All American AsphaltCITY OF ROSEMEAD
ANNUAL RESIDENTIAL RESURFACING PROJECT
MUSCATEL AVENUE
FROM GRAND AVENUE TO MARSHALL AVENUE
PROJECT No. 21846
CONTRACT BID FORMS
SECTION 1- BID SCHEDULE
CBF -0
BIDDER: 6/1 67 6"koW
CONTRACT BID FORMS
TABLE OF CONTENTS
SECTION SCHEDULE ............................. ........................... `............................................ I
SECTION BID DATA FORMS ..................................................................................... . .......... 5
2 .A BID BOND ..""...~...~-.~..~.~~"°~.^.....-.°°-~.~.~~°"°~^^~°. ~.^6
2.B LIST OF PROPOSED SUBCONTRACTORS .......-,...................7
�
BID SCHEDULE
SCHEDULE OF PRICES FOR
ANNUAL RESIDENTIAL RESURFACING PROJECT
MUSCATEL AVENUE
FROM GRAND AVENUE TO MARSHALL AVENUE
PROJECT No. 21846
13ASE BID SCHEDULE
CBF -1
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
1
Clearing & Grubbing per plans
LS
1
and specifications. See technical
'�3 9 9 5•6v
33 9 g5.6y
provisions TP -2, TP-3 & TP-4.
2
Disposal of Waste Materials.
LS
1
5 00 -
Soo -
3
Cold mill 2.0-inches thick existing
SF
208,172
2 7 662. �6
pavement.
.13
4
Construct 1.5 Inches thick
TONS
1,950
pavement overlayARHM -GG-C
-79-
5t.1 pSo -
(PG 64 -16) as indicated on the
plans.
5
Construct 0.5 inches thick
TONS
655
Asphaltic Leveling course D1
, _
$ 3 �o,
(PG 64 -10) as indicated on the
plans.
6
Remove, Dispose and Construct
SF
6,755
44nches thick PCC Sidewalk per
N . 86
32 N 2 Y "
SPPWC Std. Plan 113-1.
7
Remove, Dlspose and Construct
SF
2,350
PCC Driveway Approaches per
SPPWC
'/•IU
�66�5
Sid_ Plan I10 -2.
8
Remove, Dispose and Construct
LF
1,214
8- Inches Curb and 24- inches
N SO
49 16 �-
Gutter per SPPWC Std. Plan
120-2.
9
Remove, Dispose and Construct
LF
200
84nches PCC Curb Only per
3S-
7 OoD�
SPPWC Std. Plan 120 -2.
10
Remove, Dispose and Construct
SF
416
PCC Cross Gutter per SPPWC
Std. Plan 123-2.
CBF -1
BIDDER: (1 cqh
p
TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ S 1 7 A Uoo o0
I v' h V(A & re l ! Venires ThOir p�
Dollar amount in written form
Note: The City of Rosemead reserves the right to reduce or increase the quantities of any items in
the schedule of bid items above, within the limits define in Section 3 -2.2.1 of the Standard
Specifications, to stay within the budgeted amount of this project.
If the Bid Documents specify alternate bid items, the following Alternate Bid amounts shall
be added to or deducted from the Total Bid Price entered above. The owner can choose to
include one or more of the alternates in the Total Bid Price of the Project If any of the
Alternate Bids are utilized by the Owner, the resulting a nountshall be considered the Total
Bid Price for the Project.
The undersigned Agrees that these Contract Bid Forms constitute a firm offer to the Owner which
cannot be withdrawn forthe 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 bid bon in the amount of
Dollars ($ said amount being not less than ten percent (10 %) of the Total
CBF -2
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
11
Remove, Dispose and Construct
EA
20
PCC Curb Ramps per SPPWC
2-950—
S7000-
Std. Plan 1114.
12
Double Adjust Sewer Manhole to
EA
30
Grade per APWA Std, Plan 205-
6 2,5 -
1 8 75 0 -
1 and 206 -1.
13
Adjust Water Valve/Gas Valve to
EA
29
Zoo -
1 5$00-
Grade,
14
Install Survey Well Monument
EA
16
Per City of Rosemead Std. Plan
806 -001. See Section 2 -9
Surveying of the General
S 7 5-
7 200 -
Provision -7 per details (Cover,
Sleeve & Dome will be provided
by the City at no cost).
