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2100 - ONYX Paving Company, Inc. - Residential Street Resurfacing and Concrete Improvements Project No. 21035- FY 2023-24F, F, E481.6 This page is part of your document - DO NOT DISCARD ,,.{oF�os�tiQ 20240470534 ;�� � �`N� II III II I I II II II II 111111111111 { Recorded/Filed in Official Records k { Recorder's Office, Los Angeles County, x _ California c�uFORH`� 07/17/24 AT 11:02AM F -JL 22 2024 LEADSHEET 111111111111111111111111111111111111111111111111111111111111111 202407172860008 00024620253 IIIIII IIIII IIIII VIII VIII VIII IIIII IIIII IIIII IIII IIII 014787196 SEQ: 01 DAR - Mail (Intake) IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllllllllllll IIIIII IIIIII IIIIII IIIII IIII IIII 1111111 IIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIIII III IIII THIS FORM IS NOT TO BE DUPLICATED FEES: TAXES: OTHER: PAID A Pages:0004 0.00 0.00 0.00 0.00 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 24620253 �IIIPIIIIiiVlllli�llilllllllll�lllilllllllllilli Batch Number: 14787196 !!IIIA!!I!IIII!I!Ililll!!I!lill!IIIIIIIIII!I!ill! SPACE ABOVE THIS LINE FOR RECORDER'S USE Notice of Completion Notice is hereby given that: 1. The undersigned is owner of the interest or estate stated below in the property hereinafter described. 2. The full name of the undersigned is: 3. The full address of the undersigned is: of Rosemead 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 purc ase", 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 31, 2024 8. The name of the contractor, if any for such work of improvement was: Onyx Paving Company, 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: Residential Street Resurfacing & Concrete Improvements Project No. 21035 10. The street address of said property is: none no street address as been officially assigne , insert "none" Signature of 6 i^vr owner named Dated: ,llJ I in paragraph 2: Nan (Noya) Wang Director of Public Works By: City of Rosemead I certify (or declare) under penalty of perjury that the foregoing is true and correct. 6111 l v� Date Rosemead, CA Place of Execution Nan (Nova) Wang Director of Public Works City of Rosemead, California CALIFORNIA ACKNOWLEDGMENT CIVIL CODE 4 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 California `e 1 County of.�, �` On IIG 211 Z0�' before me, 1�M1u��1 St0&1%*l 1Wtu1�`� Wei Date Here Insert Name and Title of the fficer personally appeared who proved to me on the basis of satisfactory evidence to be the persorA whose name is/are subscribed to the within instrument and acknowledged to me that I-re/she& wy executed the same In tHsfherkheR authorized capacity(os), and that bykis/herM"ir signatureXon the instrument the personK,, or the entity upon behalf of which the personvacted, executed the instrument. NATALIE HAWORTH Notary ru►lic- California Los Angeles County commission; 2427155 army Comm. Expim Doc 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 Signature of Notary Public Completing this information can deter alteration of the document or fraudulent reattachment of this f rmtn�t''o an unintended docum t. Description of Attached Documen�pN_�����l�i� �� Title or Type of Document: �� a Nil-(mpnAyftn t 4tq�k Signer(s) Other Than Named Above: Capacity(les) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): O Partner— ❑ Limited ❑ General ❑ Individual D Trustee ❑ Other: Signer is Representing: ❑ Attorney in Fact ❑ Guardian or Conservator 02019 National Notary Association Number of Pages: Signer's Name: ❑ Corporate Officer — Title(s): _ ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fad ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: CONSTRUCTION CONTRACT RESIDENTIAL STREET RESURFACING AND CONCRETE IMPROVEMENTS, PROJECT No. 21035 - FY 2023-24 (ONYX PAVING COMPANY, INC.) PARTIES AND DATE This Contract is made and entered into this 12th day of December, 2023 (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 Onyx Paving Company, Inc. with its principal place of business at 2890 E. La Cresta Avenue, Anaheim, CA 92806 (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 Residential Street Resurfacing and Concrete Improvements, Project No. 21035, FY 2023-24 on the terms and conditions set forth in this Contract. Contractor represents that it is experienced in providing such work services to public clients, that it and its employees or subcontractors have all necessary licenses and permits to perform the Services in the State of California, and that is familiar with the plans of City. 2.2 Project City desires to engage Contractor to render such services described herein as Project ("Project") as set forth in this Contract. 3. TERMS 3.1 Scope of Services and Term 3.1.1 General Scope of Services. Contractor promises and agrees to furnish to the City all labor, materials, tools, equipment, services, and incidental and customary work necessary to fully and adequately supply the professional construction services necessary for the Project ("Services"). The Services are more particularly described in Exhibit "A" attached hereto and incorporated herein by reference. All Services shall be subject to, and Onyx Paving Company, Inc. Page 2 of 11 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. 3.1.2 Term. The term of this Contract shall be from Effective Date shown above to December 12, 2024 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 Corey R. Kirschner, or his designee, to act as its representative for the performance of this Contract ("Contractor's Representative"). Contractor's Representative shall have full authority to represent and act on behalf of the Contractor for all purposes under this Contract. The Contractor's Representative shall supervise and direct the Services, using his/her best skill and attention, and shall be responsible for all means, methods, techniques, sequences and Onyx Paving Company, Inc. Page 3 of 11 procedures and for the satisfactory coordination of all portions of the Services under this Contract. 3.2.6 Coordination of Services. Contractor agrees to work closely with City staff in the performance of Services and shall be available to City's staff, consultants and other staff at all reasonable times. 3.2.7 Standard of Care; Performance of Employees. Contractor shall perform all Services under this Contract in a skillful and competent manner, consistent with the standards generally recognized as being employed by professionals in the same discipline in the State of California. Contractor represents and maintains that it is skilled in the professional calling necessary to perform the Services. Contractor warrants that all employees and subcontractors shall have sufficient skill and experience to perform the Services assigned to them. Finally, Contractor represents that it, its employees and subcontractors have all licenses, permits, qualifications and approvals of whatever nature that are legally required to perform the Services, including a City Business License if applicable, and that such licenses and approvals shall be maintained throughout the term of this Contract. As provided for in the indemnification provisions of this Contract, Contractor shall perform, at its own cost and expense and without reimbursement from the City, any services necessary to correct errors or omissions which are caused by the Contractor's failure to comply with the standard of care provided for herein. Any employee of the Contractor or its sub -contractors who is determined by the City to be uncooperative, incompetent, a threat to the adequate or timely completion of the Project, a threat to the safety of persons or property, or any employee who fails or refuses to perform the Services in a manner acceptable to the City, shall be promptly removed from the Project by the Contractor and shall not be re-employed to perform any of the Services or to work on the Project. 3.2.8 Laws and Regulations. Contractor shall keep itself fully informed of and in compliance with all local, state aind federal laws, rules and regulations in any manner affecting the performance of the Project or the Services, including all Cal/OSHA, AQMD requirements, and shall give all notices required by law. Contractor shall be liable for all violations of such laws and regulations in connection with Services. If the Contractor performs any work knowing it to be contrary to such laws, rules and regulations and without giving written notice to the City, Contractor shall be solely responsible for all costs arising therefrom. Contractor shall defend, indemnify and hold City, its officials, directors, officers, employees and agents free and harmless, pursuant to the indemnification provisions of this Contract, from any claim or liability arising out of any failure or alleged failure to comply with such laws, rules or regulations. 3.2.9 Insurance: Contractor shall maintain, prior to the beginning of and for the duration of this Contract, insurance coverage as specified in Exhibit B attached to and part of this Contract. 3.2.10 Safety. Contractor shall execute and maintain its work so as to avoid injury or damage to any person or property. In carrying out its Services, the Contractor shall at all times be in compliance with all applicable local, state and federal laws, rules and regulations, and shall exercise all necessary precautions for the safety of employees Onyx Paving Company, Inc. Page 4 of 11 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) adequate life protection and life saving equipment and procedures; (B) instructions in accident prevention forall 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 bylaw 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 Onyx Paving Company, Inc. Page 5 of 11 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, 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:VI II 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 Two Million Two Hundred Twenty -Two Thousand Dollars ($2,222,000) without advance written approval of City's project manager. 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 Onyx Paving Company, Inc. Page 6 of 11 during normal business hours to examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Contract. Contractor shall allow inspection of all work, data, documents, proceedings, and activities related to the Contract for a period of three (3) years from the date 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: CITY: Onyx Paving Company, Inc. 2890 E. La Cresta Avenue, Anaheim, CA 92806 Attn: Corey R. Kirschner Tel: (714) 632-6699 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. Onyx Paving Company, 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 Onyx Paving Company, 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. Onyx Paving Company, Inc. Page 9of11 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. Contractorshall 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] Onyx Paving Company, Inc. Page 10 of 11 CITY OF ROSEMEAD ONYX PAVING COMPANY, INC. —By: I'LA /23 City Manapr � Signature Date Attest: g��14L- - 11h 3 Ericka Hernandez, C1ty Clerk Date Approved as to Form: a c cheF Richman, City Attorney Date Name: Carey Kirschner Print Title: President [If Corporation, TWO SIGNATURES, President OR Vice President AND Secretary, AND CORPORATE SEAL OF CONTRACTOR REQUIRED] By!/ Name: Corey Kirschner Title: Secreta CALIFORAIA ALL-PIRPOSE . a 11 . IEAT CITI L CODE _..a .ca T a -a .A .a .-..-.T . .T. .A rT .T .a .a-._- n .P A A T.. -.a T a a..a..a a ra .N •T_R .T .A Al 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 Orange ) On December 12, 2023 before me, Carly Bredal, Notary Public Date Here Insert Name and Title of the Officer personally appeared of who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/,M subscribed to the within instrument and acknowledged to me that he/ske/they executed the same in his/her/their authorized capacity(i66), and that by his/tar/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. CAgLy CREDAL 1 NaGry Yubllc Gtllornia I Ognye C. Commlulon lzW7ss9 - Signature My C:. Evplraf Mar 78 . 207] ignature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Number of Pages: Document Date: Signer(s) Other Than Named Above: Capacity(les) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator F-1 Other: Signer Is Representing: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual q Attorney in Fact ❑ Trustee ❑ Guardian or Conservator I-1 Other, Signer Is Representing: �,m�_u•,.,,y,..my _�.y.y-y .�,..r��.U,�����_d_d,a_m,m-y .yd...y„ dAdA�,,,.,,,., Onyx Paving Company, Inc. EXHIBIT A SCOPE OF CONTRACT SERVICES SEE ATTACHED BID SCHEDULE/PROPOSAL BIDDER: ONYX PAVING COMPANY, INC. CITY OF ROSEMEAD RESIDENTIAL STREET RESURFACING AND CONCRETE IMPROVEMENTS PROJECT No. 21035 SECTION I - BID SCHEDULE CONTRACT BID FORMS CBF- 1 BIDDER: ONYX PAVING COMPANY, INC. BASE BID SCHEDULE SCHEDULE OF PRICES FOR RESIDENTIAL STREET RESURFACING AND CONCRETE IMPROVEMENTS PROJECT No. 21035 9ASiB�IpS H MULE k8hi?' 14 ,'s oty Unit Unit Cost Total Coat _ • ,R , , Remove existing and construct new PCC curb and gutter, as 1 listed per Sheet 1-2 of Appendix D: Concrete Improvements 2,800 LF $gam $235 2m Location Index and per SPPWC, Std. Plan No: 120-3, A2-8, complete and in place. Remove existing and construct new PCC ADA curb ramps as 2 listed per Sheet 3 of Appendix D: Concrete Improvements 11 EA Location Index and per SPPWC, Std. Plan No: 111-5. Case and type is to be determined by City representative. Cold -mill 1.5" existing asphalt concrete and construct 1.5" AC 3 (wearing course shall be C PG 64-10). Work limits are shown gs0,000 SF $ 1.33 $l,/��3800 on the Plans. Work includes crack sealing. This bid item , applies to Pavement TvDe 1, as listed per project plans. Full Depth Localized Asphalt Concrete Patch. Work includes 4 remove existing AC pavement section to 7" depth. Construct 20,000 SF $ 9. (a3 $ 192 lett 3' AC Type C2 -PG 64-10 over 4" Type B -PG 64.10 over 8' scarified and compacted subgrade. 5 Adjust manhole covers to grade, complete and in place. 125 EA $ lobo $ 6 Adjust water/gas valves to grade, complete and in place. 130 EA $ /DD $ / ter, QGn Remove existing pavement markings and striping including 7 raised pavements markers and install pavement markings & 1 LS striping Including rased pavement markers. 6 Furnish and Install Construction Project Information and 2 EA $ y,200 $ 8,yD0 Funding Identification Sign. TOTAL BASE BID SCHEDULE A AMOUNT IN NUMBERS S/ 8yB gGU TOTAL BASE BID AMOUNT IN WORDS: Qne, milljp� f `b jdred The award of Contract shall be based on the TOTAL BASE BID SCHEDULE only. The ADDITIVE ALTERNATE BID ITEMS shown per the ADDITIVE ALTERNATE BID SCHEDULE below will not be taken into account in determining the lowest responsible bidder. City may add bid items from the ADDITIVE ALTERNATE BID SCHEDULE at the sole and complete discretion of the City as part of the performance of the contract. CBF -2 BIDDER: ONYX PAVING COMPANY, INC. AdDITIVE ALTONATE ¢ID SCHEDULE '(.. l 7A.2 Ur 9„Itcoitmove existing and construct newck, as listed per Sheet 4.5 of Appendix D: Concrete7,350 SF $ /$17/��rovements Location Index and per SPPWC, Std. Plan 112-2 & 113-2, corn late and in lace. move existing and construct new PCC guBerlcrosster, as listed per Sheet 6 of Appendix D: Concrete rovements Location Index and per SPPWC, Std. Plan 1223 & 123.3. Work shall include AC slot patch 6,000 SF $ y2. (OG $255,W) onstruction of 1 Foot Strip X 8" Deep of AC Pavement Section). TOTAL ADDITIVE ALTERNATE BID SCHEDULE AMOUNT IN NUMBERS $ 373, 7-00 TOTAL ADDITIVE ALTERNATE BID SCHEDULE AMOUNT IN WORDS:�%I�dY(di The award of Contract shall be based on the TOTAL BASE BID SCHEDULE AMOUNT only. The ADDITIVE ALTERNATE BID ITEMS shown per the ADDITIVE ALTERNATE BID SCHEDULE will not be taken into account in determining the lowest responsible bidder. City may add bid items from the ADDITIVE ALTERNATE BID SCHEDULE at the sole and complete discretion of the City as part of the performance of the contract. In the case of discrepancies in the amount of bid, unit prices shall govern over extended amounts and words shall govern over fi ures. Full compensation for the items listed to the A. Mobilization / Demobilization right as Items A, B, C, D and E are considered B. Traffic Control as inclusive in each Bid Item listed above in C. NPDES, W WECP, and Best Management the Base Bid Schedule and Additive Alternate Practices Control Public Convenience and Bid Schedule as applicable, and no additional Safe and/or separate compensation will be allowed. D. Construction Staking by Land Surveyor E. Clearin and Grubbing The bid prices shall include any and all costs, including labor, materials, appurtenant expenses, taxes, royalties and any and all other incidental costs to complete the project, in compliance with the Bid and Contract Documents and all applicable codes and standards. The City reserves the right to add, delete, increase or decrease the amount of any quantity shown and to delete any item from the contract and pay the contractor at the bid unit prices so long as the total amount of change does not exceed 25% (plus or minus) of the total bid amount for the entire project. If the change exceeds 25%, a change order may be negotiated to adjust unit bid prices. CBF -3 BIDDER: ONYX PAVING COMPANY, INC. All other work items not specifically listed in the bid schedule, but necessary to complete the work per bid and contract documents and all applicable codes and standards are assumed to be included in the bid rices. A bid is required for the entire work, that the quantities set forth in the Bid Schedule are to calculate total bid amount, and that final compensation under the contract will be based upon the actual quantities of work satisfactorilv comnleted. 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 BIDDER'S BOND -10% Dollars ($ WA ) said amount being not less than ten percent (I0%) of the Total Bid Price. The undersigned agrees that said amount shall be retained by the Owner if, upon award, we fail or refuse to execute the Contract and furnish the required bonds, certificates and endorsements of insurance and other certifications within the time provided. If awarded a Contract, the undersigned agrees to execute the formal Contract, which will be prepared by the Owner for execution, within five (5) Calendar Days following the Letter of Award for the Contract, and will deliver to the Owner within that same period the necessary original Certificates of Insurance, Endorsements of Insurance, Performance Bond, Payment Bond and all other documentation and certification required by the Contract. The undersigned offers and agrees that if this bid is accepted, it will assign to the purchasing body all rights, title, and interest in and to all causes of action it may have under Section 4 of the Clayton Act (15 U.S.C. Section 15) or under the Cartwright Act (Chapter 2 of Part 2 of Division 7 of the Business and Professional Code), arising from purchases of goods, materials or services by the Bidder for sale to the purchasing body pursuant to the bid. Such assignment shall be made and become effective at the time the purchasing body tenders final payment to the 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. the Contract Form and the Contract Documents CBF -4 BIDDER: ONYX PAVING COMPANY, INC. 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. EXAMINATION OF SPECIFICATIONS AND SITE OF WORK The Bidder declares that he/she has carefully read and examined the project plans, specifications, bid documents, and he/she has made a personal examination of the site (indicate name of the person, representing the bidder, who inspected the site and date below) and that he/she understands the exact scope of the Project. Name of Person who inspected the site: COREY R. KIRSCHNER Date of Inspection: 11/21/2023 ADDENDA ACKNOWLEDGMENT The Bidder acknowledges receipt of the following Addenda and has included their provisions in this Proposal: Addendum No. 1 Dated 11/07/2023 Addendum No. Dated Addendum No. Dated Addendum No. Dated CBF -5 BIDDER: ONYX PAVING COMPANY, INC. PUBLIC CONTRACT CODE STATEMENT AND QUESTIONAIRE PUBLIC CONTRACT CODE SECTION 10285.1 STATEMENT In conformance with Public Contract Code Section 10285.1 (Chapter 376, Stats. 1985), the bidder hereby declares under penalty of perjury under the laws of the State of California that the bidder has _ , has not X been convicted within the preceding three years of any offenses referred to in that section, including any charge of fraud, bribery, collusion, conspiracy, or any other act in violation of any state or Federal antitrust law in connection with the bidding upon, award of, or performance of, any public works contract, as defined in Public Contract Code Section 1101, with any public entity, as defined in Public Contract Code Section 1100, including the Regents of the University of California or the Trustees of the California State University, The term "bidder' is understood to include any partner, member, officer, director, responsible managing officer, or responsible managing employee thereof, as referred to in Section 10285.1. Note: The bidder must place a checkmark after "has' or 'has not' in one of the blank spaces provided. The above Statement is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Statement. Bidders are cautioned that making a false certification may subject the certifier to criminal prosecution. PUBLIC CONTRACT CODE SECTION 10162 QUESTIONNAIRE In conformance with Public Contract Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire: Has the bidder, any officer of the bidder, or any employee of the bidder who has a proprietary interest in the bidder, ever been disqualified, removed, or othervdse prevented from bidding on, or completing a federal, state, or local government project because of a violation of law or a safety regulation? Yes _ No X If the answer is yes, explain the circumstances in the following space. NTA CBF -6 BIDDER: ONYX PAVING COMPANY INC. PUBLIC CONTRACT CODE 10232 STATEMENT In conformance with Public Contract Code Section 10232, the Contractor, hereby states under penalty of perjury, that no more than one final unappealable finding of contempt of court by a federal court has been issued against the Contractor within the immediately preceding two-year period because of the Contractors failure to comply with an order of a federal court which orders the Contractor to comply with an order of the National Labor Relations Board Note: The above Statement and questionnaire are part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Statement and Questionnaire. Bidders are cautioned that making a false certification may subject the certifier to criminal Prosecution. CBF - 7 By: v Signature COREY R. KIRSCHNER Type or Print Name CEO PRES VP SEC TREA. Title BIDDER:ONYX PAVING COMPANY, INC. 2890 E. LA CRESTA AVE. Business Street Address ANAHEIM, CA 92806 City, State and Zip Code 714.632-6699 Telephone Number Bidder's!Contractor's State of Incorporation: CALIFORNIA Partners or Joint Venturers: NIA Bidder's License Number(s): 630360; A, C12 Department Industrial Relations Registered No. 1000004798 NOTES: I) 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. further discussed in the Instructions to, ired to provide evidence that the person 1pratlon, partnership or ioint venhira 6a CBF -8 Isidder will be on behalf of th thority to do sn BIDDER: ONYX PAVING COMPANY, INC. SECTION2 BID DATA FORMS CBF -9 BIDDER: Onvx Paving Company Inc Bidder shall submit its Bid data in accordance with the format shown on each of the following Bid Data Forms. Bidders shall prepare and use as many sheets as are necessary to adequately provide the information required. Bidder shall ensure that every page of its Bid Data Forms are properly identified with the Bidder's name and page number. 2.A BID BOND KNOW ALL MEN BY THESE PRESENTS THAT Onyx Paving Company, Inc. as Principal, and SiriusPoint America Insurance Com an Surety, held CITY OF ROSEMEAD (hereinafters called theeOWNER)ly in the sound umthe of TEN PERCENT OF TOTAL AMOUNT 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 RESIDENTIAL STREET RESURFACING AND CONCRETE IMPROVEMENTS —as set forth in the Notice Inviting Bids and accompanying Bid Documents, dated November 28th 2023 NOW, THEREFORE, if said Principal is awarded a Contract for the Work by the OWNER and, within the time and in the manner required by the above- referenced Bid Documents, enters into the written form of Contract bound with said Bid Documents, furnishes the required bonds (one to guarantee faithful performance and the other to guarantee payment for labor and materials) furnishes the required insurance certificates and endorsements, and furnishes any other certifications as may be required by the Contract, then this obligation shall be null and void; otherwise it shall remain in full force and effect. In the event suit is brought upon this bond by the OWNER and judgment is recovered, said Surety shall pay all costs incurred by the OWNER in such suit, including reasonable attorneys' fees to be fixed by the court. SIGNED AND SEALED, this 20th day of November 20 23 . Onyx Paving Company, Inc. "i (SEAL) "AmdWnwmnw Principal �6A rBy: !7 darbi e. &S6& - By;Signature CXO Pr[S. Aaomariln,Fad CBF -10 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § I lag A notary public or other officer completing this certificate verifies only the identity of the a 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 Oran e On Nove nber0 0 before me, Date r t Public personally appeared Corey Kirschnwr Here insert Name and Title of the Officer of who proved me on the basis of subscribed tthe within instr umenandsatisfactory evidence to be the person(!) whose name(lo is/a9le he/stheexecuted the same in his/herAheirauthorized capacity(jss)t and that by hiss/hpi/t/their signs uto me thatre(s) onthe instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. CARLYBREDAL Notary Public • California crane County Cemminlon 0 2442519 My Comm. Expires Mar 28, 2027 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 gnaure of Notary Public Place Notary Seat Above Though this section isoptional, completing this nforrmation can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Number of Pages: Signers) Other Than Named Capacity(ies) Claimed by Signer(a) Signer's Name: ❑Corporate Officer — Title(s): ❑ Partner — ❑ Limited p General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: 02014 National Notary Association — Document Date: Above: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee O Guardian or Conservator 0 Other: Signer Is Representing: www.NationaiNotary• g or 1 -800 -US NOTARY (1-800-876-6827) Item #15907 . CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT 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 Orange On NOV 2 0 2023 before me, Albert Melendez personally appeared Christina Rogers Notary Public who proved to me on the basis of satisfactory evidence to be the person(x) whose name(X) is/aVe subscribed to the within instrument and acknowledged to me that bu/she/thcy executed the same in his/her/t*ir authorized capacity(iRs), and that by hWher/thair signature(4 on the instrument the person(y), or the entity upon behalf of which the person(p) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of State of California that the foregoing paragraph is true and correct. Ary Pu M[L2aa22 N01'amil,C 4ivft"� ! WITNESS my hand and official s 1. caamWlum 0 2391461 wy Ca , Ex*" W 22, 2026 If PLACE NOTARY SEAL Avow: SIGNATURE Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of attached document Title or type of document: Document Date: Number of Pages: Signer(s) Other than Named POWER OF ATTORNEY PERTAMOI 0833 SIRIUSPOINT AMERICA INSURANCE COMPANY NEW YORK 4'Cily ofNewOW All, Yvh, pu AILV iwwnbllwifbsvirV EPRFJIEATS: TAN Sirku11pn1AmMnlnllluc<Complpla New YMk cwponllon. lwWllg ib priaipinR'xs In Mw4liln, whkh wa Sdopd by Nee Bww ofOiSleu S orlhe cwI S rry, IS wk: RESOI.VF.D, Ihm the PIeNJrnI, Sada Via ofAnawYappoM4FU SIInrrnyn4An wkekd PU{Mwk Chi.ffiWali 101rrcer,SKrttsry uAaNNUISmWn b enJ e(fn the Nal of lke wNdoyeuofna4 xunyeompwlu wb NND Mo rw-WwbclJ UifoflAMlz..Y,nk P.mhmlht ConNwny b wmY epnnSN, u <h,urttY. onywnY beleCxk Dw, AradrYllClniwlq enylhnle Yd IIyNIM; ARvrl MeknJ<z, fhrixia Roden, Erik Jnlunssan. J<nnifK Aaya.loayuin hrez. A1<li[w Lopez lU hwaM4w161 ffilh ydmlSMIS kl.ttwne, wdaMdeliver 4rlldon its kNMlf,<rduitsacl SlddeM;Srry Snd Sll4xd[,wnruU, of"lly"Y, olhuwd See"ibxnny,bip(NOTINCLUWNO had, whhwll fi#ed PwahywfinU'ialSaunUe boM,)NdbhiM the CMnpany IS fu11Y SM We' ,arc alnn u if sw' were a&K"'ols iawmenl e#Kukd A#veMldersAatl al,aKN d'ohry bo dny lulhodad MMn or dN ConMY. lbY 1"os'iJnd, however, tlwl d' peal ,wl of anY oM wc6 $SddOp,Odd shwk bad Dmil RKOIY14n All Sets of !Nd allonrcy, 4 h,d pur,u'y b dw aulhariliu h,,SW Fisery We henhY _NWSl W ever. i The e#erulive WN.. IixN above in uta I141y flwl lime b IIIIIC bdel NY IkM Rlllde wY wxll aRbinlKwd nY01{C Jw Pply,# Fryw wAkn K hR. /.,,,.��The<aKuliw W,urh bwJs W or"W"SeWF, b pysuNk<Id" p„era, MIW oM yIn ofd' dale of WSW of d ee puny,, Jall be binoli, neon N IUnrcG�io,Yew YWY,N[ Y ki. heiraPMMl'w,,,s tfdley Wed he" duly uKW(drld,ebpwlWF,d6Y the ItyllhllY CIKIWInR}ett[Of1ACCnIIp,rIY ark, In Ii -Well npmpK Iaxml, INlYffNFJi3 N'11EREOP, S.,l illl An'rkl lrauranoe Cwrprryhu ewkd inewpwak w31b hnhnwnbn0ixcd, and Ihcwpeunew lee sIFnM by 11[ SKrcluy Ihls 171hdayofAudusl in IAe Yar3011. Sl'kwPDjn Am<rka lowru C. Nwny By: Mol4w . Ralph Sccrttwy Stsk of New Yorh I On Uis INJaY of I Cwny of New Yolk gwllfid, am, kkRNS 1. RS A°Nr Yd11, hrfarc nq a Nduy psSlie of the Swn of Nrw Vwk in Nd kr Ih Cawy of New Yak dn1Y wmmluiorcd and vdw _WN 'he7• ofSidaPoin Mrrin hynram CwipnY, m mr pvwlnly kwwn n he d' iMlvWual wd a111rK IIUe plKN4F InNNmeM, W u4nwkd8<d IhealKudWl M de un', JbeJ in, Wed the OUINImy afwaaiJ, old UsM the wl aR4N n the pae,J4F iMNllllenl a d' me d�ry,wttn, drysMeN SM uilh, dwl dw n tl'aRUer of oReK wart July alR#ed and xAuribM bd'wid iahvlmlby lAeayhorilYSMAl�ieeppnno houMd C°nWnY,Wtldx WdalPMue ruled herd force Cw4wY, rcRmM b h U' Faae a IN TESTIAIONY 1191ERFAF, I Nse hercorxo pry IUKed4F bxnNml. i2 ww 4 Iro hxd aMdRc,d nY oAk41 Rvl. TNAEJA E LEWIS-SCOTT - � NOTARY PUBLIC STATE OF NEW JERSEY MY kx uPko h%COIANSS1011 E%PRtE9 AIANCII 11.202E L -taro— . I r >OLV $lak .(Nit. VKk commIS310N:850201041 CaalY of New Yak kdk lwv r I-" ""m J. Ralph, �nwl, ofiiidaPeim Anl,rk3 hwwbwe KpyofPoyerofAlearoW, i, xDl 4 bne aSeeC&Cl aM ha,nahc N'Mewk<dYMk. wrpoMiw, She berebY mtirY dl' the Sbm•<SM folgo4F iaa INWITNRSSWIIRRF.OF'lWKhe to CrlwY w'dCR#NYwdplofmJCwNwyws20fhdryof P10VCRIbef,2023. VJ o SURITY V)sAPP LIED UNOiRWR1THR4 10805 Old Mill Road Omaha, NE 68154 September 6, 2023 Bond Obligees Project Owners General Contractors RE: Digital Seal Authority and Enforceability Notice To whom it may concern: The use of an electronic image of the corporate seal of Siriuspoint America Insurance Company (the "Digital Seal'), and the attachment of the Digital Seal to any surety bond issued by Siriuspoint America Insurance Company is authorized by the company. Siriuspoint America Insurance Company acknowledge and agree that the Digital Seal may be affixed to any authorized Surety bond approved by Applied Surely Underwriters, and relied upon to the same extent as if a raised corporate seal was attached to the bond. Delivery of digital copy of this Digital Seal Authority and Enforceability Notice, executed electronically, to an Obligee or Obligee's representative, shall constitute effective execution and delivery of this notice and shall have the same legal effect as a delivery of a tangible original of the notice with my original 'Wet,, signature. If you require further verification you may email our Home Office Underwriting Center at kLo@§urety.avw.com In Witness Whereof, this has been executed by the President, Applied Surety Underwriters for Siriuspoint America Insurance Company. Thank you for your continued business. Sincerely, Joshua C. Betz President, Applied Surety Underwriters BIDDER: ONYX PAVING COMPANY, INC. 2.11 LIST OF PROPOSED SUBCONTRACTORS In compliance with the "Subletting and Subcontracting Fair Practices Act," Sections 4100 through 4114 of the California Public Contract Code, and any amendments thereto, each Bidder shall provide the information requested below for each subcontractor who will perform work, labor or render service to Bidder in or about the construction of the Work in an amount in excess of one-half of one percent (greater than 0.5 %) of the Bidder's Total Bid Price, or, in the case of bids or offers for the construction of streets or highways, including bridges, in excess of one-half of 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 hereinafter set t tfororth ch below. d to subcontract that ortion of the Work except under the conditions 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 I 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 - 11 2•B BIDDER: ONYX PAVING COMPANY INC. LIST OF PROPOSED SUBCONTRat`Tnue (continued) [**Duplicate Next 2 Pages if needed for listing additional subcontractors.** Nameand Location of Subc_ ontractor Address:ll License No.: Department c Name and d L-- ocation of Subcontractor License No.: _ Department of- Name f Name and d Location of Subc ctor Address:_& License No.: . Department of Name and d�Loca_tion ofof Subc�or License No.: Department of Namean--- nd Location of Subc_ o actor Relation Description of Work to beSubcontracted Sut-Vey Description of Work to be Subcontracted Description of Work to beSubcontracted Mfibbes hd j usfin9 Description of Work to be Subcontracted- erze.Y Seams/ AoGd, PCC t�O/7eeek No. Description of Work to be Subcontracted on�ted Address: License No.: Department of Industrial Relation Registration No. CBF - 12 BIDDER: ONYX PAVING COMPANY INC. 2.0 REFERENCES The following are the names, addresses and telephone numbers for three public agencies for which BIDDER has performed similar work within the past two (2) years: 2. CITY OF DANA POINT - 33282 GOLDEN LANTERN, DANA POINT, CA 92629 Name and Address of Owner SCOTT FISHER 760-814-7226 Name and telephone number of person familiar with project Contract amount Type CITY OF LAGUNA NIGUEL - 30111 Name and Address VALLEY JEFF METZ 949-362.4344 Name and telephone number of person familiar with project NOV 2022 Date $199,999.65 PAVEMENT REPAIR SEP 2022 Contract amount Type of Work Date Comp 3. CITY OF ARCADIA -240 W. HUNTINGTON DR, ARCADIA, CA 91007 Name and Address of Owner JAN BALANAY 626-254-2726 Name and telephone number ofperson familiar with project 72 Contract amount Type of Work CBF - 13 92677 MARCH 2023 )ate Completed 4. BIDDER: ONYX PAVING COMPANY, INC. CITY OF SOUTH EL MONTE - 1415 SANTA ANITA AVE, SOUTH EL MONTE, CA 91733 Name and Address of Owner OKAN DEMIRCI - 714-319-6137 Name and telephone number of person familiar with project $706,010.03 ASPHALT PAVING NOV 2021 Contract amount Type of Work Date Completed CBF - 14 BIDDER: ONYX PAVING COMPANY INC. �LLUSI�ONAFFI�DAVJT NONCO. CBF - 15 BIDDER: ONYX PAVING COMPANY, INC. NON -COLLUSION AFFIDAVIT In accordance with Public Contract Code Section 7106, the undersigned, being first duly sworn, deposes and says that he or she holds the position listed below with the bidder, the party making the foregoing bid, that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. y. Signature COREY R. KIRSCHNER I'yped or Printed Name CEO, PRES, VP, SEC, TREA. Title ONYX PAVING COMPANY, INC. Bidder Subscribed and sworn before me This _ day of 20 ""SEE ATTACHED NOTARY JURAT*— (Seal) Notary Public in and for the State of California My Commission Expires: CBF - 16 CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE §8202 R See Attached Document (Notary to cross out lines 1-6 below) ❑ See Statement Below (Lines 1-6 to be completed only by document signer(s], not Notary) x x x Signature of Document Signer No. 1 Signature of Document Signer No. 2 (f any) A notary public or other officer completing this certificate verifies only the Identity of the individual who signed the document to which this certificate is attached, and not the truthfulness accuracy, or validity of that document State of California Subscribed and sworn to (or affirmed) before mel County of Orange on this 20 day of November 20 23 by ^^Date Month year (1) lAr� e �rs�Linty (and (2) � ua'y euo.E Namg of Sfgne ) Mob? PUtIeC - 41VprM! (n�np County Cwnmbsion r 2..253 9 proved to me on the basis of satisfactoryevidence ry Comm. Eia✓es Mr 1!. in7 to be the person(s) who appeared before me. Signature &t nature of Notary Public Seal Place Notary Seal Above OPTIONAL Though this section is optional, completing this infomration can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: _ Signer(s) Other Than Named Above: 02014 National Notary Association • www.NationaINotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item#5910 COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM INSTRUCTIONS AND FORMS Exhibit 01 Summary of Contract Provisions for Inclusion in the Federally Funded Project Notice of Inviting Bids ARM:Act: This contract will be funded in whole or in part with federal housing and community development andards prevailing wage requiementeof the rDavis-Bacon al Labor tand Related v ctsswill beuenforced. To the extent this Contract is for construction services in excess of $2,000, the CONTRACTOR agrees at all times during the term of this Contract to comply with and abide by: (i) the terms of the Davis -Bacon Act(codified at 40 U.S.C. § 3141 et seq., as supplemented by regulations at 29 CFR Part 5), and that such terms and regulations are a part of this Contract and incorporated herein by this reference; and (ii) the terms of the Copeland Anti -Kick Back" Act ( codified at 40 U.S.C. § 3145 et seq., as supplemented by 29 CFR 3), and that such terms and regulations are a part of this Contract and incorporated herein by this reference. This is project is a public work in the State of California, funded in whole or in part with Public funds. Therefore, the higher of the two applicable prevailing wage rates, federal or state, will be enforced. The Contractor's duty to pay State prevailing wages can be found under Labor Code Section 1770 et seq. Labor Code Sections 1775 and 1777.7 outline the penalties for failure to pay prevailing wages and to employ apprentices, including forfeitures and debarment. The State Wage Decision is on file at the City Clerk's office, and is also available online at hq"Z8wvw.dir ca r Apprenticeship Program: Attention is directed to Sections 1777.5, 1777.6 and 1777.7 of the California Labor Code and Title 8, California Administrative code, Section 200 et seq, to ensure compliance and complete understanding of the law regarding apprentices. Section 3 Statement: To the extent this Project is funded in excess of $200,000, Section 3 prefrences are required. First preference will be given to a bidder who provides a reasonable bid and is a qualified Section 3 Business Concern. Second preference will be given to a bidder who provides a reasonable bid and commits to achieving the Section 3 employment, training and subcontracting opportunity goals by submitting a written commitment (Economic Opportunity Plan). Eaual Employment Opportunity Except as otherwise provided under 41 CFR Part 60, to the extent this Contract meets the definition of a "federally assisted construction contract" as set forth in 41 CFR Part 60-1.3, the CONTRACTOR agrees at all times during the term of this Contract to comply with and abide by the following: (i) that the equal opportunity clause ("Equal Opportunity Clause") is part of this Contract and incorporated herein by this reference in 41 CFR 60-1.4(b) in accordance with Executive Order 11246, "Equal Employment Opportunity" (30 FR 12319, 12935, 3 CFR Part, 1964-1965 Comp., P. 339), as amended by Executive Order 11375, "Amending Executive Order 11246 Relating to Equal Employment Opportunity," and (ii) the regulations implementing the Equal Opportunity Clause at 41 CFR Part 60 and that such implementing regulations are a part of this Contract and incorporated herein by this reference.). r S n a 'on: The Contractor certifies that neither Contractor nor any of Contractor's agents, sub -contractors or employees who may participation in any federal assistance programs in accordance with perform services under this contract are debarred, suspended or excluded from Executive 12549 and 12689 and its implementing guidelines. The Contractor agrees to Orders immediately notify the Federal awarding agency if the Contractor or any of the Contractor's agents, sub -contractors or employees who may perform services under this contract become debarred, suspended or excluded from participation in federal assistance programs or federal contract transactions. ContracTo extett Work Ho yrs and 8 -fete Standard a .• in excess of $100,000 and involves the employment of the me anicsthis orr laborers, Contractt the Contractor agrees at all times during the term of this Contract to comply with and abide by the terms of the Contract Work Hours and Safety Standards Act, codified at 40 U.S.C. 3701 at seq., as supplemented by regulations at 29 CFR Part 5, and that such terms and regulations are a part of this Contract and incorporated herein by this reference. QYrd Anti-Lehhvtnn Amendman* Certtrra i To the extent this Contract is in excess of $100,000, the CONTRACTOR certifies that neither the CONTRACTOR nor any of the CONTRACTOR's agents, sub -contractors or employees who may perform services under this Agreement have not used and will not use any Federally appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C. 1352. The CONTRACTOR agrees to immediately notify the Federal awarding agency if the CONTRACTOR or any of the CONTRACTOR's agents, sub -contractors or employees who may perform services under this Agreement influence or attempt to influence any officer or employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C. 1352. Conflict of Interest: In the procurement of supplies, equipment, construction, and services by sub -recipients, the conflict of interest provisions in 2 CFR 200.112 and 24 CFR 570.611, respectively, shall apply. No employee, officer or agent of the sub. recipient shall participate in selection, or in the award or administration of a contract supported by Federal funds if a conflict of interest, real or apparent, would be involved. The Contractor represents, warrants and agrees that to the best of its knowledge, it does not presently have, nor will it acquire during the term of this Agreement, any interest direct or indirect, by contract, employment or otherwise, or as a partner, joint venture or shareholder (other than as'a shareholder holding a one percent (I%) or less interest in publicly traded companies) or affiliate with any business or business entity that has entered into any contract, subcontract or arrangement with the City. Upon execution of this Agreement and during its term, as appropriate, the Contractor shall disclose in writing to the City any other contract or employment during the term of this Agreement by any other persons, business or corporation in which employment will or may likely develop a conflict of interest between the City's interest and the interests of the third parties. Exhibit 02 HUD-4010U.S. Department of Housing and Urban Development FederalralLabor Standards Provisions Office of Davis -Bacon and Labor Standards A. APPLICABILITY The Project or Program to which the construction work covered by this Contract pertains is being assisted by the United States of America, and the following Federal Labor Standards Provisions are Included In this Contract pursuant to the provisions applicable to such Federal assistance. 