RPVCCA_CC_SR_2014_03_04_C_Blackhorse_CDBG_Access_RampsCrrYOF
MEMORANDUM
TO: HONORABLE MAYOR & CITY COUNCIL MEMBERS
FROM: MICHAEL THRONE, DIRECTOR OF PUBLIC ~
WORKS
DATE:· MARCH 4, 2014
SUBJECT: AWARD CONSTRUCTION AND CONSTRUCTION
MANAGEMENT/INSPECTION SERVICES CONTRACTS
FOR THE BLACKHORSE CDBG ACCESS RAMPS -
ADA COMPLIANCE PROJECT -PHASE II (SUPPORTS
2014 CITY COUNCIL GOAL #2, PUBLIC
INFRASTRUCTURE -CITYWIDE STREET
MAINTENANCE)
REVIEWED: CAROLYNN PETRU, ACTING CITY MANAGE~
Project Manager: Nicole Jules, Senior Engineer-rt[J
RECOMMENDATIONS
1) Approve the construction plans and contract documents, on file in the Department
of Public Works, for the Blackhorse Road CDBG Access Ramps -ADA
Compliance Project-Phase II;
2) Award a construction contract to RG General Engineering in the amount of
$27 ,632 for the project;
3) Approve the first amendment to the on-call engineering services agreement with
Merit Civil Engineering which requires that prevailing wages be paid.
4) Authorize staff to utilize an additional 10% ($4,000) for contingency; and
5) Authorize the Mayor and City Clerk to execute the agreements.
BACKGROUND
The City of Rancho Palos Verdes (RPV) has participated in the Los Angeles Urban
County's Community Development Block Grant (CDBG) Program since 1986. The
program funds local community development projects that meet national objectives. The
Blackhorse CDBG -ADA Compliance project -Phase II meets the objectives of the
CDBG eligible activities and has been adopted by City Council as an approved project.
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DISCUSSION
The project scope includes upgrading and installing ADA compliant facilities, removal and
reconstruction of a segmental block retaining wall to accommodate an ADA -compliant
bus stop landing zone, construction of sidewalk and relocation of a Metro bus stop. The
project improvements will upgrade existing conditions along Hawthorne Blvd near
Blackhorse Road to improved public transit accessibility for the elderly and severely
disabled. A project location map and renderings are included as attachments.
Construction Contract
The project was publicly advertised and sealed bids were received and opened on
February 6, 2014. RG General Engineering submitted the lowest responsible bid out of
the 5 bids received. The following table summarizes the bids received:
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Bid Amount
$27,632
$38,000
$42,444
$43,805
$45,900
$51,000
Staff has verified RG General Engineering's references and found their past performance
on jobs of similar size and scope to be satisfactory. RG General Engineering has
successfully completed past projects of similar scope in the Cities of Claremont and
Hemet. Additionally, RG Generally Engineering, operating under the name of Crownline
General Contractors, successfully completed the ADA improvements associated with
Phase I of this project. RG General Engineering's contractor's bid documents, bonds,
and insurance certificates are in order and their contractor's license is current.
Construction Management and Inspection
Construction management and inspection services are needed to ensure compliance with
project specifications and plans. Staff solicited professional proposals from three firms to
provide construction management and inspection services. Utilizing the Quality-based
Selection (QBS) for acquiring professional services, staff chose to utilize the services of
Merit Civil Engineering, Inc. (Merit) based on their familiarity of the project scope and City
requirements. Construction Management and Inspection services will be performed by
Merit for a Not-To-Exceed amount of $14,129, which is about 51% of the construction
contract amount. Construction Management and Inspection fees for larger projects
typically are estimated at 10% to 20% of the project construction cost. In this case,
construction management and inspection fees are a higher percentage of total project
costs and are a function of working days and Federal compliance/reporting needed to
administer the work. These smaller-type projects have higher administration costs
compared to the cost of construction. Merit is on the City's approved on-call list for
professional services. However, since the payment of prevailing wages is required for all
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work related to construction projects paid for with public funds, the on-call contract is
being amended to reflect this requirement.
ALTERNATIVE
An alternative recommendation is to reject all bids and re-advertise the construction
project. This alternative could take approximately two months to complete and may result
in an increase in bids and a potential delay to the project.
FISCAL IMPACT
The recommended action will result in a total project expenditure of $43,632. Funding for
the project will be expended from the FY13-14 CDBG program budget as noted below.
FY 13-14 CDBG Pro ram
Total Recommended Expenditures
$51,785
$27,632
$14,129
$ 4,200
$45,961
The City Attorney has reviewed and approved the construction contract that is included as
an attachment to this report.
Attachments: Project Location Map
Project Rendering
RG General Engineering Construction Contract
First Amendment to Agreement with Merit Civil Engineering, Inc.
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CITY OF RANCHO PALOS VERDES
AGREEMENT FOR BLACKHORSE ROAD CDBG ADA PROJECT • PHASE II
(Community Development Block Grant Project #601564-12)
THIS AGREEMENT (the "Agreement") is made and entered this 4th day of March, 2014, by and between
the CITY OF RANCHO PALOS VERDES, a California municipal corporation ("City") and RG General
Engineering ("Contractor''). Contractor's license number is 978079.
In consideration of the mutual covenants hereinafter set forth, the parties hereto agree as follows:
1. Scope of Services. Contractor shall perform the work and provide all labor, materials, equipment
and services in a good and workmanlike manner for the project identified as BLACKHORSE ROAD
CDBG ADA PROJECT -Phase II ("Project"), as described in this Agreement and in the Bid Documents
(including the Notice Inviting Sealed Bids, the Instructions to Bidders, the General Provisions, the Special
Provisions, the Proposal, Appendices I through V, and all addenda as prepared prior to the date of bid
opening setting forth any modifications or interpretations of any said documents), which are on file with
the Department of Public Works and incorporated herein by this reference, including miscellaneous
appurtenant work. All work shall be performed in accordance with the latest edition of the Standard
Specifications for Public Works Construction (commonly known as the "Greenbook"), including
supplements, prepared and promulgated by the Southern California Chapter of the American Public
Works Association and the Associated General Contractors of California (collectively "Standard
Specifications"), which is incorporated herein by this reference. In the event of any conflict between the
terms of this Agreement and incorporated documents, the terms of this Agreement shall control.
2. Extra Work. Extra work, when ordered in writing by the Director of Public Works and accepted by
the Contractor, shall be paid for under written work order in accordance with the terms therein provided.
Payment for extra work will be made at the unit price or lump sum previously agreed upon in writing
between the Contractor and the Director of Public Works. All extra work shall be adjusted daily upon
report sheet furnished by the Contractor, prepared by the Director of Public Works, and signed by both
parties, and said daily report shall be considered thereafter the true records of extra work done.
3. Effective Date. This Agreement is effective as of the date listed above, and shall remain in full
force and effect until Contractor has rendered the services required by this Agreement.
4. Force Majeure. Neither the City nor Contractor shall be responsible for delays in performance
under this Agreement due to causes beyond its control, including but not limited to acts of God, acts of
the public enemy, acts of the Government, fires, floods or other casualty, epidemics, earthquakes, labor
stoppages or slowdowns, freight embargoes, unusually severe weather, and supplier delays due to such
causes. Neither economic nor market conditions nor the financial condition of either party shall be
considered a cause to excuse delay pursuant to this Section. Each party shall notify the other promptly
in writing of each such excusable delay, its cause and its expected delay, and shall upon request update
such notice.
5. Compensation. In consideration of the services rendered hereunder, City shall pay Contractor a
not to exceed amount of Thirty Eight thousand dollars ($38,000.00) in accordance with the prices as
submitted in Contractor's Proposal, attached hereto as Exhibit "A" and incorporated herein by this
reference.
6. Payments. City shall make payments within thirty (30) days after receipt of undisputed and
properly submitted payment requests from Contractor. City shall return to Contractor any payment
request determined not to be a proper payment request as soon as practicable, but not later than seven
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(7) days, after receipt and shall explain in writing the reasons why the payment request is not proper.
A payment shall be made as the City Council of the City prescribes upon estimates approved by
the City Council. However, progress payments shall not be made in excess of ninety-five percent (95%)
of the percentage of actual work completed plus a like percentage of the value of material delivered on
the ground or stored subject to, or under the control of, the City, and unused. The City shall withhold not
less than five percent (5%) of the Agreement price until final completion and acceptance of the Project.
However, at any time after fifty percent (50%) of the work has been completed, if the City Council of the
City finds that satisfactory progress is being made, it may, at its discretion, make any of the remaining
progress payments in full for actual work completed.
7. Substitute Security.
a. At the written request and expense of Contractor, securities equivalent to any moneys
withheld by the City to ensure performance under this Agreement shall be deposited with the City, or
with a state or federally chartered bank in the State of California as the escrow agent, that shall then
pay those moneys to Contractor. Upon satisfactory completion of the Agreement, the securities shall be
returned to Contractor.
b. Alternatively, Contractor may request that the City shall make payment of retentions
earned directly to the escrow agent at the expense of Contractor. At the expense of Contractor,
Contractor may direct the investment of the payments into securities, and Contractor shall receive the
interest earned on the investments upon the same terms provided for securities deposited by
Contractor. Upon satisfactory completion of the Agreement, Contractor shall receive from the escrow
agent all securities, interest, and payments received by the escrow agent from the City, pursuant to the
terms of this Section.
c. Securities eligible for investment shall include those listed in California Government
Code Section 16430, bank or savings and loan certificates of deposit, interest-bearing demand deposit
accounts, standby letters of credit, or any other security to which Contractor and the City mutually
agree in writing. Contractor shall be the beneficial owner of any securities substituted for moneys
withheld and shall receive any interest thereon.
d. If Contractor elects to receive interest on moneys withheld in retention by the City, it
shall, at the request of any subcontractor performing more than five percent (5%) of Contractor's total
bid, make that option available to the subcontractor regarding any moneys withheld in retention by
Contractor from the subcontractor. Further mandatory details are provided in Public Contract Code
Section 22300( d), which is incorporated herein by this reference.
e. The escrow agreement for security deposits in lieu of retention shall be substantially
similar to the form provided in Public Contract Code Section 22300(f), which is incorporated herein by
this reference.
8. Taxes. Contractor shall calculate payment for all sales, unemployment, old age pension and other
taxes imposed by local, State of California and federal law. These payments are included in the total
amounts in Exhibit "A."
9. Time. Upon receipt of written Notice to Proceed from the City, Contractor shall perform with due
diligence the services requested by the City as specified in the Bid Documents. Time is of the essence
in this Agreement.
10. Unresolved Disputes. In the event that a dispute arises between the City and Contractor
regarding whether the conditions materially differ, involve hazardous waste, or cause a decrease or
increase in Contractor's cost of or time required for performance of any part of the work, Contractor shall
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notify City promptly of its intention to submit a claim. If the dispute arises before performance of the
related work, the written notice shall be submitted prior to commencing such work. In any event, the
Contractor shall proceed with such work in compliance with the instructions of the City; such compliance
shall not be a waiver of the Contractor's rights to make a claim, provided they have notified the City in
writing as above stipulated. In the event of any dispute or controversy with the City over any matter
whatsoever, Contractor shall not cause any delay or cessation in or of work, but shall proceed with the
performance of the work in dispute. This includes disputed time extension requests and prices for
changes. The disputed work will be categorized as an "unresolved dispute" and payment, if any, shall be
as later determined by mutual agreement or a court of law. Contractor shall keep accurate, detailed
records of all disputed work, claims and other disputed matters. Public Contract Code Sections 20104
et seq. and Rancho Palos Verdes Municipal Code chapter 3.24 ("Claims Against the City") shall govern
the procedures of the claim process, and these provisions are incorporated herein by this reference.
11. Default and Remedies.
a. 'Default shall consist of any failure by the Contractor to perform under this Agreement or
written amendments thereto or any breach of any covenant, agreement, provision or warranty provided
by the Contractor as a part of this Agreement. Actions which constitute a default include, but are not
limited to: (1) failure to submit to the City reports which are required pursuant to this Agreement or the
submission of required reports that are incorrect or incomplete; (2) submission of requests for payment
or reimbursement of amounts that are incorrect or incomplete; (3) the failure of Contractor to accept any
additional conditions which may be required by law, by executive order, by regulation or by other policy
announced by the City, the state or any federal agency; or (4) failure to perform any activity required by
this Agreement.
b. Upon occurrence of any default, the City shall advise Contractor in writing of the action
constituting the default, and specify the actions that must be taken to cure the default. The City may
suspend payment under the Agreement. If Contractor does not cure the default within thirty (30) days of
receipt of written notice from the City, the City may continue the suspension or, by written notice of
termination, may terminate this Agreement.
c. Notwithstanding the above, Contractor shall not be relieved of liability to the City for
damage sustained by the City by virtue of any default or breach of the Agreement, and the City may
deduct the amount of damages from any outstanding payments to Contractor or may withhold payments
until such time as the exact amount of the damages is determined.
12. Termination.
a. The City may cancel this Agreement at any time with or without cause without penalty
upon thirty (30) days' written notice. In the event of termination without fault of Contractor, City shall pay
Contractor for all services satisfactorily rendered prior to date of termination, and such payment shall be
in full satisfaction of all services rendered hereunder.
b. If federal funding for this Agreement is terminated and no other funding is available for
continuation of this project, the City will not be obligated to continue funding for the services contained in
this Agreement and may terminate the Agreement.
c. In the event of termination, all property and finished or unfinished documents, data,
studies, surveys, drawings, maps, models, photographs and reports prepared by or purchased with
CDBG/HOME funds by the Contractor under this Agreement shall, at the option of the City, become the
City's property, and Contractor shall be entitled to receive just and equitable compensation, as
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determined by the City, for any work satisfactorily completed hereunder.
13. Indemnity.
a. Contractor's Duty. To the maximum extent permitted by law, Contractor shall defend,
indemnify, and hold harmless the City, its elected officials, officers, employees, volunteers, agents,
successors, assigns, and those City agents serving as independent contractors in the role of City officials
(collectively "lndemnitees") from and against any and all claims (including, without limitation, claims for
bodily injury, death or damage to property), demands, obligations, damages, actions, causes of action,
proceedings, suits, losses, bid protests, stop notices, judgments, fines, liens, penalties, liabilities, costs
and expenses of every kind and nature whatsoever, in any manner arising out of or incident to any act,
failure to act, error or omission of Contractor or any of its officers, agents, servants, employees,
subcontractors, materialmen, suppliers or their officers, agents, servants or employees, arising out of the
Agreement, including without limitation, the payment of all consequential damages, attorneys' fees,
experts' fees, and other related costs and expenses (individually, a "Claim," or collectively, "Claims").
Further, Contractor shall appoint competent defense counsel approved by the City Attorney at
Contractor's own cost, expense and risk, to defend any and all such Claims that may be brought or
instituted against lndemnitees. Contractor shall pay and satisfy any judgment, award or decree that may
be rendered against lndemnitees in any such Claim. Contractor shall reimburse lndemnitees for any and
all legal expenses and costs incurred by each of them in connection therewith or in enforcing the
indemnity herein provided. Contractor's obligation to indemnify shall not be restricted to insurance
proceeds, if any, received by Contractor or lndemnitees. This indemnity shall apply to all Claims
regardless of whether any insurance policies are applicable.
b. Bid Protests. In addition to its obligations pursuant to Section 13(a), Contractor shall
reimburse the City for all attorneys' fees and costs incurred by City in connection with, arising out of or
incident to any bid protest.
c. Civil Code Exception. Nothing in Section 13(a) shall be construed to encompass
lndemnitees' sole negligence or willful misconduct to the limited extent that the underlying Agreement is
subject to Civil Code section 2782(a) or the City's active negligence to the limited extent that the
underlying Agreement is subject to Civil Code section 2782(b ).
d. Nonwaiver of Rights. lndemnitees do not and shall not waive any rights that they may
possess against Contractor because the acceptance by City, or the deposit with City, of any insurance
policy or certificate required pursuant to this Agreement. This indemnity provision is effective regardless
of any prior, concurrent, or subsequent active or passive negligence by lndemnitees and shall operate to
fully indemnify lndemnitees against any such negligence.
e. Waiver of Right of Subrogation. Contractor, on behalf of itself and all parties claiming under
or through it, hereby waives all rights of subrogation and contribution against the lndemnitees, while
acting within the scope of their duties, from all Claims arising out of or incident to the activities or
operations performed by or on behalf of the Contractor regardless of any prior, concurrent or subsequent
active or passive negligence by lndemnitees.
f. Survival. The provisions of this Section 13 shall survive the termination of this Agreement
and are in addition to any other rights or remedies that lndemnitees may have under the law. Payment
is not required as a condition precedent to an lndemnitee's right to recover under this indemnity provision,
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and an entry of judgment against a Contractor shall be conclusive in favor of the lndemnitee's right to
recover under this indemnity provision.
14. Incorporation by Reference. All of the following documents are attached hereto and incorporated
herein by this reference: City of Rancho Palos Verdes Instructions for Execution of Instruments;
Insurance Requirements for the City of Rancho Palos Verdes Public Works Contract; Workers'
Compensation Certificate of Insurance; Additional Insured Endorsement (Comprehensive General
Liability); Additional Insured Endorsement (Automobile Liability); Additional Insured Endorsement
(Excess Liability); Non-Segregated Facilities Certification; Equal Employment Opportunity Commitment;
U.S. Department of Housing and Urban Development Report of Additional Classification and Rate (HUD
Form 4230A); U.S. Department of Labor Employment Standards Administration Wage and Hour Division
Payroll; Contracting with Small Business Minority Firms, Women's Business Enterprise and Labor
Surplus Area Firms; Federal Equal Employment Opportunity/ Affirmative Action Requirements; Past
Performance Certification; and Fringe Benefit Payment Certification.
15. Record-Keeping and Reporting.
a. Records to be Kept. Records shall be maintained in accordance with the requirements
prescribed by the Secretary of Housing and Urban Development ("HUD") or the County of Los Angeles
(the "County") with respect to all matters covered by this Agreement. Except as otherwise authorized by
HUD, such records shall be maintained for a period of five (5) years after receipt of the final payment
under this Agreement. Additionally, pursuant to Government Code Section 8546.7, Contractor shall be
subject to State Auditor examination and audit at the request of the City or as part of any audit of the City,
for a period of three (3) years after final payment under this Agreement.
b. Documentation of Costs. All costs shall be supported by properly executed payrolls, time
records, invoices, contracts, vouchers, orders or other accounting documents. All documents pertaining
in whole or in part to this Agreement shall be clearly identified and readily accessible.
c. Inspection of Records. At any time during normal business hours and as often as City,
County, HUD and/or the Comptroller General of the United States may deem necessary, the Contractor
shall make available to any of these entities for examination all of its records, with respect to all matters
covered by this Agreement, and will permit any of these entities to audit, examine and make excerpts or
transcripts from such records, including contracts, invoices, materials, payrolls, records of personnel,
conditions of employment and any other data relating to matters covered by this Agreement.
16. Lobbvina Certifications. The Los Angeles County Lobbyist Code Chapter 2.160 County
Ordinance No. 93-0031 Certification and the Federal Lobbyist Requirements Certification are attached
hereto and incorporated herein by this reference. Consultant shall complete and file these Certifications
as required by the City or the County.
17. Utilities. The City acknowledges its responsibilities under Government Code·section 4215 and
incorporates that section herein by this reference.
