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All American Asphalt A2017-130Recording Requested by And When Recorded, Mail To: CITY CLERK CITY OF CHINO HILLS 14000 City Center Drive Chino Hills, CA 91709 Exempt Recording Per Government Code Section 6103 Electronically Recorded in Official Records, County of San Bernardino BOB DUTTON C ASSESSOR - RECORDER - CLERK `° 369 City of Chino Hills Doc# 2018-0010125 Titles 1 Fees NOTICE OF COMPLETION Taxes CA SB2 Fee Others Paid 1/11/2018 08:04 AM Jc Pages 1 00 .00 .00 .00 The undersigned is a Project Manager for the City of Chino Hills, 14000 City Center Drive, Chino Hills, California, which is the owner of the interest or estate stated below in the property hereinafter described. The nature and interest or estate of the City is: In Fee (If other than fee, strike "in Fee" and insert, for example, "easement" or "lessee") A work of improvement on the property hereinafter described was completed on December -1,2017 The work of improvement is described as follows: PIPELINE AVENUE RAISED CONCRETE MEDIAN project_ Date of Contract: June 13, 2017 Contract/Agreement No. A2017-130 Name of Original Contractor: All American Asphalt. The property on which said work of improvement was completed is in the City of Chino Hills, County of San Bernardino, State of California, and is described as follows: Pipeline Avenue between Chino Hills Parkway and the North City Limit, Chino Hills, California. (Legal description) The street address of said property is: (If no street address has been APN: N/A STATE OF CALIFORNIA ) COUNTY OF SAN BERNARDINO )ss CITY OF CHINO HILLS ) CITY OF CVINQJHIL ly assigned, insert "none") Mark L. Rakb, Senior Civil Engineer I HEREBY CERTIFY THAT I am the City Manager for the City of Chino Hills. I have read the foregoing Notice of Completion and know the contents thereof; and I certify that the same is true of my own knowledge. I declare under penalty of perjury, that the foregoing is true and correct. Executed on January 9, 2018 at City of Chino Hills, California. Konradt Bartlam, City Man ger 00 A2017-130 CITY OF CHINO HILLS AGREEMENT CONSTRUCT RAISED CONCRETE MEDIAN ON PIPELINE AVENUE This Contract is made and entered into on the 13th day of June, 2017 by and between the City of Chino Hills, a California General Law Municipal Corporation ("City") and All American Asphalt ("Contractor"). City and Contractor do hereby agree as follows: The complete contract includes all of the Contract Documents, to wit: A. Formal Bid, dated May 4, 2017 B. Addenda C. Bid Documents D. Certificates of Insurance and Endorsements E. Notice of Award F. Notice to Proceed G. The Plans (Contract Drawings) H. Exhibit 12-G Required Federal -Aid Contract Language I. General Prevailing Wage Determinations, dated April 7, 2017 Each of such documents in their entirety is incorporated herein by this reference as is set forth in full. The Contractor agrees to perform certain work set forth and particularly described in the aforementioned documents, incorporated herein by reference in consideration of: TOTAL BASE BID: $337,139.84 Contractor shall furnish a labor and material bond in an amount equal to one hundred percent (100%) of the contract price, and a faithful performance bond in an amount equal to one hundred percent (100%) of the contract price, said bonds to be secured from a surety company admitted and authorized to do business in California as such and satisfactory to the City Council. IV. The Contractor agrees to indemnify, protect, defend and hold harmless the City, and their authorized agents, officers, volunteers, the engineer and employees against any and all claims arising from Contractor's acts or omissions and for any costs or expenses incurred by the City, or their authorized agents, officers, volunteers and employees, on account of any claim therefore. In order to accomplish the indemnification herein provided for, but without limiting the indemnification, the Contractor shall secure and maintain throughout the term of the contract the following types of insurance with limits as shown: Workers' Compensation - A program of Workers' Compensation Insurance or a State -approved Self -Insurance Program in an amount and form to meet all applicable requirements of the Labor Code of the State of California, including Employer's Liability with One Million Dollars ($1,000,000.00) limits, covering all persons providing services on behalf of the Contractor and all risks to such persons under this Agreement. General Liability - Such general liability insurance shall be written with a limit of liability of not less than One Million Dollars ($1,000,000.00) combined single limits for damages arising out of bodilyiniurv, including sickness and death, injury to or destruction of property of others, arising directly or indirectly out of or in connection with the performance of the Work under the Contract Documents including explosion, collapse and underground exposure. Vehicle Liability - Such vehicle liability insurance shall be written with a limit of liability of not less than One Million Dollars ($1,000,000.00) combined single limits for all bodily injury, including sickness and death or injury to or destruction of property of others, arising directly or indirectly out of or in connection with the performance of the Work under the Contract Documents including explosion, collapse and underground exposure. If the City determines to require the Contractor to procure such insurance, such insurance shall cover as insured under all policies: the City, its officers, employees, and agents, City's Representative, the Engineer and his/her consultants, and each of their officers, employees, and agents, excepting workers' compensation. The policy or policies for such insurance may provide for a deductible amount not to exceed five percent (5%) of the Contract Price. As provided in Section 7105 of the California Public Contract Code, the Contractor is responsible for the cost of repairing or restoring work up to five (5%) percent of the contract amount. Insurance Rating: All insurance required herein shall be placed with insurers with a current A.M. Best's rating of no less than A:VII, and which insurers are admitted and authorized to do business in California as insurance carriers. Contractor shall furnish certificates of insurance and endorsements to the City evidencing the insurance coverage above required prior to the commencement of performance of services hereunder, which certificates shall provide that such insurance shall not be terminated or expire without thirty (30) days written notice to the City, and shall maintain such insurance from the time Contractor commences performances of services hereunder until the completion of such services. All policies, with respect to the insurance coverage above required, except for the Workers' Compensation Insurance coverage and professional liability coverage, if applicable, shall contain additional endorsements covering the City and its employees, agents, volunteers and officers as insured with respect to liabilities arising out of the performance of services hereunder. The Contractor shall require the carriers of the above required coverages to waive all rights of subrogation against the City, its officers, volunteers, employees, contractors, agents and subcontractors. All policies required above are to be primary and non-contributing with any insurance or self-insurance programs carried or administered by the City. OR The City agrees to pay, and the Contractor agrees to accept in full payment for the work outlined in the Contract Documents, the total sum of Three Hundred Thirty -Seven Thousand One Hundred Thirty -Nine and 84/100 dollars ($337,139.84) subject to additions and deductions, if any, in accordance with said documents. Payment shall not be made more often than once each thirty (30) days, nor shall amount paid be in excess of ninety-five percent (95%) of the contract at time of completion. Final payment to be made forty-five (45) days acceptance of the project as complete by the City Council. Contractor may, upon Contractor's written request, and approved by the City Council, at Contractor's expense, deposit substitute securities, as stated in Government Code Section 16430, and as authorized by Public Contract Code, Section 22300, in lieu of retention monies withheld to insure performance. VI. The Contractor shall commence the work required by this Contract within ten (10) days of the date specified in the Notice to Proceed and shall complete contract work within Forty (40) working days. City and Contractor have discussed the provisions of Government Code, Section 53069.85 and the damages which may be incurred by City if the Work is not completed within the time specified in this Agreement. The City and Contractor hereby represent that at the time of signing this Agreement, it is impracticable and extremely difficult to fix the actual damage which will be incurred by City if the Work is not completed within the number of days allowed. Accordingly, City and Contractor agree that the sum of One Thousand dollars ($1,000.00) per calendar day is a reasonable sum to assess as damages to City by reason of the failure of Contractor to complete the Work within the time specified. VII. The Contractor hereby agrees to comply with the State Labor Code and acknowledges that, in accordance with Section 3700 of the State Labor Code, he/she will be required to secure the payment of compensation to his/her employees. VIII. The Contractor acknowledges that, in accordance with Section 1777.5 of the State Labor Code, he/she will be held responsible for compliance with the provisions of this Section for all apprenticeable occupations. FA Contractor acknowledges and agrees that Contractor must have all appropriate contractor's licenses. Contractor further warrants and represents that he/she/they has/have the appropriate contractor's license to pursue the work hereunder. Contractor's failure to have or maintain all appropriate licenses during the entire term of this contract, or any period thereof, shall be cause for the immediate and summary termination of this contract by City. Contractor shall be liable for all City's costs to complete the work and this contract. K! The person or persons executing this Agreement on behalf of contractor warrants and represents he/she/they has/have the authority to execute this Agreement on behalf of his/her/their corporation, partnership, or business entity and warrant and represents that he/she/they has/have the authority to bind the contractor to the performance of its obligations hereunder. XI. NOTICES. Notices shall be given pursuant to this Agreement by personal services on the party to be notified, or by written notice upon such party deposited in the custody of the United States Postal Services addressed as Follows: City. City of Chino Hills Attention: City Clerk 14000 City Center Drive Chino Hills, CA 91709 Contractor. All American Asphalt Attention: Edward Ryu 400 E. Sixth Street Corona, CA 92878 The notices shall be deemed to have been given as of the date of personal service, or three (3) days after the date of deposit of the same in the custody of the United States Postal Service. LV411 This Agreement contains the completely final, entire, and exclusive agreement between the parties with respect to the subject matter hereof, and no waiver, alteration, or modification of any of the provisions hereof or rights to act hereunder shall be binding unless in writing. Any attempted modification, amendment, or alteration in violation hereof shall be void. IN WITNESS WHEREOF, each of the parties hereto has caused the Agreement to be executed in its name on its behalf by a duly authorized officer as of this day and year first above written. CITY OF CHINO HILLS RayMarquez Mayor ATTEST: Cheryl Balz City Clerk APPROVED AS TO FORM: L� Mark D. Hensley City Attorney s ALL AMERICAN ASPHALT (Signat re) Ed�u q&j RrIWA, VIGO ffn(JU111 (Title) (Signature) M 160 Fork*, 500M�a�rr (Title) �— Local Assistance Procedures Manual Exhibit 12-G Required Federal -Aid Contract Language EXHIBIT 12-G REQUIRED FEDERAL -AID CONTRACT LANGUAGE (For Local Assistance Construction Projects) The following language must be incorporated into all Local Assistance Federal -aid construction contracts. The following language, with minor edits, was taken from the Code of Federal Regulations. 1. DISADVANTAGED BUSINESS ENTERPRISES (DBE).........................................................2 A. DBE COMMITMENT SUBMITTAL..................................................................................2 B. GOOD FAITH EFFORTS SUBMITTAL .............................................................................3 C. EXHIBIT 15-G - CONSTRUCTION CONTRACT DBE COMMITMENT...................................4 - D. SUBCONTRACTOR AND DISADVANTAGED BUSINESS ENTERPRISE RECORDS.................4 E. PERFORMANCE OF DISADVANTAGED BUSINESS ENTERPRISES.....................................4 2. BID OPENING............................................................................................................5 3. BID RIGGING.............................................................................................................5 4. CONTRACT AWARD...................................................................................................5 5. CONTRACTOR. LICENSE ............................................................................................5 6. CHANGED CONDITIONS.........................................................................................6 A. DIFFERING SITE CONDITION........................................................................................6 B. SUSPENSIONS OF WORK ORDERED BY THE ENGINEER..................................................6 C. SIGNIFICANT CHANGES IN THE CHARACTER OF WORK................................................6 7. BEGINNING OF WORK, TIME OF COMPLETION AND LIQUIDATED DAMAGES.................7 8.. BUY AMERICA...........................................................................................................7 FURNISH STEEL AND IRON MATERIALS TO BE INCORPORATED INTO THE WORK WITH CERTIFICATES OF COMPLIANCE. STEEL AND IRON MATERIALS MUST BE PRODUCED IN THE U.S. EXCEPT ...........................7 9. QUALITY ASSURANCE................................................................................................8 10. PROMPT PAYMENT OF FUNDS WITHHELD TO SUBCONTRACTORS................................8 11. FORM FHWA-1273 REQUIRED CONTRACT PROVISIONS FEDERAI.-AID CONTRACTS.......9 12. FEMALE AND MINORITY GOALS...............................................................................18 13. FEDERAL TRAINEE PROGRAM...................................................................................19 14. TITLE VI ASSURANCE................................................................................................21 15. USE OF UNITED STATES -FLAG VESSELS (CARGO PREFERENCE ACT)...........................22 Page 1 of 24 July 2016 Local Assistance Procedures Manual Exhibit 1.2-G Required Federal -Aid Contract Language 1. DISADVANTAGED BUSINESS ENTERPRISES (DBE) Under 49 CFR 26.1.3(b)., The contractor, subrecipient or subcontractor shall not discriminate on the basis of race, color, national origin, or sex in the performance of this contract. The contractor shall carry out applicable requirements of 49 CFR part 26 in the award and administration of DOT -assisted contracts. Failure by the contractor to carry out these requirements is a material breach of this contract, which may result in the termination of this contract or such other remedy as the recipient deems appropriate. Take necessary and reasonable steps to ensure that DBEs have opportunity to participate in the contract (49 CFR 26). To ensure equal participation of DBEs provided in 49 CFR 26.5, the Agency shows a goal for DBEs. Make work available to DBEs and select work parts consistent with available DBE subcontractors and suppliers. Meet the DBE goal shown elsewhere in these special provisions or demonstrate that you made adequate good faith efforts to meet this goal. It is your responsibility to verify that the DBE firm is certified as DBE at date of bid opening. For a list of DBEs certified by the California Unified Certification Program, go to: http://www.dot.ca.gov/hq/bep/find certified.htm. All DBE participation will count toward the California Department of Transportation's federally mandated statewide overall DBE goal. Credit for materials or supplies you purchase from DBEs counts towards the goal in the following manner: + 100 percent counts if the materials or supplies are obtained from a DBE manufacturer. + 60 percent counts if the materials or supplies are obtained from. a DBE regular dealer. + Only fees, commissions, and charges for assistance in the procurement and delivery of materials or supplies count if obtained from a DBE that is neither a manufacturer nor regular dealer. 49 CFR 26.55 defines "manufacturer" and "regular dealer." You receive credit towards the goal if you employ a DBE trucking company that performs a commercially useful function as defined in.49 CFR 26.55(d)(1) through (4) and (6). a. DBE Commitment Submittal Submit the Exhibit 1.5-G Construction Contract DBE Commitment form, included in the Bid book. If the form is not submitted with the bid, remove the form from the Bid book before submitting your bid. If the DBE Commitment form is not submitted with the bid, the apparent low bidder, the 2nd low bidder, and the 3rd low bidder must complete and submit the DBE Commitment form to the Agency. DBE Commitment form must be received by the Agency no later than 4:00 p.m. on the 4th business day after bid opening. Other bidders do not need to submit the DBE Commitment form unless the Agency requests it. If the Agency requests you to submit a DBE Commitment form, submit the completed form within 4 business days of the request. Submit written confirmation from each DBE stating that it is participating in the contract. Include confirmation with the DBE Commitment form. A copy of a DBE's quote will serve as written confirmation that the DBE is participating in the contract. If you do not submit the DBE Commitment form within the specified time, the Agency will find your bid nonresponsive. Page 2 of 24 July 2016 Local Assistance Procedures Manual Exhibit 12-G Required Federal -Aid Contract Language b. Good Faith Efforts Submittal If you have not met the DBE goal, complete and submit the DBE Information - Good Faith Efforts, Exhibit 15-H, form with the bid showing that you made adequate good faith efforts to meet the goal. Only good faith efforts directed towards obtaining participation by DBEs will be considered. If good faith efforts documentation is not submitted with the bid, it must be received by the Agency no later than 4:00 p.m. on the 4th business day after bid opening. If your DBE Commitment form shows that you have met the DBE goal or if you are required to submit the DBE Commitment form, you must also submit good faith efforts documentation within the specified time to protect your eligibility for award of the contract in the event the Agency finds that the DBE goal has not been met. Good faith efforts documentation must include the following information and supporting documents, as necessary: 1. Items of work you have made available to DBE firms. Identify those items of work you might otherwise perform with your own forces and those items that have been broken down into economically feasible units to facilitate DBE participation. For each item listed, show the dollar value and percentage of the total contract. It is your responsibility to demonstrate that sufficient work to meet the goal was made available to DBE firms. 