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CC - Item 4E - Walnut Grove Street Lighting Installation Project No. 43009 Award of ContractROSEMEAD CITY COUNCIL STAFF REPORT TO: THE HONORABLE MAYOR AND CITY COUNCIL FROM: BEN KIM, CITY MANAGER DATE: NOVEMBER 12, 2024 SUBJECT: WALNUT GROVE AVENUE STREET LIGHT INSTALLATION PROJECT NO. 43009 - AWARD OF CONTRACT ... As part of the City's Fiscal Year 2022-23 Capital Improvement Program, the City Council approved the Walnut Grove Avenue Street Light Installation Project. The project consists of furnishing and installation of solar powered street LED light fixtures with concrete poles, construction of pole foundations, anchor bolts, and all related appurtenances. The project is located on Walnut Grove Avenue from Marshall Avenue to Valley Boulevard. Since the proposed lighting system is solar powered, the installation will not require installation of conduits within the roadway on Walnut Grove, therefore the proposed work will not conflict with the recent resurfacing of Walnut Grove Avenue. This project will also remove and replace existing deteriorated light fixtures along Valley Boulevard from Rosemead Boulevard to Loma Avenue. The project is funded with Measure R with a total available construction budget of approximately $410,00.00. As a result of a comprehensive bid analysis to determine the apparent low bid, the bid submitted by Elecnor Belco Electric, Inc. in the amount of $619,256.00 was determined to be the lowest responsive bid. DISCUSSION A Notice Inviting Bids was published in local newspapers and trade publications on June 20t' and June 27th, 2024. Bids were received through the City's P1anetBids portal until 10:30 am on Wednesday, July 17th, 2024. The City received ten (10) bids with the following results: Bid Results: Contractor Location Bid Amount Elecnor Belco Electric, Inc. Chino, CA $619,256.00 Outsource Utility Contractor, LLC Torrance, CA $629,200.00 MC Electric Chino, CA $633,499.90 Servitek Electric, Inc. Norwalk, CA $654,962.00 AGENDA ITEM 4.E City Council Meeting November 12, 2024 Page 2 of 4 Select Electric, Inc. Anaheim, CA $658,460.00 Crosstown Electrical & Data, Inc. Irwindale, CA $722,700.00 DBX, Inc. Temecula, CA $727,056.00 Calpromax Engineering, Inc. Placentia, CA $734,800.00 PTM General Engineering Services, Inc. Riverside, CA $808,280.00 Minako America Corporation, dba Minco Construction Gardena, CA $940,214.00 Staff conducted a comprehensive bid analysis for apparent low bid submitted by Elecnor Belco Electric, Inc. and verified CA contractor's licensing, Department of Industrial Relations (DIR) registration, state and federal debarment files, and references. The bid submitted by Elecnor Belco Electric, Inc., at $619,256.00 is determined to be the lowest responsive bid. In addition to installation of new street lighting, the Public Services team has also recommended that the deteriorated light fixtures for the existing streetlights along Valley Boulevard from Rosemead Boulevard to Loma Avenue be removed and replaced. The recommendations from the Public Services team were taken into consideration and added to this project to provide better quality of lighting along Valley Boulevard from Rosemead Boulevard to Loma Avenue. Additional Funding Appropriation The project has a total available construction budget of $410,00.00 in Measure R Funds. Considering the cost of the lowest bid and contingency totals approximately $682,000.00, staff is recommending an additional $272,000.00 in Measure R Funds to increase the total available Walnut Grove Avenue Street Light Installation project funding within the FY 24-25 CIP Budget to $682,000.00. There is sufficient Measure R funding available to appropriate the desired budget increase. STAFF RECOMMENDATION It is recommended that the City Council: 1. Approve the plans and specifications for the Walnut Grove Avenue Street Light Installation — Project No. 43009; and 2. Authorize the City Manager to execute a contract with Fleenor Belco Electric, Inc., for the bid amount totaling $619,256.00. In addition, authorize an amount of $61,925.60 (10%) as a contingency to cover the cost of unforeseen construction expenses, for a total construction budget of $681,181.60 and adopt Resolution No. 2024-57 amending the City's Fiscal Year 2024-25 CIP Budget to appropriate additional funds in the amount of $272,000.00 in Measure R funding to increase the total available construction budget to $682,000. City Council Meeting November 12, 2024 Page 3 of 4 FINANCIAL IMPACT The approved funding for the construction phase of this project consists of $410,000.00 in Measure R Funds. Considering the cost of the lowest bid and contingency totals $681,181.60, Staff is recommending an additional $272,000.00 in Measure R Funds to increase the total available Walnut Grove Avenue Street Light Installation project construction phase funding within the FY 24-25 CIP Budget to $682,000.00. There is sufficient Measure R funding available to appropriate the desired budget increase. The following is the breakdown of the construction phase budget: Construction Contract $619,256.00 Construction Contingency 10% $61,925.60 Total Construction Budget $681,181.60 ENVIRONMENTAL REVIEW The proposed work involves the rehabilitation of an existing public facility; therefore, the project is Class 1 Categorically Exempt pursuant to the California Environmental Quality Act (CEQA). STRATEGIC PLAN IMPACT The project is consistent with the City of Rosemead's Strategic Plan Goal C - Infrastructure and Facilities, which is to enhance streets, sidewalks, and public infrastructure; coordinate with relevant utility agencies regarding safety and enhancements; and modernize facilities by expanding the use of wireless network technology and renewable energy. PUBLIC NOTICE PROCESS This item has been noticed through the regular agenda notification process. Preparedly: Leonardo Martinez, Transtech Engineers City Council Meeting November 12, 2024 Page 4 of 4 Attachment A: Bid Opening Results Attachment B: Elecnor Belco Electric, Inc. Bid Proposal Attachment C: Construction Contract with Elecnor Belco Electric, Inc. Attachment D: Resolution No. 2024-57 Attachment E: Other Bids Received — Walnut Grove Street Light Installation (9 Total) Attachment A Bid Opening Results MINUTES OF THE BID OPENING NOTICE OF INVITING BIDS -NIB NO. 2024-20 WALNUT GROVE AVENUE STREET LIGHT INSTALLATION PROJECT NO. 43009 Due Wednesday, JULY 17, 2024, at 10:30 a.m. A total of 10 bids were received. Submitted By: Ericka Hernandez, City Clerk Contractor Date/Time Bid Amount Received 1. Elecnor Belco Electric, Inc. 7/17/24 $619,256.00 10:11:33 AM 2. Outsource Utility Contractor 7/17/24 $629,200.00 10:22:17 AM 7/17/24 $633,499.90 3. MC Electric 9:30:33 AM 7/17/24 $654,962.00 4. Servitek Electric Inc. 8:46:26 AM 7/17/24 $658,460.00 5. Select Electric, Inc. 9:27:30 AM 7/17/24 $722,700.00 6. Crosstown Electrical & Data Inc. 10:23:18AM 7/17/24 $727,056.00 7. DBX, Inc. 10:17:19 AM 7/17/24 $734,800.00 8. Calpromax Engineering Inc. 9:05:50 AM 7/17/24 $808,280.00 9. PTM General Engineering Services 10:07:05AM 7/17/24 $940,214.00 10. Minako America Corporation 10:10:46 AM Submitted By: Ericka Hernandez, City Clerk Attachment B Elecnor Belco Electric, Inc. Bid Proposal BIDDER: Elecnor Belco Electric, Inc. CITY OF ROSEMEAD WALNUT GROVE AVENUE STREET LIGHT INSTALLATION PROJECT No. 43009 SECTION 1- BID SCHEDULE CONTRACT BID FORMS CBF -1 BIDDER: Elecnor Belco Electric, Inc. BID SCHEDULE SCHEDULE OF PRICES FOR WALNUT GROVE AVENUE STREET LIGHT INSTALLATION PROJECT No. 43009 NO. ITEM DESCRIPTION UNIT EST. QTY. UNIT PRICE ITEM COST Solar Street Lighting: Furnish and install Fonroche Smartiight [f54-CK16B-4K- T3][P310-4P] 1248Wh NiMH batteries, 7100 lumen all night full brightness dark sky certified fixture, 310w solar panel, 28'3" spuncast pre -stressed Octagonal concrete poles, LoRa & cellular based central controllmonitoring,10 year non pro -rated full parts and labor warranty. Work includes installation of 28'3" octagonal 1 concrete poles and foundation, including 6' FA 22 $ Z 1,B% $ L-IS0,12) 76 arm, anchor bolts, and LED light fixtures (Manufacturer: Fonroche Lighting America), and all related appurtenances for complete solar street light installation, as identified on Appendix B — Solar Light System Specs and on Technical Specifications. Cost to fumish engineered plans/shop drawings including foundation design stamped by California Licensed Engineer shall be provided as part of the bid. Lighting Fixtures: Furnish and install Wng Luminaire Light Fixture "K118R-B2AR-lll- 75(SSL)-1036-120:277/-K14-PR-3K-BK- #1", as idenfified on Appendix C — Kng 2 Luminaire Light Fixture Specs. (Vendor. EA 44 $ 3,146 $ 1_69"SBo South Coast Lighting and Design). Work includes removal of existing lighting fires and installation of King Luminaire Light Fixtures along Valley Blvd from Rosemead Blvd to Loma Avenue. TOTAL BASE BID AMOUNT IN NUMBERS $ Gtck,2.%.b0 TOTAL BASE BID AMOUNT IN WORDS: Svc hkkaoaeo f 1u tet�1 ltiOJS+h9 TWo ek" S.x &bLys +.4s) Zaro Cx7icS The award of Contract shall be based on the TOTAL BASE BID AMOUNT. In the case of discrepancies in the amount of bid, unit prices shall govern over extended amounts, and words shall govem over figures. Full compensation for the items listed to the A. Mobilization / Demobilization CBF -2 e,W. BIDDER Elecnor Belco Electric, Inc. right as Items A, B, C, D and E are considered B. Traffic Control C. NPDES, W WECP, and Best Management as inclusive in each Bid Item listed above in the Bid Schedule as applicable, and no Practices (BMPs), Public Convenience and additional and/or separate compensation will Safety D. Construction Staking by Land Surveyor be allowed. E. Clearing and Gmbbin 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. 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 satisfactorily completed. Note: The City of Rosemead reserves the right to reduce or increase the quantities of any items in the schedule of bid items above, within the limits define in Section 3-2.2.1 of the Standard Specifications, to stay within the budgeted amount of this project. The award of Contract shall be based on the TOTAL BASE BID AMOUNT only. If the Bid lists any Additive Alternate bids, the ADDITIVE ALTERNATE BID ITEMS shown per the ADDITIVE ALTERNATE BID SCHEDULE above 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. The undersigned agrees that these Contract Bid Forms constitute a firm offer to the Owner which cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and after the bid opening date, or until a Contract for the Work is fully executed by the Owner and a third party, whichever is earlier. The undersigned also agrees that if there is a discrepancy between the written amount of the Bid Price and the numerical amount of the Bid Price, the written amount shall govern. Attached hereto is a certified check, a cashier's check or a bid bond in the amount of 10% of Total Bid Amount Dollars ($10% of Total Bid Amount) said amount being not less than ten percent (10%) of the Total Bid Price. The undersigned agrees that said amount shall be retained by the Owner if, upon award, we fail or refuse to execute the Contract and furnish the required bonds, certificates and endorsements of insurance and other certifications within the time provided. CBF -3 BIDDER: Elecnor Belco Electric, Inc. If awarded a Contract, the undersigned agrees to execute the formal Contract, which will be prepared by the Owner for execution, within five (5) Calendar Days following the Letter of Award for the Contract, and will deliver to the Owner within that same period the necessary original Certificates of Insurance, Endorsements of Insurance, Performance Bond, Payment Bond and all other documentation and certification required by the Contract. The undersigned offers and agrees that if this bid is accepted, it will assign to the purchasing body all rights, title, and interest in and to all causes of action it may have under Section 4 of the Clayton Act (15 U.S.C. Section 15) or under the Cartwright Act (Chapter 2 of Part 2 of Division 7 of the Business and Professional Code), arising from purchases of goods, materials or services by the Bidder for sale to the purchasing body pursuant to the bid. Such assignment shall be made and become effective at the time the purchasing body tenders final payment to he Contractor. Bidder understands and agrees that, when requested by Owner, he shall provide: (1) evidence satisfactory to the Owner of Bidder's California contractor's license(s) in good standing; (2) evidence that theperson signing this Bid is authorized to bind Bidder to this Bid and to a contract resulting therefrom; and (3) any other information and documentation, financial or otherwise, needed by Owner to award a Contract to the lowest responsible and responsive bidder. Bidder understands and agrees that liquidated damages shall apply to this Contract in the amounts of five hundred dollars ($500.00) per calendar day if nroiect is not completed within the working the Contract Form and the Contract Documents. Bidder acknowledges that data submitted with its Contract Bid Forms which it requires to be incorporated into a Contract arising out of this Submittal has been so identified by Bidder. Bidder further acknowledges that the Owner may, at its discretion, incorporate any of the remaining data submitted herewith into a contract arising out of this Bid. The undersigned acknowledges receipt, understanding and full consideration of the following addenda to the Contract Documents. Addenda Nos. I The Bidder understands and agrees that the Total Bid Price is inclusive of all labor, materials, and equipment or supplies necessary to complete the Work as described in the Bid Documents. If this bid is accepted, the undersigned Bidder agrees to enter into and execute the Contract with the necessary bonds and accept the Total Bid Price as compensation in full for all Work under the contract. CBF -4 BIDDER: Elecnor Belco Electric, Inc. 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: Date of Inspection: Ralph Antuna / Superintendent 7-10-2024 ADDENDA ACKNOWLEDGMENT The Bidder acknowledges receipt of the following Addenda and has included their provisions in this Proposal: Addendum No. 1 Dated -7A k 1262L Addendum No. Dated Addendum Dated Addendum No. Dated CBF -5 CITY OF ROSEMEAD CALIFORNIA ADDENDUM #1 REQUEST FOR BIDS FOR WALNUT GROVE AVENUE STREET LIGHT INSTALLATION PROJECT No. 43009 Date Issued: July 11, 2024 Addendum for: Walnut Grove Avenue Street Light Installation Project No. 43009 Addendum No.: 1 Addendum Date: July 11, 2024 Issued by: City of Rosemead Reminder 1: Bid due date/time remains unchanged. Proposals due by 10:30 a.m. on Wednesday, July 17`h, 2024. Addendum 1 makes no changes to the scope and simply adds the specifications for the King Luminaire Light Fixtures. Please see Attachment A — King Luminaire Light Fixture Specifications, which provides details for the King Luminaire Light Fixture as specified on the project bid schedule. This Addendum 1 also issues responses to the following questions received: Question 1: Please confine that the NTP will be issued only when the long lead time electrical materials are delivered. Thanks Response 1: Please Refer to Page NIB -1 Working Days are One Hundred Twenty Days including Material Procurement to Complete the work. NTP shall be issued shortly after the contract award. Question 2: Please refer to page Exhibit B — Insurance Requirements. Can a non -admitted surplus line carrier approved by the State of California Dept. of Insurance on the "List of Approved Surplus Line Carriers" be used to meet the insurance requirement? If yes, what is the minimum rating? Note we had prior contracts with the City of Rosemead using the surplus line carriers in the past. Response 2: Yes, a surplus line carrier is acceptable as follows: All insurance policies shall be issued by an insurance company currently authorized by the Insurance Commissioner to transact business of insurance or is on the List of Approved Surplus Line Insurers in the State of California, with an assigned policyholders' Rating of A- (or higher) and Financial Size Category Class VII (or larger) in accordance with the latest edition of Best's Key Rating Guide. Attachments: Attachment A — King Luminaire Light Fixture Specifications J N W G, VICE PRESIDENT Issued by City of Rosemead E CNOR BELCO ELECTRIC, INC. Addendum 1, Page 1 of 1 a; K118 WASHINGTON - LED The King Luminaire K118 Washington is a beautiful depiction of this street light classic. This historical acorn shape teamed with King Luminaire's high performance LED engines make for a perfect solu- tion for city streets, parks, schools and commercial areas. PRODUCT SPECIFICATIONS Rl/B3/B2 LED E: _ Llg-,t engine sh< 36, 42. 54 or 63 sofcl sale Cree Y-Senes high power LEDs right ern2ung diodes) mounted to a mud --sided verl'ical heal sm4: of highly conductwe aluminum The LED emitte ,nen mounted to re movable cirCuit beards Such [hal they dee in f.l1i thermal contact with bre ver"ca!neat sink ThP vertical heat sink is op?, at the barren, and vented at the top to PrIvIde Jouroprate dynalli ilrhnw cooting for the LED ar- ray The Sol are arranged in various patterns on each face of the vertical heal sink to provide the req,ired light dcjrp,,Gon The LED arrays Include optical battles constructed lL optical grade AES plastic with a vaCvum matalLzerl reflect ve surface or clear acrylic pression refractors over each diode Optical opherts are designed to Phiaently control light distribution in IESNA Type IV & V for the 83/87 and hype PI & V for the RI. P4 LED ENGINE Light engine shall include an array of Cree X Series high power LEDs (light shrift P9 diodes). The enln tees shall be mounted to a metal core circuit board using SMT technology The LEDs and of hoards shall men be mounted to a high performance heal sink External light control shall consist of high precision refractive lenses mounted above the LED emitter arrays in such a way to achieve optimum uplight control. The lenses shall also control horizon- tal light distribution so that either Type II, It. IV or V IESNA distribu- tion patterns are achieved. LUMINAIRE CONSTRUCTION All 1<118 Washington cast com- ponents shall consist of a heavy cast aluminum. The main body Of capital acts as an enclosure for the driver assembly and is of adequate thickness to give suffi- cient structural rigidity The capi- tal shall have an opening at the base tenon body to allow the lu- minaire to be mounted to a tenon of 3-1/2" maximum diameter. The iminaoe shall be locked In place uy means of heavy duty. stainless steer set -screws GLOBE ASSEMBLY the protective globe sheat be molded of either: rippled poly- carbonate: Miles Makroon GP; OI Thermoulasbc Polymer, or equiv- alent, or rippled acrylic Acrvhtc Plus Acrylic Polymer, or equiva- lent. having a minimum thickness of 0125" The globe assembly is a self contained unit consisting of the globeragged cast lacking ring, and the LLD fight engine and optical control The LED light en- gine is of a modaiar design, and a able to be quickly removed `rom the globe assembly The globe assembly is secured to the man housing by means of a spriny-tensroned. twist-lockmg Rotolock"" unit to allow tool1i removal of the gli while nram- tammg a secure seal between the globe assembly and the man body of the luminaire. making the WIS, Washington suitable, for an outdoor envkonrnent DRIVER The LED universal dimmable driv- er will be class 2 and capable of 120 - 277V or 347 - 480V input voltage. greater than 09 power factor, less than 20% total har- monic distortion, The case tem- perature of the driver can range from -40°C up to 70°C. Each LED system comes with a stan- dard surge protection designed to withstand up to 20kV/10kA of transient line surge as per IEEE C62.412 C High An m -line ferrite choke is utilized to provide pro- tection against EFT's The driver assembly will be mounted on a heavy duty fabricated galvanized steel bracket to allow complete tool -less maintenance. Dimming capable using I-IOvdc (10% to 10016), ll PWM, or resistance. PHOTOMETRICS Fixtures are tested to IESNA LM79 specifications. These re- ports are available upon request. CHROMATICITY High output LEDs come standard at 3000K 3 400(),, with a mike rm oT,rsr 7, Additional CCI emitters are avaa 3bie upon request LUMEN MAINTENANCE Reported (TM21) and Calculated (1-70) reporLs are ava Aable, Upon request with a rrenri calcu- lated value of 10C.000 hrs WIRING All interna •.r.nnq arid mnnsc- lions snail be completed so that It wdl be, recessary city to attach the incommg supply connectors to Mate -N LA!, connectors or to a terminal bock. Mate -N -Lok shall be cerhhed for 600v operation Internal vim connectors shall he comp connecter only and rated at IOOOV and ISO"C All vrvrny fo be CSA certified and/or UL L51ral type SFF-2. SEWF-2. or SEW 2 No 14 gauge 150'C, 600V. and color coded for the regwoaT voif- age THERMALS Fixtures tested by a DOE sane honed test facility to determine the maximum le -situ solder -point or lunction-porn[ ternporatuies of the LFD emitters This report is available undo request FINISH Housing is finished with a 13 step KingCwt-" SuperDurable poly- ester 'rGIC powder coat Stan- dard colors include strobe white, brown metal, marina blue, gate gray. Chicago bronze, standard gold. standard black, federal green and rain forest Please see our website for a complete list of colors RAL and custom color matches are available MISCELLANEOUS All exterior hardware and fasten- ers. wholly or partly exposed, shall be stainless steel alloy. All in- ternal Fasteners are stainless steel or zinc coated steel All remain- ing internal hardware is stain- less steel. aluminum alloy, or zinc coated steel. WARRANTY The K118 Washington LED lumi- naire comes with a 7 year limited warranty MIU) King KING Luminaire :LI CERTIFICATION: CSA U; LlsteU Salable for wet locations IS0 9001 IPti6 ARRA Comohant LM79 / Legg Comohant DRIVER INFO: 10.9 Povmr Factor QO% total I-larnanic D¢lorbon 120-21/V&347 - 480V -40°C Min Case Temperature /O°C Max Case Temperature Surge PmtectlanANSI 0362 extreme level 20kV/10kA Dirnrning Capahle: l-IOvdc EPA: I se, 1t FIXTURE WEIGHT: 38 lbs FIXTURE OPTIONS OptionsCapital m(f/INlll� r1,211111 - o lufMuff-1711i Mr i��1P HOW TO ORDER SERIES IES LIGHTING CLASSIFICATION IRgfRe'lAg1 .. VPM 3tBi M' LUMINAIRE STYLE SOURCE R-seFRs K718R _ WATTAGE SI) C l OPTICAL OPTIONS LENS OPTIONS B62 I'll. 1u1f 11-1 A...,�� . /:[,NIC RIMI.O StressCrete' GROUP K718 WASHINGTON - LED Decorative Options: .1 Finial Options: # #2 03 a it a LINE VOLTAGE RW iY✓aTm PAINT COLOR CAPITAL a 0 CCT r PHOTOCONTROLOPTION WATTAGE FINIAL OPTIONS SELECTOR NI•PNNPPb4.Ci CONNECTION 0Il)1 King www.scgrp.com TONG Luminaire DECORATIVE OPTIONS BIDDER: Elecnor Belco Electric, Inc. PUBLIC CONTRACT CODE STATEMENT AND QUESTIONAIRE PUBLIC CONTRACT CODE SECTION 10265.1 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 riot 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 otherwise 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. CBF -6 BIDDER: Elecnor Belco Electric, 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 Contractor's 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: �YZ Si t e John ong Type or Print Name Vice President Title BIDDER: Elecnor Belco Electric, Inc. 14320 Albers Way Business Street Address Chino, CA 91710 City, State and Zip Code 909-993-5470 Telephone Number Bidder's/Contractor's State of Incorporation: California Partners or Joint Venturers: Bidder's License Number(s): 738518 Department Industrial Relations Registered No. 1000004804 NOTES: 1) By its signature on this Bid, the Bidder certifies under penalty of perjury the accuracy of the representations made on the Contract Bid Forms. 2) If Bidder is a corporation, enter State of Incorporation in addition to Business Address 3) If Bidder is a partnership or joint venture, give full names of all partners or joint venturers. As further discussed in the Instructions to Bidders, Bidder will be required to provide evidence that the person signing on behalf of the corporation, partnership or joint venture has the authority to do so. BIDDER: Elecnor Belco Electric, Inc. SECTION 2 BID DATA FORMS CBF -9 BIDDER: Elecnor Belco Electric, 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 Elecnor Belco Electric, Inc. as Principal, and , as Surety, are held firmly bound unto the CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of Ten Percent of 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 OWNERtoperform all Work required for the WALNUT GROVE AVENUE STREET LIGHF INSTALLATION—asset forth in the Notice Inviting Bids and accompanying Bid Documents, dated July 17, 2024 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 5th day of July 20 24, Elecnor Belco Electric, Inc. (SEAL) Liberty Mutual Insurance Company (SEAL) Principal Surety By: , John Wong I Vice President By: _ 6. turetgnatureMichelle Anne Mc a on, Attorney -in -Fact CBF -10 } I r"-'' net -1 ml otubic --r :it I� .`I !� n rf9°'h'd I r a e c N V i -U eft di ifi r u 1, tJ fltic' la O^ iiC !d`..'I f`r1t�Ea-19 5dI0. �sir-C t lyrf dr4'1r Lto artk m i. !'"" e F?($,IF ? anr)ot tA!I^. ?�, �m -a �•, _�,. 7 �, •.f . t � C. � ��C�ci �m ri C. — I �a r tls."y of J C tr�u�na..x7_ On -k, 7c121A e persoiraNy who oved r me C- i fajta t)rrrw of saiisia LNf v r,Ado r -� L i" qua 7�ilr j 'J" s 'l&r17tak's, f3�"mr �3.i'Db-d s_U .f1"• vvitNr 'n7st-af.,ew ell I cka . mm/1 L`.ge .) (t, '-rie 6hJ,: 1 he/SI"trM° iey Y all t; C 7..a Ia . -f Oe F' and V d ial 'i1 'lls/)1e1't'! eir 71C'na ur'('r)O( ih8 i strurreP ' rra t7rl 1'I(bt :� 1Pltb iuplo-n bahaIf-jt oihiCil the pa on"s,) aCi ti e „i. ad the fV t,i T�Q�, < �„i 1 J i..=r c ^4.�i-i t? ✓ o�r�,�r, } ! '_i „ yr p+ l(. 2`,N3 , '�`c'N SIT +�IIY ,:'i, .nett the `6i3!'vi7 6ni:) F Si";dgraph I $t'.i8 chic' Ccf-recj, WS-FNESS iryr 11and arid rfficiai .es -a P b Ie Signat re U(Notary Public Seal) AUU11 OUNAL UP I IUNAL INdcURMAT DESCRIPTION OF THE ATTACHED DOCUMENT (Title or descriplien of attached document) (Title or description of attached document continued) Number of Pages _ Document Date CAPACITY CLAIMED BY THE SIGNER ❑ Individual (s) ❑ Corporate Officer 11e ❑ Partner(s) ❑ Attorney -in -Fac', ❑ Trustee(s) ❑ Other 'T. I` Ve sicn wvv". �,;nigr�C?lasses. con: 86,1.g 7,..-885 DOW rKwNO"tft Nntuy Paltk-pe/.rM. S. e.rnuane coamy N' Ca oM61 242 "1 Cm. E.p.""N,2026 INSTRUCTIONS FOR COMPLETING T}IIS FORM ®IN This form complies with cm rent California slaintes regarding notary wording and, ifneeded, should be completed and attached to the document. Acknowledgments from other state, may be completed for documents being sent to that state so long as the wording does Trot require the California notary to violate California notary law. • State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s) personally appeared which must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title (notary public), • Print the name(s) of document signer(s) who personally appear at the time of notarization. • Indicate the cortect singular or plural forms by crossing off incorrect fortes (i.e, hdshelthey— is /me ) or circling the correct forms Failure to correctly indicate this information may lead to rejection of document recording. • The notary seal impression most be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges, re -seal if a sufficient area permits, otherwise complete a different acknowledgment forth. • Signature of the notary public must match the signature on file with the office of the county clerk. Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a different document. Indicate title or type of attached document, number of pages and date. • Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i.e. CEO, CFO, Secretary). • Securely attach this document to the signed document with a staple. NOTARY ACKNOWLEDGMENT OF SURETY: State of Connecticut County of Hartford ss. On this the 5th day of July 20 24 . before me, Rhonda Tischofer, the undersigned officer, personally appeared Michelle Anne McMahon known to me (or satisfactorily proven) to be the person whose name is subscribed as Attorney -In -Fact for Liberty Mutual Insurance Company , and acknowledged that s/he executed the same as the act of his/her principal for the purposes therein contained. In witness whereof I hereunto set my hand. VStur&evM11oAtary Public Date Commission Expires: January 31, 2029 Rhonda Tischofer Printed Name of Notary RHONDA TISCHOFER NOTARYPUBL(C _ #190970 STATE OF CONNECTICUT My COMMISSIOn Expir96 An 31, 2029 This Power or Attorney limits the acts of than named herein, and they have no authority to bind the Company except In the manner and to the extent herein stated. Liberty Liberty Mutual Insurance Company MutumThe Ohio Casualty Insurance Company Certificate No: 8210646-988949 SURETY West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana (herein collectively called the 'Co nDanil pursuant to end by authority herein set forth, does hereby name, constitute and appoint, Connor Woiperl, Doritaa iica, Gentry Stewart, Jennifer Godere, Jonathan Gleason, Joshua Sanford, Kathryn Pryor, Kyle Williams, Michelle Anne McMahon, Nicholas Miller, Richard Idackner. Il Salley, Sarah Murtha all of the city of Hartford state of CT each individually if there be more than ane named, its true antl lawful attorney -in -facto make, execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance of these presents and shall be as binding upon the Companies as If they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons IN WITNESS WHEREOF, this Powe- of Attorney has been subscribed by an authorized Officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 22nd day of August , 2023 . (a �ur p d ofi11Nco9tSO9xWU1.N, , 'rDxan Lberty Mulua Inurance Comp The Ohio Casualty Insurance Comp a ny West American Insurance Company NM r t•� By: � David M Cams Assistant SArrnfAir County of MONTGOMERY j On this 22nd day of August , 2023 before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance N Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. N v IN WITNESS WHEREOF, I have hereunto subscnbad my name and affixed my notarial seal at Plymouth Meeting, Pennsylvania, on the day and year first above written. w i rnj\ Comm..yfth or Pennglvanu-Now, Seal 0T.. P.11i MoNgornery Q LVh PU 1 �s/ My wmmmmeaprea March 20, 2023 11260" CaBy: 2(�!/ILCSV \\ mrNapmnumLer R :..�:`� m.ms.,, va..syl.,m.n..,o.um arNaarea eresa PastelW, Notary Public m This Parer of Attorney is made and executed pursuant to and by authodty W the following By-laws and Authorizations of The Ohio Casually Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company which resolutions am now in full force and effect reading as follows: :? ARTICLE IV—OFFICERS: Section 12. Power of Attorney. Any officer or other official of the Corpoiabon authorized for that purpose In writing by the Chairman or the President, and subject to such limitation as the Chairman or the President may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Copoation to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such atomeys-in-fact, subject to the limitations set forlh in their respective powers of attorney, shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any pourer or authority granted to any representative or atony -in -fact under the provisions of Ibis article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority. ARTICLE XIII - Execution of Contracts: Section 5. Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe, shall appoint such atameys-in-fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such atoneys-in-fact subject to the limitations set forth in their respective powers of attorney, shall have full poorer to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation -The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attorneys -in - fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Authorization - By unanimous consent of the Companys Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed. I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the original power of allomey of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Civniom es, is In full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 5th day of July , 2024 0(90 SUA aNSUxy�rb,��oro 3ceaewyxo,L�mi�'v9 o c< 1991 0 �,a,(�(,y.`gr°�a rd�oevxepaa; By: Renee C. Llewellyn. Assislad Secretary M. w LMS -12813 LM IC OCIC WAIL Mufti Co 0221 _ Lib utuerty al M. SURETY Assets LIBERTY MUTUAL INSURANCE COMPANY FINANCIAL STATEMENT— DECEMBER 31, 2023 Cash and Bank Deposits ................................ $1,850,245,073.00 `Bonds — U.S Government ............................. $3,859,565,383.00 'Other Bonds................................................$21,048,805,773.00 'Stocks......................................................... $19,937.271,802.00 Real Estate........................................................$122,228,711.00 Agents' Balances or Uncollected Premiums... $8,208,660,427.00 Accrued Interest and Rents...............................$186,906,667.00 Other Admitted Assets ................. ............. —$15,677,869,683.63 Total Admitted Assets.................$70,891,553,519.63 Liabilities Unearned Premiums ........... ........ ..... ,...... ... $10,298,963,305.00 Reserve for Claims and Claims Expense..... $28,848,537,243.00 Funds Held Under Reinsurance Treaties.......... $360,714,151.00 Reserve for Dividends to Policyholders ................ $1,310,198.00 Additional Statutory Reserve ............................ $296,126,000.00 Reserve for Commissions, Taxes and Other Liabilities ...... ............... ..... ............ ....... $7,622,413,466.63 Total .............................................. $47,428,064,363.63 Special Surplus Funds ...................................... $209,508,757.00 Capital Stock ....................................................... $10,000,075.00 Paid in Surplus ...................................... _ .... $13,834,867,488.00 Unassigned Surplus ....................................... $9,409,112,836.00 Surplus to Policyholders .............................. $23,463,489,156.00 Total Liabilities and Surplus....... $70,891,553,519.63 Bonds are stated at amortized or investment value; Stocks at Association Market Values. The foregoing financial information is taken from Liberty Mutual Insurance Company's financial statement filed with the Massachusetts Department of Insurance. I, TIM MIKOLAJEWSKI, Assistant Secretary of Liberty Mutual Insurance Company, do hereby certify that the foregoing is a true, and correct statement of the Assets and Liabilities of said Corporation, as of December 31, 2023, to the best of my knowledge and belief. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said Corporation at Seattle, Washington, this Bth day of March, 2024. vis oaeory,'Zn . 1912 'r >, o L Timothy A. Mikolajewski, Assistant Secretary Q' cxvae dej7 LMS-R63(1MIC BIDDER: Elecnor Belco Electric, Inc. 2.B LIST OF PROPOSED SUBCONTRACTORS In compliance with the "Subletting and Subcontracting Fair Practices Act," Sections 4100 through 4114 of the California Public Contract Code, and any amendments thereto, each Bidder shall provide the information requested below for each subcontractor who will perform work, labor or render service to Bidder in or about the construction of the Work in an amount in excess of one-half of one percent (greater than 0.5 %) of the Bidder's Total Bid Price, or, in the case of bids or offers for the construction of streets or highways, including bridges, in excess of one-half of 1 percent of the Contractor's total bid or tai thousand dollars ($10,000), whichever is greater, and shall further set forth the portion of the Work which will be done by each subcontractor. Bidder shall list only one subcontractor for any one portion of the Work. Pursuant to Public Contract Code Section 4104, the Owner has determined that it will allow Bidders twenty-four (24) additional hours after the deadline for submission of bids to submit the information requested by the Owner about each subcontractor, other than the name and location of each subcontractor. If the Bidder fails to specify a subcontractor for any portion of the Work to be performed under the Contract, it shall be deemed to have agreed to perform such portion itself, and shall not be permitted to subcontract that portion of the Work except under the conditions hereinafter set forth below. Subletting or subcontracting of any portion of the Work in excess of one half of one percent (greater than 0.5%) of the Total Bid Price or, in the case of bids or offers for the construction of streets or highways, including bridges, in excess of one-half of 1 percent of the Contractor's total bid or ten thousand dollars ($10,000), whichever is greater, forwhich 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 BIDDER: Elecnor Belco Electric, Inc. 2.11 LIST OF PROPOSED SUBCONTRACTORS (continued) [**Duplicate Next 2 Pages if needed for listing additional subcontractors.**] Name and Location of Subcontractor Description of Work to be Subcontracted Name: n,C� SJ-5CAI" PkA S Address: License No.: Department of Industrial Relation Registration No. Name and Location of Subcontractor Name: Description of Work to be Subcontracted License No.: Department of Industrial Relation Registration Name and Location of Subcontractor Name: Address: License No.: Description of Work to be Subcontracted Department of Industrial Relation Registration No. Name and Location of Subcontractor Name:_ Address: Description of Work to be Subcontracted License No.: Department of Industrial Relation Registration No. Name and Location of Subcontractor Description of Work to be Subcontracted Address: License No.: Department of Industrial Relation Registration No. CBF -12 BIDDER: Elecnor Belco Electric, 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: 1. of Glendale / 633 E Broadway Room 205 Glendale, CA 91206 Name and Address of Owner Sarkis Oganesyan / 818-548-3945 Name and telephone number of person familiar with project $4,450,149.85 Traffic Signal Installation & Modifications Ongoing Contract amount Type of Work 2. City of Hawthorne / 4455 W 126 St Hawthrone, CA 90250 Name and Address of Owner Jesus Velasquez / 310-349-2954 Name and telephone number of person familiar with project Date Completed $4,299,186 Traffic Signal Upgrades 8 Modifications Ongoing Contract amount Type of Work Date Completed 3. City of San Bernardino / 201 N. E St San Bernardino, CA 92401 Name and Address of Owner Azzam Jabsheh / 909-384-7251 Name and telephone number of person familiar with project $3,757,314 Traffic Signal Modifications Ongoing Contract amount Type of Work CBF -13 Date Completed BIDDER: Elecnor Belco Electric, Inc. 4. County of los Angeles / 900 S Fremont St Alhambra, CA 91803 Name and Address of Owner Irma Vasquez / 626-458-4951 Name and telephone number of person familiar with project $667,037.52 Traffic Signal Improvements Contract amount Type of Work CBF -14 Ongoing Date Completed BIDDER: Elecnor Belco Electric, Inc. SECTION 3 NON-COLL USION AFFIDAVIT CBF -15 BIDDER: Elecnor Belco Electric, Inc. NON -COLLUSION AFFIDAVIT In accordance with Public Contract Code Section 7106, the undersigned, being fust duly swom, 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. AJohno Typed or Printed Name Vice President Title Elecnor Belco Electric, Inc. Bidder Subscribed and sworn before me This 1501 day of 'jW 2021-1 4St blic ' d forf California My Commission Expires: Wj4. 1,5 , 2.02.4, CBF -16 DOUG MCWHOWER Wowy Public - Calif mlb - San bemudino County t Cw.h.fw 0 2426"S My Co... Emim M 15, 2026 (Seal) Attachment C Construction Contract with Elecnor Belco Electric, Inc. CONSTRUCTION CONTRACT WALNUT GROVE AVENUE STREET LIGHT INSTALLATION PROJECT No. 43009 (ELECNOR BELCO ELECTRIC, INC.) :711:49I='1_1.10BLS9:4 This Contract is made and entered into this day of , 2024 (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 ELECNOR BELCO ELECTRIC, INC. with its principal place of business at 14320 ALBERS WAY CHINO, CA 91710 (hereinafter referred to as "Contractor"). City and Contractor are sometimes individually referred to as "Party" and collectively as "Parties" in this Contract. RECITALS 2.1 Contractor Contractor desires to perform and assume responsibility for the WALNUT GROVE AVENUE STREET LIGHT INSTALLATION PROJECT by the City on the terms and conditions set forth in this Contract. Contractor represents that it is experienced in providing such work services to public clients, that it and its employees or subcontractors have all necessary licenses and permits to perform the Services in the State of California, and that is familiar with the plans of City. 2.2 Project City desires to engage Contractor to render such services described herein as Project ("Project') as set forth in this Contract. 3. TERMS 3.1 Scope of Services and Term 3.1.1 General Scope of Services. Contractor promises and agrees to furnish to the City all labor, materials, tools, equipment, services, and incidental and customary work necessary to fully and adequately supply the professional construction services necessary for the Project ("Services"). The Services are more particularly described in Exhibit "A" attached hereto and incorporated herein by reference. All Services shall be subject to, and performed in accordance with, this Contract, the exhibits attached hereto and incorporated ELECNOR BELCO ELECTRIC, INC. Page 2 of 11 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 November 12, 2025 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 John Wong, or designee, to act as its representative for the performance of this Contract ("Contractor's Representative"). Contractor's Representative shall have full authority to represent and act on behalf of the Contractor for all purposes under this Contract. The Contractor's Representative shall supervise and direct the Services, using his/her best skill and attention, and shall be responsible for all means, methods, techniques, sequences and procedures and for the satisfactory coordination of all portions of the Services under this Contract. ELECNOR BELCO ELECTRIC, INC. Page 3 of 11 3.2.6 Coordination of Services. Contractor agrees to work closely with City staff in the performance of Services and shall be available to City's staff, consultants and other staff at all reasonable times. 3.2.7 Standard of Care; Performance of Employees. Contractor shall perform all Services under this Contract in a skillful and competent manner, consistent with the standards generally recognized as being employed by professionals in the same discipline in the State of California. Contractor represents and maintains that it is skilled in the professional calling necessary to perform the Services. Contractor warrants that all employees and subcontractors shall have sufficient skill and experience to perform the Services assigned to them. Finally, Contractor represents that it, its employees and subcontractors have all licenses, permits, qualifications and approvals of whatever nature that are legally required to perform the Services, including a City Business License if applicable, and that such licenses and approvals shall be maintained throughout the term of this Contract. As provided for in the indemnification provisions of this Contract, Contractor shall perform, at its own cost and expense and without reimbursement from the City, any services necessary to correct errors or omissions which are caused by the Contractor's failure to comply with the standard of care provided for herein. Any employee of the Contractor or its sub -contractors who is determined by the City to be uncooperative, incompetent, a threat to the adequate or timely completion of the Project, a threat to the safety of persons or property, or any employee who fails or refuses to perform the Services in a manner acceptable to the City, shall be promptly removed from the Project by the Contractor and shall not be re-employed to perform any of the Services or to work on the Project. 3.2.8 Laws and Regulations. Contractor shall keep itself fully informed of and in compliance with all local, state aind federal laws, rules and regulations in any manner affecting the performance of the Project or the Services, including all Cal/OSHA, AQMD requirements, and shall give all notices required by law. Contractor shall be liable for all violations of such laws and regulations in connection with Services. If the Contractor performs any work knowing it to be contrary to such laws, rules and regulations and without giving written notice to the City, Contractor shall be solely responsible for all costs arising therefrom. Contractor shall defend, indemnify and hold City, its officials, directors, officers, employees and agents free and harmless, pursuant to the indemnification provisions of this Contract, from any claim or liability arising out of any failure or alleged failure to comply with such laws, rules or regulations. 3.2.9 Insurance: Contractor shall maintain, prior to the beginning of and for the duration of this Contract, insurance coverage as specified in Exhibit B attached to and part of this Contract. 3.2.10 Safety. Contractor shall execute and maintain its work so as to avoid injury or damage to any person or property. In carrying out its Services, the Contractor shall at all times be in compliance with all applicable local, state and federal laws, rules and regulations, and shall exercise all necessary precautions for the safety of employees appropriate to the nature of the work and the conditions under which the work is to be performed. Safety precautions as applicable shall include, but shall not be limited to: (A) ELECNOR BELCO ELECTRIC, INC. Page 4 of 11 adequate life protection and life saving equipment and procedures; (B) instructions in accident prevention for all employees and subcontractors, such as safe walkways, scaffolds, fall protection ladders, bridges, gang planks, confined space procedures, trenching and shoring, equipment and other safety devices, equipment and wearing apparel as are necessary or lawfully required to prevent accidents or injuries; and (C) adequate facilities for the proper inspection and maintenance of all safety measures. 3.2.11 Prevailing Wages. Contractor is aware of the requirements of California Labor Code Section 1720, et seq., and 1770, et seq., as well as California Code of Regulations, Title 8, Section 1600, et seq., ("Prevailing Wage Laws"), which require the payment of prevailing wage rates and the performance of other requirements on "public works" and "maintenance" projects. If the Services are being performed as part of an applicable "public works" or "maintenance" project, as defined by the Prevailing Wage Laws, and if the total compensation is $1,000 or more, Contractor agrees to fully comply with such Prevailing Wage Laws. City shall provide Contractor with a copy of the prevailing rates of per diem wages in effect at the commencement of this Contract. Contractor shall make copies of the prevailing rates of per diem wages for each craft, classification or type of worker needed to execute the Services available to interested parties upon request, and shall post copies at the Contractor's principal place of business and at the project site. Contractor shall defend, indemnify and hold the City, its elected officials, officers, employees and agents free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. 3.2.12 Bonds. 3.2.12.1 Performance Bond: If specifically requested by City, Contractor shall execute and provide to City concurrently with this Contract a Performance Bond in the amount of the total, not -to -exceed compensation indicated in this Contract, and in a form provided or approved by the City. If such bond is required, no payment will be made to Contractor until it has been received and approved by the City. 3.2.12.2 Payment Bond. If required by law or otherwise specifically requested by City, Contractor shall execute and provide to City concurrently with this Contract a Payment Bond in the amount of the total, not -to -exceed compensation indicated in this Contract, and in a form provided or approved by the City. If such bond is required, no payment will be made to Contractor until it has been received and approved by the City. 3.2.12.3 Bond Provisions. Should, in City's sole opinion, any bond become insufficient or any surety be found to be unsatisfactory, Contractor shall renew or replace the affected bond within 10 days of receiving notice from City. In the event the surety or Contractor intends to reduce or cancel any required bond, at least thirty (30) days prior written notice shall be given to the City, and Contractor shall post acceptable replacement bonds at least ten (10) days prior to expiration of the original bonds. No further payments shall be deemed due or will be made under this Contract until any replacement bonds required by this Section are accepted by the City. To the extent, if any, that the total compensation is increased in accordance with the Contract, the Contractor shall, upon request of the City, cause the amount of the bonds to be increased accordingly and shall promptly deliver satisfactory evidence of such increase to the City. To the extent available, ELECNOR BELCO ELECTRIC, INC. Page 5 of 11 the bonds shall further provide that no change or alteration of the Contract (including, without limitation, an increase in the total compensation, as referred to above), extensions of time, or modifications of the time, terms, or conditions of payment to the Contractor, will release the surety. If the Contractor fails to furnish any required bond, the City may terminate this Contract for cause. 3.2.12.4 Surety Qualifications. Only bonds executed by an admitted surety insurer, as defined in Code of Civil Procedure Section 995.120, shall be accepted. The surety must be a California -admitted surety with a current A.M. Best's rating no less than A:VIII and satisfactory to the City. If a California -admitted surety insurer issuing bonds does not meet these requirements, the insurer will be considered qualified if it is in conformance with Section 995.660 of the California Code of Civil Procedure, and proof of such is provided to the City. 3.3 Fees and Payments. 3.3.1 Compensation. The total compensation shall not exceed Six Hundred Nineteen Thousand Two Hundred Fifty -Six ($619,256.00) 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 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 ELECNOR BELCO ELECTRIC, INC. Page 6 of 11 inspection of all work, data, documents, proceedings, and activities related to the Contract for a period of three (3) years from the date of final payment under this Contract. 3.5 General Provisions. 3.5.1 Termination of Contract. 3.5.1.1 Grounds for Termination. City may, by written notice to Contractor, terminate the whole or any part of this Contract at any time and without cause by giving written notice to Contractor of such termination, and specifying the effective date thereof, at least seven (7) days before the effective date of such termination. Upon termination, Contractor shall be compensated only for those services that have been adequately rendered to City, and Contractor shall be entitled to no further compensation. Contractor may not terminate this Contract except for cause. 3.5.1.2 Effect of Termination. If this Contract is terminated as provided herein, City may require Contractor to provide all finished or unfinished Documents and Data and other information of any kind prepared by Contractor in connection with the performance of Services under this Contract. Contractor shall be required to provide such document and other information within fifteen (15) days of the request. 3.5.1.3 Additional Services. In the event this Contract is terminated in whole or in part as provided herein, City may procure, upon such terms and in such manner as it may determine appropriate, services similar to those terminated. 3.5.2 Delivery of Notices. All notices permitted or required under this Contract shall be given to the respective parties at the following address, or at such other address as the respective parties may provide in writing for this purpose: CONTRACTOR: CITY: ELECNOR BELCO ELECTRIC, INC. 14320 ALBERS WAY CHINO, CA, 91710 Attn: RICHARD SCHULTZ Tel: (714) 649-2627 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. ELECNOR BELCO ELECTRIC, 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 ELECNOR BELCO ELECTRIC, 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. 3.5.19 Labor Certification. By its signature hereunder, Contractor certifies that ELECNOR BELCO ELECTRIC, INC. Page 9 of 11 it is aware of the provisions of Section 3700 of the California Labor Code that require every employer to be insured against liability for Worker's Compensation or to undertake self- insurance in accordance with the provisions of that Code, and agrees to comply with such provisions before commencing the performance of the Services. 3.5.20 Authority to Enter Contract. Contractor has all requisite power and authority to conduct its business and to execute, deliver, and perform the Contract. Each Party warrants that the individuals who have signed this Contract have the legal power, right, and authority to make this Contract and bind each respective Party. 3.5.21 Counterparts. This Contract may be signed in counterparts, each of which shall constitute an original. 3.6 Subcontracting. 3.6.1 Prior Approval Required. Contractor shall not subcontract any portion of the work required by this Contract, except as expressly stated herein, without prior written approval of City. Subcontracts, if any, shall contain a provision making them subject to all provisions stipulated in this Contract. [SIGNATURES ON NEXT PAGE] ELECNOR BELCO ELECTRIC, INC. Page 10 of 11 CITY OF ROSEMEAD Ben Kim, City Manager Date Attest: Ericka Hernandez, City Clerk Approved as to Form: ua>e ELECNOR BELCO ELECTRIC, INC. Signature Date Name: Print Title: [If Corporation, TWO SIGNATURES, President OR Vice President AND Secretary, AND CORPORATE SEAL OF CONTRACTOR REQUIRED] 0 Rachel Richman, City Attorney Date Name: Title: ELECNOR BELCO ELECTRIC, INC. EXHIBIT A SCOPE OF CONTRACT SERVICES SEE ATTACHED BID SCHEDULE/PROPOSAL ELECNOR BELCO ELECTRIC, INC. EXHIBIT B INSURANCE REQUIREMENTS Prior to the beginning of and throughout the duration of the Work, Contractor will maintain insurance in conformance with the requirements set forth below. Contractor will use existing coverage to comply with these requirements. If that existing coverage does not meet the requirements set forth here, Contractor agrees to amend, supplement or endorse the existing coverage to do so. Contractor acknowledges that the insurance coverage and policy limits set forth in this section constitute the minimum amount of coverage required. Any insurance proceeds available to City in excess of the limits and coverage required in this Contract and which is applicable to a given loss, will be available to City. Contractor shall provide the following types and amounts of insurance: Commercial General Liability Insurance. Contractor shall maintain commercial general liability insurance with coverage at least as broad as Insurance Services Office form CG 00 01, in an amount not less than $1,000,000 per occurrence, $2,000,000 general aggregate, for bodily injury, personal injury, and property damage, and a $2,000,000 completed operations aggregate. The policy must include contractual liability that has not been amended. Any endorsement restricting standard ISO "insured contract" language will not be accepted. Automobile liability insurance. Contractor shall maintain automobile insurance at least as broad as Insurance Services Office form CA 00 01 covering bodily injury and property damage for all activities of the Contractor arising out of or in connection with Work to be performed under this Agreement, including coverage for any owned, hired, non -owned or rented vehicles, in an amount not less than $1,000,000 combined single limit for each accident. Workers' compensation insurance. Contractor shall maintain Workers' Compensation Insurance (Statutory Limits) and Employer's Liability Insurance (with limits of at least $1,000,000) for Contractor 's employees in accordance with the laws of the State of California, Section 3700 of the Labor Code In addition, Contractor shall require each subcontractor to similarly maintain Workers' Compensation Insurance and Employer's Liability Insurance in accordance with the laws of the State of California, Section 3700 for all of the subcontractor's employees. Excess or Umbrella Liability Insurance. (Over Primary) Contractor shall obtain and maintain an umbrella or excess liability insurance policy that will provide bodily injury, personal injury and property damage liability coverage at least as broad as the primary coverages setforth 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: ELECNOR BELCO ELECTRIC, 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 commencementof 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 forthe completed value of the project. There shall be no coinsurance penalty or provisional limit provision in any such policy. Policy must include: (1) coverage for any ensuing loss from faulty workmanship, Nonconforming Work, omission or deficiency in design or specifications; (2) coverage against machinery accidents and operational testing; (3) coverage for removal of debris, and insuring the buildings, structures, machinery, equipment, materials, facilities, fixtures and all other properties constituting a part of the Project; (4) Ordinance or law coverage for contingent rebuilding, demolition, and increased costs of construction; (5) transit coverage (unless insured by the supplier or receiving contractor), with sub -limits sufficient to insure the full replacement value of any key equipment item; (6) Ocean marine cargo coverage insuring any Project materials or supplies, if applicable; (7) coverage with sub -limits sufficient to insure the full replacement value of any property or equipment stored either on or off the Site or any staging area. Such insurance shall be on a form acceptable to Agency to ensure adequacy of terms and sublimits and shall be submitted to the Agency prior to commencement of construction. Insurance procured pursuant to these requirements shall be written by insurers that are admitted carriers in the state of California and with an A.M. Bests rating of A- orbetter 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 ELECNOR BELCO ELECTRIC, 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. ELECNOR BELCO ELECTRIC, 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 ELECNOR BELCO ELECTRIC, INC. shall be submitted prior to expiration. A coverage binder or letter from Contractor's insurance agent to this effect is acceptable. A certificate of insurance and/or additional insured endorsement as required in these specifications applicable to the renewing or new coverage must be provided to City within five days of the expiration of the coverage. 17. The provisions of any workers' compensation or similar act will not limit the obligations of Contractor under this Contract. Contractor expressly agrees not to use any statutory immunity defenses under such laws with respect to City, its employees, officials and agents. 18. Requirements of specific coverage features or limits contained in this section are not intended as limitations on coverage, limits or other requirements nor as a waiver of any coverage normally provided by any given policy. Specific reference to a given coverage feature is for purposes of clarification only as it pertains to a given issue, and is not intended by any party or insured to be limiting or all-inclusive. 19.These insurance requirements are intended to be separate and distinct from any other provision in this Contract and are intended by the parties here to be interpreted as such. 20.The requirements in this Section supersede all other sections and provisions of this Contract to the extent that any other section or provision conflicts with or impairs the provisions of this Section. 21. Contractor agrees to be responsible for ensuring that no contract used by any party involved in any way with the project reserves the right to charge City or Contractor for the cost of additional insurance coverage required by this Contract. Any such provisions are to be deleted with reference to City. It is not the intent of City to reimburse any third party for the cost of complying with these requirements. There shall be no recourse against City for payment of premiums or other amounts with respect thereto. Contractor agrees to provide immediate notice to City of any claim or loss against Contractor arising out of the work performed under this Contract. City assumes no obligation or liability by such notice, but has the right (but not the duty) to monitor the handling of any such claim or claims if they are likely to involve City. D 4,a Attachment D Resolution No. 2024-57 RESOLUTION NO. 2024-57 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF ROSEMEAD, CALIFORNIA, TO AMEND THE FISCAL YEAR 2024-25 CAPITAL IMPROVEMENT PROGRAM BUDGET AND APPROPRIATE ADDITIONAL FUNDS FOR THE WALNUT GROVE AVENUE STREET LIGHT INSTALLATION (PROJECT NO. 43009) WHEREAS, the City Council adopted the Fiscal Year 2024-25 Operating and Capital Improvement Program budgets on June 27, 2024; and WHEREAS, amendments must periodically be made to the budget to conform to changed circumstances following adoption of the budget; and WHEREAS, the Fiscal Year 2024-25 budget included funding for the Walnut Grove Avenue Street Light Installation in the amount of $424,366; and WHEREAS, funding was not fully allocated in the City's approved 2024-25 Budget thus requiring a revision to add $272,000 to cover the remaining cost of the project; and WHEREAS, the revised appropriation constitutes an update to the 2024-25 Budget approved pursuant to Resolution No. 2024-30. THE ROSEMEAD CITY COUNCIL HEREBY RESOLVES AS FOLLOWS: SECTION 1: The City Council hereby approves an appropriation in the amount of Two Hundred Seventy Two Thousand Dollars ($272,000) in Measure R Funds to increase funding for the Project. SECTION 2: The City Clerk shall certify the adoption of this Resolution. PASSED, APPROVED AND ADOPTED this 12`h day of November, 2024. ATTEST: Steve Ly, Mayor APPROVED AS TO FORM: Rachel H. Richman, City Attorney Ericka Hernandez, City Clerk STATE OF CALIFORNIA ) COUNTY OF LOS ANGELES) § CITY OF ROSEMEAD ) I, Ericka Hernandez, City Clerk of the City Council of the City of Rosemead, California, do hereby certify that the foregoing City Council Resolution No. 2024-57 was duly adopted by the City Council of the City of Rosemead, California, at a regular meeting thereof held on the 12`h day of November, 2024, by the following vote, to wit: AYES: NOES: ABSENT: ABSTAIN: Ericka Hernandez, City Clerk Attachment E Other Bids Received — Walnut Grove Avenue Street Light Installation BIDDER: Outsource Utility Contractor, LLC CITY OF ROSEMEAD WALNUT GROVE AVENUE STREET LIGHT INSTALLATION PROJECT No. 43009 SECTION I - BID SCHEDULE CONTRACT BED FORMS CBF -1 BIDDER: Outsource Utility Contractor, LLC BID SCHEDULE SCHEDULE OF PRICES FOR WALNUT GROVE AVENUE STREET LIGHT INSTALLATION PROJECT No. 43009 NO. ITEM DESCRIPTION UNIT EST. UNIT ITEM QTY. PRICE COST Solar Street Lighting: Furnish and install Fonroche Smardight [r54-CK16B-4K- T3][P310-4P] 1248Wh NiMH batteries, 7100 lumen all nightfull brightness dark sky certified fixture, 310w solar panel, 28'3" spuncast pre -stressed Octagonal concrete poles, LoRa & cellular based central control/monitoring, 10 year non pro -rated full parts and labor warranty. Work includes installation of 28'3" octagonal 1 concrete poles and foundation, including 6' EA 22 $ 22,400.00 $492,800.00 arm, anchor bolts, and LED lightfixtures (Manufacturer: Fonroche Lighting America), and all related appurtenances for complete solar street light installation, as identified on Appendix B — Solar Light System Specs and on Technical Specifications. Cost to Fumish engineered plans/shop drawings including foundation design stamped by California Licensed Engineer shall be provided as part of the bid. Lighting Fixtures: Furnish and install King Luminaire Light Fixture "K118R-B2AR-111- 75(SSL)-1036-120:277V-K14-PR-3K-BK- #1", as identified on Appendix C — King 2 Luminaire Light Fixture Specs. (Vendor. EA 44 $ 3,100.00 $ 136,400.00 South Coast Lighting and Design). Work includes removal of existing lighting fixtures and installation of King Luminaire Light Fixtures along Valley Blvd from Rosemead Blvd to Loma Avenue. TOTAL BASE BID AMOUNT IN NUMBERS $ 629,200.00 TOTAL BASE BID AMOUNT IN WORDS: six hundred twenty-nine thousand two hundred dollars The award of Contract shall be based on the TOTAL BASE BID AMOUNT. 