The URL can be used to link to this page

Home My WebLink About2018-06-26 - AGENDA REPORTS - 2017-18 FED OVERLAY PGM, PROJ M0124 - AWARD CONST (2)Agenda Item: 6 DATE: June 26, 2018 SUBJECT: 2017-18 FEDERAL OVERLAY PROGRAM, PROJECT M0124 - AWARD CONSTRUCTION CONTRACT DEPARTMENT: Public Works PRESENTER: Cruz Caldera RECOMMENDED ACTION City Council: 1. Approve the plans and specifications for the 2017-18 Federal Overlay Program, Project M0124. 2. Award the construction contract to All American Asphalt in the amount of $4,677,500 and authorize a contingency in the amount of $233,875, for a total contract amount not to exceed $4,911,375. 3. Reduce contingency from $840,713 to $233,875 for the construction contract awarded to Toro Enterprises, Inc. for the locally funded overlay portion of Project M0124, awarded on May 22, 2018. 4. Authorize the City Manager or designee to execute all documents, subject to City Attorney approval. BACKGROUND Annual overlay projects are an integral part of the City of Santa Clarita's (City) pavement management program. Each year, City streets are evaluated to determine pavement preservation and rehabilitation needs. The 2017-18 Federal Overlay Program, Project M0124 will resurface McBean Parkway between Copper Hill Drive and Avenue Scott and Newhall Ranch Road between Avenue Tibbitts and Valley Center Drive. This treatment will provide a smoother ride for vehicles, enhance the appearance of the roadway and surrounding area, and extend the life of the roadway by 7-15 years. This year's project is expected to begin construction in July 2018 and be completed by the end of October 2018. Page 1 The Federal Overlay Program is identified as one of the action items included under the Sustaining Public Infrastructure theme of Santa Clarita 2020. An invitation to bid was prepared and published three times: March 30, 31, and April 3, 2018, and was posted on the City's website. Plans and specifications were also sent to area plan rooms for distribution to additional firms. Five bids were opened by Purchasing on May 17. The results of the bids are shown below. Company Location Bid Amount All American Asphalt Corona, CA $4,677,500.00 Sully -Miller Contracting Company Brea, CA $4,710,000.00 Toro Enterprises, Inc. Oxnard, CA $4,744,086.01 Palp, Inc., DBA Excel Paving Company Long Beach, CA $5,098,137.45 C. A. Rasmussen, Inc. Valencia, CA $5,223,475.50 After reviewing the bids, staff determined the bid from the apparent lowest bidder, All American Asphalt, failed to meet the Disadvantaged Business Enterprise (DBE) goal of 11 percent as specified in the contract documents for this federally funded project. However, after reviewing all submissions, it was determined that none of the bidders met the required DBE participation goal of 11 percent. For this reason, staff reevaluated the lowest apparent bidder, All American Asphalt, on its Good Faith Effort. After review, it was determined that All American Asphalt successfully met the criteria set forth for a Good Faith Effort. Therefore, staff recommends awarding this construction contract to All American Asphalt, the lowest responsive bidder. All American Asphalt possesses a valid state contractor's license and is in good standing with the Contractors State License Board. The contractor's bid was reviewed for accuracy and conformance to the contract documents and found to be complete. In conformance with the City's DBE Implementation Agreement with the California Department of Transportation (Caltrans), the City must advertise, award, and administer federal aid contracts in accordance with Caltrans' current Local Assistance Procedures Manual to ensure ongoing federal financial assistance. If deficiencies in contract administration procedures are identified, inclusive of DBE responsiveness requirements, they may result in withdrawal of federal and/or state funds from the project. The demand for paving is high at this time, causing pricing to be higher than anticipated. Several factors contribute to this increase in costs including increased government funding (Senate Bill 1) and increased raw material costs, specifically crude oil, a major component of asphalt mixture. For this reason, staff is requesting to reduce the contingency on the construction contract awarded to Toro Enterprises, Inc. at the May 22, 2018, City Council regular meeting for the overlay portion of Project M0124, from $840,713 to $233,875. The $640,713 will be used to cover the construction contract and will allow for a 5 percent contingency for All American Asphalt in the amount of $233,875. The construction contingency requested will also cover costs associated with unforeseen site conditions, such as potential utility conflicts and abandoned utilities not shown in record drawings, as well as change order requests made by the contractor. Page 2 ALTERNATIVE ACTION Other action as determined by the City Council. FISCAL IMPACT Adequate funds have been previously appropriated to the 2017-18 Overlay and Slurry Seal Program, Project M0124 to support the federal overlay contract as well as the overlay and slurry seal contracts that were awarded via a separate agenda report on May 22, 2018. This will also provide for all anticipated project costs. ATTACHMENTS Arterial - Newhall Ranch Road Arterial - McBean Parkway Federal Overlay List of Streets All American Asphalt Proposal (available in the City Clerk's Reading File) Page 3 7 . ..... ....... . H (103roUd A` -lU3AO'lVU3a3d 96-LWZ) �(eMMJed ueaBOW - lelJe:PV :;u9wg3e44V LU v �o w 1 - - w 3 w CL�- r� � N W� �+ �1 a m 2 v > r o cn a v =tea >. a - W CL inn aaa F5'" N (6 N = U i J y' 0 E } Z m z W. F '0 >a O QUA � a Z Z Q r.+ Q Q co r E W �+ U) r O Q W N 0 O ca ® 0� LLQ r� T x t 0 { 7 =j 0 Y 00 � wa U J Y a� aaa z z ,, c J Dr FEDERAL OVERLAY LIST OF STREETS NBHD ROAD NAME FROM TO ART MC BEAN PY NB AVENUE SCOTT COPPER HILL DR NBHD ROAD NAME FROM TO ART NEWHALL RANCH RD EB AVENUE TIBBITTS VALLEY CENTRE DR April 24, 2018 2017-18 FEDERAL RESURFACING PROJECT Bid No., ENG -17 -18 -M0124 -FEDERAL Project No. M0124 City of Santa Clarita, California This Addendum shall be considered as a part of the bid documents for the subject project as though it had been issued at the same time and shall be incorporated integrally therewith. Where provisions of the following supplementary data differ from those of the original documents, this Addendum shall govern and take precedence. Contractors are hereby notified that they shall make any necessary adjustments in their proposals on account of this Addendum. It will be construed that each proposal is submitted with full knowledge of all modifications and supplemental data specified herein. Contractors shall acknowledge receipt of this Addendum in the appropriate space provided on the Proposal. The following is hereby added and/or amended: [via PYTIVA ILt II N J0 I ;%x!= Bidders shall acknowledge Addendum No. I by executing Addendum No. I and returning with the bid. --- -� a—,— RoEertd. Newman, P.E., L.S, Director of Public Works City of Santa Clarita I acknowledge receipt of this Addendum No. 1 and accept the aforementioned. May '2018 Date Bidder's Signature Edward J. Carlson, Vice President �__jHIS DOCUMENT TO BE SUBMITTED WITH BID 1 of 1 ADDENDUM NO. I April 24, 2018 2017-18 FEDERAL RESURFACING PROJECT Bid No. ENG -17 -18 -M0124 -FEDERAL Project No. M0124 City of Santa Clarita, California This Addendum shall be considered as a part of the bid documents for the subject project as though it had been issued at the same time and shall be incorporated integrally therewith. Where provisions of the following supplementary data differ from those of the original documents, this Addendum shall govern, and take precedence. Contractors are hereby notified that they shall make any necessary adjustments in their proposals on account of this Addendum. It will be construed that each proposal is submitted with full knowledge of all modifications and supplemental data specified herein. Contractors shall acknowledge receipt of this Addendum in the appropriate space provided on the Proposal. The following is hereby added and/or amended: PROJECT PLANS, SPECIFICATIONS, BID SCHEDULES & QUANTITY SHEET UPDATE BID SCHEDULE & QUANTITY SHEET See attached for updated Base Bid Schedule and Quantity Sheet. Contractor shall reference attached revised bid schedule & quantity sheet for Bid Proposal. Bidders shall acknowledge Addendum No. I by executing Addendum No. I and returning with the bid. � ,--'" Robert G. Newman, P.E., L.S. Director of Public Works City of Santa Clarita BIDDER'S CERTIFICATE I acknowledge receipt of this Addendum No. 1 and accept the aforementioned. May lq4h 2018 y L 0,mm Date Bidder's Signature Edward J. Carlson, Vice,Presi I dent THIS DOCUMENT TO BE SUBMITTED WITH BID 1 of 1 lhag��l SECTION C: PROPOSAL FOR 2017-18 Federal Overlay Program, Bid No. ENG-17-18-K0U124 Project FEDERAL -AID PROJECT NO. FERSTPL-5450(096) TOTHE CITY OFSANTA CLAR|TA.A8AGENCY: In accordance with ASENC\"s NOTICE INVITING 80S. the undersigned BIDDER hereby proposes to furnish all metehas, equipment, tools, labor, and incidentals required for the above -stated project as set forth in the p|ane, speoificabone, and contract documents therefore, and to perform all work in the manner and time prescribed BIDDER declares that this proposal is based upon careful examination of the mmdh site, plans, specifications, INSTRUCTIONS TO B|UDERS, and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into e contract with AGENCY at the unit and/or lump aunn prices set forth inthe following BID SCHEDULE BIDDER understands that failure to enter into a contract in the manner and time prescribed will result inforfeiture toAGENCY ofthe proposal guarantee accompanying this proposal. BIDDER understands that a bid is required for the entire work that the estimated quantities set forth in BID SCHEDULE are solely for the purpose of comparing bids, and that final compensation under the contract will be based upon the actual quantities ofwork satisfactorily completed. THE AGENCY RESERVES THE RIGHT T0 INCREASE OR DECREASE THE AMOUNT OF ANY QUANTITY SHOWN AND TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, mya|hoa. and fees. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. If awarded the oontrec, the undersigned further agrees that in the event of the Bidder's default in executing the required contract and filing the necessary bonds and insurance certificates within ten working days after the date of the AGENCY's notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at thaAGENCY's ophon, be considered null and void. CumpanyName: All American Asphalt Company Address: 4O0East Sixth Street Corona'.CA02878 By: Edward J.Carlson Print Name Title:— - Vice President Signature: 441 oe _- ~ OaVs May � SANTA CLARITA 2017-2018 M0124 FEDERAL PROJECT - BASE BID BID SCHEDULE pp BIDDER: All U ITEM NO. BID ITEMS PAYMENT REFERENC E UNIT TOTAL QUANTITIES UNIT PRICE "TOTAL COST 1 Mobilization, Bonds & Insurance F2-1 LS 1 bb UOD.� IODO00• 2 Traffic Control F2-2.8 LS 1 15e io2,5 3 Storm Water Pollution Prevention - BMP Plan F1-9 LS 1 7.5 000. i 4 Crack Seal and Double Micro Surface w/ Black Rock F2-12.10 TN 6,006 717. "I &Z 1 tP20. 5 IARHM GG -D PG 64-16 F2-10.4 TN 8,964 9R. E3716 6 AC C2 PG 64-10 F2-9.4 TN 1,053 "" ((2 4907 1. 7 AC D2 PG 64-10 F2-9.4 TN 3,251 10-7- 8 Cold Plane 2" AC F2-5.6 SF 0 9 Cold Plane 2-1/2" AC F2-5.6 SF 15,060 Q• 9D x355 . 10 Cold Plane 7-1/2" AC F2-5.6 SF 34,830 2 •(®O 0 11 12 13 14 15 CIR Mix Design Cold In -Place Recycling 3-1/2" HMA Cold In -Place Recycling Quality Control Emulsified Recycling Agent Cement Additive F2-11.7.2 F2-11.7.2 F2-11.7.2 F2-11.7.2 F2-11,7.2 EA SF EA TN TN 0 0 0 0 0 16 Keycut Al (10 ft, 1-3/4") F2-5.6 LF 13,832 17 Keycut Bt (25 ft, 1-3/4") F25.6 LF 240 18 Keycut B2 (40 ft, 2-1/2") F2-5.6 LF 298 '2Q. ^" 19 Digout or Remove & Replace 4" AC F2-6.4 SF 100,546 3-75 20 Remove 6-1/4" (5" to 7-1/2") & Replace 5" AC F2.6.4 SF 39,987 3 , 21 VOID EA 0 22 Lower Storm Manhole Covers (City of Santa Clarita) F2-13.3 EA 9 23 Lower/Adjust Manhole/Utility Covers (AT&T) F2-13.3 EA 3 24 Lower/Adjust Manhole/Utility Covers (Santa Clarita Valley Water Agency) F2-13.3 EA 90 76. 107 7 25 26 VOID VOID - - EA EA 0 0 27 Lower/Adjust Manhole/Utility Covers (So Cal Gas Sempra) F2-13.3 EA 5 % , 28 Lower/Adjust Manhole/Utility Covers (Charter Communication) F2-13.3 EA 1 29 30 VOID VOID - EA EA 0 0 31 Adjust Storm Manhole Covers to Finish Grade (City of Santa Clarita) F2-13.3 EA 9 p , 32 33 34 35 36 37 38 VOID VOID VOID VOID IVOID VOID VOID - - - - EA EA EA EA EA EA EA 0 0 0 0 0 0 0 39 Remove and Install Permanent Traffic Loops F2-14.4 EA 63 b bo . ) fa . 40 Remove and Install Temporary Traffic Loops F2-14.4 EA 4 D • " D , 41 Install and Remove Temporary Video Detection Camera F2-15.4 EA 1 42 Remove and Install Traffic Nodes 72-16.4 EA 12 43 Install Blue RPM @ Hydrant F2-17.4 EA 102 44 12" White Crosswalk/Limit Line (Thermo) F2-17.4 LF 14,887 45 Yellow Continental Crosswalk (Thermo) F2-17.4 EA 2 46 Striping Detail #12 (Thermo & Markers) F2-17.4 LF 145,607 0 •Ro 3 • 3 47 Striping Detail #21 (Thermo) F2-17.4 LF 0 48 Striping Detail #24 (Thermo) F2-17.4 LF 57,730 D . b rj 49 Striping Detail #2713 (Thermo) F2-17.4 LF 160 _ ''--- 50 Striping Detail #29 (Thermo & Markers) F2-17.4 LF 257 to 51 Striping Detail #32 (Thermo & Markers) F2-17.4 LF 0 52 IStriping Detail #36 (Thermo & Markers) F2-17.4 LF 14,569 •'xjp O 53 Striping Detail #3713 (Thermo & Markers) F2-17.4 LF 1,540 •517 �j , pb 54 Striping Detail #38 (Thermo & Markers) F2-17.4 LF 14,775 ,3O O 55 Striping Detail #38A (Thermo) F2-17.4 LF 3,165 .2, p 56 Striping Detail #40 (Thermo) F2-17.4 LF 2,847 57 Arrow Type I L / R (Thermo) F2-17.4 EA 3 58 Arrow Type III L / R (Thermo) F2-17.4 EA 0 59 Arrow Type IV L / R (Thermo) F2-17.4 EA 162 60 lArrow, Type VI L / R (Thermo) F2-17.4 EA 3 61 "SIGNAL" Legend (Thermo) F2-17.4 EA 3 r4m= 62 "AHEAD" Legend (Thermo) F2-17.4 EA 3 •'- '" 63 "YIELD" Legend (Thermo) F2-17.4 EA 5 64 Remove and Replace ADA Ramps F2-18.4 EA 22 OD • O O. 65 Install Truncated Dome F2-18.4 EA 61 66 Remove Grooves and Replace with Truncated Dome F2-18.4 EA 6 gyp , �--7 pp. 67 Remove and Replace PCC Sidewalk for ADA Ramps (Allowance) F2-18.4 SF 2,200 p. 68 Over -Excavation (Revocable Item) F25.4 SF 6,0357. TOTAL BASE BID TOTAL AMOUNT IN FIGURES: `NOTE: In case of error in extension of price into the total price column, the unit price will govern. FS vrZ- 5c� UnIf Price Nod DESIGNATION OF SUBCONTRACTORS 2017~18 Federal Overlay Program, Bid No. ENG-17-18-K8O124 Project FEDERAL -AID PROJECT NO. FERSTPL-5450(096) Listed below are the names and locations of the places of business of each subcontnactor, supplier, and vendor who will perform work or labor or render service in excess of Y2 of 1 pennen1, or $10,000 (whichever in~—ka� of the prime contractor's total bid: DBE status, age of firm and annual gross receipts am required if ouont` -- n/ in participating oseDBE. Subcontractor PG1 DBE STATUS: NIA Dollar Value of Work $M,43-09 Age of firm: 4 Certifying Agency: WA --A—nnu@l Gross Receipts: in I MOP Annual Gr s Receipts: < vm'[1100 Location, d PlaAe of Business Cost Schedule Item Nos: Location and Place of Business Azugai, GA DescriptJon of Work License No. Cost Schedule Item Nos: 11 3—W Description of Work &rlpirqud Mcurkina rPhone Subcontractor MDRUbberilocakfill DQESTATUS: 141A Dollar Value of Work M566100 Age of firm: �+ Certifying Agency: N/A Annual Gr s Receipts: < vm'[1100 Location, d PlaAe of Business Cost Schedule Item Nos: escriptiin of Wo[k DescriptJon of Work License No. Exp. Date: ql3al�alq Exp, Date: qlaolajiq rPhone Subcontractor DBE STATUS: Dollar Value of Work Age of firm: C�—ertifying Agency: Annual Gross Receipts: Location and Place of Business Cost Schedule Item Nos: DescriptJon of Work License No. lqpp Exp, Date: qlaolajiq rPhone CZ CD Lu I [ F 2 E E 2 �2 V V V A 11, v v V v N El 0 E uh:u, JIDE [I U, [,ED El El El El El UZ) g� -414 C3- La__ LZIBJ NJ 15 <c LJ UO lz 0 z 0 u Lo D Un .J (f) C' ui im In to LQ CC 4" CIO Z; A:= O o E E E E E V V V A V v v v AV V v v v V V I/ Fl 11 El El 0 E El 04=1 r-'Rl 'YO -i5 to REFERENCES 2017-18 Federal Overlay Program, Bid No. ENG -17-18-M0124 Project No. M0124 FEDERAL -AID PROJECT NO. FERSTPL-5450(096) City of Santa Clarita, California The following are the names, addresses, and telephone numbers of three public agencies including Caltrans experience for which BIDDER has performed similar work within the past 3 years: The Contractor is also recommended to list the projects performed in both public agencies and Caltrans on separate sheets. 1 City of Rancho Cucamonga/ 10500 Civic Center Drive, Rancho Cucamonga, CA 91730 Name and Address of Owner / Agency/Caltrans and District Romeo David (909) 477-2740 Name and Telephone Number of Person Familiar with Project $1,130,470 Pavement Rehab 07/2017 Contract Amount Type of Work Date Completed 2, City of Temecula/ 41000 Main Street, Temecula, CA 92590 Narne and Address of Owner / Agency/Caltrans and District William Becerra (951) 694-6444 Name and Telephone Number of Person Familiar with Project $2,577,770 Road Pavement 11/2017 Contract Amount Type of Work Date Completed 3, Town of Apple Valley/ 14955 Dale Evans Pkwy; Temecula, CA 92307 Name and Address of Owner / Agency/Caltrans and District Rich Berger (951) 694-6444 Name and Telephone Number of Person Familiar with Project $849,182 Road Rehabilitation 11/2017 Contract Amount Type of Work Date Completed The following are the names, addresses, and telephone numbers of all brokers and sureties from whom BIDDER intends to procure insurance bonds: Owen M. Brown Insurance Fidelity and Deposit Company of Maryland Millennium Corporate Solutions 777 S. Figueroa St. #3900 5530 Trabbuco Rd Los Angeles CA, 92879 Irvine, CA 92620 All American Asphalt Contractors Name TITLE 49.CODE C]FFEDERAL REGULATIONS, PART 29 DEBARMENT AND SUSPENSION CERTIFICATION 2017_18 Federal Overlay Program, Bid No. ENG4748-NO124 Project No. M01 24 FEDERAL -AID PROJECT NO. FERSTPL-5450(096) City of Santa Clarita, California The bidder under penalty of perjury, certified that except as noted be|ow, he/she or any pe/son associated therewith in the capacity of owner, partner, director, office manager: is not currently under SUspemsiOn, debarment, voluntary exclusion or determination of ineligibility by any federal AGENCY; has not been suspended, debaned, voluntarily exc}uded, or determined ineligible by any federal AGENCY within past three years; does not have aproposed debarment pending: and has not been indioted, oonvicted, or had e civil judgment rendered against it by a court of competent jurisdiction in any matter involving imud u, ollicial misconduct within the past 3 years. |fthere are any exceptions tothis certification, insert the exceptions inthe following space. Exceptions will not necessarily result in denial of a*vmrd, but will be considered in determining bidders' For any exception noted above, indicate below towhom U applies, initialing AGENCY, and dates of action. ' NOTE: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION * * * (Must be filled out by the Bidder and ALL subcontractors over $10,000) * * * 2017-18 Federal Overlay Program, Bid No. ENG-17-18-P0O124 Project FEDERAL -AID PROJECT NO. FERSTPL-5450(096) City of Santa Clarita, California This bidder All American Asphalt _, proposed subcontractor hereby certifies that hehas »/ . has not . participated inaprevious contract orsubcontract subject 1othe equal opportunity clause, as required by Executive Orders 10925.11114, or 11246, and that he has `/ has not filed with the Joint Reporting Committee, and DinackDirectorofOffice of Federal Contract Compliance, o Federal Government contractingvor administering AGENCY, o/ the fonno/ President's Committee on Equal Employment Opportunity, all reports that are under the applicable filing requirements. Company: All American Asphalt By: - Title: Vloo President Date: May 2018 Note: The above certification isrequired by the Equal Employment Ortndyof the Secretary of L"°,. CFR 60-17(")(.)