18. Location of Existing Elements. The methods used and costs involved to locate existing elements,
points of connection and all construction methods are the Contractor's sole responsibility. Accuracy of
information furnished, as to existing conditions, is not guaranteed by the City. Contractor, at its sole
expense, must make all investigations necessary to determine locations of existing elements, which may
include, without limitation, contacting U.S.A. Alert and other private underground locating firm(s), utilizing
specialized locating equipment and/or hand trenching.
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19. Antitrust Claims. Pursuant to Public Contract Code Section 7103.5, Contractor offers and agrees
to assign to the City all rights, title, and interest in and to all causes of action it may have under Section
4 of the Clayton Act (15 U.S.C. Section 15) or under the Cartwright Act (Chapter 2 (commencing with
Section 16700) of Part 2 of Division 7 of the California Business and Professions Code) arising from
purchases of goods, services, or materials pursuant to the Agreement. This assignment shall be made
and become effective at the time the City tenders final payment to Contractor without further
acknowledgment by the parties.
20. Independent Contractor. Contractor is and shall at all times remain, as to the City, a wholly
independent contractor. Neither the City nor any of its agents shall have control over the conduct of
Contractor or any of the Contractor's employees, except as herein set forth, and Contractor is free to
dispose of all portions of its time and activities which it is not obligated to devote to the City in such a
manner and to such persons, firms, or corporations at the Contractor wishes except as expressly provided
in this Agreement. Contractor shall have no power to incur any debt, obligation, or liability on behalf of
the City, bind the City in any manner, or otherwise act on behalf of the City as an agent. Contractor shall
not, at any time or in any manner, represent that it or any of its agents, servants or employees, are in any
manner agents, servants or employees of City. Contractor agrees to pay all required taxes on amounts
paid to Contractor under this Agreement, and to indemnify and hold the City harmless from any and all
taxes, assessments, penalties, and interest asserted against the City by reason of the independent
contractor relationship created by this Agreement. Contractor shall fully comply with the workers'
compensation law regarding Contractor and its employees. Contractor further agrees to indemnify and
hold the City harmless from any failure of Contractor to comply with applicable workers' compensation
laws. The City shall have the right to offset against the amount of any compensation due to Contractor
under this Agreement any amount due to the City from Contractor as a result of its failure to promptly pay
to the City any reimbursement or indemnification arising under this Section.
21. Workers' Compensation Insurance. California Labor Code Sections 1860 and 3700 provide that
every contractor will be required to secure the payment of compensation to its employees. In accordance
with the provisions of California Labor Code Section 1861, the Contractor hereby certifies as follows:
"I am aware of the provisions of Section 3700 of the Labor Code which require every
employer to be insured against liability for workers' compensation or to under take
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."
22. Subcontracting. Contractor shall adhere to all provisions of the Subletting and Subcontracting
Fair Practices Act, Public Contract Code Section 4100 et seq., which is incorporated herein by this
reference.
23. Debarred, Suspended or Ineligible Contractors. Contractor shall not be, and shall ensure all
subcontractors are not, debarred, suspended or placed in eligibility status under the provisions of 24
C.F.R. Part 24 throughout the duration of this Agreement. Contractor shall not perform work with
debarred subcontractor pursuant to California Labor Code sections 1777 .1 or 1777. 7.
24. Anti-Discrimination. Contractor shall adhere to all federal discrimination requirements, including
Executive Order 11246, as listed in the Federal Discrimination Provisions, which is attached hereto and
incorporated herein by this reference. Contractor shall also adhere to the Equal Employment Opportunity
Regulations for Federally Assisted Construction Contracts, which is attached hereto and incorporated
herein by this reference. Contractor shall ensure equal opportunity to all persons without regard to race,
color, gender, sexual orientation, religion, national origin, ancestry, age, marital status, or disability.
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25. Conflicts of Interest.
a. Contractor agrees not to accept any employment or representation during the term of this
Agreement or within twelve (12) months after completion of the work under this Agreement which is or
may likely make Contractor "financially interested," as provided in Government Code Section 1090 and
87100, in any decisions made by City on any matter in connection with which Contractor has been
retained pursuant to this Agreement.
b. No official, officer, employee, or agent of the City or Contractor shall have any financial
interest, direct or indirect, in any contract or subcontract, or the proceeds thereof, for work to be performed
in connection with the program assisted under this Agreement. Immediate family members of said
officials, officers, employees, and agents are similarly barred from having any financial interest in the
program.
c. No person who exercises, or has exercised any function or responsibilities with respect to
CDBG activities, or who is in a position to participate in a decision making process or gain inside
information with regards to such activities, may obtain a financial interest or benefit from a CDBG-assisted
activity, or have a financial interest in any contract, subcontract, or agreement with respect to a CDBG-
assisted activity, or with respect to the proceeds of the CDBG-assisted activity, either for themselves or
those with whom they have business or immediate family ties, during their tenure or for one year
thereafter.
d. Contractor shall take appropriate steps to assure compliance with paragraph (b) of this
Section and will incorporate the following provision into every subcontract:
"Interest of Subcontractor and Employees. The Subcontractor covenants that no
person who presently exercises any functions or responsibilities in connection with
the Community Development Block Grant Program has any personal financial
interest, direct or indirect, in this Contract. Any interest on the part of the
Subcontractor or his employees must be disclosed to the Recipient and the City,
provided, however, that this paragraph shall be interpreted in such a manner so as
not to unreasonably impede the statutory requirement that maximum opportunity be
provided for employment of and participation by residents of the area."
26. Third Party Claims. City shall have full authority to compromise or otherwise settle any claim
relating to the Agreement at any time. City shall timely notify Contractor of the receipt of any third-party
claim relating to the Agreement. City shall be entitled to recover its reasonable costs incurred in providing
this notice.
27. Davis-Bacon Act. Copeland Anti-Kickback Act. and Prevailing Wages. City and Contractor
acknowledge that this project is a public work to which prevailing wages apply. City and Contractor
acknowledge that this is a federally assisted construction contract and that federal labor standards
provisions, including prevailing wage requirements of the Davis-Bacon Act ((40 U.S.C. 276 a to a.7) as
supplemented by Department of Labor Regulations (29 CFR Part 5)) and related acts, are incorporated
by this reference and will be enforced. Contractor understands that in the event of a conflict between the
Federal General Wage Decision as established by the United States Department of Labor (available at
www.access.gpo.gov/davisbacon/ca.html) and the State General Prevailing Wage Determination as
established by the California Department of Industrial Relations (available at
http://www.dir.ca.gov/DLSR/PWD/index.htm), the higher of the two will prevail. The rates per diem for
each type of worker are on file with the Public Works Director at City Hall at the address listed below, and
are available to anyone upon request. The documents titled U.S. Department of Housing and Urban
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Development Office of Labor Relations Federal Labor Standards Provisions and Agreement to Comply
with California Labor Law Requirements are attached hereto and incorporated herein by this reference.
Eight hours of labor constitutes a legal day's work. The Copeland "Anti-Kick Back Act" (18 U.S. C. 876),
as supplemented in Department of Labor regulations (29 CFR Part 3), shall apply, and Contractor shall
not induce, by any means, any person employed in this Project to give up any part of the compensation
to which he or she is otherwise entitled.
28. Contract Work Hours and Safety Standards Act. In employing mechanics or laborers, Contractor
shall comply with the Contract Work Hours and Safety Standards Act (40 USC §§ 327 et seq.), as
supplemented by Department of Labor Regulations contained in 29 C.F.R. Parts 3, 5 and 5a. Contractor
shall not require or permit any laborer or mechanic, in any workweek in which the laborer or mechanic is
employed on that work, to work more than forty (40) hours in that workweek, except as provided in the
Contract Work Hours and Safety Standards Act. When a violation occurs, Contractor is liable to the
affected employee for the employee's unpaid wages and to the City for liquidated damages equal to ten
dollars ($10) for each calendar day on which the individual was required or permitted to work in excess
of the standard workweek without payment of the overtime wages required by this chapter.
29. Compliance with Laws. Contractor shall comply with all applicable federal, state and local laws,
ordinances, codes and regulations in force at the time Contractor performs pursuant to this Agreement,
including those governing the funds provided under this Agreement.
30. Bonds. Contractor shall obtain faithful performance and payment bonds, each in an amount
that is not less than the total compensation amount of this Agreement, and nothing in this Agreement
shall be read to excuse this requirement. The required forms entitled Payment Bond (Labor and
Materials) and Performance Bond are attached hereto and incorporated herein by this reference.
Contractor shall also obtain a one-year warranty bond in an amount that is not less than the total
compensation amount of this Agreement and in a form approved by the City Attorney and shall deliver
this bond to the City before the City's acceptance of the project; alternatively, the Contractor shall
submit written evidence from the surety of an extension to its performance bond, to be effective for a
year after acceptance by the City, and shall submit this extension before the City's acceptance of the
Project.
31. Ownership of Documents and Work Product.
a. All final documents, plans, specifications, reports, information, data, exhibits,
photographs, images, video files and media created or developed by CONSUL TANT pursuant to this
Agreement ("Written Products") shall be and remain the property of the CITY without restriction or
limitation upon its use, duplication or dissemination by the CITY. All Written Products shall be
considered "works made for hire," and all Written Products and any and all intellectual property rights
arising from their creation, including, but not limited to, all copyrights and other proprietary rights, shall
be and remain the property of the CITY without restriction or limitation upon their use, duplication or
dissemination by the CITY. CONSULTANT shall not obtain or attempt to obtain copyright protection as
to any Written Products. CONSUL TANT hereby assigns to the CITY all ownership and any and all
intellectual property rights to the Written Products that are not otherwise vested in the CITY pursuant to
to this paragraph.
b. CONSUL TANT warrants and represents that it has secured all necessary licenses,
consents or approvals to use any instrumentality, thing or component as to which any intellectual
property right exists, including computer software, used in the rendering of the services and the
production of all Written Products produced under this Agreement, and that the CITY has full legal title
to and the right to reproduce the Written Products. CONSUL TANT shall defend, indemnify and hold the
C-8 C-13
CITY, and its elected officials, officers, employees, servants, attorneys, designated volunteers, and
agents serving as independent contractors in the role of CITY officials, harmless from any loss, claim or
liability in any way related to a claim that CITY's use of any of the Written Products is violating federal,
state or local laws, or any contractual provisions, or any laws relating to trade names, licenses,
franchises, copyrights, patents or other means of protecting intellectual property rights and/or interests
in products or inventions. CONSULTANT shall bear all costs arising from the use of patented,
copyrighted, trade secret or trademarked documents, materials, equipment, devices or processes in
connection with its provision of the services and Written Products produced under this Agreement. In
the event the use of any of the Written Products or other deliverables hereunder by the CITY is held to
constitute an infringement and the use of any of the same is enjoined, CONSUL TANT, at its expense,
shall: (a) secure for CITY the right to continue using the Written Products and other deliverables by
suspension of any injunction, or by procuring a license or licenses for CITY; or (b) modify the Written
Products and other deliverables so that they become non-infringing while remaining in compliance with
the requirements of this Agreement. This covenant shall survive the termination of this Agreement.
c. ·Upon termination, abandonment or suspension of the Project, the CONSUL TANT shall
deliver to the CITY all Written Products and other deliverables related to the Project without additional
cost or expense to the CITY. If CONSULTANT prepares a document on a computer, CONSULTANT
shall provide CITY with said document both in a printed format and in an electronic format that is
acceptable to the CITY.
32. Contractor's Representations. Contractor represents, covenants and agrees that: a) Contractor
is licensed, qualified, and capable of furnishing the labor, materials, and expertise necessary to perform
the services in accordance with the terms and conditions set forth in this Agreement; b) there are no
obligations, commitments, or impediments of any kind that will limit or prevent its full performance under
this Agreement; c) there is no litigation pending against Contractor, and Contractor is not the subject of
any criminal investigation or proceeding; and d) to Contractor's actual knowledge, neither Contractor
nor its personnel have been convicted of a felony.
33. Non-Assignability; Subcontracting. Contractor shall not assign or transfer any interest in this
Agreement nor any part thereof, whether by assignment or novation, without the City's prior written
consent. Any purported assignment without written consent shall be null, void, and of no effect, and
Contractor shall hold harmless, defend and indemnify the City and its officers, officials, employees,
agents and representatives with respect to any claim, demand or action arising from or relating to any
unauthorized assignment.
34. Applicable Law. The validity, interpretation, and performance of this Agreement shall be controlled
by and construed under the laws of the State of California, excluding California's choice of law rules.
Venue for any such action relating to this Agreement shall be in the Los Angeles County Superior Court.
35. Titles. The titles used in this Agreement are for convenience only and shall in no way define, limit
or describe the scope or intent of this Agreement or any part of it.
36. Authority. The person executing this Agreement on behalf of Contractor warrants and represents
that he or she has the authority to execute this Agreement on behalf of Contractor and has the authority
to bind Contractor to the performance of its obligations hereunder.
37. Entire Agreement. This Agreement, including any other documents incorporated herein by
specific reference, represents the entire and integrated agreement between City and Contractor. This
Agreement supersedes all prior oral or written negotiations, representations or agreements.
C-9 C-14
38. Amendment. The City or Contractor may only modify or amend this Agreement or any provision
herein in a writing signed by both parties which expressly refers to this Agreement. The City may, at its
discretion, amend this Agreement to conform with federal, state or local governmental guidelines, policies
and available funding amount, or for other reasons. If such amendments result in a change in the funding,
the scope of services, or schedule of the activities to be undertaken as a part of this Agreement, such
modifications will be incorporated only by written amendments signed by both the City and Contractor.
39. Construction. In the event of any asserted ambiguity in, or dispute regarding the interpretation of
any matter herein, the interpretation of this Agreement shall not be resolved by any rules of interpretation
providing for interpretation against the party who causes the uncertainty to exist or against the party who
drafted the Agreement or who drafted that portion of the Agreement.
40. Non-waiver of Terms. Rights and Remedies. Waiver by either party of any one or more of the
conditions of performance under this Agreement shall not be a waiver of any other condition of
performance under this Agreement. In no event shall the making by the City of any payment to Contractor
constitute or be construed as a waiver by the City of any breach of covenant, or any default which may
then exist on the part of Contractor, and the making of any such payment by the City shall in no way
impair or prejudice any right or remedy available to the City with regard to such breach or default.
41. Notice. Except as otherwise required by law, any notice or other communication authorized or
required by this Agreement shall be in writing and shall be deemed received on (a) the day of delivery if
delivered by hand or overnight courier service during Contractor's or City's regular business hours or (b)
on the third business day following deposit in the United States mail, postage prepaid, to the addresses
listed below, or at such other address as one party may notify the other:
To CITY:
Mr. Michael Throne, Director of Public Works
City of Rancho Palos Verdes
30940 Hawthorne Blvd.
Rancho Palos Verdes, CA 90275
To CONTRACTOR:
The address listed in Exhibit "A"
42. Counterparts. This Agreement may be executed in counterpart originals, duplicate originals, or
both, each of which is deemed to be an original for all purposes.
43. Severability. If any term or portion of this Agreement is held to be invalid, illegal, or otherwise
unenforceable by a court of competent jurisdiction, the remaining provisions of this Agreement shall
continue in full force and effect.
[Signatures on next page]
C-10 C-15
IN WITNESS WHEREOF, the parties hereto have executed the within Agreement the day and
year first above written.
CITY OF RANCHO PALOS VERDES
By: ___________ _
Mayor
ATTEST:
By: ____________ ~
City Clerk
CONTRACTOR:
RG GENERAL ENGINEERING
By: ____________ ~
Printed Name: ----------
Date: -------------
By: ____________ ~
Printed Name: ----------
Date: -------------
C-11 C-16
CITY OF RANCHO PALOS VERDES
INSTRUCTIONS FOR EXECUTION OF INSTRUMENTS
THIS IS INSTRUCTION ONLY -IT IS NOT TO BE SIGNED OR USED IN CONJUNCTION WITH THE
AGREEMENT OR ANY OTHER FORMS THAT MUST BE TURNED INTO THE CITY OF RANCHO
PALOS VERDES -IT IS SIMPLY A FORMAT TO USE WHEN FILLING OUT DOCUMENTS.
1. By an Individual. The individual must sign the instrument, and if he/she is doing business under
a fictitious name, the fictitious name must be set forth. The signature must be acknowledged
before a Notary Public, using the proper form of acknowledgment.
2. By a Partnership. The name of the partnership must be set forth followed by the signatures of all
of the partners. The signatures must be acknowledged before a Notary Public. using the proper
form of acknowledgment.
3. By an LLC. The name of the LLC must be set forth, followed by the signatures of two corporate
officers: one signature must be from the Chairperson of the Board, the President or any Vice
President, and the other signature must be from the Secretary, any Assistant Secretary, the Chief
Financial Officer, or any Assistant Treasurer of the LLC. Alternatively, the name of the LLC must
be set forth, followed by the signature(s) of a member, manager or two managers with authority
to bind the LLC if he, she or they submit a copy of the articles of organization and highlight the
provision stating who manages the LLC or otherwise has authority to bind the LLC. In either case,
all signatures must be acknowledged before a Notary Public. using in substance the following
form of acknowledgment.
4. By a Corporation. The name of the corporation must be set forth, followed by the signatures of
two corporate officers: one signature must be from the Chairperson of the Board, the President
or any Vice President, and the other signature must be from the Secretary, any Assistant
Secretary, the Chief Financial Officer, or any Assistant Treasurer of the corporation. All signatures
must be acknowledged before a Notary Public, using in substance the following form of
acknowledgment.
If any person or entity wishes to sign the Agreement or any other forms that must be signed in a manner
other than as required above, that person or entity must first submit to the City for approval documentation
evidencing the authority to bind the individual, partnership or corporation in the alternative manner
proposed.
C-12 C-17
INSURANCE REQUIREMENTS FOR CITY OF RANCHO PALOS VERDES
PUBLIC WORKS CONTRACT
The Contractor shall at all times, during the term of this contract, carry, maintain and keep in full
force and effect, a policy or policies of comprehensive public liability insurance with an insurance
company admitted to write insurance in California, or carriers with a rating of, or equivalent to,
A:VII by A. M. Best & Company to, and approved by, the Director of Public Works and City
Attorney, within minimum limits of one Million Dollars ($1,000,000.00) combined single limit
coverage with an aggregate of Two Million Dollars ($2,000,000.00) against any injury, death, loss
or damage as a result of wrongful or negligent acts or omissions by the Contractor, its officers,
employees, agents, and independent contractors in performance of services under this
agreement; (2) Automotive liability insurance with a minimum combined single limits coverage of
One Million Dollars ($1,000,000.00) with an aggregate of Two Million Dollars ($2,000.000.00);
and (3) workers' compensation insurance as required by law. The contractor shall at all times
during the term of this contract carry, maintain and keep in full force and effect a policy or policies
of workers' compensation insurance and shall provide to the City evidence of such coverage in
the form set forth herein. The City, its officers, employees, attorneys, and volunteers shall be
named as additional insured on the policy (ies) as to comprehensive general liability, automotive
liability, and worker's compensation coverages.
a) All insurance policies shall provide that the insurance coverage shall not be non-
renewed, canceled, reduced, or otherwise modified (except through the addition of
additional insured to the policy) by the insurance carrier without the insurance carrier
giving the City thirty (30) day's prior written notice thereof. The Contractor agrees that
it will not cancel, reduce, or otherwise modify said insurance coverage.
b) The Contractor agrees that if it does not keep the aforesaid insurance in full force and
effect, and such insurance is available at a reasonable cost, the City may take out the
necessary insurance and the pay the premium thereon, and the repayment thereof
shall be deemed an obligation of the Contractor and the cost of such insurance may
be deducted, at the option of the City, from payments due to the Contractor.
c) The Contractor shall submit to the City ( 1) insurance certificate indicating compliance
with the minimum worker's compensation insurance requirements above, and (2)
insurance policy endorsements above, not less than one ( 1) day prior to beginning of
performance under this Agreement. Endorsements must be executed on the City's
appropriate standard forms entitled "Additional Insured Endorsement," copies of which
are attached hereto.
