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Silvia Construction, Inc03/19/2012 16:14 FAX CITY OF ROSEMEAD ROSEMEAD, CALIFORNIA ADDENDUM NO.1 To all prospective bidders under Bid Documents for the RESIDENTIAL STREETS RESURFACING PROJECT PROJECT No. 21003 r� You are hereby informed that the Bid Item No. 5 and Bid Item No. 22 shall read as follows: Construct 112 inches thick Asphaltic Leveling course D1 (PG 64-10) as indicated on the plans The estimated tonnage quantity stays the same as in the original bid. 2. In addition, Alternate Bid Item No. 1 on page CBF — 4 shall read as follows: ALTERNATE BID ITEM No. 1 MUSCATEL AVENUE FROM MISSION DRIVE TO GRAND AVENUE The rest of Bid Documents as originally issued shall be used in submitting bids, and an acknowledgement of receipt of this Addendum Number 1 shall be entered on the page CBF — 6 of the Contract Bid Forms. Failure to provide such acknowledgement shall render the bid as non - responsive and subject to rejection. BY ORDER OF THE CITY OF ROSEMEAD Date: March 19 2012. By Rafael Fajardo Associate Civil Engineer - CITY OF ROSEMEAD RESIDENTIAL STREETS RESURFACING PROJECT PROJECT No. 21003 f' 1 i_ t_ 1 i l_. 1 BIDDER: SILVIA CONSTR INC. CONTRACT BID FORMS TABLE OF CONTENTS SECTION 1 BID SCHEDULE ................................................ ............................... SECTION 2 BID DATA FORMS ............................................. ............................... 2.A BID BOND .......................................................... ............................... 2.13 LIST OF PROPOSED SUBCONTRACTORS .... ............................... SECTION 3 NON - COLLUSION AFFIDAVIT.... .......... 1 .......... 5 .......... 6 .......... 7 ....... 10 CBF -15 BIDDER: SILVIA CONSTRU INC. f . i t r J f L I i l_ SECTION 9 - BID SCHEDUL CBF -1 BIDDER: SILVIA CONSTRUCTI INC. BID SCHEDULE SCHEDULE OF PRICES FOR RESIDENTIAL STREETS RESURFACING PROJECT PROJECT No. 21003 BASE BID SCHEDULE CBF 2 UNIT OF EST. UNIT ITEM NO. ITEM DESCRIPTION MEASURE QTY. PRICE COST 1 Clearing & Grubbing per plans and specifications. See technical LS 1 UO" -cu 3 pT(7�` provisions TP -2, TP -3 & TP-4. ) 2 Disposal of Waste Materials. LS 1 3 Cold mill 2.0- inches thick existing SF 533,020 pavement. j 4 Construct 1.5 inches thick pavement overlay ARHM -GG -C TONS 5,000 (PG 64 -16) as indicated on the I plans. 5 Construct 1.0 inches thick Asphaltic Leveling course D1 TONS 1,788 (PG 64 -10) as indicated on the plans. 6 Remove 6- inches of existing SF 7,200 ?7 pavement and replace with 3.5- inches of AC B -PG 64 -10 Base Course over compacted native. 7 Remove, Dispose and Construct SF 12,942 tl 4- inches thick PCC Sidewalk per SPPWC Std. Plan 113 -1. i " 8 Remove, Dispose and Construct PCC Driveway Approaches per SF 2,500 SPPWC Std. Plan 110 -2. 9 Remove, Dispose and Construct 8- inches Curb and 24- inches LF 533 o G Gutter per SPPWC Std. Plan l ' �I �J 120 -2. I 10 Remove, Dispose and Construct LF 100 ,o G (gyp PCC Cross Gutter per SPPWC 7V Std. Plan 123 -2. CBF 2 BIDDER: SILVIA CONSTRUCTION, INC. TOTAL B SE BID PR CE (SCHEDULE BID PRICE):$_ �n Do T amou in wrltte z f / �� u 0 CBF -3 UNIT OF EST. UNIT ITEM NO. ITEM DESCRIPTION MEASURE QTY. PRICE COST 11 Remove, Dispose and Construct PCC Curb Ramps per SPPWC EA 22 Std. Plan 111 -4. 12 Adjust Sewer Manhole to Grade per APWA Std. Plan 205 -1 and EA 94 206 -1. 13 Adjust Water Valve /Gas Valve to Grade. EA 84 14 Install Survey Well Monument per City of Rosemead Std. Plan EA 27 S 08 - 00 1. See Section Surveying of the General Provision -7 per details (Cover, /1 Sleeve & Dome will be provided by the City at no cost). 15 Install Traffic Striping, Traffic Signal Loops Pavement LS 1 and Markers per the Striping Plans lUU and Specifications Complete. 