1. Minimum wages and fringe benefits i. All laborers and mechanics employed or working upon the site of the work (or otherwise working in construction or development of the project undera development statute), will be paid unconditionally and not less often than once a week, and without subsequent deduction or rebate on any account (except such payroll deductions as are permitted by regulations issued by the Secretary of Labor under the Copeland Act (29 CFR part 3)), the full amount of basic hourly wages and bona fide fringe benefits (or cash equivalents thereof) due at time of payment computed at rates not less than those contained in the wage determination of the Secretary of Labor which is tionship which may be attached hereto and made a part hereof, regardless of any contractual rela alleged to exist between the contractor and such laborers and mechanics. ti provided in 29 CFR 5.5(d) and (e), the appropriate wage determinations are effective by operation o law even if they have not been attached to the contract. Contributions made or costs reasonably anticipated for bona fide fringe benefits under the Davis -Bacon Act (40 U.S.C. 3141(2)(8)) on behalf of laborers or mechanics are considered wages paid to such laborers or mechanics, subject to the provisions of paragraph (a)(1)(v) of these contract clauses, also, regular contributions made or costs incurred for more than a weekly period (but not less often than quarterly) under pians, funds, or programs which cover the particular weekly period, are deemed to be constructively made or incurred during such weekly period. Such laborers and mechanics must be paid the appropriate wage rate and fringe benefits on the wage determination for the classification(s) of work actually performed, without regard to skill, except as provided in 29 CFR 5.5(a)(4). Laborers or mechanics performing work in more than one classification may be compensated at the rate specified for each classification for the time actually worked therein: Provided, That the employer's payroll records accurately set forth the time spent in each classification In which work is performed. The wage determination (including any additional classifications and wage rates conformed under 29 CFR 5.51[a)(1)(11i)) and the Davis -Bacon Poster (WH -1321) must be posted at all times by the contractor and its subcontractors at the site of the work in a prominent and accessible place where it can be easily seen by the workers. Ii. Frequently recurring classifications A. In addition to wage and fringe benefit rates that have been determined to be prevailing under the procedures set forth in 29 CFR part 1, a wage determination may contain, pursuant to § 1.3(f), wage and fringe benefit rates for classifications of laborers and mechanics for which conformance requests are regularly submitted pursuant to 29 CFR 5.5(a)(1)(iii), provided that: 1. The work performed by the classification is not performed by a classification in the wage determination for which a prevailing wage rate has been determined; 2. The classification is used in the area by the construction industry; and 3. The wage rate for the classification bears a reasonable relationship to the prevailing wage rates contained in the wage determination. B. The Administrator will establish wage rates for such classifications in accordance with 29 CFR 5.5(a)(1)(ii!)(A)(3). Work performed in such a classification must be paid at no less than the wage and fringe benefit rate listed on the wage determination for such classification. iii. Conformance A. The contracting officer must require that any class of laborers or mechanics, including helpers, which is not listed in the wage determination and which is to be employed under the contract be Previous editions obsolete 1 Form HUD -4010,(10/2023) ref. Handbook 1344.1 IV. V. vl. classified in conformance with the wage determination. Conformance of an additional classification and wage rate and fringe benefits is appropriate only when the following criteria have been met: 1. The work to be performed by the classification requested is not performed by a classification in the wage determination; and 2. The classification is used in the area by the construction industry; and 3. The proposed wage rate, including any bona fide fringe benefits, bears a reasonable relationship to the wage rates contained in the wage determination. 8. The conformance process may not be used to split, subdivide, or otherwise avoid application of classifications listed in the wage determination. C. If the contractor and the laborers and mechanics to be employed in the classification (If known), or their representatives, and the contracting officer agree on the classification and wage rate (including the amount designated for fringe benefits where appropriate), a report of the action taken will be sent by the contracting officer by email to DBAconformg_nceOcInI eov. The Administrator, or an authorized representative, will approve, modify, or disapprove every additional classification action within 30 days of receipt and so advise the contracting officer or will notify the contracting officer within the 30—day period that additional time is necessary. D. In the event the contractor, the laborers or mechanics to be employed in the classification or their representatives, and the contracting officer do not agree on the proposed classification and wage rate (including the amount designated for fringe benefits, where appropriate), the contracting officer will, by email to DBAconformanca �d i the views of all interested parties and the recommendation of thecontracting er the tofficer, to the Administrator for determination. The Administrator, or an authorized representative, will issue a determination within 30 days of receipt and so advise the contracting officer or will notify the contracting officer within the 30—day period that additional time is necessary. E. The contracting officer must promptly notify the contractor of the action taken by the Wage and Hour Division under 29 CFR 5.5 (a)(1)(11i)(c) and (D). The contractor must furnish a written copy of such determination to each affected worker or it must be posted as a part of the wage determination. The wage rate (including fringe benefits where appropriate) determined pursuant to 29 CFR 5.5 (a)(1)(iii)(c) or (D) must be paid to all workers performing work in the classification under this contract from the first day on which work is performed in the classification. Fringe benefits not expressed as an hourly rate Whenever the minimum wage rate prescribed in the contract for a class of laborers or mechanics includes a fringe benefit which is not expressed as an hourly rate, the contractor may either pay the benefit as stated in the wage determination or may pay another bona fide fringe benefit or an hourly cash equivalent thereof. Unfunded plans If the contractor does not make payments to a trustee or other third person, the contractor may consider as part of the wages of any laborer or mechanic the amount of any costs reasonably anticipated in providing bona fide fringe benefits under a plan or program, Provided, That the Secretary of Labor has found, upon the written request of the contractor, in accordance with the criteria set forth in 29 CFR 5.28, that the applicable standards of the Davis -Bacon Act have been met. The Secretary of labor may require the contractor to set aside in a separate account assets for the meeting of obligations under the plan or program. Interest In the event of a failure to pay all or part of the wages required by the contract, the contractor will be required to pay Interest on any underpayment of wages. Previous editions obsolete 2 Form HUD -4010,(10/2023) ref. Handbook 1344.1 2. Withholding I. Withholding requirements The U. S. Department of Housing and Urban Development may, upon its own action, or must, upon written request of an authorized representative of the Department of Labor, withhold or cause to be necessary to satisfy the liabilities of the prime contractor or any withheld from the contractor so much of the accrued payments or advances as may be considered subcontractor for the full amount Of wages and monetary relief, including interest, required by the clauses set forth in 29 CFR 5.5(a) for violations of this contract, or to satisfy any such liabilities required by any other Federal contract, or federally assisted contract subject to Davis -Bacon labor standards, that is held by the some prime contractor (as defined in 29 CFR 5.2). The necessary funds may be withheld from the contractor under this contract, any other Federal contract with the same prime contractor, or any other federally assisted contract that is subject to Davis -Bacon labor standards requirements and is held by the same prime contractor, regardless of whether the other contract was awarded or assisted by the same agency, and such funds may be used to satisfy the contractor liability for which the funds were withheld. In the event of a contractor's failure to pay any laborer or mechanic, including any apprentice or helper working on the site of the work (or otherwise working in construction or development of the project under a development statute) all or part of the wages required by the contract, or upon the contractor's failure to submit the required records as discussed in 29 CFR 5.5(a)(3)(iv), HUD may on its own initiative and after written notice to the contractor, sponsor, applicant, owner, or other entity, as the case may be, take such action as may be necessary to cause the suspension of any further payment, advance, or guarantee of funds until such violations have ceased. il. Priority to withheld funds The Department has priority to funds withheld or to be withheld in accordance with 29 CFR 5.5(a)(2)(i) or (b)(3)(1), or both, over claims to those funds by: A. A contractor's surety(ies), including without limitation performance bond sureties and payment bond sureties; B. A contracting agency for its reprocurement costs; C. A trustee(s) (either a court-appointed trustee or a U.S. trustee, or both) in bankruptcy of a contractor, or a contractor's bankruptcy estate; D. A contractor's assignee(s); E. A contractor's successor(s); or F. A claim asserted under the Prompt Payment Act, 31 U.S.C. 3901-3907. 3. Records and certified payrolls 1. Basle record requirements A. Length of record retention. All regular payrolls and other basic records must be maintained by the contractor and any subcontractor during the course of the work and preserved for all laborers and mechanics working at the site of the work (or otherwise working in construction or development of the project under a development statute) for a period working at least 3 years after all the work on the prime contract is completed. B. Information required Such records must contain the name; Social Security number; last known address, telephone number, and email address of each such worker, each worker's correct classification(s) of work actually performed; hourly rates of wages paid (including rates of contributions or costs anticipated for bona fide fringe benefits or cash equivalents thereof of the types described in 40 U.S.C. 3141(2)(8) of the Davis -Bacon Act); daily and weekly number of hours actually worked in total and on each covered contract; deductions made; and actual wages paid. C. Additional records relating to fringe benefits. Whenever the Secretary of Labor has found under 29 CFR 5.5(a)(1)(v) that the wages of any laborer or mechanic include the amount of any Previous editions b o solete 3 Form HUD -4010,(10/2023) ref. Handbook 1344.1 costs reasonably anticipated in providing benefits under a plan or program described in 40 U.S.C. 3141(2)(8) of the Davis -Bacon Act, the contractor must maintain records which show that the commitment to provide such benefits is enforceable, that the plan or program is financially responsible, and that the plan or program has been communicated in writing to the laborers or mechanics affected, and records which show the costs anticipated or the actual cost incurred in providing such benefits. D. Additional records relating to apprenticeship Contractors with apprentices working under approved programs must maintain written evidence of the registration of apprenticeship Programs, the registration of the apprentices, and the ratios and wage rates prescribed in the applicable programs. ii. Certified payroll requirements A. Frequency and method of submission The contractor or subcontractor must submit weekly, for each week in which any DBA- or Related Acts -covered work is performed, certified payrolls to HUD if the agency is a party to the contract, but if the agency is not such a party, the contractor will submit the certified payrolls to the applicant, sponsor, owner, or other entity, as the case may be, that maintains such records, for transmission to HUD. The prime contractor is responsible for the submission of all certified payrolls by all subcontractors. A contracting agency or prime contractor may permit or require contractors to submit certified payrolls through an electronic system, as long as the electronic system requires a legally valid electronic signature; the system allows the contractor, the contracting agency, and the Department of tabor to access the certified payrolls upon request for at least 3 years after the work on the prime contract has been completed; and the contracting agency or prime contractor permits other methods of submission in situations where the contractor is unable or limited in its ability to use or access the electronic system B. Information required The certified payrolls submitted must set out accurately and completely all of the information required to be maintained under 29 CFR 5.5(a)(3)(i)(B), except that full Social Security numbers and last known addresses, telephone numbers, and email addresses must not be included on weekly transmittals. Instead, the certified payrolls need only include an individually identifying number for each worker (e.g., the last four digits of the worker's Social Security number). The required weekly certified payroll Information may be submitted using Optional Form WH -347 or in any other format desired. Optional Form WH -347 is available for this purpose from the Wage and Hour Division Web site atAttos://www dal aaV/ sites/doloov/flles/WHD/leaacv//iles/wh 347 odfor its successor website. It is not a violation of this section for a prime contractor to require a subcontractor to provide full Social Security numbers and last known addresses, telephone numbers, and email addresses to the prime contractor for its own records, without weekly submission by the subcontractor to the sponsoring government agency (or the applicant, sponsor, owner, or other entity, as the case may be, that maintains such records). C. Statement of Compliance Each certified payroll submitted must be accompanied by a "Statement of Compliance," signed by the contractor or subcontractor, or the contractors or subcontractor's agent who pays or supervises the payment of the persons working on the contract, and must certify the following: 1. That the certified payroll for the payroll period contains the information required to be provided under 29 CFR S.5(a)(3)(ii), the appropriate information and basic records are being maintained under 29 CFR 5.5 (a)(3)(i), and such information and records are correct and complete; 2. That each laborer or mechanic (including each helper and apprentice) working on the contract during the payroll period has been paid the full weekly wages earned, without rebate, either directly or indirectly, and that no deductions have been made either directly or indirectly Previous editions obsolete 4 Form HUD -4010,(10/2023) ref. Handbook 1344.1 IV from the full wages earned, other than permissible deductions as set forth in 29 CFR part 3; and 3. That each laborer or mechanic has been paid not less than the applicable wage rates and fringe benefits or cash equivalents for the classification(s) of work actually performed, as specified in the applicable wage determination incorporated into the contract. D. Use of Optional Form WH -347 The weekly submission of a properly executed certification set forth on the reverse side of Optional Form WH -347 will satisfy the requirement for submission of the "Statement of Compliance" required by 29 CFR 5.5(a)(3)(ii)(C). E. Signature The signature by the contractor, subcontractor, or the contractors or subcontractor's agent must be an original handwritten signature or a legally valid electronic signature. F. Falsification The falsification of any of the above certifications may subject the contractor or subcontractor to civil or criminal prosecution under 18 U.S.C. 1001 and 31 U.S.C. 3729. G. Length of certified payroll retention The contractor or subcontractor must preserve all certified payrolls during the course of the work and for a period of 3 years after all the work on the prime contract is completed. Contracts, subcontracts, and related documents The contractor or subcontractor must maintain this contract orsubcontract and related documents including, without limitation, bids, proposals, amendments, modifications, and extensions. The contractor or subcontractor must preserve these contracts, subcontracts, and related documents during the course of the work and for a period of 3 years after all the work on the prime contract is completed. Required disclosures and access A. Required record disclosures and access to workers The contractor or subcontractor must make the records required under 29 CFR 5.5(a)(3)(i)—(iii), and any other documents that HUD or the Department of Labor deems necessary to determine compliance with the labor standards provisions of any of the applicable statutes referenced by 29 CFR 5.1, available for inspection, copying, or transcription by authorized representatives of HUD or the Department of Labor, and must permit such representatives to interview workers during working hours on the job. B. Sanctions for non-compliance with records and worker access requirements If the contractor or subcontractor fails to submit the required records or to make them available, or refuses to permit worker interviews during working hours on the job, the Federal agency may, after written notice to the contractor, sponsor, applicant, owner, or other entity, as the case may be, that maintains such records or that employs such workers, take such action as may be necessary to cause the suspension of any further payment, advance, or guarantee of funds. Furthermore, failure to submit the required records upon request or to make such records available, or to permit worker interviews during working hours on the job, may be grounds for debarment action pursuant to 29 CFR 5.12. In addition, any contractor or other person that fails to submit the required records or make those records available to WHD within the time WHD requests that the records be produced will be precluded from Introducing as evidence in an administrative proceeding under 29 CFR part 6 any of the required records that were not provided or made available to WHD. WHD will take into consideration a reasonable request from the contractor or person for an extension of the time for submission of records. WHD will determine the reasonableness of the request and may consider, among other things, the location of the records and the volume of production. C. Required information disclosures Contractors and subcontractors must maintain the full Social Security number and last known address, telephone number, and email address of each covered worker, and must provide them upon request to HUD if the agency is a Darty to r1mlous eanions obsolete 5 Form HUD -4010,(10/2023) ref. Handbook 1344.1 the contract, or to the Wage and Hour Division of the Department of Labor. If the Federal agency is not such a party to the contract, the contractor, subcontractor, or both, must, upon request, provide the full social Security number and last known address, telephone number, and email address of each covered worker to the applicant, sponsor, owner, or other entity, as the case may be, that maintains such records, for transmission to HUD, the contractor, or the Wage and Hour Division of the Department of Labor for purposes of an Investigation or other compliance action. 4. Apprentices and equal employment opportunity I. Apprentices A. Rate of pay Apprentices will be permitted to work at less than the predetermined rate for the work they perform when they are employed pursuant to and individually registered in a bona fide apprenticeship program registered with the U.S. Department of Labor, Employment and Training Administration, Office of Apprenticeship (OA), or with a State Apprenticeship Agency recognized by the OA. A person who is not individually registered in the program, but who has been certified by the OA or a State Apprenticeship Agency (where appropriate) to be eligible for probationary employment as an apprentice, will be permitted to work at less than the predetermined rate for the work they perform in the first 90 days of probationary employment as an apprentice in such a program. In the event the OA or a State Apprenticeship Agency recognized by the OA withdraws approval of an apprenticeship program, the contractor will no longer be permitted to use apprentices at less than the applicable predetermined rate for the work performed until an acceptable program is approved. B. Fringe benefits Apprentices must be paid fringe benefits in accordance with the provisions of the apprenticeship program. If the apprenticeship program does not specify fringe benefits, apprentices must be paid the full amount of fringe benefits listed on the wage determination for the applicable classification. If the Administrator determines that a different practice prevails for the applicable apprentice classification, fringe benefits must be paid in accordance with that determination. C. Apprenticeship ratio The allowable ratio of apprentices to journeyworkers on the job site in any craft classification must not be greater than the ratio permitted to the contractor as to the entire work force under the registered program or the ratio applicable to the locality of the project pursuant to 29 CFR 5.5(a)(4)(i)(D). Any worker listed on a payroll at an apprentice wage rate, who Is not registered or otherwise employed as stated In 29 CFR 5.5(a)(4)(i)(A), must be paid not less than the applicable wage rate on the wage determination for the classification of work actually performed. In addition, any apprentice performing work on the job site in excess of the ratio permitted under this section must be paid not less than the applicable wage rate on the wage determination for the work actually performed. D. Reciprocity of ratios and wage rates Where a contractor is performing construction on a project in a locality other than the locality in which its program is registered, the ratios and wage rates (expressed in percentages of the journeyworker's hourly rate) applicable within the locality in which the construction is being performed must be observed. If there Is no applicable ratio or wage rate for the locality of the project, the ratio and wage rate specified in the contractor's registered program must be observed. ii Equal employment opportunity The use of apprentices and journeyworkers under this part must be in conformity with the equal employment opportunity requirements of Executive Order 11246, as amended, and 29 CFR part 30. Compliance with Copeland Act requirements. The contractor shall comply with the requirements of 29 CFR part 3, which are incorporated by reference in this contract. Previous editions obsolete 6 Form HUD -4010,(10/2023) ref. Handbook 1344.1 11 B. 6 Subcontracts. The contractor or subcontractor must insert in any subcontracts the clauses contained in 29 CFR 5.5(a)(1) through (11), along with the applicable wage determinations)an d such other clauses or contract modifications as the U.S. Department of Housing and Urban Development may by appropriate instructions require, and a clause requiring the subcontractors to include these clauses and wage determination(s) in any lower tier subcontracts. The prime contractor is responsible for the compliance by any subcontractor or lower tier subcontractor with all the contract clauses in this section. In the event of any violations of these clauses, the prime contractor and any subcontractor(s) responsible will be liable for any unpaid wages and monetary relief, including interest from the date of the underpayment or loss, due to any workers of lower -tier subcontractors, and may be subject to debarment, as appropriate. 7 Contract termination: debarment. A breach of the contract clauses in 29 CFR 5.5 may be grounds for termination of the contract, and for debarment as a contractor and a subcontractor as provided In 29 CFR 5.12. 8 Compliance with Davis -Bacon and Related Act requirements. All rulings and interpretations of the Davis -Bacon and Related Acts contained in 29 CFR parts 1, 3, and 5 are herein incorporated by reference in this contract. 9 Disputes concerning labor standards. Disputes arising out of the labor standards provisions of this contract shall not be subject to the general disputes clause of this contract. Such disputes shall be resolved in accordance with the procedures of the Department of Labor set forth in 29 CFR parts 5, 6, and 7. Disputes within the meaning of this clause Include disputes between the contractor (or any of its subcontractors) and the contracting agency, the U.S. Department of Labor, or the employees or their representatives. 10. Certification of eligibility. i. By entering into this contract, the contractor certifies that neither it nor any person or firm who has an interest in the contractor's firm is a person or firm ineligible to be awarded Government contracts by virtue of 40 U.S.C. 3144(b) or 29 CFR 5.12(a). ii. No part of this contract shall be subcontracted to any person or firm ineligible for award of a Government contract by virtue of 40 U.S.C. 3144(b) or 29 CFR 5.12(a). Iii. The penalty for making false statements is prescribed in the U.S. Code, Title 18 Crimes and Criminal Procedure, 18 U.S.C. cool. Anti -retaliation It is unlawful for any person to discharge, demote, intimidate, threaten, restrain, coerce, blacklist, harass, or in any other manner discriminate against, or to cause any person to discharge, demote, Intimidate, threaten, restrain, coerce, blacklist, harass, or in any other manner discriminate against, any worker orjob applicant for: i. Notifying any contractor of any conduct which the worker reasonably believes constitutes a violation of the DBA, Related Acts, or 29 CFR parts 1, 3, or 5; li. Filing any complaint, initiating or causing to be initiated any proceeding, or otherwise asserting or seeking to assert on behalf of themselves or others any right or protection under the DBA, Related Acts, or 29 CFR parts 1, 3, or 5; IR. Cooperating in any investigation or other compliance action, or testifying in any proceeding under the DBA, Related Acts, or 29 CFR parts 1, 3, or 5; or iv. Informing any other person about their rights under the DBA, Related Acts, or 29 CFR parts 1, 3, or 5. Contract Work Hours and Safety Standards Act (CWHSSA) The Agency Head must cause or require the contracting officer to insert the following clauses set forth In 29 CFR 5.5(b)(1), (2), (3), (4), and (5) In full, or (for contracts covered by the Federal Acquisition Regulation) by reference, in any contract in an amount in excess of $100,000 and subject to the overtime provisions of the Contract Work Hours and Safety Standards Act. These clauses must Previous editions obsolete 7 Form HUD -4010,(10/2023) ref. Handbook 1344.1 be inserted in addition to the clauses required by 29 CFR 5.5(a) or 4.6, As used in this paragraph, the terms "laborers and mechanics" include watchpersons and guards. I. Overtime requirements. No contractor or subcontractor contracting for any part of the contract work which may require or involve the employment of laborers or mechanics shall require or permit any such laborer or mechanic in any workweek in which he or she is employed on such work to work in excess of forty hours in such workweek unless such laborer or mechanic receives compensation at a rate not less than one and one-half times the basic rate of pay for all hours worked in excess of forty hours in such workweek. 2. Violation; liability for unpaid wages; liquidated damages. in the event of any violation of the clause set forth In 29 CFR 5.5(b)(1) the contractor and any subcontractor responsible therefor shall be liable for the unpaid wages and interest from the date of the underpayment. In addition, such contractor and subcontractor shall be liable to the United States (in the case of work done under contract for the District of Columbia or a territory, to such District or to such territory), for liquidated damages. Such liquidated damages shall be computed with respect to each individual laborer or mechanic, including watchpersons and guards, employed in violation of the clause set forth in 29 CFR 5.5(b)(1), in the sum of $31 for each calendar day on which such individual was required or permitted to work in excess of the standard workweek of forty hours without payment of the overtime wages required by the clause set forth in 29 CFR 5.5(b)(1). 3. Withholding for unpaid wages and liquidated damages I. Withholding process The U.S Department of Housing and Urban Development or the recipient of Federal assistance may, upon its own action, or must, upon written request of an authorized representative of the Department of Labor, withhold or cause to be withheld from the contractor so much of the accrued payments or advances as may be considered necessary to satisfy the liabilities of the prime contractor or any subcontractor for any unpaid wages; monetary relief, including Interest; and liquidated damages required by the clauses set forth in 29 CFR S.s(b) on this contract, any other Federal contract with the same prime contractor, or any other federally assisted contract subject to the Contract Work Hours and Safety Standards Act that is held by the same prime contractor (as defined In 29 CFR 5.2). The necessary funds may be withheld from the contractor under this contract, any other Federal contract with the same prime contractor, or any other federally assisted contract that is subject to the Contract Work Hours and Safety Standards Act and is held by the same prime contractor, regardless of whether the other contract was awarded or assisted by the same agency, and such funds may be used to satisfy the contractor liability for which the funds were withheld. Ii Priority to withheld funds The Department has priority to funds withheld or to be withheld in accordance with 29 CFR 5.5(a)(2)(1) or (b)(3)(i), or both, over claims to those funds by: A. A contractor's surety(ies), including without limitation performance bond sureties and payment bond sureties; B. A contracting agency for its reprocurement costs; C. A trustee(s) (either a court-appointed trustee ora U.S. trustee, or both) in bankruptcy of a contractor, or a contractor's bankruptcy estate; D. A contractor's assignee(s); E. A contractor's successor(s); or F. A claim asserted under the Prompt Payment Act, 31 U.S.C. 3901-3907. 4. Subcontracts. The contractor or subcontractor must insert in any subcontracts the clauses set forth in 29 CFR 5.5(b)(1) through (5) and a clause requiring the subcontractors to include these clauses in any lower tier subcontracts. The prime contractor Is responsible for compliance by any subcontractor or lower tier subcontractor with the clauses set forth in 29 CFR 5.5(b)(1) through (5). In the event of any violations of these clauses, the prime contractor and any subcontractor(s) responsible will be liable for any unpaid wages and monetary relief, including interest from the date of the underpayment or loss, Previous editions obsolete g Form HUD -4010,(10/2023) ref. Handbook 1344.1 due to any workers of lower -tier subcontractors, and associated liquidated damages and may be subject to debarment, as appropriate. 5 Anti -retaliation It is unlawful for any person to discharge, demote, intimidate, threaten, restrain, coerce, blacklist, harass, or in any other manner discriminate against, or to cause any person to discharge, demote, intimidate, threaten, restrain, coerce, blacklist, harass, or in any other manner discriminate against, any worker or job applicant for: 1. Notifying any contractor of any conduct which the worker reasonably believes constitutes a violation of the Contract Work Hours and Safety Standards Act (CWHSSA) or its implementing regulations in 29 CFR part 5; li. Filing any complaint, Initiating or causing to be initiated any proceeding, or otherwise asserting or seeking to assert on behalf of themselves or others any right or protection under CWHSSA or 29 CFR part 5; Iii. Cooperating in any investigation or other compliance action, or testifying in any proceeding under CWHSSA or 29 CFR part 5; or Iv. Informing any other person about their rights under CWHSSA or 29 CFR part S. C. CWHSSA required records clause In addition to the clauses contained in 29 CFR S.S(b), in any contract subject only to the Contract Work Hours and Safety Standards Act and not to any of the other laws referenced by 29 CFR 5.1, the Agency Head must cause or require the contracting officer to insert a clause requiring that the contractor or subcontractor must maintain regular payrolls and other basic records during the course of the work and must preserve them for a period of 3 years after all the work on the prime contract is completed for all laborers and mechanics, including guards and watchpersons, working on the contract. Such records must contain the name; last known address, telephone number, and email address; and social security number of each such worker, each worker's correct Classification(s) of work actually performed; hourly rates of wages paid; daily and weekly number of hours actually worked; deductions made and actual wages paid. Further, the Agency Head must cause or require the contracting officer to insert in any such contract a clause providing that the records to be maintained under this paragraph must be made available by the contractor or subcontractor for inspection, copying, or transcription by authorized representatives of the (write the name of agency) and the Department of Labor, and the contractor or subcontractor will permit such representatives to interview workers during working hours on the job. D. Incorporation of contract clauses and wage determinations by reference Although agencies are required to Insert the contract clauses set forth in this section, along with appropriate wage determinations, in full Into covered contracts, and contractors and subcontractors are required to Insert them in any lower -tier subcontracts, the incorporation by reference of the required contract clauses and appropriate wage determinations will be given the same force and effect as if they were inserted in full text. E. Incorporation by operation of law The contract clauses set forth in this section (or their equivalent under the Federal Acquisition Regulation), along with the correct wage determinations, will be considered to be a part of every prime contract required by the applicable statutes referenced by 29 CFR 5.1 to include such clauses, and will be effective by operation of law, whether or not they are included or incorporated by reference into such contract, unless the Administrator grants a variance, tolerance, or exemption from the application of this paragraph. Where the clauses and applicable wage determinations are effective by operation of law under this paragraph, the prime contractor must be compensated for any resulting increase in wages in accordance with applicable law. Previous editions obsolete 9 Form HUD -4010,(10/2023) ref. Handbook 1344.1 F. HEALTH AND SAFETY The provisions of this paragraph (F) are applicable where the amount of the prime contract exceeds $100,000. 1. No laborer or mechanic shall be required to work in surroundings or under working conditions which are unsanitary, hazardous, or dangerous to his or her health and safety, as determined under construction safety and health standards promulgated by the Secretary of Labor by regulation. 2. The contractor shall comply with all regulations issued by the Secretary of Labor pursuant to 29 CFR Part 1926 and failure to comply may result in imposition of sanctions pursuant to the Contract Work Hours and Safety Standards Act, (Public Law 91-54, 83 Stat 96), 40 U.S.C. § 3701 et seq. 3. The contractor shall include the provisions of this paragraph in every subcontract, so that such provisions will be binding on each subcontractor. The contractor shall take such action with respect to any subcontractor as the Secretary of Housing and Urban Development or the Secretary of Labor shall direct as a means of enforcing such provisions. Previous editions obsolete 10 Form HUD -4010,(10/2023) ref. Handbook 1344.1 Exhibit 03 IS `Tum�ent To be physically attached to all suhbcontra scwith the HUD -40 0 Federal abor Standards provisions Pursuant to Federal requirements, ten (10) days prior to bid opening, the City is required to check for any modifications to the wage decision included in the specifications. The City will issue an addendum if any modification is made to advise all potential bidders of the revised wage determination. "General Decision Number: CA20230022 10/06/2023 Superseded General Decision Number: CA20220022 State: California �hsttruction Types: Building, Heavy (Heavy and Dredging) and County: Los Angeles County in California. BUILDING CONSTRUCTION PROJECTS; DREDGING PROJECTS (does not Include hopper dredge work); HEAW CONSTRUCTION PROJECTS (does not include water wall drilling); HIGHWAY CONSTRUCTION PROJECTS Note: Contracts subject to the Davis -Bacon Act are generally required to pay at least the applicable minimum wage rate required under Executive Order 14026 or Executive order 13658. Please note that these Executive Orders apply to covered Subjectntered Into DaviS-Bach Actthe fItself, beral �utrnment do notahatpply are Contracts subject only to the Davis -Bacon Related Acts, including to including those set forth at 29 CFR 5.1(x)(2)-(60). on or after January 3e, or the contract is ed or extended (e.g., an n is exercised) on or January 30, 2022: - e: w xra,i was awarded or between January 1, 2815 a January 29, 2022, and the contract is not renewed or extended on or after January 30, 2822: generally applies to the contract. The contractor must pay all covered workers at least $16.20 per hour (or the applicable wage rate listed on this wage determination, if it is higher) for all hours spent performing on the contract in 2023. generally applies to the contract. The contractor must pay al] covered workers at least $12.15 per hour (or, the applicable wage rate list,, on this wage determination, if it is higher) for all hours spent performing on that contract in 2023. The applicable Executive Order minimum wage rate will be adjusted annually. If this contract is covered by one of the Executive Orders and a classification considered necessary for Performance of work on the contract does not appear on this wage determination, the contractor must still submit a conformance request. Additional Information on contractor requirements and worker protections under the Executive orders is available at http://www.dol.gov/whd/govcontracts. Modification Number Publication Date 0 01/06/2023 2 01/13/2023 2 01/20/2023 3 02/10/2823 4 03/17/2023 5 06/23/2823 6 06/30/2023 7 07/14/2023 a 68/11/2023 9 00/18/2023 10 09/08/2023 11 09/15/2823 12 09/29/2023 13 10/06/2823 ASSEM5-002 07/06/2022 Rates Fringes Asbestos Workers/Insulator Rates (Includes the application of CARPENTER all insulating materials, Protective coverings, coatings, and finishes to all Installer, Insulation types of mechanical systems) .....$ 49.58 Fire Stop Technician 25.27 (Application of FSrestopping Worker and acoustical Materials for wall openings and penetrations in walls, 51.68 floors, ceilings and curtain .............. (3) Piledrivermen/Derrick walls)...........................f 32.89 . _-.______ 19.66 ASBEBBBS-004 87/84/2022 ___----- _______._._ Rates Fringes Asbestos Removal Marker/hazardous material handler (includes Rockslinger, Shingler preparation, wetting, stripping, removal, $1.73 scrapping, vacuuming, bagging Power Stapler ............. ..f (5) Sawfiler and disposing of all 16.28 insulation materials from 51.69 42.80 mechanical systems, whether (7) Table Power Saw they contain asbestos or not) .... $ 23.52 ........................ 13.37 BOILBB92-803 01/03/2021 __________________ Rates Fringes BOILERMAKER ......................f 46.03 _BBT_________________ 38.81 ------------------------------------ • BRCABBB4- 05/01/2028 Rates Fringes BRICKLAYER, MARBLE SETTER ........ $ 41.53 19.48 `The wage scale for prevailing wage projects Blythe, China lake, performed in Death Valley, Fort Irwin, Palms, Needles and 1.15 corridor Trenty_Nine (Barstow to the Nevada State Line) will be Three Dollars (f3.00) above the standard San Bernardino/Riverside County hourly wage rate • ......................................... BACA0018-084 06/01/2022 __________________ Rates Fringes MARBLE FINISHER ..................$ 37.87 TILE FINISHER 14.33 ....................$ 32.44 TILE LAYER 12.54 .......................$ 45.85 ............................ 18.33 ........................ BIiG0018.818 89/83/2022 ............ Rates Fringes FINISHERTERRAZZO TERRAZZO WORKER/SETTER 14.13 ........... $ 46.49 ........................ 34.66 ... ........ ................. CARP0213.881 07/01/2821 -.--"""-- Rates Fringes CARPENTER (1) Carpenter, cabinet Installer, Insulation Installer, Hardwood Floor Worker and acoustical installer ...................$ (2) Millwright 51.68 16.28 .............. (3) Piledrivermen/Derrick f 52.10 16.28 Bargeman, Bridge or Dock Carpenter, Heavy Framer, Rock Bargeman or Scotsman, Rockslinger, Shingler (Commercial) ................$ (4) Pneumatic Nailer, $1.73 16.28 Power Stapler ............. ..f (5) Sawfiler 51.85 16.28 ...............f (6) Scaffold Builder.......f 51.69 42.80 16.28 16.28 (7) Table Power Saw Operator ....................$ 51.70 16.28 FOOTNOTE: work of forming in the construction of open cut sewers or storm drains, on operations in which horizontal lagging is used in conjunction with steel H -Beams driven or Placed in pre- drilled holes, for that portion of a lagged trench against which concrete is poured, namely, as a substitute for back forms (which work is performed by Piledrivers): $0.13 per hour additional. ________________________ CARP0233-002 07/01/2021 Rates Fringes Diver (1) Wet .....................$ 834.46 16.28 (2) Standby .................f 445.84 16.28 (3) Tender ..................$ 437.64 16.28 (4) Assistant Teller......,.$ 413.84 16.28 Amounts in "'Rates' column are per day _____________________________ CARP0213.004 07/01/2821 - ------ Rates Fringes Drywall DRYWALL INSTALLER/LATHER .... S 51.60 16.28 STOCKER/SCRAPPER ............ S 22.16 ______________________________ 8.62 CARPS721.001 07/03/2821 ............. Rates Fringes Nodular Furniture Installer ......$ 21.85 -------------------------------------- 7.15 ELEC8011-084 06/30/2023 Rates Fringes ELECTRICIAN (INSIDE ELECTRICAL HARK) ELECTRICIAN (INTELLIGENTSan......5 68.80 3X29.77 TRANSPORTATION SYSTEMS Street Lighting, Traffic Signals, CCTV,and Underground Systems) journeyman Transportation Electrician .................$ 60.ee Technician 3X+29.77 ..................$ 45.60 3X+29.77 FOOT NOTE: CABLE SPLICER 8 INSTRL14ENT PERSON: Recieve SX additional per hour above Journeyman Electrician basic TUNNEL WORK: 10X additional per hour. hourly rate. SCOPE OF WORK - TRANSPORTATION SYSTEMS ELECTRICIAN: Installation of street lights and traffic signa15,1ncluding electrical circuitry, programmable controllers, pedestal -mounted electrical meter enclosures end laying of Pro -assembled multi -conductor cable in ducts, layout of electrical systems and communication installation, including proper position of trench depths and radius at duct banks, location for man holes, pull boxes, street lights and traffic signals. Installation of underground ducts for electrlcal,telephone, cable television and communication systems. Pulling,terminatson and splicing of traffic signal and street lighting conductors and electrical systems including interconnect,detector loop, fiber optic cable and video/cable. TECHNICIAN: Distribution Of material at job site, manual excavation and backfill, installation of system conduits and raceways for electrical, telephone, cable television and communication systems. Pulling, terminating and splicing of traffic signal and street lighting conductors and electrical systems including Interconnect, detector loop, fiber optic cable and video/date. ---------------------------------------------------------------- m ELEC8911405 06/26/2023 COMMUNICATIONS 8 SYSTEMS WORK (excludes any work on Intelligent Transportation Systems or CCN highway systems) Rates Fringes Communications System Installer ...................: 45.47 3%+15.53 Technician.. ................ $ 33.30 39+27.82 SCOPE OF WORK The Work covered shall include the Installation, testing, service and maintenance, of the following systems that utilize the transmission and/or transference of voice, sound, vision and digital for commercial, education, security and entertainment purposes for TV momitoring and surveillance, background foreground music, intercom and telephone interconnect, inventory control systems, microwave transmission, multi -media, multiplex, nurse call system, radio page, school intercom and sound, burglar alarms and low voltage master clock systems. A. Communication systems that transmit or receive information and/or control systems that are intrinsic to the above listed systems SCADA (Supervisory control/data acquisition PCM (Pulse code modulation) Inventory control systems Digital data systems Broadband 8 baseband and carriers Point of sale systems VSAT data systems Data communication systems RF and remote control systems Fiber optic data systems B. Sound and Voice Transmission/Transference Systems Background -Foreground Music Intercom and Telephone Interconnect Systems Sound and Musical Entertaimeent Systems Nurse Call Systems Radio Page Systems School Intercom and Sound Systems Burglar Alarm Systems Lew -Voltage Master Clock Systems Multi-Media/Multiplex Systems Telephone Systems RF Systems and Antennas and Wave Amide C. *Fire Alarm Systems-LnStallation, wire pulling and testing. D. Television and Video Systems Television Monitoring and Surveillance Systems Video Security Systems Video Entertainment Systems Video Educational Systems CATV and CCTV E. Security Systems, Perimeter Security Systems, Vibration Sensor systems Sonar/Infrared Monitoring Equipment, Access Control Systems, Card Access Systems *Fire Alarm Systems 1. Fire Alarms -In Raceways: Wire and cable pulling in raceways performed at the current electrician wage rate and fringe benefits, 2. Fire Alarms -Open wire Systems: installed by the Technician. ................................................................ ELEC1245-001 06/01/2022 Rates Fringes LINE CONSTRUCTION (1) Lineman; Cable splicer..$ 64.40 22.58 (2) Equipment specialist (operates crawler tractors, commercial motor vehicles, backhoes, trenchers, cranes (S0 tons and below), overhead 8 underground distribution line equipment) ............. f 50.80 21.38 (3) Groundean............... 5 38,23 20.89 (4) Powderman...............f 51.87 13.79 HOLIDAYS: New Year's Day, M.L. King Day, Memorial Day, Independence Day, Labor Day, Veterans Day, Thanksgiving Day and day after Thanksgiving, Christmas Day ELEYee16-ee1 91/91/2823 .................................. Rates Fringes ELEVATOR Mec WIC ................$ 63.95 37.335+a+b FOOTNOTE: a. PAID VACATION: Employer contributes 8% of regular hourly rate as vacation pay credit for employees with more than 5 years of service, and 6% for 5 months to 5 years of service. b. PAID HOLIDAYS: New Year's Day, M"wial Day, Independence Day, Labor Day, Veterans' Day, Thanksgiving Day, Friday after Thanksgiving, and Christmas Dry. ...................... . • •_•-_._-.-..__ .... EWIO012-003 07/01/2022 . Rates Fringes OPERATOR: Power Equipment (All Other Work) GROUP 1 .... ....... ......... E 51.90 38.70 GROUP 2 ....................2 52.68 GROUP 3 30.70 ....................5 52.97 GROUP 4 30.70 ....................5 54.46 GROUP 5 30.70 ....................E 48.96 GROUP 6 25.25 ....................E 54.58 GROUP 8 30.70 ....... ............. E 54.79 GROUP 9 30.78 ....................5 49.29 GROUP 19 25.25 ....................$ 54.91 GROUP 11 30.70 ....................$ 49.41 GROUP 12 25.25 ....................5 55.08 GROUP 13 30.70 ....................E 55.18 GROUP 14 30.70 ....................5 55.21 CAMP 15 30.70 ....................$ 55.29 GROUP 16 30.70 ....................5 55.41 GROUP 17 30.70 ....................E 55.58 GROUP 18 30.70 ....................E 55.68 GROUP 19 30.78 ....................5 55.79 GROUP 20 30.70 ....................E 55.91 GROUP 21 30.70 ............. $ 56.80 GROUP 22 30.70 ....................5 56.18 GROUP 23 30.70 ....................E 56.29 GROUP 24 30.79 ....................5 56.41 GROUP 25 30.70 power ................5 56.58 OPERATOR: Power Equipment 30.70 (Cranes, Piledriving 8 Foisting) GROUP 1 ....................5 53.25 GROUP 30.70 2 ....................E 54.03 GROUP 3 ....................5 30.70 54.32 GROUP 4 .......... 30.78 .......... E 54.46 GROUP 5 ....................5 54.68 30.79 30.70 GROUP 6 ....................5 54.79 GROUP 7 30.70 ....................5 54.91 Mp81 30.70 ................... $ 55.68 GROUP 9 30.70 ....................E 55.25 GROUP 10 30.70 ....................E 56.25 GROUP 11 30.70 ....................5 57.25 GROUP 12 30.70 ....................5 58.25 GROUP 13 30.70 ....................5 59.25 OPERATOR: Power Equipment 30.70 (Tunnel Work) GROUP 1 ....................E 54.53 30.70 GROUP 2 ....................5 54.82 30.70 GROUP 3 ....................E 54.96 GROUP 4 30.70 ....................$ 55.18 GROUP 5 30.70 .................. $ 55.29 GROUP6 30.70 ... .................5 55.41 GROUP 7 39.70 ....................5 55.71 30.79 PREMIUM PAY: $3.75 per hour shall be paid on all Power Equipment Operator work on the follow0wg Military Bases: China Lake Naval Reserve, Vandenberg AFB, Point Arguello, Seely Naval Base, Fort Irwin, Nebo Annex Marine Base, Marine Corp Logistics Base Yermo, Edwards AFB, 29 Palms Marine Base and Camp Pendleton workers required to suit up and work in a hazardous material Iironsent: $2.00 per hour additional. Combination and compressor operator mixer on gunite work shall be classified as a concrete mobile mixer operator. SEE ZONE DEFINITIONS AFTER CLASSIFICATIONS POWER EQUIPHGNT OPERATORS CLASSIFICATIONS GJWUP 1: Bargeman; Brakeman; Compressor operator; Ditch Witch, with seat or similar type equipment; Elevator operator -inside; Engineer Oiler; Forklift operator (includes load, lull or similar types under 5 tons; Generator operator; Generator, pump or compressor operator; Pup operator; Signalman; Switchman Plan GROUP 2: Asphalt -rubber plant operator (nurse tank operator); Concrete mixer operator -skip type; Conveyor operator; Fireman; Forklift operator (includes load, lull or similar types over 5 tons; Hydrostatic pump operator; oiler crusher (asphalt or concrete plant); Petraeat laydown machine; P� side dum jack; Screening and conveyor machine operator (or similar types); Skiploader (wheel type up to 3/4 yd. without attachment); Tar pot fireman; Temporary heating Plant operator; Trenching machine oiler GROUP 3: Asphalt -rubber blend operator; Bobcat or similar type (Skid steer); Equipment greaser (rack); Ford Ferguson (wihdragtype attachments); Helicopter radioman (ground); Stationary pipe wrapping and cleaning machine operator GROUP 4: Asphalt plant fireman; Backhoe operator (mini -max or similar type); Boring machine operator; Beaman or mixermran (asphalt or concrete); Chip spreading machine operator; Concrete cleaning decontamination machine operator; Concrete Pump operator (small portable); Drilling machine operator, small auger types (Texoma super econanatic or similar types - Hughes 100 or 280 or similar types - ng depth of 30' maximum); Equipment greaser (grease truck); rail Post driver operator; Highline cableway 8n Hydra -hammer -aero stomper; Micro Tunneling (above ground tunal); Power concrete curing machine operator; Power concrete saw operator; er Operator; jumbo form setter operator; Power sweeper Rock wheel Saw/Trencher; Roller operator (compacting); Screed operator (asphalt or concrete); Trenching machine operator (up to 6 ft.); vacuum or much truck GROUP 5: Equipment Greaser (Grease Truck/Multi shift). GROUP 6: Articulating material hauler; Asphalt plant engineer; Batch plant operator; Bit sharpener.; Concrete Joint machine operator (canal and similar type); Concrete Planer operator; Dandy digger; Deck engine operator; Derrickmen (oilfield type); Drilling machine operator, bucket or auger types (Calweld 100 bucket wsimilar types - Watson 1980 auger or similar types - Texoma 330, See or 600 auger or similar types - drilling depth of 45' maximum); Drilling machine operator; Hydrographic seeder machine operator (straw, pulp Or seed), Jackson track maintainer, or similar type; Kalamazoo Switch tamper, or similar type; Machine tool operator; Maginnis internal full slab vibrator, Mechanical berm, curb or gutter(concrete or asphalt); Mechanical finisher operator (concrete, Clary -Johnson -Bidwell or similar); Micro tunnel system (below ground); Pavement breaker operator (truck mounted); Road oil mixing machine operator; Roller operator (asphalt or finish), rubber -tired earth moving equipment (single engine, up to and including 25 yds. struck); Self-propelled tar Pipelining machine operator; Skiploader operator includincrawlerg lei/2mydst)pe liver 3/4rm Yd. and UP to and driven hydraulic lifting device fo�on�reoforms)- Tractor operator -bulldozer, tamper -scraper (single engine, up to Including p p. flywheel and similar types, up to and clod ng 5 and similar types); Tugger hoist operator (1 drum); Ultra high pressure waterjet cutting tool system operator; Vacuum blasting machine operator GROUP 8: Asphalt or concrete spreading( operator (tamping or finishing); Asphalt paving machine operator (Barber Greene or similar type); Asphalt -rubber distribution operator; Backhoe operator (up to end including 3/4 yd.), 3=11 ford, Case or similar; Cast -in-place pipe laying machine operator; Combination mixer and cempresser operator (gunite mark); Compector operator (self-propelled); Concrete mixer Operator (paving); Crushing plant operator; Drill Doctor; Drilling machine operator, Bucket or auger types (Calweld 150bucket similar types similar types - Watson 1500, 2008 2500 auger drillaor depth - Texoma 700, 800 auger or similar types - ng epth of 60' nwxtmum); Elevating grader operator; Grade checker; Gradall operator; Grouting machine operator; Heavy-duty repairman; Heavy equipment robotics operator; Kalamazoo balliste regulator or sledlar type; KDlman belt loader and similar type; Le Tourneau blob compactor or similar type; Loader operator (Athey, Euclid, Sierra and similar similar ypos), Mobark Chipper or similar; Ozzie padder or machine types; P.C. slot saw; PnmMtic concrete placing operator (Rackley-Presswell or similar type); Pumperete gun operator; Rock Drill or similar types; Rotary drill operator (excluding caisson type); Rubber -tired earth -moving equipment operator (single engine, caterpillar, Euclid, Athey Wagon and similar types with any and all attachments over 25 yds. up to and including 50 cu. Yds. struck); Rubber -tired earth -moving equipment operator (multiple engine up to and including 25 yds. struck); Rubber -tired scraper operator (self -loading paddle wheel type-30hn Deere, 1040 and similar single unit); Self. Propelled curb and gutter machine operator; Shuttle buggy; Sklploader operator (crawler and wheel type over 1-1/2 yds. UP to and including 6-1/2 yds.); Soil ramediation plant operator; Surface heaters and planer operator; Tractor compressor drill combination operator; Tractor operator (any type larger than D-5 - 100 flywheel h.p, and over, or bulldozer, tamper, scraper and Push tractor single engine); Tractor operator (boom attachments), Traveling Pipe wrapping, cleaning and bendng machine operator; Trenching machine operator (over 6 ft. depth capacity, attachment r's(v rating); trenching Machine with Road Miner attachment (over 6 ft depth capacity): Ultra high pressure waterjet cutting tool system mechanic; Water pull (compaction) operator GROUP 9: Meavy Duty Repairman GROUP 10; Drilling machine operator, Bucket or auger types (Calweld 200 B bucket or similar types -Watson 3800 or See@ auger or similar types -Texoma 9eO auger or simiar types -drilling depth of 105' Maximum); Dual drum mixer, dynamic cdmpacter LDC359 (or similar types); Monorail locomotive operator (diesel, gas or electric); Motor patrol -blade operator (single engine); Multiple engine tractor operator (Euclid and similar type -except Quad 9 cat.); Rubber -tired earth -moving equipment operator (single engine, over S@ yds. struck); Pneumatic Pipe ramming tool and similar types; Prestressed wrapping machine Operator; Rubber -tired earth -moving equipment operator (single engine, over 50 yds. struck); Rubber tired earth moving equipment operator (multiple engine, Euclid, caterpillar and similar over 2S yds. and up to 56 yds. struck), Tower trona repairman; Tractor loader operator (crawler and wheal PtypeOver 6.1/2 yds.); Woods mixer operator (and similar equipment) GROUP 11: Heavy Duty Repairman - Welder Combination, welder - Certified. GROUP 12: Auto grader operator; Automatic slip form operator; Grilling machine operator, bucket or auger types (Calweld, auger 200 CA or similar types . Watson, auger 6900 or similar types - Hughes Super Duty, auger 290 or similar types - drilling depth of 175` maxlmam); Mae ram Or similar with compressor; Mass excavator operator less the 759 cu. Yards; Mechanical finishing Machine operator; Mobile form traveler operator; Motor Patrol operator (multi -engine); Pipe mobile machine operator; Rubber -tired earth. moving equipment operator (multiple engine, Euclid, Caterpillar and similar type, over 50 cu. yds. struck); Rubber -tired self- loading scraper operator (paddle -wheel -auger type self -leading - two (2) or More units) GROUP 13: Rubber -tired earth -moving equipment operator operating equipment with push-pull system (single engine, UP to and Including 25 yds. struck) GROUP 14: Canal liner operator; Canal trimmer operator; Remote- control earth -moving equipment operator (operating a second piece of equipment: $1.00 per hour additional); Wheel excavator operator (over 750 cu. yds.) GROUP 15: Rubber -tired earth -moving equipment operator operating equipment with push-pull system (single engine, Caterpillar, Euclid, Athey Wagon and similar types with any and all attachments over 25 yds. and UP to and including 5e Yds, struck); Rubber -tired earth -moving equipment operator, opeinrating equipment with push-pull system (multiple enge-up to and including 25 yds, struck) GROUP 16: Rubber -tired earth -moving equipment operator, operating equipment with push-pull system (single engine, war So yds, struck); Rubber -tired earth -moving equipment operator, operating equipment with push-pull system (multiple engine, Euclid, Caterpillar and similar, over 25 Yds. and up to 50 yds. struck) GROUP 17: Rubber -tired earth -moving equipment operator, operating equipment with push-pull system (multiple engine, Euclid, Caterpillar and similar, over Se cu, yds, struck); Tandem tractor operator (operating crawler type tractors in tandem - Quad 9 and similar type) GROUP 18: Rubber -tired earth -moving equipment operator, operating in tandem (scrapers, belly dumps and similar types in any combination, excluding campactlon units - single engine, up to and including 25 yds, struck) GROUP 19: Rotex concrete belt operator (or similar types); Rubber -tired earth -roving equipment operator, operating in tandem (scrapers, belly dumps and similar types in my combination, excluding compaction units - single engine, Caterpillar, Euclid, Athey wagon and similar types with any and all attachments Over 25 yds.ard up to and including 50 cu. yds, struck); Rubber -tired earth -moving equipment operator, operating in tandem (scrapers, belly dumps and similar types in any combination, excluding compaction units - multiple engine, up to and including 25 yds. struck) GROUP 29: Rubber -tired earth -moving equipment operator, operating in tandem (scrapers, belly dumps and similar types in any combination, excluding compaction units - single engine, war 50 yds. struck); Rvbber-tired earth -moving equipment operator, operating in tandem (scrapers, belly dumps, and similar types in any combination, excluding compaction units - multiple engine, Euclid, Caterpillar and similar, over 25 yds. and up to 59 Yds- struck) GROUP 21: Rubber -tired earth -moving equipment operator, operating in tandem (scrapers, belly dumps and similar multiple ens In gine, Euclid,r,Caterpilllaarcand similarction its - 50 cu. yds. struck)• over GROUP 22: Rubber -tired earth -roving equipment operator, operating equipment with the tandem push-pull system (single engine, up to and including 25 yds, struck) GROUP 23: Rubber -tired earth -moving equipment operator, operating equipment with the tandem push-pull system (single engine, Caterpillar, Euclid, Atbey Wagon and similar types with any and all attachments over 25 yds. and UP to and including 50 yds. struck); Rubber -tired earth -moving equipment operator, operating with the tandem Push -Pull system (multiple engine, up to and including 25 yds. struck) GROUP 2,4: Rubber -tired earth -moving equipment operator, operating equipment with the tandem push-pull system (single engine, over 50 yds. struck); Rubber -tired Earth -mwing equipmnt operator, Operating equipment with the tandem push-pull system (multiple Engine, Euclid, Caterpillar and similar, over 25 yds. and up'to 50 yds. Struck) GROUP 25: Concrete pump operator -truck mounted; Rubber -tired earth -moving equipment operator, operating equipment with the tandem push-pull system (multiple engine, Euclid, Caterpillar and similar type, Over 50 Cu- yds. struck) CRINES, PILEDRryING AND HOISTING EQUIPMENT CLASSIFICATIONS GROUP 1: Engineer oiler; Fork lift operator (includes load, lull or similar types) GROUP 2: Truck crane oiler GROUP 3: A -from or winch truck operator; Ross carrier operator (jobsite) GROUP 4: Bridge -type unloader and turntable operator; Helicopter hoist operator GROUP 5: Hydraulic boom truck; Stinger crane (Austin -Western or similar type); Tugger hoist operator (1 drum) GROUP 6: Bridge crane operator; Cretor crane operator; Hoist operator (Chicago boom and similar type); Lift mobile Operator; Lift slab machine operator (vagtbOrg and similar types); Material hoist and/or manlift operator; Polar gantry crane operator; self Climbing scaffold (or similar type): shovel, backhoe, dragline, clamshell operator (Over 3/4 yd. and up to 5 cu. yds. mrc); Tugger hoist operator GROUP 7: Pedestal crane operator; Shovel, backhoe, dragline, clamshell operator (over 5 cu, yds. MCC); Tower crane repair; Tugger hoist operator (3 drum) GROUP 0: Crane operator (up to and including 25 ton capacity); Crawler transporter operator; Derrick barge operator (up to and including 25 ton capacity); Hoist Operator, stiff legs, Guy derrick or similar type (up to and including 25 ton capacity); Shovel, backhoe, dragline, clamshell operator (over 7 cu. yds., M.R.C.) GROUP 9: Crane operator (Over 25 tons and UP to and including 50 tons mrc); Derrick barge operator (Over 25 tons up to and including 50 tons mrc); Highline cableway operator; Hoist operator, stiff legs, Guy derrick Or similar type (over 25 tons up to and including 59 tons arc); K -crane operator; Polar crane operator; Self erecting tower crane operator maximum lifting capacity ten tons GROUP 10: Crane operator (Over 50 tons and up to and including 100 tons mrc); Derrick barge operator (over 50 tons up to and including 100 tons mrc); Hoist operator, stiff legs, Guy derrick or similar type (over SB tons up to and including lee tons mrc), Mobile tower crane operator (over So tons, up to and including lea tons M.R.C.); Taxer crane operator and tower gantry GROW 11: Crane operator (war lee tons and up to and Including 200 tons mrc); Derrick barge operator (war 100 tons up to and including 200 tons mrC); Hoist operator, stiff legs, Guy derrick or similar type (over IN tons up to and including 200 tons n,t); Mobile tower crane operator (over 100 tons UP to arid including 200 tons mrc) GROUP 12: Crane operator (Over 2e0 tons up to and including 300 tons mrc); Derrick barge operator (over 200 tons up to and including 300 tons mrc); Hoist operator, stiff legs, Guy derrick or similar type (over 200 tons, up to and Including 300 tons art); Mobile tower crane operator (over 2% tons, up to aril including 300 tons wc) GROUP 13: Crane operator (Over 300 tons); Derrick barge operator (war 300 tons); Helicopter pilot; Hoist operator, stiff legs, Guy derrick or similar typo (Over 300 tans); Mobile tower crane operator (over 300 tons) TUNNEL CLASSIFICATIONS GROUP 1: Skiploader (wheel type up to 3/4 yd. without attachment) GROUP 2: Power -driven jumbo form setter operator GROUP 3: Dinkey locomotive or wtorperson (up to and including 10 tons) GROUP 4: Bit sharpener; Equipment greaser (grease truck); Slip form pump operator (power -driven hydraulic lifting device for concrete forms); Tugger hoist operator (1 drum); Tunnel locomotive operator (over 10 and up to and including 30 tons) GROUP 5: Backhoe operator (up to and Including 3/4 yd.); Smell Ford, Case or similar; Drill doctor; Grouting machine operator; Heading shield operator; Heavy-duty repairperson; Loader operator (Athey, Euclid, Sierra and similar types); Mucking machine operator (1/4 yd., rubbor-tired, rail or track type); Pneumatic concrete placing machine operator (Nackley-Presswell or similar type); Pneumatic heading shield (tunnel); Punperete gun operator; Tractor compressor drill combination operator; Tugger hoist operator (2 druiv); Tunnel locomotive operator (over 30 tons) GROUP 6: Heavy Duty Repairman GROUP 7: Tunnel mole boring machine operator ENGINEERS ZONES $1.00 additional per hour for all of IMPERIAL County and the portions of KERN, RIVERSIDE 6 SAN BERNARDINO Counties as defined below: That area within the following Boundary: Begin in San Bernardino County, approximately 3 miles NE of the intersection of I.15 and the California State line at that point which is the NW corner of Section 1, T17N,m R14E, San Bernardino Meridian. Continue W in a straight line to that point which is the SW corner of the northwest quarter of Section 6, T275, R42E, Mt. Diablo Meridian. Continue North to the intersection with the Inyo County Boundary at that point which is the NE corner of the western half of the northern quarter of Section 6, T25S, R42E, ADM. Continue W along the Inyo and San Bernardino County boundary until the intersection with Kern County, as that point which is the SE corner of Section 34, TMS, R40E, ADR. Continue W along the Inyo and Kern County boundary until the intersection with Tulare County, at that Point which is the SW corner of the SE quarter of Section 32, T24S, R37E, ADM, Continue W along the Kern and Tulare County boundary, until that point which is the row corner of TZSS, R32E, MOM. Continue S following R32E lines to the NW comer of T31S, R32E, ADM. Continue W to the NW corner of T31S, R31E, ADR. Continue S to the SW corner of T32S, R31E, MON. Continue W to SW corner of SE quarter of Section 34, T32S, R30E, ADN, Continue S to SN corner of T11N, R17W, SBM. Continue E along south boundary of T1IN, SBM to SW corner of T11N, R7W, SBM. Continue S to SW corner of T9N, RTW, SBM. Continue E along south boundary of T9N, SBM to SW corner of T9N, R1E, SBM. Continue S along West boundary of R1E, SM to Riverside County line at the SW caner of TIS, RIE, SBM. Continue E along south boundary of T1s, SBM (Riverside County Line) to SW comer of TIS, RISE, SBM. Continue S along west boundary of R1eE, SBM to Imperial County line at the SW comer of TOS, RISE, SBM. Continue W along Imperial and Riverside county line to NW caner of T9S, R9E, SBM, Continue 5 along the boundary between Imperial and San Diego Counties, along the west edge of R9E, SBM to the south boundary of Imperial County/California state line. Follow the California state line west to Arizona state line, then north to Nevada state line, then continuing NA back to start at the point which is the raw corner of Section 1, T17N, R14E, SBM $1.00 additional per hour for portions of SAN LUIS OBISPO, KERN, SANTA BARBARA S VENTURA as defined below: That area within the following Boundary: Begin approximately 5 miles north of the community of Cholane, on the Monterey County and San Luis Obispo County boundary at the Ni corner of T255, R16E, Mt. Diablo Meridian. Continue south along the west side of R16E to the SW corner of T30S, R16E, ADM. Continue E to SW caner of T306, R17E, ADM. Continue S to SW comer of T33S, R17E, ADM. Continue E to SW corner of T31S, RISE, MON. Continue 5 along West side of RISE, MDM as it crosses into San Bernardino Meridian numbering area and becomes R30W. Follow the west side of R30w, SBM to the SW corner of T9% R30W, SBM, Continue E along the south edge Of T9N, SBM to the Santa Barbara County and Ventura County boundary at that point whch is the SW comer of Section 34.T9N, R24w, SBM, continue S along the Ventura County line to that point which is the SW corner of the SE quarter of Section 32, T7N, R24W, SBM. Continue E along the south edge of T7N, SBM to the SE corner to 77N, R21W, SBM. Continue N along East side of R21W, SBM to Ventura County and Kern County boundary at the NE corner of TSN, R21W. Continue W along the Ventura County and Kern County boundary to the SE corner of T9N, R21W. Continue North along the East edge Of R21W, SBM to the NE Comer of T12N, R21W, SBM, Continue West along the north edge of T12% SBM to the SE caner of T325, R21E, ADM. (T12N SSM is a think strip between TILK SSM and T32S ADM). Continue Nath along the East side of R21E, ADN to the Kings County and Kern Comfy border at the NE corner of TZSS, R21E, MOM, continue Nest along the Kings County and Kern County Boundary until the intersection of San Luis Obispo Obispo County boundary until the Kings onn withMontereyminty. Continue Nest along the Monterey County and San Luis Obispo County boundary to the beginning point at the MW corner of T25S, R16E, MOM. $2.e0 additional per hour for INYD and MOND Counties and the Northern portion of SAN BERNARDIND County as defined below; That area within the following Boundary: Begin at the intersection of the northern boundary of Mono County and the California state line at the Point which is the center of Section 17, TleN, R22E, Mt. Diablo Meridian. Continue 5 then SE along the entire western boundary of Mono County, until it reaches Inyo County at the point which is the NE corner of the Western half of the NW quarter of Section 2, TBS, R29E, MDR. Continue SSE along the entire western boundary of Iryo County, until the intersection with Kern County at the Point which is Coe the SW c Ener of the SE 1/4 of Section 32, T24S, R37E, IOM, lntersectionlwlong ithSanlBernarand rddino CouW� th boundary until the the SE corner of sectih is on 34, T24S. R40E, aMOM. tCoontinuehEcaloft the hyo and San Bernardino County boundary until the point which is the NE corner of the Western half of the NW quarter of Section 5, T2SS, R42E, MOM. Continue 5 to that point which is the SW corner of the !N quarter of Section 6, T27S, R42E, MR. Continue E in a straight Line to the California and Nevada state border at the point which is the NW corner of Section 1, TI7N, R14E, San Bernardino Meridian. Than Continue NW along the state line to the starting Point, which is the center of Section 18, TION, R22E, IOM. REMAINING AREA NOT DEFINED ABOVE RECIEVFS BASE KATE _------------ ________________ ENGI0012-804 08/81/2023 Rates Fringes OPERATOR: Power Equipment (DREDGING) (1) Leverman ...............$ 64.18 (2) Dredge dozer.......... 34.6e $ 58.13 (3) Deckmata................$ 58.02 34.68 (4) Winch operator (stern 34.60 winch on dredge)...,,.,,,,,,$ 57.47 (5) Fireman -Oiler, 34.69 Deckhand, Bargeman, Leveehand...................$ 56.93 (6) Barge Mate. 34.60 .............S 57.54 ...................... .. 34.60 ........................... IRON6433-BB6 61/01/2823 ............. Rates Fringes IRONWORKER Fence Erector ...............$ 41.28 Ornamental, Reinforcing 25.66 and Structural ..............$ 46.20 34.38 PREMIUM PAY: $9.80 additional per hour at the following locations: China Lake Naval Test Station, Chocolate Mountains Naval Reserve-Niland, Edwards AFB, Fort Irwin Military Station, Fort Irwin Training Center -Goldstone, San Clemente Island, San Nicholas Island, Susanv113e Federal Prison, 29 Palms - Base - Barstow, U.S. Naval Air FacilityM,ariSneealCeoye AFB , Vandenbergrps, U.S. Marin Army Defense Language Institute -MontereyFallon Air gaze, LogisticsNaval tCener- M Graduate , School onterey, Yermo Marine Corps Port Hueneme, Port Mugu, U.S. Coast Ward Station - Two Rock 1AB00300-081 07/01/2822 -"_"""-------------""'- Rates Fringes Brick Tender .....................$ 37.32 21.45 ................................................................ LAS 0300-093 07/01/2022 Rates Fringes LABORER (T MEL) GROUP I.....................f 45.68 23.30 GROUP 2 .....................f 46.99 23.30 GROUP 3 ..................... 5 46.46 CROUP 4 ..................... 5 47.15 23.30 23.30 LABORER GROUP 1 .....................$ 36.39 I1.04 GROUP 2 .....................$ 36.94 GROUP 3 21.94 .....................$ 37.49 21.04 GROUP 4 .....................f 39.04 21.64 GROUP 5 .....................$ 39.39 21.04 LABORER CLASSIFICATIONS GROUP 1: Cleaning and handling of panel forms; Concrete screeding for rough strike -off; Concrete, water curing; Demolition laborer, the cleaning of brick if performed by a worker performing any other phase of demolition work, and the cleaning of lumber; Fire watcher, limber, brush loader, P11er and debris handler; Flag person; Gas, oil and/or water pipeline laborer; Laborer, asphalt -rubber material loader; Laborer, general or construction; Laborer, general clean-up; Laborer, landscaping; Laborer, jetting; Laborer, temporary water and air lines; Material hose operator (walls, slabs, floors and decks); Plugging, filling of shee bolt holes; Dry packing of concrete; Railroad maintenance, repair track person and road beds; Streetcar and railroad construction track laborers; Rigging and signaling; Scaler; Slip form raiser; Tar and mortar; Tool crib or tool house laborer; Traffic control by any method; Window cleaner; Wire mesh Pulling - all concrete Pouring operations GROUP 2: Asphalt shoveler; Cement dumper (on 1 yd. or larger mixer and handling bulk cement); Cesspool digger and installer, Chucktender; Chute handler, pouring concrete, the handling of the chute from readymix trucks, such as walls, slabs, decks, floors, foundation, footings, curbs, gutters and sidewalks; Concrete curer, impervious membrane and form oiler; Cutting torch operator (demolition); Fine grader, highways and street paving, airport, runways and similar type heavy construction; Gas, oil and/or water Pipeline wrapper - pot tender and form Person; Guinea chaser; Headerboard person - asphalt; Laborer, packing rod steel and pans; Membrane vapor barrier installer; Power broom sweeper (small); Riprap stonepaver, Plating stone or wet sacked concrete; Roto scraper and tiller; Sandblaster (Pot tender); Septic tank digger and installer(lead); Tank scaler and cleaner; Tree climber, faller, chain saw Operator, Pittsburgh chipper and similar type brush shredder; Underground laborer, including caisson bellower GROUP 3: euggymobile person; Concrete cutting torch; Concrete Pile cutter; Driller, jackhammer, 2-1/2 ft. drill steel or longer; Ori-pak-it machine; Gas, oil and/or water pipeline wrapper, 6 -in. pipe and over, by any method, inside and out; High scaler (including drilling of seem); Hydro seader and similar type; Impact wrench multi -plate; Kettle person, Pot Person and workers applying asphalt, lay.kold, creosote, lime caustic and similar type meterials (""applying"" means applying, dipping, brushing or handling of such materials for Pipe wrapping and waterproofing); Operator of pneumatic, gas, electric tools, vibrating machine, Pavement breaker, air blasting, came-alongs, and similar mechanical tools not separately classified herein; Pipelayer's backup person, coating, grouting, making of Joints, sealing, caulking, diapering and Including rubber gaskR ckeslingers"Rotaryiscarifimryand all or multipleher headeconcrete chipping scarifier; Steel headerboard and guideline setter; Tamper, Barko, Wacker and similar type; Trenching machine, hand -Propelled GROUP 4: Asphalt raker, lute person, Ironer, asphalt dump Person, and asphalt spreader boxes (all types); Concrete core cutter (walls, floors or ceilings), grinder or sander; Concrete saw person, cutting wells or flat Work, scoring old or new concrete; Cribber, shorer, lagging, sheeting and trench bracing, hand -guided lagging hammer; Head rock slinger; Laborer, asphalt- rubber distributor boot person; Laser beam in connection with laborers' work; Oversize concrete vibrator operator, 70 lbs, and over; pipelayer Performing all services In the laying and installation of Pipe from the point of receiving pipe in the ditch until completion of operation, including any and all forms of tubular material, whether pipe, metallic or non-metallic, CMdUit and any other stationary type of tubular device used for the conveying of any substance or element, whether water, sewage, Solid gas, air, or other product whatsoever and without regard to the nature of material free which the tubular material is fabricated; No -joint pipe and stripping Of same; Prefabricated manhole installer; Sandblaster (muzzle person), water blasting, porta Shot -Blast GROUP 5: Blaster Powder, all work of loading holes, placing and blasting of all powder and explosives of whatever type, regardless of method used for such loading and placing; Drlllar: All power drills, excluding jackhammer, whether core, diamond, wagon, track, multiple unit, and any and all other types of mechanical drills without regard to the fore Of motive Poker; Toxic waste removal TUNNEL LABORER CLASSIFICATIONS GROUP 1: Batch plant laborer; Changehouse person; Dump person; Dump person (outside); Swamper (brake person and switch person an tunnel work); Tunnel met erlals handling Person; Nipper; Pot tender, using mastic or other materials (for example, but not by way of llmitatidn, shotcrete, etc.) GROUP 2: Chucktender, cabletender; Loading and unloading agitator cars;; Vibrator person, jack hemmer, pneumatic tools (except driller); Bull gang Sucker, track person; Concrete crew, including rudder and spreader GROUP 3: Blaster, driller, Powder Person; Chemical grout jet Person; Cherry picker person; Grout gun person; Grout mixer Person; Grout pimp person; 3ackleg miner; )umbo person; keeper and other pneumatic concrete Placer operator; Hiner, tunnel (hand or machine); Nozzle person; operating of troweling and/or grouting machines; Powder person (primer house); Primer person; Sandblaster; Shotcrete person; Steel farm raiser and setter; Timber person, retiffber person, wood or steel; Tunnel concrete finisher GROUP 4: Diamond driller; Sandblaster; Shaft and raise work ............................................ LABOB300-005 08/01/2022 Rates Fringes Asbestos Removal Laborer ......... $ 39.23 23.26 SCOPE OF YORK; Includes site mobilization, initial site cleanup, site preparation, removal of asbestos -containing material and toxic waste, encapsulation, enclosure and disposal of asbestos- containing materials and toxic waste by hand or with equipment or machinery; scaffolding, fabrication of temporary wooden barriers and assembly of decontamination stations. ............................................. LA800345-001 07/01/2022 Rates Fringes LABORER (GUNITE) GROUP 1 .....................f 48.50 21.37 GROUP 2 .....................5 47.55 21.37 GROUP 3 .....................f 44.01 21.37 FOOTNOTE: GI.NITE PREMIUM PAY: Workers working from a Basn'n's Chair or suspended from a rope or cable shall receive 40 cents per hour above the foregoing applicable classification rates. Workers doing gunite and/or shotcrete work in a tunnel shall receive 35 cents per hour above the foregoing applicable classification rates, paid on a portal-to-portal basis. Any work performed on, in or above any smoke stack, silo, storage elevator or similar type of structure, when such structure is in excess of 75'-0"" above base level and which work must be performed in whole or in part more than 75'-0"" above base level, that work performed above the 75'.8"" level shall be compensated for at 35 cents per hour above the applicable classification Waage rate. GUNITE LABORER CLASSIFICATIONS GROUP 1: Bodeen, Nozzlemen GROUP 2: Gunmen GROUP 3: Reboundmen LABO1184-901 07/01/2822 ____________ Rates Fringes Laborers: (HORIZONTAL DIRECTIONAL DRILLING) (1) Drilling Crew Laborer ... S 46.69 18.25 (2) Vehicle Operator/Flauler.$ 40.86 16.25 (3) Horizontal Directional Drill operator ..............$ 42.71 18.25 (4) Electronic Tracking Locator .....................$ 44.71 18.25 Laborers: (STRIPING/SLURRY SEAL) GROUP 1 .....................5 41.90 21.32 GROUP 2 .....................5 43.2e 21.32 GROUP 3 .....................E 45.21 21.32 GROUP 4 .....................5 46.95 21.32 LABORERS - STRIPING CLASSIFICATIONS GROUP 1: Protective coating, Pavement sealing, including repair and filling of cracks by any method on any surface in parking lots, game courts and playgrounds; carstops; operation of all related machinery and equipment; equipment repair technician GROUP 2: Traffic surface abrasive blaster; pot tender - removal of all traffic lines and markings by any method (sandblasting, waterblasting, grinding, etc.) and preparation of surface for coatings. Traffic control Person: controlling and directing traffic through both conventional and moving lane closures; operation of all related machinery and equipment GROUP 3: Traffic delineating device applicator: Layout and application of Pavement markers, delineating signs, rumble and traffic bars, adhesives, guide markers, other traffic delineating devices including traffic control. This category includes all traffic related surface preparation (sandblasting, waterblasting, grinding) as Part of the application process. Traffic Protective delineating system Installer: removes, relocates, installs, permanermtly affixed roadside and Parking delineation barricades, fencing, cable anchor, guard rail, reference signs, monument markers; operation of all related machinery and equipment; power brown sweeper GROUP 4: Striper: layout and application of traffic stripes and markings; hot them plastic; tape traffic stripes and markings, including traffic control; operation of all related machinery and equipment ________________________ LA801414-001 08/63/2022 Rates Fringes LABORER PLASTER CLEAN-UP LABORER .... S 30.92 23.32 PLASTER TENDER ..............$ 41.47 23.32 Work on a swing stage scaffold: $1.88 per hour additional. _______________________________________________________ PAIN8836-BB1 07/01/2823 Rates Fringes Painters: (Including Lead Abatement) (1) Repaint (excludes San Diego County) ...............$ 29.59 17.12 (2) All Other Work .......... $ 38.52 18.64 REPAINT of any previously painted structure. Exceptions: work involving the aerospace industry, breweries, commercial recreational facilities, hotels which operate commercial establishments as part of hotel service, and sports facilities. _______________________________________________________ PADW36-006 09/01/2022 Rates Fringes DRYWALL FINISHER/TAPER Antelope Valley North of the following Boundary: Kern County Line to Hwy. #5, South on Hwy. #5 to Wy. N2, East on N2 to Palmdale Blvd., to Mwy. 914, South to Hwy. #18, East to Hwy. #395...........$ 42.15 23.52 Remainder of Los Angeles County ......................$ 45.28 23.52 ---------------------------------------------- _------- __________ PAIN0036-015 01/01/2020 Rates Fringes GLAZIER ..........................$ 43.45 23.39 FOOTNOTE: Additional $1.25 per hour for work in a condor, from the third (3rd) floor and up Additional $1.25 per hour for work on the outside of the building from a swing stage or any suspended contrivance, from the ground up ................................................................ PAIN1247-002 01/01/2023 Rates Fringes SOFT FLOOR LAYER .................$ 41.60 ................................................................ 16.38 PLASS200-009 08/93/2022 Rates Fringes PLASTERER ........................$ 47.37 ................................................................ 19.64 PLASSSOO-002 97/01/2020 Rates Fringes CEMENT MASON/CONCRETE FINISHER ... S 38.50 25.91 ................................................................ • PLLMM-801 09/91/2823 Rates Fringes PLUMBER/PIPEFITTER Work ONLY on new additions and remodeling of bars, restaurant, stores and commercial buildings not to exceed 5,000 sq. ft. of floor space .................$ 53.51 25.28 Work ONLY on strip malls, light commercial, tenant improvement and remodel work ........................$ 42.49 23.86 All other work except work on new additions and remodeling of bars, restaurant, stores and commercial buildings not to exceed 5,000 sq. ft. of floor space and work on strip malls, light commercial, tenant Improvement and rrnodel work ........................$ 55.18 ................................................................ 26.26 PLUM0345.001 09/01/2023 Rates Fringes PLUMBER Landscape/Irrigation Fitter.$ 40.20 25.90 Sewer 8 Stone Drain Work .... $ 44.29 23.28 ....................................... ROOF0B36-002 88/01/2822 Rates Fringes ROOFER ...........................$ 43.47 19.52 FOOTNOTE: Pitch premium: Work on which employees are exposed to pitch fumes or required to handle pitch, pitch base or Pitch Impregnated products, or any material containing mal tar pitch, the entire roofing crew shall receive $1.75 per hour ""pitch premium"" pay. ............. ____________________________ SFCA8669-013 84/01/2022 DOES NOT INCLUDE THE CITY OF POMONA, CATALINA ISLAND, AND THAT PART OF LOS ANGELES COUNTY WITHIN 25 MILES OF THE CITY LIMITS OF LOS ANGELES: Rates Fringes SPRINKLER FITTER .................$ 43.2S 26.77 ------------- __------------------------------- _.......... SFCA0709.005 09/01/2023 THE CITY OF POMd4A, CATALINA ISLAND, AND THAT PART OF LOS ANGELES COUNTY WITHIN 25 MILES OF THE CITY LIMITS OF LOS ANGELES: Rates Fringes SPRINKLER FITTER (Fire) .......... $ 54.29 32.00 .................................. SHEE0105-082 07/01/2023 LOS ANGELES (South of a straight line between Gorman and Big Pines including Catalina Island) Rates Fringes SHEET METAL WORKER (1) Light Commrcial: work on general sheet metal and heating and AC up to 4000 sq ft.......................f 33.10 10.56 (2) Modernization : Excluding New Construction - Under SBBO sq. ft. Does not include modification, upgrades, energy management, or conservation improvements Of central heating and AC equmoment....................$ 33.10 10.56 _...... ........................................ SHEEBIBS-803 07/81/2023 LOS ANGELES (South of a straight line drawn between Gorman and Big Pines)and Catalina Island, INVO, KERN (Northeast part, East Of Hwy 395), MDNO ORANGE, RIVERSIDE, AND SAN BERMARDIND COUNTIES Rates Fringes SHEET METAL WORKER (1) Commercial - New Construction and Remodel work ........................$ 55.16 30.04 (2) Industrial work Including air pollution control systems, noise abatement, hand rails, guard rails, excluding aritechtural sheet metal work, excluding A -C, heating, ventilating systems for human comfort ... $ 55.16 30.04 .__• ............... ............... SHEE0105-084 07/01/2823 """"' KERN (Excluding portion East of HY 395) g LOS ANGELES (North of a straight line drawn between Gorman and 019 Pines including Cities of Lancaster and Palmdale) COUNTIES Rates Fringes SHEET METAL WORKER ...............$ 45.98 29.24 -------------------------------------- TEAMBBII-002 07/01/2023 Rates Fringes TRUCK DRIVER GROUP 1 ....................$ 38.19 33.69 GROUP 2 ....................$ 38.34 33.69 GROUP 3 ....................$ 38.47 33.69 GROUP 4 ....................$ 38.56 GROUP 5 ....................$ 33.59 38.69 GROUP 6 ....................$ 38.72 33.69 GROUP 7 ....................$ 36.97 33.69 GROUP 0 33.69 ....................$ 39.22 GROUP 9 ....................$ 33.69 39.42 GROUP 10 ....................$ 39.72 33.69 GROUP 11 ....................$ 40.22 33.69 GROUP 12 ....................$ 33.69 40.65 33.69 WORK ON ALL MILITARY BASES: PREMIUM PAY: $3.00 per hour additional. 129 Palms Marine Base, camp Roberts, China Lake, El CentroEdwards AFB, Facility, rt LogistiBase at oun�rarCorps ya,mc, nnWarfareTraining Center, Bridgeport, Point Arguello, Vandenberg Point Conception, AFB) TRUCK DRIVERS CLASSIFICATIONS GROUP 1: Truck driver GROUP 2: Driver of vehicle or combination of vehicles - 2 axles; Traffic control pilot car excluding moving heavy equipment permit load; Truck mounted broom GROUP 3: Driver of vehicle or combination of vehicles - 3 axles; Boot person; Cement mason distribution truck; Fuel truck driver; Water truck • 2 axle; Dump truck, less than 16 yds. water level; Erosion control driver GROUP 4: Driver of transit mix truck, under 3 yds.; Oumperete truck, less than 6-1/2 yds. water level GROUP s: Water truck, 3 or more axles; Truck greaser and tire Person ($0.50 additional for tire person); pipeline and utility working truck driver, Including winch truck and Plastic fusion, limited to pipeline and utility work; Slurry truck driver GROUP 6: Transit mix truck, 3 yds. or more; Dumperete truck, 6-1/2 yds. water level and over; Vehicle or combination of vehicles • 4 or more axles; Oil spreader truck; Dump truck, 16 yds. to 25 yds. water level GROUP 7: A Frame, Swedish crane or similar; Forklift driver; Ross carrier driver GROUP 8: Dump truck, 25 yds. to 49 yds. water level; Truck repair person; Water pull - single engine; Welder GROUP 9: Truck repair person/welder; Low bed driver, 9 axles or over GROUP.10: Dump truck - 50 yds. or more water level; Water Pull single engine with attachment GROUP 11: Water pull - twin engine; Water pull - twin engine with attachments; winch truck driver - $1.25 additional when operating winch or similar special attachments GROUP 12: Boom Truck 17K and above WELDERS - Receive rate prescribed for craft performing operation to which welding is incidental. Note: Executive order (LO) 13706, Establishing Paid Sick Leave for Federal Contractors applies to all contracts subject to the Davis -Bacon Act for which the contract is awarded (and any solicitation was issued) on or after January 1, 2017. If this contract Is covered by the Eo, the contractor must provide employees with 1 hour of paid sick leave for every 30 hours they work, up to 56 hours of paid sick leave each year. Employees oust be permitted to use paid sick leave for their own illness, injury or other health-related needs, including preventive care; to assist a family member (or person who is like family to the employee) who is I11, injured, or has other health-related needs, including preventive care; or for reasons resulting Fran, or to assist a family member (or person who is like family to the employee) who is a victim of, domestic violence, sexual assault, or stalking. Additional information on contractor requirements and worker protections under the Eo is available at httPs.