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AGMT - Southern California Underground Contractors F(SBB Improvements)
• • Recorded in Official Records, County of Orange Gary Granville, Clerk-Recorder RECORDING REQUESTED BY 11111111111111111 111111 11111111111111 11111111111111111N0 FEE 20010934434 11:44am 12121101 117 27 N12 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 AND WHEN RECORDED MAIL TO CITY OF SEAL BEACH Attn: City Clerk 211 8`h Street Seal Beach, CA 90740 Space of above this line for Recorder's use. ***No Recording Fee Pursuant to Government Code Section 6103,27383 **** NOTICE OF COMPLETION Notice pursuant to Civil Code Section 3093, must be filed within 10 days after completion. {� Notice is hereby given that: \�i'J I. The undersigned is owner or corporate officer of the owner of the interest or estate stated below in the property hereniafter described: 2. The full name of the owner is: City of Seal Beach 3. The address of the owner is: City of Seal Beach, 211 8th Street,Seal Beach, CA 90740 4. The nature of the interest or estate of the owner is; In fee.The City of Seal Beach. 5. A work of improvement on the property hereinafter described as completed on 9/26/01. The work was: Seal Beach Blvd. Improvements/Rehab. PCH to Electric, Project No.49991 &49757. 6. The name of the contractor, if any, for such of improvement was Southern California Undereround Contractors, Inc. The date of the Contract was: May 14,2001. 7. The property on which said work of improvement was completed in the City of Seal Beach,County of Orange, State of California, and is described as follows: Seal Beach Blvd., Electric to PCH. VERIFICATION I,the undersigned,say: the Director of Public Works declarant of the foregoing notice of completion; have read said notice of completion and know the contents thereof;the same is true of my own knowledge. I declare under pena of perjury the foregoing is true and correct. Executed on ,'o/n .S /O 2001 ,at Seal•B ae' ch!a.' •i ia. (Date of Signature) , Director of Pu• c orks • EXHIBIT "A" MP ' G.1?L11ASE COMPLETE THIS INFORMATION — �, 4 •• RECORDING REQUESTED BY: Recorded in Official Records, County of Orange Gary Granville, Clerk-Recorder HIM VIII III VI1I VIII VIII 1111 VIII III 1(111 VIII NO FEE 20010934432 11:44am 12121101 AND WHEN RECORDED MAIL T 117 27 R28 2 /� 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 V M C/1\ B , Gn . 0 0 C. 11, 1 aCI° C 9h/YII`/ �l " THIS SPACE FOR RECORDER'S USE ONLY • • 7- i ke-a- . 1 TITLE OF DOCUMENT: u_��I ^ /L `` (8 SEAL BEACH BOULEVARD IMPRO NTS/ REHAB -- PROJECT 49991 and 49757 qi", Uhl l� THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION 48 (Additional recording fee applies) . * 059-TITLE PAGE(R7/95) • RESOLUTION NUMBER! A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SEAL BEACH DECLARING WORK TO BE COMPLETED AS TO PLANS AND SPECIFICATIONS FOR PROJECT #49991 & 49757 SEAL BEACH BLVD. • IMPROVEMENTS/REHAB. PCH TO ELECTRIC ENTERED INTO BETWEEN SOUTHERN CALIFORNIA UNDERGROUND CONTRACTORS,INC. AND THE CITY OF SEAL BEACH WHEREAS, on May 14, 2001, the City of Seal Beach entered into a contract with Southern California Underground Contractors, Inc. WHEREAS, the City Engineer has determined that the work has been substantially completed in accordance with the contract documents. NOW, THEREFORE BE IT RESOLVED by the City Council of the City of Seal Beach as follows: Section 1. That the work required to be performed by said Contractor has been completed. Section 2. That the total cost of said work is in the amount of$ 652,352.30. Section 3. That the work is hereby accepted and approved. Section 4. It is further ordered that a "Notice of Acceptance", Exhibit "A", be filed on behalf of the City is in the Office of the County of Orange within 10 days of ' the date of this resolution. - PASSED, APPROVED AND ADOJTED byJl}e�City Council of the City of Seal Beach at a meeting thereof held on the /a— day of ct/t •, 2001 by the following vote:AO AYES: Councilmember1 , L. I�,. _ ditia_, NOES: Councilmembers S/ / e.._ Pe ABSENT: CouncilmembersAY4tt,_, 6/414 e' Mayor I`TI51 T Clerk / STATE OF CALIFORNIA) COUNTY OF ORANGE )SS CITY OF SEAL BEACH) I, Joanne M. Yeo, City Clerk of Seal Beach, California, do hereby certify that the foregoing resolution is the original copy of Resolution Number/9g on file in the office of the City Clerk, passed, approved, and adopted by the CityAC9uncil of the City of Seal Beach, at a C egula meeti thereof held on the k— day of , 2001. ( % . C Clerk • PUBLIC WORKS CONTRACT SEAL BEACH BLVD IMPROVEMENTS /REHAB: PCH TO ELECTRIC PROJECT # 49991 & 49757 For the following project named .5Pa I React. IS Iva .rvArroveriie.vrs /12-eA46 : 1PC/4 to ElecarwC. ,in the City of Seal Beach. ( /9 1 ' 4'91 S THIS AGREEMENT, made and entered into this ft day of / :Vol by and between the City of Se e a California, , � hereinafter r erred to as the " ITY." 'arty of the First Part, and SOtd P/tIL �,uu trod /WZOUItd L;� at04d, ,1 p1'fc hereinafter designated as the "CONTRACTOR," Party of the Second Part. WITNESSETH: That the Parties do hereto mutually agree as follows: ARTICLE I. For and in consideration of the payments and agreements hereinafter mentioned to be made and performed by said CITY, the CONTRACTOR agrees with said CITY to perform and complete in a good and workmanlike manner. all the work pertaining thereto shown on the drawings and described in the Specifications and Contract Documents, therefore, to furnish at his own proper cost and expense all tools, equipment, labor and materials necessary therefore (except those matenals expressly noted as to be furnished by the CITY), and to do everything required by this Agreement and the said Specifications, Drawings, and Contract Documents. ARTICLE II. For furnishing all said materials and labor. furnishing and removing all plant, temporary works or structures, tools and equipment and doing all the work contemplated and embraced in this Agreement, also for all loss and damage arising out of the nature of the work aforesaid, or from the action of the elements, or from any unforeseen difficulties which may arise or be encountered in the prosecution of the work until its acceptance by said CITY, and for all risks of every description connected ith the work; also for all expenses incurred by or in consequence of the suspension or discontinuance of work; except such as in the said Specifications are expressly stipulated to be borne by the said CITY and faithfully completing the work and the whole thereof, in the manner shown and described in the said Drawings, Specifications, and Contract Documents and in accordance with the requirements of the Engineer, said CITY will pay and the CONTRACTOR shall receive in full compensation, therefoi e, the unit prices and the lump sum pnces named in the Schedule of Work Items of the Proposal. ARTICLE III. The CITY hereby promises and agrees with said CONTRACTOR to employ and does hereby employ said