/. and must be ^uumu*,o by bidders and proposed Subcontractors only in connection with contracts and subcontracts which are subject iothe equal opportunity clause usset forth in 41 CFR 60-1.5, (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently,Standard Form 100 (EEC) -1) is the only report required byMha Executive Orders or their implementing regulations. Proposed prime CONTRACTORS and subcontractors who have participated in a previouscontract subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. Note: This form must be received by the AGENCY from all subcontractors no later than 4:00 PM on the 41t' business day after the bid opening. Prime contractor is to submit certificate at bid opening. Bidder certifies that the representations of the bid are true and correct and made under penalty of perjury. EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE Bidder certifies that in all previous contracts or subcontracts, all reports which may have been due under the requirements ofany AGENCY, Sta0e, or Federal equal employment opportunity orders have been satisfactorily filed, and that no such reports are currently outstanding, AFFIRMATIVE ACTION CERTIFICATION Bidder certifies that affinnodkm action has been taken to seek out and consider minority business enterprises for those portions ofthe work to be subcontracted, and that such affirmative actions have been fully documented, that said documentation is open to inspection, and that said affirmative action will remain in effect for the life of any contract awarded hereunder. Furthermore. Bidder certifies that affirmative action will be taken to meet all equal employment opportunity requirements of the contract documents. Bidder's Name: All American Business Address: 4OOEast Sixth Street; Corona, CA 92879 Telephone No.: (951) 736-7600 State CONTRACTOR's License No. & Class: Original Date.- 01/19/71 267073 Class A, C-12 Expiration Date: 01/31/2020 The following are the names, titles, addresses, and phone numbers of all individuals, firm members partners, joint venturers, and/or corporate officers having a principal interest in this proposal: Mork Luer, President Edward J.Carlson, VicePremident Michael Farkas 400 East Sixth Street 400 East Sixth Street 400 East Sixth Street Cocona, CA 92879 Corona, CA 92879 Corona, CA 92879 The dates ofany voluntary nrinvoluntary bankruptcy judgments against any principal having aninterest in this proposal, or any finn, oorporadion, partnership or joint venture of which any principal having an interest in this proposal was an owner, corporate officer, partner or joint venture are as follows-. C-11 All current and prior DBAa, aUus, and/or fictitious business names for any principal having an interest in this proposal are as follows: N/A |NWITNESS WHEREOF, BIDDER executes and Submitsthispnopoaa|withthenomeu. dt|e, hands, and seals ofall aforementioned principals this -day of May 2018. BIDDER: 41 Sig n"atu- re Edward J.Carlson, Vice President Name and Title of Signatory - - AUAmoroanAsphalt — _ Legal Name ofBidder � 4OUEast Sixth Street Corona, CA 927879 Address (951) 736-7600 Telephone NumberFederal Tax I.D. No. 95-2S8O43 SIGNATURES MUST BE MADE AND NOTARY ACKNOWLEDGMENTS OFEXECUTION OF BIDDER MUST BEATTACHED � �� =� ��0U0�UU��T�U�UM�W� Subscribed and sworn tothis day of Notary Public �`: �', r r n,, •leS�r'�... t3�: "' fP''�fbr �'.' I � /,� � r'': 'r. � ' . ��,.{ rz ,� ..�� . F. t ,. �•.=,nt .��„ uz rs , •.! „r��. s .a,;�.! r..� a,�"+', ��, �sr',,� �' •tri :v��+`fsr..x• ;�✓� f ,�r�s�r } �,;�•` r',�u�rf �'•:�`Fz%ti".x� �;{r.: :: c t :. x �.� ��• k . ;• �,:..:'.� � s.,�u.. � _� r�: a ... r =� . .� .. �,...xx•..f.<xl;��• � :._•«: ...r.. r��mrr�,x. , :.•. �s<:"�l::trr�rfriF'. � �=;=�:v.=.��.:�r' = 5�.+,:::r�.:„� � r">r . �"�`r.. ef, ��3,�fi� �:.. 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 Subscribed and sworn to (or affirmed) before me on this 15th day of May 2018 , Date Month By (1) Edward J. Carlson Name of Signer Proved to me on the basis of satisfactory evidence be the person who appeared before me (.) (,) (2) (and Name of Signer Proved to me on the basis of satisfactory evidence be the person who appeared before me.) Signature h4w %�� Place Notary Seal Above Signatuo of Not# 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 Bidder's Information and Certification Document Date: 5-15-2018 Number of Pages: 2 Signer(s) Other Than Named Above: None COURTNEY CMAP11C'" Notary Public - California �w Riverside County a Commission #,� 2t (2984 My Comm, Expires Nov 20, 2020 Subscribed and sworn to (or affirmed) before me on this 15th day of May 2018 , Date Month By (1) Edward J. Carlson Name of Signer Proved to me on the basis of satisfactory evidence be the person who appeared before me (.) (,) (2) (and Name of Signer Proved to me on the basis of satisfactory evidence be the person who appeared before me.) Signature h4w %�� Place Notary Seal Above Signatuo of Not# 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 Bidder's Information and Certification Document Date: 5-15-2018 Number of Pages: 2 Signer(s) Other Than Named Above: None BID SECURITY FORMS FOR CHECK OR BOND TO ACCOMPANY BID NOTE: The following form shall be used in case check accompanies bid. Accompanying this Proposal is a ^certihed/oeahier'o check payable to the order of the City of Santa Q rite for: dollars ( . this amount being not less than v:o percent \/uro/ orthe total amount cfthe bid. The proceeds of this check shall become the property nfsaid AGENCY provided this Proposal shall boocoeo�ydbvsaid AGENCY through action of its legally constituted contracting authorities, and the undersigned shall ' i| to execute o contract and furnish the required bonds within the stipulated time; othenmioe, the check shall be returned to the undersigned. Project Name: 2017-18 Federal Overlay Project City Project K0O124 FEDERAL -AID PROJECT NO. FER8TPL-5450(OS6) Bidde/a5ignatureE Carlson, Vice President All American Asphalt CONTRACTOR 400 East Sixth Street Corona, CA 92879 City, State, Zip Code * Delete the inapplicable work. NOTE: If the bidder desires to use a bond instead of oheck, the following form ohoU be executed. The sum of this bond shall be not less than ten percent (10%) of the total amount of the bid. C'13 Bond No. 08597423 Bid Date: 05/16/2018 .. • . • .. • . 0 M 2017-18 Federal Overlay Program, Bid No. ENG-17-18-MO124 Project No. M0124 FEDERAL -AID PROJECT NO. FERSTPL-5450(096) City of Santa Clarita, California KNOW ALL MEN BY THESE PRESENTS that All American Asphalt , as BIDDER, and Fidelity and Deposit Company of Maryland as SURETY, are held and firmly bound unto the City of Santa Clarita, as AGENCY, in the penal sum of Ten Percent of Total Amount Bid ---- dollars f$ 10% of Bid ), which is ten percent (10%) of the total amount bid by BIDDER to AGENCY for the above -stated project, for the payment of which sum, BIDDER and SURETY agree to be bound, jointly and severally, firmly by these presents. THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas BIDDER is about to submit a bid to AGENCY for the above -stated project, if said bid is rejected, or if said bid is accepted and the contract is awarded and entered into by BIDDER in the manner and time specified, then this obligation shall be null and void, otherwise it shall remain in full force and effect in favor of AGENCY. IN WITNESS WHEREAS, the parties hereto have set their names, titles, hands, and seals, this 8th day of May 2018 All American Asphalt BIDDER: Signature Name and Title of Signatory 400 East Sixth Street, Corona, CA 92879 - Phone (951) 736-7600 Address SURETY* Fidelity and Deposit Company of Maryland - 777 S. Figueroa Street, Suite 3900, Los Angeles, CA 90017 - David Wei (213) 270-0600 Rebecca Haas -Bates, Attorney -in -Fact Subscribed and sworn to this **Please See Attached*` day of NOTARY PUBLIC 20 (SEAL) *Provide BIDDER and SURETY name, address, and telephone number and the name, title, address, and telephone number for authorized representative. IMPORTANT - Surety Companies executing Bonds must appear on the Treasury Department's most current list (Circular 570, as amended) and be authorized to transact business in the State where the project is located. C-14 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT 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 validitv of that document. State of California County of Riverside On May 1 ., 2018 before me, Courtney Chapas Notary Public Date Here Insert name and Title of the Officer personally appeared Edward J. Carlson 