//www.doI.emlagencies/whd/goverment-contracts. Unlisted classifications needed for work not included within the scope of the classifications listed may be added after award only as provided in the labor standards contract clauses (29CFR 5.5 (a) (1) (11)). ............................................................... The body of each wage determination lists the classification and wage rates that have been found to be prevailing for the cited type(s) of construction in the area covered by the wage determination. The classifications are listed in alphabetical order of ""identifiers"" that indicate whether the particular rate is a union rate (current union negotiated rate for local), a survey rate (weighted average rate) or a union average rate (weighted union average rate). Union Rate Identifiers A four letter classification abbreviation identifier enclosed in dotted lines beginning with characters other then '.SU.'. or "UAVG"" denotes that the union classification and rate were prevailing for that classification In the survey. Example: PLLM199-905 07/01/2014. PLUM is an abbreviation identifier of the union which prevailed in the survey for this classification, which in this example would be Plumbers. 0190 Indicates the local union number or district council number where applicable, i.e., Plumbers Local 0100. The next number, 005 in the example, is an internal number used in processing the wage determination. 07/01/2014 is the effective date of the most current negotiated rate, which in this example 1s July 1, 2014. Union prevailing wage rates are updated to reflect all rate changes in the collective bargaining agreement (CBA) governing this classification and rate. Survey Rate Identifiers Classifications listed under the "SU"" Identifier indicate that no one rate Prevailed for this classification in the survey and the published rate is derived by computing a weighted average rate based on all the rates reported in the survey for that classification. As this weighted average rate includes all rates reported in the survey, it may include both union and non-union rates. Examples SULA2012-667 5/13/2814. SU indicates the rates are survey rates based on a weighted average calculation of rates and are not majority rates. LA indicates the State of Louisiana. 2012 is the year of survey on which these classifications and rates are based. The next number, 067 in the example, is an internal number used in producing the wage determination. 5/13/2814 indicates the survey completion date for the classifications and rates under that identifier. Survey wage rates are not updated and remain in effect until a new survey is conducted, Union Average Rate Identifiers Classification(s) listed under the UAVG identifier indicate that no single majority rate prevailed for those classifications; however, 100% of the data reported for the classifications was union data. EXAMPLE: UAVG-OH-0810 00/29/2014. UAVG indicates that the rate is a weighted union average rate. OH indicates the state, The next number, 0810 in the example, is an internal number used in producing the wage determination. 08/29/2014 indicates the survey completion date for the classifications and rates under that identifier. A UAVG rate will be updated once a year, usually in January of each year, to reflect a weighted average of the current negotiated/CBA rate of the union locals from which the rate is based. WAGE DETERMINATION APPEALS PROCESS 1.) Has there been an initial decision in the matter} This can be: " an existing published wage determination " a survey underlying a wage determination • a Nage and Hour Division letter setting forth a position on a wage determination matter " a conformance (additional classification and rate) ruling On survey related matters, initial contact, including requests for summaries of surveys, should be with the Wage and Four National Office because National Office has responsibility for the Davis -Bacon survey program. If the response from this initial contact is not satisfactory, then the process described in 2.) and 3.) should be followed. With regard to any other matter not yet ripe for the formal Process described here, initial contact should be with the Branch of Construction Wage Determinations. Write to: Branch of Construction Wage Determinations wage and Hour Division U.S. Department of Labor 208 Constitution Avenue, N.N. Washington, DC 20210 2.) If the answer to the question In 1.) is yes, then an Interested party (those affected by the action) can request review and reconsideration from the Nage and Hour Administrator (See 29 CFR Part 1.8 and 29 CFR Part 7). Write to: Wage and lour Administrator U.S. Department Of Labor 200 Constitution Avenue, N.N. Washington, DC 28218 The request should be accompanied by a full statement of the interested party's position and by any information (wage Payment data, project description, area practice material, etc.) that the requestor considers relevant to the issue. 3.) If the decision of the Administrator is not favorable, an interested party may appeal directly to the Administrative Review Board (formerly the Nage Appeals Board). write to: Administrative Review Board U.S. Department of Labor J00 Constitution Avenue, N.N. Washington, DC 20210 4,) All decisions by the Administrative Review Board are final. END OF GENERAL DECISIO" Exhibit 04 California State License Board Requirement Company CA License Number: 630360 All prime contractors and subcontractors must have a valid California Contractors State License before submitting a bid for federal contracts. Please submit a copy downloaded from the Contractors State License Board. All contractors license status will be verified by the City with the Contractors State License Board. Registration with CSLB is not optional. If your business does not show as being active when your license is checked in CSLB during the review of your submitted bid, your bid will be considered nonresponsive. CONTRACTORS ',. C�Ca STATE LICENSE BOARD It ACTIVE LICENSE .-.6530360 CORP ONYX PAVING COMPANY INC ..,AC12 ......,.. 10/31/2025 www cslb ca.00v Exhibit 05 System for Award Management (SAM) Registration Requirement Company Name: ONYX PAVING COMPANY, INC. DUNS Number: 611247909 Please note that as of October 26,201 B. all businesses must be registered in the System for Award Management (SAM) before submitting a bid for federal contracts. If your business is not registered with SAM please complete registration at federalcontractorregistry.com. In order to register in SAM, you must provide the following information during registration: • DUNS Number • Taxpayer Identification Number (TIN) • Provide your bank's routing number and bank account number Registration with SAM is not optional. If your business does not show as being active when your DUNS Number is checked in SAM during the review of your submitted bid, your bid will be considered nonresponsive. KSAM.00ve Division Name Activation Date ONYX PAVING COMPANY, INC Division Number ALER71 This entity is only available FOR OFFICIAL USE ONLY. Feb 10, 2022 Nov 10, 2009 DUNS Unique Entity ID 811247809 SAM Unique Entity ID CAGE / NCAGE URL LHJSZYS21122 SSMll3 Purpose of Registration Registration Status CAGE All Awards Active Expiration Date Physical Address Feb 10, 2023 Legal Business Name Meiling Address (blank) 2890 E Le Cresta AVE 2890 E. La Cresta Avenue .Anaheim, California 92805-0000 Anaheim, California 92806.1816 United Stelae United States Doing Buariese as Division Name Activation Date (blank) (blank) Division Number Feb 10, 2022 Nov 10, 2009 (blank) Congressional District State / Country of Incorporation URL Ce fornle 46 CalNomla I United States (blank) MPIN CAGE Legal Business Name '-9202 (blank) Hi9heet Leval Owner Reglstration Dates Activation Date Submission Date Feb 15, 2022 Initial Registration Date Feb 10, 2022 Nov 10, 2009 Entlty Dates Entity Ste rt Date Fiscal Year End Close Date Jan 4, 1990 Doc 31 Immsdlate Owner CAGE Legal Business Name (blank) (blank) Hi9heet Leval Owner CAGE Legal Business Name (blank) (blank) Executive Compensation In your business or organizatbny preceding completed fiscal year, did your business or orgenizatlon (the legal entity to which this spedfic SAM record, represented by a DUNS number, belongs) receive both of the following: 1. 80 percent or more of your annual gross revenues in U.S. federal contracts, subcontracts, loam, grants, sublimate, and/or cocparstive agreements and 2. $25,000,000 or more in annual gross revenues from U.S. federal contracts, subcontracts, loans, grams, subgrants, and/or cooperative agreements? No Does the public have access to information about the compensation of the senior executives In your business or organimum (the legal entity to which this specific SAM record, represented by a DUNS number, belongs) through periodic reports filed under section 13(8) or ISM of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 19867 Not Selected Proceedings Questions Is your business or organization, as represented by the DUNS Number on this entity registration, responding to a Federal Procurement opportunity that contains the provision at FAR 52.209-7, subject to the clause in FAR 52209-9 in a current Federal contract, or applying for a Federal grant opportunity which contains the award term and condition described in 2 C.F.R. 200 Appendix XII? No Does your business or organization, as represented by the DUNS number on this specific SAM record, have current active Federal contracts andfor grants with total value (including any exerobed/unexerclsed options) greater than $10,000,0007 Not Selected Within the last five years, had the business or organization (represented by the DUNS number on this specific SAM record) and/or any of its principals, in connection with the award to or performance by the business or organization of a Federal contract or grant, been the subject of a Federal a State (1) criminal proceeding resulting in a conviction or other acknowledgment of fault; (2) civil proceeding resulting in a finding of fou9 with a monetary fine, penalty, reimbursement, restitution, and/or damages greater than $5,000, or other acknowledgment of fault; and/or (3) administrative proceeding resulting in a L-1npdmal by Dmad Wildon Feb 10. 2022m05:54PM ONYX PAVING COHPANY, INC fading of foultwith either a monetary fine or penalty greater than $5,000 or reimbursement, rest9ufion, or damages greater than $100,000, or other acknowledgment of fauna Not Selected Active Exclusions Records? No I sulhodze my entity's norc-eensitive Information to be displayed In SAM public search results: No Business Types Entity Structure Entity Type Organization Factors Corporate Entity (Not Tax Exempt) Business or organization (blank) Profit Structure For Profit Organization Soclo-Economic Types Check the registrant's Reps S Carte, If present, under FAR 52212.3 or FAR 52.219.1 to determine U the entity Is an SBA�certlMd HUBZono small business concern. AddiSonal small business Information may be found In the SSA's Dynamic Small Business Search S the entity completed the SEA supplemental Pages during registration. Accepts Credit Card Payments, Debt Subject To Offset No No [F 1 Indicator 0000 Electronic Funds Transfer Account Type Financial Institution Automated Clearing House Phone (U.S.) Fax CAGE Coda 5SMX5 Routing Number Account Number Email Remittance Address _ .. ..... _. Lock Boz Number Phone (non -U.S.) EIN Type of Tex Taxpayer Name . *4344 Applicable Federal Tax ONYX PAVING COMPANY INC Tax Year (Moet Recent Tax Year) Namarrida of Individual Executing Consent TIN Consent Date 5021 Coo -president Feb 10, 2022 Address 2590 E La Create AVE Anaheim, California 92809 Accounts Receivable POC A Joan Ward, CONTROLLER JoanwQONYXPAVING.NET 7148320599 Electronic: Business A 2890 E. La Create Avenue David Wlltfong Anaheim, California 92809 hxpr:2hem.VW-1'04112129091.reDomJmma-Aa h, Pree 20/J Gsl aPdwed by Own Wilorb a oe Feb 10, 2022 .1 05.54 PM ONYXPA VING COMPANY, INC davldlvgonyxiining.net 7149329699 David VAillong davidw@ONYXPAVING.NET 7146326699 Government Business A David Wiltong davldw@DNYXPAVING.NET 7146326898 David Wiltong davidw®ONYXPAVING.NET 7146326699 Past Performance A David Wlltfong devIdwoonyxpaving.net 7146326699 David Wlltforrg davidw®orippavlrg.net 7140326699 Company Security Level (blank) NAICS Codes Primary NAICS Codes Yes 238990 IGT Sts Metrics Annual Revenue (Dom all IGT.) (blank) United States 2890 E. Le Crest Avenue Anaheim, Caerumt 92806 United States 2890 E. La Cresta Avenue Anaheim, California 92809 United Stabs 2890 E. Le Crest Avenue Anaheim, Cewomt 92806 United Stars 2890 E. Le Cresta Avenue Anaheim, California 92808 United States 2890 E. Le Cresta Avenue Anaheim, Cafromta 82806 United states Highest Level Employee Severity Level (blank) NAICS Tide All Other Specially Trade Contractors Worldwide Annual Receipts Qn a=rdame with 13 CFR 121) Number of Employees (h accordance with 13 CFR 121) 628.000,900.00 90 Loudon Annual Receipts (in accordance with 13 CFR 121) Number of Employees (in accordance with 13 CFR 121) (blank) (blank) Industry -Specific Barrels Capacity Magawa0 Hours Total Assets (blank) (blank) (blank) This entity did not enter the EDI infomreeon This entity does not appear In the disaster response registry. hero: //asw.geWenriry/61 /PgStlWroretbro?afauv=Arnim Pose l of3 NON -COLLUSION AFFIDAVIT (CONTRACTOR) [Title 23 United States Code § 1121 [Public Contract Code § 71061 State of California County of ORANGE _)SS. COREY R. KIRSCHNER that he or she is owner, roll Exhibit 06 being first duly sworn, deposes and says .VP.SEC_TRFa the party submitting a bid for a contract covering RESIDENTIAL STREET RESURFACING AND CONCRETE IMPROVEMENTS PROJECT (describe the nature of contrect) 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/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. ,�/ AUTHORIZED SIGNATURE: v TITLE: COREY R. KIRSCHNER - CEO, PRES, VP, SEC, TREA Subscribed and sworn to before me on 20 NOTARY PUBLIC SIGNATURE: ****SEE ATTACHED NOTARY JURAT**** (SEAL) CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202 A 14 ® See Attached Document (Notary to cross out lines 1-6 below) ❑ See Statement Below (Lines 1-6 to be completed only by document signer[s), not Notary) x x x Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if any) A notary public or other officer completing this certificate verifies only the Identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document State of California Subscribed and sworn to (or affirmed) before me County of _ Oranae on this 21 day of November 20 23 by Date Month Year Curr exro,u Newry YUMIc • CalHanla iOrange cowry Cemmbsien t iSa3519 My Camm. rle�Rf wr t1, S01) (and (2) • Nam�f Signer*, proved to me on the basis of satisfactory evidence to be the persons) who appeared before me. Signature ignature of Notary Public Seal Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Number of Pages: Signer(s) Other Than Named Above: Document Date: "� A WORKERS' COMPENSATION CERTIFICATION I certify, by my signature below, that I am aware of the provisions of Section 3700 of the California Labor Code, which require every employer to be insured against liability for workers' compensation or to undertake self-insurance in accordance with the provisions of that Code, and that I will comply with such provisions before commencing the performance of work on this contract. Date: 11/21/2023 Project Number: PROJECT No. 21035 Project Name: RESIDENTIAL STREET RESURFACING AND CONCRETE IMPROVEMENTS PROJECT Company Name: ONYX PAVING COMPANY, INC. Address: 2890 E. LA CRESTA AVE. ANAHEIM, CA 92806 Print Name: COREY R. KIRSCHNER Title: CEO, PRES, VP, SEC, TREA. Signature: Exhibit 08 FEDERAL LOBBYIST REQUIREMENTS CERTIFICATION Name of Firm: ONYX PAVING COMPANY, INC. Date: 11/21/2023 Address: 2890 E. LA CRESTA AVE. City: ANAHEIM State: CA Zip Code: 928-0 — phone No.: 714-632-6699 Acting on behalf of the above named firm, as its Authorized Official, I snake the following Certification to the Department of Housing and Urban Development (HUD). 1) No Federal appropriated funds have been paid, by or on behalf of the above named firm to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of and Federal grant, loan or cooperative agreement, and any extension, continuation, renewal, amendment, or modification thereof, and; 2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee or an agency, a Member of Congress r officer or employee of Congress or an employee of a Member of Congress in connection with this Federal contract, grant loan, or cooperative agreement, the above named firm shall complete and submit Standard Form -LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions, and; 3) The above named firm shall require that the language of this certification be included in the award documents for all sub -awards at all tiers (including subcontracts, sub -grants, and contracts under grants, loans, and cooperative agreement) and that all sub -recipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into the transaction imposed by Section 1352 Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure, Authorized Official: Name: COREY R. KIRSCHNER Title: CEO, PRES, VP SEC TREA Signature: !/• ------�_ Date: 11/21/2023 Exhibit 09 CERTIFICATION OF NON -SEGREGATED FACILITIES Federally Assisted Projects The federally assisted construction contractor certifies that he does not maintain or provide for his employees any segregated facilities at any of his establishments, and that he does not permit his employees to perform their services at any location, under his control, where segregated facilities are maintained. The federally assisted construction contractor certifies further that he will not maintain or provide for his employees any segregated facilities at any of his establishments, and that he will not permit his employees to perform their services at any location, under his control, where segregated facilities are maintained. The federally assisted construction contractor agrees that a breach of this certification is a violation of the Equal Opportunity clause in this contract. As used in this certification, the term "segregated facilities means any waiting rooms, work areas, restrooms and washrooms, restaurants and other eating areas, timeclocks, locker rooms and other storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, and housing facilities provided for employees which are segregated by explicit directive or are in fact segregated on the basis of race, creed, color, or national origin, because of habit, local custom, or otherwise. The federally assisted construction contractor agrees that (except where he has obtained identical certifications from proposed subcontractors for specific time periods) he will obtain identical certifications from proposed subcontractors prior to the award of subcontracts exceeding $10,000 which are not exempt from the provisions of the Equal Opportunity clause, and that he will retain such certifications in his files. NOTE: The penalty for making false statements in offers is prescribed In 18 U.S.C. 1001. Comoan/, ONYX PAVING COMPANY INC By !/ Title: COREY R. KIRSCHNER - CEO PRIES, VP SEC TREA Date: 11/21/2023 Exhibit 10 CERTIFICATION WITH REGARD TO THE PERFORMANCE OF PREVIOUS CONTRACTS OR SUBCONTRACTS SUBJECT TO THE EQUAL OPPORTUNITY CLAUSE AND THE FILING OF REQUIRED REPORTS The bidder X , proposed subcontractor , hereby certifies that he has X , has not participated in a previous contract or subcontract subject to the equal opportunity clause, as required by Executive Orders 10925, 11114, or 11246, and that he has X , has not , filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filing requirements. Date: 11/21/2023 Project Number: PROJECT No. 21035 Contract Award: s TBD Awarding Agency: CITY OF ROSEMEAD Contractor Name: ONYX PAVING COMPANY INC. Total Number of Employees: 120 Affiliate Companv: N/A By: Tile:CEO PRES, VP SEC TREA NOTE: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of $10,000 or under are exempt) Proposed pelme contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the U.S. Department of the Interior or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. SF -100 (EEO -1) must be filed by: (A) All private employers who are: (1) Subject to Title VII of the Civil Rights Act of 1964 (as amended) with 100 or more employees. (2) Subject to Title VII who has fewer than 100 employees, if the company is owner or affiliated with another company, or there is centralized ownership, control or management so that the group legally constitutes a single enterprise, and the entire enterprise employs a total of 100 or more employees. (B) All federal contractors (private employers), who: (1) Are not exempt as provided for by 41 CFR 60-1.5 (2) Have 50 or more employees, and a. Are prime contractors or first-tier subcontractor, and have a contract, subcontract, or purchase order amounting to $50,000 or more; or b. Serve as a depository of Government funds in any amount, or c. Is a financial institution, which is an issuing, and paying agent for U.S. Savings Bonds and Notes. Exhibit 11 FEDERAL EQUAL EMPLOYMENT OPPORTUNITY/ AFFIRMATIVE ACTION REQUIREMENTS EQUAL OPPORTUNITY CLAUSE. During the performance of this contract, the contractor agrees as follows: a. The contractor will not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin. The contractor will take affirmative action to ensure that applicants are employed, and that employees are treated during employment without regard to their race, color, religion, sex, or national origin. Such action shall include, but not limited to the following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided setting forth the provisions of this nondiscrimination clause. b. The contractor will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin. C. The contractor will send to each labor union or representative of workers with which he has a collective bargaining agreement or other contract or outstanding, a notice to be provided, advising the said labor union or workers' representative of the contractor's commitments under this Section, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. d. The contractor will comply with all provisions of Executive Order 11246 of September 24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor. e. The contractor will fumish all information and reports required by Executive Order 11246 of September 24, 1965, and by the rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his books, records, and accounts by the administering agency and the Secretary of Labor for purpose of investigation to ascertain compliance with such rules, regulations, and orders. f. In the event of the contractor's noncompliance with the nondiscrimination clause of this contract or with any of the said rules, regulations, or orders, this contract may be canceled, terminated, or suspended in whole, or in part, and the contractor may be declared ineligible for further govemment contracts or federally assisted construction contracts in accordance with procedures authorized in Executive Order 11246 of September 24, 1965, or by rule, regulation, or order of the Secretary of Labor, or as otherwise provided by law. Page 109 g. The contractor will include the provisions of Paragraph la through 1g in every subcontract or purchase order unless exempt by rules, regulations, or orders of the Secretary of Labor issued pursuant to Section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each subcontractor or vendor. The contractor will take such action with respect to any subcontract or purchase order as the administering agency may direct as a means of enforcing such provisions, including sanctions for noncompliance. Provided, however, that in the event a contractor becomes involved in, or is threatened with, litigation with a subcontractor or vendor as a result of such direction by the administering agency, the contractor may request the United States to enter into such litigation to protect the interests of the United States. 2. NOTICE OF REQUIREMENT FOR AFFIRMATIVE ACTION TO ENSURE EQUAL EMPLOYMENT OPPORTUNITY (Executive Order 11246). a. The Offeror's or Bidder's attention is called to the "Equal Opportunity Clause" and the "Standard Federal Equal Employment Specifications" set forth herein. b. The goals and timetables for minority and female participation, expressed in percentage terms for the contractor's aggregate work force in each trade on all construction work in the covered area, are as follows: Goals for Minority Participation for Each Goals for Female Timetables Trade Participation in Each Trade 19.0% 6.9% These goals are acceptable to all the contractor's construction work (whether or not it is Federal or federally assisted) performed in the covered area. If the contractor performs construction work in a geographical are located outside of the covered area, it shall apply the goals established for such geographical area where the work is actually performed. With regard to this second area, the contractor also is subject to the goals for both its federally involved and non - federally involved construction. The contractor's compliance with the Executive Order and the regulations in 41 CFR Part 60-4 shall be based on its implementation of the Equal Opportunity Clause, specific affirmative action obligations required by the specs icaUons set forth in 41 CFR Part 60-4.3 (a), and its efforts to meet the goals. The hours of minority and female employment and training must be substantially uniform throughout the length of the contract and in each trade, and the contractor shall make a good faith effort to employ minorities and women evenly on each of its projects. The transfer of minority or female employees or trainees from contractor to contractor or from project to project for the sole purpose of meeting the contractor's goals shall be given a violation of the contract, the Executive Order, and the regulations of 41 CFR Part 60-4. Compliance with the goals will be measured against the total work hours performed. Page 2 of 9 C. The provisions and requirements of the City of Ontario's Minority and Women's Business Enterprise Program (See Attachment 2) are incorporated into these requirements by this reference. d. The contractor shall provide written notification to the Director of the Office of Federal Contract Compliance Programs within 10 working days of award of any construction subcontract in excess of $10,000 at any tier for construction work under contract resulting from this solicitation. The notification shall list the name, address, and telephone number of the subcontractor; employer identification number of the subcontractor; estimated dollar amount of the subcontract; estimated starting and completion dates of the subcontract; and the geographical area in which the contract is to be performed. e. As used in this notice, and in the contract resulting from this solicitation, the "covered area" is the Standard Metropolitan Statistical Area of San Bernardino - Riverside, specifically the Counties of San Bemardino/Riverside, State of California. 3. STANDARD FEDERAL EQUAL EMPLOYMENT SPECIFICATIONS (Executive Order 11246). a. As used in these specifications: (1) "Covered area" means the geographical area described in the solicitation from which this contract resulted; (2) "Director" means Director, Office of Federal Contract Compliance Programs, United States Department of Labor, or any persons to whom the Director delegates authority; (3) "Employer identification number' means the Federal Social Security Number used on the Employers Quarterly Federal Tax Return, United States Treasury Department Form 941. (4) "Minority' includes: (a) Black (all persons having origins in any of the Black African racial groups not of Hispanic origin); (b) Hispanic (all persons of Mexican, Puerto Rican, Cuban, Central or South American or other Spanish culture or origin, regardless of race); (c) Asian and Pacific Islander (all persons having origins in any of the original peoples of the Far East, Southeast Asia, the Indian Subcontinent, or the Pacific Islands); and (d) American Indian or Alaskan Native (all persons having origins in any of the original peoples of North America and maintaining identifiable tribal affiliations through membership and participation or community identlfication). Page 3 of 9 b. Whenever the contractor, or any subcontractor at any tier, subcontracts a portion of the work involving any construction trade, it shall physically include in each subcontract in excess of $10,000 the provisions of these specifications and the notice which contains the applicable goals for minority and female participation and which is set forth in the solicitations from which contract resulted. C. If the contractor is participating (pursuant to 41 CFR Part 60-4.5) in a Hometown Plan approved by the United States Department of Labor in the covered area either individually or through an association, its affirmative action obligations on all work in the Plan area (including goals and timetables) shall be in accordance with the Plan for those trades which have unions participating in the Plan. Contractors must be able to demonstrate their participation in and compliance with the provisions of any such Hometown Plan. Each contractor or subcontractor participating in an approved Plan is individually required to comply with its obligations under the Equal Opportunity Clause, and to make a good faith effort to achieve each goal under the Plan in each trade in which it has employees. The overall good faith performance by other contractors or subcontractors toward a goal in an approved Plan does not excuse any covered contractor's or subcontractor's failure to take good faith efforts to achieve the Plan goals and timetables. d. The contractor shall implement the specific affirmative action standards provided in Paragraphs 3g (1) through 3g (16) of these specifications. The goals set forth in the solicitation from which this contract resulted are expressed as percentages of the total hours of employment and training of minority and female utilization the contractor should reasonably be able to achieve in each construction trade in which it has employees in the covered area. Covered construction contractors performing construction work in geographical areas where they do not have a Federal or federally assisted construction contract shall apply the minority and female goals established for the geographical area where the work is being performed. Goals are published periodically in the Federal Register in notice form, and such notices may be obtained from any Office of Federal Contract Compliance Programs office or from Federal procurement contracting officers. The contractor is expected to make substantially uniform progress in meeting its goals in each craft during the period specified. e. Neither the provisions of any collective bargaining agreement nor the failure by a union with whom the contractor has a collective bargaining agreement, to refer either minority or women shall excuse the contractor's obligations under these specifications, Executive Order 11246, or the regulations promulgated pursuant thereto. f. In order for the non -working training hours of apprentices and trainees to be conducted in meeting the goals, such apprentices and trainees must be employed by the contractor during the training period, and the contractor must have made a commitment to employ the apprentices and trainees at the completion of their training, subject to the availability of employment opportunities. Trainees must be trained pursuant to training programs approved by the United States Department of Labor. g. The contractor shall take specific affirmative actions to ensure equal employment opportunity. The evaluation of the contractor's compliance with these Page 4 of 9 specifications shall be based upon effort to achieve maximum results from its actions. The contractor shall document these efforts fully, and shall implement affirmative action steps at least as extensive as the following: (1) Ensure and maintain a working environment free of harassment, intimidation, and coercion at all sites, and in all facilities at which the contractor's employees are assigned to work. The contractor, where possible, will assign two or more women to each construction project. The contractor shall specifically ensure that all foremen, superintendents, and other on-site supervisory personnel are aware of and carry out the contractor's obligation to maintain such a working environment, with specific attention to minority and female individuals working at such sites or in such facilities. (2) Establish and maintain a current list of minority and female recruitment sources, provide written notification to minority and female recruitment sources and to community organizations when the contractor or its unions have employment opportunities available, and maintain a record of the organizations' responses. (3) Maintain a current file of the names, addresses, and telephone numbers of each minority and female off -the -street applicant and minority or female referral from union, a recruitment source, or community organization and of what action was taken with respect to each such individual. If such individual was sent to the union hiring hail for referral and was not referred back to the contractor by the union or, if referred, not employed by the contractor, this shall be documented in the file with reason therefor, along with whatever additional actions the contractor may have taken. (4) Provide immediate written notification to the Director where the union or unions with which the contractor has a collective bargaining agreement has not referred to the contractor a minority person or women sent by the contractor, or when the contractor has other information that the union referral process has impeded the contractor's efforts to meet its obligations. (5) Develop on-the-job training opportunities and/or participate in training programs for the area which expressly include minorities and women, including upgrading programs and apprenticeship and trainee programs relevant to the contractor's employment needs, especially those programs funded or approved by the Department of Labor. The contractor shall provide notice of these programs to the sources complied under Paragraph 3g (2), above. (6) Disseminate the contractor's equal employment opportunity (EEO) policy by providing notice of the policy to unions and training programs and requesting their cooperation in assisting the contractor in meeting its EEO obligations; by including it in any policy manual and collective bargaining agreement; by publicizing it in the company newspaper, annual report, etc.; by specific review of the policy with all management personnel and with all minority and female employees at least once a year; and by Page 5 of 9 posting the company EEO policy on bulletin boards accessible to all employees at each location where construction work is performed. (7) Review, at least annually, the company's EEO policy and affirmative action obligations under these specifications with all employees having any responsibility for hiring, assignment, layoff, termination or other employment decisions including specific review of these items with on- site supervisory personnel such as Superintendents, General Foreman, etc., prior to the initiation of construction work at any job site. A written record shall be made and maintained identifying the time and place of these meetings, persons attending, such matter discussed, and disposition of the subject matter. (8) Disseminate the contractor's EEO policy externally by including it in any advertising in the news media, specifically including minority and female news media, and providing written notification to and discussing the contractor's EEO policy with other contractors and subcontractors with whom the contractor does or anticipates doing business. (9) Direct its recruitment efforts, both oral and written, to minority, female, and community organizations; to schools with minority and female students; and to minority and female recruitment and training organizations serving the contractor's recruitment area and employment needs. No later than one month prior to the date for the acceptance of applications for apprenticeship or other training by any recruitment sources, the contractor shall send written notification to organizations such as the above, describing the opening, screening procedures, and tests to be used in the selection process. (10) Encourage present minority and female employees to recruit other minority persons and women and, where reasonable, provide after school, summer, and vacation employment to minority and female youth, both on the side and in other areas of a contractor's work force. (11) Validate all tests and other selection requirements where there is an obligation to do so under 41 CFR Part 60-3. (12) Conduct, at least annually, an inventory and evaluation at least of all minority and female personnel for promotional opportunities and encourage these employees to seek or to prepare for, through appropriate training, etc., such opportunities. (13) Ensure that seniority practices, job classifications, work assignments, and other personnel practices do not have a discriminatory effect by continually monitoring all personnel and employment-related activities to ensure that the EEO policy and the contractor's obligations under these specifications are being carried out. (14) Ensure that all facilities and company activities are non -segregated except that separate or single user toilet and necessary changing facilities shall be provided to assure privacy between the sexes. Page 8 of 9 (15) Document and maintain a record of all solicitations of offers for subcontracts from minority and female construction contractors and suppliers, including circulation of solicitations to minority and female contractor associations and other business associations. (16) Conduct a review, at least annually, of all supervisors' adherence to and performance under the contractor's EEO policies and affirmative action obligations. h. Contractors are encouraged to participate in voluntary associations which assist fulfilling one or more of their affirmative action obligations described in Paragraphs 3g (1) through (16), above. The efforts of a contractor association, joint contractor -union, contractor -community, or other similar group of which the contractor is a member and participant, may be asserted as fulfilling any one or more of its obligations under Paragraphs 3g (1) through (16) of these specifications provided that the contractor actively participates in the group, makes every effort to ensure that the group has a positive impact on the employment of minorities and women in the industry, reflected in the contractor's minority and female work force participation, makes a good faith effort to meets its individual goals and timetables, and can provide access to documentation which demonstrates the effectiveness of actions taken on behalf of the contractor. The obligation to comply, however, is the contractor's, and failure of such a group to fulfill an obligation shall not be a defense for the contractor's noncompliance. A single goal for minorities and a separate single goal for women have been established. The contractor, however, is required to provide equal employment opportunity and to take affirmative action for all minority groups, both male and female, and all women, both minority and non -minority. Consequently, the contractor may be in violation of the Executive Order if a particular group is employed in a substantially disparate manner (for example, even though the contractor has achieved its goals for women generally, the contractor may be in violation of the Executive Order if a specific minority group of women is underutilized). J. The contractor shall not use the goals and timetables or affirmative action standards to discriminate against any person because of race, color, religion, sex, or national origin. k. The contractor shall not enter into any subcontract with any person or firm debarred from Government contracts pursuant to Executive Order 11246. 1. The contractor shall carry out such sanctions and penalties for violation of these specifications of the Equal Opportunity Clause, including suspension, termination, and cancellation of existing subcontracts as may be imposed or ordered pursuant to Executive Order 11246, as amended, and its implementing regulations, by the Office of Federal Contract Compliance Programs. Any contractor who fails to carry out such sanction and penalties shall be in violation of these specifications and Executive Order 11246, as amended. Page 7 of 9 M. The contractor, in fulfilling its obligations under these specifications, shall implement specific affirmative action steps, at least as extensive as those standards prescribed in Paragraph 3g of these specifications, so as to achieve maximum results from its efforts to ensure equal employment opportunity. If the contractor fails to comply with the requirements of the Executive Order, the implementing regulations, or these specifications, the Director shall proceed in accordance with 41 CFR Part 60-4.6. in. The contractor shall designate a responsible official to monitor all employment related activity to ensure that the company EEO policy is being carried out, to submit reports relating to the provisions hereof as may be required by the Government and to keep records. Records shall at least include for each employee the name, address, telephone numbers, construction trade, union affiliation, if any, employee identification number when assigned, social security number, race, sex, status (e.g., mechanic, apprentice trainee, helper, or laborer), dates of changes in status, hour worked per week in the indicated trade, rate of pay, and locations at which the work was performed. Records shall be maintained in an easily understandable and retrievable form; however, to the degree that existing records satisfy this requirement, contractors shall not be required to maintain separate records. o. Nothing herein provided shall be construed as a limitation upon the application of other laws which establish different standards of compliance or upon the application of requirements for the hiring of local or other area residents (e.g., those under the Public Works Employment Act of 1977 and the Community Development Block Grant Program). P. The Director from time to time shall issue goals and timetables for minority and female utilization which shall be based on appropriate work force, demographic or other relevant data and which shall cover construction projects or construction contracts performs in specific geographic areas. The goals, which shall be applicable to each construction trade, shall be published as notices in the Federal register, and shall be inserted by the contracting officers and applicants, as applicable, in the Notice required by 41 CFR 60-4.2. Covered construction contractors performing construction work in geographical areas where they do not have a Federal or federally assisted construction contract shall apply the minority and female goals established for the geographical area where the work is being performed. 4. SPECIFIC EEO REQUIREMENTS. For a federally assisted construction contract in excess of $10,000, the contractor/subcontractor shall: a. Forward the following EEO certification forms to the contract awarding authority prior to contract award: Certification of Non -segregated Facilities and Certification with Regard to the Performance of Previous Contracts or Subcontracts Subject to the Equal Opportunity Clause and the Filing Required Reports. b. Submit a notification of the subcontracts awarded to the Director, Office of Federal Contract Compliance Programs, United States Department of Labor - ESA, 200 Constitution Avenue, NW, Room C3325, Washington, D.C., 20210, Page 8 of 9 within 10 working days of award of any subcontract in excess of $10,000, listing the name, address, and telephone number of the subcontractor; employer identification number; estimated dollar amount of the subcontract; estimated starting and completion dates of the subcontract; and the geographical area in which the contract is to be performed. C. Send a notice of the contractor's commitment to equal employment opportunity to labor unions or representatives of workers prior to commencement of construction work. d. Display an equal employment opportunity poster in a conspicuous place available to employees and applicants for employment e. For contracts in excess of $10,000, bind subcontractors to the Federal equal employment opportunity requirements by including the provisions of Paragraphs 1 through 3, above, in the subcontract. 5. CIVIL RIGHTS ACT OF 1964. Under Title IV of the Civil Rights Act of 1964, no person shall, on the grounds of race, color, or national origin, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving Federal financial assistance. S. SECTION 109 OF THE HOUSING AND COMMUNITY DEVELOPMENT ACT OF 1974. No person in the United States shall on the grounds of race, color, national origin, or sex be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity funded in whole or part with funds made available under this Title. 7. THE AGE DISCRIMINATION ACT OF 1975. No person in the United States shall, on the basis of age, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under, any program or activity receiving Federal financial assistance. 