CONTRACTOR to provide the materials and to do the work according to the terms and conditions herein contained and referred to for the pnce aforesaid and hereby contracts to pay the same, at the time, in the manner and upon the conditions set forth in the Specifications and Contract Documents. and the said parties for themselves, their heirs, executors, administrators, successors and assigns, do hereby agree to the full performance of the covenants herein contained. ARTICLE IV. The advertisement for Bids, the Proposal, the Specifications, and the Drawings mentioned therein, and all addenda issued by the CITY with respect to the foregoing prior to the opening of bids are hereby incorporated in and made a part of this Agreement. ARTICLE V. The statement of prevailing wages appearing in the General Prevailing Wage Rates is hereby specifically referred to and by this reference is made a part of this contract. It is further expressly agreed by and between the parties hereto that should there be any conflict between the tern of this instrument and the bid of proposal of said CONTRACTOR, then this instrument shall control and nothing herein shall be considered as an acceptance of the said terms of said proposal conflicting herewith ARTICLE VI. By my signature hereunder, as CONTRACTOR I certify that I am aware of the pro\ ieions of Section 3700 of the Labor Code which require every employer to be insured against liabrlin for 3 ,� # • workmen's compensation or to undertake self - insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. IN WITNESS WHEREOF: The Parties hereto have caused this contract to be executed the day and year first above written. CITY OF SEAL BEAC ,• ALIFO' - Party of the First • . / BY A , I 1 Ifil .1 ' . . City , anage Fr I I/ . ' Ci er <----- BY `l` CONTRA • OR - Party of the Second Part - - Title • ' - ea Box 174 7 a rec. C4 72t2 2 2,. Address 4 • CALIFORNIA ALL-PURPOSCKNOWLEDGMENT a No.5907 State of 'California County of Orange On /t40.,/ 2.2/ aOOI before me, James C . Jackson , Notary Public , DATE NAME,1 ITLE OF OFFICER-E.G.."JANE DOE,NOTARY PUBLIC' personally appeared George Frost NAME(S)OF SIGNER(S) n personally known to me - OR - I proved to me on the basis of satisfactory evidence S S to be the person(s) whose name(s) is/are � subscribed to the within instrument and ac- tic knowledged to me that he/she/they executed the same in his/her/their authorized JAMES CRAIG JACKS N O ca acit ies and that by his/her/their 6 ACOMM. #1255944 O p Y( )� Y t NOTARYPUBLIC-CALIFORNIA c„i signature(s) on the instrument the person(s), co Q; .T,^a'Y MyoRANGss(on Expires APRIL3,20O4 or the entity upon behalf of which the 1 person(s) acted,• executed the instrument. . WITNESS my hand and official seal. S qSIGNATUR OF N PARY 1 SOPTIONAL l Though the cam below is not required by law, it may prove valuable to persons relying on the document and could prevent 4 fraudulent reattachment of this form. N CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ` _ INDIVIDUAL 1 © CORPORATE OFFLCER President TITLE OR TYPE OF DOCUMENT iTITLE(S) 1 ❑ PARTNER(S) n LIMITED ❑ GENERAL _ 1, ❑ ATTORNEY-IN-FACT NUMBER OF PAGES S ❑ TRUSTEE(S) ' `k` 1 111 GUARDIAN/CONSERVATOR • k _ k ❑ OTHER: _ `, 1 DATE OF DOCUMENT 1 SIGNER IS REPRESENTING: 1 NAME OF PERSON(S)OR ENTITY(IES) 'a Southern California Underground SIGNER(S) OTHER THAN NAMED ABOVE `, cl Contractors,_ Inc S � :Y -.�,. -._ - - --i�CG��-�i>c�,csGc;�, G2 "= -'�:��..iCC' �.i�. � __:-i�_ _. ._r./.�r.� l.J. ©1993 NATIONAL NOTARY ASSOCIATION•8236 Femme(Ave.,P.O.Box 7184•Canoga Park,CA 91309.7184 • • • • • EXECUTED IN THREE COUNTERPARTS • Bond No. SB0068282 ium $5,089.00 — Final Premium is Band Prem Based on FThigr=tract Amount PERFORMANCE BOND KNOW ALL PERSONS BY THESE PRESENTS that • WHEREAS the City of Seal Beach,has awarded Southern California Underground Contractors, Inc. , P.O. Box 1747, Brea, CA 92822-1747 (( (Name and address of Contactor) • ("Principal"), Project No. 49991/49757,)fSeal Beach Bo levoard Improvements/ Rehabilitation PCH to Electric • • • WHEREAS, Principal is required under the terms of the Contract to furnish a bond for the faithful performance of the Contact NOW,THEREFORE,we,theundcrsigacd Principal,and CGU Insurance Company, • 1340 Treat Boulevard. Suite 400, Walnut Creek: EA 94596 • (Name and address of Surety) ("Surety") a duly admitted surety insurer under the laws of the State of California, as Surety, are held and fitmly bound unto Elio public Ageacy thc;cnrl sum of Five Hundred Twenty Thousand Sixty and no/100 Dollars (5 520,060.00 ), this amount being not less than the total cornet price, in lawful money of the United Sates of America, for the payment of which awn welt and truly to be made, we bind ourselves, our hci.-s, executors, administrators, successors, and assigns,jointly and severally,firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT,if the hereby bounded Principal,his,her or is heirs, executors, administrators, successors or assigns, shall in all things stand to and abide by, and well and truly keep and perform all the underakings, terms, covenants, eonditons and agreements in the • Contact and any alteration thereof made as therein provided, on the Principal's part to be kcpt and pmformpd,all within the time and in the manner therein specified,and in all respects according to their true intent and meaning, and shall indemnify and hold harmless the Public Agency, its.officers, agents, and others as therein provided,then this obligation shall become null and void;otherwise, it shall be and remain in full foree and effect • In case fees in an suit is brought fixed this bond,Surety further agrees to pay nil court costs and reasonable attorneys' the court. • FURTHER,the Surety, for value received,hereby stipulates and agrees that no of alteration,addition or modification Co the terms of the Contract, �e pa oxmed extension o, tree, or the specifications for the same,shall in an ti or of the work this be perfand it does h eb waive notice of any such champ, y affect its m, addition,under din bond and a does h of the Y >- extension of time,alteration, addition,or modification to the tents of the Contact or to the work or to the specifications thereunder_ Surety hereby waives the provisions of • California Civil Code §§ 2845 and 2849. The City is the principal beneficiary of this bond and his all rights of a party hereto. IN WITNESS W7-.MR-"OF, two (2) ideates'counter,arts of this instrument, each of which shall for all purposes be deemed se original hereof, have been duly executed by Principal and • 5 • Surety, o. •- date sat forth below, the name of each corporate parry being hereto affixed and these Dared: duly_ � LCt�Icmdersigacd tepressytatn e(a)pursuant to authority of its pov wprirt,tar. S ,uthern California aamEbodr" Un• •rgrou d Contractors, Inc. "SuretyCGU Insurance Company Bye , • r- Br By. • d /irll1 Presrc�e .1 Candy Coons Attor -in-Fact its-- By Its .. • n F (Seal) (Seal) Note: This bond must be dated, ll ed signatures must be notarized, ~K evidence of the authority of any person signing � attachedg as attorney-in-fact must be 6 CALIFORNIA ALL•PURPOSCKNOWLEDGMENT • No.esoT State of California County of Orange - On vt1cy_ p.2, 2001 - before me, James C . Jackson, Notary Public , / DATE NAME,TIT LE OF OFFICER-E.G.,'JANE DOE,NOTARY PUBLIC` personally appeared George Frost. k M NAE(S)OF SIGNER(S) U personally known to me - OR - I I proved to me on the basis of satisfactory evidence to be the persons) whose name(s) is/are subscribed to the within instrument and ac- 1 Tk,knowledged to me that he/she/they executed _ `N the same in his/her/their authorized \ JAMES CRAIG JAMNI i the s ty(ies), and that by his/her/their 1 COMM. #1255944 n 1 t ,- 1, .. NOTARY PUBLIC-CALIFORNIA n 1 y L s"` � ORANGE COUNTY " signature(s) on the instrument the person(s), k U 14 •. m- Commission Expires :av APRIL 3,2004 or the entity upon behalf of which the k person(s) acted, executed the instrument. . WITNESS my hand and official seal. 1 1 1 c.... NOTARY SIGNATURE OF NOTARY \ 1 \1 • k\ I OPTIONAL „1 1 Though the cata below is not required by law, it may prove valuable to persons relying on the document and could prevent 1 \ fraudulent reattachment of this form. : CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT , ❑ INDIVIDUAL ` )1 CORPORA CORPORATE OFFICER 11 a • _ President TITLE OR TYPE OF DOCUMENT TITLE(S) k ❑ PARTNER(S) I I LIMITED S GENERAL ___ 1� Li ATTORNEY-IN-FACT NUMBER OF PAGES S 1 I I TRUSTEE(S) A 1 ❑ GUARDIAN/CONSERVATOR ❑ OTHER:_ _ DATE OF DOCUMENT 1 SIGNER IS REPRESENTING: t1 NAME OF PERSON(S)OR ENTITY(IES) Southern California Underground SIGNER(S) OTHER THAN NAMED ABOVE 1 1 Contractors , Inc S ©1993 NATIONAL NOTARY ASSOCIATION•8236 Rommel Ave.,P.O.Box 7184•Canoga Park,CA 91309-7184 S 0 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Los Angeles On May 18, 2001 ,before me,Mark E. Shreckengast,Notary Public,personally appeared Candy M. Coons Personally known to me to be the person whose name is subscribed to the •-e' MARK E.SHRECKENGAST within instrument and acknowledged to me that she executed the same in her authorized capacity, and that by her signature on the instrument the R COMM.#1269139 A person, or the entity upon behalf of which the person acted, executed the NOTARY PUBLIC-CALIFORNIA S ty P p 2 LOS ANGELES COUNTY 2 instrument. My Comm.Expires July 24,2004 a WITNESS my hand and official seal. M' Signature of N,otary Pu is Place Notary Seal Above Optional Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages Signer(s)Other Than Named Above: • Capacity(ies)Claimed by Signer • Signer's Name: _Individual _Corporate Officer-Title(s): _Partner-_Limited_General X Attorney in Fact —Trustee _Guardian or Conservator Other: Signer is Representing: • • • • EXECUTED IN THREE COUNTERPARTS Bond No. SB0068282 Bond?pentium Included in Performance Bond PAYMENT BOND (LABOR AND MATERIALS) KNOW ALL PERSONS BY THESE PRESENTS than • W$ERE A.S the City of Seal Beach,has awarded to Southern California Underground Contractors, Inc. , P.O. Box 174/7 Brea, CA 92822-1/4/ (Name and address of Contac r) ("Principal"),a contract(the"Contract")for the work descibed as follows: Proj ect No. 49991/ 49757 , Seal Beach Boulevard Improvements/Rehabilitation PCH to r.lectric WHEREAS,Principal is required under the terms of the Contact and the California Civil Code to secure the payment of claims of laborers,mechanics,rnarerialmen,and other persons as provided by law. • NOW,THEREFORE,we,the undcnigned Principal,and_ CGU Insurance Company, 1.340 Treat Boulevard, Suite 400, Walnut Creek, CA 94596 (Name and address of Surety) ('Surety")a duly admitted surety insurer under the laws of the State of California, as Surety, are held and • fumly bound unto the PUbGcAgeccyin the penal sum of Five Hundred Twenty Thousand • Sixty and no/100 Dollars($ 520,060.00 this amount being not less than fifty, percent • (50%)of the total contact price,in lawful money of the United States of America,for the payment of : • which stmt well and tuly to be-124- we bind ourselves,our heirs,executors,administrators, successors. and assigns,jointly and severally,firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT,if the hereby bounded Principal,his,her or its heirs, executers, administrators, successors or assigns, or subcontractors Oren fail to pay any of the pesons named in Section 3131 of the California Civil Code,or any amounts due under the Unemployment Lesu ance Code with respect to work or labor performed under the Contact,or for any amounts required to be dnA„cted, withheld, and paid over to the Employment Development Department from the wager of employees of the Principal and subcontractors pursuant to Section 13020 of the unemployment Insurance Code,with rapes to work or labor performed under the Contract, the Surety will pay for the same in an amount not exerelirtg the penal cum specified in this bond;otherwise,this obligation shall become null and void. This bond shall insure to the beaver of any of the persons named in Section 3181 of the California Civil Code so as to give a right of action to such persons or their assigns in any suit brought upon the bond In case suit is brought upon this bond, Surety further amr ees to pay all court costs and reasonable anorneye fan is an amount fixed by the court • FORTHER,the Surety,for value received, hereby.stipulates and agrees that no change,extension of dine, alteration,addition or modification to the terms of the Coat-act,or of the work to be performed thereunder, or the specifications for the same,shall in any way affect its obligations under this bond, and it dots hereby waive nonce of any such change,extension of time, alteration, addition,or modification to the terms of the 7 • • Contact or to the work or to the speeWcations thceandc. Surety hereby waives the provisions of California Civil Code§§2845 and 2849. IN WITNESS WHEREOF. two (2) identical counterpart of this instrument each of which shall foi all purposes . .. an original hereof,have been duly executed by principal and S forth be .w, th to of each corporate party being hereto axed and thane presents �the lobe ea e• ' • Ma I r 2001 a)pursuant to authority of is gowning body. duly signed ha Y :..ipai" So thern California ..5 „ Un.erground Contractors, Inc. CGU Insurance Company • Br LAlt M Its " ar 1s Cand ♦ 1 \ \ • /J >1 ► g res.'otemi- Its Candy. Coons Ire By- Attor -in-Fact Iss - (Seal) (Seal) ` ' Note: This bond must be dated, all signatures must be no °evidence of the authority f any mod' and tY Y Pelson signing as attorney-in-fact must be attached. - • • • • • • • • • • • S • CALIFORNIA ALL-PURPOSSCKNOWLEDGMENT • No.5907 c.,:,l��'i-mil �/{'s � �:i%" :i:/.i E-.�.;i:-r;_ ':�..