Sta... Email Address Trade Name/DBA License Number(s) CSLB:944088 CSLB:944088 Registration History Effective Date Expiration Date 6/8/2018 6/30/2019 6/12/2017 6/30/2018 6/10/2016 6/30/2017 6/19/2015 6/30/2016 10/21/2014 6/30/2015 7/1/2019 6/30/2020 7/1/2020 6/30/2021 7/1/2021 6/30/2022 7/1/2022 6/30/2023 ONT'RS dC� STATE LICENSE BOARDr * a" ACTIVE LICENSE .-..."944088 "...CORP .... R DEPENDABLE CONST INC a.....e.,.r B 03/31/2024 voww.cslb.ca.gov Mycnarryp d busereu etltlressrtreme must he repodetl m me Rm +iruwimin Oda" This license is not tnnatarmble, and 'hall be tetumed to Me Radlstrar open demand ienm suspended, revoked, or invalidated for any reason. This Pocket "M la Valid tbmuyn the ekpiredm date only. R found, drop in any makbua postage goamnteed by Cansactms Slate Lloame guard PO Boz 2WW ii.. MO M2, State of California .� Secretary of State STATEMENT OF INFORMATION (Domestic Stock and Agricu Rural Cooperative Corporations) FEES (Filing and Disclosure): $25.00. If amendment, see Instructions. IMPORTANT .Iveen E-827681 FILED In the office of the Secretary of State of the State of California Sep - 30 2009 ---- • •— • -� • •��+. rvrra mcrVKe COMPLETING THIS FORM This Space For Filing Use Only 1. CORPORATE NAME (Please do not after If name is prepdnled,) C3234199 S R DEPENDABLE CONST INC. DUE DATE: COMPLETE ADDRESSES FOR THE FOLLOWING Do not abbreviate the name of the city. Items 2 and 3 cannot be P.O. Boxes. 2. STREET ADDRESS OF PRINCIPAL EXECUTIVE OFFICE 1019 W 3RD ST STE B SAN BERNARDINO CA 92410 CITY STATE ZIP CODE 3. STREET ADDRESS OF PRINCIPAL BUSINESS OFFICE IN CALIFORNIA, IF ANY 1019 W 3RD ST STE B SAN BERNARDINO CA 92410 CITY STATE ZIP CODE 4. MAILING ADDRESS OF THE CORPORATION, IF DIFFERENT THAN ITEM 2 CITY STATE ZIP CODE NAMES AND COMPLETE ADDRESSES OF THE FOLLOWING OFFICERS (The corporation must have these three officers. A comparable title for the specific officer may be added; however, the Prelprinted titles on this form must not be altered.) S. CHIEF EXECUTIVE OFFICER/ ADDRESS CITY ROSEMARY R PADILLA 1019 W 3RD ST STE B SAN BERNARDINO, CA 92410 srnrE ZIP CODE e. SECRETARY/ ADDRESS CITY ROSEMARY R PADILLA 1019 W 3RD ST STE B SAN BERNARDINO, CA 92410 STATE ZIP CODE 7. CHIEF FINANCIAL OFFICER/ ADDRESS CITY ROSEMARY R PADILLA 1019 W 3RD ST STE 6 SAN BERNARDINO CA 92410 STATE 21P CODE NAMES AND COMPLETE ADDRESSES OF ALL DIRECTORS, INCLUDING DIRECTORS WHO ARE ALSO OFFICERS (The corporation must have at least one director. Attach additional pages, if necessary.) 8. NAME ADDRESS CITYROSEMARY R PADILLA 1019 W 3RD ST STE B SAN BERNARDINOCA 92410 STATE ZIP CODE 9 , . NAME ADDRESS CM STATE ZIP CODE 10. NAME ADDRESS CIN STATE ZIP CODE 11, NUMBER OF VACANCIES ON THE BOARD OF DIRECTIONS, IF ANY: AGENT FOR SERVICE OF PROCESS (If the agent Is an individual, the agent must reside in California and liem 13 must be completed with a California street address (a P.O.Box address is not acceptable). If the agent is another corporation, the agent must have on fits with the California Secretary of State a certiflcate pursuant to Corporations Code section 1505 and Item 13 must be left blank) 12. NAME OF AGENT FOR SERVICE OF PROCESS ROSEMARY R PADILLA 13. STREET ADDRESS OF AGENT FOR SERVICE OF PROCESS IN CALIFORNIA, IF AN INDIVIDUAL CITY STATE ZIP CODE 1019 W 3RD ST STEB SAN BARNARDINO, CA 92410 TYPE OF BUSINESS 14, DESCRIBE THE TYPE OF BUSINESS OF THE CORPORATION CONSTRUCTION ASSIST 15. BY SUBMITTING THIS STATEMENT OF INFORMATION TO THE CALIFORNIA SECRETARY OF STATE, THE CORPORATION CERTIFIES THE INFORMATION CONTAINED HEREIN, INCLUDING ANY ATTACHMENTS, IS TRUE AND CORRECT. 