8. REHABILITATION ACT OF 1973. No otherwise qualified individual with handicaps in the United States shall, solely by reason of his or her handicap, be excluded from the participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving Federal financial assistance. Page 9 of 9 Exhibit 11(a) NOTICE OF EQUAL EMPLOYMENT OPPORTUNITY RESIDENTIAL STREET RESURFACING AND CONCRETE IMPROVEMENTS PROJECT PROJECT No 21035 Project Number and Title To: Laborers Southern Califomia Joint Apprenticeship Committee Name of Labor Union, Worker's Representative, etc. 1385 West Sierra Madre Ave, Azusa, CA 91702 Address The undersigned currently holds a contract with the City's Community Development Block Grant funds from the U.S. Department of Housing and Urban Development or a subcontract with a Prime contractor holding such contract. You are advised that under the provisions of the above contract or subcontract and in accordance with Executive Order 11246, the undersigned is obliged not to discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin. This obligation not to discriminate in employment includes, but is not limited to, the following: HIRING, PLACEMENT, UPGRADING, TRANSFER, OR DEMOTION; RECRUITMENT, ADVERTISING, OR SOLICITATION FOR EMPLOYMENT; TREATMENT DURING EMPLOYMENT; RATES OF PAY OR OTHER FORMS OF COMPENSATION; SELECTION FOR TRAINING, INCLUDING APPRENTICESHIP; LAYOFF OR TERMINATION. This notice is furnished you pursuant to the provisions of the above contract or subcontract and Executive Order 11246. Copies of this notice will be posted by the undersigned in conspicuous places available to employees or applicants for employment. ONYX PAVING COMPANY, INC. Name of Contractor 2890 E. LA CRESTA AVE. ANAHEIM, CA 92806 Address �/ v COREY R. KIRSCHNER - CEO PRIES, VP SEC TREA. Signature and Title 11/21/2023 Date Contracting With Small Business, N Women's Business Enterprise, and Labor Firms, s Area Exhibit 12 It is national policy to award a fair share of contracts to Small Business and Minority Firms. Accordingly, affirmative steps must be taken to assure that Small Business and Minority Firms are utilized, when possible, as sources of supplies, equipment, construction and services. Affirmative steps include the following: a. Including qualified Small Business and Minority Firms on solicitation lists. b. Assuring that Small Business and Minority Firms are solicited whenever they are potential sources. C. When economically feasible, dividing total requirements into smaller tasks or quantities so as to permit maximum Small Business and Minority Firm participation. d. Where the requirement permits, establishing delivery schedules which will encourage participation by Small Business and Minority Firms. e. Using the services and assistance of the Small Business Administration and the Minority Business Development Agency of the Department of Commerce, as required. If any subcontracts are to be let, requiring the prime contractor to take the affirmative steps in 1a through 1e above. 2. Grantees shall take similar appropriate affirmative action in support of Women's Business Enterprises. 3. Grantees are encouraged to procure goods and services from Labor Surplus Areas, Exhibit 12(a) City of Rosemead MBE/WBE Contracts Worksheet Page 1 of 2 You may use this worksheet as a tool to provide required backup information to the City of Rosemead Funded Projects for Minority Business Enterprise (MBE) and Women Business Enterprise (WBE) Good Faith Certification. You may also provide information requested on this form in some other format to provide proof of good faith effort in using WBEs and MBEs. Five contacts for each type of firm shows a good faith effort. Pryk+ctInfomgNon - '_-`----- .. eG Name and lAtelion 0i;TW Number - - '- - 2 SIDENTIAL STREET RESURFACING AND �ONGRETF IMPRr1VFIiaCr�T PROJECT No. 21035 verve of Pane Contractor S.P-liQ,)F�I_----------,-------- --------------- InMm7atbn Propared By (Name arM Phone) '-' -" ONYX PAVING COMPANY, INC. COREY R. KIRSCHNER 714-632-6699 t_tongcq Infomiedun --- if - Ctmhett - - Conhd2 _ _ NNdsd for Review Contact 3 a. Name of Firm Contacted -- - TpeO MBE ❑ WBE .... ❑MBE.-._—_.___._.._____--_- � W8E fD:cotiicf°eiphoneNumber___..__-___._._---_-__THEATTACHrm MBE D W8E uYes ;. No klN/A _. -_. - D Yes ❑NIA _.....__nNo Ves ❑ No _' N/A a Is Bnn selfteRifled or certified? agency Agency J Self n Agency I. Date ConfeGed .�........_.._.._.__.._ .A.�^cY Nerve . ..._ A-gency Name . .)gency Nsme. g. Result of Contact -- - Yes ❑ No ❑Yes - c No .-___ _______. U Yes n No i. If tdd received aM rejected, wny reiected7__. ,.._ k. U4laing this fimi?If yes.._—._-. jy- �No --_-.....-.....'—_.. _ ...._.__.—. DVes0 -..__.___—...............—._____ wmpjete section 3.� .7 Yes o No City of Rosemead MBEIWBE Contracts Worksheet Pape 2 of 2 3. Information on Utilized Forms - Bualsau NCit SY. tate. Zlp_ f of Product or3mlee Su6contnetAmount _-.�SE SEETHE ATTACHED. — ------ 7R�" Exhibit 13 with Clean Air and Water Acts During the performance of this contract, the contractor and all subcontractors shall comply with the requirements of the Clean Air Act, as amended, 42 USC 1857 at seq., the Federal. Water Pollution Control Act, as amended, 33 USC 1251 et seq., and the regulations of the Environmental Protection Agency with respect thereto, at 40 CFR Part 15, as amended. In addition to the foregoing requirements, all nonexempt contractors and subcontractors shall furnish to the owner, the following: I. A stipulation by the contractor or subcontractors, that any facility to be utilizes) in the Performance of any non exempt contract or subcontract,. is not listed on the List of Violating Facilities issued by the Environmental Protection Agency (EPA) pursuant to 40 CFR 15.20. 2. Agreement by the contractor to comply with all the requirements of Section 114 of the Clean Air Act, as amended, (42 USC 1857F8) and Section 308 of the Federal Water Pollution Control Act, as amended, (33 USC 1318) relating to inspection, monitoring, entry, reports and information, as well as all other requirements specified in said Section 114 and Section 308, and all regulations and guidelines issued there under. 3. A stipulation that as a condition for the award of the contract, prompt notice will be given of any notification received from the Director, Office of Federal Activities, EPA, indicating that .a facility utilized, or to be utilized for the contract, is under consideration to be listed on the EPA List of Violating Facilities, 4. Agreement by the contractor that he will include, or cause to be included, the criteria and requirements in paragraph (1) through (4) of this section in every nonexempt subcontract and requiring that the contractor will take such action as the government may direct as a means of enforcing such provisions. Exhibit 14 CONTRACTORS NOTIFICATION OF SUBCONTRACTS AWARDED CONTRACT NUMBER: TBD RESIDENTIAL STREET RESURFACING AND PROJECT: CONCRETE IMPROVEMENTS11/20/2023 y/5y90 EMPLOYER DATE: SUBCONTRACTOR'S NAME, ADDRESS IDENTIFICATION CONTRACT ESTIMATED ESTIMATED AND TELEPHONE NUMBER NUMBER (LkonAMOUNT STARTING COMPLETION a N0.0r CRAFTS DATE FodnalTa,ID) DATE �tlNal TO BE USED T6D&73b5hvi y/5y90 ry/,�D 7$D78750 T,8b /D5/37y 581TSD NOTE AFTER CONTRACT AWgRD— ARE ADDED ED INFORMATION WITHIN 10 WORKING DAYS OFAWARDOR CANCELLLATIOON OFOSUBCONTTR CT. NTRACTOR MUST PNFORMATN)N MUST RO DE UPDATEDU OPROACTS AWARDED FOR ALL SUBCONTRACTS REGARDLESS OF TER , / ONYX PAVING COMPANY, INC. / � v 2890 E. LA CRESTA AVE. ANAHEIM, CA 92806 gjunmm c„ana,r,AW.6, COREY R. KIRSCHNER - CEO, PRIES, VP, SEC, TREA. 714-6326699 Nam, and TM, Canbarl0fe 7:whona Number 33-0394344 Fad. Te, I.D. Nu1,w Exhibit 15 Section 3 Federal Requirements Information 1. Section 3 Purpose. Section 3 is a provision of the Housing and Urban Development (HUD) Act of 1968. Found under 24 CFR Part 75, the purpose of Section 3 is to ensure that employment and other economic opportunities generated by HUD financial assistance are, to the greatest extent feasible directed to low- and very low-income persons, particularly those who are recipients of government assistance for housing. 2. Section 3 Obligation. HUD housing and community development assistance used for housing rehab/construction, public construction above $200,000. It focuses on labor hours instead of new hires creating an incentive for erRi 14ers to invest in and retain their newly hired low- income workers. 3. City's Efforts to Award to Section 3 Business Concerns (24 CFR 75.25(b)). All bidders must address the Section 3 employment and contracting benchmarks to be considered in compliance with HUD. ➢ procurement under the Competitive Proposal Method of orocurement (Request for Proposal- RFP) 1) For contracts and subcontracts awarded under the competitive proposals method of procurement (2 CFR 200.320), a Request for Proposals (RFP) shall identify all evaluation factors (and their relative importance) to be used to rate proposals. 2) One of the evaluation factors shall address both the preference for Section 3 business concerns and the acceptability of the strategy for meeting the greatest extent feasible requirement (Section 3 Economic Opportunity Plan), as disclosed in proposals submitted by all business concerns (Section 3 and non -section 3 business concerns). This factor shall provide for a range of 15 to 25 percent of the total number of available points to be set aside for the evaluation of these two components. 4. Section 3 Definitions 4.1. Section 3 Project (75.3(a)(2)) 4.1.1. The project is the site or sites together with any building(s) and improvements located on the site(s) that are under common ownership, management, and financing. Applies to the entire project, regardless of whether the project is fully or partially assisted under HUD. 4.2. Section 3 Worker 175.5) 4.2.1. Any worker who currently fits, or when hired within the past five years (not before 11/30/20) fit, at least one of the following categories, as documented: • A low or very low-income worker, or • Employed by a Section 3 business concern; or • A Youthbuild participant Section 3 Federal Requirements Information 4.3. Section 3 Targeted Worker (75.51 • Worker employed by a Section 3 business concern; or • Currently fits or when hired fit at least one of the following categories as documented within the past five years: + Living within the service area or the neighborhood of the project (one -mile radius of project site) ❖ Youthbuild participants 4.4. Section 3 Business Concern (75.5) 4.4.1. Businesses that meet one of the following criteria within the last six months: • At least 51% owned and controlled by low-income or very low-income persons; or • Over 75% of labor hours performed for the business over the prior 3 -month period are performed by Section 3 workers; or • 51% or more owned and controlled by current residents of public housing or Section 8 -assisted housing A business may register as a Section 3 business through HUD's Section 3 Business Registry'. S. Section 3 Benchmark Requirements 5.1. Certification that the following benchmarks are met or exceeded is considered in compliance by HUD (in the absence of evidence to the contrary): • 25% of total labor hours worked by Section 3 workers; and • 5% of total labor hours worked by Targeted Section 3 workers 5.2. Professional Service Labor Hour 5.2.1. Non -construction services that require an advance degree or professional licensing are excluded_from Section 3. 5.2.2. BONUS: Contractor/subcontractor may count any work performed by a professional services Section 3 worker or Targeted Section 3 worker as Section 3 labor hours. However, do not count professional services as part of the total labor hours. 6. Section 3 Required Reporting 6.1. The contractor/subcontractor shall maintain all records, reports, and other documentation demonstrating its efforts to achieve the Section 3 benchmark requirements. This includes the contractor's subcontracting activities to achieve Section 3 goals. Such records shall identify the name and business address to each Section 3 subcontractor or vendor and the total dollar amount actually paid each Section 3 subcontractor or vendor with supporting documentation. 6.1.1.1. Section 3 Business Concern Certification for Contracting form (must be submitted with Bid) 6.1.1.2. Notice of Section 3 Commitment (must be submitted with Bid and posted at jobsite) 6.1.1.3. Section 3 Economic Opportunity Plan (must be submitted with Bid if not a Section 3 Business Concern). 6.1.1.4. Section 3 Worker Certification (must be submitted with V weekly certified payroll that the Section 3 worker is reported) 6.1.1.5. Section 3 Economic Opportunity Report (submit with Final Certified Payroll Report or June 3011, whichever comes first) 1 HUD's Section 3 Business Registry httos;//hudaoos hud Roy/O000nunitvportai/ Section 3 Federal Requirements Information 6.2. Qualitative Reporting (75.25(b)) If unable to meet benchmark goals, must describe efforts taken to meet requirements with evidence that they have made qualitative efforts to assist low and very low-income persons with employment and training opportunities. 7. Contractor's Efforts to Comply with Section 3 Requirements 7.1. Examples of the contractor's efforts to offer training or employment opportunities to Section 3 workers include: 7.1.1. Entering Into "first Source" hiring agreements with organizations representing Section 3 workers. 7.1.2. Sponsoring a HUD -certified "Step Up" employment and training program for Section 3 workers. 7.1.3. Establishing training programs, which are consistent with the requirements of the Department of Labor, for public and Indian housing residents and other Section 3 workers in the building trades. 7.1.4. Advertising the training and employment positions by distributing flyers (which identify the positions to be filled, the qualifications required, and where to obtain additional information about the application process) to every occupied dwelling unit in the housing development or developments where Section 3 workers reside. 7.1.5. Advertising the training and employment positions by posting flyers (which identify the positions to be filled, the qualifications required, and where to obtain additional information about the application process) in common area or other prominent areas of the housing development or developments. for housing authorities, post such advertising in the housing development or developments where Section 3 workers reside; for all other recipients post such advertising in the housing development or developments and transitional housing in the neighborhood or service area of the Section 3 project. 7.1.6. Contacting resident councils, resident management organizations, or other resident organizations, where they exist, in the housing development or developments Section 3 workers reside, and community organizations in HUD -assisted neighborhoods, to request the assistance of these organizations in notifying residents of the training and employment positions to be filed. 7.1.7. Sponsoring (scheduling, advertising, financing, or providing in-kind services) a job informational meeting to be conducted by a housing authority or contactor representative or representatives at a location in the housing development or developments where Section 3 workers reside or In the neighborhood or service area of the Section 3 project. 7.1.8. Arranging assistance in conducting job interviews and completing job applications for residents of the housing development or developments where Section 3 workers reside and in the neighborhood or service area in which a Section 3 project is located. 7.1.9. Arranging for a location in the housing development or developments where Section 3 workers reside, or the neighborhood or service area of the project, where jobs applications may be delivered to and collected by a recipient or contractor representative or representatives. 7.1.10.Conducting job interviews at the housing development or developments where Section 3 workers reside, or at a location within the neighborhood or service area of the Section 3 project. 7.1.11.Contacting agencies administering HUD Youthbuild programs, and requesting their assistance in recruiting HUD Youthbuild program participants for the housing authority's or contractor's training or employment positions. Section 3 Federal Requirements Information 7.1.12. Consulting with State and County local agencies administering training programs funded through Job Training Partnership Act (DTPA) orJoblinks, probation and parole agencies, unemployment compensation programs, community organizations, and other officials or organizations to assist with recruiting Section 3 residents for the housing authority's or contractor's training and employment positions. 7.1.13. Advertising the job dot be filled through local media, such as community television networks, newspapers of general circulations, and radio advertising. 7.1.14. Employing a job coordinator, or contracting with a business concern that is licensed in the field of job placement (preferably one of the Section 3 business concerns), that will undertake, on behalf of the housing authority, other recipient, or contractor, the efforts to match eligible and qualified Section 3 residents with the training and employment positions that the housing authority or contractor intended to fill. 7.1.15. Where there are more qualified Section 3 residents than there are positions to be filled, maintaining a file of eligible qualified Section 3 residents for future employment positions. 7.1.16. Undertaking job counseling, education, and related programs in association with local educational Institutions. 7.1.17. Undertaking such continued job training efforts as may be necessary to ensure the continued employment of Section 3 workers previously hired for employment opportunities. 7.1.18.After selection of bidders but prior to execution of contracts, incorporating into the contract a negotiated provision for a specific number of public housing or other Section 3 workers to be trained or employed on the Section 3 projects. 7.1.19. Coordinating plans and implementation of economic development (e.g., job training and preparation, business development assistance for residents) with the planning for housing and community development. 7.2. Examples of Contractor's Efforts to Award Contracts to Section 3 Business Concerns include: 7.2.1. Utilizing procurement procedures for Section 3 business concerns similar to those provided in 24 CFR Part 905 for business concerns by Native Americans. 7.2.2. In determining the responsibility of potential contractors, consider their record of Section 3 compliance as evidenced by past actions and their current plans for the pending contract. 7.2.3. Contacting business assistance agencies, minority contractors associations, and community organizations to inform them of contracting opportunities and requesting their assistance in identifying Section 3 businesses which may solicit bids or proposals for contracts for work in connection with Section 3 projects. 7.2.4. Advertising contracting opportunities by posting notices, which provide general information, in the common areas or other prominent areas of the housing development or developments owned and managed by the housing authority. 7.2.5. For housing authorities, contacting resident councils, resent management corporations, or other resident organizations, where they exist, and requesting their assistance in identifying Section 3 business concerns. 7.2.6. Providing written notice to all known Section 3 business concerns of the contracting opportunities. This notice should be in sufficient time to allow the Section 3 business concern to respond to the bid invitations or request for proposals. 7.2.7. Following up with Section 3 business concerns that have expressed interest in the contracting opportunities by contacting them to provide additional information on the contracting opportunities. 7.2.8. Coordinating pre-bid meetings at which Section 3 business concerns could be Informed of upcoming contracting and subcontracting opportunities. Section 3 Federal Requirements Information 7.2.9. Carrying out workshops n contracting procedures and specific contract opportunities In a timely manner so that Section 3 business concerns can take advantage of upcoming contracting and subcontracting opportunities. 7.2.10.Advising Section 3 business concerns as to where they may seek assistance to overcome limitation such as Inability to obtain bonding, lines of credit, financing, or insurance. 7.2.11.Arranging solicitations, times for the presentation of bids, quantities, specifications, and delivery scheduled in ways to facilitate the participation by Section 3 business concerns. 7.2.12. Where appropriate, breaking out contract work items to economically feasible units to facilitate participation by Section 3 business concerns. 7.2.13. Contacting agencies administering HUD Youthbuild programs and notifying these agencies of the contracting opportunities. 7.2.14. Advertising the contracting opportunities through trade association papers and newsletters, and through the local media, such as community television networks, newspapers of general circulation, and radio advertising. 7.2.15. Developing a list of eligible Section 3 business concerns. 7.2.16. Establishing or sponsoring programs designed to assist residents of public or Indian housing in the creation and development of resident -owned business. 7.2.17. Establishing numerical goals (number of awards and dollar amount of contract) for award of contracts to Section 3 business concerns. 7.2.18. Supporting businesses that provide economic opportunities to low -Income persons by linking them to the support services available through the Small Business Administration, the Department of Commerce, and comparable agencies at the State and local levels. 7.2.19. Encouraging financial institutions in carrying out their responsibilities under the Community Reinvestment Act, to provide no- or low-interest loans for providing working capital and other financial business needs. 7.2.20.Actively supporting joint ventures with Section 3 business concerns. 7.2.21.Actively supporting the development or maintenance of business incubators that assist Section 3 business concerns. Section 3 Federal Requirements Information 8. Section 3 Complaint Procedures 8.1. A complaint may be filed by Section residents, Section 3 business concerns, or parties alleging non-compliance with the Section 3 regulations by the City or contractor. Complaints are reviewed and investigated by the Assistant Secretary of Fair Housing and Equal Opportunity and, where appropriate voluntary resolutions are sought. Those complaints that are not resolved voluntarily may result in an administrative hearing. A complaint alleging a violation of Section 3 requirements shall be processed as follows: 8.1.1. A complaint must be filed with the Assistant Secretary of Fair Housing and Equal Opportunity. U.S. Department of Housing & Urban Development. 8.1.2. A complaint must be received not later than 180 days from the date of action or omission upon which the complaint is based, unless the time for filing is extended by the Assistant Secretary for good cause shown. 8.1.3. Each complaint must be in writing, signed by the complainant, and include: The complainant's name and address; The name and address of the respondent; and A description of the acts or omissions by the respondent that is sufficient to inform the Assistant Secretary of the nature and date of the alleged noncompliance. 8.1.4. A complaint may provide information to be contained in a complaint by telephone to HUD or any HUD field office, and HUD will reduce the information provided by telephone to writing on the prescribed complaint form and send the form to the complaint for signature. 8.1.5. Where to file your complaint: Online at httos://www.hud.gov/section3. Please fax or mail your complaint to the appropriate HUD Regional Office of Fair Housing and Equal Opportunity that has jurisdiction over the state for which you are located or where the alleged violation occurred. Inquiries regarding the status of your complaint should be directed to the appropriate Regional office of FHEO by telephone or email. SAN FRANCISCO REGIONAL OFFICE U.S. Department of Housing and Urban Development Pacific/Hawaii Office 600 Harrison Street Third Floor San Francisco, CA 94107 (415) 489-6536 (800) 347-3739 Fax: (415) 489-6560 Email: complaints office 090hud.gov *Covers the following states: Arizona, California, Guam, Hawaii, and Nevada Section 3 Federal Requirements Information 9. Section 3 Non -Compliance 9.1. Noncompliance with HUD's regulations in 24 CFR Part 755 may result in sanctions, terminations of this contract for default, and debarment or suspension from future HUD assisted contracts. 9.1.1. 5% Retention The City will retain five percent (5%) of the contract amount for this project until the Labor Standards Enforcement File has been completed and final clearance is issued. Five percent (5%) of the total construction award will be retained from the prime contractor by the City to allow for the availability of funds to remedy monetary liabilities that can result from violations of Section 3 requirements or the Davis - Bacon and Related Acts and Federal Labor Standards Provisions. Exhibit 15(a) Section 3 Business Concern Certification for Contracting Instructions: Enter the following information and select the criteria that applies to certify your business' Section 3 Business Concern status. Business Information Name of Business ONYX PAVING COMPANY, INC. Address of Business 2890 E. to CRESTA AVE. ANAHEIM, CA 92806 Name of Business Owner COREY R. KIRSCHNER Phone Number of Business Owner 714-632-6699 Email Address of Business Owner BIDS@ONYXPAVING.NET Preferred Contact Information X Same as above Name of Preferred Contact Phone Number of Preferred Contact Type of Business (select from the following options): MCorporation ❑Partnership ❑Sole Proprietorship ❑Joint Venture Select from ONE of the following three options below that applies: ❑ At least 51 percent of the business is owned and controlled by low- or very low-income persons. ❑ At least 51 percent of the business is owned and controlled by current public housing residents or residents who currently live in Section 8 -assisted housing. ❑ Over 75 percent of the labor hours performed for the business over the prior three-month period are performed by Section 3 workers. OR M Written Commitment (Section 3 Economic Opportunity Plan), outline intentions to hire section 3 workers and/or subcontract with Section 3 Business Concerns. (front side) Business Concern Affirmation I affirm that the above statements (on the front side of this form) are true, complete, and correct to the best of my knowledge and belief. I understand that businesses who misrepresent themselves as Section 3 business concerns and report false information to the City of Rosemead may have their contracts terminated as default and be barred from ongoing and future considerations for contracting opportunities. I hereby certify, under penalty of law, that the following information is correct to the best of my knowledge. Print Name: COREY R. KIRSCHNER - CEO PRES, VP SEC TREA. Signature: �' • Date: •Certification expires within six months of the dais of signature Information regarding Section 3 Business Concerns can be found at 24 CFR ONLY 11/21/2023 Is the business a Section 3 business concern based upon their certification? OYES ONO EMPLOYERS MUST RETAIN THIS FORM IN THEIR SECTION 3 COMPLIANCE FILE FOR FIVE YEARS. (backside) Exhibit 15(b) Section 3 Worker and Targeted Section 3 Worker Self -Certification The purpose of HUD's Section 3 program is to provide employment, training and contracting opportunities to low-income individuals, particularly those who are recipients of government assistance for housing or other public assistance programs. Your response is voluntary, confidential, and has no effect on your employment Eligibility for Section 3 Worker or Targeted Section 3 Worker Status A Section 3 worker seeking certification shall self -certify and submit this form to the recipient contractor or subcontractor, that the person is a Section 3 worker or Targeted Section 3 Worker as defined in 24 CFR Part 75. Instructions: Enter/select the appropriate information to confirm your Section 3 worker or Targeted Section 3 Worker status. Employee Name: 1. Are you a resident of public housing or a Housing Choice DYES ONO Voucher Holder (Section 8)7 2. Are you a resident of the City of Rosemead OYES ONO 3. In the field below, select the amount of individual income you believe you earn on an annual basis. ❑ Lass than $10,000 ❑ $30,001 -$40,000 ❑ More than $66,260 ❑ $10,001 - $20,000 Cl $40,001 - $60,000 13 $20,001 - $30,000 0 $50,001 -$60,000 Select from ONE of the following two options below: I qualify as a: ❑ Section 3 Worker (as defined on page 4 of Section 3 Worker Certification Form) ❑ Targeted Section 3 Worker (as defined on pages 4-5 of Section 3 Worker Certification Form) (frontside) Employee Affirmation I affirm that the above statements (on front side of this form) are true, complete, and correct to the best of my knowledge and belief. I hereby certify, under penalty of law, that the following information is correct to the best of my knowledge. Employee Address: Print Name: Signature: Date Hired: Date: FOR ADMINISTRATIVE USE ONLY Is the employee a Section 3 worker based upon their self -certification? OYES 0 N Is the employee a Targeted Section 3 worker based upon their self -certification? OYES 0 N Was this an applicant who was hired as a result of the Section 3 project? OYES ❑ NO If Yes, what is the name of the company? What was the date of hire? EMPLOYERS MUST RETAIN THIS FORM IN THEIR SECTION 3 COMPLIANCE FILE FOR FIVE YEARS. (backside) r Y The City of Rosemead Section 3 Income Limits Eligibility Guidelines The worker's income must be at or below the amount provided below for an individual (household of 1) regardless of actual household size. Individual Income Limits for County of Los Anueles FY 2023 Income Limits FY 2023 Category Income Limits Extremely Low Income Limits Below$26,500/yr (30%) Very Low Income Limits (50%) Below $44,150/yr Low Income Limits (80%) Below $70,650/yr See https://www.huduser.go ortal/datasets/iihtml for most recent income limits. Section 3 Worker Definition: • A low or very low-income resident (the worker's income for the previous or annualized calendar year is below the income limit established by HUD); or • Employed by a Section 3 business concern; or • A YouthBuild participant. Targeted Section 3 Worker Definition (for public housing) • Employed by a Section 3 business concern or Currently meets or when hired met at least one of the following categories as documented within the past five years: • A resident of public housing; or A resident of other public housing projects or Section 8 -assisted housing; or • A YouthBuild participant. • a 4� wprye �6 Targeted Section 3 Worker Definition (for housing and community development) • Employed by a Section 3 business concern or • Currently meets or when hired met at least one of the following categories as documented within the past five years (not past 11/30/20): • Living within the service area or the neighborhood of the project, as defined in 24 CFR 75.5 A YouthBuild participant. ***FORM WILL BE PROVIDED UPON LOW -BID` Section 3 Economic Opportunity Report Exhibit 15(c) r-eaerar uompnance i -arm — Submit with Final Certified Payroll Report or on June 300, whichever occurs first. 1. Contractor Name and Address 2. ProjectNumber 3. Dollar Amount or Contract: 4. Contractor Contact Penson: b. Phone: (IMdutle Nee Code) b. Date Report Submitted: 7. Dates) Covered: a. CSLS License Number and -Claw. a. Federal FJN: Part I: Employment & Training Opportunities provided to low4ncome Individuals (Minimum Goal: 26% of total project labor ,ours uy osunon s woraers at ow or total project tailor worked nours by Targeted Section 3 workers) Number Number of Total Total LaboOf r Labe Section 3 t % of Aggregate Number of Houle Total or S on 3 Number of Job Category Labor Hours that are Section 3 „_.._ I hu_.i.__ I Section 3 Workers I Workers I wodetrs Professionals Technicians Office/Clerical Trade: Trade: Trade: Trade: Number of Subcontracts awarded: I I Number of Section 3 Businesses Receiving Contracts: I $ $ $ Dollar Amount of All Subcontracts: $ Percentage of the total dollar amount awarded to qualified Business Concerns: % Trained and/or Employed_ low-income individuals equal to _ (%) of the aggregate labor hours. (Attach Resident Certifications) Awarded a Subcontractto_ qualBed Business Concerns equal to_ (%) of the contract amount (Attach Business Certifications) _ Attempted to recruit low-income individuals through: _ Held job fairs _ Conducted on-theyob training _ Outreach efforts to public housing residents _ Participated In a HUD program or other program which promotes the training or employment of low-income individuals _ Participated in a HUD program or other program which promotes the award of contracts to Section 3 Qualified Business Concerns Contacted agencies administering HUD Youth -Build programs. (Attach list) _ Maintained a file of eligible, qualified low-income Residents and qualified Business Concerns for future employment. OTHER- (Attach supporting dowmentation) Exhibit 16 ATTACHMENT COMPLIANCE REQUIREMENTS This construction project is funded in whole or in part with Federal Community Development Block Grant funds. Federal Labor Standards Provisions, including the prevailing wage requirements of the Davis -Bacon and Related Acts, will be enforced. Whenever a discrepancy between Federal Regulations and State Law is identified, the more stringent of the two shall prevail. All work classifications reported on weekly certified payroll reports must conform with the appropriate work classification listed on the Wage Decision. (If both Federal and State Wage rates are applicable, then the higher of the two shall prevail) Wage Decision: CAXXXXXX Modification No. XX Dated XXfXXaoaX The awarding agency is required to provide a copy of the applicable Wage Decision and the Federal Labor Standards Provisions by attaching both to the prime contractor's construction contract. The prime contractor is responsible for ensuring that each sub -contractor and sub -tier contractor receives a copy of the Wage Decision. Each contractor, sub -contractor, and sub -tier contractor is responsible for reviewing the Wage Decision in advance to ensure that each work classification to be used in the performance of this project is listed on the Wage Decision. Work Classifications or Wage Rates for any work performed on the project that do not conform to the Work Classifications listed in the applicable Wage Decision must be approved in advance by the Department of Housing and Urban Development (HUD). Contractor, and any subrecipient, must agree and comply with the following provisions: 1. & 2. Suspension of Contract If at any time in the opinion of the City, the Contractor has failed to supply an adequate working force, or material of proper quality, or has failed in any other respect to prosecute the work with diligence and force as specified and intended in and by the terms of the contract, notice thereof in writing will be served upon him. Should the contractor neglect or refuse to provide means for a satisfactory compliance with the contract, as directed by the City, within the time specified in such notice, the City in any such case shall have the power to suspend the operation of the contract. Upon receiving notice of such suspension, the Contractor shall discontinue said work or such parts of it as the City may Attachment I —Compliance Requirements Page I of designate. Upon such suspension, the Contractor's control shall terminate and thereupon the City Council or its duly -authorized representative may take possession of all or any part of the Contractor's materials, tools, equipment, and appliances upon the premises and use the same for the purpose of completing said contract and hire equipment and such additional materials and supplies at the contractor's expense as may be necessary for the proper conduct of the work and for completion thereof. The City may employ other parties to carry the contract to completion, employ the necessary workmen, substitute other machinery or materials, and purchase the materials contracted for, in such manner as the City may deem proper; or the City may annul and cancel the contract and complete the work or any part thereof. 3. Eoual Employment Opportunity During the performance of this contract, the contractor agrees as follows: (A) The contractor will not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin. The contractor will take affirmative action to ensure that applicants are employed, and that employees are treated during employment, without regard to their race, color, religion, sex, or national origin. Such action shall include, but not be limited to, the following: Employment, upgrading, demotion, or transfer, recruitment or recruitment advertising, layoff or termination, rates of pay or other forms of compensation, and selection for training, including apprenticeship. The contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the contracting officer setting forth the provisions of this nondiscrimination clause. (13) The contractor will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants Will receive consideration for employment without regard to race, color, religion, sex, or national origin. (C) The contractor will send to each labor union or representative of workers with which he has a collective bargaining agreement or other contract or understanding, a notice to be provided by the contract Compliance Officer advising the said labor union or workers' representatives of the contractor's commitment under this section and shall post copies of the notice in conspicuous places available to employees and applicants for employment. (D) The contractor will comply with all provisions of Executive Order 11246 of September 24, 1965, and as amended, and of the rules, regulations, and relevant orders of the Secretary of Labor. (E) The contractor will furnish all information and reports required by Executive Order 11246 of September 24, 1965, and by the rules, regulations, and orders of Attachment 1 —Compliance Requirements Page 2 of the Secretary of Labor, or pursuant thereto, and will permit access to his books, records, and accounts by the Department and the Secretary of Labor for purposes of investigation to ascertain compliance with such rules, regulations, and orders. (F) In the event of the contractor's noncompliance with the non-discrimination clauses of this contract or with any of such rules, regulations, or orders, this contract may be cancelled, terminated or suspended in whole or in part and the contractor may be declared ineligible for further government contracts or Federally assisted construction contract procedures authorized in Executive Order 11246 of September 24, 1965, or by rule, regulation, or order of the Secretary of Labor, or as otherwise provided by law. (G) The contractor will include the portion of the sentence immediately preceding paragraph (A) and the provisions of paragraphs (A) through (G) in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to section 204 of Executive Order 11246 of September 25, 1965, so that such provisions will be binding upon each subcontractor or vendor. The contractor will take such action with respect to any subcontract or purchase order as the Department may direct as a means of enforcing such provisions, including sanctions for noncompliance: provided, however, that in the event a contractor becomes involved in, or is threatened with, litigation with a subcontractor or vendor as a result of such direction by the Department, the contractor may request the United Sates to enter into such litigation to protect the interest of the United States. Compliance with Copeland Act Reauirements The contractor shall comply with the requirements of 29 CFR Part 3 which are incorporated by reference in the Federal Labor Standards Provisions Contract. 5. Compliance with Davis -Bacon and Related Act R auirements All rulings and interpretations of the Davis -Bacon and Related Acts contained in 29 CFR Parts 1, and 5 are incorporated in reference by the Federal Labor Standards Provisions Contract. (A) The payroll for the payroll period contains the information required to be maintained under 29 CFR 5.5(a)(3)(7) and that such information is correct and complete. (B) Each laborer or mechanic has been paid not less than the applicable wage rates and fringe benefits or cash equivalents for the classification of work performed, as specified in the applicable wage determination incorporated into the contract. Attachment 1 —Compliance Requirements Page 3 of 9 (C) Each laborer or mechanic (including each helper, apprentice, and trainee) employed on the contract during the payroll period has been paid the full weekly wages earned without rebate, either directly or indirectly, and that no deductions have been made either directly or indirectly from the full wages earned, other than permissible deductions as set forth in 29 CFR Part 3. 6. Compliance with Contract Work Hours and Safety Standards Act (A) As used in this paragraph, the terms 'laborers" and "mechanics" include watchmen and guards. (1) Overtime Requirements. No contractor or subcontractor contracting for any part of the contract work which may require or involve the employment of laborers or mechanics shall require or permit any such laborer or mechanic in any workweek in which he or she is employed on such work to work in excess of forty hours in such workweek unless such laborer or mechanic receives compensation at a rate not less than one and one-half times the basic rate of pay for all hours worked in excess of forty hours in such workweek. (2) Violation; liability for unpaid wages; liquidated damages. In the event of any violation of the clause set forth in subparagraph (1) of this paragraph, the contractor and any subcontractor responsible therefor shall be liable for the unpaid wages. In addition, such contractor and subcontractor shall be liable to the United States (in the case of work done under contract for the District of Columbia or a territory, to such District or to such territory), for liquidated damages. Such liquidated damages shall be computed with respect to each individual laborer or mechanic, including watchmen and guards, employed in violation of the clause set forth in subparagraph (1) of this paragraph, in the sum of $10 for each calendar day on which such individual was required or permitted to work in excess of the standard workweek of forty hours without payment of the overtime wages required by the clause set forth in subparagraph (1) of this paragraph. (3) Withholding for unpaid wages and liquidated damages. HUD or its designee shall upon its own action or upon written request of an authorized representative of the Department of Labor withhold or cause to be withheld, from any moneys payable on account of work performed by the contractor or subcontractor under any such contract or any other Federal contract with the same prime contract, or any other Federally -assisted contract subject to the Contract Work Hours and Safety Standards Act, which is held by the same prime contractor such sums as may be determined to be necessary to satisfy any liabilities of such contractor or subcontractor for unpaid wages and liquidated damages as provided in the clause set forth in subparagraph (2) of this paragraph. Attachment I —Compliance Requirements Page 4 of 9 (4) Subcontracts. The contractor or subcontractor shall insert in any subcontracts the clauses set forth in subparagraph (1) through (4) of this paragraph and also a clause requiring the subcontractors to include these clauses in any lower tier subcontracts. The prime contractor shall be responsible for compliance by any subcontractor or lower tier subcontractor with the clauses set forth in subparagraphs (1) through (4) of this paragraph. (B) Health and Safety (1) No laborer or mechanic shall be required to work in surroundings or under working conditions which are unsanitary, hazardous, or dangerous to his health and safety as determined under construction safety and health standards promulgated by the Secretary of labor by regulation. (2) The Contractor shall comply with all regulations issued by the Secretary of Labor pursuant to Title 29 Part 1926 (formerly part 1518) and failure to comply may result in imposition of sanctions pursuant to the Contract Work Hours and Safety Standards Act (Public Law 91-54, 83 Stat. 96). (3) The contractor shall include the provisions of this Article in every subcontract so that such provisions will be binding on each subcontractor. The Contractor shall take such action with respect to any subcontract as the Secretary of Housing and Urban Development or the Secretary of Labor shall direct as a means of enforcing such provisions. 