� _ r'�lt•�"1i�t�f��, State of California kCounty of _ Orange On ./t//c•-y___ 1 ,20,01 before me; _ James C . Jackson, Notary Public , ` DATE NAME,TITLE OF OFFICER-E.G.,"JANE DOE,NOTARY PUBLIC' l personally appeared George Frost j NAME(S)OF SIGNER(S) gi personally known to me - OR - I I proved to me on the basis of satisfactory evidence ` S to be the person(s) whose name(s) is/are fr subscribed to the within instrument and ac- knowledged to me that he/she/they executed the same in his/her/their authorized 1I JAMESCRAIG�A1 CKSCN capacity(ies); and that by his/her/their COMM. #1255944 o signature(s) on the instrument the person(s), 1 NOTARY PUBLIC-CALIFORNIA N bu - <4. ORANGE COUNTY or the entity upon behalf of which the l My Commission Expires Lsrara �-' APRIL 3,2004 person(s) acted,- executed the instrument. • k 1 WITNESS my hand and official seal: • ti SIGNATU OF NOTARY/ ■ OPTIONAL kThough the oata below is not required by law, it may prove valuable to persons relying on the document and could prevent 5 fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT 1,,, CI INDIVIDUAL 1 1 © CORPORATE OFFICER o • President TITLE OR TYPE OF DOCUMENT ITLEISI El PARTNER(S) ❑ LIMITED '1 S ❑ GENERAL El ATTORNEY-IN-FACT NUMBER OF PAGES `, S ❑ TRUSTEE(S) 1 ❑ GUARDIAN/CONSERVATOR - kEl OTHER:,_ __ _ DATE OF DOCUMENT kk 1 SIGNER IS REPRESENTING: NAME OF PERSON(S)OR ENTITY(IES) 0 Southern_California Underground SIGNER(S) OTHERTHANNAMEDABOVE 1 Contractors Inc . ©1993 NATIONAL NOTARY ASSOCIATION•8236 Remmel Ave.,P.O.Box 7184•Canoga Park,CA 913097184 • • CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Los Angeles On May 18, 2001 ,before me, Mark E. Shreckengast,Notary Public,personally appeared Candy M. Coons ; . MARK E.SHRECKENGAST Y Personally known to me to be the person whose name is subscribed to the A COMM. #1269139 o within instrument and acknowledged to me that she executed the same j NOTARY PUBLIC-CALIFORNIA s in her authorized ca aci p ty, and that by her signature on the instrument the 2 < � LOS ANGELES COUNTY 2 My Comm.Expires July 24,2004 . person,or the entity upon behalf of which the person acted, executed the ANkYOtMxMmyep.so. .as eaasoeasaaoarno instrument. WITNESS my hand official seal. Signature o Not ryPu 'c Place Notary Seal Above Optional Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages Signer(s) Other Than Named Above: Capacity(ies)Claimed by Signer Signer's Name: _Individual _Corporate Officer-Title(s): Partner- Limited General X Attorney in Fact Trustee _Guardian or Conservator Other: Signer is Representing: I-1 iL IF ! I„ A Illlihli,ltl I ' .111_+I II! I11��1,=9111:1 Illlh !Power-lot I +a1 1 II E fll Iliill ,�IIIIIIII'I1�IIIII I.Iill till 1;e:_IIIP :le 1111111 L'1 111111 I I 1 EEi41�I EIS 11�I IiI 11:/46!-:!1111' DE,'I II!' ,I 7, II 'i' - 1!1_ I! II 111 '1 Ill II II-IiI I II W II lit 1=111=14...U-iv III-il I I' , .1 l._• I, '31 Ili-- 1' ' 2 :[:Attorney'I I - 1 I ill I •T 11 h li III" 1 I I 'I- ` E 'II - ( 1 n s ul e,7 ra IF : i 11 I n !' --+"° 4 { Iii -I III !I I I lE- III �lA= '1 312 8+3 w ,, 11 19 ▪1 Il 1 I I I I Ni 1 III Eu II! II ...IF F.=.1;.1 ,I 1 „ i l 1 !n N' t -71,-111=11e2111-11- 'I�ill " RI {, ,__„_-„I ,I i I I- I! ” I ,t 1=l' -=L ° ” ' I Pd i r'� ' + m +1=11'—ii I h1=111 „ 111=ti! i n I 1 ni Id-III=III 1 P Y p. t:( I' h I I 'P=III KNOW ALL MEN,BYiTNESE PRESENTS that the CGU INSU,,-. . COMPANY a{corporation dulyiorganaed and exEShng under{the lawsrof thelp._I I Ili _gi_ II 1=Commonwealtdof Pennsylvania'and having its principal!offce m thelCity of Boston Massachusetts=hath made'_constitutetl'and appointed`Iand does by�thesi Ili I iL ji Ili presents rnake_and consbluteland appoint.Mark E Shreckengast:Candy M Coons_Amy!Pratt Joseph E ICOchran all of the City of Los Angeles State of:� III .l ELF I 1-r IIGALIFORNIA eachlof them itsjtrueland lawful Attorney m�Fact to make;jexecule seal and deliver for and orils;behalfiassurelyeny and allloonds or1II !--1 I IO -Ili_ " I:I undertakings'.provided that nolbond or undertaking executed under thisauthorityshall exceed in amount the sum'of Itl {II ,=1P P t hl IiI—I I III L.1 IU 1E18 e( '-' i1 d ' '0 •'•-t9 "e i' I' i 17 4 ill h 111 I dl 111-III iII - I Ii+ ,II' I i I!I 111 'II " , - 9 - :I= I, 1" 111= :.I llTwent Flye Mf1110_9i�oLLARS -. - ++' .(1525'000000 00►'=! ill I II I Aland the execution of such bonds or undertakngs inpursuance of these presentshshall be bending upon said Cbmpany`as fully antl amply;to all intents and. 6! 16` III-!!purposes as if -s•uch bonds�were signed,by3he Presedent!sealed wdn llie..corporate seal'❑(the Company and duly attested,llya Assistant Secretary hereby , :111_III-•I: I[=ratifying and confirming all the!acts of said Attorney in-Factt pursuant to[the,power herein given This Power of Attorneyis made'antl executed pursuant to"and by���)h.'f -!authonty of the lollowing resolutions a i6 6ted by the iBoard of Directors of the•CGU INSURANCE COMPANY at a':meeten�dyl 'called and.g_eld on the second da ` II i m h iic:" ih—eP ee Y, di ii=i+ , m-rn ,, di ,, ui m -, w lu ,n 9 Y m ,V . , ur- - , m -r yI! •il ,i Iof�November {1998 I I 9E _u I I it IIF 111 iII ill t'nl I!'---III III III '11111 tl{ Ili ll III : III I@ II! Ili IEI=III UI I!:— II III= =III 1=111=1.I h- III { III !'1 , IiI III I. h H(I't nI I III III - ' III :_I t 'IIII I 111 III Ill II I {- P I I -111 h Resolved (That the Presidentlmnan 'Vice President or any Assistant V:ce!PresedenY:may ezecute'for andldoehalf'of the company any antl!:!! a' '11- 1 -1 Ii bonds_ recogniiances contractsfoFmdemmty antlall other wntings obligatoryyn_the nature thereof the samelto be attested•when necessary{znd;theseal q( _iji Il LI l�lilof the company affized;theretolbyline:Secretaryd or any'Assistan6Secretary and that he1President or anyyice (resident or Assistant Vice Presitlei to I alb 61 Ili .II may appointlandlauthonzelamAttor ey en Fact to ezecutelon beF alfiof theicompanylanylano:allisuchllnsiruments and toeaffx the'seal of the company IIII,Ii�l 11 111 I!1_i „- _..,_ +^ thereto•,antl that tne'President,or any'Vice-President or any Assistant Vice-President may'aCany time remove any such Attorney m=Fact and revoke dl h il_ I it-' powerandauthntyg iventoanysucti'AtlorneyinFact ii #tl= E .w Ill-1I 111 I IiI=III lI 111_11 rs Ih hpi II n nf= 11fi 'ii iA I i_ I-I 11 I'.:: III I tl'= II III II _ ._.ul_ : „_'i-I( '" 11 lI li Illi"=1 II! LI▪III III NI Ill_I11li-IIi 1 Itl. Iii 141/471 lit dt -P l h ' : t 'I Pl_ k.=-11=r,=111 ": ;i' il= ' =i!' 1 14 h e e =:li=lt d ut=n o- f 1. -y1 i t Jb=III-i I_ili_i III .I'=III=11 h ! I' II l i I. I, 4=141 a Regoivetl t Thal the Attorneys m Fact may be given-I"'lwer and'authol to execute for and mthe name andan balf of thewmpany any,and i + � 11 I 1 =!alt bonds-reco mzances', contracts ofindemnit 'antl;all'othegned;n s obli ato m'theinature thereofnand any'such:-instrument ex_xecuted b an -such( l I Iil,�,t-Ire Aftorneyfin-Fact shall'be as binding.,uponitne company as.if signed by thetpresitlentlandlsealed and attestedlby iheiSecretary landfurther'Attorrieys ine1l I !' I 1.