16 Prepare a Storm Water Pollution LS 1 V Prevention Plan (SWPPP) 17 Paint Home Addresses (Curb EA 600 r �, Numbering). I I I7 (U 18 Install Truncated Domes Only EA 8 , // ov yellow color by Amorcast or 'Pig 'Pig �j� J�, Approved Equal. / // TOTAL B SE BID PR CE (SCHEDULE BID PRICE):$_ �n Do T amou in wrltte z f / �� u 0 CBF -3 BIDDER: SILV CONSTRUCTI INC. ALTERNATE BID ITEM No. 1 MUSCATEL AVENUE FROM RAMONA AVENUE TO GARVEY AVENUE. FA CBF - 4 UNIT OF EST. UNIT ITEM NO. ITEM DESCRIPTION MEASURE QTY. PRICE COST 19 Clearing R Grubbing per plans LS 1 = and specifications- See technical provisions TP -2, TP -3 & TP 4.� 20 Cold mill 2.0- inches thick existing SF 74,160 / pavement. 21 Construct 1.5 inches thick pavement overlay ARHM -GG -C TONS 700 h fl� v I�� J" (PG 64 -16) as indicated on the J / , (� plans. 22 Construct 1.0 inches thick Asphaltic Leveling course D1 TONS 232 (PG 64 -10) as indicated on the plans. 23 Remove, Dispose and Construct 4- inches thick PCC Sidewalk per SF 3,318 C w SPPWC Std. Plan 113 -1. J 24 Remove, Dispose and Construct SF 595 PCC Driveway Approaches per SPPWC Std. Plan 110 -2. 25 Remove, Dispose and Construct PCC Curb Ramps per SPPWC EA 9 Std. Plan 111-4. 26 Adjust Sewer Manhole to Grade EA 6 n per APWA Std � 3n 205 -1 and 206 -1./ 1 27 Adjust Water Valve /Gas Valve to EA 6 CYV Grade. ( 11 28 Install Survey Well Monument EA 5 h O per City of Rosemead Std. Plan S 08 - 00 1. See Section Surveying of the General q 1 Provision -7 per details (Cover, Sleeve & Dome will be provided by the City at no cost). 29 Install Traffic Striping, Traffic LS Signal Loops and Pavement Markers per the Striping Plans and Specifications Complete. FA CBF - 4 BIDDER: SILVIA CONSRTRUCTION, INC. i i TOTAL ALTERNATE BID PRICE No. 1 Dollar amount in TREE PLANTING DULE BID PRICE):$ /� - 3, � g ' 4 1 d UNIT OF EST. UNIT ITEM NO. ITEM DESCRIPTION MEASURE CITY. PRICE COST 30 Install Truncated Domes Only EA Z D 1 yellow color by Amorcast or Approved Equal. TOTAL ALTERNATE BID PRICE No. 1 Dollar amount in TREE PLANTING DULE BID PRICE):$ /� - 3, � g ' 4 1 d TOTAL •I. G7f? BID PRICE): ✓ V6 ;M� Dollar amount TOTAL BASE & ALTERNATE BID "la, rn 1 I ITn . � 0 I `L/ 7 4 �Do ar am unt PR rme �G1 AA' ��/ Note: The City od re ryes the right to reduce or increase the q ntities of any items in the schedule of s above, within the limits define in Section 3 -2.2.1 of the Standard Specifications, to stay within the budgeted amount of this project. If the Bid Documents specify alternate bid items, the following Alternate Bid amounts shall be added to or deducted from the Total Bid Price entered above. The owner can choose to include one or more of the alternates in the Total Bid Price of the Project. If any of the Alternate Bids are utilized by the Owner, the resulting amount shall be considered the Total Bid Price for the Project. CBF -5 UNIT OF EST. UNIT ITEM NO. ITEM DESCRIPTION MEASURE CITY. PRICE COST 31 Install 24 -Inch Box Parkway Tree EA 200 "Chinese Pistache" including 90- days maintenance period and tree wells. TOTAL •I. G7f? BID PRICE): ✓ V6 ;M� Dollar amount TOTAL BASE & ALTERNATE BID "la, rn 1 I ITn . � 0 I `L/ 7 4 �Do ar am unt PR rme �G1 AA' ��/ Note: The City od re ryes the right to reduce or increase the q ntities of any items in the schedule of s above, within the limits define in Section 3 -2.2.1 of the Standard Specifications, to stay within the budgeted amount of this project. If the Bid Documents specify alternate bid items, the following Alternate Bid amounts shall be added to or deducted from the Total Bid Price entered above. The owner can choose to include one or more of the alternates in the Total Bid Price of the Project. If any of the Alternate Bids are utilized by the Owner, the resulting amount shall be considered the Total Bid Price for the Project. CBF -5 DR SILVIA CONSTRUCTION, INC. 