C-13 C-18
PAYMENT BOND
(LABOR AND MATERIALS)
Bond No. ------
WHEREAS the City of Rancho Palos Verdes, California ("Public Agency") has awarded to __
(Name and address of Contractor)
("Principal"), a contract (the "Contract"), which is incorporated herein by this reference, for the work
described as follows:
BLACKHORSE ROAD CDBG ADA PROJECT -PHASE II
(Community Development Block Grant Project #601564-12)
WHEREAS, Principal is required under the terms of the Contract and the California Civil Code before
entering upon the performance of the work to file a good and sufficient payment bond with the Public
Agency to secure the claims to which reference is made in Title 3 (commencing with Section 9000) of
Part 6 of Division 4 of the Civil Code.
NOW, THEREFORE, we, the undersigned Principal, and----------------
(Name and address of Surety)
("Surety") a duly admitted surety insurer under the laws of the State of California, as Surety, are held and
firmly bound unto the Public Agency and all contractors, subcontractors, laborers, material suppliers, and
other persons employed in the performance of the Contract and referred to in Title 3 (commencing with
Section 9000) of Part 6 of Division 4 of the Civil Code in the sum of ____________ _
Dollars ($ ) (the "Penal Sum"), this amount being not less than one
hundred percent (100%) of the total Contract price, in lawful money of the United States of America, for
materials furnished or labor thereon of any kind, or for amounts due under the Unemployment Insurance
Act with respect to this work or labor, that the surety will pay the same in an amount not exceeding the
amount hereinabove set forth, and also in case suit is brought upon this bond, will pay, in addition to the
face amount thereof, costs and reasonable expenses and fees, including reasonable attorney's fees,
incurred by the Public Agency in successfully enforcing this obligation, to be awarded and fixed by the
court, and to be taxed as costs and to be included in the judgment therein rendered.
It is hereby expressly stipulated and agreed that this bond shall inure to the benefit of any and all persons,
companies, and corporations entitled to file claims under Title 3 (commencing with Section 9000) of Part
6 of Division 4 of the Civil Code, so as to give a right of action to them or their assigns in any suit brought
upon this bond.
Should the condition of this bond be fully performed, then this obligation shall become null and void,
otherwise it shall be and remain in full force and effect.
C-14 C-19
The surety hereby stipulates and agrees that no change, extension of time, alteration, or addition to the
terms of the agreement or the specifications accompanying the same shall in any manner affect its
obligations on this bond, and it does hereby waive notice of any such change, extension, alteration, or
addition. Surety hereby waives the provisions of California Civil Code sections 2845 and 2849.
IN WITNESS WHEREOF, two (2) identical counterparts of this instrument, each of which shall for all
purposes be deemed an original hereof, have been duly executed by Principal and Surety, on the date
set forth below, the name of each corporate party being hereto affixed and these presents duly signed
by its undersigned representative(s) pursuant to authority of its governing body.
Dated:
"Principal"
By: ______________ _
Its
By: ___________ _
Its
(Seal)
APPROVED AS TO SURETY AND PRINCIPAL
AMOUNT
By: ___________ _
Insurance Administrator
"Surety"
By: ______________ _
Its
By: ______________ _
Its
(Seal}
APPROVED AS TO FORM:
RICHARDS, WATSON & GERSHON
A Professional Corporation
By: ___________ _
Public Agency Attorney
Note: This bond must be executed in duplicate and dated, all signatures must be notarized, and evidence of the authority of any
person signing as attorney-in-fact must be attached.
C-15 C-20
Bond No. ___ _
PERFORMANCE BOND
WHEREAS the City of Rancho Palos Verdes, California ("Public Agency") has awarded to __
(Name and address of Contractor)
("Principal"), a contract (the "Contract") for the work described as follows:
BLACKHORSE ROAD CDBG ADA PROJECT -PHASE II
(Community Development Block Grant Project #601564-12)
WHEREAS, Principal is required under the terms of the Contract to furnish a bond for the faithful
performance of the Contract.
NOW, THEREFORE, we, the undersigned Principal, and----------------
(Name and address of Surety)
("Surety") a duly admitted surety insurer under the laws of the State of California, as Surety, are held and
firmly bound unto the Public Agency in the penal sum of ________________ _
Dollars.($ ) in lawful money of the United States of
America, this amount being not less than the total Contract price, for the payment of which sum well and
truly to be made, 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, executors, administrators, successors or assigns, shall in all things stand to and abide by, and
well and truly keep and perform all the undertakings, terms, covenants, conditions and provisions in the
Contract and any alteration thereof made as therein provided, on the Principal's part to be kept and
performed, 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 employees, as therein stipulated, then this obligation shall become null and void; otherwise, it shall
be and remain in full force and effect.
As a part of the obligation secured hereby and in addition to the face amount specified therefor, there
shall be included costs and reasonable expenses and fees, including reasonable attorneys' fees, incurred
by the Public Agency in successfully enforcing such obligation, all to be taxed as costs and included in
any judgment rendered.
The Surety hereby stipulates and agrees that no change, extension of time, alteration or addition to the
terms of the agreement or to the work to be performed thereunder or the specifications accompanying
the same shall in anywise affect its obligations on this bond, and it does hereby waive notice of any such
change, extension of time, alteration or addition to the terms of the agreement or to the work or to the
specifications. Surety hereby waives the provisions of California Civil Code sections 2845 and 2849.
The City is the principal beneficiary of this bond and has all rights of a party hereto.
C-16 C-21
IN WITNESS WHEREOF, two (2) identical counterparts of this instrument, each of which shall for all
purposes be deemed an original hereof, have been duly executed by Principal and Surety, on the date
set forth below, the name of each corporate party being hereto affixed and these presents duly signed
by its undersigned representative(s) pursuant to authority of its governing body.
Dated:
"Principal"
By: ___________ _
Its
By: ___________ _
Its
(Seal)
APPROVED AS TO SURETY AND
PRINCIPAL AMOUNT
By: ______________ _
Insurance Administrator
"Surety"
Its
By:, _____________ _
Its
(Seal)
APPROVED AS TO FORM:
RICHARDS, WATSON & GERSHON
A Professional Corporation
By: _____________ _
Public Agency Attorney
Note: This bond must be executed in duplicate and dated, all signatures must be notarized, and evidence of the authority of any
person signing as attorney-in-fact must be attached
C-17 C-22
Workers' Compensation
Certificate of Insurance
WHEREAS, the City of Rancho Palos Verdes has required certain insurance to be provided by:
NOW THEREFORE, the undersigned insurance company does hereby certify that it has issued the policy
or policies described below to the following named insured and that the same are in force at this time:
1. This certificate is issued to:
City of Rancho Palos Verdes
City Hall
30940 Hawthorne Boulevard
Rancho Palos Verdes, California 90275
2. The insured under such policy or policies are:
3. Workers' Compensation Policy or Policies in a form approved by the Insurance Commissioner of
California covering all operations of the named insured as follows:
Policy Number Effective Date Expiration Date
4. Said policy or policies shall not be canceled, nor shall there be any reduction in coverage or limits
of liability, unless and until thirty days' written notice thereof has been served upon the City Clerk
of the City of Rancho Palos Verdes
Its Authorized Representative
C-18 C-23
AGREEMENT TO COMPLY WITH CALIFORNIA LABOR LAW REQUIREMENTS
1. Contractor acknowledges that the project as defined in this Agreement between
Contractor and the City, to which this Agreement to Comply with California Labor Law
Requirements is attached and incorporated by reference, is a "public work" as defined in Division
2, Part 7, Chapter 1 (commencing with Section 1720) of the California Labor Code ("Chapter 1"),
and that this Agreement is subject to (a) Chapter 1, including without limitation Labor Code
Section 1771 and (b) the rules and regulations established by the Director of Industrial Relations
("DIR") implementing such statutes. Contractor shall perform all work on the project as a public
work. Contractor shall comply with and be bound by all the terms, rules and regulations described
in 1(a) and 1(b) as though set forth in full herein.
2. California law requires the inclusion of specific Labor Code provisions in certain contracts.
The inclusion of such specific provisions below, whether or not required by California law, does
not alter the meaning or scope of Section 1 above.
3. Pursuant to Labor Code Section 1773.2, copies of the prevailing rate of per diem wages
for each craft, classification, or type of worker needed to perform the Agreement are on file at City
Hall and will be made available to any interested party on request. Contractor acknowledges
receipt of a copy of the DIR determination of such prevailing rate of per diem wages, and
Contractor shall post such rates at each job site covered by this Agreement.
4. Contractor shall comply with and be bound by the provisions of Labor Code Sections 177 4
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 City, forfeit two hundred
dollars ($200) for each calendar day, or portion thereof, for each worker paid less than the
prevailing rates as determined by the DIR for the work or craft in which the worker is employed
for any public work done pursuant to this Agreement by Contractor or by any subcontractor.
5. Contractor shall comply with and be bound by the provisions of Labor Code Section 1776,
which requires Contractor and each subcontractor to (1) keep accurate payroll records and verify
such records in writing under penalty of perjury, as specified in Section 1776, (2) certify and make
such payroll records available for inspection as provided by Section 1776, and (3) inform the City
of the location of the records.
6. Contractor shall comply with and be bound by the provisions of Labor Code Sections
1777.5, 1777.6 and 1777.7 and California Administrative Code title 8, section 200 et seq.
concerning the employment of apprentices on public works projects. Contractor shall be
responsible for compliance with these aforementioned Sections for all apprenticeable
occupations. Prior to commencing work under this Agreement, Contractor shall provide City with
a copy of the information submitted to any applicable apprenticeship program. Within sixty (60)
days after concluding work pursuant to this Agreement, Contractor and each of its subcontractors
shall submit to the City a verified statement of the journeyman and apprentice hours performed
under this Agreement.
7. Contractor acknowledges that eight (8) hours labor constitutes a legal day's work.
Contractor shall comply with and be bound by Labor Code Section 1810. Contractor shall comply
with and be bound by the provisions of Labor Code Section 1813 concerning penalties for workers
who work excess hours. The Contractor shall, as a penalty to the City, forfeit twenty-five dollars
($25) for each worker employed in the performance of this Agreement by the Contractor or by any
subcontractor for each calendar day during which such worker is required or permitted to work
more than eight (8) hours in any one (1) calendar day and forty (40) hours in any one calendar
week in violation of the provisions of Division 2, Part 7, Chapter 1, Article 3 of the Labor Code.
C-19 C-24
Pursuant to Labor Code section 1815, work performed by employees of Contractor in excess of
8 hours per day, and 40 hours during any one week shall be permitted upon public work upon
compensation for all hours worked in excess of 8 hours per day at not less than 11/2 times the
basic rate of pay.
8. California Labor Code Sections 1860 and 3700 provide that every contractor will be
required to secure the payment of compensation to its employees. In accordance with the
provisions of California Labor Code Section 1861, Contractor hereby certifies as follows:
"I am aware of the provisions of Section 3700 of the Labor Code which require
every employer to be insured against liability for workers' 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."
9. For every subcontractor who will perform work on the project, Contractor shall be
responsible for such subcontractor's compliance with Chapter 1 and Labor Code Sections 1860
and 3700, and Contractor shall include in the written contract between it and each subcontractor
a copy of those statutory provisions and a requirement that each subcontractor shall comply with
those statutory provisions. Contractor shall be required to take all actions necessary to enforce
such contractual provisions and ensure subcontractor's compliance, including without limitation,
conducting a periodic review of the certified payroll records of the subcontractor and upon
becoming aware of the failure of the subcontractor to pay his or her workers the specified
prevailing rate of wages. Contractor shall diligently take corrective action to halt or rectify any
failure.
10. .To the maximum extent permitted by law, Contractor shall indemnify, hold harmless and
defend (at Contractor's expense with counsel reasonably acceptable to the City) the City, its
officials, officers, employees, agents and independent contractors serving in the role of City
officials, and volunteers from and against any demand or claim for damages, compensation, fines,
penalties or other amounts arising out of or incidental to any acts or omissions listed above by
any person or entity (including Contractor, its subcontractors, and each of their officials, officers,
employees and agents) in connection with any work undertaken or in connection with the
Agreement, including without limitation the payment of all consequential damages, attorneys'
fees, and other related costs and expenses. All duties of Contractor under this Section shall
survive termination of the Agreement.
Signature 1: ------------------
Signature 2: ------------------
C-20 C-25
ADDITIONAL INSURED ENDORSEMENT
COMPREHENSIVE GENERAL LIABILITY
Name and address of named insured ("Named Insured'}:
Name and address of Insurance Company ("Company'}:
General description of agreement(s), permit(s), /icense(s), and/or activity (ies) insured:
Notwithstanding any inconsistent statement in the policy to which this endorsement is attached
(the "Policy") or in any endorsement now or hereafter attached thereto, it is agreed as follows:
1. The~~~~~~~~~~~~~~~~~~~~~~~~~~~
("Public Agency"), its elected officials, officers, attorneys, agents, employees, and volunteers are
additional insured (the above named additional insured are hereafter referred to as the "Additional
Insured") under the Policy in relation to those activities described generally above with regard to
operations performed by or on behalf of the Named Insured. The Additional Insured have no liability for
the payment of any premiums or assessments under the Policy.
2. The insurance coverage afforded the Additional Insured under the Policy shall be primary
insurance, and no other insurance maintained by the Additional Insured shall be called upon to contribute
with the insurance coverage provided by the Policy.
3. Each insurance coverage under the Policy shall apply separately to each Additional
Insured against whom claim is made or suit is brought except with respect to the limits of the Company's
liability.
4. Nothing in this contract of insurance shall be construed to preclude coverage of a claim
by one insured under the policy against another insured under the policy. All such claims shall be covered
as third-party claims, i.e., in the same manner as if separate policies had been issued to each insured.
Nothing contained in this provision shall operate to increase or replicate the Company's limits of liability
as provided under the policy.
5. The insurance afforded by the Policy for contractual liability insurance (subject to the
terms, conditions and exclusions applicable to such insurance) includes liability assumed by the Named
Insured under the indemnification and/or hold harmless provision(s) contained in or executed in
conjunction with the written agreement(s) or permit(s) designated above, between the Named Insured
and the Additional Insured.
6. The policy to which this endorsement is attached shall not be subject to cancellation,
change in coverage, reduction of limits (except as the result of the payment of claims), or non-renewal
except after written notice to Public Agency, by certified mail, return receipt requested, not less than thirty
(30) days prior to the effective date thereof. In the event of Company's failure to comply with this notice
provision, the policy as initially drafted will continue in full force and effect until compliance with this notice
requirement.
7. Company hereby waives all rights of subrogation and contribution against the Additional
Insured, while acting within the scope of their duties, from all claims, losses and liabilities arising out of
or incident to the perils insured against in relation to those activities described generally above with regard
C-21 C-26
to operations performed by or on behalf of the Named Insured regardless of any prior, concurrent, or
subsequent active or passive negligence by the Additional Insured.
8. It is hereby agreed that the laws of the State of California shall apply to and govern the
validity, construction, interpretation, and enforcement of this contract of insurance.
9. This endorsement and all notices given hereunder shall be sent to Public Agency at:
City of Rancho Palos Verdes
10. Except as stated above and not in conflict with this endorsement, nothing contained herein
shall be held to waive, alter or extend any of the limits, agreements, or exclusions of the policy to which
this endorsement is attached.
TYPE OF COVERAGES TO WHICH
THIS ENDORSEMENT ATIACHES
POLICY PERIOD
FROMrro
LIMITS OF
LIABILITY
11. Scheduled items or locations are to be identified on an attached sheet. The following
inclusions relate to the above coverage. Includes:
o Contractual Liability
o Owners/Landlords/Tenants
o Manufacturers/Contractors
o Products/Completed Operations
o Broad Form Property Damage
o Extended Bodily Injury
o Broad Form Comprehensive
General Liability Endorsement
o Explosion Hazard
o Collapse Hazard
o Underground Property Damage
o Pollution Liability
o Liquor Liability
D ---------------------
0 ---------------------
0 ---------------------
12. A o deductible or o self-insured retention (check one) of$ ________ _
applies to all coverage(s) except:----------------------
(if none, so state). The deductible is applicable o per claim or o per occurrence (check one).
13. This is an o occurrence or o claims made policy (check one).
14. This endorsement is effective on at 12:01 a.m. and forms a part of
Policy Number ________ _
I, (print name), hereby declare
under penalty of perjury under the laws of the State of California, that I have the authority to bind the
Company to this endorsement and that by my execution hereof, I do so bind the Company.
Executed---------------' 20_
Signature of Authorized Representative
Telephone No.: { ___ ) (Original signature only; no facsimile signature or initialed signature accepted)
ADDITIONAL INSURED ENDORSEMENT
C-22 C-27
AUTOMOBILE LIABILITY
Name and address of named insured (''Named Insured''): _____________ _
Name and address of Insurance Company ("Company''): _____________ _
General description of agreement(s), permit(s), license(s), and/or activity(ies) insured:
Notwithstanding any inconsistent statement in the policy to which this endorsement is attached
(the "Policy") or in any endorsement now or hereafter attached thereto, it is agreed as follows:
1. The __________________________ _
("Public Agency"), its elected officials, officers, attorneys, agents, employees, and volunteers are
additional ins'ured (the above named additional insured are hereafter referred to as the "Additional
Insured") under the Policy in relation to those activities described generally above with regard to
operations performed by or on behalf of the Named Insured. The Additional Insured have no liability for
the payment of any premiums or assessments under the Policy.
2. The insurance coverage afforded the Additional Insured under the Policy shall be primary
insurance, and no other insurance maintained by the Additional Insured shall be called upon to contribute
with the insurance coverage provided by the Policy.
3. Each insurance coverage under the Policy shall apply separately to each Additional
Insured against whom claim is made or suit is brought except with respect to the limits of the Company's
liability.
4. Nothing in this contract of insurance shall be construed to preclude coverage of a claim
by one insured under the policy against another insured under the policy. All such claims shall be covered
as third-party claims, i.e., in the same manner as if separate policies had been issued to each insured.
Nothing contained in this provision shall operate to increase or replicate the Company's limits of liability
as provided under the policy.
5. The insurance afforded by the Policy for contractual liability insurance (subject to the
terms, conditions and exclusions applicable to such insurance) includes liability assumed by the Named
Insured under the indemnification and/or hold harmless provision(s) contained or executed in conjunction
with the written agreement(s) or permit(s) designated above, between the Named Insured and the
Additional Insured.
6. The policy to which this endorsement is attached shall not be subject to cancellation,
change in coverage, reduction of limits (except as the result of the payment of claims), or non-renewal
except after written notice to Public Agency, by certified mail, return receipt requested, not less than thirty
(30) days prior to the effective date thereto. In the event of Company's failure to comply with this notice
provision, the policy as initially drafted will continue in full force and effect until compliance with this notice
requirement.
