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Home My WebLink AboutHSIP Cycle 9 Traffic Proposal Select Electric, Inc. CITY OF LAKE ELSINORE CIP Project No. Z10066 BIDDER'S PROPOSAL HSIP CYCLE 9 TRAFFIC SIGNAL IMPROVEMENTS CIP PROJECT NO.Z10066 FEDERAL PROJECT NO. 5074(020) Company: Select Electric Inc. Honorable Mayor, Members of the Council: In accordance with the Notice Inviting Bids pertaining to the receiving of sealed proposals by the City Clerk of the City of Lake Elsinore for the above titled improvement, the undersigned hereby proposes to furnish all Work to be performed in accordance with the Specifications, Standard Drawings, and the Contract Documents, for the unit price or lump sum set forth in the following schedule: Time of Completion: Ninety (90) Working Days from Issuance of Notice to Proceed (NTP) by City to Contractor. BID SCHEDULE ITEM ESTIMATED UNIT NO. DESCRIPTION OF ITEMS UNIT QUANTITY PRICE AMOUNT GENERAL OVERHEAD&MOBILIZATION/DEMOBILIZATION 1 Mobilization. LS 1 2 Traffic Control. LS 1 3 Signing and Striping Improvements. LS 1 3 4t�1, cjj ►-} �, 4 Demo/Unclassified Excavation CY 61 5 Remove Curb and Gutter LF 435 6 Remove Asphalt Berm .LF 43 7 Remove Sidewalk,Curb Ramps,and SF 2493 Drivewa s 8 Asphalt Grinding CY 2203 9 Install 8°Curb and Gutter LF 452 CD% 10 Install 6"Curb and Gutter LF 253 5Q, 11 Install Curb Only LF 23 12 Install Sidewalk SF 3723 00 -1 a W. 13 AC Pavement(slot patch&base course) TON 62 14 Install Concrete Pavement SF 852 15 Install Curb Ramp EA 13 �� 16 Top Soil and Grading CY 4 'IS — 17 Install Detectable Warning Surface on EA 9 3CO135-1-�).— Existinq Curb Rama_, C-8 CITY OF LAKE ELSINORE CIP Project No. Z10066 18 Grind Existing Lip EA 5 a()OoQ 1 U Q 10. 19 2"Overlay TON 10 20 Grind PCC Pavement SF 675 21 Adjust Utility Valve Cover to Grade EA 3 3 o 1 El.r 22 Adjust Utility Box Cover to Grade EA 20 ' Q a0y\DO Traffic Signal Modifications 23 Traffic Signal Modification at Lake Street& LS 1 I" Temescal Can on 24 Traffic Signal Modification at Lake Street& LS 1 Mountain Street 25 Traffic Signal Modification at Grand Avenue& LS 1 Broadway Street 1 Iq 3 26 Traffic Signal Modification at Grand Avenue& LS 1 G1 Lincoln Street 1a�- 27 Traffic Signal Modification at Lakeshore Drive LS 1 &Machado Street c6-1 °1q 1-1 9L59' 28 Traffic Signal Modification at Lakeshore Drive LS 1 &Visca a Street �5 3b5,3fJ4• 29 Traffic Signal Modification at Lakeshore Drive LS 1 WA053 &Chaney Street 30 Traffic Signal Modification at Mission Trail& LS 1 4 Malaga Road U3' �' 31 Traffic Signal Modification at Central Avenue LS 1 &Dexter Avenue 53 3 1�3 311. 32 Traffic Signal Modification at Canyon Hills Road&Cottonwood Canyon Road LS 1 U-1 ai% Total Bid Price TOTAL BID PRICE: TOTAL BID PRICE BASED ON BID SCHEDULE TOTAL OF UNIT PRICES FOR HSIP CYCLE 9'tkAFFIC SIGNAL IMPROVEMENTS Total Bid Price in Numbers Total Bid Price in W n Form In case of discrepancy between the written price and the numerical price, the written price shall prevail. Note: Estimated quantities are for the purpose of Bid comparison only; payments will be made on the basis of actual measurement of work completed, except for lump sum (LS) and final pay (F) quantities. (S) denotes a specialty item. The Bid Price shall include, but not be limited to, sales tax and all other applicable taxes and fees.All work described on the plans and in the specifications and other incidentals necessary to complete the project shall be paid under items above. No additional payments will be allowed. *BID MAY BE REJECTED IF TOTAL IS NOT SHOWN FOR BOTH FIGURES AND WORDS. C-9 CITY OF LAKE ELSINORE CIP Project No. Z10066 BIDDER'S SIGNATURE HSIP CYCLE 9 