15
Install Traffic Striping, Traffic
LS
1
Signal Loops and Pavement
HS poo -
y S ooc-
Markers per the Striping Plans
and Specifications Complete.
TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ S 1 7 A Uoo o0
I v' h V(A & re l ! Venires ThOir p�
Dollar amount in written form
Note: The City of Rosemead reserves the right to reduce or increase the quantities of any items in
the schedule of bid items above, within the limits define in Section 3 -2.2.1 of the Standard
Specifications, to stay within the budgeted amount of this project.
If the Bid Documents specify alternate bid items, the following Alternate Bid amounts shall
be added to or deducted from the Total Bid Price entered above. The owner can choose to
include one or more of the alternates in the Total Bid Price of the Project If any of the
Alternate Bids are utilized by the Owner, the resulting a nountshall be considered the Total
Bid Price for the Project.
The undersigned Agrees that these Contract Bid Forms constitute a firm offer to the Owner which
cannot be withdrawn forthe 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 bid bon in the amount of
Dollars ($ said amount being not less than ten percent (10 %) of the Total
CBF -2
BIDDER: G t c'sQYci-�
Bid Price. The undersigned agrees that said amount shall be retained by the Owner if, upon award,
we fail or refuse to execute the Contract and furnish the required bonds, certificates and
endorsements of insurance and other certifications within the time provided.
If awarded a Contract, the undersigned agrees to execute the formal Contract, which will be
prepared by the Ownerfor 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 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 -3
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.
By:
Signature
f to h-e r /5 17G{W
Type or Print Name
14 g�J'ite']f
Titles
PC Cox aaag
Business Street Address
C () r-n na C;+ 1 1;19 - 7
City, State and Zip Code
(c)s6 - 73b-
Telephone Number
Bidder's /Contractor's State of Incorporation: CCt kC�o( CL_
Partners or Joint Venturers:
riv,
Bidders License Number(s):
NOTES:
1)
2)
3)
By its signature on this Bid, the Bidder certifies under penalty of perjury the accuracy of the
representations made on the Contract Bid Forms.
if Bidder is a corporation, enter State of Incorporation in addition to Business Address
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 -4
ALL AMERICAN ASPHALT
ALL AMERI A GGREG ATE S
P.O. BOX 2229, CORONA, CA 92878 -2229
STATE CONTRACTORS LICENSE #267073 -A
CORPORATE RESOLUTION
Resolved, that this Corporation, All American Asphalt, on July 16, 2013 authorizes
Robert Bradley to execute contracts and agreements on behalf of the Company in the
capacity of Vice President.
C _
Michael Farkas
Secretary
TELEPHONE: 951- 736 -7600 • FAX: 951- 739 -4671
BIDDER: igII rT� /u✓ CRY7 &,ob -ff
SECTION 2
BID DATA FORMS
CBF -5
rr v r cAo
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 Bidders 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, 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 forsubmission 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 1 /6) 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 -7
BIDDER: _ 6( 1 / mf 1 uL n
2.13 LIST OF PROPOSED SUBCONTRACTORS (continued)
I"DUWicah Next 2 Pages it need;,f, listing additional Nbcontreclors.y
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: _ f✓ lobal V2 ' c&Jfk5 � , v
Address: (.aft a rave
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: 5v�9A'ar Qwnrvn} iQti�
Address: fTprNSS
Name and Location
of Subcontractor
Name:
Address:
Description of Work
to be Subcontracted
Name and Location
of Subcontractor
Name:
Address:
Description of Work
to be Subcontracted
Name and Location
of Subcontractor
Name:
Address:
Description of Work
to be Subcontracted
CBF -S
1.
2.0 REFERENCES
The following are the names, addresses and telephone numbers for three publicagencles forwhich BIDDER
has performed similar work within the past two (2) years:
or uwner
3.
Name and telephone number of person familiar with project
Contract amount Type of Work Date Completed
2.