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 TdW: BIDDER: Outsource Utility Contractor, LLC right as Items A, B, C, D and E are considered B. Traffic Control C. NPDES, WWECP, and Best Management as inclusive in each Bid Item listed above in the Bid Schedule as applicable, and no Practices (BMPs), Public Convenience and additional and/or separate compensation will Safety D. Construction Staking by Land Surveyor be allowed. E. Clearing 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. 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 prices. 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 satisfactorily completed. Note: The City of Rosemead reserves the right to reduce or increase the quantities of any items in the schedule of bid items above, within the limits define in Section 3-2.2.1 of the Standard Specifications, to stay within the budgeted amount of this project. The award of Contract shall be based on the TOTAL BASE BID AMOUNTonly. If the Bid lists any Additive Alternate bids, the ADDITIVE ALTERNATE BID ITEMS shown per the ADDITIVE ALTERNATE BID SCHEDULE above 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. The undersigned agrees that these Contract Bid Forms constitute a firm offerto the Ownerwhich 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 sixty -mo thousand nine hundred twenty Dollars ($ 62,920.00 ) said amount being not less than ten percent (101/6) 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. CBF -3 BIDDER: Outsource Utility Contractor, LLC If awarded a Contract, the undersigned agrees to execute the formal Contract, which will be prepared by the Owner for execution, within five (5) Calendar Days following the Letter of Award for the Contract, and will deliver to the Owner within that same period the necessary original Certificates of Insurance, Endorsements of Insurance, Performance Bond, Payment Bond and all other documentation and certification required by the Contract. The undersigned offers and agrees that if this bid is accepted, it will assign to the purchasing body all rights, title, and interest in and to all causes of action it may have under Section 4 of the Clayton Act (15 U.S.C. Section 15) or under the Cartwright Act (Chapter 2 of Part 2 of Division 7 of the Business and Professional Code), arising from purchases of goods, materials or services by the Bidder for sale to the purchasing body pursuant to the bid. Such assignment shall be made and become effective at the time the purchasing body tenders final payment to he Contractor. Bidder understands and agrees that, when requested by Owner, he shall provide: (1) evidence satisfactory to the Owner of Bidder's California contractor's license(s) in good standing; (2) evidence that the person signing this Bid is authorized to bind Bidderto 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. days specified on the Notice Inviting Bids. The Contract Time will begin to run ten (10) Working Days from the date of the Notice of Proceed and subject to the terms and conditions described in the Contract Form and the Contract Documents. Bidder acknowledges that data submitted with its Contract Bid Forms which it requires to be incorporated into a Contract arising out of this Submittal has been so identified by Bidder. Bidder further acknowledges that the Owner may, at its discretion, incorporate any of the remaining data submitted herewith into a contract arising out of this Bid. The undersigned acknowledges receipt, understanding and full consideration of the following addenda to the Contract Documents. Addenda Nos. The Bidder understands and agrees that the Total Bid Price is inclusive of all labor, materials, and equipment or supplies necessary to complete the Work as described in the Bid Documents. If this bid is accepted, the undersigned Bidder agrees to enter into and execute the Contract with the necessary bonds and accept the Total Bid Price as compensation in full for all Work under the contract. CBF -4 BIDDER: Outsource Utility Contractor, LLC 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: Date of Inspection: Jason Besch, Operations Manager 7/8/2024 ADDENDA ACKNOWLEDGMENT The Bidder acknowledges receipt of the following Addenda and has included their provisions in this Proposal: Addendum No. I Dated 7/11/2024 Addendum No. Dated Addendum No. Addendum Dated Dated CBF -5 BIDDER: Outsource Utility Contractor, LLC 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 V 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 otherwise 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 V If the answer is yes, explain the circumstances in the following space. CBF -6 BIDDER: Outsource Utility Contractor, LLC 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 Contractor's 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: Signature Ayla Thayer Type or Print Name Business Manager Title Bidder's/Contractor's State of Incorporation: CA Partners or Joint Venturers: Bidder's License Number(s): 968395 N/A Department Industrial Relations Registered No. 2000000214 NOTES: BIDDER: Outsource Utility Contractor, LLC 970 W 190th St, Ste 680 Business Street Address Torrance, CA 90502 City, State and Zip Code 714-238-9263 Telephone Number 1) By its signature on this Bid, the Bidder certifies under penalty of perjury the accuracy of the representations made on the Contract Bid Forms. 2) If Bidder is a corporation, enter State of Incorporation in addition to Business Address 3) If Bidder is a partnership or joint venture, give full names of all partners or joint venturers. As further discussed in the Instructions to Bidders, Bidder will be required to provide evidence that the person signing on behalf of the corporation, partnership or joint venture has the authority to do so. CBF -8 BIDDER: Outsource Utility Contractor, LLC SECTION 2 BID DATA FORMS CBF -9 BIDDER: Outsource Utility Contractor, LLC 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 Bidders name and page number. 2.A BID BOND KNOW ALL MEN BY THESE PRESENTS: THAT Outsource Utility Contractor, LLC as Principal, and SiriusPoint America Insurance Company , as Surety, are held firmly bound unto the CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of Ten Percent of Bid Amount ($ 10%of bid amount ), 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 tothe OWNERtoperfonn all Work required for the WALNUT GROVE AVENUE STREET LIGHT' INSTALLATION—asset forth in the Notice Inviting Bidsand accompanying Bid Documents, dated 7/15/2024 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 15th day of July , 2024 Outsource Utility Contractor, LLC (SEAL) SinusPoint America Insurance Company (SEAL) Principal Surety By. 7%cu� �21�+z2t Signature By: Si natu 17 Jazmin Chavez, Attorney -in -Fact CBF -10 ORINEWOI0224 POWER OF ATTORNEY SIRIUSPOINT AMERICA INSURANCE COMPANY NEW YORK KNOW AIA, MEN BY THESE FRESEATS: That SirimPoim America Insurance Company, a New York corporation, having Its principal off in the City ofNew York, pam.l m the following Resolution, which was ideped by the gond of Direeror, of the Company, m wit: RESOI.VED. that the Fmidem, Senior Vitt president, Chief Fiswmial ORce%Secretary or Assistant Secretary is hereby adhorise to.auk power, ofAltomey appointing an anomeys-ovitun selected employixs of concern surd companies sdno shall have the Fewer for and on belulf of the Company toexecmc and affix the sal oftM Company to surd concocts as co -sun y. Does hereby mminam, constitute and appoint Trisha Cabot, laamin Chavez, Braden Cluck. Clifford Davis, luaun Cnuenbag Its we and law4d attorney-in-fact, a nuke, execulq sol aid deliver for and on its behalf, ands its an and deed; atyand all bonds, contract., agracrents of indemnity, aid aha undcnakings in saayship (NOT MCLUDING bonds without. Oaedpenalty os fmancial gmnnln bonds) and to bind the Company thereby as fully and to iM same extol a if same wen signed by the duly aahoriad officers of the Company, provided, Mower, tint Ile purl sum of eery ate such Imimrnern invouted hereunder Sing MI exeaed the snm of: S50,W,M single bond limit All WS of said Sturneysin-fad Fursrant m the authorities hnn nn given hereby ruifted aid confirmed. The castcasDoras clisted above in the Resolution may from lime k rink and a any dmeremwe any such appointee and make the posses given to him or ha. The execution of such Inds or undenaking, in pursuance of these presents, within on, year of the date of issue of these presents, shall M binding upon said Company, as fully adamply, to all intents and purposes, as if they hal been duly weaned and acknowledged by the regularly elocr dofficets ofthe Company at its office in New York, New Yoh, in their ownproper persons. IN WITNESS WHEREOF, Slrimpoint Amenia Insurance Company bar Caused it, arporwe sail m be, hereon..frised, and these indent.m be signed by its Secntary Nis Vthday ofAugusl in they., 2023. $Y. 70 Amenw loon' Melissa J.Ralph ev Sttrdary StineafNcwlcSsay ) County of Maaamh ) On this 17' day of August 2013, Mf raw, a Naary public of the Sum of New Jersey in and for the County of MOnmoah duly commissioned and q ailifid, came Melissa I. Ralph, Secretary, al Sirivapoint America Insurance Company, to are, personally known to In the individual and officer described in, and who naad be pinteresting imwmern. and acknowledge be ..It. of tM same, and, bring by me duly Swore, deponth and truth, that she is the oRcor of the Company aforesaid, and that IM sol afrisd to the preceding instmnmt as rite emponte sal of sand Company, ad the said c.We,, seal and he, signature a officer were duly a1Gxd and subscribed to the said insour ent by iM authority and direction of the amid Company, rehrrcd to in the preceding imlmmcnt, is now to for", IN TESTMfbVY WHEREOF, I have hereunto set d had end aRse my official seal. TNAEJA E LEWIS—SCOTT NOTARY PUBLIC STATE OF NEW JERSEY ALI= MY COMMISSION E%%RES MARCH 31.2028 eJ_.- t r AOSF COMMISSION. 602011541 State of New ldr County of Momanuth 1, Melissa ). Ralph, Secmary, ofSinuzpoia Amefin Insurance Company, a New Yoh corporation, do hereby certify that the above and foregoing is a full, vue corned copy ofpo ve, of Auto. , is Mill to fora and efw and has .1 been revoke. IN WITNESS WHEREOF, l have hereunto act my hand and affixed the seat of said Company this 15 day, ofr JulY 2024 M seal. Atlph tare CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE §1189 ,c memmeoores;:� 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 07/15/2024 before me, Kelley Vandemoortel, Notary Public Date Here Insert Nome and Title of the Officer Personally appeared Jazmin Chavez NomeM of Signer(n who proved to me on the basis of satisfactory evidence to be the person( whose name(W is/am subscribed to the within instrument and acknowledged to me that he/sMe/thLy executed the same in his/hkr/their authorized capacity(io), and that byhis/heir/thifirsignature(ioontheinstrumenttheperson(4, orthe entity upon behalf of which the person(4 acted, executed the instrument. ,01111121116 KELLEY VANDEA00 11. Notary Public • California §Crante County Commission r 2462291 My Comm. Expires Sep S, 1027 Place Notary Seal Above I certify under PENALTY OF PERJURY underthe laws of the State of California that the foregoing paragraph is true and correct. WITNESS my nd and official seal Pa . Signature Signet re f Notory 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 Bid Bond Document Date 07/15/2024 Number of Pages 2 Signer(s) Other Than Named Above Capacity(les) Claimed by Signer(s) Signer's Name Jazmin Chavez ❑ Corporate Officer—Title(s) ❑ Partner ❑ Limited ❑ General ❑ Individual ❑r Attorney in Fact ❑Trustee ❑ Guardian or Conservator ❑ Other Signer's Name ❑ Corporate Officer—Title(s) ❑ Partner ❑ Limited General []Individual ❑Attorney in Fact ❑Trustee ❑ Guardian or Conservator ❑ Other Signer Is Representing SIrIUSPOInt America Signer Is Representing �ccr 0 014National NotaryAssociation • www.NationaiNotary.org e1-800-USNOTARY(1-800-876-6827) Item#5907 BIDDER: Outsource Utility Contractor, LLC 2.B LIST OF PROPOSED SUBCONTRACTORS In compliance with the "Subletting and Subcontracting Fair Practices Act," Sections 4100 through 4114 of the California Public Contract Code, and any amendments thereto, each Bidder shall provide the information requested below for each subcontractor who will perform work, labor or render service to Bidder in or about the construction of the Work in an amount in excess of one-half of one percent (greater than 0.5 %) of the Bidder's Total Bid Price, or, in the case of bids or offers for the construction of streets or highways, including bridges, in excess of one-half of 1 percent of the Contractor's total bid or ten thousand dollars ($10,000), whichever is greater, and shall further set forth the portion of the Work which will be done by each subcontractor. Bidder shall list only one subcontractor for any one portion of the Work. Pursuant to Public Contract Code Section 4104, the Owner has determined that it will allow Bidders twenty-four (24) additional hours after the deadline for submission of bids to submit the information requested by the Owner about each subcontractor, other than the name and location of each subcontractor. If the Bidder fails to specify a subcontractor for any portion of the Work to be performed under the Contract, it shall be deemed to have agreed to perform such portion itself, and shall not be permitted to subcontract that portion of the Work except under the conditions hereinafter set forth below. Subletting or subcontracting of any portion of the Work in excess of one half of one percent (greater than 0.5%) of the Total Bid Price or, in the case of bids or offers for the construction of streets or highways, including bridges, in excess of one-half of 1 percent of the Contractor's total bid or ten thousand dollars ($10,000), whichever is greater, for which no subcontractor was designated in the original bid shall only be permitted in cases of public emergency or necessity, and then only after Owner approval. CBF - 11 BIDDER: Outsource Utility Contractor, LLC 2.13 LIST OF PROPOSED SUBCONTRACTORS (continued) ["Duplicate Next 2 Pages if needed for listing additional subcontractors."] Name and Location Description of Work of Subcontractor to be Subcontracted Name: VA License No.: Department of Industrial Relation Registration No. Name and Location of Subcontractor Description of Work to be Subcontracted Name: Address: License No.: Department of Industrial Relation Registration No. Name and Location of Subcontractor Description of Work to be Subcontracted Name: Address: License No.: Department of Industrial Relation Registration No. Name and Location of Subcontractor Name: Address: License No.: Description of Work to be Subcontracted Department of Industrial Relation Registration No. Name and Location of Subcontractor Description of Work to be Subcontracted Address: License No.: Department of Industrial Relation Registration No. CBF -12 BIDDER: Outsource Utility Contractor, LLC 2.0 REFERENCES The following are the names, addresses and telephone numbers for three public agencies for which BIDDER has performed similar work within the past two (2) years: 1. Anaheim Public Utilities 201 S. Anaheim Blvd. Anaheim, CA 92805 Name and Address of Owner Vinh Tran 714-765-4273 Name and telephone number of person familiar with project $388,673.21 Lighting Substructure & Wiring Upgrade March 2023 Contract amount Type of Work Date Completed 2• Bear Valley Electric Services 42020 Garstin Dr, Big Bear Lake, CA 92315 Name and Address of Owner Paul Marconi 909-866-4678 Name and telephone number of person familiar with project $519,675.00 Transmission Line Reconductor August 2023 Contract amount Type of Work Date Completed 3. Southern California Edison 2244 Walnut Grove Ave, Rosemead, CA 91770 Name and Address of Owner Ted Peters 626-476-9361 Name and telephone number of person familiar with project $14AM Reconductor and Structure Replacement January 2022 Contract amount Type of Work Date Completed CBF -13 BIDDER: Outsource Utility Contractor, LLC 4• Pacific Gas & Electric 300 Lakeside Dr, Oakland, CA 94612 Name and Address of Owner Robin Kirkpatrick 925-223-7071 Name and telephone number of person familiar with project $32.8M Transmission Pole Replacement January 2023 Contract amount Type of Work Date Completed CBF -14 BIDDER: Outsource Utility Contractor, LLC SECTION 3 NON-COLL USION AFFIDAVIT CBF -15 BIDDER: Outsoume LRility Contractor, LLC NON -COLLUSION AFFIDAVIT In accordance with Public Contract Code Section 7106, the undersigned, being first duly swom, 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 bidderhas not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidderor 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. 0 Signath Ayla Thayer Typed or Printed Name Business Manager Title Outsource Utility Contractor, LLC Subscribed and sworn before me This _ day of 20_ See Attached Acknowledgment Notary Public in and for the State of California My Commission Expires: CBF - 16 (Seal) ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California Los Angeles County of On July 11th, 2024 before me, personally appeared Ayla Thayer Dione M Cordero ( Notary Public) (insert name and title of the officer) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. DIONE M.CORDERO COMM #2336990 a w NOTARY PUBLIC -CALIFORNIA y C iMY CoORANGE COUNTY mmBNon 9&plin Nov. 10,2024 Signature L l ` , ", f j LA- - (Seal) BIDDER: mL EI-ecfr7G CITY OF ROSEMEAD WALNUT GROVE AVENUE STREET LIGHT INSTALLATION PROJECT No. 43009 SECTION 1- BID SCHEDULE CONTRACT BID FORMS CBF -1 BIDDER: me rrlrc�CtC BID SCHEDULE SCHEDULE OF PRICES FOR WALNUT GROVE AVENUE STREET LIGHT INSTALLATION PROJECT No. 43009 N0. ITEM DESCRIPTION UNIT EST. UNIT ITEM 4TY. PRICE COST Solar Street Lighting: Furnish and install Fonroche Smartlight [f54-CK16B-4K- T3][P310.4P] 1248Wh NiMH batteries, 7100 lumen all night full brightness dark sky certified fixture, 310w solar panel, 28'3" spuncast pre -stressed Octagonal concrete poles, LoRa & cellular based central control/monitoring, 10 year non pro -rated full parts and labor warranty. 1 Work includes installation of 28'3" octagonal concrete poles and foundation, including 6' EA 22 $ 21 I.21 $4$3,499.94 arm, anchor bolts, and LED light fixtures (Manufacturer: Fonroche Lighting America), and all related appurtenances for complete solar street light installation, as identified on Appendix B — Solar Light System Specs and on Technical Specifications. Cost to furnish engineered plans/shop drawings including foundation design stamped by California Licensed Engineer shall be provided as part of the bid. Lighting Fixtures: Furnish and install King Luminaire Light Fixture "Kll8R-B2AR-III- 75(SSL)-1036-120277V-K14-PR-3K-BK- #1", as identified on Appendix C — King 2 Luminaire Light Fixture Specs. (Vendor. EA 44 $ 3,409.09 $141999. 910 + South Coast Lighting and Design). Work includes removal of existing lighting fixtures and installation of King Luminaire Light Fixtures along Valley Blvd from Rosemead Blvd to Loma Avenue. TOTAL BASE BID AMOUNT IN NUMBERS $ .01 TOTAL BASE BID AMOUNT IN WORDS: SIX hvndrfd thtrl-N-*rfe thovSand 4ovr hvnclrrd ninety-nine dollgrS and ntnet4 cent) The award of Contract shall be based on the TOTAL BASE BID AMOUNT. In the case of discrepancies in the amount of bid, unit prices shall govern overextended amounts, and words shall govern over fi ures. Full compensation for the items listed to the I A. Mobilization / Demobilization CBF -2 BIDDER: W E �tcyriz. right as Items A, B, C, D and E are considered B. Traffic Control C. NPDES, WWECP, and Best Management as inclusive in each Bid Item listed above in the Bid Schedule as applicable, and no Practices (BMPs), Public Convenience and additional and/or separate compensation will Safety D. Construction Staking by Land Surveyor be allowed. E. Clearing 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. 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 prices. 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 satisfactorily completed. Note: The City of Rosemead reserves the right to reduce or increase the quantities of any items in the schedule of bid items above, within the limits define in Section 3-2.2.1 of the Standard Specifications, to stay within the budgeted amount of this project. The award of Contract shall be based on the TOTAL BASE BID AMOUNT only. If the Bid lists any Additive Alternate bids, the ADDITIVE ALTERNATE BID ITEMS shown per the ADDITIVE ALTERNATE BID SCHEDULE above will not betaken 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. The undersigned agrees that these Contract Bid Forms constitute a firm offerto 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 writtenamount of the Bid Price and the numerical amount ofthe Bid Price, the written amount shall govern. Attached hereto is a certified check, a cashiers check or a bid bond in the amount of s.n, m,.. mo�,a�d. m,.. H�.dane Fon, N, Mibrs and Kret. nem Cants Dollars ($63499.99 ) said amount being not less than ten percent (101/6) 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. CBF -3 BIDDER: rnC ZlQCr(I (- If 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 Letterof Awad for the Contract, and will deliver to the Owner within that same period the necessary original Certificates of Insurance, Endorsements of Insurance, Performance Bond, Payment Bond and all other documentation and certification required by the Contract. The undersigned offers and agrees that if this bid is accepted, it will assign to the purchasing body all rights, title, and interest in and to all causes of action it may have under Section 4 of the Clayton Act (15 U.S.C. Section 15) or under the Cartwright Act (Chapter 2 of Part 2 of Division 7 of the Business and Professional Code), arising from purchases of goods, materials or services by the Bidder for sale to the purchasing body pursuant to the bid. Such assignment shall be made and become effective at the time the purchasing body tenders final payment to he Contractor. Bidder understands and agrees that, when requested by Owner, he shall provide: (1) evidence satisfactory to the Owner of Bidder's California contractor's license(s) in good standing; (2) evidence that the person signing this Bid is authorized to bind Bidderto 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. Bidder acknowledges that data submitted with its Contract Bid Forms which it requires to be incorporated into a Contract arising out of this Submittal has been so identified by Bidder. Bidder further acknowledges that the Owner may, at its discretion, incorporate any of the remaining data submitted herewith into a contract arising out of this Bid. The undersigned acknowledges receipt, understanding and full consideration of the following addenda to the Contract Documents. Addenda Nos. 1 844�r� UT111 The Bidder understands and agrees that the Total Bid Price is inclusive of all labor, materials, and equipment or supplies necessary to complete the Work as described in the Bid Documents. If this bid is accepted, the undersigned Bidder agrees to enter into and execute the Contract with the necessary bonds and accept the Total Bid Price as compensation in full for all Work under the contract. CBF -4 BIDDER: MC Fectnc 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 Date of Inspection: ��S71Ati /J it M; 0+ 111 1a02 -K ADDENDA ACKNOWLEDGMENT The Bidder acknowledges receipt of the following Addenda and has included their provisions in this Proposal: Addendum Dated OT/ III a.aatl Addendum No. Dated Addendum No. Dated Addendum No. Dated CBF -5 BIDDER: Mc c 6;J Ctyt f . 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 otherwise 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. CBF -6 BIDDER: mc, ClettrIL 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: k�jl — 3� Signature Elvia Chavez Type or Print Name President Title BIDDER: [yr ✓ ect e -j f- 13619 12th St. Unit B Business Street Address Chino, CA 91710 City, State and Zip Code (909)464-9400 Telephone Number Bidder's/Contractor's State of Incorporation: California Partners or Joint Venturers: Bidder's License Number(s): e13166 Department Industrial Relations Registered No. _ NOTES: 1000009480 1) By its signature on this Bid, the Biddercertifies 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 Bidderis a partnership orjoint venture, give full names of all partners orjoint venturers. As further discussed in the Instructions to Bidders, Bidder will be required to provide evidence that the person signing on behalf of the corporation partnership or joint venture has the authority to do so. CBF -8 BIDDER: Mc lFbechlic, SECTION 1 BID DATA FORMS CBF -9 BIDDER: MC Electric 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. Biddershall 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 MC Electric as rrmcipal, ann Granite as Surety, are held firmly bound unto the CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of Ten Percent of Bid Amount DOLLARS (S 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 OWNERtoperform all Work required for the WALNUT GROVE AVENUE STREET LIGHT INSTALLATION—asset forth in the Notice Inviting Bids and accompanying Bid Documents, dated July 17, 2024 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 band by the O WNERand 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 17th day of MC Electric (SEAL) Principal t ]3y: By: - Signature CBF -10 July 2024 . Granite Re, Inc. dba Granite Surety Insurance Company 17SEAL) Surety �� Signature Kenneth D. Whittington, Attorney -In -Fact 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 the document. ACKNOWLEDGMENT OF PRINCIPAL State of CX -t A, C -- Countyof jarl 1>>e (al Lot, o �u 20 Onthis !bda of ,before me 1ere,�q M61.t-16 personally appeared Here Insert Neme and Title o/ Officer J� I0 & 0, 01 ✓lr_71 who proved to me on the basis of satisfactory evidence to be the person Name of Signer whose name is subscribed to the within instrument and acknowledged to me that he/she executed the same in his/her authorized capacity, and that by his/her signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. I certify under the PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. TERESA MAROTTA WITNESS my hand and official seal. sect ew+t.c.w.w. sews wcm..E*kua . • �aer.V. rme Signature JAW— hd/k&:� Signature bf Notary Public ACKNOWLEDGMENT OF SURETY State of Oklahoma County of Oklahoma On this 17 day of July, 2024 before me personally come(s) Kenneth D. Whittington, Attorney -in -Fact of Granite Re, Inc. DBA Granite Surety Insurance Company with whom I am personally acquainted, and who, being by me duly swom, says that he reside(s) in Oklahoma City, Oklahoma that he is the Attorney -in -Fact of Granite Re, Inc. DBA Granite Surety Insurance Company, the company described in and which executed the within instrument; that he know(s) the corporate seal of such Company; and that the seal affixed to the within instrument is such corporate seal and that It was affixed by order of the Board of Directors of said company, and he signed said instrument as Attorney(s)-in-Fact of the said Company by like order. `%%%1111111/114R k 01 4L A(,� Nota lic - gM1003640 - IXP.WrN127j: Ry GR -34 (CA) Ed. 01-22 GRANITE RE, INC. DBA GRANITE SURETY INSURANCE COMPANY GENERAL POWER OF ATTORNEY Know all Men by these Presents: That GRANITE RE, INC DBA GRANITE SURETY INSURANCE COMPANY, a corporation organized and existing under the laws of the State of MINNESOTA and having its principal office at the City of OKLAHOMA CITY in the State of OKLAHOMA does hereby constitute and appoint: KENNETH D. WHITTINGTON; KYLE MCDONALD its true and lawful Attomey-in-Facts) for the following purposes, to wit: To sign its name as surety to, and to execute, seal and acknowledge any and all bonds, and to respectively do and perform any and all acts and things set forth in the resolution of the Board of Directors of the said GRANITE RE, INC. DBA GRANITE SURETY INSURANCE COMPANY a certified copy of which is hereto annexed and made a part of this Power of Attorney; and the said GRANITE RE, INC. DBA GRANITE SURETY INSURANCE COMPANY through us, its Board of Directors, hereby ratifies and confirms all and whatsoever the said: KENNETH D. WHITTINGTON; KYLE MCDONALD may lawfully do in the premises by virtue of these presents In Witness Whereof, the said GRANITE RE, INC DBA GRANITE SURETY INSURANCE COMPANY has caused this instrument to be sealed with its corporate seal, duly attested by the signatures of its President and Assistant Secretary, this 31st day of July, 2023. 