7. Compliance with Payroll Reauirements A. The contractor shall submit weekly for each week in which any contract work is performed a copy of all payrolls to HUD or its designee if the agency is a party to the contract, but if the agency is not such a party, the contractor will submit the payrolls to the applicant, sponsor, or owner, as the case may be, for transmission to HUD or its designee. The payrolls submitted shall set out accurately and completely all of the information required to be maintained under 29 CFR Part 5.5(a)(3)(i). This information may be submitted in any form desired. Optional Form WH -347 is available for this purpose and may be purchased from the Superintendent of Documents (Federal Stock Number 029-005-00014-1), U.S. Government Printing Office, Washington, DC 20402. The prime contractor is responsible for the submission of copies of payrolls by all subcontractors. (Approved by the Office of Management and Budget under OMB Control Number 1215-0149). B. Each payroll submitted shall be accompanied by a "Statement of Compliance," signed by the contractor or subcontractor or his or her agent Attachment 1 —Compliance Requirements Page 5 of 9 who pays or supervises the payment of the persons employed under the contract and shall certify the following: (1) That the payroll for the payroll period contains the information required to be maintained under 29 CFR Part 5.5(a)(3)(i) and that such information is correct and complete; (2) That each laborer or mechanic (including each helper, apprentice, and trainee) employed on the contract during the payroll period has been paid the full weekly wages earned, without rebate, either directly or indirectly, and that no deductions have been made either directly or indirectly from the full wages earned, other than permissible deductions as set forth in 29 CFR Part 3; (3) That each laborer or mechanic has been paid not less than the applicable wage rates and fringe benefits or cash equivalents for the classification of work performed, as specified in the applicable wage determination incorporated into the contract. C. The weekly submission of a properly executed certification set forth on the reverse side of Optional Form WH -347 shall satisfy the requirement for submission of the "Statement of Compliance" required by paragraph A.3(ii)(b) of this section. D. The falsification of any of the above certifications may subject the contractor or subcontractor to civil or criminal prosecution under Section 1001 of Title 18 and Section 231 of Title 31 of the United States Code. The contractor or subcontractor shall make the records required under paragraph A.3.(i) of this section available for inspection, copying, or transcription by authorized representatives of HUD or its designee or the Department of Labor, and shall permit such representatives to interview employees during working hours on the job. If the contractor or subcontractor fails to submit the required records or to make them available, HUD or its designee may, after written notice to the contractor, sponsor, applicant, or owner, take such action as may be necessary to cause the suspension of any further payment, advance, or guarantee of funds. Furthermore, failure to submit the required records upon request or to make such records available may be grounds for debarment action pursuant to 29 CFR Part 5.12. 8. Patents and Royalties A. The Contractor shall provide and pay for all licenses and royalties necessary for the legal use and operation of any of the equipment or specialties used in the Attachment 1 —Compliance Requirements Page 6 of work. Certificates showing the payment of any such licenses or royalties, and permits for the use of any patented or copyrighted devices shall be secured and paid for by the Contractor and delivered to the City on completion of the work, if required. B. The Contractor shall assume all responsibility for the use of apparatus or devices covered by patents or copyrights shall defend any suits brought against the Owner, City and HUD based upon claimed infringements of any such patents or copyrights, and shall hold the Owner, City and HUD free from claims for damages incident to their use. 9. Compliance with requirements and regulations pertaining to copyrights and rights of data (use only when applicable). 10.& Access to Records 11. A. Contractor assures that all contracts and subcontracts for work on the project shall require him and all subcontractors to make such books, records, documents and other evidence available to the City or its authorized agents during the course of construction and for final audit, if requested, and to provide suitable facilities for access, inspection and copying thereof B. For any federally funded project the Owner, the City, Federal Grantor Agency (HUD), the controller General of the United States or any of their duly authorized representatives shall have access to any books, documents, papers and records of the Contractor which are directly pertinent to a specific grant program for the purpose of making audit, examination, excerpts, and transcriptions. Said books, documents, papers, and records are to be kept, maintained and available for a period of three years after project completion or until after all project audit findings have been resolved, whichever comes last. C. All construction contractors/subcontractors with contracts in excess of $10,000 must file form CC -257, Monthly Employment Utilization Report, with the U.S. Department of Labor. Copies of these reports are to be submitted to the City. 12. Compliance with Section 306 of the Clean Air Act A. The contractor stipulates that any facility to be utilized in the performance of this contract, unless such contract is exempt under the Clean Air Act, as amended (42 U. S.C. 1857 et seq., as amended by Pub. L. 91-604), and under the Federal Water Pollution Control Act, as amended (33 U.S.C. 1251 et seq., as amended by Pub. L. 92-500), Executive Order 11738, and regulations in implementation thereof (40 C.F.R., Part 15, is not listed, on the date of contract award, on the U.S. Environmental Protection Agency (EPA) List of Violating Facilities pursuant to 40 C.F.R. 15.20. Attachment I —Compliance Requirements Page 7 of 9 B. The contractor agrees to comply with all the requirements of Section 114 of the Clean Air Act and Section 308 of the Federal Water Pollution Control Act and all regulations and guidelines listed thereunder. C. The contractor shall promptly notify the State Highway Department of the receipt of any communication from the Director, Office of Federal Activities, EPA, indicating that a facility to be utilized for the contract is under consideration to be listed on the EPA List of Violating Facilities. D. The contractor agrees to include or cause to be included the requirements of subparagraphs A through D of this paragraph 12 in every non-exempt subcontract, and further agrees to take such action as the Government may direct as a means of enforcing such requirements. (Applicable to contracts and subcontracts which exceed $100,000). 13. Lead Based Paint The construction or rehabilitation of residential structures with Community Development Block Grant Funds is subject to the provisions of the HUD Lead - Based Paint Regulations, 24 CFR Part 35, Public Law 102-550 - the Residential Lead -Based Paint Hazard Reduction Act of 1992, and all other applicable regulations. Resdiential construction or rehabilitation activity is subject to the provisions requiring the elimination of lead -base paint hazards under subpart B of 24 CFR Part 35. Contractor shall ensure that all affected work is performed in a complying manner, and that all inspections, certifications and clearances are properly performed. 14. Federal Labor Standards Provision Except with respect to the rehabilitation of residential property designed for residential use for less than eight families, all contractors engaged under contracts in excess of $2,000 for the construction, prosecution, completion or repair of any building or work financed in whole or part with assistance provided with Community Development Block Grant funds, shall comply with HUD requirements pertaining to such contracts, and the applicable requirements of the Department of Labor under 29 CFR Parts 3, 5 and 5a, governing the payment of wages and the ratio of apprentices and trainees to journeymen: provided that if wage rates higher than those required under such regulations are imposed by state or local law, nothing hereunder is intended to relieve the contractor of its obligation to require payment of the higher rates. 15. Interest of Officers. Local Governing Body, and Other Public Officials No member, officer or employee of the City or its designees or agents, no member of the governing body of the City, and no other public Attachment I —Compliance Requirements Page 8 of official of such locality or localities who exercises any functions or responsibilities with respect to the CDBG program during their tenure or for one year thereafter, shall have any interest, direct or indirect, in any contract or subcontract or the proceeds thereof, for work to be performed in connection with the program assisted under 16. Compliance with the Eneray Policy and Conservation Act The contractor agrees to meet mandatory standards and policies relating to energy efficiency which are contained in the State Energy Conservation Plan. (Use only when applicable) _ONYX PAVING COMPANY, INC. Name of Co ra for Firm Signature COREY R. KIRSCHNER Name CEO, PRIES, VP, SEC, TREA. Title 11/21/2023 Date TBD Name of Subcontractor Firm Signature Name Title Date Attachment I —Compliance Requirements Page 9 of Exhibit 17 CERTIFICATION FOR APPLICABLE FRINGE BENEFIT PAYMENTS RESIDENTIAL STREET RESURFACING AND CONCRETE IMPROVEMENTS CITY OF ROSEMEAD Project Nam Awarding Agency Location: CITY OF ROSEMEAD Project Number: PROJECT No. 21035 Work Classification HOURLY FRINGE BENEFITS PROVIDED Name, Address, and Telephone Number of the Approved Plan, Fund, or Program Operator Eng Grps 1-25 Health & welfare 5 12.85 Operating Engineers Funds, Inc. P.O. Box 7064 Pasadena, CA 91109-7064 Pension $ vacation $ 3.85 ApprantioeshiprTrelning $ 1.05 Other *Plain) Admin $ 0.41 TOTAL HOURLY FRINGE s 30.79 Laborer Grp 1-6 Health &welfare s Construction Laborers Trust Funds 1055 Park View Drive, Suite 111 Covina, CA 91724 P°"°'°" $ 11.61.6 2 Vacation It 5.02 Apprenticeshlprrrafning $ 0.75 Other(explain) s 0.67 TOTAL HOURLY FRINGE s 27.01 Cement Mason Health & Welfare s 8.50 Cement Masons Trust Fund 5417 Peck Rd Arcadia, CA 91006 Pension $ vacation s T34 Apprenficeship?mMing a Other (explain) $ 0-24 TOTAL HOURLY FRINGE $ 27.75 Health & Wolters It Pension 5 vacation It Apprenticeshlp"l7alning $ Other (explain) $ TOTAL HOURLY FRINGE $ Hash & Welfare S Pension $ Vacation $ Apprenticeship/Training $ Other (explain) $ E4 TOTAL HOURLY FRINGE $ I certify under penalty of perjury that: Bl I make payments to approved fringe benefit plans, funds, or programs as listed above. OR ❑ 1 DO NOT make payments to approved fringe benefit plans, funds, or programs. Benefits are added to hourly rates and paid to employees weekly. COREY R. KIRSCHNER - ONYX PAVING COMPANY. INC. v CEO. PRIES VP, SEC. TREA. (Print Company Name) (Print Name of Penson Authorized to Sign) Contractor License Number: 630360 By: 11/21/2023 COREY R. KIRSCHNER - Date: Tine: CEO, PRIES, VP, SEC. TREA. Exhibit 18 LProject Wage Rate Sheet Amrba DepaentofHousingandUnDevalopment form HUD 472D (OY2DD4) Exhibit 19 Certification of Understanding and Authorization RESIDENTIAL STREET RESURFACING AND Project Name: CONCRETE IMPROVEMENTS Contracting Agency: CITY OF ROSEMEAD This is to certify that the principals and the authorized payroll officer, below, have read received a copy of the Federal Labor Standard Provisions (HUD -4010) and a copy of the Contractor's Guide to Prevailing Wage Requirements for Federally -Assisted Construction Projects, and that they understand the labor standard clasues pertaining to the above listed project. The following person(s) is designated at the payroll officer for the undersigned and is authorized to sign the Statement of Compliance that will accompany each weekly certified payroll report for the contractor listed below during the duration of this project: ONYX PAVING COMPANY, INC. Contractor Business Name DAVID WILTFONG Name Designated Payroll Officer (Print) COREY R. KIRSCHNER Name of Person Authorized to Sign (print) CEO, PRES, VP, SEC, TREA. (Title) 630360 License Number Designated Payroll Officer (Signature) Authorized Signature 11/2112023 (Date) '�� Exhibit 20 Report of Additional U.s. Department of Housing And Urban Development OMB Approval No. 2501-0011 Classification end age Rate Omer of Labor Relations (Exp 0913012006) Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining data needed, and completing and reviewing the collection of information. The information Is considered non -sensitive and does not require special protection. This Information is required to obtain benefits. This agency may not collect this Informabon, and you are not required to complete this form, unless it displays a currently valid OMB control number. Employers engaged on HUD -assisted construction projects subject to Davis -Bacon wage requirements must pay no less than the wages determined to be prevailing by the Secretary of Labor to 60 laborers and mechanics engaged on the construction work On occasion, the applicable Davis -Bacon wage decision does not contain as of the work classifications and wage rates needed to complete the construction work. This information collection factillates the addition of needed work classifications and wage rates for the construction work involved. This form is used by HUD and local agencies administering HUD programs to report employer request's) for additional classification and wage rates so that an appropriele wage rate can be approved by the Department of Labor for the construction work. This information collection is required by Department of Labor regulations at 29 CFR 5.5. While no assurances of confidentiality are pledged to respondents, HUD generally discloses these data only in response to a Freedom of Information request. Instructions Contractors/Employers: Do not need to complete this form. Submit a written, signed request to the responsible contracting agency naming the work classifications and the wage rates, including any fringe benefits, that are proposed. Local Agency Staff: Complete items 2 through 10. Submit one copy of this form to the responsible HUD Labor Relations Office with a copy of the applicable Davis -Bacon wage decision and the written request from the employer naming the work classifications and wage rates that are proposed. (The employer's request must be made in writing and must be signed.) 1. For HUD or State CDBG Office use. Enter the name and address of HUD Office (or State CDBG office) submitting the report and to which the DOL reply should be sent. 2. Enter the name and number of the project or contract involved. 3. Enter the location of the project involved: city, county and state. 4. Describe the construction involved, e.g., new construction or rehabilitation, number and type of buildings, number of stories, number of units (as applicable). For example, New construction: 3 — 4 -story buildings; 120 units. 5. Enter the character of construction as defined by DOL for Davis -Bacon prevailing wage rate purposes. 6. Enter the number of the Davis -Bacon wage decision applicable to the construction work. Include the number of wage decision modifications (If any) applicable to the work. 7. Enter the effective date of the wage decision for the project (See DOL regulations at 29 CFR 1.6.) 8. Enter the work classifications and corresponding houdy, basic wage rates and fringe benefit rates (if any) requested. 9. Self-explanatory. 10. If the requesting employer is not the prime contractor, enter the name and address of the subcontractor/employer making the request. Remainder of Form: HUD Labor Relations/State CDBG use. HUD Labor Relations/State CDBG Staff: Evaluate the employer's request against the criteria for approval (see DOL Regulations, 29 CFR Part 5, and related contract labor standards provisions). The criteria are reflected in "checklist" form to ensure that each factor Is considered and to ensure that supporting documentation, including a copy of the applicable wage decision, is attached. Chock the box next to each criterion that is met; do not check the box next to any criterion that Is not met. If the request meets all criteria, check the appropriate box, enter the name and telephone number of the HUD/State CDBG agency representative, and sign and date the form. Submit one copy of the completed form to the DOL with a copy of the applicable Davis - Bacon wage decision and the written request from the employer involved. If the request fails to pass all criteria, check the appropriate box, enter agency contact information, and sign and date the form. Submit one copy of the completed form to the DOL with a copy of the applicable Davis -Bacon wage decision, the written request from the employer involved, and a cover letter explaining how the employer's request failed to meet one or more of the criteria. Completed forms shall be sent to: Branch of Construction Wage Determinations, U.S. Department of Labor, 200 Constitution Avenue, NW, Room S-3014, Washington, DC 20210. HUD4230A(903) PREVIOUS EmmON 15 OBSOLETE Exhibit 20(a) U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT HUD FORM 4230A REPORT OF ADDITIONAL CLASSIFICATION AND RATE OMSAWWd 250+40++ 7 E� 02000)(16) 1. FROM (name and address of requestIng agency) 2. PROJECT NAME AND NUMBER RESIDENTIAL STREET RESURFACING ONYX PAVING COMPANY, INC. AND CONCRETE IMPROVEMENTS 2890 E. LA CRESTA AVE. ANAHEIM, CA 92806 PROJECT No. 21035 3. LOCATION OF PROJECT (City, County and State) ROSEMEAD,CA 0. BRIEF DESCRIPTION OF PROJECT 6. CHARACTER OF CONSTRUCTION RESIDENTIAL STREET RESURFACING AND ❑ Building ❑ Residential CONCRETE IMPROVEMENTS ❑ Heavy ❑ Other (specify) ® Highway S. WAGE DECISION NO. (include modification number, if any) 7. WAGE DECISION EFFECTIVE DATE ❑ COP`/ ATTACHED S. WORK CLASSIFICATION(S) HOURLY WAGE RATES BASIC WAGE FRINGE BENEFIT(S) (If any) Laborer Group 1 $41.38 $27.01 Laborer Group 4 $44.03 $27.01 Operator Group 6 $58.68 $32.81 Operator Group 8 $58.79 $32.81 Cement Mason -Curb and Gutter $44.00 $27.35 e. PRIME CONTRACTOR (name, address) 10. SUBCONTRACTORIEMPLOYER, IF APPLICABLE (name, address) ONYX PAVING COMPANY, INC. 2890 E. LA CRESTA AVE. ANAHEIM, CA 92806 Check All That Appi ❑ The work to be performed by the additional classification(s) is not performed by a classification in the applicable wage decision. 0 The proposed classification is utilized in the area by the construction industry. ® The proposed wage rate(s). Including any bona fide fringe benefits, bears a reasonable relationship to the wage rates contained in the wage decision. ® The interested parties, including the employees or their authorized representatives, agree on the classification(s) and wage rate(s). ❑ Supporting documentation attached, including applicable wage decision. Check One: ❑ Approved, meets all criteria. DOL confirmation requested. ❑ One or more classifications fail to most all criteria as explained In agency referral. DOL decision requested. COREY R. KIRSCHNER - FOR HUD USE ONLY LR2000: CEO, PRIES, VP, SEC, TREA. 11/21/2023 Agency Representative Date Log in: (Typed name and signature) 714-632-6699 Log out: FTWW Number 11,P�ikiER.,pI Exhibit 21 CONTRACTOR'S RATIO OF APPRENTICES/TRAINEES TO JOURNEYMEN Firm Name: ONYX PAVING COMPANY INC. The following is a list of my entire work force employed on all State, Private, or Federally -financed or Federally -assisted construction projects for the county stated below. County: ORANGE as of 11/21/2023 (NOTE: Do not list the name of any journeyman or apprentice/trainee) JOURNEYMAN CLASSIFICATION TOTAL APPRENTICE/TRANEE CLASSIFICATION TOTAL Cement Mason 25 Cement Mason Apprentice 3 Laborers 36 Laborer Apprentice 3 Operator Eng 25 Operator Apprentice 3 AUTHORIZED SIGNATURE: Z , TITLE: COREY R. KIRSCHNER - CEO, PRES, VP, SEC, TREA. Exhibit 22 CONTRACTOR QUESTIONNAIRE Fan Name Hispanic D& ONYX PAVING COMPANY, INC. White 11/21/2023 SUNIAWmfa Uy 51ae zp 2890 E. LA CRESTA AVE. ANAHEIM CA 92806 MaagAwmaa Cay SM zip 2890 E. LA CRESTA AVE. ANAHEIM CA 92806 Papa No. Fa No. 714-632-6699 N/A TYPE OF ORGANIZATION ❑ Individual Name of Owner: M Corporation State of Incorporation ❑ Partnership Partnership Form: Names of Partners: ❑ Jolnt Venture Joint Venture Participants: CALIFORNIA ❑ General ❑ Limited Local Address: 2890 E. LA CRESTA AVE. ANAHEIM, CA 92806 OWNERSHIP INTEREST Black Hispanic Alaskan Native or American Indian Asian or Pacific Islander White Women 100% N C W D IL IL N z W f z 2 Q } F a 0 z ONYX PAVING COMPANY INC. 2890 E. La Cresta Ave. ANAHEIM, CA 92806 Tel: (714) 632-6699 Fax: (000) 000-0000 Ad Proofs Project Name: RESIDENTIAL STREET RESURFACING AND CONCRETE IMPROVEMENTS Contract/Bid #: PROJECT No. 21035 Awarding Agency: CITY OF ROSEMEAD Focus Journal Ad Publication: DBE GoodFaith (DBEGoodFalth.00m) Published On: 11/21/2023 @ 01:21:52 PM Pacific Expired On: 11/28/2023 @ 11:59:59 PM Pacific Message Notifications Sent To: SIDS@ONYXPAVING.NET Published At: https://dbegoodfaith-com/item.php?item_type=ads&ad_adid=58925 ONYX, PAYMPP, COMPANY„INC. Project Name Awarding Agency CITY OF ROSEMEAD Project Location ROSEMEAD, LOS ANGELES COUNTY County, CA Bid Date 11/28/2023 at 10:30 Project Details SURVEY TRUCKING HAULING GRINDING UTILITIES ADJUSTING STRIPING PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. Project Estimator COREY KIRSCHNER Telephone (714) 632-6699 Fax (000) 000-0000 Address '.. 2890 E. La Cresta Ave. ANAHEIM, CA 92808 Certification S"Assistance California DBE Program San Francisco LBE Program San Diego SLBE Program Bay Area Rapid Transit MBE, WBE (EOPP) Program Los Angeles County CBE Program Alameda County SLEB Program Califomia Supplier Clearinghouse Diversity Program Program Oakland LBE/SLBE Program Los Angeles County SLBE & DVBE Program California SB -PW Program California DVBE Program The: U.S. Department of Transportation - supported Southwest Region SBTRC helps DBEs with Procurement, Capital Access, and Surety Bond Assistance - and much more - at no cost. Trade Journal Ad Publication: DBE Journal (DBEJournal.com) Published On: 11121=23 @ 01:21:52 PM Pacific Expired On: 11/28/2023 @ 11:59:59 PM Pacific Published At: http://dbojournal.conV!ndex.php?show ad=58925&ad_project_name=RESIDENTIAL+STREET+RESURFACING+AND+CONCRET E+I MPROVEME NTS&co_name=ONYX+PAVING+COMPANY+INC. Outreach Coordinator COREY KIRSCHNER Estimator ...... ....... ... .... COREY KIRSCHNER Contact Information ......................................................... 2890 E. La Cresta Ave. ANAHEIM, CA 92806 Telephone ......__....__.__...... (714)632-6699 Fax (000)000-0000 ONYX PAVING COMPANY INC. is seeking qualified MBEs, WKS, Section 3s Project Name ........ ................ RESIDENTIAL STREET RESURFACING AND CONCRETE IMPROVEMENTS Bid/Contract # PROJECT No. 21035 Awarding Agency. . CITY OF ROSEMEAD Project Location ROSEMEAD. LOS ANGELES COUNTY County, CA Bid Date 11 /28/2023 at 1030 Project Details SURVEY TRUCKING HAULING GRINDING UTILITIES ADJUSTING STRIPING PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. X Post (Tweet) Due to the rapid changes occurring at X (Twitter), we are no longer displaying a sample copy of your tweet. You can obtain a copy Of the post via the link below. Please note - in recent months X (Twitter) has experienced signiricant website downtime. Please obtain a copy of the post as soon as possible. Published On: 11/21/2023 @ 01:37:56 PM Pacific Published At: https://x.com/dbegoodfaith/status/1727078885123117187 Linkedln Remember to follow DSEGoodFaith on Linkedin and repost the bid invitation provided below This will help you get more eyes on the sub/supplisroppodunities available on the project. Published On: 11/21/2023 (off 01:28:02 PM Pacific Published At: https://www.linkedin.00rn/feed/updatelum:li:share:7132842114974969856/ ONYX PAVING COMPANY INC. 2890 E. La Cresta Ave. ANAHEIM, CA 92806 Tel: (714) 632-6699 Fax: (000) 000-0000 Outreach Invitation Proofs Project Name: RESIDENTIAL STREET RESURFACING AND CONCRETE IMPROVEMENTS Contract/Bid M PROJECT No. 21035 Awarding Agency: CITY OF ROSEMEAD Log details • This document contains a single copy of the bid invitation emailed to each company with an email address listed on their certification. The same email was sent to all companies, which is why we have provided the single email proof. • This document contains a copy of each fax notice sent to solicited companies with a fax number listed on their certification. Email Proof Subject Line: [ Bid Invite I RESIDENTIAL STREET RESURFACING AND CONCRETE IMPROVEMENTS Reply To Email: BIDS@ONYXPAVING.NET ONYX PAVING COMPANY INC. is seeking qualified MBEs, WBEs, Section 3s and invites you to bid on the following contract. PROJECT NAME: RESIDENTIAL STREET RESURFACING AND CONCRETE IMPROVEMENTS BID #: PROJECT No. 21035 BID DUE DATE: 11/28/2023 at 10:30 (local time) AWARDING AGENCY/OWNER: CITY OF ROSEMEAD PROJECT LOCATION: ROSEMEAD, LOS ANGELES COUNTY, CA SURVEY TRUCKING HAULING GRINDING UTILITIES ADJUSTING STRIPING PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING. NET. If Interested, contact: COREY KIRSCHNER ONYX PAVING COMPANY INC. Tel: (714) 632-6699 Fax: (000) 000-0000 BIDS@ONYXPAVING.NET INVITATION TO BID FROM: ONYX PAVING COMPANY INC. 2890 E. La Cresta Ave. ANAHEIM, CA 92806 Tel: (714) 632-6699 Fax: (000) 000-0000 BIDS@ONYXPAVING.NET CONTACT NAME: COREY KIRSCHNER TO: B & B TRUCKING Tel: (818) 378-8104 Fax: (818) 764-8356 ONYX PAVING COMPANY INC. Is Seeking Qualified MBEs, WBEs, Section 3s PROJECT NAME RESIDENTIAL STREET RESURFACING AND CONCRETE IMPROVEMENTS BID DUE DATE 11/28/2023 at 10:30 BID / PROJECT 9 PROJECT No. 21035 AGENCY NAME CITY OF ROSEMEAD PROJECT LOCATION ROSEMEAD, LOS ANGELES COUNTY, CA SURVEY TRUCKING HAULING GRINDING UTILITIES ADJUSTING STRIPING PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfaith.com/respond and enter Solicitation ID 2749280-58925 BY FAX Fax back this Invitation with your response to: (000) 000-0000 [ J Yes, we will send a fax quote by the bid date. [ ) No, we are not interested. [ ] Interested, but we would like more information. Please contact us at �SY EMAIL Contact COREY KIRSCHNER at BIDSQONYXPAVING.NET This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 11/21/2023 01:36:04 pm Pacific through the DBEGoodFa@h.com outreach platform. Find other DBE, M/WBE, DVBE, SBE, and other subcontracting and supplier opportunities at DBEGocdFa/th.com. Loam more about why you received this invitation at DBEGoodFaith.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. 2890 E. La Cresta Ave. ANAHEIM, CA 92806 Tel: (714) 632-6699 Fax: (000) 000-0000 BIDS@ONYXPAVING.NET CONTACT NAME: COREY KIRSCHNER TO: C.W. CROSSER CONSTRUCTION, INC Tel: (714) 366-5386 Fax: () - ONYX PAVING COMPANY INC. is Seeking Qualifled MBEs, WBEs, Section 3s PROJECT NAME RESIDENTIAL STREET RESURFACING AND CONCRETE IMPROVEMENTS BID DUE DATE 11/28/2023 at 10:30 BID / PROJECT # PROJECT No. 21035 AGENCY NAME CITY OF ROSEMEAD PROJECT LOCATION ROSEMEAD, LOS ANGELES COUNTY, CA SURVEY TRUCKING HAULING GRINDING UTILITIES ADJUSTING STRIPING PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET, HOW TO REPLY ONLINE Visit dbegoodfaith.comirespond and enter Solicitation ID 2749251-58925 BY FAX Fax back this invitation with your response to: (000) 000-0000 ( ] Yes, we will send a fax quote by the bid date. ( ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at �BY EMAIL Contact COREY KIRSCHNER at BIDS@ONYXPAVING.NET This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 11/21/2023 01:36:02 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE, M/WBE, DVBE, SBE, and other subcontracting and supplier opportunities at DBEGoodFaith.com. Learn more about why you received this invitation at DBEGoodFaith.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. 2890 E. La Cresta Ave. ANAHEIM, CA 92806 Tel: (714) 632-6699 Fax: (000) 000-0000 BIDS@ONYXPAVING.NET CONTACT NAME: COREY KIRSCHNER TO: Cabrinha Hearn & Associates Tel: (626) 795-6926 Fax: (626) 795-4180 ONYX PAVING COMPANY INC. Is Seeking Qualified MBEs, WBEs, Section 3s PROJECT NAME RESIDENTIAL STREET RESURFACING AND CONCRETE IMPROVEMENTS BID DUE DATE 11/28/2023 at 10:30 BID / PROJECT # PROJECT No. 21035 AGENCY NAME CITY OF ROSEMEAD PROJECT LOCATION ROSEMEAD, LOS ANGELES COUNTY, CA SURVEY TRUCKING HAULING GRINDING UTILITIES ADJUSTING STRIPING PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfalth_com/respond and enter Solicitation ID 2749270-58925 BY FAX Fax back this invitation with your response to: (000) 000-0000 [ ] Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at BY EMAIL Contact COREY KIRSCHNER at BIDS@ONYXPAVING.NET This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 11/21/2023 01:36:03 pm Pacific through the DBEGoodFailh.com outreach platform. Find other DBE, M/WBE, DVBE, SBE, and other subcontracting and supplier opportunities at DBEGoodFaith. com. Learn more about why you received this invitation at DBEGoodFafth.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. 2890 E. La Cresta Ave. ANAHEIM, CA 92806 Tel: (714) 632-6699 Fax: (000) 000-0000 BIDS@ONYXPAVING.NET CONTACT NAME: COREY KIRSCHNER TO: CALIFORNIA GRINDING SPECIALTIES, INC. DBA AUSTIN ENTERPRISE Tel: (661) 589-1001 Fax: (661) 589-9509 ONYX PAVING COMPANY INC. is Seeking Qualified MBEs, WBES, Section 3s PROJECT NAME RESIDENTIAL STREET RESURFACING AND CONCRETE IMPROVEMENTS BID DUE DATE 11/28/2023 at 10:30 BID / PROJECT 0 PROJECT No. 21035 AGENCY NAME CITY OF ROSEMEAD PROJECT LOCATION I ROSEMEAD, LOS ANGELES COUNTY, CA SURVEY TRUCKING HAULING GRINDING UTILITIES ADJUSTING STRIPING PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfaith.com/resoond and enter Solicitation ID 2749252-58925 BY FAX Fax back this invitation with your response to: (000) 000-0000 [ ] Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at [BY EMAIL Contact COREY KIRSCHNER at BIDS@ONYXPAVING.NET This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 11/21/2023 01:36:02 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE, M/WBE, DVBE, SBE, and other subcontracting and supplier opportunities at DBEGoodFaith.com. Learn more about why you received this invitation at DBEGoodFafth.com&by INVITATION TO BID FROM: ONYX PAVING COMPANY INC. 2890 E. La Cresta Ave. ANAHEIM, CA 92806 Tel: (714) 632-6699 Fax: (000) 000-0000 BIDS@ONYXPAVING.NET CONTACT NAME: COREY KIRSCHNER TO: CANETE MEDINA CONSULTING GROUP INC. Tel: (626) 986-8314 Fax: (847) 728-6225 VINYX PAVING COMPANY INC. is Seeking Qualified MBEs, WBEs, Section 3s PROJECT NAMqZ L STREET RESURFACING AND CONCRETE IMPROVEMENTS BID DUE DATEt 10:30 BID / PROJECT o. 21035 AGENCYNAMESEMEAD PROJECT LOCA, oil. 11v LOS ANGELES COUNTY, CA I MULINevb nHuuNU (WINDING UTILITIES ADJUSTING STRIPING PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BI DS(OONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfalth_comiraspond and enter Solicitation ID 2749271-58925 BY FAX Fax back this invitation with your response to: (000) 000-0000 [ ] Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at BY EMAILI Contact COREY KIRSCHNER at BIDS@ONYXPAVING.NET This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 11/21/2023 01:36:03 pm Pacific through the DBEGoodFaith.com outreach platform. Flnd other DBE, M/WBE, DVBE, SBE, and other subcontracting and supplier opportunities at DBEGoodiraith.com. Learn more about why you received this invitation at DBEGoodFaith.comAvhy INVITATION TO BID FROM: ONYX PAVING COMPANY INC. TO: CAT TRACKING INC. 2890 E. La Cresta Ave. Tel: (714) 682-1494 ANAHEIM, CA 92806 F Tel: (714) 632-6699 ax: (714) 682-1491 Fax: (000) 000-0000 BIDS@ONYXPAVING.NET CONTACT NAME: COREY KIRSCHNER ONYX PAVING COMPANY INC. is Seeking Qualified MBEs, WBEs, Section 3s PROJECT NAME RESIDENTIAL STREET RESURFACING AND CONCRETE IMPROVEMENTS BID DUE DATE 11/28/2023 at 10:30 BID / PROJECT # PROJECT No. 21035 AGENCY NAME CITY OF ROSEMEAD PROJECT LOCATION ROSEMEAD, LOS ANGELES COUNTY, CA SURVEY TRUCKING HAULING GRINDING UTILITIES ADJUSTING STRIPING PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING SIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbeaoodfalth co /m■pond and enter Solicitation ID 2749253-58925 BY FAX Fax back this invitation with your response to: (000) 000-0000 [ ] Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ j Interested, but we would like more information. Please contact us at BY EMAIL I Contact COREY KIRSCHNER at BIDS@ONYXPAVING.NET This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 11/21/2023 01:36:02 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE, WINBE, DVBE, SBE, and other subcontracting and supplier opportunities at DBEGoodFaith.com. Learn more about why you received this invitation at DBEGoodFaith.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. TO: Cindy Trump Inc 2890 E. 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Tel: (626) 281-2001 Fax: (626) 281-2008 ONYX PAVING COMPANY INC. is Seeking Qualified MBEs, WBEs, Section 3s PROJECT NAME RESIDENTIAL STREET RESURFACING AND CONCRETE IMPROVEMENTS BID DUE DATE 11/28/2023 at 10:30 BID / PROJECT 0 PROJECT No. 21035 AGENCY NAME CITY OF ROSEMEAD PROJECT LOCATION ROSEMEAD, LOS ANGELES COUNTY, CA SURVEY TRUCKING HAULING GRINDING UTILITIES ADJUSTING STRIPING PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbepoodfaith.comirespond and enter Solicitation ID 2749273-58925 BY FAX Fax back this invitation with your response to: (000) 000-0000 [ j Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. 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Tel: (951) 245-6464 Fax: (951)471-1476 ONYX PAVING COMPANY INC, is Seeking Quallfied MBEs, WBEs, Section 3s PROJECT NAME RESIDENTIAL STREET RESURFACING AND CONCRETE IMPROVEMENTS BID DUE DATE 11/28/2023 at 10:30 BID IPROJECT# PROJECT No. 21035 AGENCY NAME CITY OF ROSEMEAD PROJECT LOCATION I ROSEMEAD, LOS ANGELES COUNTY, CA SURVEY TRUCKING HAULING GRINDING UTILITIES ADJUSTING STRIPING PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfaith.comires. Md and enter Solicitation ID 2749261-58925 BY FAX Fax back this invitation with your response to: (000) 000-0000 [ ] Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. 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Please contact us at BY EMAIL Contact COREY KIRSCHNER at BIDS@ONYXPAVING.NET This Solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 11/21/2023 01:36:02 pm Pacific through the DBEGoodFaith.rom outreach platform. Find other DBE, MWBE, DVBE, SBE, and other subcontracting and supplier opportunities at DBEGoodFalth.com. Learn more about why you received this invitation at DBEGoodFaith.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. 2890 E. Le Cresta Ave. ANAHEIM, CA 92806 Tel: (714) 632-6699 Fax: (000) 000-0000 BIDS@ONYXPAVING.NET CONTACT NAME: COREY KIRSCHNER TO: Quiroz and Associates, Inc. Tel: (323) 236-7442 Fax: () - ONYX PAVING COMPANY INC. is Seeking Qualified MBEs, WBEs, Section 3s PROJECT NAME RESIDENTIAL STREET RESURFACING AND CONCRETE IMPROVEMENTS BID DUE DATE 11/28/2023 at 10:30 BID / PROJECT # PROJECT No. 21035 AGENCY NAME CITY OF ROSEMEAD PROJECT LOCATION ROSEMEAD, LOS ANGELES COUNTY, CA SURVEY TRUCKING HAULING GRINDING UTILITIES ADJUSTING STRIPING PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfaith_com/respond and enter Solicitation ID 2749275-58925 BY FAX Fax back this invitation with your response to: (000) 000-0000 [ ] Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at �113Y EMAIL Contact COREY KIRSCHNER at BIDS@ONYXPAVING.NET This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 11/21/2023 01:36:03 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE, M/WBE, DVBE, SBE, and other subcontracting and supplier opportunities at DBEGoodFalth.com. Learn more about why you received this invitation at DBEGoodFaith.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. 2890 E. La Cresta Ave. ANAHEIM, CA 92806 Tel: (714) 632-6699 Fax: (000) 000-0000 BIDS@ONYXPAVING.NET CONTACT NAME: COREY KIRSCHNER TO: RE CHAFFEE CONSTRUCTION Tel: (760) 403-5456 Fax: () - VING COMPANY INC. Is Seeking Qualified MBEs, WBEs, Section 3s NAME RESIDENTIAL STREET RESURFACING AND CONCRETE IMPROVEMENTS ATE 11/28/2023 at 10:30 ECT# F PROJECT No. 21035 AME CITY OF ROSEMEAD LOCATION ROSEMEAD, LOS ANGELES COUNTY, CA SURVEY TRUCKING HAULING GRINDING UTILITIES ADJUSTING STRIPING PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. 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Is Seeking Qualified MBEs, WBEs, Section 3s PROJECT NAME RESIDENTIAL STREET RESURFACING AND CONCRETE IMPROVEMENTS BID DUE DATE 11/26/2023 at 10:30 BID/PROJECT# PROJECT No. 21035 AGENCY NAME CITY OF ROSEMEAD PROJECT LOCATION ROSEMEAD, LOS ANGELES COUNTY, CA SURVEY TRUCKING HAULING GRINDING UTILITIES ADJUSTING STRIPING PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit 0200odfaith.comiresoond and enter Solicitation ID 2749264-58925 BY FAX Fax back this invitation with your response to: (000) 000-0000 [ ] Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at BY EMAIL Contact COREY KIRSCHNER at BIDS@ONYXPAVING.NET This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 11/21/2023 01:36:03 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE, MiWBE, DVBE, SBE, and other subcontracting and supplier opportunities at DBEGoodFaith.com. Learn more about why you received this invitation at DBEGoodFaith. cormoy INVITATION TO BID FROM: ONYX PAVING COMPANY INC, 2890 E. La Cresta Ave. ANAHEIM, CA 92806 Tel: (714) 632-6699 Fax: (000) 000-0000 BIDS@ONYXPAVING.NET CONTACT NAME: COREY KIRSCHNER TO: RMD SURVEYING CORPORATION Tel: (909) 419-0645 Fax: () - ONYX PAVING COMPANY INC. Is Seeking Qualifled MBEs, WBEs, Section 3s PROJECT NAME RESIDENTIAL STREET RESURFACING AND CONCRETE IMPROVEMENTS BID DUE DATE 11/28/2023 at 10:30 BID / PROJECT 0 PROJECT No. 21035 AGENCY NAME CITY OF ROSEMEAD PROJECT LOCATION ROSEMEAD, LOS ANGELES COUNTY, CA SURVEY TRUCKING HAULING GRINDING UTILITIES ADJUSTING STRIPING PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfaith.com/respond and enter Solicitation ID 2749265-58925 BY FAX Fax back this invitation with your response to: (000) 000-0000 [ ] Yes, we will send a fax quote by the bid date. [ j No, we are not interested. [ ] Interested, but we would like more information. Please contact us at [BY EMAIL Contact COREY KIRSCHNER at BIDS@ONYXPAVING.NET This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 11/21/2023 01:36:03 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE, M/WBE, DVBE, SBE, and other subcontracting and supplier opportunities at DBEGoodFaith.com. Learn more about why you received this invitation at DBEGoodFaith.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. 2890 E. La Cresta Ave. ANAHEIM, CA 92806 Tel: (714) 632-6699 Fax: (000) 000-0000 BIDS@ONYXPAVING.NET CONTACT NAME: COREY KIRSCHNER TO: S&H CIVILWORKS Tel: (909) 206-1181 Fax: (909) 498-8021 ONYX PAVING COMPANY INC. Is Seeking Qualified MBEs, WBEs, Section 3s PROJECT NAME RESIDENTIAL STREET RESURFACING AND CONCRETE IMPROVEMENTS BID DUE DATE 11/28/2023 at 10:30 BID I PROJECT N PROJECT No. 21035 AGENCY NAME CITY OF ROSEMEAD PROJECT LOCATION ROSEMEAD, LOS ANGELES COUNTY, CA SURVEY TRUCKING HAULING GRINDING UTILITIES ADJUSTING STRIPING PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDSQONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfaith.com/respond and enter Solicitation ID 2749266-58925 BY FAX Fax back this invitation with your response to: (000) 000-0000 [ ] Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at [BY EMAIL Contact COREY KIRSCHNER at BIDS@ONYXPAVING.NET This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 11/21/2023 01:36:03 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE, AVINBE DVSE, SBE, and other subcontracting and supplier opportunities at DBEGoodFaith.com. Loam more about why you received this invitation at DBEGoodFaith.cornAvhy INVITATION TO BID FROM: ONYX PAVING COMPANY INC. 2890 E. La Cresta Ave. ANAHEIM, CA 92806 Tel: (714) 632-6699 Fax: (000) 000-0000 BIDS@ONYXPAVING.NET CONTACT NAME: COREY KIRSCHNER TO: SUPER SEAL & STRIPE, INC Tel: (805) 524-7345 Fax: (805) 524-7428 ONYX PAVING COMPANY INC. is Seeking Qualifled MBEs, WBEs, Section 3s PROJECT NAME RESIDENTIAL STREET RESURFACING AND CONCRETE IMPROVEMENTS BID DUE DATE 11/28/2023 at 10:30 BID / PROJECT tF PROJECT No. 21035 AGENCY NAME CITY OF ROSEMEAD PROJECT LOCATION ROSEMEAD, LOS ANGELES COUNTY, CA SURVEY TRUCKING HAULING GRINDING UTILITIES ADJUSTING STRIPING PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visitdbegoodfaith cem/respond and enter Solicitation ID 2749267-58925 BY FAX Fax back this invitation with your response to: (000) 000-0000 ( ] Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. ( ] Interested, but we would like more information. Please contact us at BY EMAIL Contact COREY KIRSCHNER at BIDS@ONYXPAVING.NET This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 11/21/2023 01:36:03 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE, M/WBE DVBE, SBE, and other subcontracting and supplier opportunities at DBEGoodFafth.com. Leem more about why you received this invitation at DBEGoodFaith.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. 2890 E. La Cresta Ave. ANAHEIM, CA 92806 Tel: (714) 632-6699 Fax: (000) 000-0000 BIDS@ONYXPAVING.NET CONTACT NAME: COREY KIRSCHNER TO: TOVAR GEOSPATIALSERVICES Tel: (562) 852-8391 Fax: () - ONYX PAVING COMPANY INC. Is Seeking Qualified MBEs, WBEs, Section 3s PROJECT NAME RESIDENTIAL STREET RESURFACING AND CONCRETE IMPROVEMENTS BID DUE DATE 1112812023 at 10:30 BID / PROJECT # PROJECT No. 21035 AGENCY NAME CITY OF ROSEMEAD PROJECT LOCATION ROSEMEAD, LOS ANGELES COUNTY, CA SURVEY TRUCKING HAULING GRINDING UTILITIES ADJUSTING STRIPING PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfaith.com/respond and enter Solicitation ID 2749276-58925 BY FAX Fax back this invitation with your response to: (000) 000-0000 [ ] Yes, we will send a fax quote by the bid data. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at �13Y EMAIL Contact COREY KIRSCHNER at BIDS c@ONYXPAVING.NET This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 11/21/2023 01:36:03 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE, M/WBE, DVBE, SBE, and other subcontracting and supplier opportunities at DBEGoodFaith.com. Learn more about why you received this invitation at DBEGoodFaith.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. 2890 E. La Cresta Ave. ANAHEIM, CA 92806 Tel: (714) 632-6699 Fax: (000) 000-0000 BIDS@ONYXPAVING.NET CONTACT NAME: COREY KIRSCHNER TO: V A P CONSTRUCTION INC. Tel: (714) 253-3270 Fax: (714) 551-9420 ONYX PAVING COMPANY INC. is Seeking Qualified MBEs, WBEs, Section 3s PROJECT NAME RESIDENTIAL STREET RESURFACING AND CONCRETE IMPROVEMENTS BID DUE DATE 11/28/2023 at 10:30 BID I PROJECT # PROJECT No. 21035 AGENCY NAME CITY OF ROSEMEAD [PROJECTCATION ROSEMEAD, LOS ANGELES COUNTY, CA SURVEY TRUCKING HAULING GRINDING UTILITIES ADJUSTING STRIPING PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dhegoodfaith.com/respond and enter Solicitation ID 2749268-58925 BY FAX Fax back this Invitation with your response to: (000) 000-0000 [ ] Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at BY EMAIL Contact COREY KIRSCHNER at BIDS@ONYXPAVING.NET This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 11/21/2023 01:36:03 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE, M/WBE, DVBE, SBE, and other subcontracting and supplier opportunities at DBEGoodFaith.com. Leam more about why you received this invitation at DBEGoodFaith.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. 2890 E. La Cresta Ave. ANAHEIM, CA 92806 Tel: (714) 632-6699 Fax: (000) 000-0000 BIDS@ONYXPAVING.NET CONTACT NAME: COREY KIRSCHNER TO: WAGNER ENGINEERING & SURVEY, INC Tel: (818) 892-6565 Fax: (818) 488-9480 ONYX PAVING COMPANY INC. is Seeking Qualified MBEs, WBEs, Section 3s PROJECT NAME RESIDENTIAL STREET RESURFACING AND CONCRETE IMPROVEMENTS BID DUE DATE 11/28/2023 at 10:30 BID / PROJECT # PROJECT No. 21035 AGENCY NAME CITY OF ROSEMEAD PROJECT LOCATION ROSEMEAD, LOS ANGELES COUNTY, CA SURVEY TRUCKING HAULING GRINDING UTILITIES ADJUSTING STRIPING PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfaith.conVresoond and enter Solicitation ID 2749269-58925 BY FAX Fax back this invitation with your response to: (000) 000-0000 [ ] Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at �SY EMAIL Contact COREY KIRSCHNER at BIDS@ONYXPAVING.NET This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 11/21/2023 01:36:03 pm Pacific through the DSEGoodFaith.com outreach platform. Find other DBE, M/WBE, DVBE, SBE, and other subcontracting and supplier opportunities at DBEGoodFaith.com. Learn more about why you received this invitation at DBEGoodFalth.00m/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. TO: Yonas Misgina 2890 E. La Create Ave. Tel: (818) 399-9135 ANAHEIM, CA 92806 Fax: (818) 399-9133 Tel: (714) 632-6699 Fax: (000) 000-0000 BIDS@ONYXPAVING.NET CONTACT NAME: COREY KIRSCHNER ONYX PAVING COMPANY INC. Is Seeking Qualified MBEs, WBEs, Section 3s PROJECT NAME RESIDENTIAL STREET RESURFACING AND CONCRETE IMPROVEMENTS BID DUE DATE 11/28/2023 at 10:30 BID I PROJECT # PROJECT No. 21035 AGENCY NAME CITY OF ROSEMEAD PROJECT LOCATION I ROSEMEAD, LOS ANGELES COUNTY, CA SURVEY TRUCKING HAULING GRINDING UTILITIES ADJUSTING STRIPING PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfaith.com/resoond and enter Solicitation ID 2749277-58925 BY FAX Fax back this invitation with your response to: (000) 000-0000 [ ] Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at [BY EMAIL Contact COREY KIRSCHNER at BIDS@ONYXPAVING.NET This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 11/21/2023 01:36:03 pm Pacific through the DBEGoodFa th.com outreach platform. 