Name and Address of Owner
Name and telephone number of person familiar with project
Contract amount Type of Work Date Completed
Name and Address of Owner
Name and telephone number of person familiarwith project
4.
Contract amount Type of Work Date Completed
Name and Address of Owner
Name and telephone number of person familiar with project
Contract amount Type of Work Date Completed
CBF -9
"2012"
PAST WORK REFERENCES
City of Beverly Hills
345 Foothill Road
Beverly Hills, CA 90210
Contact: Juan Martinez, (310) 285 -2521
City of Costa Mesa
77 Fair Drive
Costa Mesa, CA 92628
Contact: Thomas Banks, (714) 754 -5222
City of Perris
170 Wilkerson Avenue, Ste. D
Perris, CA 92570
Contact: Chris Sunde, (951) 943 -5604
City of Dana Point
33282 Golden Lantern
Dana Point, CA 92629
Contact: Matt Sinacori, (949) 248 -3574
City of Long Beach
333 W. Ocean Blvd., 1& Floor
Long Beach, CA 90802
Contact: Chuck Ramey, (562) 570 -6634
City of Santa Ana
20 Civic Center Plaza
Santa Ana, CA 92701
Contact: Edward Torres, (714) 647 -5018
City of Fountain Valley
10200 Slater Avenue
Fountain Valley, CA 92708
Contact: Alex Salazar, (714) 593 -4516
2010 -2011 Street Resurfacing Project
Contract Amount: $2,800,000.00
Start: 6/1/2011
Completed: 4/30/2012
2010 -2011 Citywide Street Rehabilitation
Contract Amount: $2,778,000.00
Start: 7/1/2011
Completed: 2/29/2012
Foss Field Parking Expansion
Contract Amount: $190,000.00
Start: 1/1/2012
Completed: 2/29/2012
Pacific Coast Highway & Niguel Shores
Contract Amount: $676,676.00
Start: 12/1/2011
Completed: 5/30/2012
Willow Street Improvements
ContractAmount: $661,661.00
Start: 12/1/2011
Completed: 6/30/2012
Bristol Street Widening
Contract Amount: $8,315,754.00
Start: 5/1/2009
Completed: 3/16/2012
Edinger Avenue Improvements
Contract Amount: $422,422.00
Start: 5/1/2012
Completed: 8/1/2012
"2011"
PAST WORK REFERENCES
City of Compton
205 South Willowbrook Avenue
Compton, CA 90220
Contact: Loujuana Mitchell, (310) 761 -1437
County of San Bernardino
825 E. Third Street
San Bernardino, CA 92415
Contact: Franklin Luna, (909) 387 -7920
County of Riverside
2950 Washington Street
Riverside, CA 92504
Contact: David Hylkema, (951) 850 -6075
City of Stanton
7800 Katella Avenue
Stanton, CA 90680 -3162
Contact: Quang Le, (714) 890 -4234
City of Long Beach
333 West Ocean Blvd., 10' Floor
Long Beach, CA 90802
Contact: Chuck Ramey, (562) 570 -6634
City of Paramount
16400 Colorado Boulevard
Paramount, CA 90723 -5012
Contact: Len Gorecki, (562) 220 -2111
City of Huntington Beach
2000 Main Street
Huntington Beach, CA 92648
Contact: Dave Verone, (714) 375 -8471
Department of Transportation
464 W. Fourth Street
San Bernardino, CA 92410 -1400
Contact: Imad Abugharbieh, (951) 277 -8579
Northwood Avenue Reconstruction
Contract Amount: $1,180,000.00
Start: 10/18/2010
Completed: 514/2011
Cajon Blvd.
Contract Amount: $565,000.00
Start: 3/11/2011
Completed: 4/8/2011
De Luz Road Rehabilitation
Contract Amount: $740,000.00
Start: 4/25/2011
Completed: 5/23/2011
2010/2011 Citywide Reconstruction
Contract Amount: $322,322.00
Start: 3/1/2011
Completed: 4/30/2011
Annual Contract Street Reconstruction
Contract Amount: $3,433,415.00
Start: 5/1/2010
Completed: Still On -Going
Neighborhood Street Resurfacing
Contract Amount: $899,909.00
Start: 11/1/2010
Completed: 3/30/2011
Slater Avenue Improvements
Contract Amount: $1,926,341.00
Start: 8/2/2010
Completed: 2/30 /2011
Route 91 Project
Contact Amount: $5,732,812.00
Start: 3/1/2010
Completed: 3/30/2011
BIDDER: I y "„
SECTION 3
NON - COLLUSION AFFIDAVIT
CBF -10
BIDDERA &mn a;z-r? &p
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, oron 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.