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 parry, 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 PERCEN OF BID AMEUKr Dollars ($ IT ) said amount being not less than ten percent (10 %) of the Total Bid Price. The undersigned agrees that said amount shall be retained by the Owner if, upon award, we fail or refuse to execute the Contract and furnish the required bonds, certificates and endorsements of insurance and other certifications within the time provided. If awardec a Contract, the undersigned agrees to e;;ccute 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 Contr =ct. The undersigned offers and agrees that if this bid is accepted, it will assign to the purchasing body all rights, title, and interest in and to all causes of action it may have under Section 4 of the Clayton Act (15 U.S.C. Section 15) or under the Cartwright Act (Chapter 2 of Part 2 of Division 7 of the Business and Professional Code), arising from purchases of goods, materials or services by the Bidder for sale to the purchasing body pursuant to the bid. Such assignment shall be made and become effective at the time the purchasing body tenders final payment to he Contractor. Bidder understands and agrees that, when requested by Owner, he shall provide: (1) evidence satisfactory to the Owner of Bidder's California contractors license(s) in good standing; (2) evidence that the person signing this Bid is authorized to bind Bidder to this Bid and to a contract resulting therefrom; and (3) any other information and documentation, financial or otherwise, needed by Owner to award a Contract to the lowest responsible and responsive bidder. i 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 -6 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 ::wewith into a contract arising out of this B'" By: Signature KURTIS AKABORI Type or Print Name VICE PRE Title Bidder's /Contractor's State of Incorporation: Partners or Joint Venturers: Bidder's License Number(s): 568194 A 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, oartnershiu or joint venture has the authority to do so. CBF -7 C BIDDER: SILV CO N ST R U CTION, INC. 9007 CENTER AVENUE Business Street Address RAN CHO CUCAMONGA, CA 91730 -5311 City, State and Zip Code (909)481 - 8118 Telephone Number CALIFORNIA n/a CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT STATE OF CALIFORNIA COUNTY OF SAN BERNARDINO On MARCH 21, 2012 before me, PATRICIA BURKE, NOTARY PUBLIC personally appeared KURTIS AKABORI , who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or the entity upon behalf of which the person 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. =tCIA BURKE WITNE4mand nd official seal. Commu�lon ♦ 1798307 Notary Public - California San Bernardino County Cann 2Q 2012 gnature of Notary Public Place Notary Seal Above --------------------------- - - - - -- OPTIONAL-------------------------- - - - - -- Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. DESCRIPTION OF ATTACHED DOCUMENT TITLE OR TYPE OF DOCUMENT NUMBER OF PAGES: DATE OF DOCUMENT: , Signer(s) Other Than Named Above: CAPACITY CLAIMED BY SIGNER Singer's Name Kurtis Akabori ❑ INDIVIDUAL ❑ PARTNER ® CORPORATE OFFICER VICE PRESIDENT TITLE ❑ ATTORNEY IN FACT ❑ TRUSTEE ❑ GUARDIAN OR CONSERVATOR ❑ Other awarraunmmnrtoF slc Signer is Representing: SILVIA CONSTRUCTION, INC. NAME OF PERSON(S) OR ENTITY(S) t CO_NSTRUC.TION ' INC., - "�' SPECIAL MEETING OF THE BOARD OF DIRECTORS MARCH 1, 2008 A special meeting of the Board of Directors was called on March 1, 2008. Present were Joseph W. Silvia and Kurtis Akabori. The total voting shares of stock represented were 80% of all outstanding shares. A motion for notice was passed. The following resolution was passed. Resolution No. 1 Silvia