5 C A L Kenneth D. Whitti on, President STATE OF OKLAHOMA ) '// ��l 55: COUNTY OF OKLAHOMA ) Kyl P. McDonald, Assistant Secretary On this 31st day of July, 2023, before me personally came Kenneth D. Whittington, President of the GRANITE RE, INC. DBA GRANITE SURETY INSURANCE COMPANY and Kyle P. McDonald, Assistant Secretary of said Company, with both of whom I am personally acquainted, who being by me severally duly sworn, said, that they, the said Kenneth D. Whittington and Kyle P. McDonald were respectively the President and the Assistant Secretary of GRANITE RE, INC. DBA GRANITE SURETY INSURANCE COMPANY, the corporation described In and which executed the foregoing Power of Attorney; that they each knew the sea( of said corporation; that the seal affixed to said Power of Attorney was such corporate seal, that it was so fixed by order of the Board of Directors of said corporation, and that they signed their name thereto by like order as President and Assistant Secretary, respectively, of the Company. My Commission Expires: April 21, 2027 Commission N: 11003620 GRANITE RE, INC. Certificate Notary Public THE UNDERSIGNED, being the duly elected and acting Assistant Secretary of GRANITE RE, INC. DBA GRANITE SURETY INSURANCE COMPANY, a Minnesota Corporation, HEREBY CERTIFIES that the following resolution is a true and correct excerpt from the July 15, 1987, minutes of the meeting of the Board of Directors of GRANITE RE, INC. DBA GRANITE SURETY INSURANCE COMPANY and that said Power of Attorney has not been revoked and is now in full force and effect. "RESOLVED, that the President, any Vice President, the Assistant Secretary, and any Assistant Vice President shall each have authority to appoint individuals as attomeys-in-fact or under other appropriate titles with authority to execute on behalf of the company fidelity and surety bonds and other documents of similar character issued by the Company in the course of its business. On any Instrument making or evidencing such appointment, the signatures may be affixed by facsimile. On any instrument conferring such authority or on any bond or undertaking of the Company, the seal, or a facsimile thereof, may be Impressed or affixed or in any other manner reproduced; provided, however, that the seal shall not be necessary to the validity of any such instrument or undertaking." IN WITNESS WHEREOF, the undersigned has subscribe& this Ce dficate and affixed the corporate seal of the Corporation this July 17, 2024 GR40 (CA) Ed. DS -23 Kyle P McDonald, Assistant Secretary BIDDER: M6 Gle4rY►Ci 2.13 LIST OF PROPOSED SUBCONTRACTORS In compliance with the "Subletting and Subcontracting Fair Practices Act," Sections 4100 through 4114 of the California Public Contract Code, and any amendments thereto, each Bidder shall provide the information requested below for each subcontractor who will perform work, labor or render service to Bidder in or about the construction of the Work in an amount in excess of one-half of one percent (greater than 0.5 %) of the Bidder's Total Bid Price, or, in the case of bids or offers for the construction of streets or highways, including bridges, in excess of one-half of 1 percent of the 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 perforin such portion itself, and shall not be permitted to subcontract that portion of the Work except under the conditions hereinafter set forth below. Subletting or subcontracting of any portion of the Work in excess of one half of one percent (greater than 0.5%) of the Total Bid Price or, in the case of bids or offers for the construction of streets or highways, including bridges, in excess of one-half of 1 percent of the Contractor's total bid or ten thousand dollars ($10,000), whichever is greater, For which no subcontractor was designated in the original bid shall only be permitted in cases of public emergency or necessity, and then only after Owner approval. CBF -11 BIDDER: J' I (/ t%` PGT , I(✓ 2.11 LIST OF PROPOSED SUBCONTRACTORS (continued) ["Duplicate Next 2 Pages if needed for listing additional subcontractors."] Name and Location of Subcontractor Name: /V dAl2 License No.: Department of Industrial Relation Registration No. Name and Location of Subcontractor Name: Address: I ;Ppn CP Description of Work to be Subcontracted Description of Work to be Subcontracted Depigrment of Industrial Relation Registration No._ Name and Location of Subcontractor Name:_ Address: of Industrial Relation Registration Name and Location of Subcontractor of Industrial Relation Registration No. Name and Location of Subcontractor N of Industrial Relation Registration No. CBF -12 Description of Work to be Subcontracted Description of Work to be Subcontracted Description of Work to be Subcontracted BIDDER: M& Oecfrl 2.0 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: Industry Public Utility CorAission 15625 Mayor Dave Way City of Industry, CA 91799 Name and Address of Owner Chris I= (562)896-2260 Name and telephone number of person familiar with project $295,500.00 Lightpole Installation 04/19/2024 Contract amount Type of Work Date Completed 2. NOV/Ameron Name and Address of Owner 3 Kevid Lidle (626)320-D351 Name and telephone number of person familiar with project Installation & Maint of streetlights throughout SO Cal. $20+ million Ongoing Contract amount Type of Work Date Completed City of Menifee 29944 aaun P.d. Menifee, CA 92596 Name and Address of Owner Donald Sharpe (951)723-3726 Name and telephone number of person familiar with project Installation of Solar Powered Streetlight poles $89,500 05/29/29 Contract amount Type of Work Date Completed CBF -13 BIDDER: M& iii cls.' J/1 L SECTION 3 NON-COLL USION AFFIDAVIT CBF -15 BIDDER: MCI fJl'eJ✓) G 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. —?j Signature Elvia Chavez Typed or Printed Name President Title MC F- erf w Subscribed and swom before me This -�b±^day of 20JA otary Public in and for the State of California p / My Commission Expires: CBF -16 (Seal) TERESA KWMA ��0 qMM cr�.r BIDDER: SERVITEK ELECTRIC, INC. CITY OF ROSEMEAD WALNUT GROVE AVENUE STREET LIGHT INSTALLATION PROJECT No. 43009 SECTION I -BID SCHEDULE CONTRACT BID FORMS CBF -1 BIDDER: SERVITEK ELECTRIC, INC. BID SCHEDULE SCHEDULE OF PRICES FOR WALNUT GROVE AVENUE STREET LIGHT INSTALLATION PROJECT No. 43009 NO. ITEM DESCRIPTION UNIT EST. QTY. UNIT PRICE ITEM COST Solar Street Lighting: Furnish and install Fonroche Smartlight [T54-CK16B-4K- T3](P310413] 1248Wh NiMH batteries, 7100 lumen all night full brightness dark sky certified fixture, 310w solar panel, 28'3" spuncast pre -stressed Octagonal concrete poles, LoRa & cellular based central control/monitoring, 10 year non pro -rated full parts and labor warranty. Work includes installation of 28'3" octagonal 1 concrete poles and foundation, including 6' EA 22 $ 21,923.00 $ 482,306.00 arm, anchor bolts, and LED lightfixtures (Manufacturer: Fonroche Lighting America), and all related appurtenances for complete solar street light installation, as identified on Appendix B — Solar Light System Specs and on Technical Specifications. Costto furnish engineered plans/shop drawings including foundation design stamped by California Licensed Engineer shall be provided as part of the bid. Lighting Fixtures: Furnish and install King Luminaire Light Fixture "K118R-62AR-lll- 75(SSL)-1036-120:277V-K14-PR-3K-BK- #1", as identified on Appendix C — King 2 Luminaire Light Fixture Specs. (Vendor. EA 44 $ 3,924.00 $ 172,656.00 South Coast Lighting and Design). Work includes removal of existing lighting fixtures and installation of King Luminaire Light Fixtures along Valley Blvd from Rosemead Blvd to Loma Avenue. TOTAL BASE BID AMOUNT IN NUMBERS $ 654,962.00 TOTAL BASE BID AMOUNT IN WORDS: Six Hundred Fifty -Four Thousand Nine Hundred Sixty -Two Dollars The award of Contract shall be based on the TOTAL BASE BID AMOUNT. In the case of discrepancies in the amount of bid, unit prices shall govern over extended amounts, and words shall govern over flaures. Full compensation for the items listed to the A. Mobilization / Demobilization CBF -2 BIDDER: SERVITEK ELECTRIC, INC. right as Items A, B, C, D and E are considered as inclusive in each Bid Item listed above in B. Traffic Control C. NPDES, WWECP, and Best Management the Bid Schedule as applicable, and no Practices (BMPs), Public Convenience and additional and/or separate compensation will Safety D. Construction Staking by Land Surveyor be allowed. E. Clearing 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. 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 prices. 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 satisfactorily completed. Note: The City of Rosemead reserves the right to reduce or increase the quantities of any items in the schedule of bid items above, within the limits define in Section 3-2.2.1 of the Standard Specifications, to stay within the budgeted amount of this project. The award of Contract shall be based on the TOTAL BASE BID AMOUNT only. If the Bid lists any Additive Alternate bids, the ADDITIVE ALTERNATE BID ITEMS shown per the ADDITIVE ALTERNATE BID SCHEDULE above 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. The undersigned agrees that these Contract Bid Forms constitute a firm offer to the Owner which cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and after the bid opening date, or until a Contract for the Work is fully executed by the Owner and a third party, whichever is earlier. The undersigned also agrees that if there is a discrepancy between the written amount of the Bid Price and the numerical amount of the Bid Price, the written amount shall govern. Attached hereto is a certified check, a cashier's check or a bid bond in the amount of 10% of Total Bid Dollars ($ ) said amount being not less than ten percent (10%) of the Total Bid Price. The undersigned agrees that said amount shall be retained by the Owner if, upon award, we fail or refuse to execute the Contract and furnish the required bonds, certificates and endorsements of insurance and other certifications within the time provided. CBF -3 BIDDER: SERVITEK ELECTRIC, INC. If awarded a Contract, the undersigned agrees to execute the formal Contract, which will be prepared by the Owner for execution, within five (5) Calendar Days following the Letter of Award for the Contract, and will deliver to the Owner within that same period the necessary original Certificates of Insurance, Endorsements of Insurance, Performance Bond, Payment Bond and all other documentation and certification required by the Contract. The undersigned offers and agrees that if this bid is accepted, it will assign to the purchasing body all rights, title, and interest in and to all causes of action it may have under Section 4 of the Clayton Act (15 U.S.C. Section 15) or under the Cartwright Act (Chapter 2 of Part 2 of Division 7 of the Business and Professional Code), arising from purchases of goods, materials or services by the Bidder for sale to the purchasing body pursuant to the bid. Such assignment shall be made and become effective at the time the purchasing body tenders final payment to he Contractor. Bidder understands and agrees that, when requested by Owner, he shall provide: (1) evidence satisfactory to the Owner of Bidder's California contractor's license(s) in good standing; (2) evidence that the person signing this Bid is authorized to bind Bidder to this Bid and to a contract resulting therefrom; and (3) any other information and documentation, financial or otherwise, needed by Owner to award a Contract to the lowest responsible and responsive bidder. Bidder understands and agrees that liquidated damages shall apply to this Contract in the amounts of five hundred dollars ($500.00) per calendar day if proiect is not completed within the working days specified on the Notice Inviting Bids. The Contract Time will begin to run ten (10) Working Days from the date of the Notice of Proceed and subiect to the terms and conditions described in the Contract Form and the Contract Documents. Bidder acknowledges that data submitted with its Contract Bid Forms which it requires to be incorporated into a Contract arising out of this Submittal has been so identified by Bidder. Bidder further acknowledges that the Owner may, at its discretion, incorporate any of the remaining data submitted herewith into a contract arising out of this Bid. The undersigned acknowledges receipt, understanding and full consideration of the following addenda to the Contract Documents. Addenda Nos. #1 The Bidder understands and agrees that the Total Bid Price is inclusive of all labor, materials, and equipment or supplies necessary to complete the Work as described in the Bid Documents. If this bid is accepted, the undersigned Bidder agrees to enter into and execute the Contract with the necessary bonds and accept the Total Bid Price as compensation in full for all Work under the contract. CBF -4 BIDDER: SERVITEK ELECTRIC, INC. 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: Date of Inspection: IGeoff e s 07/12/2024 ADDENDA ACKNOWLEDGMENT The Bidder acknowledges receipt of the following Addenda and has included their provisions in this Proposal: Addendum No. #1 Dated 07/11/2024 Addendum No. Dated Addendum No. Dated Addendum No. Dated CBF -5 BIDDER: SERVITEK ELECTRIC, 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 -z 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 cqffffir JRriminal 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 otherwise 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 V If the answer is yes, exffai Ircumstan es in the following space. 1 GEOFFREYESIPRESIDENT CBF -6 BIDDER: SERVITEK ELECTRIC, 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 Contractor's 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: ignatu e GEOFFREYES Type or Print Name PRESIDENT Title BIDDER: SERVITEK ELECTRIC, INC. 13330 Bloomfield Ave, Suite 102-114 Business Street Address Norwalk CA 90650 City, State and Zip Code 626-227-1650 Telephone Number Bidder's/Contractor's State of Incorporation: California Partners or Joint Venturers: Bidder's License Number(s): 1035350 Department Industrial Relations Registered No. _ NOTES: N/A 1000058315 1) By its signature on this Bid, the Bidder certifies under penalty of perjury the accuracy of the representations made on the Contract Bid Forms. 2) If Bidder is a corporation, enter State of Incorporation in addition to Business Address 3) If Bidder is a partnership or joint venture, give full names of all partners or joint venturers. As further discussed in the Instructions to Bidders, Bidder will be required to provide evidence that the person signing on behalf of the corporation, partnership or joint venture has the authority to do so. CBF -S BIDDER: SERVITEK ELECTRIC, INC. SECTION 2 BID DATA FORMS CBF -9 BIDDER: N/A 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 Servitek Electric, Inc as Principal, and Great Midwest Insurance Como -- - --- -- ---, as Surety, are held firmly bound unto the CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of TEN PERCENT (10%) of the Total Amount Bid--------- ------------ ---------- {$ — — -- ----- } being not less than ten percent (10%) of the Total Bid Price, for the payment of which sum will and truly to be made, we bird ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, fmnly by these presents. WHEREAS, said Principal has submitted a bid to the OWNER to perform all Work required for the WALNUT GROVE AVENUE STREET LIGHT INSTALLATION—es set forth in the Notice Inviting Bids and accompanying Bid Documents, dated July 17, 2024 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 11th day of July 20 24 Servitek Electric, Inc (SEAL) Great Midwest Insurance Company (SEAL) Principal Surety By: t wr-mtBy: � "`'` JUL 1 1 M4 - C( -0 y/It f Signab.Ire Edward N. Hackett, Attorney -in -Fact CBF -10 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA County of Orange On dUL 1 1 1024 before me, C. Measles , Notary Public, Date Insert Nanne of Notary tr aaty as it appears on the omicul seal personally appeared Edward N. Hackett Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. C. MAES-A5 F `' I certify under PENALTY OF PERJURY under the laws of •`r _ Nctary Public - ralircrnia Orange Ccunty the State of California that the foregoing paragraph is true Commission; 2456669 and correct. •"' My Comm. rxpires Aug 1, 2027 + Witness my han nd official seal. Signature Place Notary Seal Abom519 re or Public OPTIONAL Though the information below is not required by law, it mayprove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of the form to another document - Description of Attached Document Title or Type of Document: Servitek Electric, Inc Bid Bond Document Date: dUL 1 1 2024 Number of Pages: Signer(s) Other Than Named Above: None Capacity(ies) Claimed by Signer(s) Signer's Name: Edward N. Hackett ❑ Individual ❑ Corporate Officer—Title(s): ❑ Partner ❑ Limited ❑ General d Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other. Signer is Representing: Signers Name: None ❑ Individual ❑ Corporate Officer—Title(s). — ❑ Partner ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other Signer is Representing. POWER OF ATTORNEY Great Midwest Insurance Company KNOW ALL MEN BY THESE PRESENTS, that GREAT MIDWEST INSURANCE COMPANY, a Texas Corporation, with its principal in Houston, TX, does hereby constitute and appoint: Edward N. Hackett, Christine Maestas true and lawful Attorney(s)-In-Fact to make, execute, seal and deliver for, and on its behalf as surety. any and all bonds, undertakings or rings obligatory in nature of a bond. This authority is made under and by the authority of a resolution which was passed by the Board of Directors of GREAT NCE COMPANY, on the 10 day of October, 2018 as follows: Resolved, that the President, or any officer, be and hereby is, authorized to appoint and empower any representative of the Company person or persons as Attorney -In -Fact to execute on behalf of the Company any bonds, undertakings, policies, contracts of indemnity or oth gs obligatory in nature of a bond not to exceed Twenty -Five Million dollars ($25,000,000.00), which the Company might execute through i >lected officers, and affix the seal of the Company thereto. Any said execution of such documents by an Attorney -In -Fact shall be as bindir the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company. Any Attomey-In-Fact, rated, may be removed in the Company's sole discretion and the authority so granted may be revoked as specified in the Power of Attorney. Resolved, that the signature of the President and the seal of the Company may be affixed by facsimile on any power of attorney grans the signature of the Secretary, and the seal of the Company may be affixed by facsimile to any certificate of any such power and any si or or certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and see certificate so executed and sealed shall, with respect to any bond of undertaking to which it is attached, continue to be valid and binding on IN WITNESS THEREOF, GREAT MIDWEST INSURANCE COMPANY, has caused this instrument to be signed by its President, and r Seal to be affixed this I 1 th day of February, 2021. dl't'6'viatayy� OORPOSATESEAL a CORPbR�pd* ACKNOWLEDGEMENT GREAT MIDWEST INSURANCE COMPANY BY iiA`f 1ni •'r^d+lT�i Mark W. Haushill President On this 11th day of February, 2021, before me, personally came Mark W. Haushill to me known, who being duly sworn, did depose and that he is the President of GREAT MIDWEST INSURANCE COMPANY, the corporation described in and which executed the above instrument; he executed said instrument on behalf of the corporation by authority of his office under the Bylaws of said corporation. SENCHRISTINA BISHOP Notary Public, Stets of Taxa BY Comm. Expires 04.14.2025 Christina Bishop Notary ID 191080488 1 Notary Public CERTIFICATE I, the undersigned, Secretary of GREAT MIDWEST INSURANCE COMPANY, A Texas Insurance Company, DO HEREBY CERTIFY that original Power of Attorney of which the foregoing is a true and correctcopy, is in full force and effect and has not been revoked and the resolutions set forth are now in force. and Sealed at Houston, TX this 11th Day of JUIV . 20 24 . Leslie K. Shay Secretary 1: Any person who knowingly and with intent to defraud any Insurance company or other person, files and application for insurance of Gal any materially false Information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits insurance act. which Is a crime and subjects such person to criminal and civil penalties. No. 5780-2 STATE OF CALIFORNIA DEPARTMENT OF INSURANCE SAN FRANCISCO Amended Certificate of Authority THIS IS TO CERTIFY, That, pursuant to the Insurance Code of the State of California Great Midwest Insurance Company of Texas, organized under the laws of Texas,, subject to its Articles of Incorporation or other fundamental organizational documents, is hereby authorizedto transact within this State, subject to al/provisions ofthis Certificate, the following classes of Insurance: Fire, Marine, Surety, Disability, Plate Glass, Liability, Workers' Compensation, Common Carrier Liability, Boiler and Machinerv, Burglary, Credit, Sprinkler, Team and Vehicle, Automobile, and Aircraft as such classes are now or may hereafter be defined in the Insurance Laws ofthe 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 ofthe laws ofthe State ofCaliforma 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 IN WITNESS WHEREOF, effective as ofthe 0 day ofAugwt,1015, 1 have hereunto set my hand and caused my official seal to be i fixed this 4!0 day ofAugust, 1015. Dave Jones bawaxe Cow iuioner Y� By Valerie Softly for Nettie Hoge CW./orywy NOTICE: Qualification with the Secretary of State mon be accomplished as required by the California Corporations Code promptly after issuance ofthis Certificate ofAuthoriry. Failure to do w will be a violation of Insurance Code section 701 and will be grmmds for revoking this Certificate of Authority pursuant in the covenants made in the application therefor and the conditions contained herein. BIDDER: SERVITEK ELECTRIC, INC. 2.B LIST OF PROPOSED SUBCONTRACTORS In compliance with the "Subletting and Subcontracting Fair Practices Act," Sections 4100 through 4114 of the California Public Contract Code, and any amendments thereto, each Bidder shall provide the information requested below for each subcontractor who will perform work, labor or render service to Bidder in or about the construction of the Work in an amount in excess of one-half of one percent (greater than 0.5 %) of the Bidder's Total Bid Price, or, in the case of bids or offers for the construction of streets or highways, including bridges, in excess of one-half of 1 percent of the Contractor's total bid or ten thousand dollars ($10,000), whichever is greater, and shall further set forth the portion of the Work which will be done by each subcontractor. Bidder shall list only one subcontractor for any one portion of the Work. Pursuant to Public Contract Code Section 4104, the Owner has detemvned that it will allow Bidders twenty-four (24) additional hours after the deadline for submission of bids to submit the information requested by the Owner about each subcontractor, other than the name and location of each subcontractor. If the Bidder fails to specify a subcontractor for any portion of the Work to be performed under the Contract, it shall be deemed to have agreed to perform such portion itself, and shall not be permitted to subcontract that portion of the Work except under the conditions hereinafter set forth below. Subletting or subcontracting of any portion of the Work in excess of one half of one percent (greater than 0.5%) of the Total Bid Price or, in the case of bids or offers for the construction of streets or highways, including bridges, in excess of one-half of 1 percent of the Contractor's total bid or ten thousand dollars ($10,000), whichever is greater, for which no subcontractor was designated in the original bid shall only be permitted in cases of public emergency or necessity, and then only after Owner approval. CBF -11 BIDDER: SERVITEK ELECTRIC, INC. 2.11 LIST OF PROPOSED SUBCONTRACTORS (continued) [**Duplicate Next 2 Pages if needed for listing additional subcontractors.**] Name and Location Description of Work of Subcontractor to be Subcontracted Name: N/A License No.: Department of Industrial Relation Registration No. Name and Location of Subcontractor Name: N/A License No.: Department of Industrial Relation Registration No.. Name and Location of Subcontractor Name: N/A License No.: Department of Industrial Relation Registration No.. Name and Location of Subcontractor Name: N/A Address: License No.: Department of Industrial Relation Registration No. Description of Work to be Subcontracted Description of Work to be Subcontracted Description of Work to be Subcontracted Name and Location Description of Work of Subcontractor to be Subcontracted Name: N/A License No.: Department of Industrial Relation Registration CBF -12 BIDDER: SERVITEK ELECTRIC, 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: 1. City of Los Angeles, Bureau of Street Lighting 11149 S Broadway, Los Angeles, CA 90015 Name and Address of Owner Robert Tom (Project Engineer) 1 (213) 473-7426 Name and telephone number of person familiar with project Riverside Drive Lighting $ 922,708.00 Improvement Unit 2 CIP February 10, 2023 Contract amount Type of Work Date Completed 2. City of Santa Ana 120 Civic Center Plaza, Santa Ana, CA 92701 Name and Address of Owner Mindy Ly (Project Manager) 1 (714) 647-5665, Name and telephone number of person familiar with project $ 446,950.00 Jerome Park Ballfield Lighting (West Field) April 2022 Contract amount Type of Work Date Completed 3. City of Los Angeles, Bureau of Street Lighting 11149 S Broadway, Los Angeles, CA 90015 Name and Address of Owner Robert Tom (Project Engineer) 1 (213) 473-7426 Name and telephone number of person familiar with project $ 1,230,090.00 Westside Unit 5 - Streetlighting February 3, 2023 Contract amount Type of Work Date Completed CBF -13 BIDDER: SERVITEK ELECTRIC, INC. 4. City of South Gate 1 8650 California Avenue, South Gate, CA 90280 Name and Address of Owner Jose Loera (City Traffic Engineer) 1 (323) 563-9578 Name and telephone number of person familiar with project $ 351,857.00 Contract amount Replacement of Damaged Traffic Signal Poles Projec Type of Work CBF -14 October 23, 2023 Date Completed BIDDER: SERVITEK ELECTRIC, INC. SECTION 3 NON-COLL USION AFFIDAVIT CBF -15 BIDDER: SERVITEK ELECTRIC, INC. NON -COLLUSION AFFIDAVIT In accordance with Public Contract Code Section 7106, the undersigned, being fust duly sworn, deposes and says that he or she holds the position listed below with the bidder, the party making the foregoing bid, that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. VA - Signature S gnature GEOFFREYES Typed or Printed Name PRESIDENT Title SERVITEK ELECTRIC, INC. Bidder State of Texas County of Tarrant Subscribed and sworn before me This 16th day of July 2024 Notary Public in and for the State of C hommia Texas ., 07/19/2024 My Commission Expires: 01/24/2028 \01111116/qp�// (S�eha aggD n Johnson t = 3 1 fa ID NUMBER 131)28009 �q�q tF GF t6� N///InPIII1POS\�\�\ COMMISSION EXPIRES .I q 24,2=8 Electronically signed and notarized online using the Proof platform. CBF -16 BIDDER: Select Electric, Inc. CITY OF ROSEMEAD WALNUT GROVE AVENUE STREET LIGHT INSTALLATION PROJECT No. 43009 SECTION I - BID SCHEDULE CONTRACT BID FORMS CBF -1 BIDDER: Select Electric, Inc. BID SCHEDULE SCHEDULE OF PRICES FOR WALNUT GROVE AVENUE STREET LIGHT INSTALLATION PROJECT No. 43009 TOTAL BASE BID AMOUNT IN WORDS: Sj V \ a \Ayea �_ihA Liga 11lt,iL_Zh jLVT � Ui)C\Y£C: 1�`�-.t �-V\nr� NA 2 YL, CXR\AS. The award of Contract shall be based on the TOTAL BASE BID AMOUNT. In the case of discrepancies in the amount of bid, unit prices shall govern over extended amounts, and words shall govern over fiwres. Full compensation for the items listed to the A. Mobilization / Demobilization CBF -2 EST. UNIT ITEM NO. ITEM DESCRIPTION UNIT QTY. PRICE COST Solar Street Lighting: Furnish and install Fonroche Smartlight [f54-CK16B-4K- T3][P3104P]1248Wh NiMH batteries, 7100 lumen all nightfull brightness darksky certified fixture, 310w solar panel, 28'3" spuncast pre -stressed Octagonal concrete poles, LoRa & cellular based central control/monitoring, 10 year non pro -rated full parts and labor warranty. 1 Work includes installation of 28'3" octagonal concrete poles and foundation, including 6' EA 22 $ Q3, \30 arm, anchor bolts, and LED light fixtures (Manufacturer: Fonroche Lighting America), and all related appurtenances for complete solar street light installation, as identified on Appendix B — Solar Light System Specs and on Technical Specifications. Cost to furnish engineered plans/shop drawings including foundation design stamped by California Licensed Engineer shall be provided as part of the bid. Lighting Fixtures: Furnish and install King Luminaire Light Fixture "K118R-B2AR-lll- 75(SSL)-1036-120:277V-K14-PR-3K-BK- #1", as identified on Appendix C — King 2 Luminaire Light Fixture Specs. (Vendor. EA 44 $ 3 yCG- South Coast Lighting and Design). Work includes removal of existing lighting fixtures and installation of King Luminaire Light Fixtures along Valley Blvd from Rosemead Blvd to Loma Avenue. TOTAL BASE BID AMOUNT IN NUMBERS $ LP5S.`t((, a" TOTAL BASE BID AMOUNT IN WORDS: Sj V \ a \Ayea �_ihA Liga 11lt,iL_Zh jLVT � Ui)C\Y£C: 1�`�-.t �-V\nr� NA 2 YL, CXR\AS. The award of Contract shall be based on the TOTAL BASE BID AMOUNT. In the case of discrepancies in the amount of bid, unit prices shall govern over extended amounts, and words shall govern over fiwres. Full compensation for the items listed to the A. Mobilization / Demobilization CBF -2 BIDDER: Selert Electric. Inc. right as Items A, B, C, D and E are considered as inclusive in each Bid Item listed above in B. Traffic Control C. NPDES, WWECP, and Best Management the Bid Schedule as applicable, and no Practices (BMPs), Public Convenience and additional and/or separate compensation will Safety D. Construction Staking by Land Surveyor be allowed. E. Clearing 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. 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 prices. 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 satisfactorily completed. Note: The City of Rosemead reserves the right to reduce or increase the quantities of any items in the schedule of bid items above, within the limits define in Section 3-2.2.1 of the Standard Specifications, to stay within the budgeted amount of this project. The award of Contract shall be based on the TOTAL BASE BID AMOUNT only. If the Bid lists any Additive Alternate bids, the ADDITIVE ALTERNATE BID ITEMS shown per the ADDITIVE ALTERNATE BID SCHEDULE above 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 peifonnance of the contract. 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 the amount of `'"+Dollars ($us,16LAU '� )said amount emg not less than ten percent (10%) of the Total Bid Price. The undersigned agrees that said amount shall be retained by the Owner if, upon award, we fail or refuse to execute the Contract and furnish the required bonds, certificates and endorsements of insurance and other certifications within the time provided. CBF -3 BIDDER: Select Electric, Inc. If awarded a Contract, the undersigned agrees to execute the formal Contract, which will be prepared by the Owner for execution, within five (5) Calendar Days following the Letter of Award for the Contract, and will deliver to the Owner within that same period the necessary original Certificates of Insurance, Endorsements of Insurance, Performance Bond, Payment Bond and all other documentation and certification required by the Contract. The undersigned offers and agrees that if this bid is accepted, it will assign to the purchasing body all rights, title, and interest in and to all causes of action it may have under Section 4 of the Clayton Act (15 U.S.C. Section 15) or under the Cartwright Act (Chapter 2 of Part 2 of Division 7 of the Business and Professional Code), arising from purchases of goods, materials or services by the Bidder for sale to the purchasing body pursuant to the bid. Such assignment shall be made and become effective at the time the purchasing body tenders final payment to he Contractor. Bidder understands and agrees that, when requested by Owner, he shall provide: (1) evidence satisfactory to the Owner of Bidder's California contractor's license(s) in good standing; (2) evidence that the person signing this Bid is authorized to bind Bidderto 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. Bidder acknowledges that data submitted with its Contract Bid Forms which it requires to be incorporated into a Contract arising out of this Submittal has been so identified by Bidder. Bidder further acknowledges that the Owner may, at its discretion, incorporate any of the remaining data submitted herewith into a contract arising out of this Bid. The undersigned acknowledges receipt, understanding and full consideration of the following addenda to the Contract Documents. Addenda Nos. The Bidder understands and agrees that the Total Bid Price is inclusive of all labor, materials, and equipment or supplies necessary to complete the Work as described in the Bid Documents. If this bid is accepted, the undersigned Bidder agrees to enter into and execute the Contract with the necessary bonds and accept the Total Bid Price as compensation in full for all Work under the contract - CBF -4 BIDDER: Select Electric. Inc. EXAMINATION OF SPECIFICATIONS AND SITE OF WORK The Bidderdeclares thathe/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 datebelow) and that he/she understands the exact scope of the Project. Name of Person who inspected the site: Date of Inspection: Landon Smith 7/2/24 ADDENDA ACKNOWLEDGMENT The Bidder acknowledges receipt of the following Addenda and has included their provisions in this Proposal: Addendum N Addendum No Addendum No. Dated 7/11/24 Dated Dated Addendum No. Dated CBF -5 BIDDER: Select Electric, 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 otherwise 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. CBF -6 BIDDER: Select Electric, 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 Contractor's 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: Signature Allen McLane Type or Print Name President Title BIDDER Select Electric, Inc. 1700 E. Via Burton. Business Street Address Anaheim, CA. 92806 City, State and Zip Code 619-460-6060 Telephone Number Biddees/Contractor's State of Incorporation: California Partners or Joint Venturers: Bidder's License Number(s): 297034 Department Industrial Relations Registered No. 1000001036 NOTES: 1) By its signature on this Bid, the Bidder certifies under penalty of perjury the accuracy of the representations made on the Contract Bid Forms. 