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/sheAhey executed the same in his/fuer/the+r authorized capacity(+es), and that by his/her4he.; signature(s) on the instrument the person(&), 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 forgoing paragraph is true and correct. WITNESS my hand and Rf ficial,seal Signature V/o Place Notary Seal Above Signatu f Notary 7 lic 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: May 8, 2018 Number of Pages: Signer(s) Other Than Named Above: None Capacity(ies) Claimed by Signer(s) Signer's Name: Edward J. Carlson ❑ Individual X Corporate Officer — Title(s): Vice President ❑ Partner ❑ Limited ❑ General ❑ Attorney in Fact II'f ❑ Trustee ❑ Other: Top of thumb here Sign 's Name: Indiv pa ❑ Corpora Officer — Title(s): NIL ❑ Partner, ,i '4 ited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Other: Signer is Representing:) I Signer is Representing: All American Asphalt I All American A-nhalt Top of thumb here COURTNEY CHARAS / Notary Public - California to Riverside County z�NQ ,�s� Commission ## 2172934 Pay Comm. Expires Nov 20 262 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/sheAhey executed the same in his/fuer/the+r authorized capacity(+es), and that by his/her4he.; signature(s) on the instrument the person(&), 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 forgoing paragraph is true and correct. WITNESS my hand and Rf ficial,seal Signature V/o Place Notary Seal Above Signatu f Notary 7 lic 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: May 8, 2018 Number of Pages: Signer(s) Other Than Named Above: None Capacity(ies) Claimed by Signer(s) Signer's Name: Edward J. Carlson ❑ Individual X Corporate Officer — Title(s): Vice President ❑ Partner ❑ Limited ❑ General ❑ Attorney in Fact II'f ❑ Trustee ❑ Other: Top of thumb here Sign 's Name: Indiv pa ❑ Corpora Officer — Title(s): NIL ❑ Partner, ,i '4 ited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Other: Signer is Representing:) I Signer is Representing: All American Asphalt I All American A-nhalt Top of thumb here CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 Anotary public mother 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 ofCalifornia ) County of Orange) On before me, a MacFarlane,Notary Date Here Insert Name and Title ofthe Officer personally appeared Rebecca Haas -Bates NonneKof8ignerN who proved to me on the basis of satisfactory evidence to be the (s�vvhoae nmme(t� is/are su000r/oeo ,othe within instrument and acknowledged to me that executed the same in his/her/their authorized capacity(ies), and that by his/her/this� signatureZ4 on the instrument the person(*, or the entity upon behalf of which the personN acted, executed the instrument. | certify under PENALTY UFPERJURY under the laws ofthe State ofCalifornia that the foregoing paragraph iatrue and correct. WITNESS myhand and official seal. A. MIACFARLANE r Notary Public C , mv SignatureOrange CountyComrnissiofl -4 21183D92 r �§ignature of Notary PublicCnm,n. Exp;res Mar 27, 2021 Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration ufthe document or fraudulent reattachment nfthis form tomnunintended document. Description wfAttached Document Title or Type of Document: Number of Pages: One (l)_ Document Date: 05/08/2018 Signer(s) Other Than Named Above: All American Capacity(ies) Claimed bySiQner(s) Signer's Name: Rebecca Haas -Bates OCorporate Officer -- Title(s): UPartn*r— El Limited []General [I Individual !kAttorney in Fact (D Trustee [] Guardian or Conservator O[ther: Signer Is Representing: lidelity and Deposit Company of Maryland Signer's Name: OCorporate Officer — Title(s): UPartnor-- []Umited OGenera| O Individual I—! Attorney in Fact El Trustee OGuordiun or Conservator O Other: Signer |uRepresenting: @2014 NationaNotary Association 'www.NotionalNotary.org^1-8OO-USNOTARY (1-OOO-O7G-8827) Item #5907 EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8, Attornevs-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 attorneys -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 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 ZLJRICI I 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 DEIPOSIT COMPANY OF MARYLAND at a meeting duly called and field 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. INI +q'E'S'ITMO HEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this day of&Y NAT � I N 20]_&7. 1 B SAL APO" Michael Bond, Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT ALL REQUIRED INFORMATION TO: Zurich American Insurance Co. Attn: Surety Claims 1299 Zurich Way Schaumburg, IL 60196-1056 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 Z.URICI-I AMF.,RICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Maryland, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by DAVID MCVICKER, 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 William SYRKIN, Rebecca HAAS -BATES, Sergio D. BECHARA and Richard ADAIR, all of Irvine, California, EACH 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 I Oth day of July, A.D. 2017. ATTEST: 4f 'i� t tc'a la Assistant Secretary Dawn E. Brown State of Maryland County of Baltimore ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND G=wtry, '�O DDEPps Ct • v 2G F't R1� SEAL Vice President David McVicker On this 10th day of July, A.D. 2017, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, DAVID MCVICKER, Vice President, and DAWN E. BROWN, Assistant 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, 2019 POA -F 012-0033D No, 4662 STATE OF CALHORNXA DEPARTMENT OF INSURANCE SAN nUNM C4 Amended Certificate of Authority THIS IS T.0 CERTIFY, nut, patr=fir to the httu)MIce Code of the Stats of California, Aidelity and Deposit Company of Maryland vfBaltintort, Maryland, organized underthe lam is ofMaryhWd, subject to its Artidm oflncorpormlon Or Mier'fuAdammtnl organizational documents', it hereby atuhorked to transact within thir,State, subject to all provision: of this Certificate, Ute following anises of htstira)tce• Ftn, Menial, Surety, Plate Gl=, L abfllty, Workers' Compensation, ComntOK Carrier Lich (y, Boiler and Mtseldneay, Burglary, Credit, Sprinkler, 114VA wid Vehicle, Ataomobile, dircrr{ft, and Mlseellaneoas as sunt classes are naw ormay hereafter be defined in till lluuranteLmvs ofthe State of CWarnta. 71fS CERTIFICATE is exprrasly con(Glioned upon the holder hereof iww mid lrereqfter being In full canpllarcce with all, and not in vlotarlort of ally, of rile applicable laws and lawful requirements made anile)' authoriry of flee ICVVS of the State of GlIftnita as long as such laws or requirements are in effect and applltxable, azul as such laws and reriuhvnwnts novo are, or nwy hereafter be cAatged or amended. IN WITNESS WHEREOF, efj`ective as of the 29ttr, day of January, 1985, I have hereunto set my haM and caused i ry o0clal seal t4 be cr.UaZ ed this 29th day of January, 1985. Foe $50.00 Bruce But= Rec, No, S43I4 r� cs .m.uie,rw Filed 12/3!$4 By Victoria S, Sidbury OwIflcatlon Dq"``r I, the undersigned IruwarzceComn hutoner of the State of Calfforrria, do hereby CWjfy that 1 have eamPrarad the above cagey of Certfflcxzte ofAulhMty with the duplicate of original r:ow otr f<Pr in my o f9ce, and *41 616 ,same is a full, true, acrd comeat omsra•tpt thereof, and of the ivhole of sold &*Rc ate, rad x�eki Certificate of fAtrthority 4t now In fullforce and djfeat, IN WITNESS Win UEDF, 1 have hereunto set my &74and caund my ofldal seal to be c, fired this Jt rlay of August, 2000. J. Clark Kelso AabFrrlarnanm Co.urr:Rriarer Pauline D'Andrea .Dwoo, NON -COLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) 2017-18 Federal Overlay Program, Bid No. ENG-17-18-MO124 Project No. M0124 FEDERAL -AID PROJECT NO. FERSTPL-5450(096) City of Santa Clarita, California To the CITY OF SANTA CLARITA: In conformance with Title 23 United States Code Section 112 and Public Contract Code 7106, the Bidder declares 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; arid, 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. THE BIDDER'S EXECUTION ON THE SIGNATURE PORTION OF THE "BIDDER'S CERTIFICATION" SHALL ALSO CONSTITUTE AN ENDORSEMENT AND EXECUTION OF THOSE CERTIFICATIONS WHICH FORMA PART OF THE PROPOSAL. BIDDERS ARE CAUTIONED THAT MAKING A FALSE CERTIFICATION MAY SUBJECT THE CERTIFIER TO CRIMINAL PROSECUTION. C-15 NON -COLLUSION AFFIDAVIT 2017-18 Federal Overlay Program, Bid No. ENG-17-18-MO124 Project No, M0124 FEDERAL -AID PRO.lFr'.T NO. FERSTPL- 5450(096) City of Santa�Clarita, California TO BE EXECUTED BY EACH BIDDER OF A PRINCIPAL CONTRACT STATE OF CALIFORNIA COUNTY OF LOS ANGELES Edward J. Carlson being first duly sworn deposes and says that he is the Vice President (sole owner, a partner, president, etc.) of All American Asphalt the party making the foregoing bid; that such bid is not made in the interest of or behalf of any undisclosed person, partnership, company, association, organization or corporation, that such bid is genuine and not collusive or sham, that said BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham bid or that anyone shall refrain from bidding, that said BIDDER has not in any manner, directly or indirectly sought by agreements, communication or conference with anyone to fix the bid price of said BIDDER or of any other BIDDER, or to fix the overhead, profit, or cost element of such bid price, or of that of any other BIDDER, or to secure any advantage against the public body awarding the Contract or anyone interested in the proposed Contract; that all statements contained in such bid are