TRAFFIC SIGNAL IMPROVEMENTS CIP PROJECT NO. Z10066 FEDERAL PROJECT NO. 5074(020) The undersigned agrees to enter into and execute a contract, with necessary bonds, at the unit prices set forth herein and in case of default in executing such contract, with necessary bonds, the check or bond accompanying this bid and the money payable thereon shall be forfeited thereby to and remain the property of the City of Lake Elsinore. The above unit prices include all work appurtenant to the various items as outlined in the Specifications and all work or expense required for the satisfactory completion of said items. In case of discrepancies between unit prices and totals, the unit prices shall govern. The undersigned declares that it has carefully examined the Plans, Specifications, and Contract Documents, and has investigated the site of the work and is familiar with the conditions thereon. Select Electric, Inc. Contractor Date: 3/31/2023 By: Contractor's State License No.: 297034 Class: A B C-7 C-10 Department of Industrial Relations Registration No: 1000001036 Registration Date: 08/25/2014 Expiration Date: 06/30/2023 Address: 2790 Business Park Dr. Vista CA. 92081 Phone: 562-584-1766 FAX: 562-658-2201 C-10 CITY OF LAKE ELSINORE CIP Project No. Z10066 ACKNOWLEDGMENT OF ADDENDA RECEIVED HSIP CYCLE 9 TRAFFIC SIGNAL IMPROVEMENTS CIP PROJECT NO. Z10066 FEDERAL PROJECT NO. 5074(020) The Bidder shall acknowledge the receipt of addenda by placing an "X" by each addendum received. Addendum No. 1 Addendum No. 2 Addendum No. 3 Addendum No. 4 If an addendum or addenda have been issued by the City and not noted above as being received by the Bidder, the Bid Proposal may be rejected. 3/30/2023 _ Bidder's Signature Date C-11 CITY OF LAKE ELSINORE CIP Project No. Z10066 NON-COLLUSION AFFIDAVIT HSIP CYCLE 9 TRAFFIC SIGNAL IMPROVEMENTS CIP PROJECT NO.Z10066 FEDERAL PROJECT NO. 5074(020) STATE OF CALIFORNIA } SS COUNTY OF ) (NAME) Allen McLane affiant being first duly sworn, deposes and says: That he or she is President __ of (sole owner, partner or other proper title) Select Electric, Inc. 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 associations, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham Bid. (Public Contract Code Section 7106) Address: 2790 Business Park Dr. Vista, CA. 92081 Telephone No.: 562-584-1766 Print Name: Allen McLan Signature: Title: President Date: 3/30/23 SIGNING INSTRUCTIONS TO THE CONTRACTOR Non-Collusion Affidavit must be accompanied by notary certificates for signature. Note the description of the document on the notary certificate. Attach notary certificate immediately following this page. If the Bidder fails to properly sign or omits the required signature, the bid will be considered non-responsive and will be rejected. C-12 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 u 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 4-5-23 before me, Kristen Czupryn, Notary Public , Date Here Insert Name and Title of the Officer personally appeared Allen McLane 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. , orT KRiSTENRENEECZU" WITNESS Notary Public California '- orange County Commission#2360170 �• ,o��' My Comm.Expires Jun 7,2ozs Signature Signature of Notary blic v 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: Non-Collusion Affidavit Document Date: 3-30-23 Number of Pages: 1 Signer(s) Other Than Named Above: _ Capacity(ies) Claimed by Signer(s) Signer's Name: Allen McLane Signer's Name: [I Corporate Officer — Title(s): President EX Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑General ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: ❑ Other: _ Signer Is Representing: Select Electric, Inc. _ Signer Is Representing: 02014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item #5907 CITY OF LAKE ELSINORE CIP Project No. Z10066 BOND NO. N/A BIDDER'S BOND HSIP CYCLE 9 TRAFFIC SIGNAL IMPROVEMENTS CIP PROJECT NO. Z10066 FEDERAL PROJECT NO. 5074(020) KNOW ALL MEN OR WOMEN BY THESE PRESENTS: That we Select Electric, Inc. as PRINCIPAL, hereinafter referred to as "Contractor", and Fidelity and Deposit Company of Maryland a duly authorized corporate as "Surety," are held and firmly bound unto the City of Lake Elsinore in the penal sum of TEN PERCENT (10%) OF THE TOTAL AMOUNT OF THE BID of the Contractor above named, submitted by said Contractor to the City of Lake Elsinore for the work for said project entitled above, for the payment of which sum in lawful money of the United States, well and truly to be made, to the City of Lake Elsinore to which said bid was submitted, we bind ourselves, our heirs, executors, administrators and successors, jointly and severally, firmly by these presents. In no case shall the liability of the surety hereunder exceed the amount of Ten Percent (10%) of the Total Amount Bid THE CONDITION OF THIS OBLIGATION IS SUCH: That whereas the Contractor has submitted the above-mentioned Bid to the City of Lake Elsinore as aforesaid for the work for said project entitled above. NOW, THEREFORE, if the aforesaid Contractor is awarded the Contract and, within the time and manner required under the Contract documents, after the prescribed forms are presented to him or her for signature, enters into a written Agreement in the prescribed form and in accordance with the Contract documents, and files two bonds with the City of Lake Elsinore, one to guarantee faithful performance and the other to guarantee payment for labor and materials, in accordance with said Contract documents, and as required by law, and files the required insurance certificate(s) in accordance with said Contract documents, then this obligation shall be null and void; otherwise, it shall be and remain in full force and effect until execution of the Agreement or forfeiture pursuant to the Provisions of Sections 20172 and 20174 of the Public Contract Code. In the event suit is brought upon this bond by the City and judgment is recovered, the Surety shall pay all costs incurred by the City in such suit, including a reasonable attorney fee to be fixed by the court. (SIGNATURE PAGE FOLLOWS) C-13 CITY OF LAKE ELSINORE C►P Project No. Z10066 BIDDER'S BOND SIGNATURE PAGE HSIP CYCLE 9 TRAFFIC SIGNAL IMPROVEMENTS CIP PROJECT NO. Z10066 FEDERAL PROJECT NO. 5074(020) IN WITNESS WHEREOF, we have hereunto set our hands and seals on this 30thday of March 2023 BIDDER: CORPORATE SURETY: Fidelity and Deposit Contractor Name: Select Electric, Inc. Company Name: Company of Maryland Address: 2790 Business Park Drive Address: 1299 Zurich Way, 5th Floor Vista. CA 92081 Schaumburg, IL 60196-1056 Telephone No.: (562) 807-1860 Telephone No.: (213) 270-0715 Print Name: Print Name: Heather Saltarelli Title: ( 1 Title: Attorney-in-Fact Signature: ' Date: H"5"a3 Date: March 30, 2023 SIGNING INSTRUCTIONS TO THE CONTRACTOR Bidder's Bond must be accompanied by notary certificates for EACH signature. Note the description of the document on the notary certificate. Attach BOTH notary certificates immediately following this page. Corporate Seal may be affixed hereto. The attorney-in-fact for corporate surety must be registered, as such, in at least one county in the State of California. Attach one original Power of Attorney immediately following the notary certificates. If the Bidder fails to properly sign or omits the required signatures, the