2. Names of certified DBEs and dates on which they were solicited to bid on the project. Include the items of work offered, Describe the methods used for following up initial solicitations to determine with certainty if the DBEs were interested, and the dates of the follow-up. Attach supporting documents such as copies of letters, memos, facsimiles sent, telephone logs, telephone billing statements, and other evidence of solicitation. You are reminded to solicit certified DBEs through all reasonable and available means and provide sufficient time to allow DBEs to respond. 3. Name of selected firm and its status as a DBE for each item of work made available. Include name, address, and telephone number of each DBE that provided a quote and their price quote. If the firm selected for the item is not a DBE, provide the reasons for the selection. 4. Name and date of each publication in which you requested DBE participation for the project. Attach copies of the published advertisements. 5. Names of agencies and dates on which they were contacted to provide assistance in contacting, recruiting, and using DBE firms. If the agencies were contacted in writing, provide copies of supporting documents. 6. List of efforts made to provide interested DBEs with adequate information about the plans, specifications, and requirements of the contract to assist them in responding to a solicitation. If you have provided information, identify the name of the DBE assisted, the nature of the information provided, and date of contact. Provide copies of supporting documents, as appropriate. 7. List of efforts made to assist interested DBEs in obtaining bonding, lines of credit, insurance, necessary equipment, supplies, and materials, excluding supplies and equipment that the DBE subcontractor purchases or leases from the prime contractor or its affiliate. If such assistance is provided by you, identify the name of the DBE assisted, nature of the assistance offered, and date assistance was provided. Provide copies of supporting documents, as appropriate. 8. Any additional data to support demonstration of good faith efforts. The Agency may consider DBE commitments of the 2nd and 3rd bidders when determining whether the low bidder made good faith efforts to meet the DBE goal. Page 3 of 24 July 2016 Local Assistance Procedures Manual Exhibit 12-G Required Federal -Aid Contract Language c. Exhibit 15-G - Construction Contract DBE Commitment Complete and sign Exhibit 15-G Construction Contract DBE Commitment included in the contract documents regardless of whether DBE participation is reported. Provide written confirmation from each DBE that the DBE is participating in the Contract. A copy of a DBE's quote serves as written confirmation. If a DBE is participating as a joint venture partner, the Agency encourages you to submit a copy of the joint venture agreement.) d Subcontractor and Disadvantaged Business Enterprise Records Use each DBE subcontractor as listed on Exhibit 12-B Bidder's List of Subcontractors (DBE and Non -DBE) and Exhibit 15-G Construction Contract DBE Commitment form unless you receive authorization for a substitution. The Agency requests the Contractor to: 1. Notify the Engineer of any changes to its anticipated DBE participation 2. Provide this notification before starting the affected work 3. Maintain records including: • Name and business address of each 1' -tier subcontractor • Name and business address of each DBE subcontractor, DBE vendor, and DBE trucking company, regardless of tier • Date of payment and total amount paid to each business If you are a DBE contractor, include the date of work performed by your own forces and the corresponding value of the work. Before the 15th of each month, submit a Monthly DBE Trucking Verification form. If a DBE is decertified before completing its work, the DBE must notify you in writing of the decertification date. If a business becomes a certified DBE before completing its work, the business must notify you in writing of the certification date. Submit the notifications. On work completion, complete a Disadvantaged Business Enterprises (DBE) Certification Status Change, Exhibit 17-0, form. Submit the form within 30 days of contract acceptance. Upon work completion, complete Exhibit 17-F Final Report— Utilization of Disadvantaged Business Enterprises (DBE), First -Tier Subcontractors. Submit it within 90 days of contract acceptance. The Agency will withhold $10,000 until the form is submitted. The Agency releases the withhold upon submission of the completed form. e. Performance of Disadvantaged Business Enterprises . DBEs must perform work or supply materials as listed in the Exhibit 15-G Construction Contract DBE Commitment form, included in the Bid. Do not terminate or substitute a listed DBE for convenience and perform the work with your own forces or obtain materials from other sources without authorization from the Agency. The Agency authorizes a request to use other forces or sources of materials if it shows any of the following justifications: 1. Listed DBE fails or refuses to execute a written contract based on plans and specifications for the project. 2, You stipulated that a bond is a condition of executing the subcontract and the listed DBE fails to meet your bond requirements. Page 4 of 24 July 2016 Local Assistance Procedures Manual Exhibit 12-G Required Federal -Aid Contract Language 3. Work requires a contractor's license and listed DBE does not have a valid license under Contractors License Law. 4. Listed DBE fails or refuses to perform the work or furnish the listed materials, 5. Listed DBE's work is unsatisfactory and not in compliance with the contract, 6. Listed DBE is ineligible to work on the project because of suspension or debarment. 7. Listed DBE becomes bankrupt or insolvent. 8. Listed DBE voluntarily withdraws with written notice from the Contract 9. Listed DBE is ineligible to receive credit for the type of work required. 10. Listed DBE owner dies or becomes disabled resulting in the inability to perform the work on the Contract. 11. Agency determines other documented good cause. Notify the original DBE of your intent to use other forces or material sources and provide the reasons. Provide the DBE with 5 days to respond to your notice and advise you and the Agency of the reasons why the use of other forces or sources of materials should not occur. Your request to use other forces or material sources must include: 1. One or more of the reasons listed in the preceding paragraph. 2. Notices from you to the DBE regarding the request. 3. Notices from the DBEs to you regarding the request. If a listed DBE is terminated or substituted, you must make good faith efforts to find another DBE to substitute for the original DBE. The substitute DBE must perform at least the same amount of work as the original DBE under the contract to the extent needed to meet the DBE goal. The substitute DBE must be certified as a DBE at the time of request for substitution. Unless the Agency authorizes (1) a request to use other forces or sources of materials or (2) a good faith effort for a substitution of a terminated DBE, the Agency does not pay for work listed on the Exhibit 15-G Construction Contract DBE Commitment form unless it is performed or supplied by the listed DBE or an authorized substitute. 2. BID OPENING The Agency publicly opens and reads bids at the time and place shown on the Notice to Bidders. 3. BID RIGGING The U.S. Department of Transportation (DOT) provides a toll-free hotline to report bid rigging activities. Use the hotline to report bid rigging, bidder collusion, and other fraudulent activities. The hotline number is (800) 424-9071. The service is available 24 hours 7 days a week and'is confidential and anonymous., The hotline is part of the DOTs effort to identify and investigate highway construction contract fraud and abuse and is operated under the direction of the DOT Inspector General. . 4. CONTRACT AWARD If the Agency awards the contract, the award is made to the lowest responsible and responsive bidder. 5. CONTRACTOR LICENSE The Contractor must be properly licensed as a contractor from contract award through Contract acceptance (Public Contract Code § 10164). Page 5 of 24 July 2016 Local Assistance Procedures Manual Exhibit 12-G Required Federal -Aid Contract Language 6. CHANGED CONDITIONS a Deering Site Conditions 1, During the progress of the work, if subsurface or latent physical conditions are encountered at the site differing materially from those indicated in the contract or if unknown physical conditions of an unusual nature, differing materially from those ordinarily encountered and generally recognized as inherent in the work provided for in the contract, are encountered at the site, the party discovering such conditions shall promptly notify the other party in writing of the specific differing conditions before the site is disturbed and before the affected work is performed. 2. Upon written notification, the engineer will investigate the conditions, and if it is determined that the conditions materially differ and cause an increase or decrease in the cost or time required for the performance of any work under the contract, an adjustment, excluding anticipated profits, will be made and the contract modified in writing accordingly. The engineer will notify the contractor of the determination whether or not an adjustment of the contract is warranted. 3. No contract adjustment which results in a benefit to the contractor will be allowed unless the contractor has provided the required written notice. 4. No contract adjustment will be allowed under this clause for any effects caused on unchanged work. (This provision may be omitted by the Local Agency, at their option.) b. Suspensions of Work Ordered by the Engineer 1, If the performance of all or any portion of the work is suspended or delayed by the engineer in writing for an unreasonable period of time (not originally anticipated, customary, or inherent to the construction industry) and the contractor believes that additional compensation and/or contract time is due as a result of such suspension or delay, the contractor shall submit to the engineer in writing a request for adjustment within 7 calendar days of receipt of the notice to resume work. The request shall set forth the reasons and support for such adjustment. 2. Upon receipt, the engineer will evaluate the contractor's request. If the engineer agrees that the cost and/or time required for the performance of the contract has increased as a result of such suspension and the suspension was caused by conditions beyond the control of and not the fault of the contractor, its suppliers, or subcontractors at any approved tier, and not caused by weather, the engineer will make an adjustment (excluding profit) and modify the contract in writing accordingly. The contractor will be notified of the engineer's determination whether or not an adjustment of the contract is warranted. 3. No contract adjustment will be allowed unless the contractor has submitted the request for adjustment within the time prescribed. 4. No contract adjustment will be allowed under this clause to the extent that performance would have been suspended or delayed by any other cause, or for which an adjustment is provided or excluded under any other term or condition of this contract. c. Significant Changes in the Character of Work 1. The engineer reserves the right to make, in writing, at any time during the work, such changes in quantities and such alterations in the work as are necessary to satisfactorily complete the project. Such changes in quantities and alterations shall not invalidate the contract not release the surety, and the contractor agrees to perform the work as altered. 2, If the alterations or changes in quantities significantly change the character of the work under the contract, whether such alterations or changes are in themselves significant changes to the character of the work or by affecting other work cause such other work to become significantly different in character, an adjustment, excluding anticipated profit, will be made to the contract. The basis for the adjustment shall be agreed upon prior to the performance of the work. If a basis Page 6 of 24 July 2016 Local Assistance Procedures Manual Exhibit 12-G Required Federal -Aid Contract Language cannot be agreed upon, then an adjustment will be made either for or against the contractor in such amount as the engineer may determine to be fair and equitable. If the alterations or changes in quantities do not significantly change the character of the work to be performed under the contract, the altered work will be paid for as provided elsewhere in the contract. 4. The term "significant change" shall be construed to apply only to the following circumstances: + When the character of the work as altered differs materially in kind or nature from that involved or included in the original proposed construction; or • When a major item of work, as defined elsewhere in the contract, is increased in excess of 125 percent or decreased below 75 percent of the original contract quantity. Any allowance for an increase in quantity shall apply only to that portion in excess of 125 percent of original contract item quantity, or in case of a decrease below 75 percent, to the actual amount of work performed. 7. BEGINNING OF WORK, TIME OF COMPLETION AND LIQUIDATED DAMAGES The Contractor shall begin work within 15 calendar days after the contract has been approved by the attorney appointed and authorized to represent the City/Ga" of Chino dills. This work shall be diligently prosecuted to completion before the expiration of Fort 40 _WORKING DAYS beginning on the fifteenth calendar day after approval of the contract. (Itiseft amount of Liquidated Damages) One Thousdand Dollars ($1,00.00) Per Calendar Day The Contractor shall pay to the City/£e" of Chino Hills the sum of $ 1,000.00— per day, for each and every calendar day's delay in finishing the work in excess of the number of working days prescribed above. 8. BUY AMERICA Furnish steel and iron materials to be incorporated into the work with certificates of compliance. Steel and iron materials must be produced in the U.S. except: 1. Foreign pig iron and processed, pelletized, and reduced iron ore may be used in the domestic production of the steel and iron materials [60 Fed Reg 15478 (03/24/1995)]; 2. If the total combined cost of the materials does not exceed the greater of 0.1 percent of the total bid or $2,500, materials produced outside the U.S. may be used. Production includes: 1. Processing steel and iron materials, including smelting or other processes that alter the physical form or shape (such as rolling, extruding, machining, bending, grinding, and drilling) or chemical composition; 2. Coating application, including epoxy coating, galvanizing, and painting, that protects or enhances the value of steel and iron materials. Page 7 of 24 July 2016 Local Assistance Procedures Manual Exhibit 12-G Required Federal -Aid Contract Language 9. QUALITY ASSURANCE The Agency uses a Quality Assurance Program (QAP) to ensure a material is produced to comply with the Contract. You may examine the records and reports of tests the Agency performs if they are available at the job site. Schedule work to allow time for QAP. 10. PROMPT PAYMENT OF FUNDS WITIMELD TO SUBCONTRACTORS (The local agency must include one of the following three provisions to ensure prompt and full payment of any retainage from the prime contractor, or subcontractor, to a subcontractor. Remove or strike out the methods not used.) (EITHER) No retainage will be withheld by the agency from progress payments due the prime contractor. Retainage by the prime contractor or subcontractors is prohibited and no retainage will be held by the prime contractor from progress due subcontractors. Any violation of this provision shall subject the violating prime contractor or subcontractor to the penalties, sanctions and other remedies specified in Section 7108.5 of the California Business and Professions Code. This requirement shall not be construed to limit or impair any contractual, administrative, or judicial remedies otherwise available to the prime Contractor or subcontractor in the event of a dispute involving late payment or nonpayment by the prime contractor or deficient subcontract performance, or noncompliance by a subcontractor. (OR) No retainage will be held by the agency from progress payments due the prime contractor. Any retainage held by the prime contractors or subcontractors from progress payments due subcontractors shall be promptly paid in full to subcontractors within 30 days after the subcontractor's work is satisfactorily completed. Federal law (49CFR26.29) requires that any delay or postponement of payment over the 30 days may take place only for good cause and with the agency's prior written approval. Any violation of this provision shall subject the violating prime contractor or subcontractor to the penalties, sanctions and other remedies specified in Section 7108.5 of the Business and Professions Code, These requirements shall not be construed to limit or impair any contractual, administrative, or judicial remedies otherwise available to the prime Contractor or subcontractor in the event of a dispute involving late payment or nonpayment by the prime contractor, deficient subcontract performance, or noncompliance by a subcontractor. (OR) The agency shall hold retainage from the prime contractor and shall make prompt and regular incremental acceptances of portions, as determined by the agency, of the contract work, and pay retainage to the prime contractor based on these acceptances. The prime contractor, or subcontractor, shall return all monies withheld in retention from a subcontractor within 30 days after receiving payment for work satisfactorily completed and accepted. including incremental acceptances of portions of the contract work by the agency. Federal law (49CFR26.29) requires that any delay or postponement of payment over 30 days may take place only for good cause and with the agency's prior written approval. Any violation of this provision shall subject the violating prime contractor or subcontractor to the penalties, sanctions and other remedies specified in Section 7108.5 of the Business and Professions Code. These requirements shall not be construed to limit or impair any contractual, administrative, or judicial remedies otherwise available to the prime contractor or . subcontractor in the event of a,dispute involving late payment or nonpayment by the prime contractor, deficient subcontract performance, or noncompliance by a subcontractor. Page 8 of 24 July 2016 Local Assistance Procedures Manual . Exhibit 12-G Required Federal -Aid Contract Language 11. FORM FHWA-1273 REQUIRED CONTRACT PROVISIONS FEDERAL -AID CONTRACTS (Excluding ATTACHMENT A - EMPLOYMENT AND MATERIALS PREFERENCE FOR APPALACHIAN DEVELOPMENT HIGHWAY SYSTEM OR APPALACHIAN LOCAL ACCESS ROAD CONTRACTS) [The following 10 pages must be physically inserted into the contract without modification,] Page 9 of 24 July 2016 Local Assistance Procedures Manual Exhibit 12-G Required Federal -Aid Contract Language REQUIRED CONTRACT PROVISIONS FHWAA273 — Revised May 1, 2012 FEDERAL -AID CONSTRUCTION CONTRACTS 1. General IL Nondiscrknination III, Nonsegregated Facilities IV. Davis -Bacon and Related Act Provisions V. Contract Work Hours and Safety Standards Act Provisions VI, Subletting or Assigning the Contract Al. Safety. Accident Prevention All, False Statements Concerning Highway Projects IX. Implementation of Clean Air Act and Federal Water Pollution Control Act X. Compliance with Govemmentwlde Suspension and Debarment Requirements XI. Certification Regarding Use of Contract Funds for Lobbying ATTACHMENTS A. Employment and Materials Preference for Appalachian Development Highway System or Appalachian Local Access Road Contracts (included In Appalachian contracts only) 6 GENERAL 1. Form FMA -1273 must be physically incorporated in each construction contract funded under Title 23 (excluding emergency contracts solely intended for debris removal). The contractor (or subcontractor) must insert this forth In each subcontract and further require its Inclusion In all lower tier subcontracts (excluding purchase orders, rental agreenwn* and other agreements for supplies or services). The applicable requirements of Form FHWA-1273 are incorporated by reference for work done under any purchase order, rental agreement or agreement for other services. The prime contractor shall be responsible for compliance by any subcontractor, lower -tier subcontractor or service provider.' Form FHWA-1273 must be included in all Federal -aid design -build contracts, in all subcontracts and In lower tier subcontracts (excluding subcontracts for design services, purchase orders, rental agreements and other agreements for supplies or services). The design -builder shall be responsible for compliance by any subcontractor, lower -Her subcontractor or service provider, Contracting agendas may reference Form FHWA-1273 in bid proposal or request for proposal documents, however, the Form FHWA-1 273 must be physically Incorporated (not referenced) in all contracts, subcontracts and lower -Her subcontracts (excluding purchase orders, rental agreements and other agreements for supplies or services related to a construction tion contract). 