09(30,(2009 - MARK ALLEN TALCOTT PREP? OF TAXES DATE TYPE OR PRINT NAME OF PERSON COMPLETING THE FORM n SIGNATURE SI -200 C (REV 01/2008) APPROVED BY SECRETARY OF STATE 3234199 ARTICLES OF INCORPORATION The name of this corporation is R DEPENDABLE CONST INC. In ft officeoofft eSEec�a ate Of the State of CalHomla SEP 112009 The purpose of the corporation Is to engage in any lawful act or activity for which a corporation may be organized under the GENERAL CORPORATION LAW of California other than the banking business, the trust company business or the practice of a profession permitted to be incorporated by the California Corporations Code. The name and address in the State of California of this corporation's initial agent for service of process is: Name: ROSEMARY R. PADILLA Address: 1019 W. 3RD ST STE #B City: SAN BERNARDINO, CA 92410 Iv This corporation Is authorized to issue only one class of shares of stock; and the total number of shares which this corporation is authorized to issue is 2000. - This page is part of your document - DO NOT DISCARD A ,o f LOS 20230344487 + I �11�11 111111111111111 11 I IIII IIII111111111111111II11111 II (►PI04: f Recorded/Filed in Officialt f Recorder's Office, Los Angeles County, k x t California r c�ufoaK`� 05/26/23 AT 09:29AM FEES: 0.00 TAXES: 0.00 OTHER: 0.00 LEADSHEET 202305262850008 00023470713 IIII SII IVII INI IIIII IIIII Idll IIIII IIIII IIII INI 014088777 SEQ: 01 DAR - Mail (Intake) IIIII IVINI IIII IIII VII IIII 1111111 lnl 111111 ISI IIII IIII IIII IIIII IIIII IIIII IIIII IIIN II Inl THIS FORM IS NOT TO BE DUPLICATED PAID: 0.00 I\ RECORDING REQUESTED BY CITY OF ROSEMEAD AND WHEN RECORDED MAIL TO: Name City of Rosemead Street Address 8838 E. Valley Blvd. City & State Rosemead, CA 91770 ATTN: CITY CLERK Notice is hereby given that: 23470713 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIVIIIIIIIIIIIIIIII Batch Number: 14088777 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII SPACE ABOVE THIS LINE FOR RECORDER'S USE Notice of Completion 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 no transler made, insert, "none".) 7. A work of improvement on the property hereinafter described was completed on: May 9, 2023 8. The name of the contractor, if any for such work of improvement was: R Dependable Construction, 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: Rosemead Park Restroom Renovation Project No. 39003 10. The street address of said property is: 4343 Encinita Ave, Rosemead, CA 91770 no street address has been officially assigne , insert 'none" Signature of 2 owner named qq,, Dated: eJ ��j /ria in paragraph 2: _ /( Ben Kim. n-- , City Manager By: City of Rosemead I certify (or declare) under penalty of perjury that the foregoing is true and correct. b�16�2a23 Ben Kim City Manager City of Rosemead, California Rosemead, CA Place of Execution 1 CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of Californ' County of ��,y�► y� ``� �, p On �V �5(2O23 before me, \VW1�1�1AWd�ttl . IW,NhI f�� Date Here Insert Name and Title f the Off r personally appeared Signerfw who proved to me on the basis of satisfactory evidence to be the person(r�/rwhose name(Xis/erie subscrib to the within instrument and acknowledged to me that he/stref "" execdted the same in hisfheWitheir• authorized capacity), and that by hisfheiAlielr signatureVon the instrument the personor the entity upon behalf of which the person(Kacted, executed the instrument. NATALIE HAWOFrrH Notary Public - California i Los Angeles County Commission 12Q7955 •• My comm. Expires Dec 20, 202E Place Notary Seal and/or Stamp Above 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. Signature UWWL Signature,if Notary Public Completing this information can deter alteration of the document or fraudulent reattachment of ,this for to�1an uninttenc{led document py��`[� Description of Attached Document6 ^ "�� Title or Type of Document: ern lye (AWIX. ��& 146' glow Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): D Partner— D Limited ❑ General D Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: 02019 National Notary Association Number of Pages: Signer's Name: D Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General D Individual ❑ Attorney in Fact ❑ Trustee o Guardian or Conservator O Other: Signer is Representing: O WY W Cl) O�QO 2 J U p > J00 m W _ ,LL o ^ m Q U co r C LL Z co W CD 3 w N U U Q ro� m 0