=111 Fact are hereby authorized to vilify-any affidavit o belattached to bo=ds irecogY 1zances(contract§of indemnity,(andallotherwntingsiobligatory I 1"- lI elan the nature thereof and'arelalso authorized and.empowered to_certify to alcopy of an of the by laws of the'company�as well as any resolWOn ofthe I ' 1- I-I?- Direclors'having to"do withithelexecuhon of bonds recognizances contractsrbf indemnity,and all other wntings obligatory m the nature thereof land to I , -lei certify copies,of the Power of Attorney or wdnregartl to the powers;�of any ofthe officers of the company or,of Attorneys.in-Fact I,...,;:,,T=1 IP ,1,-1'1 1�i i H t 1 f=ill I 116 III III 111 1 1 III I I 1 I 111 III i 1 1 III i" -Ili [1 III Ilf I I III I-t I.=61• fl '=11 . '1 i• '_l =This power 6fatt5rn is signed ands sealeil',by facsimile underethe authonty of the following Resolution adopted.by the birectors of the CGU:INSURANCE ._yCOMPANYIat a meeting duly calletl:and held on`ihe'second tlay of November 1998 '-i= ' '-' "- ,-i ' 1 I "'' "' ' r I-III it i ,I:' , 111 Jl: I - =1 E y:= I L-=r11 'III-111 III III I I Ill Itl lei [II i I Ili LI;. 111 Velii! I tit '( III i !I"' 1 1 III III -i i I I -11- I' f +I z.1 I I+1 ❑Resolved macthe:sign,_,„ ofthe President or any Vice_President orany Assistant Vice President and the signature of the'Secretary�or any U_ ''I =:'Assistant Secrelaryland the Company.Seal may be;affixed by.facsimile,to any power"ofattomey or to any certificate relating thereto:a-ppomting1Attomey iill L_• „ ,-1 Fact forjpurposes only�oflexecuhng and attesting any bond (undertaking reco`gnrzance or other wntten obligation in [tie nature thereof and anysuch( j I li i I I'.=t11 signature and seal where sou used ,being hereby adopted by the companyas aheir original"signature of siIth officer and�the_origmal sealof the company'tort ,ice 1--'ilbe valid and binding upon the�compariy wdhithe same force:andieNect aslthbugh r anuallyy,ftii J I i=„,=,11_,_.,,,__,,,7_11 a „'n —m i i n�i :i .em -1 ui 1.-1_. 111 111_111 ! _41_47 E I I it !_ i 8-I,` _.,. tit` 1'111-ICI It 111-I1=iIi II-III III IIi.PI=1 I'i ! Ili°It 'il III 1I III III Ili_III I PI LI 1 iII "- Ih 't ISI I 16 1 III I. h ' -1 I IN WITNESS WHERE6-F7916-CCU INSURANCE COMPANYIhasicaused tnese�presenls Id be signed by-its Vice President and its'corporate sealao II ' i'1 -,:-be hereto ad-mod,.'duly attested by etsrAssistant Secretary on the 29th dayjof1Oecernber-2000:=111=,11=111-1 7101 ' °I1iI��III{i111i1�111� _„1-,1,1,1 I t ! �111�2TII �I'"ell I L-ii'Ili�1 't ��t II :_III ' 11 CGU�INS URANCE COMPANY+ i=811"--8• "II 1 O( III -;; ;1 {i' U!° th' t▪ Ili i_1;tt l { =lit 11 ?I d f I i e i II ('='�anwce .t I I Ilc !II 111 III e E III hl I 91 I-=,' f P t" I ' ,'i I ,L It LP-2-11?-7'1T. Ile I= II fit: e i f 6 11 I I ' HI_e I e i r5 d lit• III III I'i iUt 71' 75=1 I-1! 111 iII .h iii it I I - 1 1 I III• I Till" II I ' Ih_I i 'IIIiI `l II qI: _�I .i I- I' II 11-1:U LIy56U 1 IIIIiIII Il 1 1371 iI II I _j-TRH-, I dMill ih l 1 it l i!it I 1 I -I i 1 I II I Attest Or'►�b `i . .. 'e 16 I 9°ve:▪ iI g 'll iII IiI IiI I I i_' n;";w i r ,i•„III e 11 , I! ii{ ▪it ti :Flit + N, .- . y - - II ,l 1'_ ( _lll_ • ernes E. Carroll.-. Assistant Secretary Eil - ql 11'=1h d=I I -III III 'l-1St al.: :Tricker Vice Presider:[=1 I I 1 Id 1( z 1 littli 1111.7 -Ill ii d=111=g! lit=ill"III Ill In ItSIII 1!1 III tJ_HI If -Il fl Ili IttZlil II EI 11t 'll ni_III=III III Ill =tit t! III III—fII 11 F, f:-11 111 1.17• - II I_COMM WEA,hTHIOF1IP.ENNSYLVANIA'1 'B 11 III Il=''1 lit III I III l'{ UI_P I II' III ' Ill 1=111 t! ' 'II.II I Ice III 7 al -17 II it ll " u 1-1:oi I hi-de m ,i 1 lit III I. III ” 11' i _i I'1 i4=1'I IEI I III re 1 j l ' 111= -I till,I+ IP I! P-.10 Iii III III-'I! lit III III III li ill {Ii II3 I'1 Iii_Ili it iII -(II III III III- III III iii IJ dl _' `tIt iII i _I n_ NI Ili=_, II 1 On this 29tfi,tlayt, December;20W,before me personally came stephr-, drecke-a;?de President and James.E Canoll Assistant Secrete of the!i▪II 1 II. (CGU INSURANCE COMPANY to mepersonally known to be'the individuals and officers de4scnbed'.in and who ezecutedlthe:preceding instrument'and.1 l.i�h IhI:nett III =jtthey acknowledgedlthe,ezecution ofthe same and'being:by r e duly sworn severally @lid`eachjfor himself and sayeth that theyare the said of the f= ,I{ I,,_ I I=Companyaforesaid lannithafihe'seal'atfixed to the precedinginstrument is the corporate seal•of deposeth said Company and hat they said corporate seal III 1.9 I I7117=-1,1,-T917-e-1111:1111,-7' attorne es in full:nice and has:not been mvpked and furthermore that the Resol Wonsof the Board ofDerectors'set forth imthe. over orattorne Fare.now 'I i I y -e - _ • - P Y III III ([ IF in force - _ N e'i 1=1 Ili-111 III Sill I"18 thili I ..I k7,— 1 Ill!=i'I III Ma'I III iII I.C-11120011 li 'I I[{ 1=ID 11 ii III= I II' I III I l▪Ili lit ilSigned antl sealed' Dated Ili III iii 10 e dayoii III II Y lit III II! III : Ill IEI 111 111 I!i "9 !t' III III d i I=11 ll -,1'_, ii 1 el-ii I IN n1 Iq� i, us ,, ,- m ,, m- i Id 117 11 .1 I I i'i 1I_ I 1i 1.1 .t III ,1 IL it 12 1"'' e'I:d 4tyl ill! i;i�llib-b I i L.IIIIII- hilt:! I I ,_7111111 1 �kiV: L.Illlil IiI 1111111' i lltlllilh�IIIIh. 7.,.. rlllllltl i yl I I d t�itlllll=l, II IIh II'I,iII IIIiiI Igll-. I 1bign 11 " ti.}t�-.R ,II `III (f 1lh t ,I Ili 1-11,;111 �ia cMiii 111-�111�";ih -IiI e' III 1 "ag +-IU_ITi h"- I-il II I_ +1 f! 4 -Is t i I-i t I III 1 ht 111 a- f t 11 i a 1 , III I �"�� III I Ili iI I iII il' -`-�. 1 l+ .pi i'i Iii L 111 III CI NI 1._111 1I R"sc P ., III III JamesE"Carron Assistant Secretary ;ii III iII t e' I =III 1 If—iII III - ,0 VI li ill 1 III IT I III I I ,. '✓ ' i iI I 1 =: u w � u ul 'h .i III 9. I ThtsiPower ofAttomey,may not befusedjtb exeeute any bondj.withlandneeptMt"-ate after I``. e:Deeember 29'12004 ! ! "elf=l' ' .: ' i—IY: 61 II_IIE Ill 'I III='II Ii III fr III Ile II El I III ill Ilhlli I9 tlliq III III III=18 Ili II_ {e: d 1 n di me_.i ni II it 11 t I ll - III ,it iII= I 'i_Id=11t =III Ill P' h ( :J{ 61 t'ic111— : nl. .i I=1 I 1,41 I I "I III I I III i'L_I lit III I'1 n 1_-111 I I Iii=l ,:n t 1 I '1 I IP, I I i I I +d 19 lI I tint lit li 6'. I 1 t 1 11 111 I -Ili I II .I Ili °'EI C' tl—'i r-h 1 - - ,II III' II I 1,161 t t IiI 1l =- I e—til I f L. L`— ' I r, I'I ul-III li III -,1 I I l el( I -I I Ih I{1_ h III I-II, III Y. I II'-'1"-.-1"—""--` ti Ill hl IiI 61 i I,—iH__II t L-..i,'_Iil n 11= 1„,111 „IIF„Ih =111 III 11 I I hl „i ICI 'i P--it —1 'll Ai— 11 1 IiI 9111[ [ I- I! III 11=III Id. It II' '•' • ”' " ' iI iII 1 III f I ''I-10= , I:_li III I1 -111 It1-m=1fl IiI NI=1Ii=,.1 1!1_11 =I:I-Ia-_Ile-1e1- This document is printed on a red .backgrou lid iti -iii_=m1=111 I _I,i=111 .,I,_1 i 1:-❑I_eil -III= For verification of the authenticity of this Power of Attorney you may call, 1-800-288-2360 and ask for the Power of At supervisor. Please refer to the Power of Attorney number,the above named individualts)and details of the bond to which the power is attached.in Pennsylvania, Dial 215-625-3037. 