2) If Bidder is a corporation, enter State of Incorporation in addition to Business Address 3) If Bidder is a partnership or joint venture, give full names of all partners or joint venturers. As further discussed in the Instructions to Bidders, Bidder wM be equ red to provide evidence that the person signing on behalf of the CBF -8 Certified Resolution of the Board Of Directors of SELECT ELECTRIC, INC. A California Corporation I, Mario A. Tapanes, certify as follows: 1. I am the duly elected Secretary of Select Electric, Inc., a California corporation ("Company") and as such I am authorized to provide this certification. 2. The following resolution is a true and correct copy of the resolution adopted by the Board of directors of the Company on March 15, 2022: RESOLVED: The following persons are authorized to execute any and all documents necessary for bidding or contracting work on behalf of the Company: Name Luis A. Armona Allen McLane Frederick Furry Mario A. Tapanes Sam Passanisi Title Chief Executive Officer President / Chief Operating Officer Chief Financial Officer / Treasurer Secretary Assistant Secretary All prior resolutions of the Company designating authorized signatories for bidding or contracting work on its behalf are rescinded and revoked effective immediately and superseded by the foregoing resolution. 3. There has been no change to the resolution since the date of its adoption and it remains true and correct. Dated: March 15, 2023 Mario A. Tapanes Secretary BIDDER: Select Electric, Inc. SECTION 2 BID DATA FORMS CBF -9 BIDDER: Select Electric, 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 as Principal, and Fidelity and Deposit Company of Maryland as Surety, are held firmly bound unto the CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of Ten Percent of the Total Amount Bid ($ 10% of Bid ), being not less than ten percent (10%) of the Total Bid Price, for the payment of which sum will and truly to be made, we bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents. WHEREAS, said Principal has submitted a bid to the O WNERtoperform all Work required for the WALNUT GROVE AVENUE STREET LIGHT INSTALLATION—asset forth in the Notice Inviting Bids and accompanying Bid Documents, dated July 17, 2024 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 11th day of July 20 24 . Fidelity and Deposit Select Electric, Inc. (SEAL) Company of Maryland _(SEAL) Principal Surety C By: By: �d Signature Pym McLa e t 1we�de rY Signature Heather Saltarelli, Attorney -in -Fact CBF- 10 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verify 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 JUL 112024 before me, _ Kim Luu, Nota1n Public _ _- Date Here Insert Name and Title of the Officer personally appeared Heather Saltarelli Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(les), and that by his/her/their signature(s) on the Instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. KIM wu WITNESS my hand and ficial seal. Commmion p 2472703 %My ORANGE County Comm. Expires DEC 17, 2027 Signature _ Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: __ Signer(s) Other Than Named Above: Capacfty(les) Claimed by Signer(s) Signer's Name: -- Corporate Officer — Title(s): Partner — - Limited General Individual x 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: 02014 National Notary Association • www.Nationa[Notay.org - 1 -800 -US NOTARY (1-800-876.6827) Item #5907 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Los Angeles On July 16, 2024 Before me, Lisa Johnson, Notary Public NAME personally appeared Allen McLane, President NAME OF SIGNER who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is subscribed to the _ within instrument and acknowledged to me that he/she/they _ ��«�«.««...•LISA JOHNSON N: executed the same in his/her/their authorized capacity(ies), COMM. #2365176 3 and that by his/her/their signature(s) on the instrument the NOTARY PUBLIC • CALIFORNU p person(s), or the entity upon behalf of which the person(s) LOS ANGELES COUNTY acted, executed the instrument. My Comm. Expires JULY 72.2025 t 1NINN��N�� NN�NNN��NN�N 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 OF NOTARY) OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ❑ INDIVIDUAL ® CORPORATE OFFICER City of Rosemead Bid Bond TITLE OR TYPE OF DOCUMENT TITLE(S) ❑ PARTNER(S) ❑ LIMITED GENERAL C i ATTORNEY-IN-FACT TRUSTEE(S) GUARDIAN/CONSERVATOR 'yffm, SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENT]"MIES) NUMBER OF PAGES July 11, 2024 DATE OF DOCUMENT SIGNER OTHER THAN NAMED ABOVE ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Robert D. Murray, Vice President, in pursuance of authority granted by Article V. Section 8. of the By -Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof. do hereby nominate. constitute, and appoint Jeri APODACA, Jessica ALVARADO, Leigh MCDONOUGH, Mark RICHARDSON, Kevin CATHCART. Terah LANE, James A. SCHALLER, Heather SALTARELLI, Mils PARIZINO, Rachelle RHEAULT, Kim LUU of Irvine, California, its true and lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York. New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a hue copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 19th day of Febmary, A.D. 2024. _I ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND By: Robert D. Murray Vice Resident BY Dawn E. Brown Secretary State of Maryland County of Baltimore On this 191h day of Februay, A.D. 2024, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, Robert D. Murray, Vice President and Dawn E. Brawn, Secretary ofthe Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly swom, deposeth and saith, that he/she is the said officer of the Company aforesaid, and that the seats affixed to the preceding instrument are the Corporate Seals ofsaid Companies. and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. Genevieve M. Maison Authenticity of this bond can be confirmed at bondvalidator.zurichna.com or 410-559-8790 �EVEnA OFNEVIEVE M. MAISON tannavautare/'fy�:o,,mr;% fioI.TIMOREeWNrY, MD '�•�..'oRE ,.` My Lamy ration E.pree a6M1ARV 2r, 21]5 Authenticity of this bond can be confirmed at bondvalidator.zurichna.com or 410-559-8790 EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8, Attomevs-in-Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attomeys-in-fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attomey-in-fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of the By -Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney... Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SUREIY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 10th day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attomey issued by the Company, shall be valid and binding upon the Company with the same force and effect m though manually affixed. IN TESTIMONY WHEREOF, I have hereunto subscribed my time and affixed the corporate seals of the said Companies, this dayofh_�� -`�LZsoallr I "".. _.`•��PN wcp�', ...r..1 Cona". _r `OO Lys ap ..--•� ,i,'y 0a:� U ti3'a '�tiO•PPOggA i. _ =a 1pP9OR4r:n4. _a pyo SEAL 1'_`:•`SEAL :l:==`1 SEAL !,a= Thomas 0. McClellan Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND, THE BOND NUMBER, AND YOUR CONTACT INFORMATION TO: Zurich Surety Claims 1299 Zurich Way Schaumburg, IL 60196-1056 renortsiclain'sa zurichna.cont 800-626-4577 Authenticity of this bond can be confirmed at bondvalidator.zuricbna.com or 410-559-8790 BIDDER: Select Electric, Inc. 2.B LIST OF PROPOSED SUBCONTRACTORS In compliance with the "Subletting and Subcontracting Fair Practices Act," Sections 4100 through 4114 of the California Public Contract Code, and any amendments thereto, each Bidder shall provide the information requested below for each subcontractor who will perform work, labor or render service to Bidder in or about the construction of the Work in an amount in excess of one-half of one percent (greater than 0.5 %) of the Bidder's Total Bid Price, or, in the case of bids or offers for the construction of streets or highways, including bridges, in excess of one-half of 1 percent of the Contractor's total bid or tet thousand dollars ($10,000), whichever is greater, and shall further set forth the portion of the Work which will be done by each subcontractor. Bidder shall list only one subcontractor for any one portion of the Work. Pursuant to Public Contract Code Section 4104, the Owner has determined that it will allow Bidders twenty-four (24) additional hours after the deadline for submission of bids to submit the information requested by the Owner about each subcontractor, other than the name and location of each subcontractor. If the Bidder fails to specify a subcontractor for any portion of the Work to be performed under the Contract, it shall be deemed to have agreed to perform such portion itself, and shall not be permitted to subcontract that portion of the Work except under the conditions hereinafter set forth below. Subletting or subcontracting of any portion of the Work in excess of one half of one percent (greater than 0.5%) of the Total Bid Price or, in the case of bids or offers for the construction of streets or highways, including bridges, in excess of one-half of 1 percent of the Contractor's total bid or ten thousand dollars ($10,000), whichever is greater, for which no subcontractor was designated in the original bid shall only be permitted in cases of public emergency or necessity, and then only after Owner approval. CBF - 11 BIDDER: Select Electric, Inc. 2.B LIST OF PROPOSED SUBCONTRACTORS (continued) [**Duplicate Next 2 Pages if needed for listing additional subcontractors.**] Name and Location Description of Work of Subcontractor to be Subcontracted Name:�OV�Q� Address: License No.: Department of Industrial Relation Registration No. Name and Location of Subcontractor Name: Description of Work to be Subcontracted Address:_ License No_.: _ Department of Industrial Relation Registration No. Name and Location of Subcontractor Name: Description of Work to be Subcontracted License No.: _ Department of Industrial Relation Registration No. Name and Location of Subcontractor License No.: Description of Work to be Subcontracted Department of Industrial Relation Registration No. Name and Location of Subcontractor Description of Work to be Subcontracted Name: Address: License No.: Department of Industrial Relation Registration No. CBF -12 BIDDER: Select Electric, 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: 1. City of Pasadena - 100 N. Garfield Ave. Pasadena, CA. 91101 2. Name and Address of Owner is - 626-744-8479 Name and telephone number of person familiar with project $1,122,345.00 Traffic Signal Modification 1/2023 Contract amount Type of Work Date Completed City of EI Cajon - 200 Civic Center Way. EI Cajon, CA. 92020 Name and Address of Owner Raul Armenta - 619-441-1665 Name and telephone number of person familiar with project the furnishing and the installation of thirty-four (34) new public street lights standards with LED luminaires, approximately 5,500 linear feet of 3" $719,865.00 conduit (directional boring) 2/2024 Contract amount Type of Work Date Completed 3. City of Whittier - 13230 Penn St. Whittier, CA. 90602 Name and Address of Owner Bobby Ghaemi - 562-567-9505 Name and telephone number of person familiar with project Retrofit, street lighting, LED Luminaires, Pull Boxes, Conduit, 1/2022 $218,522.00 Services Pedestals Conductors Contract amount Type of Work Date Completed CBF - 13 4. BIDDER: Select Electric, Inc. Name and Address of Owner Name and telephone number of person familiar with project Contract amount Type of Work Date Completed CBF - 14 BIDDER; Select Electric, Inc. SECTION 3 NON COLLUSION AFFIDA VIT CBF - 15 BIDDER: Select Electric, Inc. NON -COLLUSION AFFIDAVIT In accordance with Public Contract Code Section 7106, the undersigned, being fust duly swom, 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 bidderor 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. Signature Allen McLane Typed or Printed Name President Title Select Electric, Inc. Bidder Subscribed and sworn before me �X This _ day of _ 0-,20 (Seal) Notary Public the State oW Expires: CBF -16 CALIFORNIA JURAT CERTIFICATE (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 Los Angeles County of _— g.._---- Subscribed and swom to (or affirmed) before me on this 16th. day of July. 20 _24by Allen McLane. President -_ proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. N{N{{NN{{{He{N{NN{NN{{{N{{ {N{{{ ! LISA JOHNSON p 1 COMM. #2365178 WITNESS MY HAND AND OFFICIAL SEAL. NOTARY PUBLIC CALIFORNIA p 2 � � lOS ANGELES COUNTY � My Comm. Ezplres JULY 12, 2025 % ' N{N{1NHIMH{HNNIHNIHNNN{N/N Signature of Notary Public (Notary Seal) OPTIONAL INFORMATION Mejurat contained within this document is in accnrMnre with California tma. Any affidavit subsmfbed and sworn to before a notary shall use bre preceding wording or snbstantially siadtarwording pursuant to Civil Cade sections 1189 and 8202. Ajurat cerlificale cannot be afjsred to a document sent by mail or otherwise delivered to a nary public, including electronic means, whereby the signer did not personally appear before the notarypublic, even if the signer is known by the notarypublic. The seat and signature cannot be affnzed to a document without the rorceet notarial wording. As an additional option an affiant can produce an affidavit on the same document as the notarial certificate wording to eliminate the ace of additional documentation. DESCRIPTION OF ATTACHED DOCUMENT Non -Collusion Affidavit (Title of document) Number of Pages J_(Includmg jurat) Document r)atc 07111/2024 Citv�Of Rosemead (Additional Information) CAPACITY CLAIMED BY THE SIGNER Individual Corporate Officer Partner Attorney-In•Fact Trustee Other: BIDDER: CROSSTOWN ELECTRICAL & DATA, IK BID SCHEDULE SCHEDULE OF PRICES FOR WALNUT GROVE AVENUE STREET LIGHT INSTALLATION PROJECT No. 43009 N0. ITEM DESCRIPTION UNIT EST. UNIT ITEM QTY. PRICE COST Solar Street Lighting: Furnish and install Fonroche Smartlight [T54-CK16B-4K- T3][P3104P] 1248Wh NiMH batteries, 7100 lumen all nightfull brightness dark sky certified fixture, 310w solar panel, 28'3" spuncast pre -stressed Octagonal concrete poles, LoRa & cellular based central control/monitoring, 10 year non pro -rated full parts and laborwarranty. Work includes installation of 287 octagonal 1 concrete poles and foundation, including 6' EA 22 $26,550.00 $ 584,100.00 arm, anchor bolts, and LED lightfixtures (Manufacturer: Fonroche Lighting America), and all related appurtenances for complete solar streetlight installation, as identified on Appendix B — Solar Light System Specs and on Technical Specifications. Cost to furnish engineered plans/shop drawings including foundation design stamped by California Licensed Engineer shall be provided as part of the bid. Lighting Fixtures: Furnish and install King Luminaire Light Fixture "K118R-B2AR-III- 75(SSL)-1036-120:277V-K14-PR-3K-BK- 41", as identified on Appendix C — King 2 Luminaire Light Fixture Specs. (Vendor. EA 44 $ 3,150.00 $ 138,600.00 South Coast Lighting and Design). Work includes removal of existing lighting fixtures and installation of King Luminaire Light Fixtures along Valley Blvd from Rosemead Blvd to Loma Avenue. TOTAL BASE BID AMOUNT IN NUMBERS $ 722,700.00 TOTAL BASE BID AMOUNT IN WORDS: SEVEN HUNDRED TWENTY-TWO THOUSAND SEVEN HUNDRED DOLLARS The award of Contract shall be based on the TOTAL BASE BID AMOUNT. In the case of discrepancies in the amount of bid, unit prices shall govern over extended amounts, and words shall govern over figures. Full compensation for the items listed to the A. Mobilization / Demobilization CBF -2 BIDDER: CROSSTOWN ELECTRICAL & DATA, IN 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, WWECP, and Best Management the Bid Schedule as applicable, and no Practices (BMPs), Public Convenience and additional and/or separate compensation will Safety be allowed. D. Construction Staking by Land Surveyor E. Clearing 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. 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 prices. 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 satisfactorily completed. Note: The City of Rosemead reserves the right to reduce or increase the quantities of any items in the schedule of bid items above, within the limits define in Section 3-2.2.1 of the Standard Specifications, to stay within the budgeted amount of this project. The award of Contract shall be based on the TOTAL BASE BID AMOUNT only. If the Bid lists any Additive Alternate bids, the ADDITIVE ALTERNATE BID ITEMS shown per the ADDITIVE ALTERNATE BID SCHEDULE above will not be taken into account in detennining 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. The undersigned agrees that these Contract Bid Forms constitute a firm offer to the Owner which cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and after the bid opening date, or until a Contract forthe Work is fully executed by the Owner and a third party, whichever is earlier. The undersigned also agrees that if there is a discrepancy between the written amount of the Bid Price and the numerical amount of the Bid Price, the written amount shall govern. Attached hereto is a certified check, a cashier's check or a bid bond in the amount of 14 Y. t .4-k bt� Dollars ($ lo,6 J . l„J tk h ) said amount being not less than ten percent (10%) of the Total Bid Price. The undersigned agrees that said amount shall be retained by the Owner if, upon award, we fail or refuse to execute the Contract and famish the required bonds, certificates and endorsements of insurance and other certifications within the time provided. CBF -3 BIDDER: CROSSTOWN ELECTRICAL & DATA, 11% If awarded a Contract, the undersigned agrees to execute the formal Contract, which will be prepared by the Owner for execution, within five (5) Calendar Days following the Letter of Award for the Contract, and will deliver to the Owner within that same period the necessary original Certificates of Insurance, Endorsements of Insurance, Performance Bond, Payment Bond and all other documentation and certification required by the Contract. The undersigned offers and agrees that if this bid is accepted, it will assign to the purchasing body all rights, title, and interest in and to all causes of action it may have under Section 4 of the Clayton Act (15 U.S.C. Section 15) or under the Cartwright Act (Chapter 2 of Part 2 of Division 7 of the Business and Professional Code), arising from purchases of goods, materials or services by the Bidder for sale to the purchasing body pursuant to the bid. Such assignment shall be made and become effective at the time the purchasing body tenders final payment to he Contractor. Bidder understands and agrees that, when requested by Owner, he shall provide: (1) evidence satisfactory to the Owner of Bidder's California 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. Bidder acknowledges that data submitted with its Contract Bid Forms which it requires to be incorporated into a Contract arising out of this Submittal has been so identified by Bidder. Bidder further acknowledges that the Owner may, at its discretion, incorporate any of the remaining data submitted herewith into a contract arising out of this Bid. The undersigned acknowledges receipt, understanding and full consideration of the following addenda to the Contract Documents. Addenda Nos. The Bidder understands and agrees that the Total Bid Price is inclusive of all labor, materials, and equipment or supplies necessary to complete the Work as described in the Bid Documents. If this bid is accepted, the undersigned Bidder agrees to enter into and execute the Contract with the necessary bonds and accept the Total Bid Price as compensation in full for all Work under the contract. CBF -4 BIDDER: CROSSTOWN ELECTRICAL & DATA, it 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 datebelow) and that he/she understands the exact scope of the Project. Name of Person who inspected the site: Date of Inspection: MIKE CUELLAR 07/12/2024 ADDENDA ACKNOWLEDGMENT The Bidder acknowledges receipt of the following Addenda and has included their provisions in this Proposal: Addendum No. 1 Dated 07/17/2024 Addendum No. Dated Addendum N Dated Addendum No. Dated CBF -5 BIDDER: CROSSTOWN ELECTRICAL & DATA, IN 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 tens "budder" 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 otherwise 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. N/A CBF -6 BIDDER: CROSSTOWN ELECTRICAL & DATA, IIS 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 Contractor's 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 DAVID P. HEERMANCE Type or Print Name PRESIDENT Title CALIFORNIA CORPORATION #: 2122963 BIDDER CROSSTOWN ELECTRICAL & DATA, IK 5454 DIAZ STREET Business Street Address IRWINDALE, CA, 91706 City, State and Zip Code 626-813-6693 Telephone Number ISSUE DATE: 10/13/1998 Bidder's/Contractoes State of Incorporation: CALIFORNIA Partners or Joint Venturers: Bidder's License Number(s): 756309 CLASS A & C-10 Department Industrial Relations Registered No. _ NOTES: 1000000155 1) By its signature on this Bid, the Bidder certifies under penalty of perjury the accuracy of the representations made on the Contract Bid Forms. 2) If Bidder is a corporation, enter State of Incorporation in addition to Business Address 3) If Bidder is a partnership or joint venture, give full names of all partners or joint venturers. As further discussed in the Instructions to Bidders, Bidder will be required to provide evidence that the person signing on behalf of the corporation, partnership or joint venture has the authority to do so. Bond No. CSBA-27765 BIDDER: Crosstown Electrical & Data. 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 Fomes are properly identified with the Bidder's name and page number. 2.A BID BOND KNOW ALL MEN BY THESE PRESENTS: THAT Crosstown Electrical & Data. Inc. as Principal, and Fidelity and Deposit Company of Maryland as Surety, are held firmly bound unto the CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of Ten Percent of the Amount Bid ($10% ), being not less than ten percent (101/6) 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 O WNERtoperform all Work required for the WALNUT GROVE AVENUE STREET LIGHT' INSTALLATION—as set forth in the Notice Inviting Bids and accompanying Bid Documents, dated July 17th, 2024 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 OWNERand judgment is recovered, said Surety shall pay all cosq,,%w incurred by the OWNER in such suit, including reasonable attorneys' fees tgdlem01 a"� fixed by the court. �� Q �ti SIGNED AND SEALED, this 12th day of Crosstown Electrical & Data, Inc. (SEA ) Fidality. and Deposit company of MaVAMSL Surety, ty "us �i,�� a By: By )0w9 Signature NVnGy�rTSide.t� Signat�tr Agr t Langrell, Attorney -in -Fact CBF -10 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange ) On 07/12/2024 before me, Melissa Ann Vaccaro Notary Public (insert name and title of the officer) personally appeared Adrian Langrell who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS m hand and official seal. /� MELISSAANN'✓ACCARO y- .. / a 1 COMM. N24M42 n � � rl Notary PubliciW,'i nia V) ORANGE COl1NTY LL 11\(�\,Q \r'�\/�. � 3:Nfy Comm. Expires May 12.2026 Signature (Seal) Melissa Ann Vaccaro Bond No. CSBA-27765 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Robert D. Murray, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint Daniel HUCKABAY, Frank MORONES, Dwight REILLY, Arturo AYALA, Shaunna ROZELLE OSTROM, Benjamin WOLFE, Chelsea LIBERATORE, Ben STONG, Michael D. STONG, R. NAPPI, Adrian LANGRELL of Orange, California, its true and lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 7th day of September, A.D. 2023. SEAL g'{ SEAL i2= `"�,,.,,,,, <,;,'•ry xvo?n,o.,' ATTEST: "ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND By: Robert D. Murray Vice President By: Dawn E. Brown Secretary State of Maryland County of Baltimore On this 7th day of September, A.D. 2023, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, Robert D. Murray, Vice President and Dawn E Brown, Secretary of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly swam, depowth and saith, that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. Authenticity of this bond can be confirmed at EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8, Attomevs-in-Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attomeys-in-fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney-in-fact to afrw the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE 1, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of the By -Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney ... Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 10th day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this 12th day of July 2024 unooln ,3 ` Wslun.�' IC . � P AegOJk., �lm1Cc QO�7°x° 10 I SEAL ^SEAL 'c�g y=5SEALIn- -'. J \.... S p` 'i3 t,-ylt�Y t� --iff y r"��r✓q ,,n" � nr1111iW1\�O"�` t 1 Thomas 0, McClellan Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND, THE BOND NUMBER, AND YOUR CONTACT INFORMATION TO: � Zurich Surety Claims 1299 Zurich Way Schaumburg,A.60196-1056 r�fclaims(alzurichna.com 800-626-4577 Authenticity of this bond can or 410-559-8790 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Los Angeles ) On July 17, 2024 before me, Angela Sherlin, Notary Public (insert name and title of the officer) personally appeared David Heermance who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal ANGELA KOLOPA SHEBUN _ ; Naury Public • California % = San Bernardino Counry Commission; 2192786 AWMy Camm. Expires Fet ). 202fi Signature (Seal) BIDDER: CROSSTOWN ELECTRICAL & DATA, D 2.B 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 be permitted to subcontract that portion of the Work except under the conditions hereinafter set forth below. Subletting or subcontracting of any portion of the Work in excess of one half of one percent (greater than 0.5%) of the Total Bid Price or, in the case of bids or offers for the construction of streets or highways, including bridges, in excess of one-half of 1 percent of the Contractor's total bid or ten thousand dollars ($10,000), whichever is greater, forwhich 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 BIDDER: CROSSTOWN ELECTRICAL & DATA, IK 2.11 LIST OF PROPOSED SUBCONTRACTORS (continued) [**Duplicate Next 2 Pages if needed for listing additional subcontractors.**] Name and Location of Subcontractor Description of Work to be Subcontracted Name: NONE Address: License No.: Department of Industrial Relation Registration No. Name and Location Description of Work of Subcontractor to be Subcontracted License No.: Department of Industrial Relation Registration No. Name and Location of Subcontractor Name: Address: License No.: Description of Work to be Subcontracted Department of Industrial Relation Registration N Name and Location of Subcontractor Description of Work to be Subcontracted Address: License No.: Department of Industrial Relation Registration No. Name and Location of Subcontractor Description of Work to be Subcontracted Address: License No.: Department of Industrial Relation Registration No. CBF - 12 BIDDER: CROSSTOWN ELECTRICAL & DATA, IN 2.0 REFERENCES The following are the names, addresses and telephone numbers for three public agencies for which BIDDER has performed similar work within the past two (2) years: 1. COACHELLA VALLEY ASSOCIATION OF GOVERNMENTS/ 74-199 El Paseo Suite 100, Palm Desert, CA, 92260 Name and Address of Owner Name and telephone number of person $20,457,337.90 Conduit, Pull Boxes, Traffic Signal, Fiber, Communication, CCTV 02/2024 Contract amount Type of Work Date Completed 2. CITY OF SANTA CLARITA / 23920 VALENCIA BLVD., SANTA CLARITA, CA, 91355 Name and Address of Owner CESAR ROMO 661-286.4002 Name and telephone number of person familiar with project Traffic Contract amount Modification, Conduit, Fiber 01/2024 Type of Work Date 3. CITY OF PASADENA / 100 N GARFIELD AVE, PASADENA, CA, 91101 Name and Address of Owner DAVID PHAN 626-744-4790 Name and telephone number of person familiar with project INSTALLATION OF FIBER OPTIC, $201,299.00 SPLICING OF FIBER, INSTALLATION OF COMMUNICATION EQUIPMENT 10/2023 Contract amount Type of Work CBF -13 Date Completed 4. BIDDER: CROSSTOWN ELECTRICAL & DATA, IN Name and Address of Owner Name and telephone number of person familiar with project Contract amount Type of Work Date Completed CBF -14 BIDDER: CROSSTOWN ELECTRICAL & DATA, Ir NON -COLLUSION AFFIDAVIT In accordance with Public Contract Code Section 7106, the undersigned, being first duly swom, 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 bidderhas 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. _ "Signature " — V DAVID P. Typed or Printed Name PRESIDENT Title CROSSTOWN ELECTRICAL & DATA INC. Bidder Subscribed and sworn before me This 17TH day of )LILY 20 24 Notary Public in and for the State of Califomim.`J My CBF -16 (Seal) A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Los Angeles Subscribed and sworn to (or affirmed) before me on this 17th day of July 20 24 , by David Heermance proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. 