Construction, Inc. hereby resolves and authorizes the termination of Claire R Manchester - Wamel, as Corporate Secretary. Resolution No. 2 d Mena Silvia as Corporate Secretary and The board of directors has electe Co -Vice President as of March 1, 2008. Resolution No. 3 The board of directors hereby names, resolves and a a _ nd other f 011 r g named officers to sign State, City or County documents on behalf of the corporation: Joseph W. Silvia, President, Chief Executive Officer and shareholder Benjamin B. Day, Chief Financial Officer and shareholder Kurt Aka. , V1 e President and shareholder Mera 'via, Coporategcretary and _ e es> e Chief Executive Officer and shareholder Kurtis Akabori, Vice President 9007 CENTER AVENUE • RANCHO CUCAMONGA. CA 91730 • [909] 481 -8118 • FAX (909] 481 -6122 • LICENSE #568194 A State Of California X= :• ,CONTRACTORS STATE LICENSE BOARD r ACTIVE LICENSE Consumer Affairs ,N ,.N, 568194 „w., CORP e1y ,,,,, SILVIA CONSTRUCTION INC C12 A 9 i 05/31/2013 www.csib.ca.gov BIDDER: SILVIA CONSTRUCT INC. SECTION 2 BID DATA FORMS CBF -8 L_ BIDDER: SiI VTA C'ONSTRU'CTION, 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. BOND# 08560291 PREMIUM: NIL 2.A BID BOND KNOW ALL MEN BY THESE PRESENTS: THAT SILVIA CONSTRUCTION, INC. ,as Principal, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND as Surety, are held firmly bound unto the r _ CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of j TEN PERCENT OF AMOUNT BID ($ 10% 1 , 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, I firmly by these presents. l.. WHEREAS, said Principal has submitted a bid to the OWNER to perform all Work required forthe Residential Streets Resurfacing Project as set forth in the Notice i Inviting Bids and accompanying Bid Documents, dated MARCH 21, 2012 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 14TH day of MARCH FIDELITY SILVIA CONSTRUCT UC. . (SEAL) C OMPANY Principal ZS1Qn Signature RURTIS ARABORI VICE PRESIDENT , 20 12. AND DEPOSIT )F MARYLAND SQL) E U. FLARE ATTORNEY -IN -FACT CBF -9 CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT STATE OF CALIFORNIA COUNTY OF SAN BERNARDINO On MARCH 21, 2012 before me, PATRICIA BURKE, NOTARY PUBLIC personally appeared KURTIS AKABORI , who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or the entity upon behalf of which the person 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. gnature of Notary Public PATRICIA lURICE ColrtmlAtlon 1798307 Notary Public - California Son lsrnaraino County Carnr� 26,2012 Place Notary Seal Above --------------------------- - - - - -- OPTIONAL-------------------------- - - - - -- Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. DESCRIPTION OF ATTACHED DOCUMENT TITLE OR TYPE OF DOCUMENT NUMBER OF PAGES: DATE OF DOCUMENT: Signer(s) Other Than Named Above: CAPACITY CLAIMED BY SIGNER Singer's Name Kurtis Akabori I El INDIVIDUAL PARTNER CORPORATE OFFICER VICE PRESIDENT TITLE ATTORNEY IN FACT TRUSTEE GUARDIAN OR CONSERVATOR Other RJG rTMUS MWOF sl6 Signer is Representing: SILVIA CONSTRUCTION, INC. NAME OF PERSON(S) OR ENTITY(S) •-lIA ALL-PURPOSE ACKNO WLEDGMENT d"' � ' N `?Y��S'd N cY `a a' N' d l'a' y "a d "ai 'd' "� "a' 't3'rd e%Z'✓ d' "d> :dl"d ,^" STATE OF CALIFORNIA County of Orange On 3 -14 -12 before me, Lexie Sherwood. Notary Pu blic Date Here Inse Name and Title of the Officer personally appeared Charles L. Flake Names) of Signer(s) LEXIE SHERWOOD Comm #1856389 3 ¢ Y NOTARY PUBLIC • CALIFORNIA >: ORANGE COUNTY Comm. Exp. JULY 27, 2013 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 /shefthey 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) Zed, 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 ffic'al seal. / Signature = cuA9GC Place Notary Seal Afwve Signature orVoifiry Pudic OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Signer(s) Other Than Named Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Individual ❑ Corporate Officer — Title(s):_ ❑ Partner —❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Number of Pages: Signer's Name: ❑ Individual ❑ Corporate Officer — Title(s)_ ❑ Partner— ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: d 'a •d - .a a' "tl eY ' `:•3'. y >`N/'a' tl . a . d' ` N "a�S? "'a "'dj�d:�d 'ei' 'd > - y °a' N' "e%�• ✓L'yf�3%'d' ` "y tl>.