2. Subject to the applicability criteria noted in the following sections, these contract provisions shall apply to all work performed on the contract by the contractor's own organization. and with the assistance of workers under the contractor's Immediate superintendence and to all work performed on the contract by piecework, station work, or by subcontract. 3. A breach of any of the stipulations contained in these Required Contract Provisions may be sufficient grounds for withholding of progress payments, withholding of final payment, termination of the contract, suspension / debarment or any other action determined to be appropriate by the contracting agency and FHWA. 4. Selection of Labor. During the performance of this contract, the contractor shall not use convict labor for arty purpose within the limits of a construction project on a Federal -aid highway unless it Is labor performed by convicts who are on parole, supervised release, or probation. The term Federal -aid highway does not include roadways functionally classified as local roads or rural minor collectors. It. NONDISCRIMINATION The provisions of this section related to 23 CFR Part 230 are applicable to all Federal -alt construction contracts and to all related corutructIm subcontracts of $10,000 or more. The provisions of 23 CFR Part 230 are not applicable to material supply, engineering, or architectural service contracts, In addition, the contractor and all subcontractors must comply with the following policies; Executive Order 11246, 41 CFR 60, 29 CFR 1625- 1627, Tide 23 USC Section 140, the Rehabilitation Act of 1973, as amended (29 USC 794), Tide VI of the Civil Rights Act of 1964, as amended, and related regulations Including 49 CFR Parts 21, 26 and 27; and 23 CFR Parts 200, 230, and 633. The contractor and all subcontractors must comply with: the requirements of the Equal Opportunity Clause in 41 CFR 60-1.4(b) and, for all construction contracts exceeding $10,000, the Standard Federal Equal Employment Opportunity Construction Contract Specifications in 41 CFR 60-4.3. Note: The U.S. Department of Labor has exclusive authority to determine compliance with Executive Order 11246 and the policies of the Secretary of Labor Including 41 CFR 60, and 29 CFR 1625-1627. The contracting agency and the FHWA have the authority and the responsibility to ensure compliance with Tide 23 USC Section 140, the Rehabilitation Act of 1973, as amended (29 USC 794), and Title VI of the Civil Rights Act of 1964, as amended, and related regulations including 49 CFR Parts 21, 26 and 27; and 23 CFR Parts 200, 230, and 633. The following provision is adopted from 23 CFR 230, Appendix A, with appropriate revisions to conform to the U.S. Department of Labor (US DOL) and FHWA requirements, 1. Equal Employment Opportunity: 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 1630,29 CFR 11625-11627,411 CFR 60 and 49 CFR 27) 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 provisions of the Americans with Disabilities Act of 1990 (42 U.S.C, 12101 at 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: a. The contractor will work with the contracting agency and the Federal Government to ensure that it has made every good faith effort to provide equal opportunity with respect to all of its terms and conditions of employment and in their review of activities under the contract. b. The contractor will accept as its 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 recruitroent advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship, pre-apprenkeship, and/or on- the-job training. - 2. EEO Officer. The contractor will designate and make known to the contracting officers cers an EEO Officer who will have the responsibility for and must be capable of effectively administering and promoting an active EEO program and who must be assigned adequate authority and responsibility to do so Page 10 of 24 July 2016 Local Assistance Procedure Manual 3. 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: a. 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. b.: 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. c. 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 minorities and women. d. Notices and posters setting forth the contractor's EEO policy will be placed in areas readily accessible to employees, applicants for employment and potential employees. e. 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. 4. Recruitment: 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 minorities and women In the area from which the project work force would normally be derived. a. The contractor will, unless precluded by a valid bargaining agreement, conduct systematic and direct recruitment through public and private employee referral souroes likely to yield qualified minorities and women. To meet this requirement, the contractor will Identify sources of potential minority group employees, and establish with such identified sources procedures whereby minority and women applicants may be referred to the contractor for employment consideration. b. In the event the contractor has a valid bargaining agreement providing for exclusive hiring hall referrals, the contractor is expected to observe the provisions of that agreement to the extent that the system meets the contractor's compliance with EEO contract provisions, Where implementation of such an agreement has the effect of discriminating against minorities or women, or obligates the contractor to do the same, such implementation violates Federal nondiscrimination provisions, c. The contractor will encourage its present employees to refer minorities and women as applicants for employment. Information and procedures with regard to referring such applicants will be discussed with employees. S. Personnel Actions: Wages, working conditions, and employee benefits shall be established and administered, and personnel actions of every type, including hiring, upgrading, promotion, transfer, demotion, layoff, and termination, shall be taken without regard to race, color, religion, sex, national origin, age or disability. The following procedures shall be followed: a. The contractor will conduct periodic inspections of project sites to insure that working conditions and employee facilities do not Indicate discriminatory treatment of project she personnel. Exhibit 12-G Required Federal -Aid Contract Language b. The contractor will periodically evaluate the spread of wages paid within each classification to determine any evidence of discriminatory wage practices. c. The contractor will periodically review selected personnel actions in depth to determine whether there is evidence of discrimination. Where evidence is found, the contractor will promptly take corrective action. If the review indicates that the discrimination may extend beyond the actions reviewed, such corrective action shall include all affected persons, d. The contractor will promptly investigate all complaints of alleged discrimination made to the contractor in connection with its obligations under this contract, will attempt to resolve such complaints, and will take appropriate corrective action within a reasonable time. ff the investigation Indicates that the discrimination may affect persons other than the complainant, such corrective action shall include such other persons, Upon completion of each Investigation, the contractor will inform every complainant of all of their avenues of appeal. 6. Training and Promotion: a. The contractor will assist In locating, qualifying, and increasing the skills of minorities and women who are applicants for employment or current employees, Such efforts should be aimed at developing full journey level status employees in the type of trade or job classification involved, b. Consistent with the contractor's work force requirements and as permissible under Federal and State regulations, the contractor shall make full use of training programs, i.e., apprenticeship, and on- the­job training programs for the geographical area of contract performance. In the event a special provision for training is provided under this contract, this subparagraph will be superseded as indicated in the special provision. The contracting agency may reserve training positions for persons who receive welfare assistance in accordance with 23 U.S.C. 140(a). c. The contractor will advise employees and applicants for employment of available training programs and entrance requirements for each. d. The contractor will periodically review the training and promotion potential of employees who are minorities and women and will encourage elgible.employees to apply for such training and promotion. 7. Unions: If the contractor relies in whole or in part upon unions as. a source of employees, the contractor will use good faith efforts to obtain the cooperation of such unions to increase opportunities for minorities and women. Actions by the contractor, either directly or through a contractor's association acting as agent, will include the procedures set forth below: a. The contractor will use good faith efforts to develop, in cooperation with the unions, joint training programs aimed toward qualifying more minorities and women for membership in the unions and Increasing the skills of minorities and women so that they may .qualify for higher paying employment. b. The contractor will use good faith efforts to incorporate an EEO clause Into each union agreement to the end that such union will be contractually bound to refer applicants without regard to their race, color, religion, sex, national origin, age or disability, c. The contractor Is to obtain information as to the referral practices and policies of the. labor union except that to the extent such information is within the exclusive possession of the labor union and such labor union refuses to furnish such information to the contractor, the contractor shah so certify to the contracting agency Page 11 of 24 July 2016 Local Assistance Procedure Manual and shall set forth what efforts have been made to obtain such information. d. In the event the union is unable to provide the contractor with a reasonable flow of referrals within the time limit set forth in the collective bargaining agreement, the contractor will, through independent recruitment efforts, fill the employment vacancies. without regard to race, color, religion, sex, national origin, age or disability; making full efforts to obtain qualified and/or quall iable minorities and women. The failure of a union to provide sufficient referrals (even though it is obligated to provide exclusive referrals under the terms of a collective bargaining agreement) does not relieve the contractor from the requirements of this paragraph. In the event the union referral practice prevents the contractor from meeting the obligations pursuant to Executive Order 11246, as amended, and these special provisions, such contractor shall Immediately notify the contracting agency. 8. Reasonable Accommodation for Applicants / Employees with Disabilities: The contractor must be familiar with the requirements for and comply with the Americans with Disabilities Act and all rules and regulations established there under, Employers must provide reasonable accommodation in all employment activities unless to do so would cause an undue hardship. 9. 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 take all necessary and reasonable steps to ensure nondiscrimination in the administration of this contract. a. The contractor shall notify all potential subcontractors and suppliers and lessors of their EEO obligations under this contract. b. The contractor will use good faith efforts to ensure subcontractor compliance with their EEO obligations. 10. Assurance Required by 49 CFR 26.13(b): a. The requirements of 49 CFR Part 26 and the State DOT's U.S. DOT -approved DBE program are incorporated by reference. b. The contractor or subcontractor shall not discriminate on the basis of race, color, national origin, or sex in the performance of this contract. The contractor shall carry out applicable requirements of 49 CFR Part 26 in the award and administration of DOT -assisted contracts. Failure by the contractor to carry out these requirements is a material breach of this contract, which may result in the termination of this contract or such other remedy as the contracting agency deems appropriate. 11. 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 the date of the final payment to the contractor for all contract work and shall be available at reasonable times and places for inspection by authorized representatives of the contracting agency and the FHWA. a. The records kept by the contractor shall document the following; (1) The number and work hours of minority and non -minority group members and women employed in each work classification on the project; (2) The progress and efforts being made in cooperation with unions, when applicable, to increase employment opportunities for minorities and women; and Exhibit 12-C Required Federal -Aid Contract Language (3) The progress and efforts being made in locating, hiring, training, qualifying, and upgrading minorities and women; b. The contractors and subcontractors will submit an annual report to the contracting agency each July for the duration of the project, indicating the number of minority, women, and non -minority group employees currently engaged in each work classification required by the contract work. This information is to be reported on Forni FI-IWA-1391. The staffing data should represent the project work force on board in all or any part.of the last payroll period preceding the end of July. If on-the-job training is being required by special provision, the contractor will be required to collect and report training data. The employment data should reflect the work force on board during all or any part of the last payroll period preceding the end of July. III. NONSEGREGATED FACILITIES This provision is applicable to all Federal -aid construction contracts and to all related construction subcontracts of $10,000 or more. The contractor must ensure that facilities provided for employees are provided in such a manner that segregation on the basis of race, color, religion, sex, or national origin cannot result. The contractor may neither require such segregated use by written or oral policies nor tolerate such use by employee custom. The contractor's obligation extends further to ensure that its employees are not assigned to perform their services at any location, under the contractor's control, where the facilities are segregated. The term "facilities" includes waiting rooms, work areas, restaurants and other eating areas, time clocks, restrooms, washrooms, locker rooms, and other storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, and housing provided for employees. The contractor shall provide separate or single -user restrooms and necessary dressing or sleeping areas to assure privacy between sexes. IV. DAVIS-BACON AND RELATED ACT PROVISIONS This section is applicable to all Federal -aid construction projects exceeding $2,000 and to all related subcontracts and lower -tier subcontracts (regardless of subcontract size). The requirements apply to all projects located within the right-of-way of a roadway that Is functionally classified as Federal -aid highway. This excludes roadways functionally classified as local roads or rural minor collectors, which are exempt, Contracting agencies may elect to apply these requirements to other projects. The following provisions are from the U.S. Department of Labor regulations In 29 CFR 5.5 "Contract provisions and related matters" with minor revisions to conform to the FHWA-1273 format and FHWA program requirements. 