Subscribed and sworn before me
This Xk day of fig u s 1 2013
..,. �! rjP! q>'{pct�td Cu I Forma jura� (Seal
Notary Public in and for
the State of California
My Commission Expires:
CBF - 11
V C.Q.
Title
CALIFORNIA JURAT
State of California
County of Riverside Subscribed and sworn to (or affirmed) before
me on this 2 " day August. 2013
Date Month
By (1) Robert Bradley
Name of Signer
Proved to me on the basis of satisfactory evidence
be the person who appeared before me (.) (,)
DONNA THORNE (and
Commission # 1092010 rev
�^ Notary Public - California z
D p d Fh of satisfarte � _video^°
Riverside County Pm o me on ,. ,......... .......,.__._ ..__..__
My Comm. Expires Jun 7, 2014 be the p who appea bef..r° me
Signature r jv��
Place Notary Seal Above Signature of Notary Public
OPTIONAL
Though the information below is not required by law, it may prove
valuable to person 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
Non - Collusion Affidavit
Dated: 8/2/13 Page 1 of 1 Pages
Signer(e) Other Than Named Above: None
Bond No.: 08597423
BIDDER All American Asphalt
Bidder shall submit its Bid date in accordance with the format shown on each of the following Bid
Data Forms. Bidders shaft 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
(dandled with the Bidder's name and page number.
2.A BID BOND
1 ' KNOW ALL MEN BY THESE PRESENTS:
THAT All American Asphalt as
Principal, and Fidelity and Deposit Company of arylan
as Surety, we held firmly bound unto the
CITY OF ROSEMEAD (hereinafter called the OWNER) In the sum of
Ten Percent of Amount Bid
DOLLARS
(g 10% I , being not less than ten percent (10 %) of the Total
Bid Price; for the payment of which sum will and truly to be made, webind ourselves,
our heirs, executors, administrators, successors, and assigns, jointly and severally,
firmly by these presents.
WHEREAS, said Principal has submitted a bid to the OWNER to perform all Work
required for the Annual Residential Resurfacing Project — Muscatel Avenue
From Grand Avenue to Marshall Avenue as set forth in the Nodes Inviting Bids
and accompanying Bid Documents, dated August 7, 2013
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, enders 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 bythe Contract, then this oblfgatrarsfteN be nud and void; aterrofse
it shall remain in full force and effect. In the event suit is brought upon this bond by
Me OWNER and Judgment is recovered, said Surety shall pay all costs incurred by
the DWHER in such suit, including reasonable attorneys' fees to be fixed by the
court.
SZNED AND SEALED, this 19th dayof July 2413
All American Asphalt (SF�L) Fidelity and Deposit Company of Maryland (SEAL)
Principal Surety
By: By.
gnature - SV WUrS William Syrkin, Attorney -in -Fact
CE3F -s
CALIFORNIA ALL - PURPOSE ACKNOWLEDGEMENT
State of California
County of Riverside
On A.must 2, 2013 before me, Donna Thorne Notary Public
Data Here Insert name and Title of the Officer
personally appeared Robert Bradley
Name(s) or 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 /shefthey executed the same in
his/kai;4heir authorized capacity(ies), and that by his /hefAheir
signature(s) on the instrument the person(s), or the entity upon behalf
DONNA THORNE of which the person(s) acted, executed the instrument.
'Commission # 1892010
Notary Public - California z 1 certify under PENALTY OF PERJURY under the laws of the State of
Z Riverside County California that the forgoing paragraph is true and correct.
My Comm. Expires Jun 7, 2014
WITNESS my hand and official seal.