7. Company hereby waives all rights of subrogation and contribution against the Additional
Insured, while acting within the scope of their duties, from all claims, losses and liabilities arising out of
or incident to the perils insured against in relation to those activities described generally above with regard
to operations performed by or on behalf of the Named Insured regardless of any prior, concurrent, or
subsequent active or passive negligence by the Additional Insured.
C-23 C-28
8. It is hereby agreed that the laws of the State of California shall apply to and govern the
validity, construction, interpretation, and enforcement of this contract of insurance.
9. This endorsement and all notices given hereunder shall be sent to Public Agency at:
City Manager
City of Rancho Palos Verdes
30940 Hawthorne Boulevard
Rancho Palos Verdes, California 90275
10. Except as stated above and not in conflict with this endorsement, nothing contained herein
shall be held to waive, alter or extend any of the limits, agreements, or exclusions of the policy to which
this endorsement is attached.
TYPE OF COVERAGES TO WHICH
THIS ENDORSEMENT ATTACHES
POLICY PERIOD
FROM/TO
LIMITS OF
LIABILITY
11. Scheduled items or locations are to be identified on an attached sheet. The following
inclusions relate to the above coverage. Includes:
I Any Automobiles I Truckers Coverage
I All Owned Automobiles I Motor C~rrier Act
I Non-owned Automobiles I Bus Regulatory Reform Act
I Hired Automobiles I Public Livery Coverage
I Scheduled Automobiles I
I Garage Coverage I
12. A o deductible or o self-insured retention (check one) of$ _______ _
applies to all coverage(s) except: _(if none, so state). The deductible is applicable G per claim or G
per occurrence (check one).
13. This is an o occurrence or o claims made policy (check one).
14. This endorsement is effective on at 12:01 a.m. and forms a part of Policy
Number
I, (print name), hereby declare
under penalty of perjury under the laws of the State of California, that I have the authority to bind the
Company to this endorsement and that by my execution hereof, I do so bind the Company.
Executed---------------' 20_
Telephone No.: ( __ ) _____ _
C-24
Signature of Authorized Representative
(Original signature only; no facsimile signature
or initialed signature accepted)
C-29
ADDITIONAL INSURED ENDORSEMENT
EXCESS LIABILITY
Name and address of named insured ("Named Insured'):
Name and address of Insurance Company ("Company'):
General description of agreement(s), permit(s), license(s), and/or activity(ies) insured:
Notwithstanding any inconsistent statement in the policy to which this endorsement is attached
(the "Policy") or in any endorsement now or hereafter attached thereto, it is agreed as follows:
1. The-,-~..,--~.,..-..,,,,.,.-..,.....,..~-=~~~~~~~~~~-..,..~~~-.,..~..,--~
("Public Agency"), its elected officials, officers, attorneys, agents, employees, and volunteers are
additional insured (the above named additional insured are hereafter referred to as the "Additional
Insured") under the Policy in relation to those activities described generally above with regard to
operations performed by or on behalf of the Named Insured. The Additional Insured have no liability for
the payment of any premiums or assessments under the Policy.
2. The insurance coverage afforded the Additional Insured under the Policy shall be primary
insurance, and no other insurance maintained by the Additional Insured shall be called upon to contribute
with the insurance coverage provided by the Policy.
3. Each insurance coverage under the Policy shall apply separately to each Additional
Insured against whom claim is made or suit is brought, except with respect to the limits of the Company's
liability.
4. Nothing in this contract of insurance shall be construed to preclude coverage of a claim
by one insured under the policy against another insured under the policy. All such claims shall be covered
as third-party claims, i.e., in the same manner as if separate policies had been issued to each insured.
Nothing contained in this provision shall operate to increase or replicate the Company's limits of liability
as provided under the policy.
5. The insurance afforded by the Policy for contractual liability insurance (subject to the
terms, conditions and exclusions applicable to such insurance) includes liability assumed by the Named
Insured under the indemnification and/or hold harmless provision(s) contained in or executed in
conjunction with the written agreement(s) or permit(s) designated above, between the Named Insured
and the Additional Insured.
6. The policy to which this endorsement is attached shall not be subject to cancellation,
change in coverage, reduction of limits (except as the result of the payment of claims), or non-renewal
except after written notice to Public Agency, by certified mail, return receipt requested, not less than thirty
(30) days prior to the effective date thereto. In the event of Company's failure to comply with this notice
provision, the policy as initially drafted will continue in full force and effect until compliance with this notice
requirement.
7. Company hereby waives all rights of subrogation and contribution against the Additional
Insured, while acting within the scope of their duties, from all claims, losses and liabilities arising out of
or incident to the perils insured against in relation to those activities described generally above with regard
to operations performed by or on behalf of the Named Insured regardless of any prior, concurrent, or
subsequent active or passive negligence by the Additional Insured.
8. It is hereby agreed that the laws of the State of California shall apply to and govern the
validity, construction, interpretation, and enforcement of this contract of insurance.
9. This endorsement and all notices given hereunder shall be sent to Public Agency at:
C-25 C-30
City Manager
City of Rancho Palos Verdes
30940 Hawthorne Boulevard
Rancho Palos Verdes, California 90275
10. Except as stated above and not in conflict with this endorsement, nothing contained herein
shall be held to waive, alter or extend any of the limits, agreements, or exclusions of the policy to which
this endorsement is attached.
TYPE OF COVERAGES TO WHICH
THIS ENDORSEMENT ATIACHES
o Following Form
o Umbrella L.iability
POLICY PERIOD
FROMrro
D ---------------
11. Applicable underlying coverage:
LIMITS OF
LIABILITY
INSURANCE COMPANY POLICY NO. AMOUNT
12. The following inclusions, exclusions, extensions or specific provisions relate to the above
coverage:
13. A o deductible or o self-insured retention (check one) of$ _______ _
applies to all coverage(s) except:-----------------------
(if none, so state). The deductible is applicable o per claim or o per occurrence (check one).
14. This is an o occurrence or o claims made policy (check one).
15. This endorsement is effective on at 12:01 a.m. and forms a part of Policy
Number ______ _
I, (print name), hereby declare
under penalty of perjury under the laws of the State of California, that I have the authority to bind the
Company to this endorsement and that by my execution hereof, I do so bind the Company.
Executed---------------' 20_
Telephone No.: ( _________ _
C-26
Signature of Authorized Representative
(Original signature only; no facsimile signature
or initialed signature accepted)
C-31
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 I, or the
entity on whose behalf this certification is given, hold a currently valid California contractor's license as
set forth below:
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 therefore, 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 contractor 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 7028.13 inclusive. Any
contract awarded to, or any purchase order issued to, a contractor who is not
licensed pursuant to this chapter is void.
C-27 C-32
(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 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 the 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 contract
shall r,iot be made unless and until the Registrar of Contractors verifies to the agency that the
records of the Contractor's State License Board indicate that 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 Contractor's State License Board. The agency shall include a statement to that
effect in the standard form of prequalification questionnaire and financial statement. Failure of
the bidder to obtain proper and adequate licensing for an award of a contract shall constitute a
failure to execute the contract and shall result in the forfeiture of the security of the bidder.
Expiration Date:------------
Date:
---------------~
Signature:--------------
C-28 C-33
FEDERAL LOBBYIST REQUIREMENTS CERTIFICATION
Name of Firm: Date: ---------------------------
Address: --------------------------------
St ate: ________ Zip Code: ______ Phone No.: _________ _
Acting on behalf of the above named firm, as its Authorized Official, I make the following
Certification to the Department of Housing and Urban Development (HUD) and the Community
Development Commission, County of Los Angeles:
1. No Federal appropriated funds have been paid, by or on behalf of the above named firm to
any person for influencing or attempting to influence an officer or employee of any agency,
a Member of Congress, an 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 and
Federal grant, loan or cooperative agreement, and any extension, continuation, renewal,
amendment, or modification thereof, and;
2. If any funds other than Federal appropriated funds have paid or will be paid to any person
for influencing or attempting to influence an officer or employee or any agency, a Member
of Congress an officer or employee of Congress or an employee of a Member of Congress
in connection with this Federal contract, grant loan, or cooperative agreement, the above
named firm shall complete and submit Standard Form-LLL, "Disclosure Form to Report
Lobbying", in accordance with its instructions, and:
3. The above name firm shall require that the language of this certification be included in the
award documents for all sub-awards at all tiers (including subcontracts, sub-grants, and
contracts under grants, loans, and cooperative agreement) and that all sub-recipients shall
certify and disclose accordingly.
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 the 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 less
than $10,000 and not more than $100,000 for each such failure.
Authorized Official:
Name: Title: ---------------~-------------~
Signature: ________________ Date:-------------
Federal Lobbying Requirements Certification Form Revised 09/30/05
C-29 C-34
FEDERAL DISCRIMINATION PROVISIONS
Contractors shall comply with all relevant requirements of the following federal laws and regulations dealing with
discrimination in federally assisted programs:
A. Titles VI and VII of the Civil Rights Act of 1964 (42 U.S.C. 20000d), as amended by the Equal
Employment Opportunity Act of 1972, which provide that no person shall, on the ground of race, color,
national origin, or sex, be excluded from employment or participation in, be denied the benefits of, or be
subjected to discrimination under any program or activity receiving federal financial assistance.
B. Section 109 of Title I of the Housing and Community Development Act of 197 4, as amended (42
U.S.C. 5309) and regulations at CFR 570.602 which provide that no person shall on the grounds of
race, color, national origin, or sex, be excluded from participation in, be denied the benefits of, be denied
employment in, or be subjected to discrimination under any CDBG/HOME program or activity.
C. Section 504 of the Rehabilitation Act of 1973, as amended, (29 U.S.C. 794) which provides that no
·otherwise qualified handicapped individual shall, solely by reason of his/her handicap, be excluded from
the parti.cipation in, be denied the benefits of, be denied employment in, or be discriminated against under
any program or activity receiving federal assistance, and Section 503 of the Rehabilitation Act of 1973,
which provides for affirmative action to employ and advance qualified disabled people
D. Age Discrimination Act of 1975, as amended (42 U.S.C. 6101) which provides that no person shall, on
the basis of age, be excluded from participation in, be denied the benefits of, or be subjected to
discrimination under any program or activity receiving federal assistance.
E. Americans with Disabilities Act of 1990, as amended, (42 U.S.C. 12101) and regulations at 28 CFR
Part 35 and 29 CFR Title 1630, which provides prohibits discrimination based on disability, and
Architectural Barriers Act of 1968, which requires buildings assigned for public use to be designed,
constructed and altered so as to be accessible to and usable by persons with physical disabilities.
F. Executive Order 11246, as amended by Executive Order 12086, and regulations in 41 CFR 60,
which provides that no person shall be discriminated against on the basis of race, color, religion, sex, or
national origin in all phases of employment during the performance of federally-assisted construction
contracts and subcontracts. Contractors and subcontractors shall take affirmative action to ensure fair
treatment in employment, including recruitment, training, promotion, demotion, transfer, layoff,
termination, and pay.
1. The Contractor will not discriminate against any employee or applicant for employment because
of race, color, religion, sex, or national origin. The Contractor will take affirmative action to ensure
that applicants are employed, and that employees are treated during employment, without regard
to their race, color, religion, sex, or national origin. Such action shall include, but not be limited to
the following: Employment, upgrading, demotion, or transfer; recruitment or recruitment
advertising; layoff or termination; rates of pay of other forms of compensation; and selection for
training, including apprenticeship. The Contractor agrees to post in conspicuous places, available
to employees and applicants for employment, notices to be provided by the contracting officer
setting forth the provisions in this nondiscrimination clause.
2. The Contractor will, in all solicitations or advertisement for employees placed by or on behalf of
the Contractor, state that all qualified applicants will receive consideration for employment without
regard to race, color, religion, sex or national origin.
3. The Contractor will send to each labor union or representative of workers with which he has a
collective bargaining agreement or other contract or understanding, a notice, to be provided by
the agency contracting officer, advertising the labor union or worker's representative of the
Contractor's commitments under section 202 of Executive Order 11246 of September 24, 1965,
and shall post copies of the notice in conspicuous places available to employees and applicants
C-30 C-35
for employment.
4. The Contractor will comply with all provisions of Executive Order No. 11246 of September 24,
1965, and of the rules, regulations, and relevant orders of the Secretary of Labor.
5. The Contractor will furnish all information and reports required by Executive Order No. 11246 of
September 24, 1965, and by the rules, regulations, and orders of the Secretary of Labor, or
pursuant thereto, and will permit access to his books, records, and accounts by the contracting
agency and the Secretary of Labor for purposes of investigation to ascertain compliance with
such rules, regulations and orders.
6. In the event of the Contractor's noncompliance with the nondiscrimination clauses of this contract
or with any of such rules, regulations, and orders, this contract may be canceled, terminated, or
suspended in whole or in part and the Contractor may be declared ineligible for further
Government contracts in accordance with procedures authorized in Executive Order 11246 of
September 24, 1965, or by rule, regulation, or order of the Secretary of Labor, or as otherwise
.provided by law.
7. The Contractor will include the provisions of paragraphs ( 1) through (7) in every subcontract or
purchase order unless exempted by rules, regulations or orders of the Secretary of Labor issued
pursuant to Section 204 of Executive Order No. 11246 of September 24, 1965, so that such
provisions will be binding upon each subcontractor or vendor. The Contractor will take such
action with respect to any subcontractor or purchase order as the contracting agency, and may
direct the subcontractor or vendor as a means of enforcing such provisions including sanctions
for noncompliance. Provided, however, that in the event the contract becomes involved in, or
threatened with, litigation with a subcontractor or vendor as a result of such direction by the
contracting agency, the Contractor may request the United States to enter into such litigation to
protect the interest of the United States.
C-31 C-36
Equal Employment Opportunity Regulations
NONDISCRIMINATION:
(Applicable to all Federal-aid construction contracts and to all related subcontracts of $10,000 or more)
Equal employment opportunity (EEO) requirements not to discriminate and to take affirmative action to assure equal
opportunity as set forth under laws, executive orders, rules, regulations (28 CFR 35, 29 CFR 1630 and 41 CFR 60) and orders
of the Secretary of Labor as modified by the provisions prescribed herein, and imposed pursuant to 23 U.S.C. 140 shall
constitute the EEO and specific affirmative action standards for the contractor's project activities under this contract. The Equal
Opportunity Construction Contractor Specifications set forth under 41 CFR 60-4.3 and the provisions of the American
Disabilities Act of 1990 (42 U.S.C. 12101 et seq.) set forth under 28 CFR 35 and 29 CFR 1630 are incorporated by reference
in this contract. In the execution of this contract, the contractor agrees to comply with the following minimum specific
requirement activities of EEO.
The contractor will work with the awarding agency and the Federal Government in carrying out EEO obligations and in their
review of his/her activities under the contract.
The contractor wiU accept as his operating policy the following statement:
"It is the policy of this Company to assure that applicants are employed, and that employees are treated during employment,
without regard to their race, religion, sex, color, national origin, age or disability. Such action shall include: employment,
upgrading, demotion, or transfer, recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of
compensation; and selection for training, including apprenticeship, preapprenticeship, and/or on-the-job training."
EEO OFFICER:
The contractor will designate and make known to the awarding agency an EEO Officer who will have the responsibility for and
must be capable of effectively administering and promoting an active contractor program of EEO and who must be assigned
adequate authority and responsibility to do so.
DISSEMINATION OF POLICY:
All members of the contractor's staff who are authorized to hire, supervise, promote, and discharge employees, or who
recommend such action, or who are substantially involved in such action, will be made fully cognizant of, and will implement,
the contractor's EEO policy and contractual responsibilities to provide EEO in each grade and classification of employment.
To ensure that the above agreement will be met, the following actions will be taken as a minimum:
Periodic meetings of supervisory and personnel office employees will be conducted before the start of work and then not less
often than once every six months, at which time the contractor's EEO policy and its implementation will be reviewed and
explained. The meetings will be conducted by the EEO officer.
All new supervisory or personnel office employees will be given a thorough indoctrination by the EEO Officer, covering all
major aspects of the contractor's EEO obligations within thirty days following their reporting for duty with the contractor.
All personnel who are engaged in direct recruitment for the project will be instructed by the EEO Officer in the contractor's
procedures for locating and hiring minority employees.
Notices and posters identifying the contractor's EEO policy will be placed in areas readily accessible to employees, applicants
for employment and potential employees.
The contractor's EEO policy and the procedures to implement such policy will be brought to the attention of employees by
means of meetings, employee handbooks, or other appropriate means.
RECRUITMENT OF EMPLOYEES:
When advertising for employees, the contractor will include in all advertisements for employees the notation: "An Equal
Opportunity Employer." All such advertisements will be placed in publications having a large circulation among minority groups
in the area from which the project work force would normally be derived.
The contractor will, unless precluded by a valid bargaining agreement, conduct systematic and direct recruitment through
public and private employee referral sources likely to yield qualified minority group applicants. To meet this requirement, the
C-32 C-37
contractor will identify sources of potential minority group employees, and establish with such identified sources procedures
whereby minority group applicants may be referred to the contractor for employment consideration.
In the event the contractor has a valid bargaining agreement providing for exclusive hall referrals, he is expected to observe
the provisions of that agreement to the extent that the system permits the contractor's compliance with EEO contract
provisions. (The DOL has held that where implementations of such agreements have the effect of discriminating against
minorities or women, or obligates the contractor to do the same, such implementation violates Executive Order 11246, as
amended.)
The contractor will encourage his present employees to refer minority group applicants for employment. Information and
procedures with regard to referring minority group applicants will be discussed with employees.
SELECTION OF SUBCONTRACTORS, PROCUREMENT OF MATERIALS AND LEASING OF EQUIPMENT:
The contractor shall not discriminate on the grounds of race, color, religion, sex, national origin, age or disability in the
selection and retention of subcontractors, including procurement of materials and leases of equipment.
The contractor shall notify all potential subcontractors and suppliers of his/her EEO obligations under this contract.
Disadvantaged business enterprises (DBE) as defined in 49 CFR 23, shall have equal opportunity to compete for and perform
subcontracts which the contractor enters into pursuant to this contract. The contractor will use his best efforts to solicit bids
from and to utilize DBE subcontractors or subcontractors with meaningful minority group and female representation among
their employees.
The contractor will use his best efforts to ensure subcontractor compliance with their EEO obligations.
EEO RECORDS AND REPORTS:
The contractor shall keep such records as necessary to document compliance with the EEO requirements. Such records shall
be retained for a period of three years following completion of the contract work and shall be available at reasonable times and
places for inspection by authorized representatives. The records kept by the contractor shall document the following:
The number of minority and non-minority group members and women employed in each work classification on the project;
The progress and efforts being made in cooperation with unions, when applicable, to increase employment opportunities for
minorities and women;
The progress and efforts being made in locating, hiring, training, qualifying, and upgrading minority and female employees;
and
The progress and efforts being made in securing the services of DBE subcontractors or subcontractors with meaningful
minority and female representation among their employees.
NONSEGREGATED FACILITIES:
Applicable to all Federal-aid construction contracts and to all related subcontracts of $10,000 or more.
By the execution of this contract or subcontract, or the consummation of this material supply agreement or purchase order, all
parties certify that the firm does not maintain or provide for its employees any segregated facilities at any of its establishments,
and that the firm does not permit its employees to perform their services at any location under its control, where segregated
facilities are maintained. The contractor agrees that a breach of this certification is a violation of the EEO provisions of this
contract. The contractor further certifies that no employee will be denied access to adequate facilities on the basis of sex or
disability.