bid will be considered non-responsive and will be rejected. C-14 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 MAR 3 0 2023 before me, Reece Joel Diaz, Notary 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(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. C---,-- )my REECE JOEL DIAZ YNotary Public-California Orange County Commission x 2294772 'Comm.Expires Jun 25,2023 ' Signature Place Notary Seat 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: YSD4'! "�� Document Date: 31 bci)L3 Number of Pages: . Signer's) Other Than Named Above: _ Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: Corporate Officer — Title(s): 1 Corporate Officer — Title(s): Limited Partner - Limited General Partner -- General Individual N,Attorney in Fact Individual s Attorney in Fact Trustee [`J,Guardian or Conservator Trustee i::"=Guardian or Conservator Other: Other: Signer Is Representing: Signer Is Representing: 02014 National Notary Association•www,NationaiNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 �C'.c�,c,t.c^C.cal',i=rc�c.crcrc�.c<cc=rrt,�-�C.c�t.�rcarc�.�rc�(`.crc-l',ccd-t.creat'.�C'.c�,c�C.ec`,c�C`.e�(',e�,c-rn^.c�,e=rerc-rer.�-rcr.�.rcrerercrc 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 4/5/23 before me, Kristen Czupryn, Notary Public , Date Here Insert Name and Title of the Officer personally appeared Allen McLane 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. KRISTEN RENEE CZUPRYN Notary Public-California - Orange County ; Signature Commission 0 M Comm E Signature f No Public ��IFp0.M' y ,Expires Jun Jun 7,2025 r 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: Bid Bond Document Date: 3-30-23 Number of Pages: 2 Signer(s) Other Than Named Above: Heather Saltarelli Capacity(ies) Claimed by Signer(s) Signer's Name: Allen McLane Signer's Name: ® Corporate Officer — Title(s): President L Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑ Guardian or Conservator ❑Other: _ ❑ Other: Signer Is Representing: Select Electric, Inc. Signer Is Representing: 02014 National Notary Association - www.NationalNotary.org - 1-800-US NOTARY(1-800-876-6827) Item #5907 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 James A. SCHALLER, Heather SALTARELLI, Mike PARIZINO, Rachelle RHEAULT, Rhonda C. ABEL, Kim LUU, Jeri APODACA.Janice R.MARTIN,Leigh MCDONOUGH.Reece Joel DIAZ 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 [ully 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, Matyland.,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 CON1PANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARY"L AND,this 16th day of March.A.D.2022. "G, 1 ,,,,,+IIIIIII,II,, ,p,4111111II," YyWRy %o, FH 1N:.(I "o.,n Co,,,Q•,. �a�'� P a`f•'" :��4�}fPOHM��hrfi�"'' 10 oP mp a a;oSEAL� � i[r'SEAL `np 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 16th day of March, A.D. 2022, 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 sworn,deposeth 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. Constance A.Dunn,Notary Public My Commission Expires:July 9,2023 /lrlgnNN+ 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,Attorneys-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 affix 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 l5th 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 MARYLAN.D at a meeting duly called and held on the 1 Oth 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 day of. MAR 3 0 2023 ..•"',.a�r.r.r..r a`"...a j,r=-rr�rryi.