58-0027 3.92 • • INDEMNIFICATION AND HOLD HARMLESS AGREEMENTAND WAIVER OF SUBROGATION AND CONTRIBUTION TITLE OF PROJECT OR WORK: Pre/ ec t 499 9 1 'f` -7S7 Indeinnitor(s) (list all names): 6eect-5 e Frost __ To the fullest extent permitted by law, Indemnitor hereby agrees, at its sole cost and expense, to defend, protect, indemnify, and hold harmless the City of Seal Beach and its elected officials, officers, attorneys, agents, employees, volunteers, successors. and assigns (collectively "Indemnitees") from and against any and all damages, costs, expenses, liabilities, claims, demands, causes of action, proceedings, expenses, judgments, penalties, liens, and losses of any nature whatsoever, including fees of accountants, attorneys, or other professionals and all costs associated therewith (collectively "Liabilities"), arising or claimed to arise, directly or indirectly, out of, in connection with, resulting from, or related to any act, failure to act, error, or omission of Indemnitor or any of its officers, agents, servants, employees, subcontractors, materialmen, suppliers or their officers, agents, servants or employees, arising or claimed to arise, directly or indirectly, out of, in connection with, resulting from, or related to the above-referenced contract, agreement, license, or permit (the "Agreement") or the performance or failure to perform any term, provision, covenant, or condition of the Agreement, including this indemnity provision. This indemnity provision is effective regardless of any prior, concurrent, or subsequent active or passive negligence by Indemnitees and shall operate to fully indemnify Indemnitees against any such negligence. .This indemnity provision shall survive the termination of the Agreement and is in addition to any other rights or remedies Which Indemnitees may have under the law. Payment is not required as a condition precedent to an Indemnitee's right to recover under this indemnity provision, and an entry of judgment against an Indemnitee shall be conclusive in favor of the Indemnitee's right to recover under this indemnity provision. Indemnitor shall pay Indemnitees for any attorneys fees and costs incurred in enforcing this indemnification provision. Notwithstanding the foregoing, nothing in this instrument shall be construed to encompass (a) Indemnitees' sole negligence or willful misconduct to the limited extent that the underlying Agreement is subject to Civil Code § 2782(a) or(b) the contracting public agency's active negligence to the limited extent that the underlying Agreement is subject to Civil Code § 2782(b). This indemnity is effective without reference to the existence or applicability of any insurance coverage which may have been required under the Agreement or any additional insured endorsements which may extend to Indemnitees. Indemnitor, on behalf of itself and all parties claiming under or through it,hereby waives all rights of subrogation and contribution against the Indemnitees,while acting within the scope of their d-ities, from all el.. losses and liabilities arising out of or incident to activities or operations performed by or on behalf of I e Indemnitor regardless of any prior, concurrent, or subsequent active or passive negligence by the Ind'• itees. In the event there is more than one person or entity named in the Agreemem rs an Inde itor, then all obligations, liabilities, covenants and conditions under this instrument shall be joint and s:veral. "In•-mnitor" • Na • 02514 ' .' (4&/ QWWid r • [ • -, Sic, Name: • By - L r __— By: ____.- Its � , Its •r e •'af eww> ' 9 • 5 CALIFORNIA ALL-PURPOS*CKNOWLEDGMENT • No.:407 --- ----r --,- u---;-- . State of California kCounty of ' Orange On Ai ay 221 20O( before me, James C . Jackson , Notary Public , k DATE NAME,TITLE OF OFFICER-E.G.."JANE DOE,NOTARY PUBLIC' personally appeared George Frost NAME(S)OF SIGNER(S) — ga personally known to me - OR - I proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are t, subscribed to the within instrument and ac- C knowledged to me that he/she/they executed the same in his/her/their authorized k JAMES CRAIG JACKSON COMM. #1255944 n capacity(ies), and that by his/her/their k V ? NOTARY PUBLIC-CALIFORNIA signature(s) on the .instrument the person(s), U ", My ommission Expires APRIL 3, 2004 or the entity upon behalf of which the person(s) acted,' executed the instrument. . WITNESS my hand and official seal. • , Q SIGN URE CF NOTARY `\ `p OPTIONAL `��\k Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent k. \ fraudulent reattachment Of this form. ,,1 CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT , A 11 S INDIVIDUAL RI CORPORATE OFFICER 4 President - TITLE OR TYPE OF DOCUMENT TITLE(S) `k ❑ PARTNER(S) I I LIMITED ❑ GENERAL • ❑ ATTORNEY-IN-FACT NUMBER OF PAGES k ❑ TRUSTEE(S) 1 ❑ GUARDIAN/CONSERVATOR ❑ OTHER: 1 _ DATE OF DOCUMENT 1 SIGNER IS REPRESENTING: k 11,,1 NAME OF PERSON(S)OR ENTITY(IES) Southern California Underground SIGNER(S) OTHERTHANNAMEDABOVE 1 1 Contractors , Inc . ©1993 NATIONAL NOTARY ASSOCIATION•8236 Hemet Ave.,P.O.Box 7184•Canoga Park,CA 91309-7184 • AGREEMENT TO COMPLY WITHCALIFORNIA LABOR LAW REQUIREMENTS [Labor Code §§ 1720, 1773.8, 1775, 1776, 1777.5, 1813, 1860, 1861,3700] • The undersigned Contractor certifies that it is aware of and hereby agrees to fiilly comply with the Following provisions of California law: 1. Contractor acknowledges that this contract is subject to the provisions of Division 2, Part 7, Chapter 1 (commencing with Section 1720) of the California Labor Code relating to public works and the awarding public agency("Agency")and agrees to be bound by all the provisions thereof as though set forth in full herein. 2. Contractor agrees to comply with the provisions of California Labor Code Section 1773.8 which requires the payment of travel and subsistence payments to each worker needed to execute the work to the extent required by law. 3. Contractor agrees to comply with the provisions of California Labor Code Sections 1774 and 1775 concerning the payment of prevailing rates of wages to workers and the penalties for failure to pay prevailing wages. The Contractor shall,as a penalty to the Agency, forfeit not more than fifty dollars ($50) for each calendar day, or portion thereof, for each worker paid less than the prevailing rates as determined by the Director of Industrial Relations for the work or craft in which the worker is employed for any public work done under the contract by Contractor or by any subcontractor. • 4. Contractor agrees to comply with the provisions of California Labor Code Section 17'16 which • require Contractor and each subcontractor to (1) keep accurate payroll records, (2) certify and make such . payroll records available for inspection as provided by Section 1776, and (3) inform the Agency of the location of the records. The Contractor is responsible for compliance with Section 1776 by itself and all of its subcontractors. 