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NO PROJECT NAME: PALISADES PAVEMENT REPAIR, CC -07 PROJECT DESCRIPTION: PAVEMENT REPAIR APPROXIMATE CONSTRUCTION DATES: SEP 2022 AGENCY: CITY OF LAGUNA NIGUEL - 30111 CROWN VALLEY PARKWAY, LAGUNA NIGUEL, CA 92677 CONTACT PERSON: JEFF METZ 949.362.4344 ORIGINAL CONTRACT AMOUNT: $292,000.00 FINAL CONTRACT AMOUNT: $199,999.65 IF FINAL AMOUNT IS DIFFERENT FROM ORIGINAL AMOUNT, PLEASE EXPLAIN: FIELD QUANTITIES DIFFERED FROM BID SCHEDULE QUANTITIES. 010 THE AGENCY FILE ANY CLAIMS AGAINST YOU? NO PROJECT NAME: 2021.2022 PAVEMENT REHABILITATION PROJECT PROJECT DESCRIPTION: VARIOUS PAVEMENT REHABILITATION & CONCRETE IMPROVEMENTS APPROXIMATE CONSTRUCTION DATES: NOV 2022 • MARCH 2023 AGENCY: CITY OF ARCADIA-240 W. HUNTINGTON DR, ARCADIA, CA 91007 CONTACT PERSOW JAN BALANAY 626.254.2726 ORIGINAL CONTRACT AMOUNT, $1,727,000.00 FINAL CONTRACT AMOUNT: $1,899,698.72 IF FINAL AMOUNT IS DIFFERENT FROM ORIGINAL AMOUNT, PLEASE EXPLAIN: AGENCY HAD ADDITIONAL SCOPES OF WORK. DID THE AGENCY FILE ANY CLAIMS AGAINST YOU? NO ONYX PAVING COMPANY, INC. 2890 EAST LA CRESTA AVE, ANAHEIM, CA 92806 - TEL (714) 632.6699 -FAX (714) 632-1883 PROJECTNAME: 2020 RESIDENTIAL STREET REHABILITATION PROJECT PROJECT DESCRIPTION: CITYWIDE STREET IMPROVEMENTS APPROXIMATE CONSTRUCTION DATES: JULY 2021- NOV 2021 AGENCY: CITY OF SOUTH EL MONTE - 1415 SANTA ANITA AVE, SOUTH EL MONTE, CA 91733 CONTACT PERSON: OKAN DEMIRCI. 714-319.6137 ORIGINAL CONTRACT AMOUNT: $614,000.00 FINALCONTRACT AMOUNT: $706,010,03 IF FINAL AMOUNT IS DIFFERENT FROM ORIGINAL AMOUNT, PLEASE EXPLAINt SCOPES Of WORK ADDED BY AGENCY 010 THE AGENCY FILE ANY CLAIMS AGAINST YOU? NO PROJECT NAME: RESIDENTIAL STREET PAVEMENT REHABILITATION PROJECT, AREA 8 PROJECT DESCRIPTION: STREET IMPROVEMENTS APPROXIMATE CONSTRUCTION DATES: JULY 2022 -OCT 2022 AGENCY: CITY OF DOWNEY-Ill 11 BROOKSHIRE AVE, DOWNEY, CA 90241 CONTACT PERSON: DESI GUTIERREZ 562.622-3468 ORIGINAL CONTRACTAMOUNT: $3,227,00.00 FINAL CONTRACT AMOUNT: $3,SS3,442.43 IF FINAL AMOUNT IS DIFFERENT FROM ORIGINAL AMOUNT, PLEASE EXPLAIN: FIELD QUANTITIES DIFFERED FROM BID SCHEDULE QUANTITIES DID THE AGENCY FILE ANY CLAIMS AGAINST YOU? NO PROJECTNAMUSOBOBA STREET RESURFACING PROJECT PROJECT DESCRIPTION: STREET REHABIILITA71ON AND RECONSTRUCTION APPROXIMATE CONSTRUCTION DATES: AUG 2022- OCT 2022 AGENCY: RIVERSIDE COUNTY TRANSPORTATION DEPARTMENT- 3525 14T STREET, RIVERSIDE, CA 92SO7 CONTACT PERSONt TRAI NGUYEN 951.961.5363 ORIGINAL CONTRACT AMOUNT: $1,272,000.00 FINAL CONTRACT AMOUNT: $1,160,284.10 IF FINAL "DUN T IS DIFFERENT FROM ORIGINAL AMOUNT, PLEASE EXPLAIN: FIELD QUANTITIES DIFFERED FROM BID SCHEDULE QUANTITIES DID THE AGENCY F1LE ANY CW MS AGAINST YOLR%Y PAVING COMPANY, INC. 2890 EAST LA CRESTA AVE, ANAHEIM, CA 92806 -TEL (714) 632.6699 - FAX (714) 632.1883 0 PROJECT NAME: 2019/20 ARTERIAL AND MINOR STREETS MAINTENANCE PHASE 2 PROJECT DESCRIPTION: CITYWIDE STREET IMPROVEMENTS APPROXIMATE CONSTRUCTION DATES: DEC 2021- NOV 2022 AGENCY: CITY OF RIVERSIDE - 390D MAIN ST, RIVERSIDE, CA 92501 CONTACT PERSON: STEVEN HOWARD 951.826.5311 ORIGINAL CONTRACT AMOUNT: $4,585,000.00 FINAL CONTRACT AMOUNT: $4,558,151.40 IF FINAL AMOUNT IS DIFFERENT FROM ORIGINAL AMOUNT, PLEASE EXPLAIN: FIELD QUANTITIES DIFFERED FROM BID SCHEDULE QUANTITIES DID THE AGENCY FILE ANY CLAIMS AGAINST YOU? NO PROJECT NAME: FY 2021.22 ANNUAL ROADWAY REHABILITATION AND SIDEWALK REPAIR PROJECT DESCRIPTION: VARIOUS STREET IMPROVEMENTS APPROXIMATE CONSTRUCTION DATES: JUNE 2022 • SEP 2022 AGENCY: CITY OF TUSTIN • 300 CENTENNIAL WAY, TUSTIN, CA 92780 CONTACT PERSON: JOANN WU 714.573.3157 ORIGINAL CONTRACT AMOUNT: $2,442,000,00 FINAL CONTRACT AMOUNT: $2,413,734.93 IF FINAL AMOUNT IS DIFFERENT FROM ORIGINALAMOUNT, PLEASE EXPLAIN: FIELD QUANTITIES DIFFERED FROM BID SCHEDULE QUANTITIES, DID THE AGENCY FILE ANY CLAIMS AGAINST YOU? NO ONYX PAVING COMPANY, INC. 2890 EAST LA CRESTA AVE, ANAHEIM, CA 92806 - TEL (714) 632.6699 - FAX (114) 6321883 PROJECT NAME: CULVER DRIVE IMPROVEMENTS FROM WALNUT AVENUE TO 1.5 FREEWAY STREET IMPROVEMENTS APPROXIMATE CONSTRUCTION DATES: SEPT 2022 -JAN 2023 CONSULTING COMPANYi CITYOF IRVINE - 6427 OAK CANYON, IRVINE, CA 92618 CONTACT PERSON: FARHAD BOLOURCHI 949.724.6689 ORIGINALCONTRACTAMOUNT; $1,677,000.00 FINAL CONTRACT AMOUNT: $1,704,308.59 IF FINAL AMOUNT IS DIFFERENT FROM ORIGINAL AMOUNT,PLEASE EXPLAIN: FIELD QUANTITIES DIFFERED FROM BID SCHEDULE QUANTITIES DID THE AGENCY FILE ANY CLAIMS AGAINST YOU? NO PROJECT NAME: PHASING 6A - RESIDENTIAL STREET REHABILITATION PROJECT DESCRIPTION: STREET IMPROVEMETNS APPROXIMATE CONSTRUCTION DATES: CONSULTING COMPANY: CITY OF LA MIRADA - 1SS1S PHOEBE AVE, LA MIRADA, CA 90538 CONTACT PERSON; ERIC VILLAGRACIA 562.902.2373 AMOUNT; $4,242,000.00 FINAL CONTRACT AMOUNT: $4,524,646.67 IF FINAL AMOUNTIS DIFFERENT FROM ORIGINALAMOUNT, PLEASE EXPLAIN: SCOPES OF WORK CHANGED BY AGENCY DID THE AGENCY FILE ANY CLAIMS AGAINST YOU? NO PROJECT NAMEt ROCHESTER AVENUE PAVEMENT REHABILITATION PROJECT DESCRIPTION: STREET IMPROVEMENTS APPROXIMATE CONSTRUCTION DATES: MARCH 2022 -AUG 2022 AGENCY: CITY OF RANCHO CUCAMONGA - 10500 CIVIC CENTER DRIVE, RANCH CUCAMONGA, CA 91730 CONTACT PERSON; ROMEO DAVID 909-774-4070 ORIGINAL CONTRACT AMOUNT; S1,727,000.00 FINAL CONTRACTAMOUNT: $1,714,733.75 IF FINAL AMOUNT IS DIFFERENT FROM ORIGINAL AMOUNT, PLEASE EXPLAIN: FIELD QUANTITIES DIFFERED FROM BID SCHEDULE QUANTITIES DID THE AGENCY FILE ANY CLAIMS AGAINST YOU? NO ONYX PAVING COMPANY, INC. 2890 EAST LA CRESTA AVE, ANAHEIM, CA 92806 -TEL (714) 632.6699 - FAX (714) 632-1883 Fullmer Construction Centerpointe Moreno Valley $3,587,914.00 1725 S. Grove Ave. Sycamore Bus. Park Riverside $999,708.00 Ontario, CA 91761 HlllwoodHofer Ranch Ontario $603,600.00 Ph: 909.947.9467 InterchangeA•E San Bernardino $1,288,615.00 Fax: 909.947.2970 San Michelle Logistics Moreno Valley $670,674.00 Contact: Casey Jones Terra Francesco Ontario $524,216.00 KCS West, Inc. BP Refinery Maintenance Shop Carson $896,357.00 901 Corporate Ctr, Dr, V fir Monterey Park, CA 9174 Ph: 323.269.0020 Fx:323.263.4576 Contact: Matthew Vowter GMC Engineering, Inc. Edison Romoland $1,623,480.00 1401 Warner Ave Tustin, CA 92780 Ph: 760.744.133 Fx: 714.247.1041 Contact; Gennady LasardlConstruction FEDEX-OtayMesa Son Diego $1,335,530.00 1570 Linda Vista Dr. Team Nissan Oxnard $669,075.00 San Marcos, CA 92064 Edge at Campus El Segundo $541,385.00 Ph: 760-744-3133 Carmax Oxnard $606,443.00 Fax: 760.744.9064 Seebridge Oxnard $329,460.00 Contact Scott Staley ONYX PAVING COMPANY, INC. 2890 EAST LA CRESTA AVE, ANAHEIM, CA 92806 - TEL (714) 632.6699 - FAX (714) 632.1883 Heagen Company, LLC 12302 Exposition Blvd Los Angeles, CA 90064 Ph: 310-820-1200 Fx: 310320.1225 Contact: Chris Fahey ARCO National Construction Co. 900 N. Rock Hill Rd St. Louis, MO 63119 Ph: 314.9634715 Fx:314-963.7114 Contact: Chris Wilson Grant General Contractors 5051 Avenida Encinas Carlsbad, CA 92008 Ph: 760.438.7500 Fx: 760.438.3056 Contact: Pete Burrows Empire Polo dub Scannell FEDEX Whittler Area Community Church Cravier BMW Indio Burbank Whittier Santa Ana $1,036,745.00 $1,125,958.00 $625,920.00 $30,600.00 ONYX PAVING COMPANY, INC. 2890 EAST LA CRESTA AVE, ANAHEIM, CA 92806 - TEL (714) 632-6699 - FAX (714) 632-1883 M.U: IN 'lot. GMC ENGINEERING, INC. 1401 Warner Ave, Ste B. Tustin, CA 92780 Ph: 714-247.1040 FX: 714.247.1041 Contact: Gennady Chid R.D OLSON CONSTRUCITON, INC. 2955 Main Street, 311 Floor Irvine, CA 92614 Ph; 949.474.2001 FXl 949.474.1534 Contact Jeremy Dunn Katella Ave, St. Improv Various Projects Lido House Hotel Los Aiamilos Newporl8each $120,000.00 $193,105.00 IF YOU HAVE ANY QUESTIONS, PLEASE FEEL FREE TO CONTACT COREY KIRSCHNER AT 7J4-632-6699 OR VIA EMAIL AT COREYoONYlIPAV/NG.NET ONYX PAVING COMPANY, INC, 2890 EAST LA CRESTA AVE, ANAHEIM, CA 92806 - TEL (714) 632.6699 - FAX (714) 632-1883 ONYX PAVING COMPANY, INC 2890 E. LA CRESTA AVE ANAHEIM,CA92806 PHONE: (714) 632.6699 FAX: (714)632.1883 PRESIDENT; COREY R. KIRSCHNER BANK: BANKOFTHEWEST DATE ESTABLISHED 1/4/90 CORP. TAX 10. N 33.0394344 TYPE OF WORK - ASPHALT PAVING CONTRACTORS LIC, R 630360•A INSURANCE AGENT: WOOD GUTMANN & BOGART 14029 SPRINGWATER LN. EASTVALE, CA 92880 4501 E. LA PALMA AVENUE, ANAHEIM, CA 92807 PHONE: (714) 777.9620 BRYAN PLOESSEL 15901 RED HIL. AVE., STE,100, TUSTIN, CA 92780 PHONE: (714) 824.8384 MICHAEL TRAN SURETY AGENT: TURNER SURETY AND INSURANCE BROKERAGE, INC. 5 HUTTON CENTRE, STE.730, SANTAANA, CA 92707 PHONE: (714) 915.4032 JEREMY PENDERGAST OEDIT REFERENCES@ MATICH CORP. P.O. BOK 20, HIGHLAND, CA 92346 (909) 382.7400 Steve Matkh ALL AMERICAN P.O. BOX 2229, CORONA, CA 92878 (951) 736.7600 Carl KELTERITE CORP. 12231 PANGBORN AVE.DOWNEY, CA (562( 4010011 Gladys VULCAN MATERIALS CO. 16013 E. FOOTHILL BLVD, IRWINDALE, CA 91702 (858) 530.9414 Dabble GENERAL CONTRACTOR REFERENCES-, FULLMER CONSTRUCTION 1725 S.GROVE AVE., ONTARIO, CA 91761 (909) 947.9467 Casty Jones BYROM-DAVEY, INC. 13220 EVENING CREEK DR. SOUTH 0103, SAN DIEGO (858) 513.7199 StaVe DaVey PACIFIC CONST. GROUP 17895 SKY PARK CiR., IRVINE, CA 92614 (949) 748.1500 Mark Bundy ERICKSON-HALL CONST. CO. 500 CORPORATE DR., ESCONDIDO, CA 92069 (760) 796.7700 Justin Sinnott ONYX PAVING COMPANY, INC. 2890 EAST LA CRESTA AVE, ANAHEIM, CA 92806 -TEL (714) 632.6699- FAX (714) 632-1883 0 ERICKSON-HALL CONST. CO. SW CORPORATE DR., ESCONDIDO, CA 92069 (760) 796-7700 Justin Sinnott RESUME Corey Kirschner has over 20 years of experience both as an estimator and CEO. Corey is an experienced estimator and lead a majority of those years being the Chief Estimator before becoming CEO and President of Onyx Paving Company, Inc. Over the short period of time here at Onyx Paving, Corey has completed over 3,000 paving projects, allowing the company to gross over $50 million dollars in the previous year. Jay Kirschner, Senior Project Manager, holds a Bachelor's Degree from Chapman University and has 7 years of experience upholding the maintenance supervisor and lead estimator position for Onyx Paving. He leads our team, with the project managers under his direct supervision, in managing our productions and coordinating our field mobilizations for all projects. Tyler Henry, Field Superintendent, serves as the core of all field related matters. He has over 20 years of paving experience performing jobs that stretches from San Diego County to Ventura County. Tyler has been with Onyx In completing all of our Public Works projects. Overseeing the on-site laborers, cement masons, and operating engineers is one of his many responsibilities. BACKLOG ALLOCATION: Corey Kirschner, lay Kirschner, and Tyler Henry oversee 100% of all current project in attached backlog. ONYX PAVING COMPANY, INC. 2890 EAST LA CRESTA AVE, ANAHEIM, CA 92806 — TEL (714) 632-6699 — FAX (714) 632-1883 0 Key Individual Responsibilities: Corey Kirschner - Manage overall operations and resources of company - Decision maker of corporation Jackson Hulse - Lead project management team with organization - Overseeing overall project scheduling, budgeting, and dispatching on all projects - Main point of communications between company and agencies Tyler Henry Lead and manage on-site labors and operators - Coordinate daily operations and project production Ensuring project quality expectations are met ONYX PAVING COMPANY, INC. 2890 EAST LA CRESTA AVE, ANAHEIM, CA 92806 -TEL (714) 632-6699 - FAX (714) 632-1883 l ,r i 0 . P, M I CTOR C�CG"'� STATE CONTLICENRASE BOSARD ACTIVE LICENSE re ,...,....630360 CORP ........ ONYX PAVING COMPANY INC ., A C 12 ........10/31/2025 wrn alb ca.gov drDppeetUt it of usldal Relations STATE OF CALIFORNIA APPLICATION FOR PUBLIC WORKS CONTRACTOR REGISTRATION Registration Information Type: Public Works Period: 07/01/2023 06/30/2024 Contractor Information Contractor Name: ONYX PAVING COMPANY, INC. Trade Name: License Type Number: 1000004798 Contractor Physical Address Physical Busl ness Country: United States of America Physical Business Address: 2890 E. LA CRESTA AVENUE Contractor Mailing Address Mailing Country: United States of America Mailing Address: 2890 E. LA CRESTA AVENUE Contact Info Physical Business City/ ANAHEIM Province; Physical Business State: CA Physical Business Postal 92806 Code: Mailing City/Province: ANAHEIM Mailing State: CA Mailing Postal Code: 92806 Daytime Phone: Daytime Phone Ext.: Mobile Phone: Business Email: davidw@onyxpaving.com Applicant's Email: davldw@onyxpaving.net Registration ServIces:: Page 1 of 2 6/27/2023 10:06:22 AM Workers' Compensation Professional Employer Organization (PEO) Do you lease employees through Professional Employer Organization? No Workers' Compensation Overview Carrier: ZURICH AMERICAN INSURANCE Inception Date: 10/01/2022 COMPANY Policyholder Name: Onyx Paving Company Inc Expiration Date: October 12, 2023 Policy Number: WC106300504 Certification Yes I certify that I do not have any delinquent liability to an employee or the state for any assessment of back wages or related damages, interest, lines, or penalties pursuant to any final judgment, order, or determination by a court or any federal, state, or local administrative agency, including a confirmed arbitration award Yes I certify that the contractor is not currently debarred under Section 1777.1 or under any other federal or state law providing for the debarment of contractorsfrom public works. Yes I certify that one of the following Is true: (1)1 am licensed by the Contractors State License Board (CSLB) in accordance with Chapter 9 (commencing with Section 70DO) of the Business and Professions Code; or (2) my business or trade Is not subject to licensing by the CSLB. I understand refunds are not authorized I, David Wlltfong, the undersigned, am, ONYX PAVING COMPANY, INC. with the authority to act for and on behalf of the above named contractor. I certify under penalty of perjury that all of the above Information provided Is true and correct. I further acknowledge that any untruthful Information provided in this application could result In the certification being canceled. I certify this on: 10:00 AM Legal Entity Information Legal Entity Type: Corporation Name: ONYX PAVING COMPANY, INC. Registration Services:: Page 2 of 2 ONYX PAVWG COMPANY, INC, Lim" 0 63WO -DIRN1000004798 UNANilmou8 WRITTEN CONSENT of THE BOARD OBDnV=0R8OF ONYXPAVINQ COMPANY, INC, (a Caltfomtn corporation) October 28, 4020 The undersigned director, constituting the entire board ofeltedes (the"Board") of onyx Paving Company, Inc., a California corporation (the "Cwporaden'), haft takes the folbwingactions, adopts the,foilowhtg twblutions, andiremsenta theicUowl" bminces, by vAitten consent without ameeting, as of the dateabgV6 writtem, ptrs/enttoSWUM 307(b) of the ftual Corpoallola w ofthe State ofCouictnia and the Corpordws Bylaws: �, , _r.TM7 M. WHCREAS,Corey Ktraohner is curretxly doCorporatlWo ChIdExeoutvoOMOV) and ChWirinanolal Wow (the "O,(i4oc?) vdth authority to wft Inn OWm* on behalfeftbe Corporation. WHER&A8, the Corporation opportunities 6.9m time to lime to bid on Various governneaW and non -love mnental projects; WHEREAS, titer careful consideration, the Board has deWmbxd that the tains and oeadidow of the proposed prejoot in the form of the bid attached hard) as >hrbibit A (rho "Piojece� are just and equltsble and hk as to fire Corposton and lktI m in the but interests of the Cmporat al and Its staftolder to submit the bid and coarplell the ProJed aubJest to the teamsagredd oponby the patsies. NOW, THWFORB,D$ IT RESOLVED, the Board on b6Wofthe Corporation hereby approvoe sadnt6ea the Project in on respects, and limbym6odsaaad dhectthe Cwpomftto negotiate, exm%.deUvereadperform the!errs ofa8 dactwcents,requlmd In conoeotioawith the Pmjw4togetherwltheaohobw wlherawasmgbeVpovedbythe Winer execti alto same on behalf of the Corpoation(pnannttotreauthorization FWD hareitr), Inch approval of the O,Mou to be oo noltuivolyevidendedbyhgexecrationanddelivo of same. RESOLVED UURTHER, that the of m may oxw* and deliver say and all aguateaW and any and all other domments and kwk==% and take snob further actimta as DW be naoetrsary or appro xic, for the ftnanciag ofthe CoVoratloa ABSOLVED FURTHER, that the Officer i9 hereby u6crirsd, directed, Ind empowered to execute and deliver any and all ainemants and say and ell alter dxamews and inahurnents, and telco such flttther actions as may be necessary or appreprtato, for the can munition of the Project. 2890 But Ls Crede Ave, Anaheim, CA 9206 —PH: (714) 632-6699 -FX (714)632.1893 =SOLVED FURTBM that the Qffioer, in the Hama ofthe Corfmtdon, IS **y AAMU4 dhoted, and =n owored to uepoHaM, emoute Sad dcUm to fceppplWble ao=W- puty, aqy ad all dommAts with reepsot to the •Protect and ower ia"eals as mV be ressoasbiy regnfsted, Std ihs Moan on behalf of tho CorpomtkA ie sulhorired from time M tstimetoamouteropew4bofexMnetoaeoroturWshw sAtoasmaybonec*W- RESULV$D�pR7EER, that tie authority givenheramdailaltbe deeoxdrotrosotive and any and all acsu*odxed herehmderpe.* med poor to thepswW ofthhremluton ON hoAy ratMod mad If4rmed, Tbv Smataty of the OmPmtion is directed tofte the origimlaoraued oopy oftilt Convent with the miu*s ofproaaedloga of the Cogotaton. [Signature page follows] ONVXPAVUYO COMPANY, JNC. LkweAO!(tl60-DQitAItro0004y9a IN WJTNBSS WH MOF, the undea4tW bas eaeouW P*paanimom WaNtea ComentofQsBoard dDbodors as ofthedato Ant abovovnittoa Carey l itsobner o• AI=gU.0.ddcwa o*wUA.pv w(040d 4. TMFATOAmdO OrAwM OO WLOw00l$n* Gomwel In9mot1wo soft 1 1YIb tmb wm RmmcQdoQ&"*hv"$9 OILR1.10001N 01w.104011) State of California S sowtory of State abtemeni of Informatlon 0070477 IDomeNloatookandApfloaauNlcoopenBwCorparatlone) P90IFMng endDleolostt*:12a,00. FILED It Wile on anendminmL seetea0uattetta, TAW- I OCTION 9110M00119P RYINOTHISMRM. InlMeat $Offtlronbryolsteb dtheaht.dCoftmte t. COAPOMriNANa ONYX PAWNO CAMPANY, INC. QCT�p17019 g+ltRrnWu,roM 2 0ATtMAN1 OMOVANNUMOIR • , GIM"m. d E nteddosrdncerdbeP.O.9ox b. ' L1 ew, eaeOY �u . 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Seoretery of Stltte Statement of Information OBSSt67 (DomaUDaaekIR0AIr1MIlw•IOtloptlnlbroCDlMratNM) FI6a (RIIIR1f end DNeNeure)i>)". FILED If IhN N Mry tlOttllaR'Mryt, SOM IMbOotbne. LMPOltrANT-READIHMM-OIQHLULMREQOMPMMGTMI FORM Wh•ot9na{MI•cnbry or MW 1. CORPOUTIMAIR or lNeN0lCgtllaMe ONYX PAYINO COMPANY, INC. JAN432020 4. OAtIPONgA rMltroRATg eAMMIR Mien nuwawRo$ur.oro 51S Ml a •nt ea6see nerd • nM.&f 0. oINNb,n$D•tldb�O+e)Ipf!. tleDRNOND •vaue(y W,tpl• m• r N � • rn Sore 7M n( T•rmmuN6l eenWNdN (p enpflhl. © N6wHq►teeliptlQ�l�•atlgaft+MktannOon Clint•YndbaeMetepMnNHetWormllm(alwladl+GearngOwduy Dratq ehetk I• trdr,ra PM►eee Oo !pm +r. m Ad ► r nd AkrAeblM Nee e . XenAeMtl � 4. 411MASDASNOFFAW IDWOCnMaRM on STAIN ZrO M t OREA. ADORM WMMUM NUMMOFFaINCALMMVANY P Td grog mOOM s wlgg eAmnggga fi aN trt rtau DRY Rim mCOM M C lep x ► +RO• OhearyRetla n$xtlulMMtl$N' A N ahFwr a Pa tWtlM6nWe wArAtbr rand. I. ONV aRaAl ADMUS 'CM: HA1tl IPOMI C OB019Mf ADORNS$ arT WOW MroOM R ggF NWID v.OM M A00CSS g4T STAIN mOOM dtwbr OCDmN •NAAMu'HOT NI paean, r•Clon o are Ab60P1an (Im w4*66 m* Mys N leNg as gddfkne II to $+VIS AMM ,Av STAIN WOODS 11. NM AOMgM 0" STAIN 13PPA00 1! AWHO Ow SrATS m0009 gr a a ae uNaitN►4Oa$tivn. Qr gC C11" nhNNe$rbGPWINMISMAttl tr BebtlPAI#Nho"GORulbMIONSVOtOGM6w b tN ItlOtlerrlNM S D►WOi 14. OMOPAOIM 4l MIQPPAO" 1a STROTA$DRSSsaAMWrWR•maKita PROUPOCA NORNKkWARM01MIXro MY STNS LP000! taD meatlue aTNgoonraRArrat V. MY Otl1eAT11AN T10! STARMtlgT a RetAibN TO Intl PA1gdaA e$OReOVK a STAT[ iREODR�ar%AION degrPlH TM INr011WRON OM= W OMgpNI, MOIUOM'OANf AInb10YNa. M i RW AND COMSCr. Off_ BeVtBRAMYPON OFFICEIIANAOIR(CONTRUIR DAIN IwPs rMN '-'-'iRIY'"" M Mae$ ev + a A Onyx Paving Company, Inc. 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: Onyx Paving Company, 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 orequipment 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 Onyx Paving Company, 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. Onyx Paving Company, 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 Onyx Paving Company, 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 parry 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. Bond No.: SPA 150329012 Premium: $17,776.00 Premium Subject to Change "='=AIADocument A 312 TM - 201 0 Based on the Final Contract Price. Performance Bond CONTRACTOR: (Name, legal status and address) SURETY: (Name, legal status and principal place of business) Onyx Paving Company, Inc. SiriusPoint America Insurance Company 2890 East La Cresta Avenue I World Trade Center 285 Fultoe Sheet, 47th Fl.,, Suite. 471 Anaheim, CA 92806 New York, NY 10007 OWNER: (Name, legal status and address) City of Rosemead 8838 Valley Boulevard, Rosemead, CA 91770 CONSTRUCTION CONTRACT Date: December 12th, 2023 Amount: Two Million Two Hundred Twenty Two Thousand and 00/ 100 Dollars ($2,222,000.00) Description: (Name and location) RESIDENTIAL STREET RESURFACING AND CONCRETE IMPROVEMENTS, PROJECT No. 21035 - FY 2023-24 BOND Date: January 5th, 2024 Amount: Two Million Two Hundred Twenty Two Thousand and 00/100 Dollars ($2,222,000.00) Modifications to this Bond: ll None CONTRACTOR AS PRINCIPAL Company: (Corporate Seal) Onyx Paving Company, Inc. Signature: Name Corey- and oreyand Title: Qresr'&,4- ❑ See Section 16 This document has important legal consequences. Consultation with an attorney is encouraged with respect to Its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. AIA Document A312-2010 combines two separate bonds, a Performance Bond and a Payment Bond, into one form. This is not a single combined Performance and Payment Bond. SURETY Company: SiriusPoint America Insurance Company Signature: Name Chr and Title: (Any addltlo*W signatures appear on the last page of this Performance Bond.) (F0kl,VPMY&MNONLY—Name, address and telephone) AGENT -Or _ OWNER'S REPRESENTATIVE: - Perforhaance WaditM Ctlrety (Architect, Engineer or other party:) =_ & InsuMnce Bri�ktr e- 15901 Rid FDRAva. Suite 100 .Tustin, CA , 927$0' 714505.7011 - (Corporate Seal) 1979 Init. AIA Document A3121 — 2010. The American Instdute of Architects. This document was created on 02/282012 11:24:44 under the terms of AIA Documentson-DemandTM order no. 2008406923, and is not for resale. This document is licensed by The American Institute of Architects for one-time use only, and may not be reproduced prior to as completion. X10+0 S 1 The Contractor and Surety,jointly and severally, bind themselves, their heirs, executors, administrators, successors and assigns to the Owner for the performance of the Construction Contract, which is incorporated herein by reference. § 2 If the Contractor performs the Construction Contract, the Surety and the Contractor shall have no obligation under this Bond, except when applicable to participate in a conference as provided in Section 3. § 3 If there is no Owner Default under the Construction Contract, the Surety's obligation under this Bond shall arise after 1 the Owner first provides notice to the Contractor and the Surety that the Owner is considering declaring a Contractor Default. Such notice shall indicate whether the Owner is requesting a conference among the Owner, Contractor and Surety to discuss the Contractor's performance. If the Owner does not request a conference, the Surety may, within five (5) business days after receipt of the Owner's notice, request such a conference. If the Surety timely requests a conference, the Owner shall attend. Unless the Owner agrees otherwise, any conference requested under this Section 3.1 shall be held within ten (10) business days of the Surety's receipt of the Owner's notice. If the Owner, the Contractor and the Surety agree, the Contractor shall be allowed a reasonable time to perform the Construction Contract, but such an agreement shall not waive the Owner's right, if any, subsequently to declare a Contractor Default; .2 the Owner declares a Contractor Default, terminates the Construction Contract and notifies the Surety; and .3 the Owner has agreed to pay the Balance of the Contract Price in accordance with the terms of the Construction Contract to the Surety or to a contractor selected to perform the Construction Contract. § 4 Failure on the part of the Owner to comply with the notice requirement in Section 3.1 shall not constitute a failure to comply with a condition precedent to the Surety's obligations, or release the Surety from its obligations, except to the extent the Surety demonstrates actual prejudice. § 5 When the Owner has satisfied the conditions of Section 3, the Surety shall promptly and at the Surety's expense take one of the following actions: § 5.1 Arrange for the Contractor, with the consent of the Owner, to perform and complete the Construction Contract; § 5.2 Undertake to perform and complete the Construction Contract itself, through its agents or independent contractors; § 5.3 Obtain bids or negotiated proposals from qualified contractors acceptable to the Owner for a contract for performance and completion of the Construction Contract, arrange for a contract to be prepared for execution by the Owner and a contractor selected with the Owner's concurrence, to be secured with performance and payment bonds executed by a qualified surety equivalent to the bonds issued on the Construction Contract, and pay to the Owner the amount of damages as described in Section 7 in excess of the Balance of the Contract Price incurred by the Owner as a result of the Contractor Default; or § 5.4 Waive its right to perform and complete, arrange for completion, or obtain a new contractor and with reasonable promptness under the circumstances: .1 After investigation, determine the amount for which it may be liable to the Owner and, as soon as practicable after the amount is determined, make payment to the Owner; or .2 Deny liability in whole or in part and notify the Owner, citing the reasons for denial. § 6 If the Surety does not proceed as provided in Section 5 with reasonable promptness, the Surety shall be deemed to be in default on this Bond seven days after receipt of an additional written notice from the Owner to the Surety demanding that the Surety perform its obligations under this Bond, and the Owner shall be entitled to enforce any remedy available to the Owner. If the Surety proceeds as provided in Section 5.4, and the Owner refuses the payment or the Surety has denied liability, in whole or in part, without further notice the Owner shall be entitled to enforce any remedy available to the Owner. Init. AIA Document A312" —2010. The American Institute of Architects. This document was mated on 02126/2012 11:24:44 under the terms of AIA Documenlson-Demand"' order no. 2008406923, and is not for resale. This dowmant is licensed by The American Institute of Am1hitects for one-time use only, and may not be reproduced prior to hs completion. § 7 If the Surety elects to act under Section 5. 1, 5.2 or 5.3, then the responsibilities of the Surety to the Owner shall not be greater than those of the Contractor under the Construction Contract, and the responsibilities of the Owner to the Surety shall not be greater than those of the Owner under the Construction Contract. Subject to the commitment by the Owner to pay the Balance of the Contract Price, the Surety is obligated, without duplication, for .1 the responsibilities of the Contractor for correction of defective work and completion of the Construction Contract; .2 additional legal, design professional and delay costs resulting from the Contractor's Default, and resulting from the actions or failure to act of the Surety under Section 5; and .3 liquidated damages, or if no liquidated damages are specified in the Construction Contract, actual damages caused by delayed performance or non-performance of the Contractor. § 8 If the Surety elects to act under Section 5.1, 5.3 or 5.4, the Surety's liability is limited to the amount of this Bond. § 9 The Surety shall not be liable to the Owner or others for obligations of the Contractor that are unrelated to the Construction Contract, and the Balance of the Contract Price shall not be reduced or set off on account of any such unrelated obligations. No right of action shall accrue on this Bond to any person or entity other than the Owner or its heirs, executors, administrators, successors and assigns. § 10 The Surety hereby waives notice of any change, including changes of time, to the Construction Contract or to related subcontracts, purchase orders and other obligations. § 11 Any proceeding, legal or equitable, under this Bond may be instituted in any court of competent jurisdiction in the location in which the work or part of the work is located and shall be instituted within two years after a declaration of Contractor Default or within two years after the Contractor ceased working or within two years after the Surety refuses or fails to perform its obligations under this Bond, whichever occurs first. If the provisions of this Paragraph are void or prohibited by law, the minimum period of limitation available to sureties as a defense in the jurisdiction of the suit shall be applicable. § 12 Notice to the Surety, the Owner or the Contractor shall be mailed or delivered to the address shown on the page on which their signature appears. § 13 When this Bond has been furnished to comply with a statutory or other legal requirement in the location where the construction was to be performed, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. § 14 Definitions § 14.1 Balance of the Contract Price. The total amount payable by the Owner to the Contractor under the Construction Contract after all proper adjustments have been made, including allowance to the Contractor of any amounts received or to be received by the Owner in settlement of insurance or other claims for damages to which the Contractor is entitled, reduced by all valid and proper payments made to or on behalf of the Contractor under the Construction Contract. § 14.2 Construction Contract. The agreement between the Owner and Contractor identified on the cover page, including all Contract Documents and changes made to the agreement and the Contract Documents. § 14.3 Contractor Default. Failure of the Contractor, which has not been remedied or waived, to perform or otherwise to comply with a material term of the Construction Contract. § 14.4 Owner Default. Failure of the Owner, which has not been remedied or waived, to pay the Contractor as required under the Construction Contract or to perform and complete or comply with the other material terms of the Construction Contract. § 14.5 Contract Documents. All the documents that comprise the agreement between the Owner and Contractor. § 15 If this Bond is issued for an agreement between a Contractor and subcontractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. Init. AIA Document A312^ — 2010. The Amemmn Institute of Architects. This document was created on 02282012 11:24:44 under the terms of AIA Documentson43emandTM order no. 2008406923, and is not for resale. This document is licensed by The American Institute of Architects for one-time use only, and may not be reproduced pnor to its completion. § 16 Modifications to this bond are as follows: (Space is provided below for additional signatures of added parties, other than those appearing on the cover page) CONTRACTOR AS PRINCIPAL SURETY Company: (Corporate Seal) Company: (Corporate Seal) Signature: Name and Title: Address: Signature: Name and Title: Address: Init. AIA Document A312- —2010. The American Institute of Architects. This document was created on 0228/2012 11:24:44 under the terms of AN Dccumentson-Demand"' order no. 2008406923, and is not for resale. This document is licensed by The American Institute of Architects for one-time use only, and may not be reproduced prior to its completion. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) County of Orange ) On January 5 2024 before me, Carly Bredal. Notary Public Date Here Insert Name and Title of the Officer personally appeared of who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/awe subscribed to the within instrument and acknowledged to me that he/ske/they executed the same in his/her/their authorized capacity(ie6), and that by his/her/their signature(z) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. CARLY MMAL Notary Public - California Orange County E Commission Y 2442539 • `'� •'3 My Comm. Expires Mar 28, 2027 Place Notary Seal 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 nature of Notary Public OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Number of Pages: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT 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 1 County of Orange j On JAN 0 5 2024 before me, Albert Melendez , Notary Public, personally appeared Christina who proved to me on the basis of satisfactory evidence to be the person(X) whose nameQs) is/a'te subscribed to the within instrument and acknowledged to me that We/she/flay executed the same in bis/her/t*ir authorized capacity(igs), and that by lAs/her/their signature(so on the instrument the person(y,), or the entity upon behalf of which the person(A) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of State of California that the foregoing paragraph is true and correct. ALBERja:0wry Notary Publi- &Iffwnia 1 018 i C.". ton 4 239146 M, CW.M... EX;Irm Jan 23, 2026 PLACE NOTARY SEAL ABOVE WITNESS my hand and official seal. SIGNATURE Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of attached document Title or type of document: Document Date: Signer(s) Other than Named Above: of PERTAMOI_0823 POWER OF ATTORNEY SIRIUSPOINT AMERICA INSURANCE COMPANY NEW YORK KNOW All. MEN BY THESE PRESENTS: That Sintalimul America Insurance Company, a New York corporation, laving its principal office in the City of New York, xirsuem to the following Resolution, which was adopted by the Denied of Directors of the Company, to wit: RESOLVED. that the lemsident, Senior Vice president, Chief Financial Officer, Secretary or Amislanl Secretary is hereby authorized to execute powers d an Auom<y appointing as moneys -in -fact tetanaloyea of ttmain way Compania wlm shall have the power for ad a Mulf,,f the C,,npmy m attute aaffix th<sal of OesuretyCwmpanY susuretycanners as as co -surety. Docs hereby miniaa, caatilme ad appoint. Alban Melendea. Christina Rogers. Pnk Joh mason. Jennifer Anaya. Joaquin Perez. Melissa Loper Its tragi and lawful auoncy-in-fact, to make, execute, sal and deliver for and on its behalf, and as its act and deed; any and all bonds, contracts, agreements of maternity, and other utdenakings in suretyship(NOT INCLUDING bads without a fixed penalty or financial theme bonds) read to bird the Company thereby as fully and m the same extent no if same weer signed by the duly authoned officers of the Compary, provided, however, that the penal sum of my aro such instrument exerntd hcrcnnder shall tent cxcmd the sum of 550,000,000 single bond limit All acre of said anomeys-in-fact puaant a the authorums hemp given arc hereby initial ad confirmed. The axecutive officers listd above in the Resolution may from time in time and at any time maraove any such appointee and revoke the power given w him or her. The cxreutiun of sash bads or undertakings in pursuance of these presents, within one year of the date of issue of Ihue prcuna, shall be biding upon mid Company, as fully adraine to all intents andpurposes, as ifthey had been duly executed mdacknowkdgd bythe regularly ekctd oR m.fthe Company at its,,tree in New York, New Yoh, in theirownproi peons. IN WITNESS WHEREOF, Shire Med America Insurance Company, has caused its corporate seal no be herounto affixed, mad these presents to be signed by its Secretary this 12thday ofA.Suot in the year 2021. SidusPone, Amer aficar Canpany 8y: Melissa 1Ralph Secrewy Sate of Ncw Jersey I I as. Counsyof Monmouth I On this I Aa day or August 2021, before me, a Noary public of the Sum of New Jersey in ad For the Courcy of Monmouth duly commissioned and qualified, came Melissa J. Ralph, Secretary, of Sin esPoint America Insurance Company, to me personally krmsm robe the individual and officer described in, and who executed the preceding instrument, and relmowled d the crom iou of the same, and, being by me duly swom, deMarth ad suite, Thal she is the oReet of the Conpmy aforesaid, and Ilual the sal affixed to the preceding morn mem a the corporate and of said Company, ad dee said corpsman, seal ad bar sigamre a M. were duly re foal and subscribed m the said instrument by the authority and direction of the said Company, repotted to in the preceding instrument, is now in force. IN TESrIh16NY WHEREOF, I have hereunto set ory hand and retrad my official sal. TNEEJA E LEWIS-SCOTT NOTARY PUBLIC nary STATE OF NEW JERSEY MY C an aP My COMMISSION EXPIRES MARCH 31, 21NA 4.ke.rea. t I n apz4 Sat. lNcw lacy COMMISSION'. XW208+11 C,,umy ,,fMoumouth I, Met,. J. Ralph, Sccrdary, ofSuimPmm America Insurance Contrary, a New Vail: coganrmion, do hereby cenffy (teal the above and foregoing is full, true camel copy of Power of Attorney, is still in fierce and eHat and has not been revoker IN WI EVESS WHEREOF, I haveheaureloM my had and affixed the real ofrald Company this 5th dJanuary, 2024. M ssa J. Ralph •� A -►APPLIED UURETY NDERWRITERS VAS, 10805 Old Mill Road Omaha, NE 68154 September 6, 2023 Bond Obligees Project Owners General Contractors RE: Digital Seal Authority and Enforceability Notice To whom it may concern: The use of an electronic image of the corporate seal of Siriuspoint America Insurance Company (the "Digital Seal"), and the attachment of the Digital Seal to any surety bond issued by Siriuspoint America Insurance Company is authorized by the company. Siriuspoint America Insurance Company acknowledge and agree that the Digital Seal may be affixed to any authorized Surety bond approved by Applied Surety Underwriters, and relied upon to the same extent as if a raised corporate seal was attached to the bond. Delivery of a digital copy of this Digital Seal Authority and Enforceability Notice, executed electronically, to an Obligee or Obligee's representative, shall constitute effective execution and delivery of this notice and shall have the same legal effect as a delivery of a tangible original of the notice with my original "wet" signature. If you require further verification you may email our Home Office Underwriting Center at i nfo(&su rete. auw.com In Witness Whereof, this has been executed by the President, Applied Surety Underwritersfor Siriuspoint America Insurance Company. 1979 Ar WY&A Thank you for your continued business. Sincerely, Joshua C. Betz President, Applied Surety Underwriters No. 3121-1 STATE OF CALIFORNIA DEPARTMENT OF INSURANCE OAKLAND Amended Certificate of Authority THIS IS TO CERTIFY, That, pursuant to the Insurance Code of the State of California, SiriusPoint America Insurance Company of New York, organized under the laws of New York, subject to its Articles of Incorporation or other fundamental organizational documents, is hereby authorized to transact within this State, subject to all provisions of this Certificate, the following classes of insurance: Fire, Marine, Surety, Disability, Plate Glass, Liability, Workers' Compensation, Common Carrier Liability, Boiler and Machinery, Burglary, Sprinkler, Team and Vehicle, Automobile, Aircraft, and Miscellaneous as such classes are now or may hereafter be defined in the Insurance Laws of the State of California. THIS CERTIFICATE is expressly conditioned upon the holder hereof now and hereafter being in full compliance with all, and not in violation ofany, ofthe applicable laws and lawful requirements made under authority of the laws of the State of California m long as such laws or requirements are in effect and applicable, and as such laws and requirements now are, or may hereafter be changed or amended. IN WITNESS WHEREOF, I set my hand and affa my official seal this 21s' day of November, 1012. Ricardo Lara hu'urance Cammissioner / F 1 By Valerie J. Sarfaty for Catalina Hayes -Bautista insurance Chief Depun' NOTICE: Qualification with the Secretary of State must be accomplished as required by the California Corporations Code promptly after issuance of this Certificate of Authority. Failure to do so will be a violation of Insurance Code section 701 and will be grounds for revoking this Certificate of Authority pursuant to the covenants made in the application therefor and the conditions contained herein. •1398383.1 SiriusPoint America Insurance Company FEIN # 13-2997499 NAIC # 38776 BUSINESS ADDRESS: 1 WORLD TRADE CTR, 285 FULTON ST, 47TH FL STE 47J, NEW YORK, NY 10007. PHONE: (212) 312-2500 UNDERWRITING LIMITATION b/: $50,874,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, ILI IN, IA, KS, KY, LA, MD, MA, MI, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OKI OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New York. Bond No.: SPA 150329012 Premium Included in the AIA Document A312 TM .2010 Performance Bond. Payment Bond CONTRACTOR: (Name, legal status and address) Onyx Paving Company, Inc. 2890 East La Cresta Avenue Anaheim, CA 92806 OWNER: (Name, legal status and address) City of Rosemead 8838 Valley Boulevard, Rosemead, CA 91770 CONSTRUCTION CONTRACT Date: December 12th, 2023 SURETY: (Name, legal status and principal place of business) SiriusPoint America Insurance Company I world Trade Center 285 Fulton Street, 47th door, Suite. 471 This document has important legal New Yorlc, 'Y 10007 consequences. Consultation with Amount: Two Million Two Hundred Twenty Two Thousand and 00/100 Dollars ($2,222,000.00) Description: (Name and location) RESIDENTIAL STREET RESURFACING AND CONCRETE IMPROVEMENTS, PROJECT No. 21035 - FY 2023-24 BOND Date: January 5th, 2024 Amotmt:Two Million Two Hundred Twenty Two Thousand and 00/100 Dollars ($2,222,000.00) Modifications to this Bond: © None ❑ See Section 18 CONTRACTOR AS PRINCIPAL SURETY Company: (Corporate Seal) Company: SiriusPoint America Insurance Company Onyx Paving Co an 11 Signature: Signature: Name Corey (Srrs .h#r Name Chritina Rogers,At -Fac and Title: bras )� }� and Title: (.1 Rr-uailitim: d signatures appear on the last page of this Payment Bond.) (F0 NF(fRVf1T/ON ONLY— Name, address and telephone) AGENT or BRvKER: OWNER'S REPRESENTATIVE: Perfoimanc�e-Bonding Surety (Architect, Engineer or other party.) -& Iii, ra ke_Btokerage -15901 Red LM Ave., Suite 100 Tustin, CA, 92780 714.505.7011 an attorney is encouraged with respect to its completion or mod cation. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. AIA Document A312-2010 combines two separate bonds, a Performance Bond and a Payment Bond, into one forth. This is not a single combined Performance and Payment Bond. (Corporate Seal) 1979 Init. AIA Docurnaint A012" - 2010. The American Institute of Architects. This document was created on 02/2x12012 11:24:44 under the teens of AIA Documentson-0emand- order no. 2008406923, and is not for resale. This document is licensed try The American Institute of Architects for one -lime use only, and may not be reproduced prior to its completion. rotate § 1 The Contractor and Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors and assigns to the Owner to pay for labor, materials and equipment furnished for use in the performance of the Construction Contract, which is incorporated herein by reference, subject to the following terms. § 2 If the Contractor promptly makes payment of all sums due to Claimants, and defends, indemnifies and holds harmless the Owner from claims, demands, liens or suits by any person or entity seeking payment for labor, materials or equipment furnished for use in the performance of the Construction Contract, then the Surety and the Contractor shall have no obligation under this Bond. § 3 If there is no Owner Default under the Construction Contract, the Surety's obligation to the Owner under this Bond shall arise after the Owner has promptly notified the Contractor and the Surety (at the address described in Section 13) of claims, demands, liens or suits against the Owner or the Owner's property by any person or entity seeking payment for labor, materials or equipment furnished for use in the performance of the Construction Contract and tendered defense of such claims, demands, liens or suits to the Contractor and the Surety. § 4 When the Owner has satisfied the conditions in Section 3, the Surety shall promptly and at the Surety's expense defend, indemnify and hold harmless the Owner against a duly tendered claim, demand, lien or suit. § 5 The Surety's obligations to a Claimant under this Bond shall arise after the following: § 5.1 Claimants, who do not have a direct contract with the Contractor, .1 have furnished a written notice of non-payment to the Contractor, stating with substantial accuracy the amount claimed and the name of the party to whom the materials were, or equipment was, furnished or supplied or for whom the labor was done or performed, within ninety (90) days after having last performed labor or last furnished materials or equipment included in the Claim: and .2 have sent a Claim to the Surety (at the address described in Section 13). § 5.2 Claimants, who are employed by or have a direct contract with the Contractor, have sent a Claim to the Surety (at the address described in Section 13). § 6 If a notice of non-payment required by Section 5. 