true, and further, that said BIDDER has not, directly or indirectly, submitted his bid price, or any breakdown thereof, or the contents thereof, or divulged information or date relative thereto, or paid and will not pay any fee in connection, therewith to any corporation, partnership, company, association, organization, bid depository, or to any member or AGENCY thereof, or to any other individual information or date relative thereto, or paid and will not pay any fee in connection, therewith to any corporation, partnership, company association, organization, bid depository, or to any member or AGENCY thereof, or to any other individual, except to such person or persons as have a partnership or other financial interest with said BIDDER in his general business. Bidder: Signature� Title Edward J. Carlson, Vice President lkl vlao ac A*kw Subscribed and sworn to and bNRre me this day of eai 01 Notary C-16 20—. CALIFORNIA JURAT GOV CODE § 8202 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 Subscribed and sworn to (or affirmed) before me on this 15th day of Mav 2018 Date Month By (1) Edward J. Carlson Name of Signer Proved to me on the basis of satisfactory evidence be the person who appeared before me (.) (,) (2) (and Name of Signer Proved to me on the basis of satisfactory evidence be the person who appeared before me.) Signature NW61- Place Notary Seal Above Signat'd of Nota 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 Document Date: 5-15-2018 Number of Pages: 1 Signer(s) Other Than Named Above: None COURTNEY CH,-A--P—A–S Notary Public - Callorr., ia Rive 'rside County z LCjminissicn 41 2172934 MY Comm . Exoros 10 pr,, Subscribed and sworn to (or affirmed) before me on this 15th day of Mav 2018 Date Month By (1) Edward J. Carlson Name of Signer Proved to me on the basis of satisfactory evidence be the person who appeared before me (.) (,) (2) (and Name of Signer Proved to me on the basis of satisfactory evidence be the person who appeared before me.) Signature NW61- Place Notary Seal Above Signat'd of Nota 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 Document Date: 5-15-2018 Number of Pages: 1 Signer(s) Other Than Named Above: None 2017.18 Federal Overlay Program, Bid No. ENG'1748-0O124 Project No. M0124 FEDERAL -AID PROJECT NO. FERSTPL-5450(096) City ofSanta Cbxrita.Ca|ifomio If the bidder has answered the questionnaire within the past year and there are no significant changes in the information roquoshad, then the bidder need not file a new questionnaire. If there are chmngos, indicate those changes. Should the space provided not be adequote, so indicate and complete information onaseparate page(s) and attach hereto, 1. Submitted by: All American Asphalt Telephone: Principal Office Address: 400 East Sixth Street- Corona CA 9?879 Type ofFirm: _ Corporate:— Individual: Corporation 3a. |facorporation, answer thesequestions: Date ofIncorporation: 01/19//1 State of Incorporation President's Name: Mark Luer Vice -President's Name: Edward J. Carlson, Vice President Secretary orClerk's Name: Michael Farkas Treasurer's Name: Michael Farkas 3b. |fapartnership, answer these questions: Date of organization: 9 California State Organized in: Name of all partners holding more than a 10% interest: Designate which are General or Managing Partners. Name ofperson holding CONTRACT(]R'nlicense: Mark Luer License number: 267073 Class: A, C-12 Expiration Date: CONTRACTOR'aRepresentative: Edward J.Carlson Title: Vice President Alternate: m/u/av/Farkas Title: Secretary 01/31/2020 List the major construction projects your organization has in progress as of this date: Owner: (A) City of Chino Hills (E) Project Location: Chino Hills Type of Project: Pavement Rehab Project CERTIFICATION C]FNON-SEGREGATED FACILITIES 2017-18 Federal Overlay Program, Bid No. ENG47-1B-MO124 Project FEDERAL -AID PROJECT NO. FERSTPL-5450(096) City of Santa Clarita, California The CONTRACTOR certifies that he does not maintain orprovide for his employees any segregated facilities at any of his eetab|iahmentn, and that he does not permit his employees to perform their services at any |000\ion, under his control, where segregated facilities are maintained. The CONTRACTOR certifies further that he will not maintain or provide for his employees any segregated facilities at any of his estab|inhmento, and that howill not permit his employees to perform their services at any |onotion, under his control, where segregated facilities are maintained. The CONTRACTOR agrees that a breach of this certification is a violation of the Equal Opportunity clause in this Contract. As used in this oeddication, the berm "segregated facilities" means any waiting nooms, vvn/k aroas, rest rooms, and wash ronma, restaurants and other eating areao, time clocks, locker rooms and other storage or dressing areas, parking |cts, drinking fountaino, recreation or entertainment oreao, tronmportation, and housing facilities provided for employees which are segregated byexplicit directive or are in fact segregated on the basis of naue, creed, co|o/, or national origin, because of habit. local nuakom, or otherwise. The CONTRACTOR agrees that (except where he has obtained identical certifications from proposed subcontractors for specific time periods) he will obtain identical certifications from proposed subcontractors prior tothe award ofsubcontracts exceeding $1O.00Uwhich are not exempt from the provisions of the Equal Opportunity douse, and that he will retain auoh certifications inhis files. All American Asphalt CONTRACTOR Required bvthe May 1S. 1967 order on Elimination of Segregated Facilities, by the Secretary of Labor —32 F.R, 7439. May 19. 1987 (F.R. Vol. 33, No. 33—Friday, February 16. 1968 — p. 3065). C-18 NC)NLOBBY|NGCERTlFICAT|ON FOR FEDERAL -AID CONTRACTS 2017-18 Federal Overlay Program, Bid No. ENG-17-1B-ND124 Project FEDERAL -AID PROJECT NO.-FERSTPL-5450(096) City of Santa Clarita, California The prospective participant certifies, by signing and submitting this bid or proposal, tothe best ofhis orher knowledge and belief, that: (U No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, e Member of Congreaa, an officer or employee of Congress, o/ an employee of K4emborofCongress in connection with the awarding of any Federal contract the making of any Federal gnant, the making of any Federal |oan, the entering into fan, cooperative agreement, renewal,and the extension, continuation, renewal, amendment, ormnd '^ �atio/ of any Federal contract, grant. [oan, o/ cooperative agreement. "// (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing orattempting toinfluence anofficer oremployee ofany Federal aAency a �WemberofCongress, an officer or employee of Congress, or an employee of Member o' Congress in connection with this Federal contract, grant, |oan, nrcooperative a8reemen1 the « undersigned shall complete and submit Standard Form -LLL, "Disclosure of Lobbying in Activities," in conformance with its instructions.uy V This uorUfcednn is a material representation of toot upon which reliance was placed when this transaction was made or entered into, Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352. Title 31, U.S Code. Any person who fails to file the required certification shall be subject to a civil penalty of not |eoo than �10OOU and not more than $1OO.O00for each such failure. - ' The prospective participant also agrees by submitting his orher bid orproposal that he nrshe shall require that the language of this nndifioo\inn be included in all lower dor subcontracts, which exceed $1O0.OUOand that aUsuch sub -recipients ahaUcedifyand disdoaeauoording�. THE BIDDER'S EXECUTION UyVTHE SIGNATURE PORTION OFTHE ^80DER'S CERTIFICATION' SHALL ALSO CONSTITUTE ANENDORSEMENT AND EXECUTION OFTHOSE CER7lF/^""^T/DNS WHICH FORMA PART {)FTHE PROPOSAL. BIDDERS ARE CAUTIONED THAT MAKING " FALSE CERTIFICATION MAY SUBJECT THE CERTIFIER TO CRIMINAL PROSECUTION. DISCLOSURE OF LOBBYING ACTIVI'T'IES . ,I I 1 V ill.?4. t.11l, 1', Lk,)1111 I I1VlJ Ak- 1. t v t l ll'..`J f'UK�)t,)AN 1 10 31 t_�. S. C. 1352 1. Type of Federal Action: 2, Status of Federal Action: 3. Report Type: a. contract F -1a. hid/oller/application 13. Type of Payment (check all that apply) � a. initial b. grant b. initial award b, material change c. cooperative agivement I C. pose -award e dcli ncd (, loan For Nlaterial Chanl;c nl)': C. ban guarantee year yua er -- I: loan insurartee date oblast re rn 4. Name and Address of Reporting Entity 5, If Reporting, EIntity in No. -t is Sul , K rrdec, F ntcr Name and Address of Pri e Prime � Subawardce ,✓ 'Iier ifknown /, Congressional District, it,knovvn 6. Federal Dcpar'tmcnt/:lgcrrcy: 8. Federal Action Number, if known: Congressional Dist4ct, if known sF 7. Federal ProgranamclDcscripiion: CFD,1 Nury9icr, ifapplicablc 9. Award Xrt�wunt, ifknown: 10. a. Name and Address of I obby Entit.v 1r. txfclniduals Performing Services (including (II'individual, last name lust name, i ll) �iiddress it'diflcrcnt from No. 10a) (last name, first name, NI) / f (attach ContinuaIt it Sheet(s) if necessary) 11. Amount of Payment (check all that apply) ff 13. Type of Payment (check all that apply) f S actual planed n. retainer f 1). one -lime ICC 12. I'orn7 Of Pa1'I,nl'nt (Check :111 that i4 plrlyl: C Commission 8 a. cash /% d. contingent fee h. in-kind: specify: naiui ,/ e dcli ncd �,lTtle. I. other. speed% _ .. 