�'e, i 'a6•" Power of Attorney FIDELITY AND DEPOSIT COMPANY OF MARYLAND KNOW ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a corporation of the State of Maryland, by WILLIAM J. MILLS, Vice President, and ERIC D. BARNES, Assistant Secretary, in pursuance of authority granted by Article VI, Section 2, of the By -Laws of said Company, are set forth on the The said Assistant by certify that the extract set forth on the reverse side hereof is a true copy of Article VI, Section 2, of the By- s Company, and is now in force. said reverse side hereof and are hereby certified to be in full force and effect on the date dds by nominate, constitute and appoint Richard A. COON, Charles L FLAKE, David L CULB E n e ODD, all of Anaheim, California, EACH its true and lawful agent and Y ° d deliver, for, and on its behalf as surety, and as its act and deed: any an ° xecution of such bonds or undertakings in pursuance of these press I in , as fully and amply, to all intents and purposes, as if they had been d � t larly elected officers of the Company at its office in Baltimore, Md., ' p ° attorney revokes that issued on behalf of Richard A. COON, Char IN WITNESS WHEREOF, the said Vice- President and Assistant Secretary have hereunto subscribed their names and affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 15th day of November. A.D. 2006. ATTEST: State of Maryland 1 ss: City of Baltimore f FIDELITY AND DEPOSIT COMPANY OF MARYLAND I Yi" L Eric D. Barnes Assistant Secretary By: William ✓. Mills Vice President On this 15th day of November, A.D. 2006, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, came WILLIAM J. MILLS, Vice President, and ERIC D. BARNES, Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and they each acknowledged the execution of the same, and being by me duly sworn, severally and each for himself deposeth and saith, that they are the said officers of the Company aforesaid, and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and that the said Corporate Seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Offrciai Seal the day and year first above written. Constance A. Dunn Notary Public My Commission Expires: July 14, 2015 POA -F 012 -4150H les L. FLAKE, ew P. FLAKE, Lexie SHERWOOD, dated November 7, 2005. IN WITNESS WHEREOF, the said Vice- President and Assistant Secretary have hereunto subscribed their names and affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 15th day of November. A.D. 2006. ATTEST: State of Maryland 1 ss: City of Baltimore f FIDELITY AND DEPOSIT COMPANY OF MARYLAND I Yi" L Eric D. Barnes Assistant Secretary By: William ✓. Mills Vice President On this 15th day of November, A.D. 2006, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, came WILLIAM J. MILLS, Vice President, and ERIC D. BARNES, Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and they each acknowledged the execution of the same, and being by me duly sworn, severally and each for himself deposeth and saith, that they are the said officers of the Company aforesaid, and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and that the said Corporate Seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Offrciai Seal the day and year first above written. Constance A. Dunn Notary Public My Commission Expires: July 14, 2015 POA -F 012 -4150H BIDDER: 2.8 