1.1 is given by the Owner to the Contractor, that is sufficient to satisfy a Claimant's obligation to furnish a written notice of non-payment under Section 5.1. I. § 7 When a Claimant has satisfied the conditions of Sections 5.1 or 5.2, whichever is applicable, the Surety shall promptly and at the Surety's expense take the following actions: § 7.1 Send an answer to the Claimant, with a copy to the Owner, within sixty (60) days after receipt of the Claim, stating the amounts that are undisputed and the basis for challenging any amounts that are disputed; and § 7.2 Pay or arrange for payment of any undisputed amounts § 7.3 The Surety's failure to discharge its obligations under Section 7.1 or Section 7.2 shall not be deemed to constitute a waiver of defenses the Surety or Contractor may have or acquire as to a Claim, except as to undisputed amounts for which the Surety and Claimant have reached agreement. If however, the Surety fails to discharge its obligations under Section 7.1 or Section 7.2, the Surety shall indemnify the Claimant for the reasonable attorney's fees the Claimant incurs thereafter to recover any sums found to be due and owing to the Claimant. § 8 The Surety's total obligation shall not exceed the amount of this Bond, plus the amount of reasonable attorney's fees provided under Section 7.3, and the amount of this Bond shall be credited for any payments made in good faith by the Surety. § 9 Amounts owed by the Owner to the Contractor under the Construction Contract shall be used for the performance of the Construction Contract and to satisfy claims, if any, under any construction performance bond. By the Contractor furnishing and the Owner accepting this Bond, they agree that all funds earned by the Contractor in the performance of the Construction Contract are dedicated to satisfy obligations of the Contractor and Surety under this Bond, subject to the Owner's priority to use the funds for the completion of the work. AIA Document A312- —2010. The American Institute of Architects. This document was created on 02/28/2012 11:24:44 under the terms of Init. AIA Documentson-DemandTM order no. 2008406923, and is not for resale. This document is licensed by The American Institute of Architects for one-time use only, and may not be reproduced prior to its completion. § 10 The Surety shall not be liable to the Owner. Claimants or others for obligations of the Contractor that are unrelated to the Construction Contract. The Owner shall not be liable for the payment of any costs or expenses of any Claimant under this Bond, and shall have under this Bond no obligation to make payments to, or give notice on behalf of, Claimants or otherwise have any obligations to Claimants under this Bond. § 11 The Surety hereby waives notice of any change, including changes of time, to the Construction Contract or to related subcontracts, purchase orders and other obligations. § 12 No suit or action shall be commenced by a Claimant under this Bond other than in a court of competent jurisdiction in the state in which the project that is the subject of the Construction Contract is located or after the expiration of one year from the date (1) on which the Claimant sent a Claim to the Surety pursuant to Section 5.1.2 or 5.2, or (2) on which the last labor or service was performed by anyone or the last materials or equipment were furnished by anyone under the Construction Contract, whichever of (1) or (2) first occurs. If the provisions of this Paragraph are void or prohibited by law, the minimum period of limitation available to sureties as a defense in thejurisdiction of the suit shall be applicable. § 13 Notice and Claims to the Surety, the Owner or the Contractor shall be mailed or delivered to the address shown on the page on which their signature appears. Actual receipt of notice or Claims, however accomplished, shall be sufficient compliance as of the date received. § 14 When this Bond has been furnished to comply with a statutory or other legal requirement in the location where the construction was to be performed, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. § 15 Upon request by any person or entity appearing to be a potential beneficiary of this Bond, the Contractor and Owner shall promptly furnish a copy of this Bond or shall permit a copy to be made. § 16 Definitions § 16.1 Claim. A written statement by the Claimant including at a minimum: .1 the name of the Claimant; .2 the name of the person for whom the labor was done, or materials or equipment furnished; .3 a copy of the agreement or purchase order pursuant to which labor, materials or equipment was furnished for use in the performance of the Construction Contract; .4 a brief description of the labor, materials or equipment furnished; .5 the date on which the Claimant last performed labor or last furnished materials or equipment for use in the performance of the Construction Contract; .6 the total amount earned by the Claimant for labor, materials or equipment furnished as of the date of the Claim; .7 the total amount of previous payments received by the Claimant; and .8 the total amount due and unpaid to the Claimant for labor, materials or equipment furnished as of the date of the Claim. § 16.2 Claimant. An individual or entity having a direct contract with the Contractor or with a subcontractor of the Contractor to furnish labor, materials or equipment for use in the performance of the Construction Contract. The term Claimant also includes any individual or entity that has rightfully asserted a claim under an applicable mechanic's lien or similar statute against the real property upon which the Project is located. The intent of this Bond shall be to include without limitation in the terms "labor, materials or equipment" that part of water, gas, power, light, heat, oil, gasoline, telephone service or rental equipment used in the Construction Contract, architectural and engineering services required for performance of the work of the Contractor and the Contractor's subcontractors, and all other items for which a mechanic's lien may be asserted in the jurisdiction where the labor, materials or equipment were furnished. § 16.3 Construction Contract. The agreement between the Owner and Contractor identified on the cover page, including all Contract Documents and all changes made to the agreement and the Contract Documents. Init. AIA Document A312n' —2010. The American Institute of Architects. This document was created on 02128/2012 11:24:44 under the terms of AIA Documentson-Demand"' order no. 2008406923. and is not for resale. This document is licensed by The American Institute of Architects for one-time use only, and may not be reproduced prior to its completion. § 16.4 Owner Default. Failure of the Owner, which has not been remedied or waived, to pay the Contractor as required under the Construction Contract or to perform and complete or comply with the other material terms of the Construction Contract. § 16.5 Contract Documents. All the documents that comprise the agreement between the Owner and Contractor. § 17 If this Bond is issued for an agreement between a Contractor and subcontractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. § 16 Modifications to this bond are as follows (Space is provided below for additional signatures of added parries, other than those appearing on the cover page.) CONTRACTOR AS PRINCIPAL SURETY Company: (Corporate Seal) Company: (Corporate Seal) Signature: Name and Title: Address: Signature: Name and Title: Address: Inst. AIA Document A312- —2010. The American Institute of Architects. This document was created on 0212612012 11:24:44 under the terms of AN Documentson-DemandTM order no. 2008406923, and is not for resale. This document is licensed by The American Institute of Architects for ane -time use only, and may not be reproduced poor to its completion. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) County of Orange ) On January S 2024 before me, Carly Bredal, Notary Public Date Here Insert Name and Title of the Officer personally appeared of who proved to me on the basis of satisfactory evidence to be the person(s) whose name(g) is/am subscribed to the within instrument and acknowledged to me that he/ske/they executed the same in his/her/their authorized capacity(ift), and that by his/Yosr/their signature(t) on the instrument the person(R), or the entity upon behalf of which the person(s) acted, executed the instrument. CARLY BREDAL Notary Public - California :. Orange County Commission N 2442539 " �•• "'" My Comm. Expires Mar 28. 2027 Place Notary Seal 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 gnature of Notary Public OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Number of Pages: Document Date: Signer(s) Other Than Named Above: Capacity(les) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: 0 1 r � • � � ��a. d � •� :11 � � d :11 � • � • 1 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT 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 1 County of Orange j on JAN 0 12024 personally appeared before me, Abert Melendez , Notary Public, Christina Rogers who proved to me on the basis of satisfactory evidence to be the person(x) whose named) is/ate subscribed to the within instrument and acknowledged to me that Dk/she/fty executed the same in Its/her/tF[eir authorized capacity(ixs), and that by lAs/her/their signature(o on the instrument the person(g), or the entity upon behalf of which the person(x) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of State of California that the foregoing paragraph is true and correct. ALBERT MELENCEZ NoNotaryPury PuElic - Callfarnla Crania County ! WITNESS my hand and official seal. i Cornnission 4 3791461 ray Comm. '_aoi-es lar Z?. 2026 f SIGNATURE PLACE NOTARY SEAL ABOVE Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of attached document Title or type of document: Document Signer(s) Other than Named Above: of PERTAM01_0923 POWER OF ATTORNEY SIRIUSPOINT AMERICA INSURANCE COMPANY NEW YORK I'QiOW ALJ, MEN BY THESE PRESENTS: That Sintud id America Insurance Company, a New York corporation, laving its principal office in the City of New York, personal to the fallowing Resolution, which was adopted by the found of Directors of the Company, to wit. RESOLVED, gat the President, Senior Via President, Chief Financial Officer, Secretary or Assumed Secretary is hereby amhorized to execute Powers of Attorney appointing a ataneys-in-fact selected employees ofeerlaln wMy companies who shall have the power for and on behalf of the Company to execute and affu the sal of the Contrary to surly contracts as coourety. Does hereby nominate, continue, and eppoim. Albert Melendez Christine Rogers. Enk Johansson, Jennifer Anaya. Joaquin Perez. Melissa Lopez. Its INC and lawful ache ay -in -fat, to mak, execute, sot and deliver for and on its behalf, and as its act end deed, any and all bolds,.,.,., agrecments of indemnity, coot otherurdenakings in somyahip (NOT INCLUDING bonds without a fixed penalty or financial grammes bads) and to bind the Company thereby as fully wort to the sane extent as if same were aigned by the duly authorized officers of the Convon , provided, however, that the penal sum of any arc such imtmment executed hereunder shall rel exceed the wen of S50,OO '" single bend limit All see, of said anomeys-in-fact pursuant to the authomms harem given arc hereby our fled and contained. The cxmulnm officers listed above in the Resolution may from time m tine and at any time remove any such appointee and revoke'he posh given to him or her. The execution of such bands or undertakings in pensioners of thew presents, within one year of she date of ince of them presents, shall be, binding upon mid Company, as fully rand amply, to all intone, eadpuawxs, as if they had been duly executed and acknowledged by the regularly elected officers of the Company at its once in New York, New Yoh, in their own proper persons. IN WITNESS WHEREOF, Sunspot., America Inwmrre Company has caused its corporate sal to be hereunto aRxed, and'hess presents to be signed by its SecMary Nis 171h day of August in the year 2023. Sisuai'mut Amrnca hisuran Company Dy: Met'.. Ralph Seoetay Slate of Ncw Jersey I I as. County of Monmouth I On this I r day of August 2023, before me, a Notary Public of the Slate of New Jersey in and for the County of Monmouth duly commissioned and qualified, came Melism J. Ralph, Secretary, ofStriusPolnt America Inwraae Company, to me pere.0, known a, be the individ ed and officer deanbed in, and who executed the reading instrument. and acknowledged the execution of the stole, snd, being by me duly swum, de owls and wish, that aha is the office, f,he Company aforesaid, and clear the sal aRxed to the preceding instmmen' aw the corporate oral of said Company, end the said coporate sol and her ogmmre as officer waw duly efrxed and subscribed to the mid innwmrnt by the authority and di ectim of the said Company, refemed to in rhe preceding oulmmcel.. now In force. IN TES V I6VV WHEREOF, I have hereunto M my had and alfaed my official sol. TNAEJA E LEWIS-SCOTT NOTARY PUBLIC STATE OF NEW JERSEY IFE aP� MY COMMISSION EXPIRES MARCH 31, 20A L.kcrcJ� n , ypz4 Some of Ncw Jeracy COMMISSION. p5020ESd1 CountyofMaurwrh I, Melissa J. Ralph, SecMay, ol'SinusPoinr America Inwmee Company, a New Yoh coepwratlon, do hereby anify that the above and famgoing is full, Ince comas copy ofpower of Amervel, is still in forte and effect and has no been revoked. INwi fVESS M HEREOF, I havehereunto set myhod and aRaedthe nal ofmb Company this 5th dayof January, 2024. i SURETY -�APPLIED UNDERWRITERS 10805 Old Mill Road Omaha, NE 68154 September 6, 2023 Bond Obligees Project Owners General Contractors RE: Digital Seal Authority and Enforceability Notice To whom it may concern: The use of an electronic image of the corporate seal of Siriuspoint America Insurance Company (the "Digital Seal"), and the attachment of the Digital Seal to any surety bond issued by Siriuspoint America Insurance Company is authorized by the company. Siriuspoint America Insurance Company acknowledge and agree that the Digital Seal may be affixed to any authorized Surety bond approved by Applied Surety Underwriters, and relied upon to the same extent as if a raised corporate seal was attached to the bond. Delivery of a digital copy of this Digital Seal Authority and Enforceability Notice, executed electronically, to an Obligee or Obligee's representative, shall constitute effective execution and delivery of this notice and shall have the same legal effect as a delivery of a tangible original of the notice with my original "wet" signature. If you require further verification you may email our Home Office Underwriting Center at infoOsurete.auw.com In W fitness Whereof, this has been executed bythe President, Applied Surety Underwriters for Siriuspoint America Insurance Company. SEAL X.�1979 444 Y4s Thank you for your continued business. Sincerely, l ( i Joshua C. Betz President, Applied Surety Underwriters No. 3121-1 STATE OF CALIFORNIA DEPARTMENT OF INSURANCE OAKLAND Amended Certificate of Authority THIS IS TO CERTIFY, That, pursuant to the Insurance Code of the State of California, SiriusPoint America Insurance CompanN of New York, organized under the laws of New York, subject to its Articles of Incorporation or other fundamental organizational documents, is hereby authorized to transact within this State, subject to all provisions of this Certificate, the following classes of insurance: Fire, Marine, Surety, Disability, Plate Glass, Liability, Workers' Compensation, Common Carrier Liability, Boiler and Machinery, Burglary, Sprinkler, Team and Vehicle, Automobile, Aircraft, and Miscellaneous as such classes are now or may hereafter be defined in the Insurance Laws of the State of California. THIS CERTIFICATE is expressly conditioned upon the holder hereofnow and hereafter being in full compliance with all, and not in violation of any, of the applicable laws and lawful requirements made under authority of the laws of the State of California as long as such laws or requirements are in effect and applicable, and as such laws and requirements now are, or may hereafter be changed or amended. M WITNESS WHEREOF, I set my hand and afl& my official seal this 21" day of November, 2012. Ricardo Lara Imurunce Commissioner I �J t By Valerie J. Sarfaty for Catalina Hayes -Bautista tncurance ChiefDepun' NOTICE: Qualification with the Secretary of State must be accomplished as required by the California Corporations Code promptly after issuance of this Certificate of Authority. Failure to do so will be a violation of Insurance Code section 701 and will be grounds for revoking this Certificate of Authority pursuant to the covenants made in the application therefor and the conditions contained herein. #1348383.1 SiriusPoint America Insurance Company FEIN # 13-2997499 NAIC # 38776 BUSINESS ADDRESS: 1 WORLD TRADE CTR, 285 FULTON ST, 47TH FL STE 47J, NEW YORK, NY 10007. PHONE: (212) 312-2500 UNDERWRITING LIMITATION b/: $50,8741000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, ILIIN, IA, KS, KY, LA, MD, MA, MI, MS, MOI MT. NE, NV, NH, NJ, NM, NY, NC, ND, OH, OKI OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New York. AcbRO® CERTIFICATE OF LIABILITY INSURANCE F DATY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, '(M azo THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME:Michael Tran Burnham WGB Insurance Solutions FAX CA Insurance License OF69771 714-824-8384 ac No): 714-573-1770 noortEss : michael.ban w bib.com 15901 Red Hill Avenue Tustin CA 92780 INSURERS AFFORDING COVERAGE NAIC# INSURER A: American Zurich Insurance Comp 40142 License#: OF69771 INSURED ONYXPAV-01 INSURERS: Zurich American Insurance Comp 16535 Onyx Paving Company, Inc. 2890 E. La Cresta Avenue INSURER c: Scottsdale Insurance Company 41297 ER INSURD: Anaheim CA 92806-1816 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 1887822099 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRTYPE LTR OF INSURANCE I U POLICY NUMBER YIOUDLICY EFF NOM/LDICDY EXP LIMITS C X COMMERCIAL GENERALUABIUTY BCS2DO0426 3/14/2023 3/14/2024 EACH OCCURRENCE $2,000,000 CLAIMS -MADE Fx] GCCUR DAMAGE TO RNTED PREMISES Ea orcurmma $100,000 MED EXP (My one person) $ Exduded PERSONAL&ADV INJURY $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $4,000,000 POLICY I JECCT F LOC PRODUCTS - COMP/OP AGG $4,000,000 $ OTHER: A AUTOMOBILE LIABILITY BAP106300605 10/1/2023 10/1/2024 COMBINED SINGLE LIMIT $2,000,000 Ea accident BODILY INJURY (Per Person) $ X ANY AUTO OWNED SCHTOSEDULED AUTOS ONLY AU BODILY INJURY (Per accitlenU $ PROPERTY DAMAGE $ Per aoddent X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLALIAB H OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS UAB CLAIMS -MADE DED RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN Wc106300505 10/1/2023 10/1/2024 X STATUTE ERS ANYPROPRIETOR/PARTNEWEXECUTIVE E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? ❑ NIA E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, d scribe under DESCRIPTION OF OPERATIONS beiow E.L. DISEASE- POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, MdMmal Remarsa Sa "ula, may M a ched H mora apace ie ra uimd) Certificate holder(s) is/are named as additional insured per the attached endorsements as required by written contract subject to the terms & conditions of the policy: GL Additional Insured Form #CG 20 10 12 19 and CG 20 37 12 19 GL Additional Insured State -Permits Form *CG 20 12 12 19 GL Primary and Non -Contributory Form #CG 20 01 12 19 GL Waiver of Subrogation Form *CG 24 04 12 19 GL Per Project Form #GLS -332s 01 12 See Attached... CERTIFICATE HOLDER CANCELLATION ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Rosemead 8838 Valley Blvd Rosemead CA 91770 AUTHORIZEDREPRESENTATWE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD AC R& AGENCY CUSTOMER ID: ONYXPAV-01 LOC #: ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY Burnham WGB Insurance Solutions NAMED INSURED Onyx Paving Company, Inc. 2890 E. La Cresta Avenue Anaheim CA 92806-1816 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE GATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Primary & Non -Contributory, and Waiver of Subrogation m Form #WC 04 03 06 Intial St Resurfacing and Concrete Improvements ificate Holder Vesting: of Rosemead Ar ^Dn IA1 11DAR/D11 ACORn CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: BCS2 0009 2 6 COMMERCIAL GENERAL LIABILITY CG 20 10 12 19 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 WHEN ALL LOCATIONS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT, EXECUTED PRIOR TO THE OCCURRENCE TO WHICH THIS INSURANCE APPLIES, THAT 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 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: 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 additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or 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 2. 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 12 19 0 Insurance Services Office, Inc., 2018 Page 1 of 2 C. With respect to the insurance afforded to these 2. Available under the applicable limits of additional insureds, the following is added to insurance; Section III — Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the applicable required by a contract or agreement, the most we limits of insurance. will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or Page 2 of 2 © Insurance Services Office, Inc., 2018 CG 20 10 12 19 POLICY NUMBER: BCS2000426 COMMERCIAL GENERAL LIABILITY CG 20 37 1219 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 WHEN ALL LOCATIONS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT, EXECUTED PRIOR TO THE OCCURRENCE TO WHICH THIS INSURANCE APPLIES, THAT 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" 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; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 20 37 12 19 0 Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER: BCS2000426 COMMERCIAL GENERAL LIABILITY CG 20 12 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: ANY PERSON OR ORGANIZATION WHEN REQUIRED BY WRITTEN CONTRACT OR AGREEMENT, EXECUTED PRIOR TO THE OCCURRENCE TO WHICH THIS INSURANCE APPLIES, THAT 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 any state or governmental agency or subdivision or political subdivision shown in the Schedule, subject to the following provisions: 1. This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. However: a. The insurance afforded to such additional insured only applies to the extent permitted by law; and b. 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. 2. This insurance does not apply to: a. 'Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or b. 'Bodily injury" or "property damage" included within the "products -completed operations hazard". 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; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 20 12 12 19 0 Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER: BCS2000426 COMMERCIAL GENERAL LIABILITY CG 20 01 1219 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 LIQUOR 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 additional insured. This insurance is primary to and will not seek 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 12 19 ©Insurance Services Office, Inc., 2018 Page 1 of 1 POLICYNUMBER: BCS2000426 COMMERCIAL GENERAL LIABILITY CG 24 04 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s) Or Organization(s): ANY PERSON OR ORGANIZATION FOR WHOM THE INSURED HAS AGREED TO WAIVE RIGHTS OF RECOVERY, PROVIDED SUCH AGREEMENT IS MADE IN WRITING AND PRIOR TO THE LOSS. 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 against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 04 12 19 0 Insurance Services Office, Inc., 2018 Page 1 of 1 A� SCOTTSDALE INSURANCE COMPANY ENDORSEMENT NO. ATTACHED TO AND RSE ENDOMENT EFFECTIVE DATE FORMING A PART OF (1RSE STANDARD TIME) NA MED INSURED AGENT NO. POLICY NUMBER BCS2000426 03/14/2023 ONYX PAVING COMPANY, INC. 047BY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) AGGREGATE LIMIT SUBJECT TO AN ALL PROJECTS LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Designated Construction Project(s): ALL PROJECTS Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrenc- es" under Section I—Coverage A, and for all medical expenses caused by accidents under Section I—Coverage C, which can be attributed only to ongoing operations at a single designated con- struction project shown in the Schedule above: 1. A separate Designated Per Project Aggregate Limit equal to the General Aggregate Limit shown in the Declarations shall apply to each Designated Construction Project. However, the most we will pay under the insur- ance provided by this endorsement for all Desig- nated Construction Projects shown in the Schedule above is $5,000,000, unless otherwise stated below: 2. The separate Designated Per Project Aggre- gate Limit provided in A.I. above is the most we will pay for the sum of all damages under Cover- age A, except damages because of "bodily injury" or "property damage" included in the "products - completed operations hazard," and for medical expenses under Coverage C regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits." 3. Any payments made under Coverage A for dam- ages or under Coverage C for medical expenses shall reduce the separate Designated Per Project Aggregate Limit provided in A.I. for that particular Designated Construction Project. Such payments Includes copyrighted material of ISO Properties, Inc., with its permission. Copyright, ISO Properties, Inc., 2008 GLS -332s (1-12) Page 1 of 2 shall not reduce the General Aggregate Limit shown in the Declarations, nor shall they reduce the insurance provided by this endorsement for any other Designated Construction Project. 4. The limits shown in the Declarations for Each Oc- currence, Damage To Premises Rented To You and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable separate Designated Per Project Aggregate Limit provided in A.I. for each Designated Construction Project. B. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrence" under Section I—Coverage A, and for all med- ical expenses caused by accidents under Sec- tion [—Coverage C, which cannot be attributed only to ongoing operations at a single designated construc- tion project shown in the Schedule above: 1. Any payments made under Coverage A for dam- ages or under Coverage C for medical expenses shall reduce the amount available under the Gen- eral Aggregate Limit or the Products -Completed Operations Aggregate Limit, whichever is appli- cable; and 2. Such payments shall not reduce any separate Designated Per Project Aggregate Limit provided in A.1. C. When coverage for liability arising out of the "prod- ucts -completed operations hazard" is provided, any payments for damages because of "bodily injury" or "property damage" included in the "products - completed operations hazard" will reduce the Prod- ucts -Completed Operations Aggregate Limit, and not reduce the General Aggregate Limit nor any separate Designated Per Project Aggregate Limit provided in A.I. D. If the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contracting parties devi- ate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same construction project. E. The provisions of Section III—Limits Of Insurance not otherwise modified by this endorsement shall con- tinue to apply as stipulated. AUTHORIZED REPRESENTATIVE DATE Includes copyrighted material of ISO Properties, Inc., with its permission. Copyright, ISO Properties, Inc., 2008 GLS -332s (1-12) Page 2 of 2 Coverage Extension Endorsement ZURICH Policy No. I Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add'I. Prem Return Prem. BAP 1063006-05 1 10/01/2023 10/01/2024 39774000 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Business Auto Coverage Form Motor Carrier Coverage Form A. Amended Who Is An Insured 1. The following is added to the Who Is An Insured Provision in Section II - Covered Autos Liability Coverage: The following are also "insureds": a. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow for acts performed within the scope of employment by you. Any "employee" of yours is also an "insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your business. b. Anyone volunteering services to you is an "insured" while using a covered "auto" you don't own, hire or borrow to transport your clients or other persons in activities necessary to your business. c. Anyone else who furnishes an "auto" referenced in Paragraphs A.1.a. and A.1.b. in this endorsement. d. Where and to the extent permitted by law, any person(s) or organization(s) where required by written contract or written agreement with you executed prior to any "accident", including those person(s) or organization(s) directing your work pursuant to such written contract or written agreement with you, provided the "accident" arises out of operations governed by such contract or agreement and only up to the limits required in the written contract or written agreement, or the Limits of Insurance shown in the Declarations, whichever is less. 2. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance - Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form: Coverage for any person(s) or organization(s), where required by written contract or written agreement with you executed prior to any "accident", will apply on a primary and non-contributory basis and any insurance maintained by the additional "insured" will apply on an excess basis. However, in no event will this coverage extend beyond the terms and conditions of the Coverage Form. B. Amendment -Supplementary Payments Paragraphs a.(2) and a.(4) of the Coverage Extensions Provision in Section II - Covered Autos Liability Coverage are replaced by the following: (2) Up to $5,000 for the cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work. U -CA -424-F CW (04-14) Page 1 of 6 Includes copyrighted material of Insurance services Office, Inc., with its permission. C. Fellow Employee Coverage The Fellow Employee Exclusion contained in Section II — Covered Autos Liability Coverage does not apply. D. Driver Safety Program Liability and Physical Damage Coverage 1. The following is added to the Racing Exclusion in Section II — Covered Autos Liability Coverage: This exclusion does not apply to covered "autos" participating in a driver safety program event, such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. 2. The following is added to Paragraph 2. in the Exclusions of Section III — Physical Damage Coverage of the Business Auto Coverage Form and Paragraph 2.b. in the Exclusions of Section IV — Physical Damage Coverage of the Motor Carrier Coverage Form: This exclusion does not apply to covered "autos" participating in a driver safety program event, such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. E. Lease or Loan Gap Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section: Lease Or Loan Gap Coverage In the event of a total 'loss" to a covered "auto", we will pay any unpaid amount due on the lease or loan for a covered "auto", less: a. Any amount paid under the Physical Damage Coverage Section of the Coverage Form; and b. Any: (1) Overdue lease or loan payments at the time of the "loss"; (2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; (3) Security deposits not returned by the lessor; (4) Costs for extended warranties, credit life insurance, health, accident or disability insurance purchased with the loan or lease; and (5) Carry-over balances from previous leases or loans. F. Towing and Labor Paragraph A.2. of the Physical Damage Coverage Section is replaced by the following: We will pay up to $75 for towing and labor costs incurred each time a covered "auto' of the private passenger type is disabled. However, the labor must be performed at the place of disablement. G. Extended Glass Coverage The following is added to Paragraph A.3.a. of the Physical Damage Coverage Section: If glass must be replaced, the deductible shown in the Declarations will apply. However, if glass can be repaired and is actually repaired rather than replaced, the deductible will be waived. You have the option of having the glass repaired rather than replaced. H. Hired Auto Physical Damage — Increased Loss of Use Expenses The Coverage Extension for Loss Of Use Expenses in the Physical Damage Coverage Section is replaced by the following: Loss Of Use Expenses For Hired Auto Physical Damage, we will pay expenses for which an "insured" becomes legally responsible to pay for loss of use of a vehicle rented or hired without a driver under a written rental contract or written rental agreement. We will pay for loss of use expenses if caused by: U -CA -424-F CW (04-14) Page 2 of 6 Includes copyrighted material of Insurance services Office, Inc., with its permission. (1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto"; (2) Specified Causes Of Loss only if the Declarations indicate that Specified Causes Of Loss Coverage is provided for any covered "auto"; or (3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "aut". However, the most we will pay for any expenses for loss of use is $100 per day, to a maximum of $3000. I. Personal Effects Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section: Personal Effects Coverage a. We will pay up to $750 for loss" to personal effects which are: (1) Personal property owned by an "insured"; and (2) In or on a covered "auto". b. Subject to Paragraph a. above, the amount to be paid for "loss" to personal effects will be based on the lesser of: (1) The reasonable cost to replace; or (2) The actual cash value. c. The coverage provided in Paragraphs a. and b. above, only applies in the event of a total theft of a covered "aut". No deductible applies to this coverage. However, we will not pay for 'loss" to personal effects of any of the following: (1) Accounts, bills, currency, deeds, evidence of debt, money, notes, securities, or commercial paper or other documents of value. (2) Bullion, gold, silver, platinum, or other precious alloys or metals; furs or fur garments; jewelry, watches, precious or semi-precious stones. (3) Paintings, statuary and other works of art. (4) Contraband or property in the course of illegal transportation or trade. (5) Tapes, records, discs or other similar devices used with audio, visual or data electronic equipment. Any coverage provided by this Provision is excess over any other insurance coverage available for the same "loss". J. Tapes, Records and Discs Coverage 1. The Exclusion in Paragraph 13A.a. of Section III — Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph B.2.c. of Section IV — Physical Damage Coverage in the Motor Carrier Coverage Form does not apply. 2. The following is added to Paragraph 1.a. Comprehensive Coverage under the Coverage Provision of the Physical Damage Coverage Section: We will pay for 'loss" to tapes, records, discs or other similar devices used with audio, visual or data electronic equipment. We will pay only if the tapes, records, discs or other similar audio, visual or data electronic devices: (a) Are the property of an "insured"; and (b) Are in a covered "auto" at the time of "loss". The most we will pay for such 'loss" to tapes, records, discs or other similar devices is $500. The Physical Damage Coverage Deductible Provision does not apply to such 'loss". U -CA -424-F CW (04-14) Page 3 of 6 Includes copyrighted material of Insurance Services Office, Inc., with its permission. K. Airbag Coverage The Exclusion in Paragraph B.3.a. of Section III — Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph B.4.a. of Section IV — Physical Damage Coverage in the Motor Carrier Coverage Form does not apply to the accidental discharge of an airbag. L. Two or More Deductibles The following is added to the Deductible Provision of the Physical Damage Coverage Section: If an accident is covered both by this policy or Coverage Form and by another policy or Coverage Form issued to you by us, the following applies for each covered "auto" on a per vehicle basis: 1. If the deductible on this policy or Coverage Form is the smaller (or smallest) deductible, it will be waived; or 2. If the deductible on this policy or Coverage Form is not the smaller (or smallest) deductible, it will be reduced by the amount of the smaller (or smallest) deductible. M. Physical Damage — Comprehensive Coverage — Deductible The following is added to the Deductible Provision of the Physical Damage Coverage Section: Regardless of the number of covered "autos" damaged or stolen, the maximum deductible that will be applied to Comprehensive Coverage for all "loss" from any one cause is $5,000 or the deductible shown in the Declarations, whichever is greater. N. Temporary Substitute Autos — Physical Damage 1. The following is added to Section I — Covered Autos: Temporary Substitute Autos — Physical Damage If Physical Damage Coverage is provided by this Coverage Form on your owned covered "autos", the following types of vehicles are also covered "autos" for Physical Damage Coverage: Any "auto" you do not own when used with the permission of its owner as a temporary substitute for a covered "auto" you do own but is out of service because of its: 1. Breakdown; 2. Repair; 3. Servicing; 4. "Loss" or 5. Destruction. 2. The following is added to the Paragraph A. Coverage Provision of the Physical Damage Coverage Section: Temporary Substitute Autos — Physical Damage We will pay the owner for "loss" to the temporary substitute "auto" unless the "loss" results from fraudulent acts or omissions on your part. If we make any payment to the owner, we will obtain the owner's rights against any other party. The deductible for the temporary substitute "auto" will be the same as the deductible for the covered "auto" it replaces. O. Amended Duties In The Event Of Accident, Claim, Suit Or Loss Paragraph a. of the Duties In The Event Of Accident, Claim, Suit Or Loss Condition is replaced by the following a. In the event of "accident", claim, "suit" or "loss", you must give us or our authorized representative prompt notice of the "accident", claim, "suit" or "loss". However, these duties only apply when the "accident", claim, "suit" or "loss" is known to you (if you are an individual), a partner (if you are a partnership), a member (if you are a limited liability company) or an executive officer or insurance manager (if you are a corporation). The failure of any U -CA -424-F CW (04-14) Page 4 of 6 Includes copyrighted material of Insurance Services Office, Inc., with its permission. agent, servant or employee of the "insured" to notify us of any "accident", claim, "suit" or "loss" shall not invalidate the insurance afforded by this policy. Include, as soon as practicable: (1) How, when and where the "accident" or "loss" occurred and if a claim is made or "suit" is brought, written notice of the claim or "suit" including, but not limited to, the date and details of such claim or "suit" (2) The "insured's" name and address; and (3) To the extent possible, the names and addresses of any injured persons and witnesses. If you report an "accident", claim, "suit" or "loss" to another insurer when you should have reported to us, your failure to report to us will not be seen as a violation of these amended duties provided you give us notice as soon as practicable after the fact of the delay becomes known to you. P. Waiver of Transfer Of Rights Of Recovery Against Others To Us The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: This Condition does not apply to the extent required of you by a written contract, executed prior to any "accident" or "loss", provided that the "accident" or "loss" arises out of operations contemplated by such contract. This waiver only applies to the person or organization designated in the contract. Q. Employee Hired Autos — Physical Damage Paragraph b. of the Other Insurance Condition in the Business Auto Coverage Form and Paragraph f. of the Other Insurance — Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form are replaced by the following: For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented under a written contract or written agreement entered into by an "employee" or elected or appointed official with your permission while being operated within the course and scope of that "employee's" employment by you or that elected or appointed official's duties as respect their obligations to you. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". R. Unintentional Failure to Disclose Hazards The following is added to the Concealment, Misrepresentation Or Fraud Condition: However, we will not deny coverage under this Coverage Form if you unintentionally: (1) Fail to disclose any hazards existing at the inception date of this Coverage Form; or (2) Make an error, omission, improper description of "autos" or other misstatement of information. You must notify us as soon as possible after the discovery of any hazards or any other information that was not provided to us prior to the acceptance of this policy. S. Hired Auto — World Wide Coverage Paragraph 7a.(5) of the Policy Period, Coverage Territory Condition is replaced by the following: (5) Anywhere in the world if a covered "auto" is leased, hired, rented or borrowed for a period of 60 days or less, T. Bodily Injury Redefined The definition of "bodily injury" in the Definitions Section is replaced by the following: "Bodily injury" means bodily injury, sickness or disease, sustained by a person including death or mental anguish, resulting from any of these at any time. Mental anguish means any type of mental or emotional illness or disease. U -CA -424-F CW (04-14) Page 5 of 6 Includes copyrighted material of Insurance Services Office, Inc., with its permission. U. Expected Or Intended Injury The Expected Or Intended Injury Exclusion in Paragraph B. Exclusions under Section II — Covered Auto Liability Coverage is replaced by the following: Expected Or Intended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the "insured". This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. V. Physical Damage — Additional Temporary Transportation Expense Coverage Paragraph AA.a. of Section III — Physical Damage Coverage is replaced by the following: 4. Coverage Extensions a. Transportation Expenses We will pay up to $50 per day to a maximum of $1,000 for temporary transportation expense incurred by you because of the total theft of a covered "auto" of the private passenger type. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. We will pay for temporary transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its "loss". W. Replacement of a Private Passenger Auto with a Hybrid or Alternative Fuel Source Auto The following is added to Paragraph A. Coverage of the Physical Damage Coverage Section In the event of a total "loss" to a covered "auto" of the private passenger type that is replaced with a hybrid "auto" or "auto" powered by an alternative fuel source of the private passenger type, we will pay an additional 10% of the cost of the replacement "auto", excluding tax, title, license, other fees and any aftermarket vehicle upgrades, up to a maximum of $2500. The covered "auto" must be replaced by a hybrid "auto" or an "auto' powered by an alternative fuel source within 60 calendar days of the payment of the "loss" and evidenced by a bill of sale or new vehicle lease agreement. To qualify as a hybrid "auto", the "auto" must be powered by a conventional gasoline engine and another source of propulsion power. The other source of propulsion power must be electric, hydrogen, propane, solar or natural gas, either compressed or liquefied. To qualify as an "auto" powered by an alternative fuel source, the "auto" must be powered by a source of propulsion power other than a conventional gasoline engine. An "auto" solely propelled by biofuel, gasoline or diesel fuel or any blend thereof is not an "auto" powered by an alternative fuel source. X. Return of Stolen Automobile The following is added to the Coverage Extension Provision of the Physical Damage Coverage Section: If a covered "auto" is stolen and recovered, we will pay the cost of transport to return the "auto" to you. We will pay only for those covered "autos" for which you cant' either Comprehensive or Specified Causes of Loss Coverage. All other terms, conditions, provisions and exclusions of this policy remain the same. U -CA -424-F CW (04-14) Page 6 of 6 Includes copyrighted material of Insurance services Office. Inc., with its permission. er k uic7A4�KG WORKERS' CONDENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-64) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA 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 named 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.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be mium otherwise due on such remuneration. Schedule Person or Organization Job Description ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR FOR THAT PERSON AND/OR ORGANIZATION. % of the California workers' compensation pre - WC 252 (4-64) WC 04 03 06 (Ed. 464) Page 1 of 1