Signature afi.&/4n
Place Notary Seal Above Signature of Notary Public
OPTIONAL
Though the information below is not required by law, it may prove valuable to person 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 Bid Bond
Document Date 7/19/2013 Number of Pages: One (1)
Signer(s) Other Than Named Above: Fidelity and Deposit Company of Maryland
Capacity(ies) Claimed by Signer(s)
Signer's Name: Robert Bradley
o Individual
X Corporate Officer — Title(s): Vice- President
to Partner— o Limited o General
• Attorney in Fad
• Trustee
o Other:
Signer is Representing:
Signers Name:
o Individual
• Corporate Officer — Title(s): —
o Partner — o Limited o General
Top of thumb here oAttorney in Fad
❑ Trustee
L3 Other:
Signer is Representing:
Top of thumb here
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 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 LgJflday of J(A IL1 , 20J3 .
6AL
Geoffrey Delisio, Vice President
CALIFORNIA ALL-PURPOSE ACKNOWLE
State of California
County of Orange
On 07/19/2013 before me, R. Haas - Bates, Notary Public
Date Here Insert Name and TAIe of the Officer
personally appeared William Syrkin
Name(s) of Signer(s)
Place Notary Seal Above
who proved to me on the basis of satisfactory evidence to
be the person(s) whose names) is/are subscribed to the
within instrument and acknowledged to me that
he/sheFthey executed the same in his/®ic authorized
capacity(fes), and that by his /herANeiF signature(s} on the
instrument the personft 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 h and official seal.
Signature
Signature of Nolary Public
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: Bid Bond
Document Date: 07 /1 9/2013
Signer(s) Other Than Named Above: All Ameri
Capacity(ies) Claimed by Signer(s)
Signer's Name: William Syrkin
❑ Individual
Corporate Officer — Title(s): _
❑ Partner —❑ Limited ❑ General
0 Attorney in Fact
u Trustee
Guardian or Conservator
Other:
Signer Is Representing: _
Fidelity and Deposit Company of Maryland
niGNT'MIiM0Rn1NT
0 S4C'a'j
Number of Pages: One
Signer's Name:
❑ Individual
❑ Corporate Officer — Title(s):
F1 Partner — ❑ Limited L General
❑ Attorney in Fact
❑ Trustee
—� Guardian or Conservator
❑ Other:
Signer Is Representing:
W ;Nt1NUMaPON7
or SIPWA
01
®20m National Notary Associafiw• 935D Oe Soto Ave.. P.0 Bo. 242•Ch.l riq CA 90313 -2402- NalbodNmeryorg Item 95M7 Reorrlero Call Toll- Free1900 -B76 -6827
R. HAAS -BATES
Commission # 1974547
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Notary Public - California z
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Orange County
My Corn m. . Expires Apr 22, 2016 J
Place Notary Seal Above
who proved to me on the basis of satisfactory evidence to
be the person(s) whose names) is/are subscribed to the
within instrument and acknowledged to me that
he/sheFthey executed the same in his/®ic authorized
capacity(fes), and that by his /herANeiF signature(s} on the
instrument the personft 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 h and official seal.
Signature
Signature of Nolary Public
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: Bid Bond
Document Date: 07 /1 9/2013
Signer(s) Other Than Named Above: All Ameri
Capacity(ies) Claimed by Signer(s)
Signer's Name: William Syrkin
❑ Individual
Corporate Officer — Title(s): _
❑ Partner —❑ Limited ❑ General
0 Attorney in Fact
u Trustee
Guardian or Conservator
Other:
Signer Is Representing: _
Fidelity and Deposit Company of Maryland
niGNT'MIiM0Rn1NT
0 S4C'a'j
Number of Pages: One
Signer's Name:
❑ Individual
❑ Corporate Officer — Title(s):
F1 Partner — ❑ Limited L General
❑ Attorney in Fact
❑ Trustee
—� Guardian or Conservator
❑ Other:
Signer Is Representing:
W ;Nt1NUMaPON7
or SIPWA
01
®20m National Notary Associafiw• 935D Oe Soto Ave.. P.0 Bo. 242•Ch.l riq CA 90313 -2402- NalbodNmeryorg Item 95M7 Reorrlero Call Toll- Free1900 -B76 -6827