As used in this certification, the term "segregated facilities" refers to facilities provided for employees which are segregated by
explicit directive, or on the basis of race, color, religion, national origin, age or disability, because of habit, local custom, or
otherwise. The only exception will be forthe disabled when the demands for accessibility override, (e.g. disabled parking).
The contractor agrees that it has obtained or will obtain identical certification from proposed subcontractors or material
suppliers prior to award of subcontracts or consummation of material supply agreements of $10,000 or more and that it will
retain such certifications in its files.
C-33 C-38
FALSIFICATION OF DOCUMENTS:
The falsification of any of the above certifications may subject the contractor to civil or criminal prosecution under 18 U.S.C.
1001 and 31 U.S.C. 231.
The contractor or subcontractor shall make the records required available for inspection, copying, or transcription by
authorized representatives of the awarding agency or the DOL, and shall permit such representatives to interview employees
during working hours on the job. If the contractor or subcontractor fails to submit the required records or to make them
available, the awarding agency, HUD or DOL, or all may, after written notice to the contractor, sponsor, applicant, or owner,
take such actions as may be necessary to cause the suspension of any further payment, advance, or guarantee of funds.
Furthermore, failure to submit the required records upon request or to make such records available may be grounds of
debarment action pursuant to 29 CFR 5.12
C-34 C-39
Appendix I
MATERIAL RECYCLE PACKET
C-40
CITY OF RANCHO PALOS VERDES
C&D MATERIALS ESTIMATE
Waste Management Planning for Construction and
Demolition (C&D) Projects
The attached packet is designed to track the amount of C&D debris diverted or disposed
during the life of your project. Its contents are as follows:
• Form A is the C&D Project Information. This page asks for basic project information,
such as type, description, and contact information.
• Form B is the C&D Pre-Project Worksheet. This form allows you to estimate the
amount of debris to be generated during the course of your project. Space has been
provided to list non-routine items such as draperies and fixtures that may be salvaged
during deconstruction of a building. Conversion factors are provided at the end of
packet for estimating purposes.
• Form C is the C&D Post-Project Summary. This is your method to tabulate actual
disposal and diversion activities at the end of your project and must be accompanied
with supporting documentation, such as receipts or weight tickets.
Forms A and B are to be submitted together at the time of material submittal. Form C
is to be submitted at the end of the project, prior to final acceptance of project.
If you require assistance in locating a recycling facility for a specific material, there are a
number of websites that provide up to date information:
• http://www.ciwmb.ca.gov/ConDemo/recyclers
• http://ladpw.org/epd/brtap/recyclingsite/index.cfm
You may also contact Public Works at 310-544-5245 or pick up a resource list from the Public
Works department.
Your assistance will help us accurately account for C&D recycling within the City. We
look forward to being of service to you and greatly appreciate your time and
cooperation.
Appendix I-1 C-41
CITY OF RANCHO PALOS VERDES
Public Works Department
(310) 544-5252
FORM A-PROJECT INFORMATION
Complete this form prior to c:ommenclng a building ordemolltlon permit for all munlclpal
projects, or projects on public property.
711Js form must/Je come!ellKfaad IDD1Pved or' demo/Jt!onlbuilding oermlt wtH NQT/Je Oaahzerl
The City of Rancho Palos Verdes requires that amtractors complete the following Waste Management Plan for the reduction of
waste produced from demolition and construction work performed within the City. City staff will provide assistance in developing
and implementing the Waste Management Plan. If you have any questions regarding these requirements, please contact your
Project Manager.
Project Name: ----------------Project Address: _________ _
Contractor Nmne:
-------------------------------~ MalllngAddress: ___________ City: ______ _ State: ___ Zip: ___ _
Phone No.: Fax No.: Email: ----------------------------
Project Type: Mark appropriate box in each column with an "X": 0 New Construction D Complete Demolltlon
D Renovation D Partial Demolition
0 Land Clearing 0 other
Estimated Project Start Date: Estimated Project End Date: ________ _
DApproved DDenled
DFurther Explanation Needed DExempt due to Infeasibility
Reviewed by: _________________ _ Date: -------
*NOTE" There are nine haulers authorized to do business In Rancho Palos Verdes. Please see attached Hst for contact
lnfonnatlon. For contractors who own their own bins, please refer to ''Recycling and Diversion Facllltles Located Near
Rancho Palos Verdes" for a list of facllltles that accept construction and demolition debris.
Appendix 1-2 C-42
CITY OF RANCHO PALOS VERDES
Public Works Department
(310) 544-5252
FORM B -PRE-PROJECT WORKSHEET
In the table below, list estimated weight of debris, by material type, that will be generated, recyded, reused, salvaged, disposed, or transformed by this project.
You must in dude the haulers and all recyclers, salvage companies, recyding facilities, mixed use material recovery fadfities, landfills. or transformation facilities that will be used for this project.
Estimated Estimated
Volume \Neight Total Tons
MATERIAL TYPE (cubic yardS) (tons) Conversion Tons to be Recycled, Total Tons to
ENTER ESTIMATE IN VOLUMEOR Factor Total Tons to Tons to be Reused or R.used,or bo Disposed or
WEIGHT COLUMN ONLY Ob!cyJ be Generated Recvded Salvaaed Satvaaecl Transform eel Name of Hauler Name of Facilitv
Asphalt 772.BO
Bulky Items BO.DO
Cardboard 53.00
Carpet 147.00
Carpet Padding 62.00
Clay Roofing Tile 860.00
Comp. Roofing Material (notTile) 731.00
Concrete 860.00
Dirt and Sand 929.00
Durable Plastic Items 50.00
EPS Packaging and Insulation 32.00
Fiberglass Insulation 17.00
Flat Glass 1,400.00
Gypsum 467.00
HVAC Ducting 47.00
Major Appliances 145.00
Metals 225.00
Other Aggregates 860.00
Rock and Gravel 999.00
Leaves & Grass 312.50
Trimmings, Branches, & Stumps 127.00
Trash Bags 35.00
Wood, Lumber, Pallets 109.00
Mixed Debris (if no recyding) 1,100.00
A 0.00 E 0.00 0.00
MIXED DEBRIS PROCESSING -USE ONL V IF DELIVERING TO A MIXED C&O PROCESSING FACILITY
Mixed C&D Debris (min. 50% diversion)! 1,100.00 IR 0.001 IF I I I
TOTAL GENERATION le ol>ol TOTAL DIVERSION IG 0.001 O.OOl1°0TAL DISPOSAL
-'+t: o= t·i.:,._,:"-.
ITEMIZED BUILDING MATERIAL LIST (E.G. DOORS, WINDOWS, FIXTURES, ETC.)
ESTIMATED TOTAL (complete needed columns)
(G+C)*100 I rMATED TOTAL PROJECT DIVERSION RATE
!tom Quan tit, Slzo Tons Cu. Yards
In
D
D
Appendix 1-3 0
C
-
4
3
CITY OF RANCHO PALOS VERDES
Public Works Department
(310) 544-5252
FORM C -POST-PROJECT SUMMARY
Project Name: Project Address: ___________ _
Contractor Name: Date: --------------
Within 30 days after completion of your project. provide facility name, material, and total tonnage disposed and/or diverted. Copies of documentation.
(i.e. weight tickets) must be attached. If an approved mixed waste processing facility was used, a report by the facility for this project is preferred.
Return the completed form to your Public Works Project Manager. You may use additional sheets if necessary.
I. DISPOSAL FACILITIES
Please list all disposal facilities (i.e. landfill or transformation) used for this project and enterthe sum of all tickets/receipts per facility:
FACIL11Y NAME Tons CY or Units FACIL11Y NAME Tons, CY, or Unhs
Sub Total A
II. RECYCLING/REUSE/SALVAGE FACILITIES
Please list all recyciing facilities or recyclers used for this project and enter the sum of all tickets/receipts per facility, by material recycled:
FACILITYIRECYCLER NAME MATERIAL Tona CY or Units
Sub Total B
Ill. MIXED C&D DEBRIS PROCESSING FACILITIES
.Please list all approved mixed C&D processing facilities used and enter the sum of all tickets/receipts per facility:
TOTAL TONS
FACILITY NAME DELIVERED TONS DIVERTED TONS DISPOSED
D c
Please enter disposal and diversion totals for each item below, according to letter. Totals reported must match those listed in Sections 1-111:
TOTAL DISPOSED ..... IE ____ ....,IA+c TOTAL DIVERTEDIF IB+D TOTAL GENERATED .... IG ____ ... IE+F
OVERALL PROJECT DIVERSION RATEi l(F+G)*rno
To the best of my knowledge, the above information is an accurate representation of the disposition of the construction and demolition materials
generated on the job-site. I understand that the City of Rancho Palos Verdes may audit disposal and recycling documentation for this project.
Print Name Signature
PWOFFICE USE ONLY
Project Name: -----------Project Address: ________ _
DI v e rs Ion Requirement Met: D Yes D No Flnal Compliance Report Approved:O Yes D No
Summary Approved by: ____________________ _ Date:
Appendix I-4 C-44
Conversion Factors for C&D Reporting
1 cubic foot 45
Asphalt/paving, crushed 1 cubic yard 1,380
Asphalt/shingles comp, loose 1 cubic yard 418.5
Asphalt/shingles comp 400 sq. ft. coverage 225
Asphalt/shingles comp Square 56.25
Asphalt/tar roofing 1 cubic yard 2,919
Brick, common hard 1 cubic foot 112-125
Brick, whole 1 cubic yard 3,024
Cement, bulk 1 cubic foot 100
Cement, ·mortar 1 cubic foot 145
Ceramic tile, loose 6"x6" 1 cubic yard 1,214
Chalk, lumpy 1 cubic foot 75-85
Charcoal 1 cubic foot 15-30
Clay, kaolin 1 cubic foot 22-33
Clay, potter's dry 1 cubic foot 119
Concrete, cinder 1 cubic foot 90-110
Concrete, scrap, loose 1 cubic yard 1,855
Cork, dry 1 cubic foot 15
Earth, common, dry 1 cubic foot 70-80
Earth, loose 1 cubic foot 76
Earth, moist, loose 1 cubic foot 78
Earth, m4d 1 cubic foot 104-112
Earth, wet, containing clay 1 cubic foot 100-110
Granite, broken or crushed 1 cubic foot 95-100
Granite, solid 1 cubic foot 130-166
Gravel, dry 1 cubic foot 100
Gravel, loose 1 cubic yard 2,565
Gravel, wet 1 cubic foot 100-120
Appendix I-5 C-45
1 cubic foot 100
Mortar, wet 1 cubic foot 150
Mud, dry close 1 cubic foot 110
Mud, wet fluid 1 cubic foot 120
Pebbles 1 cubic foot 90-100
Pumice, ground 1 cubic foot 40-45
Pumice, stone 1 cubic foot 39
Quartz, sand 1 cubic foot 70-80
Quartz, solid 1 cubic foot 165
Rock, loose 1 cubic yard 2,570
Rock, soft 1 cubic foot 100-110
Sand, dry 1 cubic foot 90-110
Sand,. loose 1 cubic yard 2,441
Sand, moist 1 cubic foot 100-110
Sand, wet 1 cubic foot 110-130
Sheetrock scrap, loose 1 cubic yard 393.5
Slate, fine ground 1 cubic foot 80-90
Slate, granulated 1 cubic foot 95
Slate, solid 1 cubic foot 165-175
Soil/sandy loam, loose 1 cubic yard 2,392
Stone or gravel 1 cubic foot 95-100
Stone, crushed 1 cubic foot 100
Stone, crushed, size reduced 1 cubic yard 2,700
Stone, large 1 cubic foot 100
Appendix I-6 C-46
Recyclers
CHANDLER'S INERT SOLID LANDFILL
26311 Palos Verdes Drive East• Rolling Hills Estates• 310-784-2900
Notes: concrete, asphalt, clay dirt, sand rock
ALEXANDER LAND CLEARING, INC
1311 E. Lomita Blvd •Carson• 310-835-0247
Notes: asphalt and concrete
CALIFORNIA WASTE SERVICES
621W.152nd St.• Gardena• 90247 • 800-839-5550
Notes: Provide roll-off and 3-yard bins for recycling of mixed C&D.
JWR .
3031 East "I" Street 90744
Wilmington (In Los Angeles)
Phone: (562) 590 -8531 Fax: (562) 590 -8584
Notes: processes mixed construction and demolition debris. (Anticipated to be open to public in fall 2003)
LOONEY BINS
1-800-LOONEY BINS (566-6392)
Notes: Provide roll-off and 3-yard bins for recycling of mixed C&D.
COMMUNITY RECYCLING/RESOURCE RECOVERY
9147 DeGarmo Ave.• Sun Valley• 91352 • 818-767-7511
Notes: mixed construction and demolition debris; cardboard, pallets
MASTER RECYCLING CENTER
2845 Durfee Ave. • El Monte • 91732 • 626-350-4404
Notes: dirt; all and any type of C&D materials and/or projects; Public Only
DAN COPP CRUSHING CORP.
12017 Greenstone Ave.• Santa Fe Springs• 92670 • 714-777-6400
Notes: clean asphalt and concrete, no dirt, wood, trash, deleterious or hazardous material
EARTHSHINE
13633 S. Central Ave.• Los Angeles• 90059 • 714-897-4311
Notes: asphalt and/or concrete mixed with dirt and clean dirt
HANSON AGGREGATE (FORMERLY BLUE DIAMOND MATERIAL)
5625 Southern Ave. •South Gate• 90280 • 800-300-6120
Notes: asphalt millings and grindings, concrete block, slump stone
BASE MATERIALS, INC.
2121 E. 251h St. • Los Angeles• 90058 • 818-767-3088
Notes: clean concrete and dirt
LU MAR INDUSTRIAL METALS COMPANY
2120 N. Alameda• Compton• 323-636-0156
Notes: industrial scrap, all metals, all C&D
D& T RECYCLING & SALVAGE
14113 Garfield • Paramount • 562-531-4990
Notes: all scrap metals
Appendix I-7 C-47
PHILLIPS RECYCLING
6544Y2 Cherry Ave. •Long Beach• 562-422-9556
Notes: scrap metals
AAA CARPET RECYCLING
5542 West Washington Blvd. • Los Angeles • 90016 • 213-933-3323
Notes: carpet pad
CARPET PAD RECYCLING
12030 Sherman Way• North Hollywood• 91605 • 818-503-9454
Notes: carpet/pad
DUPONT FLOORING SYSTEM
15651 Saticoy Ct.• Van Nuys • 91406 • 818-374-5243
Notes: carpet .
PAD & CARPET RECYCLERS OF AMERICA
7803 Noble Ave. •Van Nuys • 91405 • 818-787-6606
Notes: carpet/pad
D&D RECYCLING
1320 West El Segundo Blvd. •Gardena• 90247 • 310-329-8475
Notes: carpet/pad
Reuse Organizations
HABITAT FOR HUMANITY-SOUTH BAY/LONG BEACH
4320 Atlantic Ave.• Long Beach• 90807 • 562-427-4663
Notes: like-new construction materials for affordable housing-cabinets, sinks, etc.
LOS ANGELES MATERIALS EXCHANGE (LACOMAX)
http://www.lacomax.com
888-CLEAN-LA (253-2652)
CALIFORNIA MATERIALS EXCHANGE (CALMAX)
http://www.ciwmb.ca.gov/CalMAX
CalMAX@ciwmb.ca.gov 877-520-9703 Toll Free
Appendix I-8 C-48
Appendix II
Plans
(Separate}
Appendix II C-49
Appendix Ill
City Hall Facility Schedule
Regular Business Hours
Monday thru Thursday -
Friday
Appendix III
7:30 am to 5:30 pm
7:30 am to 4:30 pm
C-50
Appendix IV
Community Development Block Grant {CDBG}
Requirements
Appendix IV C-51
Appendix V
Additional Insurance Requirements
INSURANCE REQUIREMENTS FOR
OPERATING AGENCY
The Contractor shall at all times, during the term of this contract, carry, maintain and keep in full force
and effect, insurance policies conforming to the following requirements. The City, its officers, employees,
attorneys, and volunteers shall be named as additional insured on the policy (ies ). The Contractor shall
provide all requirements pertaining to the "Operating Agency" as noted herein.
In order for the Operating Agency to meet its obligations to the community and insure its continuance,
the Community Development Commission of the County of Los Angeles ("CDC"), the Housing Authority
of the County of Los Angeles ("HA"), and the County of Los Angeles ("County") require that prior to the
execution of this contract or as otherwise set forth herein, the Operating Agency must provide evidence
that all insurance requirements have been met. Without limiting Operating Agency's indemnifications as
set in the attached contract, Operating Agency shall procure and maintain, at Operating Agency's sole
expense, for the duration of this contract, the insurance policies described herein. Such insurance shall
be secured from carriers admitted in California, or authorized to do business in California. Carriers shall
be in good standing with the California Secretary of State's Office and the California Department of
Insurance. Such carriers must be admitted and approved by the California Department of Insurance or
just be included on the California Department of Insurance List of Eligible Surplus Line Suppliers
(hereinafter "LESLI"). Carriers must have a minimum rating of or equivalent to A: VIII in Best's Insurance
Guide. Operating Agency shall, prior to the execution of this contract, deliver to the CDC Certificates of
Insurance with original endorsements evidencing the insurance coverage required by this contract. The
certificates and endorsements shall be signed by a person authorized by the insurers to bind coverage
on its behalf. Operating Agency shall provided the Commission with certificates of insurance and
applicable endorsements each year during the term of this contract to evidence its annual compliance
with the insurance requirements set forth herein. The CDC reserves the right to require complete certified
copies of all policies at any time. Said insurance shall be in a form acceptable to the CDC and may
provide for such deductibles as may be acceptable to the CDC.
Any self-insurance program and self-insured retention must be separately approved by the CDC. In the
event such insurance does provide for deductibles or self-insurance, Operating Agency agrees that it will
defend, indemnify and hold harmless the CDC, County, and HA, and each of their elected and appointed
officers, officials, representatives, employees, and agents in the same manner as they would have been
defended, indemnified and held harmless if full coverage under any applicable policy had been in effect.
Each policy shall be endorsed to stipulate that the CDC be given at least thirty (30) days' written notice
in advance of any cancellation or any reduction in limit(s) for any policy of insurance required herein.
Operating Agency shall give the CDC immediate notice of any insurance claim or loss which may be
covered by insurance. Operating Agency represents and warrants that the insurance coverage required
herein will also be provided by any entities with which Operating Agency contracts, as detailed below. All
Certificates of Insurance and additional insured endorsements shall carry the following identifier:
Agency Name and Address.
AppendixV C-52
The insurance policies set forth herein shall be primary insurance and non contributory with respect to
the CDC. The insurance policies shall contain a waiver of subrogation for the benefit of the CDC. Failure
on the part of Operating Agency, and/or any entities with which Operating Agency contracts, to procure
or maintain the insurance coverage required herein may, upon the CDC's sole discretion, constitute a
material breach of this contract pursuant to which the CDC may immediately terminate this contract and
exercise all other rights and remedies set forth herein, at its sole and absolute discretion, and without
waiving such default or limiting the rights or remedies of the CDC, procure or renew such insurance and
pay any and all premiums in connection therewith and all monies so paid by the CDC shall be immediately
repaid by the Operating Agency to the CDC upon demand including interest thereon at the default rate.