14. Brief Description ofService "Performed or to he performed and Date(s) of'Servicc, including Officer(s), employcc(s), ur c ober(s) contacted, for Payment Indicated in Item If: (attach Continuation Shect(s) if uccess:u'y) 15. Continuation Shect(s) attached: ),cs 0 No IC,, Information rcgttctit"I throuLly this form 1s authorized by -title ^ >I U 5 C Sctnu% I was placed �c the tit Wien (his dis�closurc of lobbvtne rebance Signature: 'r shave hcn fus uansucuon vvus made or aattered,fi�to. This disclosure is required pursuant to .3l Print Name: Edward J. Carlson U S C SIS2 'Ihis information vvill be reported to Congress - scnu,�futal(y and %rill be availahle iix public inspVction .any Vice President pci�6n who fails to file the required disciosutc shall be subject Title: tc,,ui civil penalty of not less than C 10,000 and riot more than / 100,000 1,61. cath such l"WhItC. 1 elcphone No l951 , � 736-7600 U tte, 05/ /18 Authonz.ed fix Local Reproduction F' >deral Use Only: Standard Form • LI.I_ 113i"IM11 A 11111 LAA. KC, ()V-1!-'1 C-20 INSTRUCTIONS FOR COMPLETION M SF-1,11,L, DISCLOSURE OF LOBBYING ACTIVITIES ']'his disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to title 3 1 U.S.C. section 1352. 'file filing of a form is required for such payment Or agreement to make payment to lobbying entity for inflUelk2ull-I 01- attempting to influence an officer or employee of any agency, a Member of Congress an officer or employee of Congiess or an employee of a Member of Congress in connection Nvith a covered Federal action. Attach a COutillUatiOn sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the illIpIC111011tint)-1 gUidallCe published by the Office of Management in(] Bud"etfor additional information. 1. Identify the type of covered Federal action for which lobbying activity is and/or has been secure(] to influence, the outcome of covered Federal action. 2. Identify the status 0fthC covered Federal action. 3. Identify the appropriate classification of this report. If this is a f'OHOW-Up report caused by a material change to the information previously reported, enter the year and quarter in Which the Change Occurred. Unter the date ofthe Iasi, previously submitted report by this reporting entity for this covered Federal a t c ion. 4. Enter tile full name, address, city, state and zip code ofthe reporting entity, Include Congressional District if'known. Check the appropriate classification ofthe reporting entity that designates if it is Or expects to be a prime Or SUbaWard recipient. identify the tier ofthe subawardee, e.g., the first subawardee ofthe prime is the first tier. SUbaWardS include but are not limited to subcontracts, subgrants and contract awards under9 rants. 5. If the organization filing the report in Item 4 checks "subawardee" then enter the I'Lill name. address, city, state and zip code ofthe prime Federal recipient. Include Congressional District, it'known. 6. Enter the name ofthe Federal agency making the award or loan commitment. Include at least one organization level below agency name, il'known. For example, Department of"Fransportation, United States Coast (itiard, 7. Enter the Federal program name or description for the covered Federal action (item I ). If known. enter the full- 'o atal, of Federal Domestic Assistance (CFDA) number fior grants, cooperative agreements, loans and loan commitments, 8. Enter the most appropriate Federal identifying number available for the Federal action identification in item I Request for Proposal (RFP) number, Invitation for Bid (IFT) number, grant annOLHICCIllent number, the contract grant. or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixVs, c.1; . "RFP-DE-90-00 I 9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter t - th e Federal amount ofthe award/loan commitments for the Prime entity identified in itern 4 or 5. 10. (a) Enter the full name, address, city, state and zip code ofthe lobbying entity engaged by the reporting entity identified in nern 4 to ifilluenced the covered Federal action. (b) Enter the full names ofthe individual(s) performing set-vices and include full address if'different from 10 (a). Enter Last Name, First Name and Middle Initial (MI). 11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item -1) to tile lobbying entity (item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. 12. Check the appropriate box(es). Check all boxes that apply, 11'payment is made through an in-kind contribution, specify the nature and value ofthe in-kind Payment. 13. Check the appropriate box(es). Check all boxes that apply. lf'Other, specify nature. 14. Provide a specific incl detailed description ofthe services that the lobbyist has perl'ormed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employce(s) or Member(s) of Congress that were contacted. 15. Check whether or not a Continuation sheets) is attached. 16. The certifying official shall sign and date the form, Print his/her name title and telephone 111-11liber. Public reporting burden for this collection of information is estimated to average 30 1lliuU(CS per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing tile collection of information. Send cornments regarding the burden esty estimate or an other aspect of this collection I of information, including stiogestions for reducing this burden, to the Off-ice of Management and BUdoct, Paperwork Reduction Project (0348-0046), Washington, D.C. 20503. C-21 DESIGNATION C3FSUBCONTRACTORS 2017�� Program, gram. Bid No. ENG-17-1O-YWU124 Project FEDERAL -AID PROJECT NO. FERSTPL-5450(096) Listed below are the names and locations of the places of business of each subnontrautor, supplier, and vendor who will perform work or labor or render service in excess of Y2 of 1 percent, or $10.008 (whichever isgreater) of the prime contractor's total bid: DBE otatun, ago of Mnn and annual gross receipts are required ifsubContractor is participating esoDBE. —– Subcontractor PGJ DBE STATUS: NIA Dollar Value of Work 430"714a. 09 Age of firm: Certifying Agency: UJA Annual Gross Receipt—s:---- Location and Place of Business Aigail GA Cost Schedule Item Nos: 113—W -- Description of Work Wim mrd Mairking License No. Exp. Elate -Y :::��Pho�neg3�� License No. flqpp Subcontractor tCkf IIE(TATUS: Dollar Value of Work Age of firm: Certifying Agency: Annual Gross Receipts: Location and Pla Ae of Business Cost Schedule Item Nos: tj Description of W k Grould, 560tol Subcontractor .66 ollar Value of Work Age of firm: Certifying Agency: Annual Gross Receipts: Location and Place of Business License No. flqpp Exp. Date: Phone Fn O Cl C5 z r'n <TN (c5T1 CW c EEO 10 lEIaEr<1-1 y 0 EQ E: oll 25 D rri eD c A CM Fn O o O Z z 0 T Aj CZ0 CZ10 0 E I R A A A V A n r n V V, n A A A V A A A ,F- 1, Cl E: F O O o ro o > > til to CJ Cn OR CA CA Z- C) 0 vz� o O Z z 0 T Aj 2017-18 Federal Overlay Program, Bid No. ENGI-17-18-MO124 Project No. M0124 FEDERAL -AID PROJECT NO. FERPL- §450(09pj City of Santa Clarita, California The bidder under per"ralty of perjury, certified that except as noted below, he/she or any person associated therewith in the capacity of owner, partner, director, office manager: is not currently under Suspension, debarment, voluntary exclusion or deterrnination of ineligibility by any federal AGENCY; has not beet") Suspended, debarred, voluntarily excluded, or determined ineligible by any feeder at AGENCY within past three years; does riot have a proposed debarment pending; and has not been indicted, convicted, or had a Civil judgment rendered against it by a COU!"t of competent jurisdiction in any matter involving fraud or official miscondUCt within the past 3 years, If there are any exceptions to this cerrificatiori, insert the exceptions in the following space, N/A Exceptions will riot riecessarily reSUlt in denial of award, but will be considered in determining bidders' responsibility. For ariy exception noted above, indicate below to whore it applies, initialing AGP,,IC1, and dates of action. N/A NOTE: Providing false information May result in criniinal prosecution or administrative sanctions, The above certification is part of the Proposal, Signing this Proposal of) the signature porti thereof shall also constitute signature of this Certification. I W 2017-18 Federal Overlay Program, Bid No. ENG -17-18-M0124 Project No. M0124 FEDERAL -AID PROJECT NO. FER�JPL-515LO(096) City of Santa Clarita, California The prospective participant certifies, by signing and submitting this bid or proposal, to the best of lius or her knowledge and belief, that (1) No Federal appropriated funds have been paid or will be paid, by or ora behalf of the undersigned, to any person for influencing or attenipting to irlflUence an officer or ernploye(,' of any Federal agency, a Merriber of Congress, art officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal Contract, the making of any Federal grant, the making of any Federal loan, the entering into (if al,ly cooperative agreement, and the extension, continuation, renewal, affiendinent, or rnodification of any Federal contract, grant, loan, or cooperative agreement, (2) If any funds other than Federal appropriated funds have been paid or will be paid to any pet -son fore inflUencing or atterripting to influence an officer or employee of arty Federal agenre y, a Member of Congress, an officer or employee of Congress, or an employee of a Mernbei of Congress in connection with this Federal contract, grant, loan, or cooperative agreernent, the undersigned shall complete and submit. Standard Form -LLL, "Disclosure of Lobbying Activities," in conforn-mince with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into, Submission of this certification is a prerequisite