5. Contractor agrees to comply with the provisions of California Labor Code Section 1777.5 concerning the employment of apprentices on public works projects, and further agrees that Contractor is responsible for compliance with Section 1777.5 by itself and all of its subcontractors. 6. Contractor agrees to comply with the provisions of California Labor Code Section 1813 concerning penalties for workers who work excess hours. The Contractor shall,as a penalty to the Agency, forfeit twenty-five dollars ($25) for each worker employed in the execution of the contract by the Contractor or by any subcontractor for each calendar day during which such worker is reluired or permitted to work more than 8 hours in any one calendar day and 40 hours in any one calendar week in violation of the provisions of Division 2,Part 7, Chapter 1,Article 3 of the California Labor Code. 7. California Labor Code Sections 1860 and 370! p ovide that every contractor will he required to secure the payment of compensation to its employe_,. I. accordance with the provisions of California - Labor Code Section 1861,Contractor hereby certifie as fo ows: • • "1 am aware of the provisions of Section 3100 of 1 e Labor Code which require every.employer to be insured against liability for worker's compensaf.n or to undertake self-insurance in accordance with the provisions of that code, and I will comply with sw h prow ions before commencing the performance of the work of this contract." • Date „Pic.-7 2.2, 20'0 1 Signature i0 I: , CALIFORNIA ALL•PURPOSICKNOWLEDGMENT • No.6907 '..i�;l•-�.>?���?r!�1 1 State of California kCounty of Orange k S On A/ 2.27 .2 •OI before me, James C . Jackson, Notary Public 1 DATE NAME,TITLE OF OFFICER-E.G.."JANE DOE.NOTARY PUBLIC 1 personally appeared George Frost `` NAME(S)OF SIGNER(S)•k at personally known to me - OR - I 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 ac- C knowledged to me that he/she/they executed the same in his/her/their authorized JAMES CRAIGJACKSON i capacity(ies), and that by his/her/their k COMM. #1255944 n Ct F7 ±A NOTARY PUBLIC-CALIFORNIA N signatures) on the instrument the person(s), m - W.A. ORANGE COUNTY . cl 'r MyCommissionExpires or the entity upon behalf of which the APRIL 3,2004 person(s) acted,• executed the instrument. 1 WITNESS my hand and official seal. ki — ti S R NOTARY l 1 OPTIONAL 1` \ Though the data oelow is not required by law, it may prove valuable to persons relying on the document and could prevent ll fraudulent reattachment of this form. 11� 1 CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT l,1 - INDIVIDUAL 11 © CORPORATE OFFICER President TITLE OR TYPE OF DOCUMENT 3` TITLE(S) ❑ PARTNER(S) 7 LIMITED ❑ GENERAL 1 ❑ ATTORNEY-IN-FACT NUMBER OF PAGES k ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR • k ❑ OTHER: kDATE OF DOCUMENT SIGNER IS REPRESENTING: ( y, NAME OF PERSON(S)OR ENTITY(IES) ,� `' Southern California_underground SIGNER(S) OTHERTHANNAMEDABOVE `, a\ Contractors Inc . ✓ :Y ,1. -:- >, %>r.��1l1'> . ' '�> %�1.�.- ,iG 5;T.. r_::--- .. J^!!a 1..�� ©1993 NATIONAL NOTARY ASSOCIATION•8236 Remmet Ave.,P.O.Box 7184•Canoga Park,CA 91309-7184 • • • • • STATEMENT.ACKNOWLEDGING PENAL AND CIVIL PENALTIES CONCERNING THE CONTRACTORS' LICENSING LAWS [Business&Professions Code§ 7028.15] [Public Contract Code§ 20103.5] I, the undersigned, certify that I am aware of the following provisions of California law and that 1. or the entity on whose behalf this certification is given,hold a currently valid California contractor's license as set forth below(required at time of award) : Business&Professions Code§7028.15: (a) It is a misdemeanor for any person to submit a bid to a public agency in order to engage in the business or act in the capacity of a contractor within this state without having a license therefor, except in any of the following cases: • • - (1) - The person is particularly exempted from this chapter. (2) The bid is submitted on a state project governed by Section 10164 of the Public Contract Code or on any local agency project governed by Section 20104 [now § 20103.5] of the Public Contract Code. • (b) If a person has been previously convicted of the offense described in this section, the court shall impose a fine of 20 percent of the price of the contract under which the unlicensed person performed contracting work, or four thousand five hundred dollars ($4,500), whichever is greater, or imprisonment in the county jail for not less than 10 days nor more than six months, or both. • In the event the person performing the contracting work has agreed to furnish materials and labor on an hourly basis, "the price of the contract" for the purposes of this subdivision means the aggregate sum of the cost of materials and labor furnished and the cost of completing the work to be performed.. (c) This section shall not apply to a joint venture license, as required by Section 7029.1. However,at the time of making a bid as a joint venture, each person submitting the bid shall be subject to this section with respect to his or her individual licensure. (d) This section shall not affect the right or ability of a licensed architect, land surveyor, or registered professional engineer to form joint ventures with licensed contractors to render services within the scope of their respective practices. • (e) Unless one of the foregoing exceptions applies, a bid submitted to a public agency by a contractor who is not licensed in accordance with this chapter shall be considered non-responsive and shall be rejected by the public agency. Unless one of the foregoing exceptions applies, a local public agency shall, before awarding a contract or issuing a purchase order, verify that the contractor was properly licensed when the contractor submitted the bid. Notwithstanding any other provision of law, unless one of the foregoing exceptions applies, the registrar may issue a citation to any public officer or employee of a public entity who knowingly awards a contract or issues a purchase order to a contractor who is not licensed pursuant to this chapter. The amount of civil penalties, appeal, and finality of such citations shall be subject to Sections 7028.7 to 702813,inclusive. Any contract awarded to, or any purchase order issued to,a contractor who is not licensed pursuant to this chapter is void. • (f) Any compliance or noncompliance with subdivision (e) of this section, as added by Chapter 863 of the.Statutes of 1989, shall not invalidate any contract or bid awarded by a public agency during which time that subdivision was in effect. • (g) A public employee or officer shall not be subject to a citation pursuant to this section if the public employee, officer, or employing agency made an inquiry to the board for the purposes of verifying the license status of any person or contractor and the board failed to respond to the inquiry within 11 • • ' • O • 'three business days. For purposes of this section, a telephone response by the board shall be deemed. sufficient. Public Contract Code§ 20103.5: In all contracts subject