In the event of such a breach, the CDC shall have the right, at its sole election, to participate in and
control any insurance claim, adjustment, or dispute with the insurance carrier. Operating Agency's failure
to assert or delay in asserting any claim shall not diminish or impair the CDC's rights against the Operating
Agency or the insurance carrier.
When Operating Agency, or any entity with which Operating Agency contracts, is naming the CDC as an
additional insured on any of the insurance policies set forth herein, then the additional insured
endorsement shall contain language similar to the language contained in ISO form CG 20 10 11 85. In
the alternative and in CDC's sole and absolute discretion, it may accept both CG 20 10 10 01 and CG 20
37 10 01 in place of CG 20 10 11 85.
No funds will be advanced, reimbursed, or disbursed until all of the insurance requirements set forth
herein have been met. There absolutely will be no reimbursement of costs for the default and cure
periods.
Exceptions to the insurance requirements as set forth herein, will be granted only on a case by case
basis. Prior to the Operating Agency receiving funds, the CDC or the HA will review the activities of the
Operating Agency. Those Operating Agencies whose activities present no meaningful exposure to the
CDC, the HA and/or the County (as determined solely by the CDC Risk Management Administrator) may
have certain insurance coverages waived by the CDC Risk Management Administrator upon the written
request of the Operating Agency and approval from the CDC Risk Management Administrator.
The following insurance policies shall be obtained and maintained by Operating Agency, and any entity
with which the Operating Agency contract, for the duration of this contact, unless set forth otherwise
herein:
A. GENERAL LIABILITY INSURANCE (written on ISO policy form CG 00 01 or it's equivalent)
including coverage for personal injury, death, property damage and contractual liability with limits of not
less than the following:
General Aggregate $2,000,000
Products/Completed Operations Aggregate $2,000,000
Personal and Advertising Injury $1,000,000
Each Occurrence $1,000,000
The City, CDC, HA, and County, and each of their elected and appointed officers, officials,
representatives, employees, and agents (hereinafter collectively referred to as the "Covered Entities"),
shall be covered as additional insureds on such policy. If the services provided in relation to this
Agreement relate in any way to minors, then this policy shall also include an endorsement for abuse and
sexual molestation.
AppendixV C-53
B. WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY insurance providing workers'
compensation benefits, as required by the Labor Code of the State of California. This must include a
waiver of subrogation in favor of Covered Entities. In all cases, the above insurance shall include
Employer's Liability coverage with limits of not less than the following:
Each Accident
Disease-Policy Limit
Disease-Each Employee
$1,000,000
$1,000,000
$1,000,000
C. CRIME COVERAGE FOR EMPLOYEE THEFT; FIDELITY BOND: If the aggregate budgeted
amount for the current fiscal year allotted for the Operating Agency is less than fifty thousand dollars
($50,000), the Operating Agency shall not be required to comply with this section C. If the aggregate
budgeted amount for the current fiscal year allotted for the Operating Agency is greater than or equal to
fifty thousand dollars ($50,000), then Operating Agency shall be required to comply with the following
requirements in this section C:
Operating Agency shall procure and maintain, at its sole cost and expense, a fidelity bond
covering each employee of Operating Agency, whether or not they are compensated. The fidelity bond
may be either a primary commercial blanket bond or a blanket position bond written by an insurer licensed
by the California Insurance Commissioner. Borrower shall provide thirty (30) days notice to the CDC prior
to cancellation of the fidelity bond. The fidelity bond shall provide a minimum coverage equivalent to the
lesser of one million dollars ($1,000,000) or fifty percent (50%) of the aggregate budgeted amount for the
current fiscal year for the Operating Agency, as set forth in the cumulative Exhibit A budgets. If the
Operating Agency experiences an increase in funding during the fiscal year, the crime coverage
requirement will be re-assessed and additional coverage be required in the sole and absolute discretion
of the CDC. The Operating Agency shall maintain the fidelity bond for the duration of this contract. The
fidelity bond may contain a provision for a deductible amount from any loss which, except for such
deductible provision, would be recoverable from the insurer. A deductible provision shall not be in excess
of ten percent (10%) of the required minimum bond coverage. Any deviation from this fidelity bond section
shall require specific written approval by the CDC.
D. AUTOMOBILE LIABILITY INSURANCE (written on ISO policy form CA 00 01 or its equivalent)
with a limit of liability of not less than one million dollars ($1,000,000) for each incident. Such insurance
shall include coverage of all "owned", "hired", and "nonowned" vehicles, or coverage for "any auto." The
Covered Entities shall be covered as additional insureds on such policy.
E. PROFESSIONAL LIABILITY INSURANCE including coverage for personal injury, death,
property damage, and contractual liability in an amount not less than One Million Dollars ($1,000,000)
for each occurrence and Two Million Dollars ($2,000,000) general aggregate. Said insurance shall be
maintained for the statutory period during which the professional maybe exposed to liability. The purpose
of this insurance is to cover all claims for professional services being provided by Operating Agency and
any entity with which Operating Agency contracts, which includes, but is not limited to, services provided
by the following professionals: physicians, physician's assistants, nurses, psychiatrists, psychologists,
pharmacists, social workers, architects, engineers, and financial counselors. If Operating Agency is not
providing professional services, then it is the responsibility of Operating Agency to obtain separate written
approval from CDC to eliminate this professional liability insurance requirement as to Operating Agency.
F. POLLUTION LIABILITY INSURANCE including coverage for bodily injury, property damage,
and environmental damage with limits of not less than the following:
Appendix V C-54
General Aggregate
Completed Operations
Each Occurrence
$2,000,000
$2,000,000
$1,000,000
Said policy shall also include, but not be limited to: coverage for any and all remediation costs, including,
but not limited to, restoration costs, and coverage for the removal, repair, handling, and disposal of
asbestos and/or lead containing materials. The Covered Entities shall be covered as additional insureds
on the pollution liability insurance policy. If the general liability insurance policy and/or the pollution liability
insurance policy is written on a claims-made form, then said policy or policies shall also comply with all
of the following requirements:
(i) The retroactive date must be shown on the policy and must be before the date of this
contract or the beginning of work or services that are the subject of this contract;
(ii) Insurance must be maintained and evidence of insurance must be provided for the
duration of this Contract or for five (5) years after completion of the work or services that are the subject
of this contract, whichever is greater;
(iii) If coverage is canceled or non-renewed, and not replaced with another claims-made
policy form with a retroactive date prior to the effective date of this contract, then the Operating Agency
must purchase an extended period coverage for a minimum of five (5) years after completion of the work
or services that are the subject of this contract;
(iv) A copy of the claims reporting requirements must be submitted to the CDC for review;
and
(v) If the work or services that are the subject of this contract involve lead based paint or
asbestos identification/remediation, then the Operating Agency's Pollution Liability shall not contain any
lead-based paint or asbestos exclusions.
Operating Agency agrees it will require that, at a minimum, all of the above mentioned insurance
requirements, with the exception of the Crime Coverage, are incorporated in its contract with any entity
with which it contracts in relation to this contract, or in relation to the property or project that is the subject
of this contract.
The CDC reserves the right, at its sole and absolute discretion, to amend at anytime the provisions
of these requirements.
Appendix V C-55
PROPOSAL
CITY OF RANCHO PALOS VERDES
BLACKHORSE ROAD CDBG ADA PROJECT -Phase II
(Community Development Block Grant Project #601546-12)
TO THE DIRECTOR OF PUBLIC WORKS CITY OF RANCHO PALOS VERDES
The undersigned, as bidder, declares that: (1) this proposal is made without collusion with any other
person, firm or corporation, and that the only persons or parties interested as principals are those named
herein; (2) bidder has carefully examined the project plans, specifications, instructions to bidders, proposal,
notice to contractors and all other information furnished therefore and the site of the proposed work; (3)
bidder has investigated and is satisfied as to the conditions to be encountered, the character, quality and
quantities of work to be performed and materials to be furnished. Furthermore, bidder agrees that
submission of this proposal shall be conclusive evidence that such examination and investigation have been
made and agrees, inthe event this contract be awarded to bidder, to enter into a contractwiththe CITY OF
RANCHO PALOS VERDES, to perform said proposed work in accordance with the plans, if any, and the
terms of the specifications, in the time and manner therein prescribed, and to furnish or provide all
materials, labor, tools, equipment, apparatus and other means necessary so to do, except such thereof as
may otherwise be furnished or provided under the terms of said specifications, for the following stated unit
prices or lump-sum price as submitted on the Schedule attached hereto:
The bidder shall submit as part of this proposal a completed copy of the Contractor's· industrial Safety
Record.
Accompanying this proposal is (Insert)"$ "cash,""Cashier'sCheck,"
"certified check," or "Bid Bond," as the case may be) in the amount equal to atleastten percent (10%) of the
total aggregate bid price hereof based on the quantities shown and the unit prices quoted in the Bid Sheets.
The undersigned further agrees that should he/she be awarded the contract on the basis hereof and
thereafter, defaults in executing the required contract, with necessary bonds and documents, within ten (10)
days, not including Sundays and legal holidays, after having received notice that the contract has been
awarded and is ready for signature, the proceeds of the security accompanying his bid shall become the
property of the CITY OF RANCHO PALOS VERDES and this proposal and the acceptance thereof may be
considered null and void.
Licensed in accordance with an act providing for the registration of contractors, California Contractor's
License No. c::t18o, '1 , , ExP,ira · n D te to ar Ii./ .
Signature(s) of bidder:::tz:-;2~~:E:~~~~~~E==:=:::-:;-:::-::-u:-:-===:-:'.~i:::
If an individual, so state. If a firm or co-artnershi m name and give the names of all individual
co-partners composing the firm. If a c rporation, state legal name of corporation, also names of president,
secretary, treasurer, and manager thereof. Two notarized officer's signatures and the corporate seal are
required for corporations.
· P-1 C-56
Legal Business Name: '2ft tf~L fN&i !JeE:;;?.1 rJ7
Address: 338&;2-. ~ucA1PA &:vP $t.urc f -J:3?
Telephone: qocr C/O)/ -5"// 2-
Contact: ~ frDNZA-1.£"2-
Proposals which do not show the number and date of the Bidder's License under the provisions of
Chapter 9 of Division 3 of the Business & Professional Code will be rejected. To be submitted with
each bid to contract for the BLACKHORSE ROAD CDBG ADA PROJECT -Phase II (Community
Development Block Grant Project #601546-12)
Bid Date z.,( le/ IL/
This information must include all construction work undertaken in the State of California by the bidder and
partnership joint venture or corporation that any principal of the bidder participated in as a principal or owner
for the last five calendar years and the current calendar year prior to the date of bid submittal. Separate
information shall be submitted for each particular partnership, joint venture, corporate or individual bidder.
The bidder may attach any additional information or explanation of data which bidder would like to be taken
into consideration in evaluating the safety record. An explanation must be attached of the circumstances
surrounding any and all fatalities.
P-2 C-57
CITY OF RANCHO PALOS VERDES
BID SHEET
BLACKHORSE ROAD CDBG ADA PROJECT -Phase II
(Community Development Block Grant Project #601546-12)
NAME OF COMPANY: 1<G fiPNEP-AL li.tJfzlNe@?Jf?
To the Honorable Mayor and Members of the City Council:
In compliance with the Notice Inviting Sealed Bids, the undersigned hereby agrees to enter into a contract to furnish all labor,
materials, equipment and supplies for the project identified as BLACKHORSE ROAD CDBG ADA PROJECT in accordance with
the specifications and plans for demolition, construction and installation in the Contract Documents which are on file in the office of
the Director of Public Works of the City of Rancho Palos Verdes to the satisfaction and under the direction of the Director of Public
Works at the following prices:
Item Description Estimated Unit Unit Extended
No. Quantity Meas. Price Amount
1 TRAFFIC CONTROUMOBILIZA TION/BMPs 1 LS 4cxi) (pf)()()
2 UNCLASSIFIED EXCAVATION 20 CY C(z. fJ>itO
3 REMOVE TREE AND ROOTS; ROOT PRUNING 1 LS fB~ J as-a
SF
4 REMOVE EXISTING AND CONSTRUCT SEGMENT AL OF
BLOCK RETAINING WALL INCLUDING CMB AND BACKFILL WALL ~() to 1b00 (LEGACY BLOCK), 0=10-3/8" 265 FACE
5 BLOCK WALL CAP UNITS, EPOXY IN PLACE, W=24" 47 EA ~.tid ('~'-
6 REMOVE EXISTING AND CONSTRUCT 4" PCC SIDEWALK
9.0cJ ~,s-o OVER3"CMB. 350 SF
7 GRADE TO MATCH NEW CONSTRUCTION 1 LS 2~ ~
TOTAL BID '2.7, <t,32 SCHEDULE
TOTAL BID SCHEDULE IN WORDS: TWf?lri ~ Tt{rg7f't)i) 6ty ~f\!bteQ U@r
T LUb ()o ~ 4tJ D 21!!12c.> 05-i rs·
P-3 C-58
INFORMATION REQUIRED OF BIDDER
The bidder is required to supply the following information: (Additional sheets may be attached if necessary.}
(1) Address: 335"&Z. Yyc.4tPA '&-1/l> ,.:?UIT'f. 1-/22. *'A1/7flf 94 q239f
(2) Telephone: _ ___.;..'t_Olf'--1..._f>__.q.__-_~-"'11;.._Z.. _____________ _
(3) Type of firm -Individual, Partnership, or Corporation:
(4) Corporation organized under the laws of the State of C
. 4LIB>¢.NJA-
(5) Contractor's license number and class:
(6) List the names and addresses of all members of the firm or names and titles of all officers of the
corporation:
l2AFAt-L ~uN?AIGL-
(7) Number of years experience as a contractor in construction work 2 Yll5.
(8) List at least three similar projects completed as of recent date:
Contract
Amount Class of Work Date Completed Name, Address of Owner. & Telephone No.
,z/zo/to
I
(9) List the name and address of such subcontractor who will perform work in or about the work of
improvement and indicate what part of the work will be done by each such contractor (If needed, attach
additional sheets):
NAME---~ _ _._ __________ TYPEOFWORK ______________ ~-
P-4 C-59
NAME~~~~~~~~~~-TYPEOFWORK.~~~~~~~~~~~-
ADDRESS~~~~~~~~~~~~~~~~~~~~~~~~~~
NAME~~~~~~~~~~-TYPEOFWORK.._~~~~~~~~~~~
ADDRESS~~~~~~~~~~~~~~~~~~~~~~~~~~
NAME~~~~~~~~~~-TYPEOFWORK~~~~~~~~~~~-
ADDRESS~~~~~~~~~~~~~~~~~~~~~~~~~~~
(10)
(11)
(12)
List the name of the person who inspected the site of the proposed work for your firm:
1ot.. rlNMl b;;.-z_
NOTE: Upon request of the City, the bidder shall furnish evidence showing a notarized financial
statement, financial data, construction experience, or other information.
Bidder shall be properly licensed in accordance with Business and Professional Code Section 7028
at the time of the Business and Professional Code shall be considered non-responsive and his bid
shall be rejected.
P-5 C-60
STATEMENT ACKNOWLEDGING PENAL AND CIVIL PENAL TIES
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 I, or the entity
on whose behalf this certification is given, hold a currently valid California contractor's license as set forth
below:
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 therefore, 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.
Jn the event the person performing the contracting work has agreed to furnish materials and
labor on an hourly basis, hthe price of the contracf' 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 contractor 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 7028.13 inclusive. Any
contract awarded to, or any purchase order issued to, a contractor who is not
licensed pursuant to thi~ chapter is void.
P-6 C-61
(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 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 the 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 contract
shall not be made unless and until the Registrar of Contractors verifies to the agency that the
records of the Contractor's State License Board indicate that 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
Contractor's State License Board. The agency shall include a statement to that effect in the
standard form of prequalification questionnaire and financial statement. Failure of the bidder to
obtain proper and adequate licensing for an award of a contract shall constitute a failure to execute
the contract and shall result in the forfeiture of the security of the bidder.
License No.: __ C,_7~8 __ 0_79_,__ _____ _
\'A" Class; ___ _,._'-'"---~--------
Expiration Date: _l_0,,,_}:6 ...... J_}_,,1¥------
P-7 C-62
DESIGNATION OF SUBCONTRACTORS
Subcontractor's Name and
License Address and Telephone No.
P-8
Portion {Percent)
of Total Bid
C-63
Record Last Five (5} Full Years:
1. No. of contracts
2. Total dollar amount of contracts (in
thousands of$
*3. No. of fatalities
*4. No. of lost workda~ cases
*5. No. of lost workday cases involving
permanent transfer to another job or
termination of employment
CONTRACTOR'S INDUSTRIAL
SAFETY RECORD
Year of Record I 20.@ I 20_ I 20_ I 20_ I 20_
I 5
.<:Joo ooo
L.)
@
I 0
Total Current
Year
'rhe information required for these items is the same as required for Columns 3 to 6, Code 1 o, Occupational Injuries, Summary -
Occupational Injuries and Illnesses No.102.
The above information was compiled from the records that are available to me at this tiQ"Je, ano • aucip natty of perjury
that the information is true and accurate within the limitations of those records.
% fte:~~L-tNfr1~~6
Name of Bidder (print)
:?35(09_ 4.ucthPA: BLVD \:zu,a; 11 -1.12-
Address State Contractor's Lie.# & Classification
~ucA'r :f!_/1 _Ck q?,,3 99 fat/ _ W'I -571 e_
CitY----~------Zip Code Telephone
P-9
C
-
6
4
Bond No. N/A
BID BOND
KNOW ALL PERSONS BY THESE PRESENTS that:
WHEREASthe ___ c_I_TY_O_F_RAN __ CH_0_1_PAL_o_s_vE_RD_E ______ ~-----~
("Public Agency"), has issued an invitation for bids for the work described as follows:
BLACKHORSE ROAD CDBG ADA PROJECT· Phase 11
(Community Development Block Grant Project #601546·12)
WHEREAS RG GENERAL ENGINEERING
33562 YUCAIPA BLVD., SUITE 4-132, YUCAIPA CA 92399
(Name and address of Bidder)
("Principal"), desires to submit a bid to Public Agency for the work.
WHEREAS, bidders are required under the provisions of the California Public Contract Code to furnish a
form of bidder's security with their bid.
NOW, THEREFORE, we, the undersigned Principal, and------------------
THE OHIO CASUALTY INSURANCE COMPANY
790 THE CITY DR. S. STE 200, ORANGE, CA 92868
(Name and address of Surety)
{"Surety") a duly admitted surety insurer under the laws of the State of California, as Surety, are held and
firmly bound unto the Public Agency in ttie penal sum of _________________ _
TEN PERCENT OF THE AMT. BID
Dollars ($ 10% OF BID AMT· ). being not less than ten percent { 10%) of the
total bid price, in lawful money of the United States of America, for the payment of which sum well and truly
to be made, 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 is awarded a
contract for the work by the Public Agency and, within the time and in the manner required by the bidding
specifications, enters into the written form of contract included with bidding specifications, furnishes the
required bonds, one to guarantee faithful performance and the other to guarantee payment for labor and
materials, and furnishes the required insurance coverage, then this obligation shall become null and void;
otherwise, it shall be and remain in full force and effect
In case suit is brought upon this bond, Surety further agrees to pay all court costs incurred by the Public
Agency in the suit and reasonable attorneys' fees in an amount fixed by the court. Surety hereby waives the
provisions of California Civil Code 2845.