1. Minimum wages a. All laborers and mechanics employed or working upon the site of the work, will be paid unconditionally and not less often than once a week, and without subsequent deduction or rebate on any account (except such payroll deductions as are permitted by regulations issued by the Secretary of Labor under the Copeland Act (29 GFR part 3)), the full amount of wages and bona fide fringe benefits (or cash equivalents thereof) due at time of payment computed at rates not less than those contained in the wage determination of the Secretary of Labor which is attached hereto and made a part hereof, regardless of any contractual relationship which may be alleged to exist between the contractor and such laborers and mechanics. Page 12 of 24 July 2016 Local Assistance Procedure Manual Contributions made or costs reasonably anticipated for bona fife fringe benefits under section 1(b)(2) of the Davis -Bacon Act on behalf of laborers or mechanics are considered wages paid to such laborers or mechanics, subject to the provisions of paragraph 1.d, of this section; also, regular contributions made or costs incurred for more than a weekly period (but not less often than quarterly) under plans, funds, or programs which cover the particular weekly period, are deemed to be constructively made or incurred during such weekly period, Such laborers and mechanics shall be paid the appropriate wage rate and fringe benefits on the wage determination for the classification of work actually performed, without regard to skill, except as provided in 29 CFR 55(x)(4). Laborers or mechanics performing work in more than one classification may be compensated at the rate specified for each classification for the time actually worked therein, Provided, That the employer's payroll records accurately set forth the time spent in each classification in which work Is performed. The wage determination (including any additional classification and wage rates conformed under paragraph 1,b. of this section) and the Davis -Bacon poster (WH -1321) shall be posted at all times by the contractor and its subcontractors at the site of the work In a prominent and accessible place where it can be easily seen by the workers. b. (1) The contracting officer shall require that any class of laborers or mechanics, including helpers, which is not listed in the wage determination and which is to be employed under the contract shall be classified in conformance with the wage determination. The contracting officer shall approve an additional classification and wage rate and fringe benefits therefore only when the following criteria have been met: (I) The work to be performed by the classification requested is not performed by a classification in the wage determination; and (li) The classification is utilized in the area by the construction Industry; and (iii) The proposed wage rate, including any bona fide,fringe benefits, bears a reasonable relationship to the wage rates contained in the wage determination. (2) If the contractor and the laborers and mechanics to be employed in the classification (if known), or their representatives, and the contacting officer agree on the classification and wage rate (including the amount designated for fringe benefits where appropriate), a report of the action taken shall be sent by the contracting officer to the Administrator of the Wage and Hour Division, Employment Standards Administration, U.S, Department of Labor, Washington, DC 20210. The Administrator, or an authorized representative, will approve, modify, or disapprove every additional classification action within 30 days of receipt and so advise the contracting officer or will notify the contracting officer within the 30 -day period that additional time is necessary. (3) In the event the contractor, the laborers or mechanics to be employed in the classification or their representatives, and the contracting officer do not agree on the proposed classification and wage rate (including the amount designated for fringe benefits, where appropriate), the contacting officer shall refer the questions, including the views of all interested parties and the recommendation of the contracting officer, to the Wage and Hour Administrator for determination. The Wage and Hour Administrator, or an authorized representative, will Issue a determination within 30 days of receipt and so advise the contracting officer or will notify the contracting officer within the 30 - day period that additional time Is necessary. Exhibit 12-G Required Federal -Aid Contract Language (4) The wage rate (including fringe benefits where appropriate) determined pursuant to paragraphs 1.b.(2) or 1.b.(3) of this section, shall be paid to all workers performing work in the classification under this contract from the first day on which work is performed in the classification. c. Whenever the minimum wage rate prescribed in the contract for a class of laborers or mechanics includes a fringe benefit which is not expressed as an hourly rate, the contractor shall either pay the benefit as stated in the wage determination or shall pay another bona fide fringe benefit or an hourly cash equivalent thereof. d. If the contractor does not make payments to a trustee or other third person, the contractor may consider as part of the wages of any laborer or mechanic the amount of any costs reasonably anticipated in providing bona fide fringe benefits under a plan or program, Provided, That the Secretary of Labor has found, upon the written request of the contractor, that the applicable standards of the Davis -Bacon Act have been met. The Secretary of Labor may require the contractor to set aside in a separate account assets for the meeting of obligations under the plan or program. 2. Withholding The contracting agency shall upon its own action or upon written request of an authorized representative of the Department of Labor, withhold or cause to be withheld from the contractor under this contract, or any other Federal contract with the same prime contractor, or any other federally -assisted contract subject to Davis - Bacon prevailing wage requirements, which is held by the same prime contractor, so much .of the accred payments or advances as may be considered necessary to pay laborers and mechanics, including apprentices, trainees, and helpers, employed by the contractor or any subcontractor the full amount of wages required by the contract, In the event of failure to pay any laborer or mechanic, Including any apprentice, trainee, or helper, employed or working on the site of the work, all or part of the wages required by the contract, the contracting agency may, after written notice to the contractor, take such action as may be necessary to cause the suspension of any further payment, advance, or guarantee of funds until such violations have ceased. 3. Payrolls and basic records a. Payrolls and basic records relating thereto shall be maintained by the contractor during the course of the work and preserved for a period of three years thereafter for all laborers and mechanics working at the site of the work. Such records shall contain the name, address, and social security number of each such worker, his or her correct classification, hourly rates of wages paid (including rates of contributions or costs anticipated for bona fide fringe benefits or cash equivalents thereof of the types described in section 1(b)(2)(B) of the Davis -Bacon Act), daily and weekly number of hours worked, deductions made and actual wages paid. Whenever the Secretary of Labor has found under 29 CFR 5.5(a)(1)(iv) that the wages of any laborer or mechanic include the amount of any costs reasonably anticipated in providing benefits under a plan or program described In section 1(b)(2XB) of the Davis -Bacon Act, the contractor shall maintain records which show that the commitment to provide such benefits Is enforceable, that the plan or program is financially responsible, and that the plan or program has been communicated In writing to the laborers or mechanics affected, and records which show the costs anticipated or the actual cost incurred in providing such benefits, Contractors employing apprentices or trainees under approved programs shall maintain written evidence of the registration of apprenticeship programs and certification of trainee programs, the registration of the apprentices and trainees, and the ratios and wage rates prescribed in the applicable programs. Page 13 of 24 July 2016 Local Assistance Procedure Manual b, . (1) The contractor shall submit weekly for each week in which any contract work Is performed a copy of all payrolls to the contracting agency. The payrolls submitted shall set out accurately and completely all of the information required to be maintained under 29 CFR 5.5(a)(3)(I), except that full social security numbers and home addresses shall not be included on weekly transmittals, Instead the payrolls shall only need to include an individually Identifying number for each employee ( e.g, , the last four digits of the employee's social security number). The required weekly payroll Information may be submitted In any form desired, Optional Form WH -347 Is available for this purpose from the Wage and Hour Division Web site at http:/Mww.dol.gov/esatwhdtformstwh3471nstr.hbn or its successor site. The prime contractor Is responsible for the submission of copies of payrolls by all subcontractors. Contractors and subcontractors shall maintain the full social security number and current address of each covered worker, and shall provide them upon request to the contracting agency for transmission to the State DOT, the FHWA or the Wage and Hour Division of the Department of Labor for purposes of an investigation or audit of compliance with prevailing wage requirements, it is not a violation of this section for a prime contractor to require a subcontractor to provide addresses and social security numbers to the prime contractor for its own records, without weekly submission to the contracting agency., (2) Each payroll submitted shall be accompanied by a "Statement of Compliance," signed by the contractor or subcontractor or his or her agent who pays or supervises the payment of the persons employed under the contract and shall certify the following: (i) That the payroll for the payroll period contains the information required to be provided under §5.5 (a)(3)(11) of Regulations, 29 CFR part 5, the appropriate information is being maintained under §5.5 (a)(3)(i) of Regulations, 29 CFR part 5, and that such information Is correct and complete; (it) That each laborer or mechanic (including each helper, apprentice, and trainee) employed on the contract during the payroll period has been paid the full weekly wages earned, without rebate, either directly or indirectly, and that no deductions have been made either directly or indirectly from the full wages earned, other than permissible deductions as set forth in Regulations, 29 CFR part 3; . (ill) That each laborer or mechanic has been paid not less than the applicable wage rates and fringe benefits or cash equivalents for the classification of work performed, as specified in the applicable wage determination incorporated into the contract. . (3) The weekly submission of a property executed certification set forth on the reverse side of Optional Form WH -347 shall satisfy the requirement for submission of the 'Statement of Compliance" required by paragraph 3.b.(2) of this section. (4) The falsification of any of the above certifications may subject the contractor or subcontractor to civil or criminal prosecution under section 1001 of title 18 and section 231 of title 31 of the United States Code, c. The contractor or subcontractor shall make the records required under paragraph 3.a. of this section available for inspection, copying, or transcription by authorized representatives. of the contracting agency, the State DOT, the FHWA, or the Department of Labor, and.shaN permit such representatives to interview employees during working hours on the job, If the contractor or subcontractor falls to submit the required records or to make them evaNable, the FHWA may, after written notice to the contractor, the Exhibit 12-G Required Federal -Aid Contract Language contracting agency or the State DOT, take such action 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 for debarment action pursuant to 29 CFR 5.12. 4. Apprentices and trainees a. Apprentices (programs of the USDOL). Apprentices will be permitted to work at less than the predetermined rate for the work they performed when they are employed pursuant to and individually registered in a bona fide apprenticeship program registered with the U.S. Department of Labor, Employment and Training Administration, Office of Apprenticeship Training, Employer and Labor Services, or with a State Apprenticeship Agency recognized by the Office, or a person is employed In his or her first 90 days of probationary employment as an apprentice In such an apprenticeship program, who Is not individually registered in the program, but who has been certified by the Office of Apprenticeship Training, Employer and Labor Services or a State Apprenticeship Agency (where appropriate) to be eligible for probationary employment as an apprentice. The allowable ratio of apprentices to journeymen on the job site in any craft classification shall not be greater than the ratio permitted to the contractor as to the entire work force under the registered program. Any worker listed on a payroll at an apprentice wage rate, who is not registered or otherwise employed as stated above, shall be paid not less than the applicable wage rate on the wage determination for the classification of work actually performed. In addition, any apprentice performing work on the job site In excess of the ratio permitted under the registered program shall be paid not less than the applicable wage rate on the wage determination for the work actually performed, Where a contractor is performing construction on a project in a locality other than that in which its program Is registered, the ratios and wage rates (expressed in percentages of the journeyman's hourly rate) specified in the contractor's or subcontractor's registered program shall be observed. Every apprentice must be paid at not less than the rate specified in the registered program for the apprentice's level of progress, expressed as a percentage of the journeymen hourly rate specified In the applicable wage determination. Apprentices shall be paid fringe benefits In accordance with the provisions of the apprenticeship program. If the apprenticeship program does not specify fringe benefits, apprentices must be paid the full amount of fringe benefits listed on the wage determination for the applicable classification. If the Administrator determines that a different practice prevails for the applicable apprentice classification, fringes shall be paid in accordance with that determination. In the event the Office of Apprenticeship Training, Employer and Labor Services, or a State Apprenticeship Agency recognized by the office, withdraws approval of an apprenticeship program, the contractor will no longer be permitted to utilize apprentices at less than the applicable predetermined rate for the work performed until an acceptable program is approved. b. Trainees (programs of the USDOL). Except as provided In 29 CFR 5. 16, trainees will not be permitted to work at less than the predetermined rate for the work performed unless they are employed pursuant to and individually registered in Page 14 of 24 July 2016 Local Assistance Procedure Manual a program which has received prior approval, evidenced by formal certification by the U.S. Department of Labor, Employment and Training Administration, The ratio of trainees to journeymen on the job site shah not be greater than permitted under the plan approved by the Employment and Training Administration. Every trainee must be paid at not less than the rate specified In the approved program for the trainee's level of progress, expressed as a percentage of the journeyman hourly rate specified in the applicable wage determination. Trainees shall be paid fringe benefits in accordance with the provisions of the trainee program. If the trainee program does not mention fringe benefits, trainees shall 'be paid the full amount of fringe benefits listed on the wage determination unless the Administrator of the Wage and Hour Division determines that there is an apprenticeship program associated with the corresponding journeyman wage rate on the wage determination which provides for less than full fringe benefits for apprentices. Any employee listed on the payroll at a trainee rate who is not registered and participating in a training plan approved by the Employment and Trainiog Administration shall be paid not less than the applicable wage rate on the wage determination for the classification of work actually performed. In addition, any trainee performing work on the job site in excess of the ratio permitted under the registered program shall be paid not less than the applicable wage rate on the wage determination for the work actually performed. In the event the Employment and Training Administration withdraws approval of a training program, the contractor will no longer be permitted to utilize trainees at less than the applicable predetermined rate for the work performed until an acceptable program is approved, c. Equal employment opportunity. The utilization of apprentices, trainees and journeymen under this part shall be In conformity with the equal employment opportunity requirements of Executive Order 11246, as amended, and 29 CFR part 30. d. Apprentices and Trainees (programs of the U.S. DOT) Apprentices and trainees working under apprenticeship and skill training programs which have been certified by the Secretary of Transportation as promoting EEO in connection with Federal -aid highway construction programs are not subject to the requirements of paragraph 4 of this Section IV. The straight time hourly wage rates for apprentices and trainees under such programs will be established by the particular programs. The ratio of apprentices and trainees to journeymen shall not be greater than permitted by the terms of the particular program. 5. Compliance with Copeland Act requirements. The contractor shall comply with the requirements of 29 CFR part 3, which are incorporated by reference in this contract. S. Subcontracts. The contractor or subcontractor shall insert Form FHWA-1273 in any subcontracts and also require the subcontractors to include Form FHWA-1273 in any lower tier subcontracts. The prime contractor shall be responsible for the compliance by any subcontractor or lower tier subcontractor with all the contract clauses In 29 CFR 5.5. 7. Contract termination: debarment A breach of the contract clauses in 29 CFR 5.5 may be grounds for termination of the contract, and for debarment as a contractor and a subcontractor as provided in 29 CFR 5.12, Exhibit 12-G Required Federal -Aid Contract Language 8. Compliance with Davis -Bacon and Related Act requirements. All rulings and interpretations of the Davis -Bacon and Related Acts contained in 29 CFR parts 1, 3, and 5 are herein incorporated by reference in this contract. 9. Disputes concerning labor standards. Disputes arising out of the labor standards provisions of this contract shall not be subject to the general disputes clause of this contract. Such disputes shall be resolved in accordance with the procedures of the Department of Labor set forth in 29 CFR parts 5, 6, and 7. Disputes within the meaning of this clause include disputes between the contractor (or any of its subcontractors) and the contracting agency, the U.S. Department of Labor, or the employees or their representatives, 10. Certification of eligibility. a. By entering into this contract, the contractor certifies that neither it (nor he or she) nor any person or firm who has an interest in the contractor's firm is a person or firm Ineligible to be awarded Government contracts by virtue of section 3(a) of the Davis -Bacon Act or 29 CFR 5.12(a)(1). b. No part of this contract shall be subcontracted to any person or firm ineligible for award of a Government contract by virtue of section 3(a) of the Davis -Bacon Act or 29 CFR 5.12(a)(1). c. The penalty for making false statements is prescribed in the U.S, Criminal Code, 18 U.S.C, 1001. V. CONTRACT WORK HOURS AND SAFETY STANDARDS ACT The following clauses apply to any Federal -aid construction contract In an amount in excess of $100,000 and subject to the overtime provisions of the Contract Work Hours and Safety Standards Act. These clauses shall be inserted in addition to the clauses required by 29 CFR 5.5(a) or 29 CFR 4.6, As used in this paragraph, the terms laborers and mechanics include watchmen and guards. 