to this part where federal funds are involved, no bid submitted shall be invalidated by the failure of the bidder to be licensed in accordance with the laws of this state. However,_at the time tin contract is awarded, the contractor shall be properly licensed in accordance with the laws of • • this state. The first payment for work or material under any connect shall not be made unless and until the Registrar of Contractors verifies to the agency that the records of the Contractors' State License: Board indicate thot the•contractor was properly licensed at the-time the contract was awarded. Any bidder or • contractor not so licensed shall be subject to all legal penalties imposed by law, including, but not limited to, any appropriate disciplinary action by the Contractors State License Board. The agency shall 'include a statement to that effect in the standard form of pre-..a cation questionnaire and financial statement. Failure of the bidder to obtain proper and adequate licensing for an award of a contract shall constitu a fa',ure to execute the contract and shall result in the forfeiture of the secur. of the bidder. License no.: 6>//3 S 6 Class: Expiration date: 3h03 Date S- 2 2 - 6 I Signature • • • • • I • • 12 • • • 7CALIFORNIAALL•PURPOS*CKNOWLEDGMENT • • No.5907 1 State of California ll County of Orange - On Aia-y 22, 42o0( before me, James C . Jackson, Notary Public , DATE NAME,TITLE OF OFFICER-E.G.."JANE DOE,NOTARY PUBLIC' 11 personally appeared George Frost NAME OF SIGNER(S) , B personally known to me - OR - I I 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 ac- ?? knowledged to me that he/she/they executed _ _ �Aam the same in his/her/their authorized y ,, JAMES CRAIGJACKSGN capacity(ies), and that by his/her/their , COMM. #1255944 N .- af,` NOTARY PUBLIC-CALIFORNIA w signature(s) on the instrument the person(s), U 1,r ORANGE COUNTY or the entity upon behalf of which the 1 My Commission Expires l \ `' APRIL 3, 2004 1 person(s) acted,- executed the instrument. . WITNESS my hand and official seal. r g " ��- SIGNATURE •N ARY 11 OPTIONAL l Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent 1 ,111111 fraudulent reattachment of this form. `. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ❑ INDIVIDUAL 1 IN CORPORATE OFFICER 1 1 • President TITLE OR TYPE OF DOCUMENT TITLE(s) ` sil ❑ PARTNER(S) ❑ LIMITED ItS ❑ GENERAL 1` ❑ ATTORNEY-IN-FACT NUMBER OF PAGES `, ❑ TRUSTEE(S) 1 ❑ GUARDIAN/CONSERVATOR ❑ OTHER: ` DATE OF DOCUMENT 1 SIGNER IS REPRESENTING: 11 NAME OF PERSON(S)OR ENTITY(IES) Southern California Underground SIGNER(S) OTHER THAN NAMED ABOVE ` Contractors , Inc . j ✓ ;- - �. i- - � _-_ate_ .,rlrllrrlll.J� ©1993 NATIONAL NOTARY ASSOCIATION•8238 Rommel Ave.,P.O.Box 7184•Canoga Park,CA 91309.7184 • • INSURANCE REQUIREMENTS FOR CITY OF SEAL BEACH PUBLIC WORKS CONTRACT LIABILITY INSURANCE The Contractor shall at all times during the terms of the Contract carry,maintain, and keep in full force and effect a policy or policies of comprehensive general liability insurance in which the City, along with its City Council and each member thereof, and every officer, official, agent, attorney, employee or volunteer of the City, is the named insured or is named as an additional insured with the Contractor in accordance with the General Provisions. The insurance company issuing such policy(ies) must be acceptable to, and approved by, the City Engineer and City Attorney. Contractor shall maintain limits of no less than One Million Dollars ($1,000,000)combined single limit coverage per occurrence for personal injury or death or property loss or damage which may arise from or relate directly or indirectly to the acts, operations or omissions of the performance of the Contractor and/or its subcontractors and/or the employees. agents, officers,officials or volunteers of either, in the performance of this Public Works Contract. Such insurance shall include coverage for all automobiles utilized by Contractor's or any subcontractor's employees or agents in the performance of the Contract. Contractor shall also provide an endorsement in the forms included in Book H. 13 • • • Page Intentionally Left Blank 14 __ ACORD CERTIFICAIl. OF LIABILITY INSUROIC R PC l DATE(MM/DD/YY) CADN 05/17/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MERIDIAN INSURANCE SERV. INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4 501 E . LA PALMA AVE . STE . 15 0 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ANAHEIM CA 92807 - Phone:714- 693 -9100 Fax :714- 693 -9108 INSURERS AFFORDING COVERAGE INSURED INSURER A: Markel American /Evanston Ins. INSURERB General Security Insurance So. California Underground INSURER C: p y Contractors, Inc. QBE Insurance Company an P.O. Box 1747 INSURERD. Monticello Insurance Company Brea CA 92622 1 INSURERE: AMS Contractors PEO COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY A (IWDD�E POLICY (MMIDN DIYY) LIMITS LTR I TYPE OF INSURANCE POLICY NUMBER GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A [ n COMMERCIAL GENERAL LIABILITY 00GLP1004200 10/04/00 10/04/01 FIRE DAMAGE (Any one fire) $ 50, 000 l CLAIMS MADE X I OCCUR MED EXP (Any one person) $ 5 , 0 0 0 I X_i Owner /Cont Prot. PERSONAL &ADVINJURY $ 1, 000, 000 I Xi BFCGL GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS • COMP/OP AGG $ 1,000,000 X . POLICY 1 1 JEC I ; LOC AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT ;$1,000,000 C . ANY AUTO 071001275 10/04/00 10/04/01 (Ea accident) ALL OWNED AUTOS BODILY INJURY XI SCHEDULED AUTOS (Per person) i $ I X i HIRED AUTOS BODILY INJURY X I NON -OWNED AUTOS (Per $cadent) 1$ ►' PROPERTY DAMAGE I i (Per accident) I GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ I ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ 1 EXCESS LIABILITY EACH OCCURRENCE s4,000,000 B X OCCUR I CLAIMS MADE UM2008035 10 /04/00 10/04/01 AGGREGATE s4,000,000 S 1 DEDUCTIBLE ' X . RETENTION $ 10 , 0 0 0 WORKERS COMPENSATION AND X I W Si IfIMITS I I ER I E EMPLOYERS' LIABILITY 3900271 12/01/00 12/01/01 E.L. EACH ACCIDENT 1$1,000,000 E L. DISEASE - EA EMPLOYEE' $ 1,000,000 E.L. DISEASE - POLICY LIMIT I $ 1,000,000 , OTHER D (Leased /Rented Equi WCR0002225 10 /10 /00 10 /10 /01 any 1 itm $140,000 1 $2500 ded DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS *10 days notice of cancellation applies to non - payment of premium City of Seal Beach, the City Council & each member thereof, & every officer, officials, agent, attorney, employee or volunteer of the City is named as add'l ins'd per end't. RE: Seal Beach Blvd., Improvements /Rehabilitation PCH to Electric, Proj #49991/48757, $520,060 CERTIFICATE HOLDER Y I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION • CITYSB2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL EMSSIYpTtp MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT," " -- -- - -'- -" -' / CITY OF SEAL BEACH 211 EIGHTH STREET SEAL BEACH CA 90740 P Don Mini 1, p ACORD 25-S (7/97) CACORD CORPORATION 1988