P-10
C-65
IN WITNESS WHEREOF, this instrument has been duly executed by Principal and Surety, on the date set
forth below, the name of each corporate party being hereto affixed and these presents duly signed by its
undersigned representative(s) pursuant to authority of its governing body.
Dated: FEBRUARY 3' 2014
"Principal" "Surety"
RG GENERAL ENGINEERING THE ORIO CASUALTY INSURANCE COMPANY
By: ___________ _
Its Its
(Seal) (SeaQ
Note: This bond must be dated, all signatures must be notarized, and evidence of the authority of any person signing as attorney-in-fact
must be attached.
P-11 C-66
CALIFORNIA ALL-PURPOSE
CERTIFICATE OF ACKNOWLEDGMENT
State of California
County of __ R_;,I_V_E_;,RS_I_D_E ___ _
beforeme,~~~-R~·-N_'AP~P~I~..,_~'-'N_O_T~AR...,..,...Y~P~U-B~L~I_C~"~~~~~~~~
<Herc insert nnme and title of the officer)
personally appeared __ J_E_REMY __ P_END_E_R_G_A_ST ____________________ --J
who proved to me on the basis of satisfactory evidence to be the person{ef whose name~s/aFe""Subscribed to
the within instrument and acknowledged to me that he/sbetthey executed the same in his/bei:/.tbcif authorized
capacity~, ·and that by his/her/their signature.'5ron the instrument the person(ir,"or the entity upon behalf of
which the person-'8j acted, executed the instrument.
I certify under PENAL TY OF PERJURY under the Jaws of the State of California that the foregoing paragraph
is true and correct.
WITNESS my hand and official seal.
~ ~ «·
Sisnntun:ofNotary Pub~~ (Notaty Seal)
R. NAPPI
COMM. #1977782
NOTARY PUBLIC ·CALIFORNIA
RIVERSIDE COUNTY
My Comm. Expires June 7, 2016
ADDITIONAL OPTIONAL INFORMATION
DESCRIPTION OF THE A TI ACHED DOCUMENT
(Tide or description of allached document)
(Tille or description ofattached document continued)
Number of Pages __ Document Date. ___ _
(Additional infonnalion)
CAPACITY CLAIMED BY 1l:IE SIGNER
0 Individual (s)
0 Corporate Officer
(Title)
D Partner(s)
D Attorney-in-Fact
D Trustee(s)
D Other ___ ~-------
2008 Version CAPA v12. I0.07 800-873-9865 www.NotaiyClasses.com
INSTRUCTIONS FOR COMPLETING ll:IIS FORM
Any acknmvlrdgmtmf complettd In Cal(fomia mu.rt contain verbiage uoctl)' as
appran above In the notary m:tion or a .stpara11 acknowltdgmtml form must be
proptrlJ• complettd and aJJached to that document. The onl)' exception Is if a
documenr l.s to be nuorded oUl.sidtt of California. In .such instancrs. any al1en1atil't
aclrn01rledgmtnl vtrbiap as may be prlnred on .suc/1adOCll»ltnr10 Jang tu 1T1e
verbiage dM.s not require the nottJr)• to do something that Is illegal for a nolal)• in
Califamia (f.t. unflj'ing the authori::td capacil)' a/ the .signer). Plttase chrck 11111
dacumtnl care/ull)'/Or proper notarial wording and a11ach d1f.s/orn1 if r1qulrtd.
• State and County information must be the State lll1d County where lhe document
signer(s) personally appeared before lhe nollliy public for acknowledgment.
• Dale of notarization must be lhe date that the signCl(s) personally appenred which
must also be the !allle dole the acknowledgment is completed.
• The notary public must print his or her 1111111e os it appears within his or her
commission fbllowed by a comma and then your lide (notaiy public).
• Print the name(s) of document slgner(s) who personally appear Ill the time of
nolarizotion.
• Indicate the eoll'CCt singular or plU111l fOIJlls by crossing off incorrect forms (i.e.
he/slw/they. is lea) or cin:Jing the correct forms. Failure to correctly indicllle this
infbrmation may lead to n:jcctiou of documcnl recording.
• The notary seal impression must be clear and photographically reproducible.
Impression must not cover text or lines. If seal impression smudges, re-seal if a
sufficient area petmits, otherwise complete a different acknowledgment form.
• Signature of the notary public must match the signature on file with the office of
the county clerk.
~ Additional information is not required but could help to ensure this
acknowledgment is not misused or attached to a diffilrcnt document
•> Indicate title or type or attached document, number of pages and date.
<-Indicate the capacity claimed by the: signer. If the c:laimed capacity is o
corporate officer. indicate the title (i.e. CEO, CFO, Secretary}.
• Securely at111ch this document to the signed document
C-67
"TH.IS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND.
T'his Pov.er of Attorney limits the acts of those named herein, and they have no authority to bind the Compeny except in the manner and to the extent herein stated.
American Fire and Casualty Company
The Ohio Casualty Insurance Company
Liberty Mutual Insurance Company
WestAmerican Insurance Company
Certificate No ~
POWER OF ATTORNEY
KNOWN All PERSONS BY THESE PRESENTS: That American Fire & Casualty Company and The Ohio Casualty Insurance Company are corporations duly organized under the laws of
the State of New Hampshire, lhat liberty Mrtual Insurance Company is a corporation duly organized under the laws of the State or Massachusetts, and VVestAmerican Insurance Compeny
is a corporation duly organized under the laws of the State of Indiana (herein collectively called the ·companies"), pursuant to and by authority herein set forth, does hereby name, constiMe
and appoint, Jeremy Pendergast: Michael D. Stong: Rosemary Nappi
all of lhe city of Alyers1de , state of CA each Individually if there be more than one named, its true and lawful attorney-in-fact to make. execute, seal, acknowledge
and deliver. for and on its behalf as surety and as Hs act and deed, any and all undertakings. bonds. recognizances and other surety obllgations, in putSuance of these presents and shall
be as binding upon the Companies as if Ibey have been duly signed by the president and attested by lhe secrelllly of lhe Compenies in their own proper persons.
IN WITNESS WHEREOF. this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Compa111es have been affixed
thereto this 281h day or October ~.
American Fire and Casually Company
The Ohio Casualty Insurance Company
Liberty Mutual Insurance Company
West American Insurance Company
~
= c
!
..,Ci By. ~-;:--.QC
STATE OF WASHINGTON ss Grego;y:oavenpo; ASSistant Secretary pm ~
-i.; COUNTY OF KING c -• =o i 6, On Olis~ day of October 2013 before me personally appeared Gregory W. Davenport, \\tlo acknowledged himself to be lhe Assistant Secrelllly of American ~ t-
t; a> Fite and Casualty Compeny, liberty Mutual Insurance Compeny, The Ohio Casualty Company, and VVest American Insurance Company, and that he, as such, being authorized so to do, ~·
0 .:! execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by h1111self as a duly authorized officer. ... ~-> OE~ .., IN WITNESS WHEREOF. I have hereunto subscnbed my name and affixed my notanal seal at Seattle. Washington. on lhe day and year first above wntten. ....
i! ~~ c:li! K:bE:fl.bA.-o .iii
• I By: KO Riley. NOiJ;Public ""i::s a.. Ii ar~ :e g ! This Power of Attorney is made and executed pursuant to and by authority of the lolkw.ring By-laws and Authorizations or American Fire and Casualty Company, The Ohio Casualty Insurance J! : or!: Company, llbelty Mutual Insurance Company, and West American Insurance Company ah resolutions aie now in run force and effect reading as follows: :5 ~
i I ARTICLE IV -OFFICERS -Section 12. Power of Attorney. Any officer or other official or the Corporation authorized for that purpose In writing by the Chairman or the President and subject o ~ l ~ to such !irritation as the Chairman or the President may prescribe, shall appoint such attomeys..in·facl, as may be necessary to act in behalf of the Corporation to make, execute, seal, >-G>
o :5 acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attomeys-1n-fact, subject lo the 1imltat1ons set forth in their respective =6 I·
E or powers of attorney, shall have run power to bind lhe Corporation by their signature and execution of any such instruments and to attach theieto the seal or the Corporation. 'Mien so :; J. a ... I! executed. such instruments shaft be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted lo any representative or attorney-In-fact under >
""' the pr0Vis1ons of this article may be revoked at any Ume by the Board, the Chairman, the President or by the officer or officers granting such power or aulhority. :SCI) ~
~~ N =; ~ ARTICLE XIII -Execution of Contracts -SECTION 5. Surety Bonds and Undertakings. Any officer of the Company aulhoriZed for that purpose in writing by the chairman or the president. E ~
> f and subject lo such limitations as the chairman or the president may prescribe, shall appoint such attomeys-in-ract. as may be necessary to act in behalf of lhe Company to make, execute, .. ~ o 5 seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances end other surety obligations. Such attorneys-in-fact subject lo the limitations set forth in their ie ~
Z u respective powers or attorney, shall have fuH power to bind the Company by their signature 111d execution of any such instruments and to attach thereto the seal of lhe Compmy. When so 8 o
executed such instruments shaH be as binding as if signed by the president and attested by the secretary. 0 1f ·
Certificate of Designation -The President or the Company, acting pursuant to the Bylaws of the Company, authorizes Gregory W. Davenport. Assistant Secretary to appoint such F -
attomeys-ln-ract as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and delver as surety any and aH undertakings, bonds, recognizances and
other surety obligations.
Authorization -By unanimous consent of the Company's Board of Directors, lhe Company consents that facsimile or mechanically reproduced signature of any assistant secretary of lhe
Company. wherever appeanng upon a certified copy or any power of attorney issued by the Company in connecbon with surety bonds, shall be valid and b111ding upon the Company with
the same force and effect as though manually affixed.
I, David M Carey, lhe undersigned, Assistant Secrelllly, of American rue and Casualty Compeny, The Ohio Casualty Insurance Company, Liberty Wual Insurance Company, and VVest
American Insurance Company do hereby certify that the original power of attorney or which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies.
is in full force and effect and has not been revoked. 8
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this~ day or ~{ , 20J.K_.
By:~4
David M. Carey, Assistant Secretary
9501500
LMS_ 12873_092012 C-68
State of California
County of £w@&JbC
City of \?.~1t:>-e..
The undersigned declares:
I am the =b-e..~ "\'.
NONCOLLUSION DECLARATION
TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID
[Public Contract Code § 7106]
)
) SS.
)
of J!Z GENWAL.Uz. , the party making the foregoing bid.
The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association,
organization, or cozporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly
induced or solicited any other bidder to put in a false or sham bid. The bidder has not directly or indirectly colluded,
conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or to refrain from bidding. 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. All statements contained in the bid are true. 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, to any cozporation, partnership, company association, organization, bid depository, or to
any member or agent thereof to effectuate a collusive or sham bid, and has not paid, and will not pay, any person
or entity for such puzpose.
Any person executing this declaration on behalf of a bidder that is a cozporation, partnership, joint venture, limited
liability company, limited liability partnership, or any other entity, hereby represents that he or she bas full power
to execute, and does execute, this declaration on behalf of the bidder.
I declare under penalty of perjury under the laws of the tat of California that the foreg/Zg is true and correct and
that this declaration is executed on ::Z.. [date], at Vi:!lSIO G-[city], Cffi!fCtlltA-[state].
Subscribed and sworn to before me on _______________ .
(Date)
(Notary Seal)
Notary Public
P-12 C-69
CALIFORNIA ALL-PURPOSE
CERTIFICATE OF ACKNOWLEDGMENT
Slate of Cnlifomin
County of RIVERSIDE
On__..~..._,/_'-f~~......-f~'f----befu~me,--~--R_.~N=A._P~PI~"-N_O_TAR,.,..,,..Y...,,.,.,..PU_B=L-I~C-"~~~~----'
(Here nat lll:lm!.!:ind lltl"oflhc olllcc:r}
personally appeared __ RAL __ P_H_G_O_N_Z_AL_E_z ___________________ ___
who proved to me on the basis of salisfacloJY evidence lo be the person(s) whose name(s) is/are subscn"bed 10
lhc within instrument and acknowledged to me that he/she/lhey executed the same in his/her/their authorized
capacity(ic$), and that by his/her/their signature(s) on the ins1n.tmenl the person(s), or the entity upon behalf of
which the person(s) acted, executed the inslrument.
I certify under PENAL 'JY OF PERJURY under the laws of the State of California lhnt the foregoing paragraph
is true and corrccL
WITNESS my hand and official seal. /: 11. ~ ftZ?!i±!Mlk
DESCRlFnON OF 1l-JE ATTACHED DOCUMENT
Number of Po.aes __ Document Date...__ __
(AddilloM'I tnlilnusion)
CAPACITY CLAIMED BY THE SIGNER
0 Individual (s)
0 Corpol'lle Officer
(Tlllc)
D Pa11ner(s)
0 Altorney-in-Facl
0 Truslce(s)
0 0th~----~~~~~-----
2008 Version Cl\J'A v12.IO 117 ~1'73·9S6S www.NotuyCWac:s com
R. NAPPI
COMM. #1977782
NOTARY PUBLIC •CALIFORNIA
RIVERSIDE COUNTY
My Comm. Eiqikw JLMll 7, 2018
C-70
CITY OF RANCHO PALOS VERDES
PURI IC WOf<l<S DEPARTMENT
ADDENDUM NO. 1
TO THE CONTRACT DOCUMENTS, SPECIFICATIONS, & STANDARD DRAWINGS FOR THE
BLACKHORSE ROAD CDBG ADA PROJECT· PHASE II
PROJECT# 601564·12
In accordance with "Addenda" on page 1-1 of the "Instructions to Bidders", the following changes (revisions,
additions, and/or deletions) as noted below, are hereby incorporated and made a part or the subject plans,
specifications and contract documents for this project. Portions or the Contract, not specifically mentioned in
the Addendum. remain in force. All trades affected shall be fully advised of these revisions, deletions, and
additions ..
This Addendum forms a part of the Contract Documents for the above-identified project and modifies the
origina~specifications and Contract Documents.
Each bidder shall be responsible for ascertaining, prior to submitting a Bid, that it has received all issued
Addenda and shall ACKNOWLEDGE RECEIPT OF THIS ADDENDUM IN THE SPACE PROVIDED BELOW.
A bidder's failure to address the requirements or this addendum or failure to acknowledge the receipt of this
addendum may result in that Bid being rejected as nonresponsive.
The subject contract documents are hereby amended as follows:
Item 1 -The latest Federal Wage Decision was issued as Modification No. 2, dated January 24, 2014. The attached
Federal Wage Decision shall supersede the wage decision included in lhe specifications.
End of Addendum No. 1
Any questions regarding !his Addendum should be directed lo the Proj ct Manager, Nicole Jules, P.E. at
{310) 544-5275.
J-?J0-14
Michael Throne Date
Director of Public Works
endum No. 1 and accept the aforementioned.
Please sign above and include this si ned addendum in t e
in that Bld being rejected as non-responsive.
Page 1 of l
C-71
NON-SEGREGATED FACILITIES CERTIFICATION
FEDERALLY•ASSISTED CONSTRUCTION PROJECTS
The federally-assisted construction contractor certifies that he/she DOES NOT and WILL NOT:
1. Maintain or provide, for his/her employees, any segregated facilities at any of his/her
establishments.
2. Permit his/her employees to perform their services at any location, under his/her
control, where segregated facilities are maintained.
The federally-assisted contractor agrees that a breach of this certification is a violation of the Equal
Opportunity Clause in this contract. As used in this certification, the term segregated facilities means any
waiting room, work areas, restrooms and washrooms, restaurants and other eating areas, time clocks,
locker rooms and other storage or dressing areas, parking lots, drinking fountains, recreation or
entertainment areas, transportation, and housing facilities provided for employees which are segregated
by explicit directive or are in fact segregated on the basis of race, creed, color, or national origin, because
of habit, local custom, or otherwise.
The federally-assisted contractor agrees that (except where he/she has obtained identical certifications
from proposed subcontractors for specific time periods) he/she will obtain identical certifications from
proposed subcontractors prior to the award of subcontracts exceeding $10,000 which are not exempt
from the provisions of the Equal Opportunity Clause, and that he/she will retain such certifications in
his/her files.
NOTE: The penalty for making false statements In offers is prescribed In 18 U.S.C. 1001.
Date: 2 / ~ Project Number. _______ _
Company: __ J41~_ob ....... t_..._.~----~( __.bi.._~ .......... 1 ...... rJ""""''Ctj.....__ilt"-'-N__,fy,_,__ _________ _
Address: _3=---3_5""---'--Z-__ 'f ....... u""""'c4"-'-"-1 ..... ltf ___ a_1. ..... vb ____ __.._~ ....... v ___ 1;r;:-=---1_,,_-....... I3.__2... ____ _
By: __ ~12-~~p._;4t~_L_(-;~-?~0~1~_24 ___ L_b._2 _______________ _
Title: __ ___._~...,..Jl"""??""-'-'....,D ......... e;;...a-= ..... r ______________________ _
C-72
CERTIFICATION
WITH REGARD TO THE PERFORMANCE OF PREVIOUS CONTRACTS OR
SUBCONTRACTS SUBJECT TO THE EQUAL OPPORTUNITY CLAUSE AND
THE FILING OF REQUIRED REPORTS
The Obidder, Oproposed sub-contractor, hereby certifies that he/she Dhas, Dhas not. participated
in a previous contract or subcontract subject to the Equal Opportunity Clause, as required by
Executive Orders 10925, 11114, or 11246, and that he/she Ohas, Dhas not, filed with the Joint
Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal
Government contracting or administering agency, or the former President's Committee on Equal
Employment Opportunity, all reports due under the applicable filing requirements.
Date: -----Project Number:------ContractAward: $ _____ _
Awarding Agency: ____ .,......,A _____________________ _
Contractor Name: ----N=+-/A _________ Total Number of Employees. __
Affiliate Company: __ _..Al'-"-1-'/A='--'-------------------
By:-------------~-------------
Titie: _______________ ~---------------~~
NOTE: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor
{41 CFR 60-1.7(b)(1), and must be submitted by bidders and proposed subcontractors only in connection with contracts
and subcontracts which are subject to the equal opportunity clau$E!. Contracts and subcontracts which are exempt trom
the equal opportunity clause are set forth in 41 CFR 60-1.5 (Generally only contracts or subcontracts of$10,000 or under
are exempt).
Propo~d prime contractors and subcontractors who have participated in a previous contract or subcontract subject to
the Executive Orders and have not fded 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 U.S. Department of the Interior or by the Director, Office of Federal Contract Compliance, U.S.
Department of labor.
SF-100 lEE0-1) must be filed by;
(A) All private employers Who are:
(1) Subject to Title VII of the Civil Rights Act of 1964 (as amended) with 100 or more employees.
(2) Subject to Titfe VII who has fewer than 100 employees, if the company is owned or affiliated with
another company, or there is centralized ownership, control or management so that the group legally
constitutes a single enterprise, and the entire enterprise employs a total of 100 or more employees.
(8) All federal contractors {private employers), who:
(1) Are not exempt as provided for by 41 CFR 60-1.5
(2) Have 50 or more employees, and
a. Are prime contractors or first-tier subcontractors, and have a contract. subcontract, or purchase
order amounting to $50,000 or more; or
b. Serve as a depository of Government funds in any amount, or
c. Is a financial inslitullon, which is an Issuing, and paying agent for U.S. Savings Bonds and Notes.