00ANGELA ROLOPA SNERON Notary Public -California San Bernardino County ! Commission 412392736 my Comm. Expires Pob 3, 7021 (Seal) Signaturelvqjr CITY OF ROSEMEAD CALIFORNIA ADDENDUM #1 REQUEST FOR BIDS FOR WALNUT GROVE AVENUE STREET LIGHT INSTALLATION PROJECT No. 43009 Date Issued: July 11, 2024 BIDDER: DBX, Inc. CITY OF ROSEMEAD WALNUT GROVE AVENUE STREET LIGHT INSTALLATION PROJECT No. 43009 SECTION I - BID SCHEDULE CONTRACT BID FORMS CBF -1 BIDDER: DBX, Inc. BID SCHEDULE SCHEDULE OF PRICES FOR WALNUT GROVE AVENUE STREET LIGHT INSTALLATION PROJECT No. 43009 N0. ITEM DESCRIPTION UNIT EST. UNIT ITEM QTY. PRICE COST Solar Street Lighting: Furnish and install Fonroche Smartlight [T54-CK16B4K- T3)[P310-4P)1248Wh NiMH batteries, 7100 lumen all night full brightness dark sky certified fixture, 310w solar panel, 28'T spuncast pre -stressed Octagonal concrete poles, LoRa & cellular based central control/monitoring, 10 year non pro -rated full parts and labor warranty. Work includes installation of 28'3"octagonal � 1 concrete poles and foundation, including 6' EA 22 $z�2�.b0 $5(,00151(0.00 arm, anchor bolts, and LED lightfxtures (Manufacturer: Fonroche Lighting America), and all related appurtenances for complete solar street light installation, as identified on Appendix B — Solar Light System Specs and on Technical Specifications. Cost to furnish engineered plans/shop drawings including foundation design stamped by California Licensed Engineer shall be provided as part of the bid. Lighting Fixtures: Furnish and install King Luminaire Light Fixture 'K118R-B2AR-III- 75(SSL)-1036-120:277V-K14-PR-3K-BK- #1', as identified on Appendix C — King 2 Luminaire Light Fixture Specs. (Vendor. EA 44 $ $ 1610, 54O• OD South Coast Lighting and Design). Work includes removal of existing lighting fixtures and installation of King Luminaire Light Fixtures along Valley Blvd from Rosemead Blvd to Loma Avenue. TOTAL BASE BID AMOUNT IN NUMBERS $ '7271 0,T& -M TOTAL BASE BID AMOUNT IN WORDS: Sev.e_n —R..xe✓5 — `-,, S�V2V -\ - "\nu-cyl c Vi A,,/ -S� x eDbA\ Cs;7 i ZE' TA 0,e_aktE,_ The award of Contract shall be based on the TOTAL BASE BID AMOUNT. In the case of discrepancies in the amount of bid, unit prices shall govem over extended amounts, and words shall govem over figures. Full compensation for the items listed to the A. Mobilization / Demobilization CBF -2 BIDDER: QBX, Inc. right as Items A, B, C, D and E are considered B. Traffic Control C. NPDES, WWECP, and Best Management as inclusive in each Bid Item listed above in the Bid Schedule as applicable, and no Practices (BMPs), Public Convenience and additional and/or separate compensation will Safety be allowed. D. Construction Staking by Land Surveyor E. Clearing 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. 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 prices. 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 satisfactorily completed. Note: The City of Rosemead reserves the right to reduce or increase the quantities of any items in the schedule of bid items above, within the limits define in Section 3-2.2.1 of the Standard Specifications, to stay within the budgeted amount of this project. The award of Contract shall be based on the TOTAL BASE BID AMOUNTonly. If the Bid lists any Additive Alternate bids, the ADDITIVE ALTERNATE BID ITEMS shown per the ADDITIVE ALTERNATE BID SCHEDULE above 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. The undersigned agrees that these Contract Bid Forms constitute a firm offer to the Ownerwhich cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and after the bid opening date, or until a Contract forthe Work is fully executed by the Owner and a third party, whichever is earlier. The undersigned also agrees that if there is a discrepancy between the written amount of the Bid Price and the numerical amount of the Bid Price, the written amount shall govern. Attached hereto is a certified check, a cashier's check or a bid bond in the amount of 10% of bid amount Dollars ($ 10% of bid ) said amount being not less than ten percent (10%) of the Total Bid Price. The undersigned agrees that said amount shall be retained by the Owner if, upon award, we fail or refuse to execute the Contract and furnish the required bonds, certificates and endorsements of insurance and other certifications within the time provided. CBF -3 BIDDER: DBX, Inc. If awarded a Contract, the undersigned agrees to execute the formal Contract, which will be prepared by the Owner for execution, within five (5) Calendar Days following the Letter of Award for the Contract, and will deliver to the Owner within that same period the necessary original Certificates of Insurance, Endorsements of Insurance, Performance Bond, Payment Bond and all other documentation and certification required by the Contract. The undersigned offers and agrees that if this bid is accepted, it will assign to the purchasing body all rights, title, and interest in and to all causes of action it may have under Section 4 of the Clayton Act (15 U.S.C. Section 15) or under the Cartwright Act (Chapter 2 of Part 2 of Division 7 of the Business and Professional Code), arising from purchases of goods, materials or services by the Bidder for sale to the purchasing body pursuant to the bid. Such assignment shall be made and become effective at the time the purchasing body tenders final payment to he Contractor. Bidder understands and agrees that, when requested by Owner, he shall provide: (1) evidence satisfactory to the Owner of Bidder's California contractor's license(s) in good standing; (2) evidence that the person signing this Bid is authorized to bind Bidderto this Bid and to a contract resulting therefrom; and (3) any other information and documentation, financial or otherwise, needed by Owner to award a Contract to the lowest responsible and responsive bidder. Bidder understands and agrees that liquidated damages shall apply to this Contract in the amounts of five hundred dollars ($500.00) per calendar day if project is not completed within the working the Contract Form and the Contract Documents. Bidder acknowledges that data submitted with its Contract Bid Forms which it requires to be incorporated into a Contract arising out of this Submittal has been so identified by Bidder. Bidder further acknowledges that the Owner may, at its discretion, incorporate any of the remaining data submitted herewith into a contract arising out of this Bid. The undersigned acknowledges receipt, understanding and full consideration of the following addenda to the Contract Documents. Addenda Nos. 1 The Bidder understands and agrees that the Total Bid Price is inclusive of all labor, materials, and equipment or supplies necessary to complete the Work as described in the Bid Documents. If this bid is accepted, the undersigned Bidder agrees to enter into and execute the Contract with the necessary bonds and accept the Total Bid Price as compensation in full for all Work under the contract. CBF -4 BIDDER: DBX, Inc. 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: Date of Inspection: James C. Perry 07/17/2024 ADDENDA ACKNOWLEDGMENT The Bidder acknowledges receipt of the following Addenda and has included their provisions in this Proposal: Addendum No. 1 Addendum No. Addendum N Addendum No. Dated Dated Dated CBF -5 07/11/2024 BIDDER: DBX, 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 V 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 otherwise 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 -/— If the answer is yes, explain the circumstances in the following space. N/A CBF -6 BIDDER: DBX, 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 Contractor's 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: / Q/rw9j? IZ----- Sig* tune James C. Perry Type or Print Name President/SecretarylTreasurer Title BIDDER: DBX, Inc. 42024 Avenida Alvarado, Suite A Business Street Address Temecula, CA 92590 City, State and Zip Code 951-296-9909 Telephone Number Bidder's/Contractor's State of Incorporation: California Partners or Joint Venturers: Bidder's License Number(s): 240547 Department Industrial Relations Registered No. 1000004242 NOTES: M 1) By its signature on this Bid, the Biddercertifies 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 Bidderis a partnership or joint venture, give full names of all partners or joint venturers. As further discussed in the Instructions to Bidders, Bidder will be required to provide evidence that the person signing on behalf of the corporation, partnership or joint venture has the authority to do so. CBF -8 CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Riverside On 07/17/2024 Date personally appeared James C. before me, Sonia Torres, Notary Public Here Insert Name and Title of the Officer Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. ION14 TORRES aCommission No. 2475356 a NOTARY PUBLIC -CALIFORNIAZ1 SAN DIEGO COUNTY } Commission Expres December 5, 2027 f 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 Sign ure of No ry Public Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: of Pages: Capacity(les) Claimed byy Signers) Signer's Name: James C. Perry Signer's Name: ® Corporate Officer — Title(s):Presidernlsecretary/Tree:urer p Corporate Officer — Title(s): D Partner— D Limited ❑ General ❑ Partner— ❑ Limited I7 General D Individual ❑ Attorney in Fact D Individual ❑ Attorney in Fact D Trustee O Guardian or Conservator D Trustee ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: 02019 National Notary Association RESOLUTION OF OFFICER'S AUTHORITY "WHEREAS, from time to time this corporation, being DEX, Inc., a California corporation, is called upon to execute documents by which this corporation enter into contracts, bonds, obligations of performance, surety and of other legal consequences, and "WHEREAS; third persons may require or request come ':vritten authority evidenrjnc• and dentiiying those persons who are officers and authorized to execute such documents Per and on behalf of this corporation, now, therefore, it is " RESOI VED, -chat JAMES -:. PERRY, who is President and Chief Executive Officer cf this Cor'rorai:ton, be, and he .nereby is, and has been, embowered, authorized and dlrecteo io execute any and all kinds of documents, contracts, bonds, obligations of performance, surety - and other documents by which this corocration assumes legal obligations, dealing with prlvate and Dublic entities, and "RESOLVED FURTHER, that any person who relies upon the authority granted and conferred in this resolution shall be indemnified and held harmless from any claim with respect to the existence or non-existence of such authority, and may continue to do so until personally receiving written notice 'that the authority herein conferred has been terminated." Dated: February ?, 2024 SEAL J ki`res C. Perry, Secretary CERTIFICATION OF RESOLUTION I, James C. Perry, Secretary of DBX, Inc. a California corporation, do hereby certify that the attached RESOLUTION OF OFFICER'S AUTHORITY, to which I hereby attest, is a full, true and correct copy of a resolution of the Board of Directors of said corporation, duly adopted and approved by regular action of the said Board of Directors taken on February 7, 2024 in full conformance with the law and the By Laws of said corporation. I further certify that the resolution is still in full force and effect and has not been amended or revoked. IN WITNESS WHEREOF, I have hereunto set my hand as such Secretary, and affixed the corporate seal of said Corporation. I declare under penalty of perjury that the foregoing is true and correct, and that this declaration was executed at Temecula, California on July 17, 2024. J es C. Perry, Secretary SEAL 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 ) ) SS. COUNTY OF RIVERSIDE ) SOMA TORRES ecommission Commieaion No2475356NOTARY PUBLIC• CALIFORNIA SAN DIEGO COUNTY Expm December 5, 2027 Subscribed and sworn to before me this 17th day of July, 2024, by James C. Perry, proved to me on the basis of satisfactory evidence to be the person who appeared before me. BIDDER: DBX, Inc• SECTION 2 BID DATA FORMS CBF -9 BIDDER: N/A Premium: Nil Bidder shall submit its Bid data in accordance with the format shown on each of the following Bid DataForms. 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 DI as Principal, as Surety, are held finely bound unto the CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of ten percent of amount bid DOLLARS ($10% Bid Price; , being not less than ten percent (101/6) of the Total payment of which sum will and truly to be made, we bind ourselves, our heirs, executors, administrators, successors, and assiens, jointly and severally, firmly by these presents. WHEREAS, said Principal has submitted a bid to the OWN ER to perform all Work required for the WALNUT GROVE AVENUE STREET LIGHT INSTALLATION—as set forth in the Notice Inviting Bids and accompanying Bid Documents, dated July 17, 2024 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 OWNERand 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 24th day of June , 2024 DBX, Inc. (SEAL) Principal By: By: S' ature James cPresidenUec. PS. retaryRreasurer CBF -10 The Ohio Casualty Insurance Company SEAL) Surety Sign ture Spencer Flake Attorney -In -Fact CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 A notarypublic or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Riverside On 07/17/2024 Date personally appeared James C. before me, Sonia Torres, Notary Public Here Insert Name and Title of the Officer Nome(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. SONIATORRES aCommission No. 2475356 > NOTARY PUBLIC -CALIFORNIA 1 SAN DIEGO COUNTY f Commission Expires December 5, 2027 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 al\ i ature of Notary Public Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: of Pages: Capacity(ies) Claimed by Signers) Signer's Name: James C. Perry Signer's Name: E Corporate Officer — Title(s):president/Secrciary/Treasumr p Corporate Officer — Title(s): 0 Partner — 0 Limited 0 General 0 Partner — 0 Limited 0 General 0 Individual 0 Attorney in Fact 0 Individual 0 Attorney in Fact 0 Trustee 0 Guardian or Conservator 0 Trustee 0 Guardian or Conservator 0 Other: 0 Other: Signer is Representing: Signer is Representing: 02019 National Notary Association 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 June 24, 2024 before me, Heather Willis, Notary Public Date Here Insert Name and Title of the Officer personally appeared Spencer Flake Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. .,.- HE WILLIS a COMM. #-CALIF7 - NOTARY PUBLIC � CALIFORNIA i ur ORANGE COUNTY Signature MYOUM EXRRESSEFT;•."EEP25 2,24 ( Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: 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: ©2014 National Notary Association • www.Nationa[Notary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated. Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company SURETY POWER OF ATTORNEY Certificate No: 8205649-971919 KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duty organized under the laws of the State of Massachusetts. and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana (herein collectively called the"Companies'), pursuant to and by authority herein set forth, does hereby name, constitute and appoint Charles I.. flake, Duvld L. Culhertson. heather Willis. l.ecic Shemood. Spencer Flake all of the city of Anaheim state of CA each individually if there be more than one named, Its true and lawful ahomey-In-tad to make, execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other suretyobIgations, in pursuance of Nese presents and shall be as binding upon the Companies as it they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 25th day of Mal 21131 Liberty Mutual Insurance Company tY INSU M \NSUq The Ohio Casualty Insurance Company (0(00 oaPo ypggy�P=opvogr og2mWest American Insurance Company o m1919 n� 1991 0h1NP5�P D�Y �NOIPMt. Ll *fid SqM NNd BY: n.,an M r.roN PENNSYLVANIA of MONTGOMERY ss j On this 25th day of Mas 1 2021 before me personally appeared David M.Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance m Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such. being authorized so to do. execute the foregoing instrument for the purposes therein contained by signing on behalf of the cerporaticns by himself as a duly authorized officer. m � IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written. sr CammoTeMa o leua. y nb Ndary Seal O - Teresa Pasldla. Ndary Pu01¢ /f kwnradeencwnrx �`` 6ty m—tstm exp ea Manx 28.2015 By, /"� N Cdnm�ss�m numxer itZapxi MivnM.otnn manumwr-,waw Nmane:Teresa Pastella, Notary Public N :? This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company which resolutions are now in full farce and effect reading as follows: °3 ARTICLE IV -OFFICERS: Section 12. Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairmen or the President, and subject to such limitation as the Chairman or the President may prescribe, shall appoint such moneys -in -tad, as may be necessary to ad in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such adomeys-in-fad, subject to the limitations set forth in their respective powers of attorney, shall C have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or atlomeymm-fact under the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority. ARTICLE XIII - Execution of Contracts: Section 5. Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president and subject to such limitations as the chairman or the president may prescribe, shall appoint such attorneys -in -fad, as may be necessary to ad in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attomeys-in-fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation - The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attomeys-in- fact as may be necessary to ad on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Authorization - By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed. I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby ceNfy that the original power of attorney of which the foregoing is a full, true and cored copy of the Power of Attorney executed by said Companies, is in LII force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 24th day of June 2024 . Px'SY INSU d 1NSUgq J oprory ?9 `P o"eOw+ y (9(00 ' 3° 6 yam ¢ 3° "o m 1919 0 1991 3 �aaLGy` ffx/,�,s a; Yyq wolAN�aaa By Renee C. Uewellyn, Assistant Secretary ql : 6 M . 1• LMS -12873 LMIC OCIC WAIC Multi Co 0221 BIDDER: DBX, 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 Contractors total bid or ten thousand dollars ($10,000), whichever is greater, and shall further set forth the portion of the Work which will be done by each subcontractor. Bidder shall list only one subcontractor for any one portion of the Work. Pursuant to Public Contract Code Section 4104, the Owner has determined that it will allow Bidders twenty-four (24) additional hours after the deadline for submission of bids to submit the information requested by the Owner about each subcontractor, other than the name and location of each subcontractor. If the Bidder fails to specify a subcontractor for any portion of the Work to be perfonned under the Contract, it shall be deemed to have agreed to perform such portion itself, and shall not be permitted to subcontract that portion of the Work except under the conditions hereinafter set forth below. Subletting or subcontracting of any portion of the Work in excess of one half of one percent (greater than 0.5%) of the Total Bid Price or, in the case of bids or offers for the construction of streets or highways, including bridges, in excess ofone-half of 1 percent of the Contractors total bid or ten thousand dollars ($10,000), whichever is greater, forwhich 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 BIDDER: DBX, Inc. 2.13 LIST OF PROPOSED SUBCONTRACTORS (continued) ["Duplicate Next 2 Pages if needed for listing additional subcontractors."] Name and Location Description of Work of Subcontractor to be Subcontracted Address: License No.: Department of Industrial Relation Registration No. Name and Location Description of rk of Subcontractor to be Subcontract Name: N 1 A Address: License No.: Department of Industrial Relation Registration No.NIZ Name and Location of Subcontractor License No.: _ Department of I Name and Location of Subcontractor ".4 License No.: Department of Industrial Relation Name and Location of Subcontractor Name: License No.: Department of Industrial Registration No. Registration No. CBF - 12 of Work Description of Work to be Subcontracted Description of Work to be Subcontracted BIDDER: DBX, Inc. 2.0 The following are the names, addresses and telephone numbers for three public agencies for which BIDDER has performed similar work within the past two (2) years: 1. CITY OF OCEANSIDE, 300 NORTH COAST HIGHWAY, OCEANSIDE, CA 92054 Name and Address of Owner Tam Tran 760-433-6881 Name and telephone number of person familiar with project $217,950.00 Traffic Signal Modification 12/18/2023 Contract amount Type of Work Date Completed 2. CITY OF TEMECULA, 41000 MAIN STREET, TEMECULA, CA 92590 Name and Address of Owner Chris White 951-308-6388 Name and telephone number of person familiar with project $483,035.00 Installation Contract amount Type of Work 3. City of Pasadena, 100 N. Garfield Ave., Pasadena, CA 91101 Name and Address of Owner Elvin Jiang 626-744-7103 Name and telephone number of person familiar with project $420,803.01 Contract amount Installation Type of Work CBF -13 10/19/2023 Date Completed 08/01/2022 Date Completed 4. ounty of San Name and A BIDDER: DBX, Inc. - 5560 Overland Ave #270, San Diego, CA 92123 Andrei Pineda 619-340-4906 Name and telephone number of person familiar with project $1,369,069.24 Traffic Signal Installation 03/28/2023 Contract amount Type of Work Date Completed CBF -14 BIDDER: DBX, Inc. SECTION 3 NON-COLL USION AFFIDAVIT CBF - 15 BIDDER: DBX, Inc. NON -COLLUSION AFFIDAVIT In accordance with Public Contract Code Section 7106, the undersigned, being first duly swom, 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. 4, ajwa-'C� e .�_--- Si ture James C. Perry Typed or Printed Name President/Secretary/Treasurer Title DBX, Inc. Bidder Subscribed and sworn before me This _ day of 120 Notary Public in and for the State of California My Commissi pires: See Attached Jurat. CBF - 16 CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202 X1 See Attached Document (Notary to cross out lines 1-6 below) ❑ See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) Signature of Document Signer No. 1 Signature of Document Signe 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 County of Riverside SONIATORRES Commission No. 2475356 i NOTARY PUBLIC -CALIFORNIA a SAN DIEGO COUNTY SSSS Commission Eow Deeember5,2027 Seat Place Notary Seal Above Subscribed and sworn to (or affirmed) before me on this 17th day of July 2024 by Date Month Year (1) James C. Perry (and Names) of Signer(s) proved to me on the basis of satisfactory evidence to be the per�sonn((ss)) who appeared before me. Signature Si I ture 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: Signer(s) Other Than Named Above: Document Date: 02014 National Notary Association • www.NationalNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5910 BIDDER: CALPROMAX ENGINEERING, INC. CITY OF ROSEMEAD WALNUT GROVE AVENUE STREET LIGHT INSTALLATION PROJECT No. 43009 SECTION I - BID SCHEDULE CONTRACT BID FORMS CBF -1 BIDDER: CALPROMAX ENGINEERING, INC. BID SCHEDULE SCHEDULE OF PRICES FOR WALNUT GROVE AVENUE STREET LIGHT INSTALLATION PROJECT No. 43009 TOTAL BASE BID AMOUNT IN WORDS: EIGHT HUNDRED DOLLARS AND ZERO CENT SEVEN HUNDRED THIRTY FOUR THOUSAND The award of Contract shall be based on the TOTAL BASE BID AMOUNT. In the case of discrepancies in the amount of bid, unit prices shall govem over extended amounts, and words shall govern over fi ures. Full compensation for the items listed to the A. Mobilization / Demobilization CBF -2 EST. UNIT ITEM NO. ITEM DESCRIPTION UNIT QTY. PRICE COST Solar Street Lighting: Furnish and install Fonroche Smartiight [r54-CK16B-4K- T3][P310-4P] 1248Wh NiMH batteries, 7100 lumen all nightfull brightness dark sky certified fixture, 310w solar panel, 28' 3" spuncast pre -stressed Octagonal concrete poles, LoRa & cellular based central control/monitoring, 10 year non pro -rated full parts and labor warranty. Work includes installation of 28'3" octagonal 1 concrete poles and foundation, including 6' EA 22 $ 27,000.00 $ 594,000.00 arm, anchor bolts, and LED light fixtures (Manufacturer: Fonroche Lighting America), and all related appurtenances for complete solar street light installation, as identified on Appendix B — Solar Light System Specs and on Technical Specifications. Cost to furnish engineered plans/shop drawings including foundation design stamped by California Licensed Engineer shall be provided as part of the bid. Lighting Fixtures: Furnish and install King Luminaire Light Fixture "K118R-B2AR-lll- 75(SSL)-1036-120:277V-K14-PR-3K-BK- #1", as identified on Appendix C — King 2 Luminaire Light Fixture Specs. (Vendor. EA 44 $ 3,200.00 $ tao,aoo.00 South Coast Lighting and Design). Work includes removal of existing lighting fixtures and installation of King Luminaire Light Fixtures along Valley Blvd from Rosemead Blvd to Loma Avenue. TOTAL BASE BID AMOUNT IN NUMBERS $ 734,800.00 TOTAL BASE BID AMOUNT IN WORDS: EIGHT HUNDRED DOLLARS AND ZERO CENT SEVEN HUNDRED THIRTY FOUR THOUSAND The award of Contract shall be based on the TOTAL BASE BID AMOUNT. In the case of discrepancies in the amount of bid, unit prices shall govem over extended amounts, and words shall govern over fi ures. Full compensation for the items listed to the A. Mobilization / Demobilization CBF -2 BIDDER: CALPROMAX ENGINEERING, INC. right as Items A, B, C, D and E are considered B. Traffic Control C. NPDES, WWECP, and Best Management as inclusive in each Bid Item listed above in the Bid Schedule as applicable, and no Practices (BMPs), Public Convenience and additional and/or separate compensation will Safety D. Construction Staking by Land Surveyor be allowed. E. Clearing 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. 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 prices. 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 satisfactorily completed. Note: The City of Rosemead reserves the right to reduce or increase the quantities of any items in the schedule of bid items above, within the limits define in Section 3-2.2.1 of the Standard Specifications, to stay within the budgeted amount of this project. The award of Contract shall be based on the TOTAL BASE BID AMOUNTonly. If the Bid lists any Additive Alternate bids, the ADDITIVE ALTERNATE BID ITEMS shown per the ADDITIVE ALTERNATE BID SCHEDULE above 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. The undersigned agrees that these Contract Bid Forms constitute a firm offerto the Owner which cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and afterthe bid opening date, or until a Contract forthe Work is fully executed by the Owner and a third party, whichever is earlier. The undersigned also agrees that if there is a discrepancy between the written amount of the Bid Price and the numerical amount of the Bid Price, the written amount shall govern. Attached hereto is a certified check, a cashier's check or a bid bond in the amount of ten percent of total bid price Dollars ($ ) said amount being not less than ten percent (10%) of the Total Bid Price. The undersigned agrees that said amount shall be retained by the Owner if, upon award, we fail or refuse to execute the Contract and furnish the required bonds, certificates and endorsements of insurance and other certifications within the time provided. CBF -3 BIDDER: CALPROMAX ENGINEERING, INC. If awarded a Contract, the undersigned agrees to execute the formal Contract, which will be prepared by the Owner for execution, within five (5) Calendar Days following the Letter of Award for the Contract, and will deliver to the Owner within that same period the necessary original Certificates of Insurance, Endorsements of Insurance, Performance Bond, Payment Bond and all other documentation and certification required by the Contract. The undersigned offers and agrees that if this bid is accepted, it will assign to the purchasing body all rights, title, and interest in and to all causes of action it may have under Section 4 of the Clayton Act (15 U.S.C. Section 15) or under the Cartwright Act (Chapter 2 of Part 2 of Division 7 of the Business and Professional Code), arising from purchases of goods, materials or services by the Bidder for sale to the purchasing body pursuant to the bid. Such assignment shall be made and become effective at the time the purchasing body tenders final payment to he Contractor. Bidder understands and agrees that, when requested by Owner, he shall provide: (1) evidence satisfactory to the Owner of Bidder's California 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. Bidder acknowledges that data submitted with its Contract Bid Forms which it requires to be incorporated into a Contract arising out of this Submittal has been so identified by Bidder. Bidder further acknowledges that the Owner may, at its discretion, incorporate any of the remaining data submitted herewith into a contract arising out of this Bid. The undersigned acknowledges receipt, understanding and full consideration of the following addenda to the Contract Documents. Addenda Nos. The Bidder understands and agrees that the Total Bid Price is inclusive of all labor, materials, and equipment or supplies necessary to complete the Work as described in the Bid Documents. If this bid is accepted, the undersigned Bidder agrees to enter into and execute the Contract with the necessary bonds and accept the Total Bid Price as compensation in full for all Work under the contract. CBF -4 BIDDER: CALPROMAX ENGINEERING, INC. EXAMINATION OF SPECIFICATIONS AND SITE OF WORK The Bidderdeclares 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: Date of Inspection: JOSE VEGA 07/02/2024 ADDENDA ACKNOWLEDGMENT The Bidder acknowledges receipt of the following Addenda and has included their provisions in this Proposal: Addendum No. 1 Dated 07/11/2024 Addendum Addendum No. Dated Addendum No. Dated CBF -5 BIDDER: CALPROMAX ENGINEERING, 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 /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 otherwise 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 ✓ If the answer is yes, explain the circumstances in the following space. CBF -6 BIDDER: CALPROMAX ENGINEERING, 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 Contractor's 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 Y B � Signatrt e MARIA ARMOGEDA Type or Print Name VICE PRESIDENT Title BIDDER: CALPROMAX ENGINEERING, INC. 700 S. VAN BUREN ST., SUITE C Business Street Address PLACENTIA, CA 92870 City, State and Zip Code (714) 5734599 Telephone Number Biddees/Contractoes State of Incorporation: CALIFORNIA Partners or Joint Venturers: Bidder's License Number(s): 995933 Department Industrial Relations Registered No. 1000028249 NOTES: 1) By its signature on this Bid, the Bidder certifies under penalty of perjury the accuracy of the representations made on the Contract Bid Forms. 