for, making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code, Any person wl,ao fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not rr,iore than $100,000for each such failUr'e, "rhe prospective participant also agrees by submitting his or her bid or proposal that or she shaall require that the language of this certification be included in all lower tier subcontracts, which exc(,,,,,ed $100,000 and that all such sub -recipients shall certify and disclose accordingly, THE BIDDER'S EXECUTION ON 714E SIGNATURE PORT/ON OF THE "BIDDER'S CERTIFICATION" SHALL ALSO CONS T/7_UTE-,_, AN ENDORSEMENT AND EXECUTION OF THOSE CERTIFICAI IONS WHICH FORM A F'AS'T OF THE PROPOSAL, BIDDERS ARE CALJ77ONED THAT MAKING A F4L,s_,E CERTIFICATION MAY St, BJECTI-HE CERrIFIER TO CRIMINAL PROSECUT/ON, C-19 DISCLOSURE, OF I l'ype of Federal Action: 2. Status of Federal Axthiv 3. Relmrt 111w: a. omqacl 11 �a,I. El a b—"MW In MAW muni It. 8, (1, Wan For N1 asHal ( lange to) C. iwm pwo'anloc qt,- r loan kismirhO° iaarc of h't tv , �Cn 4. Name and Addrns of lUjorMing EnUo S. If Reporting Enthy in Nic 4 is SuMmoardee, Froer Name and Address; of Pri ACC: vone swm"Udee I icit kuoxw Congressioluo PiArict, lflnowl CongressionalDi "I I kno"n :Tch d 6. Federal Deparonctiti kgency: 7. Federal Progr CfDANor. Wr, it apphcaflWe S. Vederal Action Number, it knemw 4 A"ard Amomq dkw"ra: 1W a, Narne and Ad(ITess off obb) Vwity b. Performing ScrN ices f in"Juding t, indk idwd, lw,t nonK�,, Iii st nwnc, N1 /,addrcss ifdlfta�tenl fiowl No 10a) fhw mone name, W) (aluach Contiowt��n Stiect(s) 11. AMUHUI of Payment Rheck A Mat apph)13, 1 mve of INyment (dreck alk that, apply S al plamw,j 0 Maker // b one-time fee 12. hwnt of Payment Mck A Mat vqWqj� C, cofmnks� on A"h d conlingLio f6.! in-kind 14, Rrief Descriprion f SenbeffeAwmed or N he performed and Da(v(%) ofService, mg cludin of1ricery" ecriploy= or,Acr"c") mcdomt for PpmaH hdicaud A I= 11: (imitch Continuation Sh,-'C1(.,) d occvssalr ) 15� Conlin"attoo!yled O) attached: 11, -So 16, fi'lm �aLohoti?,n] by Tid" El 31 U S t S"Qn 1 152 1 ho dim howu W 400, mg Mwm c S"Mule: 'Na) pku ed the ncr ai,oe C Wwn [w, %NUS M,hdc (m nacmdYno Fho Kc kmw c n iopm A jw� s"mil r > t t Pi int NameEdward J. Carlson C 0 S �452 11 ItS M" b,fflZ0 s Ott �% t I t NW r 0p10 tCd � MW tO ( ��,S wmwmaw WW "M 0W UWE ?"Wlw mse vchon Arlv jm'yiwtwho be mihe,l lid., G /6 Cvd penakt oll w4 k,ss 6hm % P) (100 mid ilm mm,� OL"l �100041 A" each �.uch tadtne lelephone N�) (951) 736-7600 05/ /18 slandal-d I min - k l.1. W INSTRI1,111ONS FOR COMPLETION OFSF-1,11,11, DISC10SIAIE OFLOBBYING ACTINTI IES This disclosure form ANI be complewd by die rqonhg entity,, w1unduar subawaMec or pritne Federal reciptla m We initiation or receipt FYI covered Federal action or a material chatle lo timvious fl hig pursinna to this 31 U,&(wctum 1 j5"-` Ile JUNg of a Arm is required Rn swh paymerU or ap"mom to make pqnwm V) lobbying craby for influenyin ' u m aueniping to innuerwe an onler or empWyce or atny agemy. a Nlember or Ccalgres an oMmr ear nMAjec of Umjmis ot an eniNclec of a Member of Congress in connection with as covered federal action, Attach a COnlintlafiOn dleCt I,w additional inanniatim, it the space on the Ann is irtaclecirlare. CoinPfew A Ann Am apph in both Me h051 Wirig amici mmeAl chmige report. ReGr to the implementing gukhmce published by be (Nnee of Nimagon", and HwNjt Q,s additional information, 1. IdentH y tile type of "wened Federal acibn RY m0kh lobbying aai%hy is and/or has been a,er:irrvd to ini(locnce. Tc outcolne of as Covered FedcraI action, 2, Identily lite status OCOIC C0VCrVd FCCILIA aC6011. Identify theappropriate classification of this report. If Mis is a Mowup report caused by a nimethl change u, th(a, Mrumbir pmvhusly rqarlet enters the year anti quarter in %Ohch the change occurred. Fnwr the eluate A the lam, previously suNnitted report by this reporting entity for this covered Federal actioll. A Emu Are Nn name. address, chy, mate and zip code of Ile reponing enIvy. Inch& Ism6c, jrkw"n (Oak We appropriate dasiCultion (TH rqoHkg emily that designates if it is or expects to be milne or submvard recirment, Identify the I& orthe suba"ardee, ag, the firm suba"ardee orthe prime r, She row lier samwar& www& but are not linked to subcontracts, subgrws and onlVact awaQ umkr gmran. 5. Ulm oyarlizatkin HQ We m1mm K ham 4 checks "SubaNwwdee" then enter the Rdl nanw. addre", city, smic and Ap code of Me pdrne Federal necipiciu. huhnie (Ongesslon1l [Asti-ia. I krmn"i 6 Enor the nanw ofaw Adend agmicy rnalaing le award or kmn coinwhurrent. Include at least one organizaiiotl level below agowy runne, ifknoV"L For ex ample, Depanmem of "Ibuisinntador, Liiiinad Sures Chast (NaM. 7, Nou the Federal pRTmn mmie or description fi)r the covered bcderal acthn timm I V Tknowm craa Ow AT (Yalou cdFchral FJonneMl A"klatme ((TDA) mann-ur Nr granix, cooperative agreernenit foans and loan cormnimiems, g. FrAny Me most appropriate Federal identifying numba available for be Q&TA action identHkatim in hem I (eq Request for Proposal (RIJI) nuniber, Invitathn ku- Bid (I1'`11) ran-rdwir. grant mnicanicernoit mnbmjk coigmt, gwit. or Wan award imniber, We w"lot number amigired by dw Fudwall agcircyL Include pm6wY ej 11101,11-DE"-90-001 " 9, Fot i covered Federal acrion -,virerc Tem hors been ruirmard or loan conunhavent by the Fedend agency, emn the j,"ederid aniount ofthe sward/loan con"Nmmm hw Me prime cimly iderriTed m iters 4 or 5. 10. (a) fiver the WH H=C, addr"s, chy, snue and zip code of the h1hying crony engaged by the nnpoil;ing crBy idnHowd At iwin 4 to inflocirced the covered I ederal action, (b) Hmer the full manes of'the kWivUluals) palwming services and Kfude Rd! a&kns U chRunu Qmv H) of EntQi t,ast Name, First Narne and %fiddle initial Nl). It, I'Ver the airrount of compeirsmion paid or reasonably expected to be paid by the mpmkq many (Am 4) m K, fobbying c1mily (hem 10" hirldicate mforier the paymem Inas been made (adual) or will be inade (ph need) (Ihwk aH boxes that apply. Ifthis is a amterial change report, entor the cumulative amomirt ufrcyrnew "wdc ca phuwd to A made. 11 (bels We apranopriMe boMeQ (Nek all bows that apply. dpayment is oracle Inwo un 04ind "mKhAtfoo, jnQ tire manireand vahw ofthe in-kind paynletw 13. Check de a"myriate lxm= Heck A buns that a"Iy 1101[rec s"CHY nalum, 14 Provide a specific and detailed description ofthe servims that Ow lobby riot has perthrrimbw "M be mpmled W poi lau ,tutj tile. date(s) of any scivices malovii include all prtImnamy and nabud =601 not YW the ymn; h"wurd oartaaet \\+ijjj 1:cderal officials Identify' the AMC officcos) or enifloyee(s) contacted or the officcr(s) eniployeels) or Men&= of Cbnpum that WVrC C0otaCICCL Cleck Awler or wt a corahmatitm sheos) A attached. IN Th"elyhy o0licial dwil Agri and date the Rum, fund hisTer nanw Ne and whera l"nre i"riber. Public; inuponing bw&n Rw Tin colleabn of hNnnladon is estirnawd hj mverage 30 minutes per respmuce, Vuhuding line Ki reviewing instruction, Searching exisling (kna sources, gathering and maintaining the chna needed, and completing and reVewing the collectfon of inti. malimL Send comnmms rogarding the burden estimate or ail other asped Of OAS COirCChOn ofnifortnation, including suggemions G tx&wKg IN burden, to lite 01"fice of Avlarrugement and Budget. 10ifterwork IfWuMion Pwyct (0348-0016h ANashint"on, It.(", 20503, Su-L[Ah,q—oo- Rc, 1W Bond No. 08597423 Bid Date: 05/16/2018 PROPOSAL GUARANTEE BID BOND 2017-18 Federal Overlay Program, Bid No. ENG-17-18-MO124 Project No. M0124 FEDERAL -AID PROJECT NO. FERSTPL-5450(096) City of Santa Clarita, California KNOW ALL MEN BY THESE PRESENTS that All American Asphalt , as BIDDER, and Fidelity and Deposit Company of Maryland SURETY, are held and firmly bound unto the City of Santa Clarita, as AGENCY, in the penal sum of Ten Percent of Total Amount Bid ---- dollars ($ 10% of Bid ), which is ten percent (10%) of the total amount bid by BIDDER to AGENCY for the above -stated project, for the payment of which sum, BIDDER and SURETY agree to be bound, jointly and severally, firmly by these presents. THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas BIDDER is about to submit a bid to AGENCY for the above -stated project, if said bid is rejected, or if said bid is accepted and the contract is awarded and entered into by BIDDER in the manner and time specified, then this obligation shall be null and void, otherwise it shall remain in full force and effect in favor of AGENCY. IN WITNESS WHEREAS, the parties hereto have set their names, titles, hands, and seals, this 8th BIDDER: day of May 2018 All American Asphalt , Signature Name and Title of Signatory 400 East Sixth Street, Corona, CA 92879 - Phone (951) 736-7600 Address SURETY* Fidelity and Deposit Company of Maryland - 777 S. Figueroa Street, Suite 3900, Los Angeles, CA 90017 - David Wei (213) 270-0600 Rebecca Haas -Bates, Attorney -in -Fact Subscribed and sworn to this "Please See Attached"" day of NOTARY PUBLIC 20__ (SEAL) *Provide BIDDER and SURETY name, address, and telephone number and the name, title, address, and telephone number for authorized representative. IMPORTANT - Surety Companies executing Bonds must appear on the Treasury Department's most current list (Circular 570, as amended) and be authorized to transact business in the State where the project is located. C-14 .,.;: ,:+ r rr� ......r �.i "„ rr ::s ✓r a.: +v ;:i. ✓;+�. y s.. r, tur rn 6Y ;.�R rr nn�� n ,.�'•. r 7 ,,, r aae ra rel y .z;� ... ,r.. r ,. # !% ra naa !r r, +� r r..„: Fvf ,a`d,e, z,R�, r.14. 