� ,,a•,"Q�COT��'•. `< '="SEAL"=x SEAL \`.:S By: Mary Jean Pethick 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 60196-1.056 Ph: 800-626-4577 If your jurisdiction allows for electronic reporting of surety claims,please submit to: reportsfclai ms(a�zurichna.com Authenticity of this bond can be confirmed at bondvalidator.zurichna.com or 410-559-8790 CITY OF LAKE ELSINORE CIP Project No. Z10066 LIST OF SUBCONTRACTORS HSIP CYCLE 9 TRAFFIC SIGNAL IMPROVEMENTS CIP PROJECT NO. Z10066 FEDERAL PROJECT NO. 5074(020) The bidder is required to fill in the following blanks in accordance with the provisions of the Subletting and Subcontracting Fair Practices Act (Chapter 2 of Division 5, Title 1 of the Government Code of the State of California) and should familiarize itself with Sections 2-3 of the Standard Specifications. Name Under Which Subcontractor is Licensed: License Number: 19a11oW Address of Office, Mill or Shop: LpaO M,6%v �S�9n[�,1 D ��h,• q�-Oa°[I Specific Description of Sub-Contract: and Bid Items of Work: . � a + H—O'U Name Under Which Subcontractor is Licensed: \4 0y— t1v- License Number: -1-1lp30u2 Address of Office, Mill or Shop: PO bOX a-lb, hea�mnOx-yt . gaaa3 Specific Description of Sub-Contract: and Bid Items of Work o,��na end► 'o��na � Name Under Which Subcontractor is Licensed: License Number: _ Address of Office, Mill or Shop: Specific Description of Sub-Contract: and Bid Items of Work: Name Under Which Subcontractor is Licensed: License Number: Address of Office, Mill or Shop: Specific Description of Sub-Contract: and Bid Items of Work: Subcontractors listed in accordance with the provisions of Section 2-3 must be properly licensed under the laws of the State of California for the type of work that they are to perform. Do not list alternate subcontractors for the same work. C-15 CITY OF LAKE ELSINORE CIP Project No. Z10066 REFERENCES HSIP CYCLE 9 TRAFFIC SIGNAL IMPROVEMENTS CIP PROJECT NO. Z10066 FEDERAL PROJECT NO. 5074(020) Failure to demonstrate adequate experience may result in rejection of the bid. For all public agency projects with a similar scope of work which you have worked on (or are currently working on) in the past three (3) years, provide the following required information: 1. Name (Firm/Agency): City of Downey Address: 11111 Brookshire Ave. Downey, CA. 90241 Contact Person: Amaka Udeoji Telephone No.: 562-904-7110 Title of Project: Woodruff Ave traffic Signal Fiber Optic Communication System and Uggrades Project Project Location: Downey CA Date of Completion: February 2021 Contract Amount: $833 036 00 2. Name (Firm/Agency): City of Pasadena Address: 100 North Garfield Ave. Pasadena, CA 91101 Contact Person: Sarah Tawadrous Telephone No.: (626) 744-8479 Title of Project: Traffic Signal Improvements at Various Locations Contract#31,756 Project Location: Pasadena CA. Date of Completion: December 2022 Contract Amount: $209,990.00 3. Name (Firm/Agency): CALTRANS Address: 1120 N St. Sacramento, CA. 95814 Contact Person: Kenicia Lemos Telephone No.: 626-339-1601 x122 Title of Project: 07-1170U4 Route 10 West Covina Project Location: West Covina CA. Date of Completion: September 2022 Contract Amount: $8 605 466 3 C-16 CITY OF LAKE ELSINORE CIP Project No. Z10066 4. Name (Firm/Agency): City of Long Beach Address: 411 W. Ocean Blvd 5th Floor. Long BEach, CA. 90802 Contact Person: Arek Harmandayan Telephone No.: 562-570-6764 Title of Project: R-7190 Ten Signalized Intersections on Los Coyotes Diagonal Project Location: Long Beach CA Date of Completion: In Progress Contract Amount: $1,197,500 00 5. Name (Firm/Agency): City of Norwalk Address: 12700 Norwalk Blvd. Norwalk, CA. 90650 Contact Person: Raymond Velasco Telephone No.: 562-929-5723 Title of Project: Traffic Signal Improvements on Rosecrans Ave Studebaker Rd to Carmenita Rd. Project Location: Norwalk, CA. Date of Completion: In Progress