2) If Bidder is a corporation, enter State of Incorporation in addition to Business Address 3) If Bidder is a partnership or joint venture, give full names of all partners or joint venturers. As further discussed in the Instructions to Bidders, Bidder will be required to provide evidence that the person signing on behalf of the corporation, partnership or joint venture has the authority to do so. CBF -8 BIDDER: CALPROMAX ENGINEERING, INC. SECTION 2 BID DATA FORMS CBF -9 Calpromax Engineering. Inc. BIDDER: Biddershall submit its Bid data in accordance with the format shown on each of the following Bid Data Fomes. Bidders shall prepare and use as many sheets as are necessary to adequately provide the information required. Biddershall 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 Calpromax Engineering, Inc as Principal, and United Stales Fire Insurance Company 'as Surety, are held firmly bound unto the CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of Ten Percent of the Bid Amount DOLLARS ($ 10%of the Bid Amount ), 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 OWNERtoperf irm all Work required for the WALNUT GROVE AVENUE STREET LIGHT INSTALLATION—asset forth in the Notice Inviting Bids and accompanying Bid Documents, dated July 17, 2024 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 attomeys' fees to be fixed by the court. SIGNED AND SEALED, this 12th day of July 2024 Calpromax Engineering, Inc. (SEAL) United States Fire Insurance CompaMEAL) Principal agign ,J By: l� By: na MARr GED/) O)o;n�ton, Attom in Fact VICC AkfsrpFNT CBF - 10 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 ) ss County of Los Angeles ) On :( --1 i2�202 -L+ , before me, C.L. Hernandez, Notary Public, personally appeared Lisa. Thornton ornton , who proved to me on the basis of satisfactory evidence to be the personal whose names) is/are subscribed to the within instrument and acknowledged to me that he�she/% executed the same in hWherAhe4 authorized capacityEi , and that by hisfher/thei signatures) on the instrument the person(4, or the entity upon behalf of which the personal 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. Signature: (Seal) C.L. Hernan�rez, Notary Pu POW ER OF ATTORNEY UNITED STATES FIRE INSURANCE COMPANY PRINCIPAL OFFICE - MORRISTOW N, NEW JERSEY 01687 KNOW ALL MEN BY THESE PRESENTS: That United States Fire InsuranceCompany, a corporation duly organized and existing under the laws of the state of Delaware, has made, constituted and appointed, and does hereby make, constitute and appoint: C. K. Nakamura Noemi Quiroz. Maria Pena'1'im M. Tomko, Jessica Rosser. Natalie K. Trofimoff, Lisa L. Thornton. Patricia S. Arana each, its true and lawful Attomeyls)-In-Pact, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver: Any and all bonds and undertakings of surety and other documents that the ordinary course of surely business may require. and to bind United States Fire Insurance Company thereby w fully and to the same extent as if such bonds or undertakings had been duly executed and acknowledged by the regularly elected officers of United States Fire Insurance Company at its principal office, in amounts or penalties: Unlimited This Power of Attorney limits the act of those named therein to the bonds and undertakings specifically named therein, and they have no authority to bind United States Fire Insurance Company except in the manner and to the extent therein stated. 'Phis Power of Attorney is granted pursuant to Article IV of the By -Laws of United States Fire Insurance Company as now in full force and effect. and consistent with Article III thereof, which Articles provide, in pertinent pan: Article IV. Execution of Instruments - Except as the Board of Directors may authorize by resolution, the Chairman of the Board, President, any Vice -President, my Assistant Vice President, the Secretary, or any Assistant Secretary shall have power on behalf of the Corporation: (a) to execute, affix the corporate seal manually or by facsimile to. acknowledge, verify and deliver any contracts. obligations, instruments and documents whatsoever in connection with its business including. without limiting the foregoing, any bonds, guarantees, undertakings, recognizanees, powers of attorney or revocations of any powers of attorney. stipulations, policies of insurance, deeds, leases. mortgages, releases, satisfactions and agency agreements; (b) to appoint, in writing, one or more persons for any or all of the purposes mentioned in the preceding paragraph (a), including affixing the seal of the Corporation. Article III, Officers, Section 3.11, Facsimile Signatures. The signature of any officer authorized by the Corporation to sign any bonds, guman0.-es, undertakings, recognizances, stipulations, powers of attorney or revocations of any powers of attorney and policies of insurance issued by the Corporation may be printed, facsimile, lithographed or otherwise produced. In addition, if and as authorized by the Board of Directors, dividend warrants or checks, or other numerous instruments similar to one another in form, may be signed by the facsimile signature or signatures. lithographed or otherwise produced, of such officer or officers of the Corporation as from time to time may be authorized to sign such instruments on behalf of the Corporation. The Corporation may continue to use for the purposes herein stated the facsimile signature of any person or persons who shall have been such officer or officers of the Corporation, rrotwithstanding the fact that he may have ceased to be such at the time when such instruments shall be issued. IN WITNESS WHEREOF, United States Fire Insurance Company has caused these presents to be signed and attested by its appropriate officer and its corporate seal hereunto affixed this 28th day of September, 2021. UNITED STATES FIRE INSURANCE COMPANY Matthew E. Lubin. President State of New Jersey) Coumv of Morris ) On this 28th day of September, 2021, before me, a Notary public of the State of New Jersey, came the above named officer of United States Fire Insurance Company, to me personally known to he the individual and officer described herein, and acknowledged that he executed the foregoing instrument and affixed the seal of United States Fire Insurance Company thereto by the authority of his office. MELJSSA K I7AL W NOTARY PUBLIC OF IffW J918EY Iycimob oef Y/IJOQ6 /YMI&4A'� 6 t/,l 4'34� Melissa H. D'Alessio (Notary, Public) I, the undersigned officer of United States Fire Insurance Company, a Delaware corporation, do hereby certify that the original Power of Attorney of which the foregoing is a full, true and correct copy is still in force and effect and has not been revoked. IN WITNESS WHEREOF, affixed have hereunto set my hand and axed the corporato seal of United States Fire Insurance Company on the(,Z day of 20 _ L V L.-Ll� SPATES FIRE INSURANCE COMPANY JI1NI4'EI) �I. �J - - Michael C. Fav, Senior Vice President BIDDER: CALPROMAX ENGINEERING, 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 1 percent of the Contractor's total bid or ten thousand dollars ($10,000), whichever is greater, and shall further set forththe portion of the Work which will be done by each subcontractor. Bidder shall list only one subcontractor for any one portion of the Work. Pursuant to Public Contract Code Section 4104, the Owner has determined that it will allow Bidders twenty-four (24) additional hours after the deadline for submission of bids to submit the information requested by the Owner about each subcontractor, other than the name and location of each subcontractor. If the Bidder fails to specify a subcontractor for any portion of the Work to be performed under the Contract, it shall be deemed to have agreed to perform such portion itself, and shall not be Permitted to subcontract that portion of the Work except under the conditions hereinafter set forth below. Subletting or subcontracting of any portion of the Work in excess of one half of one percent (greater than 0.5%) of the Total Bid Price or, in the case of bids or offers for the construction of streets or highways, including bridges, in excess of one-half of 1 percent of the Contractor's total bid or ten thousand dollars ($10,000), whichever is greater, for which no subcontractor was designated in the original bid shall only be permitted in cases of public emergency or necessity, and then only after Owner approval. CBF -11 BIDDER: CALPROMAX ENGINEERING, INC. 2.13 LIST OF PROPOSED SUBCONTRACTORS (continued) ["Duplicate Next 2 Pages if needed for listing additional subcontractors."] Name and Location of Subcontractor NONE License No.: Department of Industrial Relation Registration No. Name and Location of Subcontractor Name: Address:_ License No.: Department of Industrial Relation Registration No. Name and Location of Subcontractor License No.: Department of Industrial Relation Registration No.. Name and Location of Subcontractor Name: Address: License No.: Department of Industrial Relation Registration No. Description of Work to be Subcontracted Description of Work to be Subcontracted Description of Work to be Subcontracted Description of Work to be Subcontracted Name and Location Description of Work of Subcontractor to be Subcontracted Name: License No.: Department of Industrial Relation Registration No. CBF -12 BIDDER: CALPROMAX ENGINEERING, INC. 2.0 The following are the names, addresses and telephone numbers for three public agencies for which BIDDER has performed similar work within the past two (2) years: 1. Department of Transportation, District 7 970 W. 190th St., Suite 270, Torrance, CA 90502 Name and Address of Owner Edgar Herrera - (310) 345-6267 Name and telephone number of person familiar with project $2,092,264.00 Construct ADA curb ramps and modify signal and lighting systems 07/05/2024 Contract amount Type of Work 2• City of Manhattan Beach 1400 Highland Avenue, Manhattan Beach, CA 90266 Name and Address of Owner Helen Shi - (310)802-5354 Name and telephone number of person familiar with project Date Completed $611,938.00 Upgrade traffic signal system 06/23/2023 Contract amount Type of Work Date Completed 3. Department of Transportation, District 8 41604 Corporate Way, Palm Desert, CA 92260 Name and Address of Owner Francisco Montellano - (951) 232-6413 Name and telephone number of person familiar with project $2,998,580.00 Minor concrete, Modify signal and lighting systems 12/15/2023 Contract amount Type of Work CBF -13 Date Completed BIDDER: CALPROMAX ENGINEERING, INC. 4, Department of Transportation, District 12 6533 Marine Way, Irvine, CA 92618 Name and Address of Owner Gagandeep Sidhu-(949)279-8466 Name and telephone number of person familiar with project $664,988.00 Modify signal and lighting systems 01/13/2023 Contract amount Type of Work Date Completed CBF -14 BIDDER: CALPROMAX ENGINEERING, INC. SECTION 3 NON-COLL USION AFFIDA VIT CBF -15 BIDDER: CALPROMAX ENGINEERING, INC. NON -COLLUSION AFFIDAVIT In accordance with Public Contract Code Section 7106, the undersigned, being fust duly swom, 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 bid derhas 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. MARIA ARMOGEDA .. Typed or Printed Name VICE PRESIDENT _ - Title CALPROMAX ENGINEERING, INC. Bidder Subscribed and swom before me This _ day of 120 ^-lf- cl t'v(4, ell � Notary Public in and for the State of California My Commission Expires: CBF -16 (Seal) 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 Subscribed and sworn to (or affirmed) before me on this 16th day of July 2C 24 , by Mana Armoqeda proved to me on the basis of satisfactory evidence to be the persons who appeared before me. OMW *JEFFREY A URSON Notuy Pobet • cadfo 111 commissWn f 2183967 . . My comm. EMWIres Apr 2.2828 (Seal) Signature PTM General Engineering BIDDER Services, Inc. CITY OF ROSEMEAD WALNUT GROVE AVENUE STREET LIGHT INSTALLATION' PROJECT No. 43009 .SECTION / -BID .SCHED I _LE CONTRACT BID FORMS CBF -1 PTM General Engineering BIDDER Services, Inc. 811) SCHEDULE: SCHEDULE OF PRICES FOR %VAL\t T GROVE A%'EN'UE STREET LICHT INSTALLATION PROJECT No. 43009 N0. ITEM DESCRIPTION UNIT EST. QTY. UNIT PRICE ITEM COST Solar Street Lighting Furnish and install Fonroche Smarbight F54-CK16B4K- T3)(P3104P)1248Wh NiMH batteries, 7100 lumen all night full brightness dark sky certified fixture. 310w solar panel. 28 3- spuncastpre-stressed Octagonal concrete poles, LoRa & cellular based central control!monitodng, 10 year non pro -rated full parts and labor warranty. Work includes installation of28'3-octagonal e 1 concrete poles and foundation, including 6' EA 22 $s287!0 5 arm, anchor bolts, and LED lightfixtures (Manufacturer: Fonroche Lighting America), and all related appurtenances for complete solar street light installation, as identified on Appendix B — Solar Light System Specs and on Technical Specifications. Cost to furnish engineered plansishop drawings including foundation design stamped by California Licensed Engineer shall be provided as part of the bid Lighting Fixtures: Furnish and install Kir, Luminaire Light Fixture `K118R-B2AR-III- 75(SSL)-1036-120:277V-K14-PR-3K-BK- #i", as identified on Appendix C — King Luminaire Light Fixture Specs (Vendor -4Q25_ _ 1,16660 2 EA 44 S S South Coast Lighting and Design). Work includes removal of existing lighting fixtures and installation of King Luminaire Light Fixtures along Valley Blvd from Rosemead Blvd to Loma Avenue TOTAL BASE BID AMOUNT IN NUMBERS _ S_ gag a TOTAL BASE BID : OCVT IN WORDS: l r - LGL1GYYu(_ WA (/ The award of Contract shall he based on the TOTAL BASE 1311) ANlOtVT. In the case of discrepancies in the amount of bid. unit prices shall co%em o\er extended amounts, and words shall govem overfi •arcs. Full compensation for the items listed to the I A. `tobilization Demobilization CBF -2 PTM General Engineering BIDDER Services, Inc. right as Items 1. B. C. D and I are considered B. Traffic Control C . \PDIiS. M %k I.0 P. and Best Management as inclusi\e in each Bid Item listed above in the Bid Schedule as applicable, and no Practices (BN1Ps). Public Con%enience and additional and or separate compensation vyill Safety D. Construction Staking b\ Land Sur\e\or be allm%ed. 1[. Clearing and Grubbing lhr bid prices shall include am and all costs, including labor. materials. appurtenant expenses. taxes. roy allies and any and all other incidental costs to complete the project. in compliance \\ith the Bid and Contract Documents and all applicable codes and standards. 111e Cit\ reserves the right to add. delete. increase or decrease the amount of any quantit) sho\\ n and to delete am 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. I f the change exceeds 25'.. a chance order ma\ be negotiated to adjust unit bid prices. All other %ork items not specifically listed in the bid schedule. but necessar\ to complete the \cork per hid and contract documents and all applicable codes and standards are assumed to he included in the bid prices. A bid is required for the entire \\ork, that the quantities set forth in the Bid Schedule are to calculate total bid amount, and that final compensation under the contract \\ ill be haled upon the actual quantities of \cork satisfactorih completed. \ote: 111e C 1n of Rosemead reserves the right to reduce or increa,e the quantities of an\ Itelli, In the schedule of bid items aboae. \\ithin the limits define in Section 3-2.2. 1 of the Standard Specifications, to stay \\ ithin the budgeted amount of this project. The a\\ard of Contract shall be based on the 101 Al BAST[ BID A'\tOCv I onl\. If the Bid lists an\ Additi\e Mtemate bids. the ADi)i,nvI. ALTERNATE 1311) ITIAIS sho\\n per the ADDil I VI. ALTER\,� fE BID SCHFDF'I.E above vv ill not be taken intoacc(iunt .n determining the lo\\est responsible bidder. C its ma) add bid items from the ADDITIVE: ALTER\ATF BID SCFIFDULI at the sole and complete discretion of the Cit} as part of the performance of the contract. The undersigned agrees that these Contract Bid forms constitute a firm offerto the O\\ner \\hick cannot he \\ ithdra\\n for the number of Working Days indicated in the \otice Imitin,, Bids from and after the hid opening date. or until a Contract forthe \1 ork is full\ executed b\ the o\\ ner and a third party. \\hicheccr is earlier. 'Ilse undersigned also agrees that if there is a discrepancy ben\ een the \\ ritten amount of the Bid Price and the numerical amount ofthe Bid Price. the \\ ritn7\ amount shall ao\em. Attached hereto is a certified check. a cashier's check or a bid bond in the amount of Bid bond for 10% of bid amount)ollars 1S _ __ _I said amount being not less than ten percent (10%) of the 1 oral Bid Price. The undersigned agrees that said amount shall be retained b} the O\\ner if. upon a\\ard. \\c fail or refuse to execute the Contract and furnish the required bond s. certificates and endorsements of insurance and other certifications \\ ithin the time pro\ided. CBF -3 BIDDER: PTM General Engineering Services, Inc. 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 offersand agrees that if this bid is accepted, it will assign to the purchasing body all rights, title.and interest in and toall causes of action it may have under Section 4oftheClayton Act (15 U.S.C. Section 15) or under the Cartwright Act (Chapter 2 of Part 2 of Division 7 of the Business and Professional Code), arising from purchases of goods, materials or services by the Bidder for sale to the purchasing body pursuant to the bid. Such assignment shall be made and become effective at the time the purchasing body tenders final payment to he Contractor. Bidder understands and agrees that, when requested by Owner. he shall provide: (1) evidence satisfactory to the Owner of Bidder's California contractors license(s) in good standing; (2) evidence that the person signing this Bid is authorized to bind Biddertothis 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. Bidder acknowledges that data submitted with its Contract Bid Forms which it requires to be incorporated into a Contract arising out of this Submittal has been so identified by Bidder. Bidder further acknowledges that the Owner may, at its discretion, incorporate any of the remaining data submitted herewith into a contract arising out of this Bid. The undersigned acknowledges receipt, understanding and full consideration of the following addenda to the Contract Documents. Addenda Taos. The Bidder understands and agrees that the Total Bid Price is inclusive of all labor, materials, and equipment or supplies necessary to complete the Work as described in the Bid Documents. 1 fthis bid is accepted. the undersigned Bidder agrees to enter into and execute the Contract with the necessary bonds and accept the Total Bid Price as compensation in full for all Work under the contract. CBF -4 BIDDER PTM General Engineering Services, Inc. EXAMINATION OF SPECIFICATIONS AND SITE: OF NORK the Ridder declares that he she ha. carefull% read and examined the project plan.. specifications. bid documents. and heishe has made a personal examination of the site (indicate name of the person. representing the bidder. %t ho inspected the site and datebeloo) and that he :he understands the enact scope ol'the Project. Name of Person \s ho inspected the site: Date ot Inspection: Brian Mendoza 07.12.2024 ADDENDA ACKNONNLEDGNIENT the Ridderackno%0edges receipt of the follo%� in_ addenda and has included their pro\ sion. in this Proposal: \ddendum No. 1 \ddendum No. \ddendum No. _ \ddendum No. Dated 07.11.2024 Dated Dated Dated CBF -5 PTM General Engineering BIDDER Services, Inc. PUBLIC CONTRACT CODE STATEMENT AND OUESTIONAIRE 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 sectionr 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 Califomia 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 pequry, 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 otherwise 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. CBF -6 BIDDER PUBLIC CONTRACT CODE 10232 STATEMENT PTM General Engineering Services, Inc. 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 Contractor's 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 PTM General Engineering BIDDER Services, Inc. 5942 Acorn St. Si�� rt —� Business Street Address Elizabeth H. Mendoza Riverside, CA 92504 I% pe or Print Name City. State and Zip Code President/CFO 951.722.5678 I itic lelcphone \umber Bidder's ('ontractor's State of Incorporation: California Partners or Joint Venturers: Bidders I icense Sumbens): 891255 -- Department Industrial Relations Reeistered \o. 1000001433 VOTES: I I 13} its signature on this Bid. the Biddercertities under penalth of perjure the accuracy of the representations made on the Contract Bid Forms. 2) 11 Bidder is a corporation. enter State of Incorporation in addition to Business Address ;I li Bidder is a partnership or joint venture. Live full names of all partners or joint venturers. As further discussed in the Instructions to Bidders, Bidder will he •equired to provide evidence that the person signing on behalf of tht -orporation partnership or ioint venture has the authoritN to do so. CBF -8 Certificate of Incumbency PTM General Engineering Services, Inc. 5942 Acorn St. Riverside, CA 92504 I Brian Mendoza as the Secretary of PTM General Engineering Services, Inc, a corporation duly incorporated under the existing laws of the State of California, hereby certify the following: 1. That I am the duly elected acting Secretary of the Corporation and it is my duty to maintain its records, minutes, and seal. 2. That pursuant to the Corporation's By Laws as amended: I have the power and authority to execute this certificate on behalf of the Corporation. 3. That either one of the corporate officers below have the full authority to sign & execute all & any bidding and/or contractual documents on behalf of the Corporation. Name Title Sfgnature Elizabeth H. Mendoza President/CFO Brian Mendoza Vice President/Secretary IN WITNESS WHERE OF I, as Secretary of the Corporation, hereby execute this Certificate under the Seal of the Corporation on this 14th day of July 2024. Brian Mendoza PTM General Engineering BIDDER. Services, Inc. SECTION 1 BID DATA FORMS CBF -9 BIDDER PTM GENERAL ENGINEERING SERVICES. ;NC Bidder shall suhmit its Bid data in accordance %Lith the format ,hots n on each oft lie toIIow Inc Bid Data Farms. Biddersshall prepare and use as main sheets as are necessar\ toadeyuatcl% protide the information required. Biddershall ensure that eser\ page ofits Bid Data forms are pmperh idemifiLd Lsith the Bidders name and page numher. 2.A BID BOND KNOW AI I %fl 13N IIIES11 PRI SLNfS: I HA 1 PTM GENERAL ENGINEERING SERVICES, INC___ as Principal. and NATIONWIDE MUTUAL INSURANCE COMPANY as SUret\. are held firth_ hound unto the CIT1' OF ROSF.AIF.AD (hereinafter called the OW\GR) in the sum cif TEN PERCENT OF AMOUNT BID -DO[ I ARS (q 10% OF BID I. being not less than ten percent 110"DI of the total Bid Price: for the payment of which sum kill and truly to he made, L+c bind oursel%cs. our heirs. cwcmors. administrators. succes ors. and assigns. jointly and se%eralls. (irrmlL M thea presents \%111 Rt As.said Principal has suhmittedabid totheO\\'\I Rtoperformall Work required for the WALNUT GROVE AVENUE. STREET 1.IGIff INST,\I.LATION—asses torthin the \nticelmitin_ Bidsand acrnmpaming Hit Documents. dated JULY 17TH, 2024 VON. I I IERFFORL.. if said Principal is awarded a Contract for the Work h} the OW'NFR and. within the time and in the manner required h} theaho\e- referencai [lid DOCUInCrIth. enters into the LLritten form ul ( ontract M)Lmd with said Bid Documents, furnishes the required Minds (one to guarantee faithful performance and the other to guarantee pa%ment for lahor and materials) furnishes the required insurance certificates and endorsements. and furnishes am other certifications as may he required by the Contract. then this obligation shall be null and void: other\%ise it shall remain in full force and effect. In the event alit is brought upon this bond by the 0" NI R and judgment is recosen-i. said Surety shall pay all costs incurred h) the OWNER in such suit. including reasonable atlomeNs fees to he fixed bs the court. sIGNhD \\D S1 :1LF1). this BTH day of JULY - 20 24 . PTM GENERAL ENGINEERING SERVICES,INC. (SEAL) Principal B): titg re �lle7t�t�(w'R/v[ &A CBF - 10 NATIONNADE MUTUAL INSURANCE C ANY Sl A.1 I $uretl' Slgnat VEGA ATTORNEY -n -F Power of Attorney KNOW ALL MEN BY THESE PRESENTS THAT: Nationwide Mutual Insurance Company, an Ohio Corporabon hereinafter referred to severally as the'Company' and collectively as'the Companies' does hereby make, Constitute and appoint: PHILIP E VEGA, MYRNA F SMITH, KEVIN VEGA, BRITTON CHRISTIANSEN each in their individual rapacity. its true and lawful attomey-iniact with full power and authority to sign, seal, and execute on its behalf any and all bonds and undertakings, and other obligatory instruments of similar nature, in penalties not exceeding the sum of UNLIMITED and to bind the Company thereby, as fully and to the same extent as if such Instruments were signed by the duly authorized officers of the Company; and all acts of said Attorney pursuant to the authority given are hereby rablied and confirmed. This power of attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the board of directors of the Company: 'RESOLVED, that the president, or any vice president be. and each hereby Is, authorized and empowered to appoint attomeys-in-fact of the Company, and to authorize them to execute and deliver on behalf of the Company any and all bonds, forms, applicatons, memorandums, undertakings, recognizances, transfers, contracts of Indemnity, policies, contracts guaranteeing the fidelity of persons holding positions of public or private trust, and other writings obligatory in nature that the business of the Company may require; and to modify or revoke, with or without cause, any such appointment or authority; provided, however, that the authority granted hereby shall in no way limit the authority of other duly authorized agents to sign and countersign any of said documents on behalf of the Company.' -RESOLVED FURTHER, that such attorneys -In -fact shelf have full power and authority to execute and deliver any and all such documents and to bind the Company subject to the terms and limitations of the power of attorney issued to them, and to affix the seal of the Company thereto; provided, however. Nat said seal shall not be necessary for the validity of any such documents. - This power of attorney is signed and sealed under and by the following bylaws duly adopted by the board of directors of the Company. Execution of Instruments. Any vice president, any assistant secretary or any assistant treasurer shall have the power and authorty to sign or attest all approve imumenls, instruments, contracts, or other papers in Connection with the ooeration of the business of the company in addition to the chairman of the board, the chief executive officer, president, treasurer or secretary; provided, however, the signature of any of them may be printed, engraved, or stamped on any appmved document, Contract, instrument, or other papers of the Company. IN WITNESS WHEREOF, the Company has caused this instrument to be sealed and duly attested by the signature of its officer the 20th day of August, 2021. Sts RYNXOMWNw Hoaryq Pub Naw VY0,1,N.WYc Antonio C. Albanese, Vice President of Nationwide Mutual Insurance Company 11a19d irot ll ACKNOWLEDGMENT "Illiviiiaaqqwu,�� +mowit STATE OF NEW YORK COUNTY OF NEIN YORK: ss q On this 20th day of August. 2021, before me came the above-named officer for the Company ;: aforesaid, to me, personally known to be the officer described in and who executed the preceding , SEAL `a0 instrument. and he acknowledged the execution of the same, and being by me duly sworn, deposes and says, that he is the officer of the Company aforesaid, that the seal affixed .0 hereto is the corporate seal of said Company, and the said corporate seal and his signature were duly affixed and subscribed to said instrument by the authority and direction of said Company. Sts RYNXOMWNw Hoaryq Pub Naw VY0,1,N.WYc 11a19d irot ll Um- MeldedH XYr Ypk Gpn:y in XewynMk CenX,bManE 're<pc:abr l9 ]� M'r�wwr^E.pm ou.e. n. Cob CERTIFICATE I, Laura B. Guy, Assistant Secretary of the Company, do hereby certify that the foregoing is a full, true and Correct copy of the original power of attorney issued by the Company; that the resolution included therein is a true and =act transcript from the minutes of the meetings of the boards of directors and the same has not been revoked or amended in any manner; that said Antonio C. Albanese was on the date of the execution of the foregoing power of attorney the duly elected officer of the Company, and the corporate seal and his signature as officer were duly affixed and subscribed to the said Instrument by the authority of said board of directors: and the foregoing power of attorney is still in NL force and effect. IN WITNESS WHEREOF, I have hereunto subscribed my name as Assistant Secretary. and affixed the Corporate seat of said Company this 8tn day of July 2024 Assistant Secretary BDJ 1(08-21)0(1 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 LOS ANGELES On I y*' ;"I before me, Kevin Edward Vega, Notary Public Date Here Insert Name and Title of the Officer personally appeared Elizabeth H. Mendoza Names) of Signer(s) who proved to me on the basis of satisfactory evidence to be the personjsl whose names) is/aw subscribed to the within instrument and acknowledged to me that he/ske/they executed the same in his/ttodtheir authorized capacity(te4 and that by his/hecRheic signature(* on the instrument the person(s), or the entity upon behalf of which the personN acted, executed the instrument. KEVIN VEGA Notary Pubk - Califomla Los Angeles County Commisslon 12496316 ONy Comm. Expires Apr 29, 2029 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 Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ 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 n r»hor- Signer Is Representing: a>Qc*a�scxs. 02014 National Notary Association • www.Nationa[Notary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 CALIFORNIAALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document State of California )as. County of LOS ANGELES On July 8th, 2024 before me, Philip Vega, Notary Public Here Insert Name and Tine of the Omoer personally appeared Kevin Vega, Attorney -in -Fact Names) of Signer(c) 14VEDA Notary liubdc 7 Caimorma Los AWe; Claidi y C minesim J 2090569 comy Comm. Expires wy 31, 2029 who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) istare subscribed to the within instrument and acknowledged to me Mat he/she/they executed the same in h-Wher/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true arid correct WITNESS my hand and official seal. OPTIONAL Though m info,nNo,n beiaw is not required by law, a may prove varuable to demons "ng an the and reaffaW frf of this form ft sm"r documehl Description of Attached Document Title of Type of Document Document Date: Signers) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signers Name: ❑ Individual ❑ Corporate Otfioer Tiae(s): ❑ Partner - O Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Number of Pages: Signers Name. ❑ Individual ❑ Corporate Officer Millais): ❑ Partner - ❑Limited ❑General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Consenalor ❑ Other. Mudidenl removal CA,MG02033501 110 0 151761 2 22 (UPDATED: 01-19) PTM General Engineering BIDDER, Services, Inc. 2.B LIST OF PROPOSED SUBCONTRACTORS In compliance %kith the "Subletting and Subcontracting Lair Practices Act." Section, 4100 through 4114 of the California Public Contract Code. and any amendments thereto, each Bidder shall pro%ide the infonnation requested belo%% for each subcontractor %%ho %kill perform %%rk. labor or render service to Bidder in or about the construction of the b1 ork in an amount in excess of one-half of one percent (greater than 0.5 0'0) of the 13 idder's Total Bid Price. or. in the case of hids or offers for the construction of streets or high%%ays. including bridges, in excess of one-half of I percent of the Contractors total bid or ten thousand dollars (SIO.000), %khiche%er is greater, and shall further set forth the portion of the `r\ork which %kill be done by each subcontractor. Bidder shall list onIN one subcontractor for any one portion of the Work. Pursuant to Public Contract Code Section 4104. the O%%ner has determined that it will allo%k Bidders t%%ent%-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. I f the Bidder faib to specify a subcontractor for any porion of the Nork to be performed under the Contract. it shall be deemed to have agreed to perform such portion itself. and shall not be permitted to subcontract that porion of the Work except under the conditions hereinafter set forth beloka. Subletting or subcontracting of an}porion 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 streetsor high%%aks. including bridges. in excess ofone-half of I percent of the Contractors total bid or ten thousand dollars ($10,000). %khichever is greater, for %which no subcontractor was designated in the original bid shall only be permitted in cases of public emergency or necessit%, and then onh atter O%%ner approkal. CBF - 11 PTM General Engineering BIDDER: Services, Inc. ?..B LIST OF PROPOSED SLBCO\TRACTORS tcontinued) [**Duplicate Nest 2- pages if needed for listing additional subcontractors.