LIST OF PROPOSED SUBCONTRACTORS SILVIA CONSTRUCTION, INC. In compliance with the "Subletting and Subcontracting Fair Practices Act," Sections 4100 through 4114 of the California Public Contract Code, and any amendments thereto, each Bidder shall provide the information requested below for each subcontractor who will perform work, labor or render service to Bidder in or about the construction of the Work in an amount in excess of one -half of one percent (greater than 0.5 %) of the Bidder's Total Bid Price, or, in the case of bids or offers for the construction of streets or highways, including bridges, in excess of one -half of 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, otherthan 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. C CBF - 10 BIDDER: SILVIA CONSTRUCTIO INC. 2.121 LIST OF PROPOSED SUBCONTRACTORS (continued) ["Duplicate Next 2 Pages if needed for Ilsbng additional subcontractors." Name and Location Description of Work Name: Address: to be Subcontracted Name and Location Description of Work of Subcontractor to be Subcontracted Name: I /J Address: Name and Location Description of Work of Subcontractor to be Subcontracted Name: Address: .� V Name and Location Description of Work of Subcontra or to be Subcontracted Name:' 1 Address Name and Location Description of Work of Subcontractor to be Subcontracted Name: Address: ^,RF -t1 BIDDER: 2.0 REFERENCES SILVIA CONSTRUCTION, INC. The following are the names, addresses and telephone numbers for three public agencies for which BIDDER has performed similar work within the past two (2) years: 1 CITY OF ONTARIO, 303 EAST "B" STREET, ONTARIO, CA 91764 Name and Address of Owner WILLIAM "BILL" BRAUN / (909) 395 -2025 Name and telephone number of person familiar with project $1,510,071.75 / 2011 PAVEMENT REHAB. - PH. "A" / OCTOBER, 2011 Contract amount Type of Work Date Completed 2 CITY OF L 5050 C LAR K A VEN UE, L CA 90 Name and Address of Owner MAX WITHROW / (56 866 - ex t. 250 Name and telephone number of person familiar with project $2,168,294.94 / CDBG -2011, RESIDENTIAL ST. REHAB. #11 -2 / AUGUST, 2011 Contract amount Type of Work Date Completed 3 CITY OF CAMARILLO, 601 CARMEN DRIVE, CAMARILLO, CA 93010 Name and Address of Owner THANG TRAN (805) 38 -53 Name and telephone number of person familiar with project $1,153,951.05 / PAVEMENT REHAB. -VARS LOCALS- ESPL5393(020) / FEBRUARY, 2010 Contract amount Type of Work Date Completed 4 CI TY OF DUARTE, 1600 HUNTINGTON DRIVE, DUARTE, CA 91010 Name and Address of Owner STEVEN ESBENSHADE / (626)357 -7931 ext. 233 Name and telephone number of person familiar with project $1,418,3 /H DR. STR REHAB. P R OJ ECT / SEPTEMBER, 2012 Contract amount Type of Work Date Completed CBF -12 CBF -13 CALIFORNIA JURAT WITH AFFIANT STATEMENT Cli-�See Attached Document (Notary to cross out lines 1 -6) ❑ See Statement Below (Lines 1 -5 to be completed only by document signer[s], not Notary) ---- ---- - ------------------- - -------------- -- 3. ------------------ - - - - -- 4. 5. Signature of Document Signer No. I Signature of Document Signer STATE OF CALIFORNIA COUNTY OF SAN BERNARDINO Subscribed and sworn to (or affirmed) before me on this 21" day of MARCH , 2012, by KURTIS AKABORI , proved to me on the basis of satisfactory evidence tKllca nnetE Cammimon ♦ 1796307 9 to be the person who appeared before me. Notary Publlo - CalltorNa km brrlaralrlo County 1014 Signature of Notary Public Place Notary Seal Above --------- ------------------------------------------ OPTIONAL ----- ---- ---- ------- — ------- - -��-- -- -- Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Further Description of Any Attached Document Title Or Type Of Document: Document Date: Signer(s) Other Than Named Above: Number of Pages: aicar�UMMH ror slay RJa IHUMMIWor sicrrea