1 .�r,+rr.. oaf j rf � r” r 1 r �.,,.. 1I N ,..✓ lr �' 1 ;,f; , ri �„�ite nq�m;' :,r r S'r+i. k'"i'Er�m�✓r 1+nn Ih ✓fi✓af I Cox �Y+.... / n 1✓1crr,�� ... �: ;..:.9✓f/,!. u.,�, ✓fi,,,"� l vrt�a +v ,✓1`{fi.d r.,. r r/;,✓% ,r r.r✓ /+,�� IO,Ar✓. �>:�iti s� 4 �.lfti% r r,E E,ud r +iyal l ; � ;lfJ +wt✓e ;rt "!,a ✓ � .v� -0 m 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 May 14, 2018 before me, C'.nilrtney "g—g- Nrnt ary P, h]i,r. d Date Here Insert name and Title of the Officer personally appeared Edward T, Carlson Name(s) of Signer(s) 1P who proved to me on the basis of satisfactory evidence to be the person(s) whose name(&) is/are subscribed to the within instrument r and acknowledged to me that he/&he/" executed the same in COURTNEYCHAPAS his/horr authorized capacity(ies), and that by his/heNtheir si nature & on the instrument theperson(s),or the entity upon behalf Notary Public California Z 9 () Y p Riverside County ➢ of which the person(s) acted, executed the instrument. Commission # 2172984 Qty Comm. Expires Nov 20, 2020 � 1 certify under PENALTY OF PERJURY under the laws of the State of California that the forgoing paragraph is true and correct. WITNESS my hand and fficial eai'. Signature Place Notary Seal Above s6Snatu r Ntrtary lic 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: May 8 2018 Number of Pages: 1 Signer(s) Other Than Named Above: None Capacity(ies) Claimed by Signer(s) Signer's Name: Edward J. Carlson ❑ Individual X Corporate Officer — Title(s); Vice President ❑ Partner ❑ ❑ Limited ❑ General BPRINJ ❑ Attorney in Fact OG ❑ Trustee ❑ Other: Top of thumb here Sig\Eo' ❑ In ❑ Cr — Title(s): ❑ P#ed ❑ General RIGHT THUMBPRINI❑ OF SIGNER ATop of thumb here ❑ T ❑ Other: I I Signer is Representing: I I Signer is Representing: 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 Oranize ) On 05/08/2018 before me, A. MacFarlane, Notary Public n Date Here Insert Name and Title of the Officer personally appeared Rebecca Haas -Bates Namej's),of SignerN who proved to me on the basis of satisfactory evidence to be the persons} whose name(6$ is/axe subscribed to the within instrument and acknowledged to me that he/she/thay executed the same in hWher/their authorized capacity ibs,), and that by his(her/thsir signatureZ.on the instrument the person(,* or the entity upon behalf of which the persons) 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. 1° A, MACFARLANE NotaryPublic- California �; Signature Orange na County a i ture of Nota Public Commission k County 2 f Notary My Comm. Expires Mar 27, 2021 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: 05/08/2018 Number of Pages: One 1 Signer(s) Other Than Named Above: All American Asphalt Capacity(ies) Claimed by Signer(s) Signer's Name: Rebecca Haas -Bates Signer's Name: ❑ Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑ General ❑ Individual [WAttorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer Is Representing: Signer Is Representing, ........ Fidelity and Deposit Company of Maryland 02014 National Notary Association • www.NationalNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 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 attorneys -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 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. til I S"N"N%+r10y WFIEREOF, I Niave bereunto subscribed my name and affixed the corporate seals of the said Companies, this tnw Q tees SEAL Michael Bond, Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT ALL REQUIRED INFORMATION TO: Zurich American Insurance Co. Attn: Surety Claims 1299 Zurich Way Schaumburg, IL 60196-1056 No, 4662 STATE OF CALIFORNIA DEPARTMENT OF INSURANCE SAY MZANCISCO Amended Certificate of Authority THIS IS TO CERTIFY, nal, pursuant to die buurance Code of the Slate of CdlforNa, Aidelity and Deponit Companyof Marykmd of Baltimore, Maryland, organized wader the kw of Maryland, subject to its Artides of Incorpomtlon or oUierfundamenta organIza oiud docunmenla; is hereby muhortzed to transact within this.srate, subject to all provisions of tl9is Cerlif ewe, the following dosses of irwztraswe: lure, Marine, Surety, Plate Glass, Liability, (Yorkers' Cornpensadon, Carwuox Carrier LiabWo, Bo4ter aad MavWwy, Burglary, Credit, Sprinkler, Team and Vehicle, Aurtamoblle, dircrgft, and Miscellaneous as suds classes are nahv or nray herWrer b9r defined In tim Insurance Laws of the State of Ca4fornfa. TMS CERTIFICATE is expressly condilioned upon the holder hereof sow and here4fter being In full con fiance with all, and not in vlotatlon of ally, of the applicable laws and lawful requirements male under autholIry of 9190 IMS of the State of Cal{fonrict as long as such law& or requirements are in effect and applicable, aril as sudr laws and rerluirenwis nope are, or may hereafter be changed or amended. IN WITNESS WHEREOF, effecdve as of the Y9t19 day of,lanwry, 1985, 1 have hareurtto set my hand and caused PW official seal to be affixed this 29th day of Jm9uary, 1985. FCC X50.04 Bruce Bum l..+wonrr Cnu►m.�en+r Ree, No. S4314 Filed 12/3164 By Victoria S. Sidbary ° Cart{flcatlon D7-tp 1, the rsigmd houranco Camrrrlssloner of the S"tato of Cally"ornlar, do her ebyr certify Mal I Irate^ 00 the cl ove r r of rtlflc�ate of ftrthorlpr with tl" e a pllccrta of orrgirac9l nom° 00 14 in my office, ar9d t% e !s a tr ire, arraf atoll cot traaasort r thereo f acrd o f t�"re +�holaa sand dapHoate, mrd said Certt;,�tt+e ,j""�Iwtlroritl� is w ln, fwll j"dree acrd h9,ct IN WITNESS WHEREOF, 1 have hereunto set my han4_and caused my offidal seal to be affired this 3rd day ofAvgus� 2000. I. Clark Kelso A0&,rhLwffw,mC" w"&Nr Y,.L- k;AWA.L.— Pauline D'Andrea 61 NON -COLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) 2017-18 Federal Overlay Program, Bid No. ENG -17-18-M0124 Project No. M0124 FEDERAL -AID PROJECT NO. FERSTPL-5450(096) City of Santa Clarita, California To the CITY OF SANTA CLARITA: In conformance with Title 23 United States Code Section 112 and Public Contract Code 7106, the Bidder declares 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. THE BIDDER'S EXECUTION ON THE SIGNATURE PORTION OF THE "BIDDER'S CERTIFICATION" SHALL ALSO CONSTITUTE AN ENDORSEMENT AND EXECUTION OF THOSE CERTIFICATIONS WHICH FORMA PART OF THE PROPOSAL. BIDDERS ARE CAUTIONED THAT MAKING A FALSE CERTIFICATION MAY SUBJECT THE CERTIFIER TO CRIMINAL PROSECUTION. C-15 NON -COLLUSION AFFIDAVIT 2017-18 Federal Overlay Program, Bid No. ENG-17-18-MO124 Project No. M0124 FEDERAL -AID PROJECT NO. FERSTPL-5450(0961 City of Santa'Clarita, California TO BE EXECUTED BY EACH BIDDER OF A PRINCIPAL CONTRACT STATE OF CALIFORNIA ) COUNTY OF LOS ANGELES § Edward J. Carlson being first duly sworn deposes and says that he is the Vice President (sole owner, a partner, president, etc.) of All American Asphalt the party making the foregoing bid; that such bid is not made in the interest of or behalf of any undisclosed person, partnership, company, association, organization or corporation, that such bid is genuine and not collusive or sham, that said BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham bids or that anyone shall refrain from bidding, that said BIDDER has not in any manner, directly or indirectly sought by agreements, communication or conference with anyone to fix the bid price of said BIDDER or of any other BIDDER, or to fix the overhead, profit, or cost element of such bid price, or of that of any other BIDDER, or to secure any advantage against the public body awarding the Contract or anyone interested in the proposed Contract; that all statements contained in such bid are true, and further, that said BIDDER has not, directly or indirectly, submitted his bid price, or any breakdown thereof, or the contents thereof, or divulged information or date relative thereto, or paid and will not pay any fee in connection, therewith to any corporation, partnership, company, association, organization, bid depository, or to any member or AGENCY thereof, or to any other individual information or date relative thereto, or paid and will not pay any fee in connection, therewith to any corporation, partnership„ company association, organization, bid depository, or to any member or AGENCY thereof, or to any other individual, except to such person or persons as have a partnership or other financial interest with said BIDDER in his general business, Bidder, ignature f Title Edward J. Carlson, Vice President A*ham Subscribed and sworn to and b re me this day of 20 M C-16 •M J,',T GOV CODE �� „�,,,y,, �,,. . / .,. J' r/ /'.. / I I/. 1 J +1 / ldi. it ✓ '.? ( l.Y „"ir'Y f F 1 Il f 1'1 Y /'K':,. 1. .:'. I 0/if?lo /�l�r/� inl rN,.r r / k;r•�.; s. „!. w.kri� /r , F " .! r fr�4 ;, c� � f:: tr �l ,��,�t 5/Jfd! /.�:..�1 r/ r"" / Fru/ 1rF f r lror,,,, ////!✓ ////�%/i rU//��//////rrrJ r r. � �+� � / r'a .! r»' 11 minn-/ -` "� / -y ! I r i f- +�i� „ r n f a✓? r /, ry � � t ;vv, 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 Subscribed and sworn to (or affirmed) before me on this 15th day of May 2018 , Date Month By (1) Edward J. Carlson Name of Signer Proved to me on the basis of satisfactory evidence be the person who appeared before me C m2m�� COURTNEY CHAPAS (and c -California11'� e County z # 2172984(2)Nameof Signer ra Nov 20, 2620 : Place Notary Seal Above Proved to me on the basis of satisfactory evidence be the person who appeared before me.) Signature Signat of Notay 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 Document Date: 5-15-2018 Number of Pages: 1 Signer(s) Other Than Named Above None