** Name and Location Description of Work of Subcontractor to be Subcontracted Name: Address: I icense No.: -- - - - Department of Industrial Relation ReLzistration \'o._ Name and Location of Subcontractor Narne: Address: License No.: _ Department of Industrial Relation Registration No. Description of \Cork to he Subcontracted Name and Location Description of \\'ork of Subcontractor to be Subcontracted Name: Address:__ _ License No.: _ -- Department of Industrial Relation Registration No._ - Name and Location Description of \\ ork of Subcontractor to be Subcontracted Name: Address License No.: Department of Industrial Relation Registration No.- _ Name and Location Description of VCork of Subcontractor to be Subcontracted Name: Address: License No.: Department of Industrial Relation Registration No. -- CBF - 12 PTM General Engineering BIDDER. Services, Inc. 2.0 REFERENCES The follo%%ine are the names, addresses and telephone numbers for three public agencies for %chich BIDDER has performed similar%xork %%ithin the past too t2l \cars: City of Covina 125 E. College St. Covina, CA 91723 Nameand Addressof Ossner Mr. Rafael Fajardo 626.384.5490 rfajardo@covinaca.gov Name and telephone number of person familiar t\ ith project PO# 20230801 Traffic Signal Improvments at Covina Blvd. & Barranca Ave. 541,041.00 PTM Jot# 22-29 03.2024 Contract amount r\ pe of Work Date Completed ' City of Monterey Park 320 W. Newmark Ave. Monterey Park, CA 91754 Name and \ddress of Owner Mr. Okan Demirici, PE 714.319.6137 okan.demirci@transtech.org Name and telephone number of person familiar with project Traffic Signal Improvmeent Project HSIP Cycle 7 1,035,500.00 PTM Job #22-02 _ 01.2024 ---- Contract amount — — Ts pe of \\'ork Date Completed City of Lywood 11330 Bullis Rd. Lynwood, CA 90262 Name and kddress of Owner Mr. Mir Fattahi, PE 949.351.6505 mfattahi@lynwoodca.gov Name and telephone number of person familiar t\ ith project HSIP Cycle 9 Traffic Signal Improvements at the Intersection of Atlantic Ave and Carlin Ave. 474,047.00 PTM Job# 22-23 05.2024 Contract amount T\pe of Work Date Completed CBF -13 4. PTM General Engineering BIDDER: Services Inc. Caltrans 1727 30th St., MS 65 Sacramento, CA 95816 Name and Address of Owner Mr. Moussa Essayli PE 949.279.8816 Name and telephone number of person familiar %k ith project CDOT 12A20234 Modify Signal & Lighting & Striping 259,059.00 PTM Job# P22-20 Contract amount T) pe of �t ork 03/2024 Date Completed Magi more, rm(,,, aa1lab4o lga*7 r2a4V-e� CBF - 14 PTM General Engineering BIDDER- Services, Inc. SECTION 3 NON-COLL USION AFFIDAV%7 CBF - 15 PTM General Engineering BIDDER Services, Inc. NON -COLLUSION AFFIDAVIT In accordance with Public Contract Code Section 7106. the undersigned. beim__ Iirst duh swom. deposes and saes that he or she holds the position listed belotk with the bidder. the parte making the foregoing bid. that the bid is not made in the interest of'. or on behalf ot. am undisclosed person. partnership. company, association. organisation, or corporation: that the bid is genuine and not collusive or sham: that the bidder has not directly or indirecth induced or solicited any other bidder to put in a false or sham bid. and has no directh or indirectly colluded. conspired. connived, or agreed o%ith am bidder or aurone else to put in a sham hid. or that aurone shall refrain from bidding: that the bidder has not in arc manner. directly or indirectly. sought by agreement. communication. or conference vyith aurone to fix the bid price of the bidderor any other bidder. or to fix am overhead. profit. or cost element of the bid price. or of that of am other bidder. or to secure am advantage against the public body awarding the contract of aurone interested in tile 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 hreakdovvn thereof, or the contents thereof'. or divul_ed infomtation or data relative thereto. or paid. and will not pay, am fee to any corporation, partnership. company association. organization. hid depositor. or to am member or agent thereof to effectuate a collusive or sham bid. S ignat u Elizabet H. Mendoza INped or Printed \ame President/CFO PTM General Engineering Services, Inc. Ridder -- Suburibcd and sworn before me This day of 20_ - Notan Public in and for the State of (alifnmia See Attached qty Commission Expires: CBF - 16 (Seal) CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 .res.:s-.ncccir �.,.:<,r,�rarrcrrnu:c:c-a=crroc.�_r.Sturrc�:crccx.�.cx..t�cta�-r�•rsrrr.,��-,�,.,,, ..-,:�.,:.� ,.:; .:.cra A notary public or other officer completing tnis 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 ) CountyofLOS ANGELES ) On T ' /#- Ar before me, Kevin Edward Vega, Notary Public Date Here Insert Name and Title of the Officer personally appeared Elizabeth H. Mendota Names) of Signer(s) who proved to me on the basis of satisfactory evidence to be the persons whose narl istm subscribed to the within instrument and acknowledged to me that he/sW ttey executed the same in his/tterJtheir authorized capacity(las), and that by hisRrorlZheic signatures} on the instrument the person(E), or the entity upon behalf of which the personN acted, executed the instrument. KEVIN YEW Notary Public - California Los Angeles County _ ir'Commission Y 2486316 My Comm. Expires Apr 29, 2028 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 Offl -H� Signature Sign re 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: Signer(s) Other Than Named Above: Document Date: Capacity(es) 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: 02014 National Notary Association • www.NationaiNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 CITY OF ROSEMEAD CALIFORNIA ADDENDUM #1 REQUEST FOR BIDS FOR WALNUT GROVE AVENUE STREET LIGHT INSTALLATION PROJECT No. 43009 Date Issued:.Juh It. 2024 Addendum for: Walnut Grove Avenue Street I.ight Installation Project sso. 43009 Addendum No.: I Addendum Date: July 11.'_0_24 Issued by: Cite of Rosemead Reminder 1: Bid due date time remains unchanged. Proposals due by 10:30 a.m. ,it V\cdncsday.Ju]\ I77�.2023. Addendum I makes no changes to the scope and simply adds the specifications for the Ding Luminaire Light Fixtures. Please see Attachment .A — King Luminaire Light Fi XtUre Specifications. which provides details for the King Luminaire Light 1 Nture as specified on the project bid schedule. This Addendum I also issues responses to the follov�in,, questions received: Question 1: Please confirm that the NTP will he issued only when the Ione lead time electrical materials are delivered. Thanks Response I: Please Refer to Pa_e \111-1 \i orkin2 Dacs Lire One Hundred 7\vent\ Da\ S includinL, Material Procurement to Complete the work. N fP shall be issued shortl\ after the contract award. Question 2: Please refer to page Exhibit B— Insurance Requirements. ('an a non -admitted surplus line carrier approved by the State ofCalifnmia Dept. of Insurance on the "List of Approved Surplus Line Carriers" he used to meet the insurance requirement? If yes. what is the minimum rating? Note vvc had prior contracts with the Cit\ of Rosemead urine the surplus line carriers in the past. Response 2: Yes. a surplus line carrier is acceptable as tollovvs: All insurance policies shall be issued by an insurance compan\ current]\ authorized by the Insurance Commissioner to transact business of insurance or is on the List of Approved Surplus Line Insurers in the State of California. with an assigned policyholders' Rating of A- (or higher) and Financial Sizc Cateeon Class VII (or larger) in accordance with the latest edition of Rest's Kev Rating Guide. Attachments: Attachment A — King Luminaire Light Fixture Specifications PTM Gen I Engineerin Services, I Issued by Cite of Rosemead Elizabet H Mendo a Pres FO Addendum I. Page I of I BIDDER MimkoAndes Co"Mon, dbe Mbxo Correbuctlon CITY OF ROSEMEAD WALNUT GROVE AVENUE STREET LIGHT INSTALLATION PROJECT No. 43009 SECTION 1- BID SCHEDULE CONTRACT BID FORMS CBF- 1 BIDDER: MinakoAmerica Caporaaon,dbaWoo Conalrudlon BID SCHEDULE SCHEDULE OF PRICES FOR WALNUT GROVE AVENUE STREET LIGHT INSTALLATION PROJECT No. 43009 N0. ITEM DESCRIPTION UNIT may. UNIT PRICE ITEM COST Solar Street Lighting: Furnish and install Fonroche Smartlight [r54-CK16B-4K T31P310-4f] 1248Wh NIMH batteries, 7100 lumen all nightfull brightness dark sky certified fixture, 310w solar panel, 28'3' spuncast pre -stressed Octagonal concrete poles, LoRa & cellular based central controllmonitoring,10 year non pro-ratad full parts and labor warranty. Work lndudesinstallation of 287 octagonal 1 concrete poles and foundation, including 6' EA 22 $.L3,285.00 $132,270.00 arm, anchor bolls, and LED Iightfixtures (Manufacturer. Fonroche Lighting America), and all related appurtenances for complete solar street light installation, as identified on Appendix B — Solar tight System Specs and on Technical Specifications. Cost to furnish engineered planslshop drawings including foundation design stamped by California Licensed Engineer shall be provided as part of the bid. Lighting Fbdures: Furnish and install IGng Luminaire Light Fixture "K11811-82AR-III- 75(SSL}1036.120277V-K%PR-%-BK- #1", as Identified on Appendix C — IGrg 2 Luminaire Light Fixture Specs. (Vendor. EA 44 $±,726.00 $207,94±.00 South Coast Lighting and Design). Wolk includes removal of existing lighting fixtures and installation of King Luminaire Light Fixtures along Valley Blvd from Rosemead Blvd to Lona Avenue. TOTAL BASE BID AMOUNT IN NUMBERS $940,214.00 TOTAL BASE BID AMOUNT IN WORDS: Nine Hundred Forty Thousand Two Hundred Fourteen Dollars and No Cents The award of Contract shall be based on the TOTAL BASE BID AMOUNT. In the case of discrepancies in the amount of bid, unit prices shall govern over extended amounts, and words shall gTrem over fi Full compensation for the items listed to the A. Mobilisation / Demnbilization CBF -2 BIDDER: Minako America Corporadon, dba Minor Corrstructlon right as Items A, B, C, D and E are considered B. Traffic Control C. NPDES, W WECP, and Best Management as inclusive in each Bid Item listed above in the Bid Schedule as applicable, and no Practices (BMPs), Public Convenience and additional and/or separate compensation will Safety D. Construction Staking by Land Surveyor be allowed. E. Clearing and Gribbin 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. I f the change exceeds 25%, a change order may be negotiated to adjust unit bid prices. 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 prices. 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 satisfactorily completed. Note: The City of Rosemead reserves the right to reduce or increase the quantities of any items in the schedule of bid items above, within the limits define in Section 3-2.2.1 of the Standard Specifications, to stay within the budgeted amount of this project. The award of Contract shall be based on the TOTAL BASE BID AMOUNTonly. If the Bid fists any Additive Alternate bids, the ADDITIVE ALTERNATE BID ITEMS shown per the ADDITIVE ALTERNATE BID SCHEDULE above 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. The undersigned agrees that these Contract Bid Forms constitute a firm offerto the Ownerwhich cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and afterthe 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 writtenamount ofthe Bid Price and the numerical amount ofthe Bid Price, the written amount shall govern. Attached hereto is a certified check a cashiers check or a bid bond in the amount of 10% of the total bid Price Dollars($til +sTwl� r7 ) said amount being not less than ten percent (10%) of the Total Bid Price. The undersigned agrees that said amount shall be retained by the Owner if, upon award, we fail or refuse to execute the Contract and furnish the required bonds, certificates and endorsements of insurance and other certifications within the time provided. CBF -3 BIDDER: Mbako amerce corpomtbn. dba M[nw ConsbucBon If awarded a Contract, the undersigned agrees to execute the formal Contract, which will be prepared by the Owner for execution, within five (5) Calendar Days following the Letter of Award for the Contract, and will deliver to the Owner within that same period the necessary original Certificates of Insurance, Endorsements of Insurance, Performance Bond, Payment Bond and all other documentation and certification required by the Contract. The undersigned offers and agrees that if this bid is accepted, it will assign to the purchasing body all rights, title, and interest in and to all causes of action it may have under Section 4 of the Clayton Act (15 U.S.C. Section 15) or under the Cartwright Act (Chapter 2 of Part 2 of Division 7 of the Business and Professional Code), arising from purchases of goods, materials or services by the Bidder for sale to the purchasing body pursuant to the bid. Such assignment shall be made and become effective at the time the purchasing body tenders final payment to he Contractor. Bidder understands and agrees that, when requested by Owner, he shall provide: (1) evidence satisfactory to the Owner of Bidder's California contractor's license(s) in good standing; (2) evidence that the person signing this Bid is authorized to bind Bidderto 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. Bidder acknowledges that data submitted with its Contract Bid Forms which it requires to be incorporated into a Contract arising out of this Submittal has been so identified by Bidder. Bidder further acknowledges that the Owner may, at its discretion, incorporate any of the remaining data submitted herewith into a contract arising out of this Bid. The undersigned acknowledges receipt, understanding and full consideration of the following addenda to the Contract Documents. Addenda Nos. The Bidder understands and agrees that the Total Bid Price is inclusive of all labor, materials, and equipment or supplies necessary to complete the Work as described in the Bid Documents. If this bid is accepted, the undersigned Bidder agrees to enter into and execute the Contract with the necessary bonds and accept the Total Bid Price as compensation in full for all Work under the contract. CBF -4 BIDDER: Minako America Corporation, dba Minco Construction EXAMINATION OF SPECIFICATIONS AND SITE OF WORK The Bidderdeclares 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 datebelow) and that he/she understands the exact scope of the Project. Name of Person who inspected the site: Date of Inspection: Refaat H Mina July 2, 2024 ADDENDA ACKNOWLEDGMENT The Bidder acknowledges receipt of the following Addenda and has included their provisions in this Proposal: Addendum No. ted 0 U Addendum No. Dated Addendum Addendum No. Dated CBF -5 BIDDER Mlradro Amada Corpomdon, dba Minco Construction 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. 1965), the Udder hereby declares under penalty of perjury under the laws of the State of California that the Udder 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 tertn'bldder' 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 Udder must place a checkmark after'hae or 'has nor 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 Udder, any officer of the Udder, or any employee of the Udder who has a proprietary interest in the Udder, ever been disqualified, removed, or otherwise prevented from biding on, or complefing 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. CBF -6 BIDDER Minako Anmwks CapaaWn, dbe Mrnco CorlshmWn 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 Contractor's 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 Un BIDDER Mhako America Corpomficn, dba Minto Conatmdan 522 E. Airline way, Gardena, CA 9024E Business Street Address Refaet H Mia Gardena, CA 90248 Type or Prir t Nar City, State and Zip Code President (310) 516.8100 Title Telephone Number Bidder's/Contractoes State of Incorporation: Caldomia Partners or Joint Venturers: Bidder's License Number(s): 612429 612429 A, B, C-7, C10 Department Industrial Relations Registered No. 1000002728 NOTES: 1) By its signature on this Bid, the Bidder certifies under penalty of perjury the accuracy of the representations made on the Contract Bid Forms. 2) If Bidder is a corporation, enter State of Incorporation in addition to Business Address 3) If Bidder is a partnership or joint venture, give full names of all partners or joint venturers. As further discussed in the Instructions to Bidders, Bidder will be required to provide evidence that the person signing on behalf of the CBF -8 BIDDER: Minako America Corporwon, dba Minto Consbucdon SECTION 2 BID DATA FORMS CBF -9 Bond#472465 BIDDER: Minako America Corporation dba Minco Construction 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 Minako America Corporation dba Minco Construction as Principal, and Merchants Bonding Company (Mutual) , as Surety, are held firmly bound unto the CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of Ten Percent of Bid Amount 10% ), being not less than ten percent (10%) of the Total for the payment of which sum will and truly to be made, we bind our heirs, executors, administrators, successors, and assigns, jointly and firmly by these presents. Bid Price; ourselves, severally, WHEREAS, said Principal has submitted a bid to the O WN ER to perform all Work required for the WALNUT GROVE AVENUE STREET LIGHT INSTALLATION—asset forth in the Notice Inviting Bids and accompanying Bid Documents, dated July 17th, 2024 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 nm day of July 20 24 MFeko America Corporation dM Minco CansMm5m (SEAL) Merc hants Bonding Company(Mutuall(S EA_ Li Principal By: By: C�� _ TiaLtureaF44'f /•%i ,%4 S ignature Peter C Gibbs Aaomeytin-Faet- CBF -10 Bond #: 472465 MERCHANTS BONDING COMPANY. POWER OF ATTORNEY Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa, d/b/a Merchants National Indemnity Company (in California only) (herein collectively caged the "Companles") do hereby make, constitute and appoint, individually, Peter C Gibbs their true and lawfid AOomey(s)-in-Fact, to sign Its name as surety(les) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written Instruments in the nature thereof, on behalf of the Companies In their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power -o( -Attorney is granted and is signed and sealed by facsimile under and by authority of the following By -Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23. 2011 and amended August 14, 2015 and adopted by the Board of Directors of MerchantsNational Bonding, Inc., on October 16, 2015. 'The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Mee President shall have power and authority to appoint Attorneys -in -Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof." 'The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Affomey or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shah have the same force and effect as though manually fixed' In connection with obligations In favor of the Florida Department of Transportation only, It is agreed that the power and aut hority hereby given to the Attomey-In-Fact includes any and all consents for the release of retained percentages andlor final estimates on engineering and construction contracts required by the Stale of Florida Department of Transportation. It is fully understood that consenting to the Stale of Florida Department of Transportagon making payment of the final estimate to the Contractor and/or its assignee, shah not relieve this surety company of any of Its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways Only, It Is agreed that the power and authority hereby given to the Aftomeydn-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner. Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation. In Witness. Whereof, the Companies have caused this instrument to be signed and sealed this 17th day of July . 2024 ••`.IONq� •ate QNB Cp •••• MERCHANTS BONDING COMPANY (MUTUAL) ......O .•'••B ••. .O?Q. PO �A9 •• MERCHANTS NATIONAL BONDING, INC. O . : N 9 '• dlbla MERCHANTS NATIONAL INDEMNITY COMPANY Ehh:vO Rvr , y : , 0, v0 q�;.yd -o-n^' 20031933 - V°q • y'.. - _ ..- � > - '•tidy;•.. ..._�.?• :oy� .`ar. By '•....:}.•...•• • •.:... •'• President - '!STATE-OFIOWA COUNTY. OF DALLAS ss. Ori ififs 17th day of July 2024 before me appeared Larry Taylor, to me personally known, who being by me duty sworn did say that he is Resident of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing Instrument are the Corporate Seals of the Companies; and that the said Instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. m� Penni Miller Commission Number 787952 ca My Commission Expires IONP January20,2027 P c (Expiration of notary's commission does not invalidate this instrument) I, William Warner, Jr., Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and foregoing is a true and correct copy of the POWER -0F -ATTORNEY executed by said Companies, which is still in full force and effect and has not been amended or revoked. In Witness Whereof, i have hereunto set my hand and affixed the seal of the Companies on this 17th day of July , 2024 . ............ ,.....• .`Q,S10NgC••• ONO CO,A. ct�:........... '.ti's, d.*' 9•. y• LI _ may;pR R4j:0 •0: v0 qi. `%�� 2 i1933 : c, d 2003 Q; y'•. . y Secreta \ •�•.. ••,O••• •...••.••• POA 0018 (1/24�� """•. .V MARYLAND NOTARY ACKNOWLEDGEMENT (ATTORNEY IN FACT) State of Maryland County of Prince George's (or City of Baltimore), to wit: On this 17th day of July 2024 , before me, the undersigned officer, personally appeared Peter C. Gibbs [name of person(s) who make acknowledgement], known to me (or satisfactorily proven) to be the person(s) whose name(s) is/are subscribed as attorney(s) in fact for Merchants Bonding company (Mutual) [name of person(s) for whom the attorney is appearing), and acknowledged that he/she/they executed the same as the act of his/her/their principal for the purpose therein contained. In witness whereof, I hereunto set my hand and official seal. [Notary Seal] MARCUS A HARRIS Notary Public - State of Maryland Prince George's County My Commission Expires Nov 23. 2025 [Signature of Notary Public] Marcus A. Harris [Printed Name of Notary Public] Notary Public My Commission Expires: 11-23-2025 Copyright 0 2018 NotaryAcknoWedgement.com. All Rights Reserved. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 -if)S:F,t�c-Si ii'RL`C2:CL`C.L'C,CFcY.i.'CK-`CK'CSC'e�CxGfcCb'Fi^wG%�.L`G`S.iC6'C.SY'.C.'u'SS.�P.LY�iGC'.E'GCff:F.C`CrGFAiC.Z'RTv`C&'Y'6S�6-Y�d`C.(Z"iSti+C'CA A notary public or other officer completing this certificate verges only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Los Angeles ) On 07/17/2024 before me, Refill Varooj Thomassian, Notary Public Date Here Insert Name and Title of the Officer personally appeared Refaat Names) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/" executed the same in his/he,04 if authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. 61, RAM VAROOJ ThOMASSIAN Notary Public - California = Los Angeles County !_ Commission 4 2334054 My Comm. Expires Sep 22, 2024 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 Q G"Y �`7 ✓/I ��'LtCt2(f fgnature 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: 0 Corporate Officer — Title(s): 0 Partner — 0 Limited 0 General 0 Individual 0 Attorney in Fact C Trustee 0 Guardian or Conservator f nth., Signer Is Representing: Signer's Name: 0 Corporate Officer — Title(s): 0 Partner — 0 Limited 0 General 0 Individual 0 Attorney in Fact 0 Trustee 0 Guardian or Conservator M nfhor- Signer Is Representing: %e�4"cC>cX:t:L�:t,¢:l)�t:X'<S�'4`c.4�nGrlrzK{)[.:Ct:L:�F,`[:C`cGr4¢:l7CiJr,G`cG¢:c2c-.O�Cc.LeG¢�G2Z9�rT4"q(^C.Ge4'zZr.L¢?'�`�(9eLr.(.�.Gr 02014 National Notary Association • www.NationalNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 BIDDER: Mkmko Araeft Corporation, dbe Minoo Construction 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 1 percent of the Contractor's total bid or ten thousand dollars ($10,000), whichever is greater, and shall further set forth the portion of the Work which will be done by each subcontractor. Bidder shall list only one subcontractor for any one portion of the Work. Pursuant to Public Contract Code Section 4104, the Owner has determined that it will allow Bidders twenty-four (24) additional hours after the deadline for submission of bids to submit the information requested by the Owner about each subcontractor, other than the name and location of each subcontractor. If the Bidder fails to specify a subcontractor for any portion of the Work to be performed under the Contract, it shall be deemed to have agreed to perform such portion itself, and shall not be permitted to subcontract that portion of the Work except under the conditions Subletting or subcontracting of any portion of the Work in excess of one half of one percent (greater than 0.5%) of the Total Bid Price or, in the case of bids or offers for the construction of streets or highways, including bridges, in excess of one-half of 1 percent of the Contractors total bid or ten thousand dollars ($10,000), whichever is greater, for which no subcontractor was designated in the original bid shall only be permitted in cases of public emergency or necessity, and then only after Owner approval. CBF -11 BIDDER: Minako Arwdca Coryoradon, dba Mh= Consbuction 2.111 LIST OF PROPOSED SUBCONTRACTORS (continued) [**Duplicate Next 2 Pages if needed for listing additional subcontractors.**] Name and Location of Subcontractor Description of Work to be Subcontracted Name: Address: License No.: Department of Industrial Relation Registration No. Name and Location of Subcontractor Description of Work to be Subcontracted Name: Address: License No.: Department of Industrial Relation Registration No. Name and Location of Subcontractor Description of Work to be Subcontracted Address: License No.: Department of Industrial Relation Registration No. Name and Location of Subcontractor Description of Work to be Subcontracted Address: License No.: Department of Industrial Relation Registration No. Name and Location of Subcontractor Description of Work to be Subcontracted Name: Address: License No.: Department of Industrial Relation Registration No. CBF -12 BIDDER: Minako America Corporation. dbe Woo construction 2.0 The following are the names, addresses and telephone numbers for three public agencies for which BIDDER has performed similar work within the past two (2) years: 1. Metropolitan Water District of Southem Celifomia, 700 North Alameda Street, Los Angeles, CA 90012 Name and Address of Owner 714986.8803 Name and telephone number of person $2,606,700.00 Electrical Upgrades at 15 Structures May 26, 2021 Contract amount Type of Work Date Completed 2. California, Department of Transportation, 100 Main St 10th Floor, Los Angeles, CA 90012 Name and Address of Owner Kimberly Reap, Phone (916) 227-6000, kimbety.reap@dotea.gov Name and telephone number of person familiar with project $347,770.00 - Upgrade/Replace Existing CCN Camera. August 29, 2023 Contract amount Type of Work Date Completed 3. City of Covina, 125 E. College Street, Covina, CA 91723-2199 Name and Address of Owner person familiar with Reservoir Electrical February 2, 2022 Contract amount Type of Work Date CBF -13 BIDDER: Mhako Amwl= COMOmdm, Eba Mhm ConshuWm 4. Los Angeles County, Public Works ,4304 Eugene St, Los Angeles, CA 90022 Name and Address of Owner Kenneth J. Parham Jr., (626) 720-9071 — Cell, kparham@dpw.lacounty.gov Name and telephone number of person familiar with project 170.35 Feet of 184nch waterline Contract amount Type CBF -14 K*Z11 BIDDER: Minako America Corporation, dba Minto Construction SECTION3 NON-COLLUSIONAFFIDAVIT CBF -15 BIDDER: Minako America CoMamtlon, dbe Mina Construclicn NON -COLLUSION AFFIDAVIT In accordance with Public Contract Code Section 7106, the undersigned, being fust duly sworn, deposes and says that he or she holds the position listed below with the bidder, the party making the foregoing bid, that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidderhas not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidderor 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. _ Minako America Corporation, dbe Mina Construction Bidder Subscribed and swom before me This 17th day of July K 2024 2024 0 (Seal) Raffi Varooj Thomassian FASc= /jOfi�`J��v Notary Public in and for the State of California My Commission Expires: September 22, 2024 CBF -16 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Los Angeles Subscribed and sworn to (or affirmed) before me on this 17th day of July 2p 24 , by Refaat H Mina proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. RAFPI VAROOJ THOMASSIAN Notary Public • California ? Los Angeles County >E COmmiSiiOn a 2334054 My Comm. Expires Sep 22, 2024 (Seal) Signature "The notary commission extended pursuant to Executive Order N-63-20." CITY OF ROSEMEAD CALrnORN1A ADDENDUM #1 REQUEST FOR BIDS FOR WALNUT GROVE AVENUE STREET LIGHT INSTALLATION PROJECT No. 43009 Date issued: July 11, 2074 Addendum for: Walnut Grove Avenue Street Light Installation Project No. 43009 Addendum No.: 1 Addendum Date: July 11, 2024 honed by: City of Rosemead Reminder 1: Bid due date/time remains unchanged. Proposals due by 10:30 a.m. on Wednesday, July 17&, 2024, Addendum 1 makes no changes to the scope and simply adds the specifications for the King Luminaire Light Fixtures. Please see Attachment A — King Luminaire Light Fixture Specifications, which provides details for the King Luminaire Light Fixture as specified on the project bid schedule. This Addendum 1 also issues responses to the following questions received: Question 1: Please confirm that the NTP will be issued only when the long lead time electrical materials are delivered. Thanks Response 1: Please Refer to Page NIB -1 Working Days are One Hundred Twenty Days including Material Procurement to Complete the work. NTP shall be issued shortly after the contract award. Question 2: Please refer to page Exhibit B — Insurance Requirements. Can a non -admitted surplus lime carrier approved by the State of California rept. of Insurance on the "List ofApproved Surplus Line Carriers" be used to meet the insurance requirement? If yes, what is the minimum rating? Note we had prior connects with the City of Rosemead using the surplus line carriers in the past. Response 2: Yes, a surplus line carrier is acceptable as follows: All insurance policies shall be issued by an insurance company currently authorized by the Insurance Commissioner to transact business of insurance or is on the List of Approved Surplus Line Insurers in the State of California, with an assigned policyholders' Rating of A- (or higher) and Financial Size Category Class VII (or larger) in accordance with the latest edition of Best's Key Rating Guide. Attachments: Attachment A—King Luminaire Light Fixture Specifications Issued by City of Rosemead Addendum 1, Page t of I 1 K118 WASHINGTON - LED King ST The King Luminaire K118 Washington Is a beautiful Luminaire depiction of this street lignt classic. This historical KING acorn shape teamed Wit.. King Luminaire's high Performance LED engines make for a perfect solu- tion for city streets. parks, schools and commercial areas. PRODUCT SPECIFICATIONS RI/B3/82 LED ENGINE GLOBE ASSEMBLY LUMEN MAINTENANCE dd 1I2„ II I \ ' WIRING r - r CERTIFICATION: THERMALS _. . .. r DRIVER INFO: P4 LED ENGINE .. DRIVER .. -.' FINISH ,.. r. EPA: FIXTURE WEIGHT: MISCELLANEOUS LUMINAIRE CONSTRUCTION J PHOTOMETRICS .. , SA WARRANTY C us CHROMATICITY FIXTURE OPTIONS OptionsCapital ■0 1 • •'M 0, luucxfwc n�ssuiunon t11XIM/�IRE STYLE <l78 WAS) 0,%(1 TON - LED Decorative Options: Finial Options: — L LAME voLi�ae .CMATIVEQV .l StressCrete tt„ King GROUP www.scgrp.com xvw Luminaire