Contract Amount: $1 690 225 00 6. Name (Firm/Agency): Address: Contact Person: Telephone No.: Title of Project: Project Location: Date of Completion: Contract Amount: 7. Name (Firm/Agency): Address: Contact Person: Telephone No.: Title of Project: Project Location: Date of Completion: Contract Amount: C-17 CITY OF LAKE ELSINORE CIP Project No. Z10066 List any other projects (private, older than three (3)years, etc.)that may represent qualifying or similar experience: 1. Name (Firm/Agency): City of Chula Vista Address: 276 Fourth Ave. Chula Vista, CA. 91910 Contact Person: Jose Gomez Telephone No.: 619-691-5021 Title of Project: Traffic Signal Modifications at Broadway/F Steet and Broadway/G St. TF402 Project Location: Chula Vista CA. Date of Completion: May 2020 Contract Amount: $572 074 00 2. Name (Firm/Agency): City of Los Angeles Address: 200 N. Spring St Los Angeles CA 90012 Contact Person: Max Eftekhari Telephone No.: 951-741-3403 Title of Project: Wilshire Blvd BRT Communications Upgrade Phase II ATSAC Project Location: Los Angeles, CA. Date of Completion: November 2018 Contract Amount: $2 563 285 00 3. Name (Firm/Agency): City of Oceanside Address: 300 North Coast Hwy. Oceanside,. CA. 92054 Contact Person: Darra Woods Telephone No.: 760-435-5094 Title of Project: Rebid Mission Ave. Fiber Project Location: Oceanside CA Date of Completion: April 2018 Contract Amount: $752,175.00 C-18 CITY OF LAKE ELSINORE CIP Project No. Z10066 CONTRACTOR INFORMATION HSIP CYCLE 9 TRAFFIC SIGNAL IMPROVEMENTS CIP PROJECT NO. Z10066 FEDERAL PROJECT NO. 5074(020) Contractor's License No.: 297034 Class: A, B, C-7, C-10 a. Date first obtained: 08/09/1974 Expiration 10/31/2024 b. Has License ever been suspended or revoked? No If yes, describe when and why: c. Any current claims against License or Bond? No If yes, describe claims: Principals in Company (List all-attach additional sheets if necessary): NAME TITLE LICENSE NO. (If Applicable) Allen McLane President Mario Tapanes Secretary Sam Passanisi Asst. Secretary 297034 C-19 CITY OF LAKE ELSINORE CIP Project No. Z10066 VIOLATIONS OF FEDERAL, STATE OR LOCAL LAWS HSIP CYCLE 9 TRAFFIC SIGNAL IMPROVEMENTS CIP PROJECT NO. Z10066 FEDERAL PROJECT NO. 5074(020) 1. Has your firm or its officers been assessed any penalties by an agency for noncompliance or violations of Federal, State or Local labor laws and/or business or licensing regulations within the past five (5)years relating to your construction projects? YES NO (circle one) Federal/State/ Local (circle one) If"YES," identify and describe, (including agency and status): Have the penalties been paid? YES/NO (circle one) 2. Does your firm or its officers have any ongoing investigations by any public agency regarding violations of the State Labor Code, California Business and Professions Code or State Licensing Laws? YES 4ND (circle one) Code/Laws: Section/Article: If"yes," identify and describe, (including agency and status): C-20 CITY OF LAKE ELSINORE CIP Project No. Z10066 DISQUALIFICATION OR DEBARMENT HSIP CYCLE 9 TRAFFIC SIGNAL IMPROVEMENTS CIP PROJECT NO. Z10066 FEDERAL PROJECT NO. 5074(020) Has your firm, any officer of your firm, or any employee who has a proprietary interest in your firm ever been disqualified, removed, or otherwise prevented from bidding on, performing work on, or completing a federal, state or local project because of a violation of law or a safety regulation? YES NO (circle one) If yes, provide the following information (if more than once, use separate sheets): Date: Entity: Location: Reason: Provide Status and any Supplemental Statement: Has your firm been reinstated by this entity? YES/ NO (circle one) C-21