C-73
Community Development Commission
County of Los Angeles
COUNTY LOBBYIST CODE CHAPTER 2.160
COUNTY ORDINANCE NO. 93-0031
CERTIFICATION
Name ofFinn: __ f2~G,,__,,,fut"'"""""'~"""~"""'-'-"""'-_....~::..i.:w.-if., ....... t..uN..,,..&:f?.~· l....._tJ-'-'fr.___ _________ _
Address: ___,p=-3 ___ 5-(p __ => ____ 2-_ ........ Vv ...... \a ...... 1-1 ........ e._~......._--11?:>...u=1...\l ....... ~ _ _,.1 ...... su .......... 1 re-...____1_.._-__ 1 ___ 3 _'2....-"-------
state:-· CA=--_ Zip Code: 9'2.3? 'l Telephone Number: ( ft;?' ) ?tJ"/ ... ~ l'L.
Acting on behalf of the above named firm, as its Authorized Official, I make the following Certification to the
County of Los Angeles and the Community Development Commission, County of Los Angeles.
1) It is understood that each person/entitylfinn who applies for a Community Development
Commission contract, and as part of that process, shall certify that they are famiUar with the
requirements of the Los Angeles County Code, Chapter 2.160 (Los Angeles County Ordinance
93-0031) and;
2) That all persons/entities/firms acting on behalf of the above named firm have and will comply
with the County Code, and;
3) That any person/entity/firm who seeks a contract with the Community Development
Commission shall be disqualified therefrom and denied the contract and, shall be liable in civil
action, If any lobbyist, lobbying firm, lobbyist employer or any other person or entity acting on
behalf of the named firm rails lo comply with the provisions of the County Code.
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
contract with the Los Angeles County and the Community Development Commissio , County of Los Angeles.
Authorized Official:
(Tirlc)
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· WORKER'S COMPENSATION CERTIFICATION
I certify, by signature below, that I am aware of the provisions of Section 3700 of the
California Labor Code which require every employer to be insured against liability for
worker'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.
Date: _z__,_J_~-+-}._11_ f I
Project Number: _________ _
Project Name: ______________________ _
CompanyName: J'Lf? hE\\Jt.d.kt. t;tJf7.
Address: YucA-f ee 01\1 b 7ur& ~ -{32
C-75
CONTRACTOR LIST OF PROPOSED SUBCONTRACTORS
Bic!der must !!St an sub<Dnbacts. reqan:l!e5 or dollar amount or Dercentage or bid.
PROJECT NAME AWAAOING AGENCY
Location: Pl'Oject Number: _________________ _
Employer Contractor Estimated Bilimated
SUBCONTRACTORS: 111entmcat1on LJCense Contract Start Completion
Name, Address, and Telephone Number Amount Date Date TRADES TO BE USED
Number Number
' -.
~ J r ~~l ~~i"{Ll:-7 ~1btcJ{ ~
Sigpamre "/ ... .. Name and Title . --......
,_t;' I -i/~ 11/. ~h Gt~ &fz, . ..
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7
6
U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT HUD FORM 4230A
REPORT OF ADDITIONAL CLASSIFICATION AND RA TE OMS Approval Number2501-00lt
'""" 09/30/2006)
1. FROM (name and address of requesling agency) 2. PROJECT NAME AND NUMBER
3. LOCATION OF PROJECT (City, County and Stale)
4. BRIEF DESCRIPTION OF PROJECT 5. CHARACTER OF CONSTRUCTION
0 Building D Residential
0 Heavy D Other (specify)
D Highway
6. WAGE DECISION NO. (inc!Ude modification number, Ir any) 7. WAGE DECISION EFFECTIVE DATE
0 COPY ATTACl:IED
8. WORK CLASSIFICATION(S) HOURLY WAGE RATES
BASIC WAGE FRINGE BENEFIT(S) (If any)
9. PRIME CONTRACTOR (name, address) 10. SUBCONTRACTOR/EMPLOYER, IF APPLICABLE (name, address)
@ll-e~~~~Aifrh~.-A~
0 The work lo be perfonned by lhe additional classificaUon(s) is not performed by a classification In lhe applicable wage decision.
0 The proposed classification is utilized in the area by the construction induslry.
0 The proposed wage rate(s), including any bona fide fringe benefits, bears a reasonable relationship to the wage rates conlained in the
wage ~cision.
0 The Interested parties, including the employees or their authorized representatives, agree on lhe classification(s) and wage rate(s).
0 Supporting documentation attached, including applicable wage decision.
I. gh~~k _Q~_~;l
0 Approved, meets all criteria. OOL confirmation requested.
0 One or more classificaUons fall to meet all criteria as explained in agency referral. DOL decision requested.
FOR HUD USE ONLY
LR2000:
Agency Representative Date
(Typed name end signature) Log in:
Log out:
Phone Number
HUD-4230A (l-03) PREVIOUS EDITION IS OBSOlET£
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EQUAL EMPLOYMENT OPPORTUNITY COMMITMENT
TO:
(Name of Labor Union, Workers Represenla~ve, etc
(Address)
Name of Business (Contractor}:----------------------
Project Name:-------------Project Number:---------
The Undersigned currently holds a contract with , involving
funds of the U. S. Government, or a subcontract with a prime contractor holding such contract.
You are advised that under the provisions of the above contract or subcontract, and in accordance
with Executive Order 11246, the undersigned is obligated not to discriminate against any employee
or applicant for employment because of race, color, religion, sex or national origin. This obligation
not to discriminate in employment includes, but is not limited to the follow:
1. Hiring, placement, upgrading, transfer or demotion;
2. Recruitment, advertising or solicitation for employment;
3. Treatment during employment;
4. Rates of pay or other forms of compensation;
5. Selec.tion for training, including apprenticeship; and
6. Layoff or termination.
This notice is furnished to you pursuant to the provisions of the above contract or subcontract and
Executive Order 11246. Copies of this notice will be posted by the u dersigned in conspicuous
places available to employees or applicants for e 1
'¥-~L ~vtJ'2kl-eL
ll'rint Naone)
r , (i)lllC) ITitl•l
C-78
First Amendment to Agreement between the City of
Rancho Palos Verdes and Merit Civil Engineering, Inc.
This agreement is an amendment ("Amendment") to the on-call civil engineering
services agreement between the City of Rancho Palos Verdes ("CITY") and Merit Civil
Engineering, Inc. ("CONSUL TANT"), dated September 18, 2012 ("Agreement"). This
Amendment is effective as of June 19, 2012, and is being made to require the payment of
prevailing wages.
Section 1. Section 2.1 of the Agreement is hereby amended to read as
follows:
"U.pon CITY's request, CONSUL TANT shall submit a proposal for a particular
project, including a scope of work and total cost for services ("Proposal"). Once CITY
accepts a Proposal as submitted or amended and issues a written Notice to Proceed
therefor, CITY agrees to compensate CONSUL TANT in accordance with the total cost
for services listed in the Proposal, and in any case an amount not to exceed twenty-five
thousand dollars ($25,000) for a single service and sixty thousand dollars ($60,000) per
fiscal year for services as described in Article 1. On-call services that are reimbursed
by a trust deposit shall not count towards the maximum amounts CONSULT ANT shall
be paid for such services. If the CITY requests any work that is beyond the scope of
work listed in the Proposal, the CITY and CONSUL TANT shall negotiate the scope of
work and fees for this extra work in accordance with CONSULT ANT's Schedule of
Fees, which is attached hereto as Exhibit "A" and incorporated herein by this reference,
up to the twenty-five thousand dollars ($25,000) for a single service maximum amount.
Upon mutual agreement of the scope of work and fees, the City shall issue a written
Notice to Proceed therefor. The rates in Exhibit "A" shall remain in effect through at
least June 19, 2013. Thereafter, if CONSUL TANT wishes to increase the rates set
forth in Exhibit "A," CONSUL TANT shall give CITY ninety (90) days prior written notice
of the rate increase.
CITY and CONSULT ANT acknowledge that the projects pursuant to this
Agreement are public works to which prevailing wages apply and the rates in Exhibit "A"
reflect those wages. The Terms for Compliance with California Labor Law
Requirements is attached hereto as Exhibit "8'' and incorporated herein by this
reference."
Section 2. Except as expressly amended by this amendment to the
Agreement, all of the other provisions of the Agreement shall remain in full force and
effect as written in the Agreement.
R6876-0001\1349509v1 .doc
C-79
IN WITNESS WHEREOF, the parties hereto have executed this Amendment as of
the date and year first above written.
Dated: -----------
ATTEST:
By: ___________ ~
City Clerk
R6876-0001\1349509v1 .doc
MERIT CIVIL ENGINEERING, INC.
("CONSUL TANT")
By: ___________ _
Printed Name: ---------
Title:------------
By: ___________ _
Printed Name: ---------
Title:------------
CITY OF RANCHO PALOS VERDES
("CITY")
By: ___________ _
Mayor
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February 24, 2014
Mr. Nicole Jules
Municipal Engineering
Land Surveying
Infrastructure
Department of Public Works
City of Rancho Palos Verdes
30940 Hawthorne Boulevard
Rancho Palos Verdes, CA 90275
Subject: Field Engineering Services Proposal -Blackhorse Road ADA Ramp Improvements -Phase II
In response to the Request for Proposal, Merit Civil Engineering is pleased to submit our proposal to
provide field engineering services for the Blackhorse Road ADA Phase II ramp project. This proposal will
outline our recommendation for inspection activities for the project, proposed scope of services,
schedule and the level of coverage anticipated.
PROJECT UNDERSTANDING
The Blackhorse Road CDBG ADA Phase I project included four access ramps that located at the
intersection of Hawthorne Boulevard and Blackhorse Road. The Phase II project will complete the
improvements with the installation of a bus stop and landscaping. The locations presents traffic control
challenges during the construction and a traffic control plan is included in the plan set. The Phase II
work will be primarily along Hawthorne Blvd. and be subject to intermittent access issues. It will be
important to ensure the contractor provides adequate traffic control and access during work hours.
The following activities are recommended to manage the ramp construction:
• Adequate BMP installations to control surface water and construction debris
• Effective traffic control monitoring
• Traffic signal modification inspection
• Site and construction inspection on a full time basis including daily reports
• Construction staking
• As built drawings in PDF format.
The contract time for the ramp project is 15 working days. I believe the number of days that will require full
time inspection will probably be 13 or so with minimal coverage on some of the days. Therefore, the
inspection time estimated to establish a budget for the actual inspection of the project is 13 days at 6 hours
per day and 4 hours for 2 days. I plan to be the Construction Manager and primary Inspector with Joe
Buckner, P.E., P.L.S. assigned as the fill-in inspector, if needed.
Construction surveys will be needed and are part of this proposal. An estimated 8 hours are anticipated to
Merit Civil Engineering, Inc.
20280 Acacia Street, Suite 100
Newport Beach, Ca 92660
Office: (949) 428-1500
Fax: (949) 258-5053
C-81
Proposal to City of Rancho Palos Verdes
Blackhorse Road ADA Phase II Ramps
February 24, 2014
Page 2of2
complete the various staking elements and are included in the estimated fee. These hours may be kept
separate from this authorization if desired by the City.
SCHEDULE
The pre-construction meeting will be the first activity followed with any coordination necessary with the
utility companies.
COMPENSATION
The proposed total Not-to-Exceed fee for the above-described services is detailed on the attached Fee
Breakdown spreadsheet. The total Not-to-Exceed fee is$ 14,129.00
Incidental costs relative to the assignment for office supplies, travel, phone calls, etc. are included in the
above quoted Not-to-Exceed fee.
We look forward to assisting you on this assignment. Please contact me with any questions you may
have.
Respectfully,
MERIT CIVIL ENGINEERING, INC.
Robert Merrell, P.E.
President
Merli CMI Eftglneerl119, Inc.
2 Merit Civil Engineering, Inc
C-82
Classification
Hourlv Billina Rate
TASK BREAKDOWN
l Construction Inspection
1. Pre-construction Meeting
2. Field Surveys
3. Utility Coordination and As builts
4. On-site Construction Inspection
TOTALS
Blackhorse Ramp Inspection fee.xis
City of Rancho Palos Verdes
Blackhorse Road ADA Phase II Inspection
Fee Breakdown
Project Project Constr. £-Man
Manager Engineer Inspection Clerical Crew
$170 $148 $110 $82 $245
4
1 8
2
16 8 65 2
Subtotals 16 13 67 2 8
Hours 16 13 67 2 8
Cost $2,720 $1,850 $ 7,370 $164 $1,960
MERIT CIVIL ENGINEERING, INC.
Total Billing Rate
Hours Summary
4 $ 518
9 $ 2,108
2 $ 220
91 $11,218
106 $14,064
106 ----
----$14,064
Outside
Costs
$ 65
$ 65
-----
$ 65
Proposal Submittal
Februarv 24. 2014
Comments
Reproduction
TOTAL NTE FEE
$14,129.00
2/24/2014
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3
MERIT CIVIL ENGINEERING, INC.
STANDARD SCHEDULE OF HOURLY RATES
(Effective July 1, 2013 to June 30, 2014)
Classification
ENGINEERING
Pr.incipal Engineer
Project Manager
Project Engineer (CADD)
Design Engineer (CADD)
Drafter ( CADD)
Technical Aid
SURVEYING/RIGHT OF WAY ENGINEERING
Survey Analyst
Two-man Field Crew
REAL PROPERTY SERVICES
Licensed Surveyor
CONSTRUCTION SERVICES
Construction Administrator
Sr. Construction Inspector
Assistant Inspector
OTHER SERVICES
Clerical
Hourly Fee Rate
170.00
170.00
148.00
130.00
108.00
90.00
155.00
245.00
170.00
170.00
110.00
95.00
82.00
Miscellaneous supplies, local travel and other indirect project expenses are included in the above
hourly rates.
The above schedule is for straight time. Overtime will be charged at 1.25 times the standard
hourly rates. Sunday and holidays will be charged at 1.70 times the standard hourly rates.
All classifications are in compliance with Prevailing Wages Rates.
C-84
Exhibit "B":
TERMS FOR COMPLIANCE WITH CALIFORNIA LABOR LAW REQUIREMENTS
1. Merit Civil Engineering, Inc. ("Consultant") acknowledges that the projects
pursuant to the on-call civil engineering services agreement between the City of
Rancho Palos Verdes ("City") and Consultant, dated September 18, 2012
("Agreement"), to which this Terms for Compliance with California Labor Law
Requirements is attached and incorporated by reference, are "public works" as defined
in Division 2, Part 7, Chapter 1 (commencing with Section 1720) of the California Labor
Code ("Chapter 1 "). Further, Consultant acknowledges that this Agreement is subject
to (a) Chapter 1, including without limitation Labor Code Section 1771 and (b) the rules
and regulations established by the Director of Industrial Relations ("DIR") implementing
such statutes. Consultant shall perform all work on the project as a public work.
Consultant shall comply with and be bound by all the terms, rules and regulations
described· in 1(a) and 1(b) as though set forth in full herein.
2. California law requires the inclusion of specific Labor Code provisions in
certain contracts. The inclusion of such specific provisions below, whether or not
required by California law, does not alter the meaning or scope of Section 1 above.
3. Pursuant to Labor Code Section 1773.2, copies of the prevailing rate of
per diem wages for each craft, classification, or type of worker needed to perform the
Agreement are on file at City Hall and will be made available to any interested party on
request. Consultant acknowledges receipt of a copy of the DIR determination of such
prevailing rate of per diem wages, and Consultant shall post such rates at each job site
covered by this Agreement.
4. Consultant shall comply with and be bound by the provisions of Labor
Code Sections 177 4 and 1775 concerning the payment of prevailing rates of wages to
workers and the penalties for failure to pay prevailing wages. The Consultant shall, as
a penalty to the City, forfeit two hundred dollars ($200) for each calendar day, or portion
thereof, for each worker paid less than the prevailing rates as determined by the DIR for
the work or craft in which the worker is employed for any public work done pursuant to
this Agreement by Consultant or by any subcontractor.
5. Consultant shall comply with and be bound by the provisions of Labor
Code Section 1776, which requires Consultant and each subcontractor to: keep
accurate payroll records and verify such records in writing under penalty of perjury, as
specified in Section 1776; certify and make such payroll records available for inspection
as provided by Section 1776; and inform the City of the location of the records.
6. Consultant shall comply with and be bound by the provisions of Labor
Code Sections 1777.5, 1777.6 and 1777.7 and California Administrative Code title 8,
section 200 et seq. concerning the employment of apprentices on public works projects.
Consultant shall be responsible for compliance with these aforementioned Sections for
all apprenticeable occupations. Prior to commencing work under this Agreement,
Consultant shall provide City with a copy of the information submitted to any applicable
apprenticeship program. Within sixty (60) days after concluding work pursuant to this
Agreement, Consultant and each of its subcontractors shall submit to the City a verified
statement of the journeyman and apprentice hours performed under this Agreement.
7. Consultant acknowledges that eight (8) hours labor constitutes a legal
day's work. Consultant shall comply with and be bound by Labor Code Section 1810.
R6876-0001\1349509v1 .doc
C-85
Consultant shall comply with and be bound by the provisions of Labor Code Section
1813 concerning penalties for workers who work excess hours. The Consultant shall,
as a penalty to the City, forfeit twenty-five dollars ($25) for each worker employed in the
performance of this Agreement by the Consultant or by any subcontractor for each
calendar day during which such worker is required or permitted to work more than eight
(8) hours in any one (1) calendar day and forty (40) hours in any one calendar week in
violation of the provisions of Division 2, Part 7, Chapter 1, Article 3 of the Labor Code.
Pursuant to Labor Code section 1815, work performed by employees of Consultant in
excess of 8 hours per day, and 40 hours during any one week shall be permitted upon
public work upon compensation for all hours worked in excess of 8 hours per day at not
less than 11/2 times the basic rate of pay.
8. California Labor Code Sections 1860 and 3700 provide that every
employer will be required to secure the payment of compensation to its employees. In
accordance with the provisions of California Labor Code Section 1861, Consultant
hereby certifies as follows:
"I am aware of the provisions of Section 3700 of the Labor Code which require
every employer to be insured against liability for workers' 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."
9. For every subcontractor who will perform work on the project, Consultant
shall be responsible for such subcontractor's compliance with Chapter 1 and Labor
Code Sections 1860 and 3700, and Consultant shall include in the written contract
between it and each subcontractor a copy of those statutory provisions and a
requirement that each subcontractor shall comply with those statutory provisions.
Consultant shall be required to take all actions necessary to enforce such contractual
provisions and ensure subcontractor's compliance, including without limitation,
conducting a periodic review of the certified payroll records of the subcontractor and
upon becoming aware of the failure of the subcontractor to pay his or her workers the
specified prevailing rate of wages. Consultant shall diligently take corrective action to
halt or rectify any failure.
10. To the maximum extent permitted by law, Consultant shall indemnify, hold
harmless and defend (at Consultant's expense with counsel reasonably acceptable to
the City) the City, its officials, officers, employees, agents and independent contractors
serving in the role of City officials, and volunteers from and against any demand or
claim for damages, compensation, fines, penalties or other amounts arising out of or
incidental to any acts or omissions listed above by any person or entity (including
Consultant, its subcontractors, and each of their officials, officers, employees and
agents) in connection with any work undertaken or in connection with the Agreement,
including without limitation the payment of all consequential damages, attorneys' fees,
and other related costs and expenses. All duties of Consultant under this Section shall
survive termination of the Agreement.
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