1. Overtime requirements. No contractor or subcontractor contracting for any part of the contract work which may require or involve the employment of laborers or mechanics shall require or permit any such laborer or mechanic in any workweek in which he or she Is employed on such work to work in excess of forty hours in such workweek unless such laborer or mechanic receives compensation at a rate not less than one and one-half tines the basic rate of pay for all hours worked in excess of forty hours in such workweek. 2. Violation; liability for unpaid wages; liquidated damages; In the event of any vlolaion of the clause set forth in paragraph (1.) of this section, the contractor and any subcontractor responsible therefor shall be liable for the unpaid wages. In addition, such contractor and subcontractor shall be liable to the United States (in the case of work done under contract for the District of Columbia or a territory, to such District or to such territory), for liquidated damages. Such liquidated damages shall be computed with respect to each individual laborer or mechanic, including watchmen and guards, employed in violation of the clause set forth in paragraph (1.) of this section, in the sum of $10 for each calendar day on which such Individual was required or permitted to work in excess of the standard workweek of forty hours without payment of the overtime wages required by the clause set forth in paragraph (1.) of this section. Page 15 of 24 July 2016 Local Assistance Procedure Manual 3. Withholding for unpaid wages and liquidated damages. The FHWA or the contacting agency shall upon its own action or upon written request of an authorized representative of the Department of Labor withhold or cause to be withheld, from any moneys payable on account of work performed by the contractor or subcontractor under any such contract or any other Federal contract with the same prime contractor, or any other federally -assisted contract subject to the Contract Work Hours and Safety Standards Act, which is held by the same prime contractor, such sums as may be determined to be necessary to satisfy any liabilities of such contractor or subcontractor for unpaid wages and liquidated damages as provided In the clause set forth In paragraph (2.) of this section. 4. Subcontracts. The contractor or subcontractor shall Insert In any subcontracts the clauses set forth in paragraph (1.) through (4.) of this section and also a clause requiring the subcontractors to include these clauses in any lower tier subcontracts. The prime contractor shall be responsible for compliance by any subcontractor or lower tier subcontractor with the clauses set forth in paragraphs (1.) through (4.) of this section. VI. SUBLETTING OR ASSIGNING THE CONTRACT This provision is applicable to all Federal -aid construction contracts on the National Highway System. 1. The contractor shall perform with its own organization contract work amounting to not less than 30 percent (or a greater percentage If specified elsewhere in the contract) of the total original contract price, excluding any specialty Items designated by the contracting agency. Specialty items may be perfomred by subcontract and the amount of any such specialty items performed may be deducted from the total original contract price before computing the amount of work required to be performed by the contractor's own organization (23 CFR 635.116), a. The term "perform work with its own organization" refers to workers employed or leased by the prime contractor, and equipment owned or rented by the prime contractor, with or without operators. Such term does not include employees or equipment of a subcontractor or lower tier subcontractor, agents of the prime contractor, or any other assignees. The term may Include payments for the costs of hiring leased employees from an employee leasing firm meeting all relevant Federal and State regulatory requirements, Leased employees may only be included in this term if the prime contractor meets all of the following conditions; (1) the prime contractor maintains control over the supervision of the day-to-day activities of the leased employees; (2) the prime contractor remains responsible for the quality of the work of the leased employees; (3) the prime contractor retains all power to accept or exclude Individual employees from work on the project; and (4) the prime contractor remains ultimately responsible for the payment of predetermined minimum wages, the submission of payrolls, statements of compliance and all other Federal regulatory requirements. b. "Specialty Items" shall be construed to be limited to work that requires highly specialized knowledge, abilities, or equipment not ordinarily available in the type of contracting organizations qualified and expected to bid or propose on the contract as a whole and in general are to be limited to minor components of the overall contract. 2. The contract amount upon which the requirements set forth in paragraph (1) of Section VI is computed includes the cost of material and manufactured products which are to be purchased or produced by the contractor under the contract provisions, Exhibit 12-G Required Federal -Aid Contract Language 3..The contractor shall furnish (a) a competent superintendent or supervisor who is employed by the firm, has full authority to direct performance of the work in accordance with the contract requirements, and is in charge of all construction operations (regardless of who performs the work) and (b) such other of its own organizational resources (supervision, management, and engineering services) as the contracting officer determines is necessary to assure the performance of the contract. 4. No portion of the contract shag be sublet, assigned or otherwise disposed of except with the written consent of the contracting officer, or authorized representative, and such consent when given shall not be construed to relieve the contractor of any responsibility for the fulfillment of the contract. Written consent will be given only after the contracting agency has assured that each subcontract is evidenced in writing and that it contains all pertinent provisions and requirements of the prime contract. 5. The 30% self -performance requirement of paragraph (1) is not applicable to design -build contracts; however, contracting agencies may establish their own self -performance requirements, VII. SAFETY: ACCIDENT PREVENTION This provision is applicable to all Federal -aid construction contracts and to all related subcontracts. 1. In the performance of this contract the contractor shall comply with all applicable Federal, State, and local laws governing safety, health, and sanitation (23 CFR 635). The contractor shall provide all safeguards, safety devices and protective equipment and take any other needed actions as it determines, or as the contracting officer may determine, to be reasonably necessary to protect the life and health of employees on the job and the safety of the public and to protect property in connection with the performance of the work covered by the contract. 2, It is a condition of this contract, and shall be made a condition of each subcontract, which the contractor enters Into pursuant to this contract, that the contractor and any subcontractor shall not permit any employee, in performance of the contract, to work in surroundings or under conditions which are unsanitary, hazardous or dangerous to his/her health or safety, as determined under construction safety and health standards (29 CFR 1926) promulgated by the Secretary of tabor, In accordance with Section 107 of the Contract Work Hours and Safety Standards Act (40 U.S.C. 3704). 3, Pursuant to 29 CFR 1926.3, it is a condition of this contract that the Secretary of Labor or authorized representative thereof, shall have right of entry to any site of contract performance to inspect or Investigate the matter of compliance with the construction safety and health standards and to carry out the duties of the Secretary under Section 107 of the Contract Work Hours and Safety Standards Act (40 U.S.C.3704), Vlll. FALSE STATEMENTS CONCERNING HIGHWAY PROJECTS This provision Is applicable to all Federal -aid construction contracts and to all related subcontracts. In order to assure high quality and durable construction in conformity with approved plans and specifications and a high degree of reliability on statements and representations made by engineers, contractors, suppliers, and workers on Federal -aid highway projects, it is essential that all persons concerned with the project perform their functions as carefully, thoroughly, and honestly as possible. Willful falsification, distortion, or misrepresentation with respect to any facts related to the project is a violation of Federal law. To prevent any misunderstanding regarding the seriousness of these Page 16 of 24 July 2016 Local Assistance Procedure Manual and similar acts, Form FHWA-1022 shall be posted on each Federal -aid highway project (23 CFR 635) in one or more places where it is readily available to all persons concerned with the project: 18 U.S.C. 1020 reads as follows: 'Whoever, being an officer, agent, or employee of the United States, or of any State or Territory, or whoever, whether a person, association, firm, or corporation, knowingly makes any false statement, false representation, or false report as to the character, quality, quantity, or cost of the material used or to be used, or the quantity or quality of the work performed or to be performed, or the cost thereof in connection with the submission of plans, maps, specifications, contracts, or costs of construction on any highway or related project submitted for approval to the Secretary of Transportation; or Whoever knowingly makes any false statement, false representation, false report or false claim with respect to the character, quality, quantity, or cost of any work performed or to be performed, or materials furnished or to be furnished, in connection with the construction of any highway or related project approved by the Secretary of Transportation; or Whoever knowingly makes any false statement or false representation as to material fact in any statement, certificate, or report submitted pursuant to provisions of the Federal -aid Roads Act approved July 1, 1916, (39 Stat. 355), as amended and supplemented; Shall be fined under this title or imprisoned not more than 5 years or both," IX. IMPLEMENTATION OF CLEAN AIR ACT AND FEDERAL WATER POLLUTION CONTROL ACT This provision is applicable to all Federal -aid construction contracts and to all related subcontracts. By submission of this bid/proposal or the execution of this contract, or subcontract, as appropriate, the bidder, proposer, Federal -aid construction contractor, or subcontractor, as appropriate, will be deemed to have stipulated as follows: 1. That any person who is or will be utilized in the performance of this contract is not prohibited from receiving an award due to a violation of Section 508 of the Clean Water Act or Section 306 of the Clean Air Act. 2. That the contractor agrees to Include or cause to be included the requirements of paragraph (1) of this Section X in every subcontract, and further agrees to take such action as the contracting agency may direct as a means of enforcing such requirements. X. CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION This provision is applicable to all Federal -aid construction contracts, design -build contracts, subcontracts, lower -tier subcontracts, purchase orders, lease agreements, consultant contracts or any other covered transaction requiring FHWA approval or that is estimated to cost $25,000 or more — as defined in 2 CFR Parts 180 and 1200. 1. Instructions for Certification — First Tier Participants: a. By signing and submitting this proposal, the prospective first tier participant is providing the certification set out below. Exhibit 12-G Required Federal -Aid Contract Language b. The inability of a person to provide the certification set out below will not necessarily result in denial of participation in this covered transaction. The prospective first tier participant shall submit an explanation of why it cannot provide the certification set out below. The certification or explanation will be considered in connection with the department or agency's determination whether to enter into this transaction. However, failure of the prospective first tier participant to furnish a certification or an explanation shall disqualify such a person from participation in this transaction, c. The certification in this clause is a material representation of fact upon which reliance was placed when the contracting agency determined to enter into this transaction. If it is later determined that the prospective participant knowingly rendered an erroneous certification, in addition to other remedies available to the Federal' Government, the contracting agency may terminate this transaction for cause of default. d. The prospective first tier participant shall provide immediate written notice to the contracting agency to whom this proposal is submitted if any time the prospective first tier participant learns that Its certification was erroneous when submitted or has become erroneous by reason of changed circumstances. e. The terms "covered transaction," "debarred," "suspended," "ineligible," "participant," "person," "principal," and "Voluntarily excluded," as used in this clause, are defined in 2 CFR Parts 180 and 1200. "First Tier Covered Transactions" refers to any covered transaction between a grantee or subgrantee of Federal funds and a participant (such as the prime or general contract). "Lower Tier Covered Transactions" refers to any covered transaction under a First Tier Covered Transaction (such as subcontracts). "First Tier Participant" refers to the participant who has entered into a covered transaction with a grantee or subgrantee of Federal funds (such as the prime or general contractor). "Lower Tier Participant" refers any participant who has entered into a covered transaction with a First Tier Participant or other Lower Tier Participants (such as subcontractors and suppliers). f. The prospective first tier participant agrees by submitting this proposal that, should the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared Ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the department or agency entering into this transaction. g. The prospective first tier participant further agrees by submitting this proposal that it will include the clause. titled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion -Lower Tier Covered Transactions," provided by the department or contracting agency, entering into this covered transaction, without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions exceeding the $25,000 threshold. h. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that is not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows that the certification is erroneous. A participant is responsible for ensuring that its principals are not suspended, debarred, or otherwise Ineligible to participate in covered transactions. To verify the eligibility of Its principals, as well as the eligibility of any lower tier prospective participants, each participant may, but is not required to, check the Excluded Parties List System website (https://www.ep1s.gov/), which is compiled by the General Services Administration, 1. Nothing contained in the foregoing shall be construed to require the establishment of a system of records in order to render in good Page 17 of 24 July 2016 . Local Assistance Procedure Manual faith the certification required by this clause. The knowledge and information of the prospective participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. j. Except for transactions authorized under paragraph (f) of these Instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal Government, the department or agency may terminate this transaction for cause or default. 2. Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion — First Tier Participants: a, The prospective first tier participant certifies to the best of its knowledge and belief, that it and Its principals: (1) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participating in covered transactions by any Federal department or agency; (2) Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; (3) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State or local) with commission of any of the offenses enumerated in paragraph (a)(2) of this certification; and (4) Have not within a three-year period preceding this application/proposal had one or more public transactions (Federal, State or local) terminated for cause or default. b, Where the prospective participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal. 2. Instructions for Certification - Lower Tier Participants: (Applicable to all subcontracts, purchase orders and other lower tier transactions requiring prior FHWA approval or estimated to cost $25,000 or more - 2 CFR Parts 180 and 1200) a. By signing and submitting this -proposal, the prospective lower tier is providing the certification set out below. b. The certification in this clause is a material representation of fact upon which reliance was placed when this transaction was entered into. If it is later determined that the prospective lower tier participant knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government, the department, or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment. c. The prospective lower tier participant shall provide immediate written notice to the person to which this proposal is submitted if at any time the prospective lower tier participant learns that its certification was erroneous by reason of changed circumstances, d. The terns "covered transaction," "debarred," "suspended," "ineligible," "participant," "person," "principal," and "voluntarily Exhibit 12-G Required Federal -Aid Contract Language excluded," as used in this clause, are defined in 2 CFR Parts 180 and 1200. You may contact the person to which this proposal is submitted for assistance in obtaining a copy of those regulations. "First Tier Covered Transactions" refers to any covered transaction between a grantee or subgrantee of Federal funds and a participant (such as the prime or general contract). "Lower Tier Covered Transactions" refers to any covered transaction under a First Tier Covered Transaction (such as subcontracts). "First Tier Participant" refers to the participant who has entered into a covered transaction with a grantee or subgrantee of Federal funds (such as the prime or general contractor). "Lower Tier Participant" refers any participant who has entered into a covered transaction with a First Tier Participant or other Lower Tier Participants (such as subcontractors and suppliers). e. The prospective lower tier participant agrees by submitting this proposal that, should the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the department or agency with which this transaction originated. f. The prospective lower tier participant further agrees by submitting this proposal that it will include this clause titled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion -Lower Tier Covered Transaction," without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions exceeding the $25,000 threshold. g. A participant in a covered transaction may rely upon a certification of a prospective participant In a lower tier covered transaction that is not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows that the certification is erroneous. A participant is responsible for ensuring that its principals are not suspended, debarred, or otherwise ineligible to participate in covered transactions. To verify the eligibility of its principals, as well as the eligibility of any lower tier prospective participants, each participant may, but is not required to, check the Excluded Parties List System website (littps://www.epls.sov/), which is compiled by the General Services Administration. h. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and information of participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. I. Except for transactions authorized under paragraph a of these instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is suspended,, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal Government, the department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment.. Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion --Lower Tier Participants: 1. The prospective lower tier participant certifies, by submission of this proposal, that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participating in covered transactions by any Federal department or agency. Page 18 of 24 July 2016 Local Assistance Procedure Manual 2. Where the prospective lower tier participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal. XI. CERTIFICATION REGARDING USE OF CONTRACT FUNDS FOR LOBBYING This provision Is applicable to all Federal -aid construction contracts and to all related subcontracts which exceed $100,000 (49 CFR 20). 1. The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that: a. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to Influence an officer or employee of any Federal agency, 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 any Federal grant, the making of any Federal loan, the entering Into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, ban, or cooperative agreement. b. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to Influence an officer or employee of any Federal 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 undersigned shall complete and submit Standard Form -LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions, 2. This certification is a material representation of fad upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction Imposed by 31 U.S.C. 1352. 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. 3. The prospective participant also agrees by submitting Its bid or proposal that the participant shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such recipients shall certify and disclose accordingly. Exhibit 12-G Required Federal -Aid Contract Language Page 19 of 24 July 2016 Local Assistance Procedures Manual Exhibit 12-G Required Federal -Aid Contract Language 12. FEMALE AND MINORITY GOALS To comply with Section II, "Nondiscrimination," of "Required Contract Provisions Federal -Aid Construction Contracts," the following are for female and minority utilization goals for Federal -aid construction contracts and subcontracts that exceed $10,000: The nationwide goal for female utilization is 6.9 percent. The goals for minority utilization (45 Fed Reg 65984 (10/3/1980)] are as follows: MINORITY UTILIZATION GOALS Economic Area Goal (Percent) Redding CA: 174 Non -SMSA (Standard Metropolitan Statistical Area) Counties: 6.8 CA Lassen; CA Modoc; CA Plumas; CA Shasta; CA Siskiyou; CA Tehama Eureka, CA 175 Non -SMSA Counties: 6.6 CA Del Norte; CA Humboldt; CA Trinity San Francisco -Oakland -San Jose, CA: SMSA Counties: . 7120 Salinas -Seaside -Monterey, CA 28.9 CA Monterey 73.60 San Francisco -Oakland 25.6 CA Alameda; CA Contra Costa; CA Marin; CA San Francisco; CA San Mateo 7400 San Jose, CA 176 CA Santa Clara, CA 19.6 7485 Santa Cruz, CA CA Santa Cruz 14.9 7500 Santa Rosa CA Sonoma 9.1 8720 Vallejo -Fairfield -Napa, CA CA Napa; CA Solano 17.1 Non -SMSA Counties: CA Lake; CA Mendocino; CA San Benito 23.2 Sacramento, CA: SMSA Counties: 6920 Sacramento, CA 16.1 177 CA Placer; CA Sacramento; CA Yolo Non -SMSA Counties 14.3 CA Butte; CA Colusa; CA El Dorado; CA Glenn; CA Nevada; CA Sierra; CA Sutter; CA Yuba Stockton -Modesto, CA: SMSA Counties - ounties:5170 5 170Modesto, CA 12.3 178 CA Stanislaus 81.20 Stockton, CA 24.3 CA San Joaquin Non -SMSA Counties 19.8 CA Alpine; CA Amador; CA Calaveras; CA Mariposa; CA Merced; CA Tuolumne Page 20 of 24 July 2016 Local Assistance Procedures Manual Exhibit 12-G Required Federal -Aid Contract Language 179 Fresno -Bakersfield, CA SMSA Counties: 0680 Bakersfield, CA CA Kern 2840 Fresno, CA CA Fresno Non -SMSA Counties: CA Kings; CA Madera; CA Tulare 19.1 26.1 23.6 Los Angeles, CA: SMSA Counties: 0360 Anaheim -Santa Ana -Garden Grove, CA 11.9 CA Orange 4480 Los Angeles -Long Beach, CA 28.3 CA Los Angeles 180 6000 Oxnard -Simi Valley -Ventura, CA j 21.5 CA Ventura 6780 Riverside -San Bernardino -Ontario, CA 19.0 CA Riverside; CA San Bernardino 7480 Santa Barbara -Santa Maria -Lompoc, CA 19.7 CA Santa Barbara Non -SMSA Counties 24.6 CA In o; CA Mono; CA San Luis Obispo San Diego, CA: SMSA Counties 181 7320 San Diego, CA 16.9 CA San Diego Non -SMSA Counties 18.2 CA Imperial For the last full week July during which work is performed under the contract, you and each non material - supplier subcontractor with a subcontract of $10,000 or more must complete Form FHWA PR -1.391 (Appendix C to 23 CFR 230), Submit the forms by August 15. 13. FEDERAL TRAINEE PROGRAM For the Federal training program, the number of trainees or apprentices is 0 This section applies if a number of trainees or apprentices is specified in the special provisions. As part of your equal opportunity affirmative action program, provide on-the-job training.to develop full journeymen in the types of trades or job classifications involved. You have primary responsibility for meeting this training requirement. If you subcontract a contract part, determine how many trainees or apprentices are to be trained by the subcontractor. Include these training requirements in your subcontract. Where feasible, 25 percent of apprentices or trainees in each occupation must be in their I st year of apprenticeship or training. Distribute the number of apprentices or trainees among the work classifications on the basis of your needs and the availability of journeymen in the various classifications within a reasonable recruitment area. Page 21 of 24 July 2016 Local Assistance Procedures Manual Exhibit 12-G Required Federal -Aid Contract Language Before starting work, submit to the City/County of 1. Number of apprentices or trainees to be trained for each classification 2. Training program to be used 3. Training starting date for each classification Obtain the City/County's of approval for this submitted information before -you start work. The City/County of credits you for each apprentice or trainee you employ on the work who is currently enrolled or becomes enrolled in an approved program. The primary objective of this section is to train and upgrade minorities and women toward journeymen status. Make every effort to enroll minority and women apprentices or trainees, such as conducting systematic and direct recruitment through public and private sources likely to yield minority and women apprentices or trainees, to the extent they are available within a reasonable recruitment area. Show that you have made the efforts. In making these efforts, do not discriminate against any applicant for training. _Do not employ as an apprentice or trainee an employee: 1. In any classification in which the employee has successfully completed a training course leading to journeyman status or in which the employee has been employed as a journeyman '2. Who is not registered in a program approved by the US Department of Labor, Bureau of Apprenticeship and Training Ask the employee if the employee has successfully completed a training course leading to journeyman status or has been employed as a journeyman. Your records must show the employee's answers to the questions. In your training program, establish the minimum length and training type for each classification. The City/County of and FHWA approves a program if one of the following is met: 1. It is calculated to: ■ Meet the your equal employment opportunity responsibilities ■ Qualify the average apprentice or trainee for journeyman status in the classification involved by the end of the training period 2. It is registered with the U.S. Department of Labor, Bureau of Apprenticeship and Training, and it is administered in a way consistent with the equal employment responsibilities of Federal -aid highway construction contracts Obtain the State's approval for your training program before you start work involving the classification covered by the program. Provide training in the construction crafts, not in clerk -typist or secretarial -type positions. Training is allowed in lower level management positions such as office engineers, estimators, and timekeepers if the training is oriented toward construction applications. Training is allowed in the laborer classification if significant and meaningful training is provided and approved by the division office. Off-site training is allowed if the training is an integral part of an approved training program and does not make up a significant part of the overall training. The City/County of reimburses you 80 cents per hour of training given an employee on this contract under an approved training program: 1. For on-site training 2. For off-site training if the apprentice or trainee is currently employed on a Federal -aid project and you do at least one of the following: ■ Contribute to the cost of the training ■' Provide the instruction to the apprentice or trainee ■ Pay the apprentice's or trainee's wages during the off-site training period Page 22 of 24 July 2016 Local Assistance Procedures Manual Exhibit 12-G Required Federal -Aid Contract Language 3. If you comply this section. Each apprentice or trainee must: 1. Begin training on the project as soon as feasible after the start of work involving the apprentice's or trainee's skill 2. Remain on the project as long as training opportunities exist in the apprentice's or trainee's work classification or until the apprentice or trainee has completed the training program Furnish the apprentice or trainee: 1. Copy of the program you will comply with in providing the training 2. Certification showing the type and length of training satisfactorily completed 14. TITLE VI ASSURANCES During the performance of this Agreement, the contractor, for itself, its assignees and successors in interest (hereinafter collectively referred to as CONTRACTOR) agrees as follows: (1) Compliance with Re lations: CONTRACTOR shall comply with the regulations relative to nondiscrimination in federally assisted programs of the Department of Transportation, Title 49, Code of Federal Regulations, Part 21, as they may be amended from time to time, (hereinafter referred to as the REGULATIONS), which are herein incorporated by reference and made a part of this agreement. (2) Nondiscrimination: CONTRACTOR, with, regard to the work performed by it during the AGREEMENT, shall not discriminate on the grounds of race, color, sex, national origin, religion, age, or disability in the selection and retention of sub -applicants, including procurements of materials and leases of equipment. CONTRACTOR shall not participate either directly or indirectly in the discrimination prohibited by Section 2 1, 5 of the Regulations, including employment practices when the agreement covers a program set forth in Appendix B of the Regulations. (3) Solicitations for Sub -agreements, Including Procurements of Materials and Equipment: In all solicitations either by competitive bidding or negotiation made by CONTRACTOR for work to be performed under a Sub -agreement, including procurements of materials or leases of equipment, each potential sub -applicant or supplier -shall be notified by CONTRACTOR of the CONTRACTOR'S obligations under this Agreement and the Regulations relative to nondiscrimination on the grounds of race, color, or national origin. (4) Information and Reports: CONTRACTOR shall provide all information and reports required by the Regulations, or directives issued pursuant thereto, and shall permit access to its books, records, accounts., other sources of information, and its facilities as may be determined by the California Department of Transportation or FHWA to be pertinent to ascertain compliance with such Regulations or directives. Where any information required of CONTRACTOR is in the exclusive possession of another who fails or refuses to furnish this information, CONTRACTOR shall so. certify to the California Department of Transportation or the FHWA as appropriate, and shall set forth what efforts CONTRACTOR has made to obtain the information. (5) Sanctions for Noncompliance: In the event of CONTRACTOR's noncompliance with the nondiscrimination provisions of this agreement, the California Department of Transportation shall impose such agreement sanctions as it or the FHWA may determine to be appropriate, including, but not limited to: (a) withholding of payments to CONTRACTOR under the Agreement within a reasonable period of time, not to exceed 90 days; and/or (b) cancellation, termination or suspension of the Agreement, in whole or in part. Page 23 of 24 July 2016 Local Assistance Procedures Manual Exhibit 12-G Required Federal -Aid Contract Language (6) Incorporation of Provisions: CONTRACTOR shall include the provisions of paragraphs (1) through (6) in every sub -agreement, including procurements of materials and leases of equipment, unless exempt by the Regulations, or directives issued pursuant thereto. CONTRACTOR shall take such action with respect to any sub -agreement or procurement as the California Department of Transportation or FHWA may direct as a means of enforcing such provisions including sanctions for noncompliance, provided, however, that, in the event CONTRACTOR becomes involved in, or is threatened with, litigation with a sub -applicant or supplier as a result of such direction, CONTRACTOR may request the California Department of Transportation enter into such litigation to protect the interests of the State, and, in addition, CONTRACTOR may request the United States to enter into such litigation to protect the interests of the United States. 15. USE OF UNITED STATES -FLAG VESSELS The CONTRACTOR agrees - 1. To utilize privately owned United States -flag commercial vessels to ship at least 50 percent of the gross tonnage (computed separately for dry bulk carries, dry cargo liners, and tankers) involved, whenever shipping any equipment, material, or commodities pursuant to this contract, to the extent. such vessels are available at fair and reasonable rates for United States -flag commercial vessels. 2. To Furnish within 20 days following the date of loading for shipments originating within the United State or within 30 working days following the date of loading for shipments originating outside the United States, a legible copy of a rated "on -board" commercial ocean bill -of -lading in English for each shipment of cargo described in paragraph (1) of this section to both the Contracting Officer (through the prime contractor in the case of subcontractor bills -of -lading) and to the Division of National Cargo, Office of Market Development, Maritime Administration, Washington, DC 20590. 3. To insert the substance of the provisions of this clause in all subcontracts issued pursuant to this contract. MAINTAIN RECORDS AND SUBMIT REPORTS DOCUMENTING YOUR PERFORMANCE UNDER THIS SECTION Page 24 of 24 July 2016 Page I, of 25 General Decision Number; CA170037 04/07/2017 CA37 Superseded deneral Deoision Numbert CA20160037 State t California Construotion Types; Building, Heavy (Heavy and Dredging) and Highway County: San Bernardino County in Cajiforni,a, BUXLDINO CONSTRUCTION P)RO,7t:;CTS) DREDGM0 PROJECTS (does not include hopper dredge work) ; HZAVY C.ONSx1i�7C�xON PROJECTS (does not inolu.de water well drilling) i HXGHWAY" CONSTRUCTIO$ PROJECTS Note: Under Executive Order (EO) 13658, an'hourly rdnimum wage of $10.20 for calendar year 2017 applies to all contracts subject to .the Davis -Bacon }lot for which the contraot is awarded (and any solicitation was issued) on or after January 1, 2015, If. this contract is covered by the ZO, the contractor must pay all workers in any classification listed on this wage determination at least $10.20 (or the applicable wage rate listed on this wage determination, if it is higher) .for all hours spent performing on the Contract in calendar year 2017, The SO minimum wage rate will be adjusted annualXy. Additional information on contractor requirements and worker protections under the EO is,available at w4w.dol.gov/whd/govoontrAots, Modification Number 0 2 3 4 'b 6 ASSX0005-002 07/04/2016 Publication bate ol/uod17 0x/27/2011 02/17/2017 02/24/2017 03/10/2017 03/31/2017 04/07/2017 Rates Fringes Asbestos Workerp/Insulator (Includes the application of all insulating materials, protective coverings, coatings, and finishes to all types of mechanical systems).,,..$ 38,37 20.13 Tire Stop Technician (Application of Pirestopping Materials for wall openings and penetrationa in wake, floors, ceilings and curtain wells);..........................4 26.15 1.7.31 MHn.�Ywwr�-Iwwr...r------Y1------------------ N-...-------.-------m—w�.�� ASSE0006-004 07/04/2016 Rates Fringes Mom'//www.wdol.gov/wdoUswagleddavisbacon/CA37.dvb" VOW Asbestos Removal worker/hazardouo material, handler (Includes preparation, wetting, stripping, removal, scrapping? vaouuudng, badging and disposing of all Insulation materials from mechanical systems, whether they contain asbestos or not)....,g 18.38 1.0.82 BOIL0092-003 10/01/2012 ' Rates Fringes BOILFIRMAKHIt ......................$ 41,17 28,27 r.r rruuu�.n.wwr.rr.......r.w�u..wwww.-.r...r.-,...+u..........�-u--..�.....,---...-�n�.. * BRCA0004-011 05/01./2016 Rates gringos BRICIMAUR) MARBLE SETTER. ,....,.$ 38,38 14.17 *The wage scale for prevailing wage projects performed in Blythe, China'Jake, Death V'alloy, Fort Irwin, Twenty -Nine Palms, Needle's and 1-15 corridor (Barstow to the Nevada State Line) will be Three Dollars (+$3.00) above the standard San Bernardino/Riverside County hourly wage rate • ------------ W -------------------------------------------------- BRCAOOIQ-004 06/01/2016 Rates gringos MhPJ31,9 FINISHER .................. $ 29.20 12.93 TILE PINISHEAII ..................$ 24.53 11.08 TrL9 LAYER .......................$ 35.89 16.24 BACA0018-010 09/01/201.6 Rates TERRAZZO FINISHER ................$ 28.53 TERRAllO WORK8R/SETTBR...........$ 35.57 —-----------.---yam.-------------..-------r w w w — -- CARF0409-001 07/01'/2016 Rates CARPENTER (1) Carpenter, Cabinet Installer, Insulation Installer, Hardwood.Eloor ?Worker and acoustidal, installdr................... 39.83 (2) Millwright ..............$ 40.90 (3) Piledrivermen/Derrick Bargeman, Bridge or bock Carpenter, Heavy >rramer, fringes 1,2.27 1.3,14 ---------------- Fringes h#ps V/www.wdol.gov/wdol/scafi IwldavisbacoWCA37.dvb" 17.03 17.03 Pue 2 of 25 5/1/2017 k'e0,10 3 of 25 Rook Bargeman or Soowman, Rocksl,inger, shingler (Commercial) ................$ 40,53 17,03 (4) Pneumatid Nailer, Power Stapler ...............$ 40.09 17.03 (5) Sawfiler...............$ 39.83 17.03 (6) Scaffold Builder ... ,...$ 31,60 17,03 (7) Table power Saw Opexator,,,,,,,,,,,,,,,,,,,,$ 40.93 17.03 1!OOTNOTEs Work of forming in the construction of open out sewers or storm drains, oh operations in which horizontal lagging is used in conjunction with steel H -Beams drivan or placed in pre- drilled holes, for that portion of a lagged trench against which concrete is poured,, namely, as a substitute for back forms (whish work is performed by piledrivers)i $0.13 per hour additional. ---------------•--------------------------,-•----------,,.,-.,- CARP0409-002 07/01./2008 Rates Fringes Diver (1) wet .....................$ 663,68 9.62 (2) ....... ........$3j31.84 9,82 (3) Tender* sender...., 11.040.,16 1..$ 323.64 9,82 (4) Assistant Tender. ,,,•..,.$ 299,64 9,82 Amounts in"Rates' column are per day .----_--..---------- .-----------------... -------- ------- " CARP0409-005 07/01/2015 Rates Fringes Drywall DRYWALL INSTALLER/LATHER.,. .$ .40.49 15,03 STOCKER/ SCRAP PER ........... .$ 10.00 7,17 ---•----------------------------•- --------------------------.....,--- CARP0409-008 08/01/2010 Rates Fringes Modular rurniture Installer,..,,.$ 11.00 7,41 ..- - ------ --------4--•----------.,----------------------------- UW0440-004 .12/26/2016 COMMUNICATIONS AND SYST14MS WORK Rates Fringes Communications System I�nstally er.................... 0 30.54 0+13.75 p oohnioian..................$ 30.18 0+y11.45 $COPES OE' WORK: Znstall.ation, testing, service and maintenance of systems utilizing the transmission and/or transference of voice, sound, vision and digital for commercial, odueat;ional, -security and entertainment purposes for the following: TV hdjmV/www.wdol-gov/wdoUsoaWdavisbawWCAS7,dvb?v--6 5/1/2017 P49e 4 of 25 monitoring and surveillance, background -tore ground music, intercom and telephone interconnect, inventory control Systems, microwave transmission, multi media, multiplex, nurse call systems, radio page, school, intercom and sound, burglar slarms, fire alarms, and tow voltage master clock - systems in commercial buildings. Communication systems that traAsmit or receive information and/or control systems that are intrinsic to the above listed systems; inclusion or exclopion of terminations and testings of conductors determined by their function; exel,uding all other data systems or multiple systems which include control function or power supplyl excluding installation of raceway systems, conduit Systems, zine voltacge work, and energy management systet08. Does not, cover work performed at China Lake N"al Ordnance Test Station. ~-~-- * ELG�Ci0477^002 08/30/2016 ^-..__-r-________.,.,....____^_.,_,. Rates Fringes Llectrioians :....................$ 36.29 34422,39 CAME SPLICERs $1M per hour above Electrician raise, TUNNEL WORKt 10% above Electrician rate, ZONE PAY1 Zone A - 80 road miles from Post Office, 455 Orange show :,ane, San aernaxdino, will be a free zone for all. i Contractors t Zone B - Any Work performed outside Zone A'S 80 road miles, shall add $12,00 pet hour to;the current wage scale. ---------- . _,........,. -------------------- ------------- sLM=45-001 06/01/2015 Rates Fringes LUX CONSxitC MXON (1) Lineman; Cable splicer..$ 52.85 15.53 .(2) Equipment specialist , (operates crawler tractors, commercial motor vehicles, backhoes, trenchers, Cranes (50 tons and below), overhead & underground distribution line equipment) ........... $ 42.21 14.32 (3) GroundMan..........;....$ 32,29 14,05 (4) Powder man ...............$ 47.19 14,60 HOLIDAYS; New Year's Day, N.L, King Day, Memorial Day, Independence Day, Labor Day, Veterans Day, Thanksgiving Day and day after Thanksgiving, Christmas pay ------------- ---------_------------^-------,.,.,.,------- ELEV0018-001 01/01/2017 Rates ftinges h#oV/www.wdol,gov/wdol/soaftles/davisbwon/CA37.dvb" 5/1/2017 Page 5 of 25 i ELEVATOR MECHANXC................$ 52,21 31.x$5 PAID VACATION., tmPXoye.r contributes 88 of regular hourly rate as vacation pay credit for employees with more than 5 years of service, and 68 For 6 months to 5 years of service, PAID H07,1DAY8: New Years Day, Memorial Day, Xndependeinoe Day, Labor Day, Veterans Day, Thanksgiving Day, Friday after Thanksgiving, and Christmas Day. ----.....w—..wr...----rr..a.....r..rrr........rr r... r r............ ----r....... ---rte.....-_—.....—_.. RNGIO012--003 07/01/2016 Rates Cringes OPERATOR: Power Aguipment (All other Work) GROUP 1 ....................$ 39.95 23.35 GROUP 2 ....................9 40.73 23,35 GROUP 3 ....................$ 41,02 23.35 GROUP 4 ....................$ 42,51 23,35 GROUP 5 .................,,.$ 41,86 23.35 GROUP 6 ....................$ 41.83 23,35 GROUP 8 ....................$ 42.84 2$,35 GROUP 9"'111.11 ...... 14-10 42.19 23,35 GROUP .10 ..............'...,.,$ 42,96 23'.35 GROUP 11,.• ..................$ 42,31 23.35 GROUP 12 ....................9 43.13 23.35 CROUP 13,.' .............. ..$ 43.23 23.35 n GROUP 14,.' ..................$ 43.26 23.35 � OROOP 15....., ........... ...5 43.34 23.35 GROUP 16........'............9 43.46 23.35 GROUP 17 ........:...........$ 43,63 23.35 GROUP 18 ....................$ 43.73 23.35 GROUP 19 .....:...........'.,,$ 43,84 23,35 GROUP 20 .................... 43.96 23.35 GROUP 214, ...... , ...... #.,o4 44,13 23.35 GROUP 22 ....................$ 44,23 23.35 GROUP 23 ....................$ 44,34 23,35 CROUP 24 ....................$ 44.46 23.35 GROUP 25 ...• ................$ 44.63 23.35 OPLRATOR: PowerEquipment (Oranes p Piledti vi.ng 6 Hoisting) GROUP 1 --so, ...4 ....... 43.20 22.15 GROUP 2.f ....................9 43.98 22.15 GROUP Vr,i.,,,.,...e...,,.,$ 44,27 22.15 GROUP 4. ................... $ 44,41 22.15 GROUP 5,,..,' ................$ 44.63 22.15 GROUP 6,,,,,,,,,,,,,,,,,,,,$ 44,74 22115 GROUP 7...o..,' .............$ 44,86 22,15 GROUP 8 ....................$ 45.03 22.15 GROUP 9...... ... I ........ 0'$ 45,20 22,15 GROUP 10 .................... 46,20 22.15 GROUP •11,,,,;,,,,,,,,,,,,,,,$ 47.20 22.15 GROUP 12 ....................$ 48.26 22.15 GROUP 1,3..,......;.,........$'49.20 22.15 OPERATOR: power Equipment ( (Tunnel Work) �:.... GROUP 1 ....................$ 41,69 23.35 h*Vlwww,wdol,gav/webI/S afiles/davlsbew.D/CA37.dvb" 5/112017 Wage 6 0f25 GROUP 2. 1 . . I I I . 1 0 0 , 0 , , 0 - , . 42.59 23.35 GROUP 3,,,,,,,,,,,,,,,,,,,,$ 42.87 23,35 GROUP 4 ....................$ 43.01 23.35 GROUP S. 43.23 23,35 GROUP 6. 43,34 23,35 GROUP 7 ....................$ 43,46 23,35 PREKON PAX: $3.75 per hour shall be paid on all Power Equipment Operator work on the following Military Bases; China Lake Naval Reserver Vandenberg APB, Point Arguello, Seely Naval Bags, Fort Irwin, Nebo annex Marine Base, Marine Corp Logistics Base Yermo, Edward$ APT, 29 Palms Marine Base and Camp Pendleton Workers required to suit up and work in a hazardous material. environments $2.00 per hour additional. Combination mixer and compressor operator on gunite work shall be classified as a concrete mobile miie,r operator, SLE ZONE D9KNITIONS AVER CLASSIFICATIONS POWER E(lUIPMENT OPERATORS CY,ASSI]'ICATIONS GROUP is Bargeman; Brakeman; Compressor operator; Ditch Hitch, with seat or similar type equipment; Xlevator operator-itsside; Engineer Oiler; Worklift operator (includes load, lull or similar types under 5 tors; Generator operator] Generator, pump or compressor plant operator; Pump operator; Signalman; Switchman GROUP 2: Asphalt -rubber plant operator (nurse tank operator); Concrete mixer operator -skip type; Conveyor operator; WiregAn; Worklift operator (includes load, lull or similar types over 5 tans; Hydrostatic pump operator; oiler crusher (asphalt or concrete plant); Petromat laydown machine; P,7U side dum jack; Screening and conveyor machine operator (or similar types); Skiploader (wheel type up to 3/4 yd, without attachment); Tar pot fireman; Temporary heating plant operator; Trenching machine oiler GROUP 3: Asphalt -rubber blend operator; 'Boboat or similar type (Skid steer); Equipment greaser (rack); Pord Parguson (with dragtype attaohmenta); Helicopter radioman (ground); Stationary pipe wrapping and cleaning machine operator GROUP 4: Asphalt plant fireman;' Backhoe operator (mini -max or similar type)= Boring machine operator; Boxman or mixerman (asphalt or concrete); Chip opreading machine operator; Concrete cleaning decontamination machine operator; Concrete pump Operator (small portable); Drilling machine operators small auger types (Texoma super economatic or similar types - Hughes 100 or 200 or similar types - drilling depth of 30' maximum)] Bquipaent greaser (grease truck); Guard rail post driver operator; Highline cableway signalman; Hydra -hammer -aero stomper; Micro Tunneling (above ground tunnel); Power concrete curing machine operator; Power concrete saw operator; Power -driven jumbo form setter operators Bower sweeper operator; Mock Wheel Saw/Trencher; Roller operator (compacting); Screed operator hnpsd/www.wdol.goy/w&Vwafdes/UvisbOCWCA37,4vb?Y-4 5/1/2017 Page 7 0f 25 (asphalt or concrete); Trenching machine operator (up to 6 ft.)l Vacuum or much truck GROUP 5t Mquipment Greaser (Grease Truck/Multi shift). GROUP 61 Articulating material.haulerl Asphalt plant engineer; Batch plant operatorl Bit sharpener; Concrete joint machine, operator (canal and simAl.ar type) l Concrete planer operator; Dandy digger; Deck engine operator; Derriakman (oill:ield type); Drilling machine operator, bucket or auger types (Calweld 1,00 bucket or similar types - Watson 1000 auger or similar types - Texoma 3300 500 or 600 auger or similar types - drilling depth of 45, maximum); Drilling machine op.'eratorl Hydrograph4o seeder machine operator (straw, pulp or seed), Jackson track maintainer, or similar type) Kalamazoo switch tamper, or similar type; Machine tool opeirator; Maginnis internal full slab vibrator, Mechanical beret, curb or gutter(concrete or asphalt)l Mechanical finisher operator (concrete, Clary-Johnson-aidwell or similar)) Micro tunnel system (below ground); Pavement breaker operator (truck mounted)) klaad oil mixing machine operatorl Roller operator (asphalt or finish), rubber -tired earth moving equipment (single engine, up to and including 25 yds. struck); Self-propelled tar pipelining machine operator) ekiploader operator (crawler and 4heel type, over 3/4 yd, and up to and including. 1-1/2 yds;); Blip form pump operator (power driven hydraulic lifting device for concrete forms);, Tractor operator -bulldozer, tamper -scraper (single engine, up to 100 h.p, flywheel, and similar types, up to and :including 0-5 and similar types)) Tugger hoist operator (1 drum); Ultra high p'resaure waterjet cutting tool system operahorl Vacuum blasting machine operator GROUP 8t Asphgit or concrete spreading operator (tamping or finishing); Asphalt paving maohi.rxe operator (Barber Greene or similar type)l Asphalt -rubber distribution operator; 'Backhoe operator (up -to and .including 3/4 yd.), small, ford, Case or similarl Cast -in-place pipe laying machine operator; Combination mixer and compressor operator (gunite work); Compactor operator (self-�p.ropelied)l Concrete mixer operator (paving)) Crushing plant operator) Drill Doctor; Drilling machine operator, Bucket or auger types (Calweld 150 bucket or similar types - Matson 1500, 2000 2500 auger or similar types - Texoma 700, 800 auger or similar types - drilling depth of 601 maximpm)I Elevating grader operator; Grade oheakerl Gradali operator; Grouting maahino operatorl Heady -duty repairman) Heavy equipment robotics operator; Kalamazoo balliste regulator or similar typel Kolman belt loader and aiaailar type; Le Tourneau blob compactor or similar type/ Loader operator (Athey,,Kucli,d, sierra and similar types)l Mobark Chipper or similar; Ozzie padder or similar types; P,C, slot saw; Pneumatic concrete placing machine operator (Haokley--Presswell or similar type); Pumporete gun operator; Rook Drill or similar types; Rotary drill operator (excluding'aaisson type); Rubber -tired earth -moving equipment operator (single engine, caterpillar, 4uclid, Athey Wagon and similar types with any and all attachmenta over 25 yds, up to and including 50 cu. ` yde, struck)1 Rubber -tired earth-movipg equipment operator haps.//www.wdol,g6v/wdol/soafWdavisbwon/CA37.dvb?v-6 5/1=7 Page 8 of 25 (multiple engine up to and Including 25 yds. struck); Rubber -hired scraper operator (self -Loading paddle wheel t. type -John Deere, 1090 and similar single unit); Self- propelled curb and gutter machine operator; Shuttle buggy; Sk3.p9,oadex operatox (crawler and wheel type over 1-•1/2 yds, NP to and including 6-1./2 yds.); Soil remediation plant Operator; Surface heaters and planer operator; Tractor compressor drill combination operator] tractor operator (any type larger than D-5 - 100 Flywheel hip, and over, or similar -bulldozer, tamper, scraper and push tractor single engine)) Tractor. operator (boom attachments), Traveling pipe wrapping, cleaning and bendng machine operator) Trenching machine operator (over 6 >E. depth capacity, manufacturer's rating)) trenching Machine with Road Miner attachment (over 6 ft depth capacity); Ultra high pressure waterjet cutting tool system mechanic) Watex pull, (compaction) operator 'GROUP 5s Heavy Duty Repairman 'GROUP 101 Drilling machine operator, Bucket or auger types (Calweld 200 B bucket or Similar types -Watson 3000 or 5000 auger or similar types -•Texoma 900 auger or similar types -drilling depth of 1054 maximum); Dual drum mixer, dynamic doMpactor LW350 (or similar types); Monorail locomotive operator (diesal, gas or electric); Motor patrol -blade operator (single engine); Multiple engine tractor operator (4uolid and similar type -except Quad R cat.); Rubber-titod eartb--moving equipment operator (single ongine, over 50 yds. struck); Pneumatic pipe ramming tool and siimilar types) Prestressed wrapping machine operator; Rubber -tired earth -moving equipment operator (single engine, over 50 yds, struck); Rubber tired earth moving equipment operator (multiple engine, guoli.,d, caterpillar and similar over 25 yds. and up to 50 yda, struck), Tower orane repairman) Tractor loader operator (crawler and wheel type Over 6-1/2 yda.)) Woods mixer operator (and similar Pugmill equipment) GROUP 11; Heavy Duty Repairman - Welder Combination, Welder - Certified. GROUP 12; Auto grader operator) Automatic slip form operator; Drilling machine operator, bucket or auger types (C�lweld, auger 200 CA or aimilar types - Watson, auger 6000 or similar types-- Hughes super Duty, auger 200 or similar types - drilling depth of 1.75' maxi.raum); Hoe ram or similar with compreesorl Mass excavator operator lase hha 750 cu, yards, Meahanical'finishing maohin* operator; Mobile form traveler operator; Motor patrol operator (multi -engine); • Pipe mobile machine operator; Rubber -tired earth- moving equipment operator (multiple engine, Euclid, Caterpillar and similar.type, over 50 cu. yds. struck)4 Rubber -tired self- .loading 'scraper operator (paddle -wheel -auger type self -loading - two (2) or moxa units) OROUP 131 Rubber -tired earth -moving equipment operator operating equipment with push-pull system (single engine, up to and including 25 yds. strupk) btipsVAmw.wdol.gov/wdol/scafiles/4avisbacon/CA37,4vb" . 1 5/1/2017 Dago 9 0f 25 ( GROUP 14: Canal liner operator; Canal trimmer operator/ `. Remote- control, earth-movIng equipment operator (operating a second piece of equipment: 41.00 per hour additional), Wheel excavator operator (over 750 au, yds,) GROUP 15: Rubber -tired earn: -moving equipment operator, operating equipment with push-pull system (single engine, Caterpillar, Euclid, hthey Wagon and similar types with any and all attachments over 25 yds, and up to and including 50 yds, struck), Rubber -tired earth -moving equipment operator, operating equipment with push-pull system (multiple engine -up to and including 25 Yds. struck) GROUP 18: Rubber -tired earth -moving equipment operator, operating equipment with push-pull syotem (single engine, over 50 yds. struck), Rubber -tired earth -moving equipment operator, operating equipment with push-pull system (multiple engine, Muclid, Caterpillar and similar, over 25 yds. and Up to 50 yds.,struak) GROUP 17: Rubber -tired earth -moving equipment operator, operating equipment with push-pull system (multiple engine, Euclid, Caterpillar and similar, over 550 au. yds, struck), Tandem tractor operator (operating crawler type tractors in tandem - Quad 9 and similar type) GROUP 18: Rubber -tired earth -moving equipment operator, operating in tandem (scrapexa, belly dumps; and similar types in any oombination, excluding compaction units - - .). single engine, up to and including 25 yds: struck) GROUP 191 Rater concrete belt,operator (or similar types); Rubber -tired earth -moving equipment operator, operating in tandem (sorapers, belly dumps and similar types in any combination, excluding compaction units - single engine, Caterpillar, Kutllid, Athey Wagon and similar types with any and all attachments over 25 yds.and up to and including 50 au, yds, struck), Rubber -tired earth -moving equipment operator, operati,ng,in tandem (scrapers, belly dumps and similar types in any combination, excluding compaction units - multiple engine, up to and including 25 yds. struck) GRoup 20: Rubber -tired earth -moving equipment operator, operating in tandem (scrapers, belly dumps az�d similar types in any combination, excluding compaction units single-engine, over 50 yds, struck); Rubber -tired earth -moving equipment operator, operating in tandem (sarapare, belly dumps, and similar types in any combination, excluding compaction units - multiple engine, Euclid, Caterpillar and similar, over 25 yds, and up to 50 yds. struck) GROUP 21: Rubber -tired earth -moving equipment operator, operating in tandem (scrapers, belly dumps and similar types in any -combination, excluding compaction units multiple engine, Euclid, Caterpillar and similar type, over 50 cu. yds, struck) GROUP 22; Rubber -tired earth -moving equipment operator, �^ operating equipment -with the tandem push-pull system haps:/wwv.wdol,gov/wdoVsmfiloa/davisb=n/CA97.dvb?v= 5/1/2017 NO 10 of 25 (single engine, tip to and including 25. yds. strook) GROUP 231 kubber-tared earth -moving equipment operator, operating equipment with the tandem push-pull system (single engine, Caterpillar, Xuclid, A•they Wagota and similar types with any and all attachments over 25 yda, and up to and including 50 yds. struck); Rubber -tired earth -moving equipment operator, operating with the tandem push-pull system (multiple engine, up to and including 25 yds, struck) GROUP 24: ;tubber -tired earth -moving equipment operator,' operating equipment with the tandem push-pull. system (single engine, over 50 yds, struck); Rubber -tired earth -moving equipment operator, operating equipment with the tandem push-pull system (multiple engine, Euclid, Caterpillar and similar, over 25 yds. and up to 50 yds, struck) GROUP 25; Concrete pump operator -truck mounted; Rubber -tired earth-maving equipment operator, operating evIpmeht with the tandem push-pull system (Multiple engine, Nucl,id, Caterpillar and similar type, over 50 cu. yds. struck) , CRANES, PILEURXVING AND 90XSTXNG EQUIPMENT CLASSXFICATIO'HS GROUP It Engineer oiler; Fork lift operator (includes loed, lull or similar: typed) -� GROUP 2; Truck crane oiler GROUP 3: A -frame or wingh truck operator; Ros's carrier operator (jobsite) GROUP 4: Bridge -type unloader and turntable operator; Helicopter hoist operator GROUP 51 hydraulic boom truck) stinger crane (Austin -Western or similar type); Tugger hoist operator (I drum) GROUP 6: Bridge crane operator; Cretor crane operator; Hoist operator (Chicago boom and similar type); Lift mobile operator; Lift slab machine operator (Vagtborg and similar types)) Material hoist and/or manlift operator; Polar gantry crane ,operator;. Self Climbing scaffold ('or similar type); Shovel, backhoe, dragline, clowshell operator (over 3/4 yd. and up to 5 cu, yds. mrc); Tugger hoist operator GROUP 7t Pedestal crane operator; Shovel, backhoe, dragline, clamshell operator (over 5 au, yds, mrc); Tower crane repair; Tugger hoist operator (3 drum) GROUP 8t Crane operator (up to and including 25 ton capacity); Crawler transporter operator; Derrick barge operator (up to and including 25 ton calpaoi.ty); Hoist operator, stiff legs, Guy derrick or similar type (up to and including 25 ton capacity); shovel, backhoe, dragline, clamshell operator (over 7 cu, yds., M.R.C.) GROUP 9s Crane operator: (over 25 tons and up to And including httpss//www.wdol.gov/wdol/scat"ilea/davis6ton/CA37.dvb?v-6 5/1!2017 Page 1 t o£25 50 tons mro); Derrick barge operator (over 26 tong up to r•.,... and including 50 tons MXC); Highl.ine oableway operator; t Hoist operator, stiff legs, Guy derrick or similar type (over 25 tons up to and including 50 tons Mro); K -Crane opaxotor; Polar crane operator; self erecting tower Crane operator maximum lifting capacity ten tons GROUP lot Crane operator (over 50 tons and up to and including too tons mro)j Darriak barge operator (over 50 tons up to and including 100 tong =a); hoist operator, stiff legs, Guy derrick or similar type (aver 50 tons up to and including 9.00 tons mro), Mobile tower crane operator (over 50 tons, up to and including too tons M.R.C.); Tower crane operator and tower gantry GROUP 11t Crane operator (avet'100 tons and up to and including 200 -tons mro); Derrick barge operator (over 100 ton$ up to and including 200 tons mxc); Hoist operator, stiff legs, Guy derrick or similar type (over 100 tons up to and including 200 tons mro); Mobile tower crane operator (over 100 tons up to and including 200 -tons mre) GROUP 12; Crane operator (over 200 tons up to and including 300 tons mra); Derrick barge operator (over, 200 tons up to and including 300 tons mxa); Hoist operator, stiff legs, Guy derrick or similar type (over 200 tons, up to and including 300 tons mro)•j Mobile tower creme operator (over 200 tons, up to and including 300 tons mrd) GROUP 13: Crane operator (over 300 tons); Oarrtok barge ,•, / operator (over 300 ,tons), Helioopter pilot; Hoist operator, stiff legs, Guy derrick or similar type (over 300 tons); Mobile tower crane operator (over 300 tons) TUNNEL GI+»SOMCATIONS GROUP 1: gkiploader (wheel type up to 3/4 yd, without attachment) GROUP 2t Powet•-driven Jumbo form setter operator GROUP 3: Dinkey locomotive or motorperson (up to and including 10 tons) GROUP 4: Bit sharpener; Equipment greaser (grease truck); Slip form pump operator (power -driven hydraulic lifting device for concrete forms); Tugger hoist operator (1 drum); .Tunnel locomotive operator (over 10 and up to and inaluding 30 tons) GROUP 6; Backhoe operator (up to and including 3/4 yd.); Small ford, Case or similar; Drill doctor; Grouting machine operator; Heading shield operator; Heavy-duty repairperson; Loader operator (7lthey, Euclid, Sierra and similar types); Muckinj machine operator (1./4 yd., rubber -tired, rail or track typo); Pneumatio concrete placing machine operator (Haakl.ey-Pxesswell or similar type); pneumatic heading shield (tunnel)] Pumparete gun operator; Tractor compressor drill combination opexatorj Tugger hoist operator (2 drum); Tunnel l,000motive operator (over 30 tone) h4sV/www,wdOLgav/wdOl/mi7ilOWd4visbwon/CA37.dvb7v4 5/1/2017 Page 12 of 25 CROOP 6= Heavy Duty Repairman CROUP 71 TunneX mole baring machine operator ENGINEERS ZONES $1,00 additional, per hour for all of IMPERXA'T County and the portions of. ORN,.RIVESRBIDE & SAN BERIWDINO Counties as defined belows That area within the following Boundaxyt Begin in San Bernardino County, approximately $ miles NO of the intersection of 1-15 and the California State Line at that po1.ht which is the NW corner of Section 1, T17N,m R148, San Ba.roa,rdi,ho Meridian. Continue W in a straight line to that' point which is the $W corder of the northwest quarter of Section 5, T27S, R42E, Mt. Diablo Meridian, Continue North to'the intersection with the Ynyo County boundary at that point which is the NE corner of the western half of the northern quarter of section' 6, T25S, R42E, MAM. Continue W along the Inyo and San Bernardino County boundary until the intersection with Kern County, do that point which is the 3E corner of Section 34, T24S, R40E, MDR, Continue W along the Ynyo and Korn County boundary until the intersection with Tulare,County, at that point which is the SW corner of the BE quarter of Section 32, T24S, R37E, MDR. .Continue W along the Kern and Tulare County boundary, until, that point which is the NW corner of •x2$0, R32E► MDM, Continue S following R329 Lines to the NW corner of T31S, R32E, MDM.,,Continue W to the NW corner o: T319, R31E, MDM. Continue S to the SW corner of T323, R31E, MDM. Continue W to SW corner of BE quarter of -Section 34, T325, R3019, MDM, Continue S to SW corner of T11N, R17W, $BM, Continue E along south boundary of T11N, SBM to SW corner of T11N, 97W, SBM, Continue 3 to $W corner of T9N, R7W, SBM, Continue E along south boundary of TIN, $BM to SW corner of TIN,•R1E, SBM, Continue 3 along west boundary of RIE, SMB to Riverside County line at the`SW eonner of TIS, RIE, SSM, Continue E alone south boundary of T1s, SBM (Riverside County Line) to BN corner of TIS, R10E, SBM, Continue S along west boundary of RION, SBM to Imperial County ,Line at the SW corner of T$S, R109, SBM, Continue W along imperial and Riverside county line to NW corner of T9S, R9E, SBM, Continue S along the boundary between Imperial and San Diego Countiea, along the west edge of RIB, SBM to the south boundary of Imperial County/California state line, Follow the California state line west to Arizona state line, then north to Nevada state line, then Wb tinuing NW back to start at the point which is the SSW corner of Section 1, T17N, R14E, SBM 51,00 additional per hour for portions of SAN X,UX8 OBISPO, KERN, SANTA BARBARA & VBNTURA as defined belows That area within the following Soundarys Begin approximately 5 miles north of the community of Cholame, on the Monterey County and San Luis Obispo County boundary at the NW corner of T25S, R16E, Mt. Diablo Meridian, Continue south ,along the west side, of RIO to the SW corner of T30S, R16E, MDM. Continue E to SW corner of T308, R17E7,' MDM, Continue S to 3W corner of T$ls, R17E, MDM, Continue I to $W corner of,T31S, RleE, MDM, hgoi//www.wdol,gov/wdollsaa11le$/davisbacon/C,A37.dvb?v-4 5/1/2017 -Page 13 of 25 Continue S along West side of 818t, MDM as it Crosses into San Bernardino Meridian area and becomes R30W. Follow the west side of R30W, SBM to the SW corner of 79N, R30W, SBM. Continue E along the south edge of T9N, SBM to the Santa Barbara County and Ventura County boundary at that point whah is the $W corner of Section 34,T9N, R24W, SBM, oontinue $ along the Ventura County line to that point which is the SW corner of the SE quarter of Seation 32, T7N, R24W, SBM, Continue E along the south edge of T7N, SBM to the 89 corner to T7N, R21W, SBM. Continue N along Rest side of R21W, SBM to Ventura County and Kern County boundary at the NS corner of Wo, a21W. Continue W along the Ventura County and Kern County boundary to the BE, corner of T9N, R21W, Continue North along the East edge Of R21W, SBM to the NE corner of T12N, R21W, 88M.' Continue West along the .north edge of T12N, SBM to ,the $N corner of T32S, R21E, MDM. (T12N OM is a think strip between T11N SBM and x325 MIM). Continue North along the East side of It21M, MDM to the Kings County and Kern County border at the Nla corner of T25S, R21E, MDM, oontinue West along the Kings County and Kern County Boundary, until the intersection of San Luis Obispo County, Continue west along the icings County and San Luis Obispo County boundary until the intersection with Monterey County. Continue West along the Monterey County and San Luis Obispo County boundary to the beginning point at the NW corner of T258, R16 -A, MDM. 02.00 additional per hour for INYO ana MONO Counties and the ' Northern portibn of SAN BERNARDINO County as defined belowt That area within the following Boundary; Begin at the intersection of -the northern boundary of -Mono County and the California state line at the point which is the oenter of Section 171 TION, R22S, Mt, biablo Meridian. Continue S then 09 along the eritAre western boundary of Mona County, until it reaches Inyo County at the point which is the NE corner of the Western half of the NW quarter of'Seotion 2, TeS, A20( MUM, Continue SSE along the entire western boundary of Inyo County, until the intersection with Kern County at the point phioh is the 6W corner of the BE 1/4 of Section 32, T24$, R37E, MOM. Continue S along the Inyo and Kern County boundary until the intersection with San Bernardino County at that point which is the SN corner of section 34, x248, R40E, MDM. Continue E along the Inyo and San Bernardino County boundary until the -point which is the NL'corner of the Western, half of the NW quarter of Section 6, T25S, R429, MDM. Continue S to that point which is the SW corner of the NW quarter of Section 6, T27S, R429, MDM. Continue E in a straight line to the California and Nevada state border at the point which is the NW corner of Section 1, M17N, 81414, San Bernardino Meridian, Then continue NW along the state line to the starting point, which is the center of Section 18, T10N, 8224, MDM. REM MING AREA NOT DEFINED ABOVE RECIEVLS BASE RATE rwr-- " LNG10012�00408/01/2015 +�'1 `""""-'"__.,__..___,... Rates i*xiriges htt d/www,wdol,govlwdoUsoafilea/davisbacon/CA37,dvb"' 5/1/2017 Page 14 of 25 OPS ATORt Power Nquipment (bRl�pdxNts) , 49.50 23.60 (2) Dredge dozer .....,,,....$ 43,53 23.60 (3) Deokmate................$ 43,42 23.60 (4) winch operator (stern winch on dredge),.,.,.,,,,,,$ 42.87 23,60 (5) Fireman -Oiler, Dedkhand, Bargeman, Leveehand... ...............$ 42.33 23.60 (6) Barge Mate ..............$ 49,94 23.60 -------------------- ------- 'p.yMu-------------WNu-------------yam. IRON0377-002 0.7/01/2016 !rates Fringes Ironworkers; renoe Erector ...............$ 28.33 20.64 Ornamental, Reinforcing and Structural .........,.,,,,,$ 34.75 29.20 PREMIUM PAY: $6.00 additional per hour at the following locations; China Lake Naval Feet Station, Chocolate Mountains Naval Reserve-Niland, Edwards AFB, Fort Irwin Military Station, Fort Irwin Train).ng Center -Goldstone, San Clemente Island, San Nicholas Island, Susanvi,lle Federal Prison, 29 Palms - Maxine Corps, V,S, Marine `•. Base Barstow,. U,S. Naval Air Facility Sealey,'Vandenberg APB $4.00 additional per hour at the following locational Amy Defense Language Institute - Monterey, Fallon Air fuse, Naval Post Graduate School - Monterey, Xermo Marine Corps Logistics Center $2.00 adational per hour at the following locations; Port Hueneme, Port Mugu, U- S. Coast Cuard Station - Two Rook --------------------------------------------------------- ------ 'LAB00300-005 01/01/2017 Rates Fringes Asbestos Removal Laborer ......... $ 31,88 16,82 SCOPE 08'WOWs xnaludes site mobilization, initial site cleanup, site preparation, removal of asbestos -containing material and toxic waste, encapsulation, enclosure and disposal of asbestos- containing materials and toxic waste by hand'or with equipment or machirisry; scaffolding, fabrication of temporary wooden barriers and assembly of rdecontamination stations. i.'.. )-----------------------------. .,---------------- ------ haps,.//www.w4ol.gov/wdoVsoe44W&vtsbacon/CA37.dvb" 5/1/2017 fags 15 of 25 LAS00346-00i 07/03/2016 Rates Fringes LABORER (GUNl1'E) GROUP 1101.01.1 .............$ 37.89 20,50 GROUP 2 ..................$'36.94 20.50 GROUIP 3 ..............',,.,...$ 33.40 20.50 EOOTNOTZ: GUNITH PRNMrUM PAY: Workers working from a Bosn�n's Chair or suspended from a rope or cable shall receive 40 cents per hour above the Foregoing applicable classification rates. Workers doing gunite and/or shotaxete work in a tunnel shall receive 35 cents per hour above the goregoing applicable classification rates, paid on a portal-to-portal basis. Any work performed on, in or above any smoke stock, silo, storage elevator or similar type of structure, when such structure is in excess of 75'-0" above base level and whioh work must be performed in whole or in part more than 76'-0" above base level, that work performed above the 75'-0" level shall be compendated for at 35 dents per hour above the applicable olaasification wage rate, GUNXTX LABORER CLASMICATTONS GROUP l: Rodmene Nozzlemen GROUP 2: Gunmen r 1, GROUP 3: Reboundrmen ------------------ -------.._...............-------•-------__,........,..„___ LA800783-002 07/04/2016 Rates Fringes LABORER (TUNNEL) GROUP 1 r......- I...r..., r...$ 38,09 1.9.07 GROUP 2, ...... .4. .,........$ 38.41 19.07 GROUP 3...' ..................$ 38.87 19,07 GROUP 4 .....................$ 39.56 19.07 LABORER' . GROUP 1,.•.••......,...r....$ 32,3,4 1.9.07 'GROUP 2,...,...,.•..........$ 32.89 19.07 GROUP 3....,,• ..............$ 33.44 19.07 GROUP 4 .....................$ 34,99 19,07 GROUP 5.... ...................$ 35.34 19.07 LABORER CLASS XITICAT IONS GROUP Is Cleaning and handling of panel forms; Concrete aexeeding :for rough strike-offj Concrete, water curing; Demolition laborer, the cleaning of brick if performed by a worker -performing any other phase of demolition work, and the cleaning of lumber, Fire watcher, limber, brush loader, p.iler and debris handler: rlag persQnj Gas, oil and/or water pipeline .laborer; Laborer, asphalt -:rubber material ',loader] Laborer, general or construction; Laborer, general. �...clean-up/ Laborer, landsoopingj Laborer, jettingj Laborer, httpat//www.wdol-goy/wdol/x*Mos/davisbabon/C,A37,dvb" 5/1/2017 Page 16 of 2$ temporary water and air lines; Material hose operator (Walla, slabs, floors and decks); Plugging, filling of she$ bolt holes; Dry packing of concrete; Railroad maintenance, repair track person and road beds; Streetcar and railroad construction track laborers; Rigging and signaling; Scaler; Slip form raiser; Tar and mortar; Toll crib or tool house laborer; Traffic control by any method; Window cleaner; Wire mesh pulling - all concrete pouring operations GROUP 2; Asphalt shoveler; Cement dumper (on l yd, or larger mixer and handling bulk cement); Cesspool digger and Installer; ChuckteAder; Chute handler, pouring concrete, the handling of the chute from readymix trucks, such as walls, slabs, docks, floors, foundation, footings, curbs,, gutters and sidewalks; Concrete curer, impervious membrane and form oildr; Cutting torch operator (demolition); Pine grader, highways and street paving, airport, runways and similar type heavy construction; Gas, oil and/or water pipeline wrapper pot tender and form peraoni Guinea ohaser; Headerboard person - Asphalt; Laborer, packing rod steel and pans,; Membrane.vapor barrier installer; Power broom sweeper (small.); Riprap atonepaver, placing stone or wet sacked concrete; Roto scraper and tiller; Sandblaster (pot tender); Septic tank digger 'and installer (lead) I Tank scaler and aleaner; Tree climber, faller, chain saw operator, Pittsburgh chipper and similar type brush shredder; Underground laborer, including oaisson bel.lower GROUP 3; 9uggymobil,e person; Concrete putting torah; Coriarete pile cutter= Driller, jackhammer, 2-1/2 ft, drill steel or longer; Dri-pak-it machine; Gas, oil and/or water pipeline wrapper, 6,1.n. pipe and over, by any method, inside and, out; High scaler (.including drilling of same); hydro seeder and similar type; Impact wrench multi -plate; Kettle person, pot person and workers applying asphalt, .Lay-kold, creosote, lime caustic and similar type materials ("applying" means applying, dipping, brushing or handling of such materials for pipe wrapping and waterproofing); Operator of pneumatic, gas, electric tools, vibrating machine, pavement breaker, six blasting-, oome-alongs, and similar mechanical tools not separately classified horei,n; Pipelayer's backup person, boating, grouting, making of Joints, sealing, caulking, diapering and including rubber gasket joints, pointing and any and all other aervices; Rock slinger; Rotary scarifier or multiple head oonorete chipping scarifier; Steal headerboard and guideline setter; Tamper, Barko, Wacker and similar type; Trenching machine, hand -propelled. GROUP 4: asphalt raker, .lute person, ironer, asphalt dump person, and asphalt spreader boxes (all types); Concrete cora cutter (walls, -floors or ceilings), grinder or sander; Concrete saw person, cutting walls or flat work, scoring old or new concrete; Cribber, shorer, lagging, sheeting and trench brooing, hand -guided lagging hammer; Head rook slingex; Laborer, asphalt- rubber distributor boot persona Laser beam in ooaneation with laborers' work; oversize concrete vibrator operator, 70 Lbs. and over; Pipelayer perforating all services is the laying and installation of ( pipe from the point of receiving pipe in the di,toh until i Mp,.//www.wdol,gov/wdoUsoafites/daviabaooatA,37,dvb?r- 6 5/1/2017 Wage 17 of 25 (� oompl.et.ion of operation, including any and all foams of tubular material, whether pipe, metallic or non-metalii,a, conduit and aiiy other stationary type of tubular device used for the conveying of any substance or element, whether water, sewage, solid gas, air, or other product whatsoever and without togaxd to the nature of material ,from which the tubular mat6rial is fabricated) No -joint pipe and stripping of same; Prefabricated manhole installer; Sandblaster (nozzle person), water blasting, Poxt'a Shot -Blast GROUP 5j Blaster powder, all work of loading hales, placing and blaati.ng of all powder and explosives of whatever type, regardless of•method used for such loading and placing; Drillax: All powor drills, excluding jackhammer, whether core, diamond, wagon, track, multiple unit, and any and all other types of mechanical drills without regard to the form of motive power) Toxic haste removal TaNNIZ i.AgORLR CLASSIFTCATZONS CROUP 1: Hatch plant laborer; Changehousp person) pump person; Dump person (outside)'; Swamper (brake• person and switch person on tunnel work); Tunnel materials handling, person; Nipper; pot tender, using mastic px other materials (for example, but not by way of limitation, ohotcrete, etc.) GROUP 2: Chuoktender, cabletender; Loading dnd unloading agitator bars; Vibrator person, Jack hammer, pneumatic tools (except dritler); Bull gang mucker, track person; F Concrete orew, including rodder and spreader t GROUP 3s Blaster, driller, powder person; Chemical grout jet person; Cherry picker person; Grout gun person; Grout mixer person; Grout pump person; Jacklag miner; Jumbo person; Kemper and other pneumatic concrete placer operator; Miner, tunnel (hand or machine); Nozzle person; Operating of troweling and/or grouting machines; Powder person (primer house)7 primer person; Sandblaster; shotorete person; Steel form raiser and setter] Timber person, retimber person, wood or steel; Tunnel Concrete finisher GROUP 4: Diamond driller; Sandblaster; Shaft and raise work ------------------------------------------------ LAB00783-005 07/01/2016 [fates Fringes Brick Tender .....................$ 30.52 18.556 -----8d- 07/04/201,6 -- ~ - ^--~-rW--`""___.._..__-.._........_--- L https://www.wdol,goy/wdoV los/dav6b400ti/CA37,dyb?v�6 5/1/2017 Rates Fringes Laborerst (HORIZONTAL DXRRCTZONAL DRILLING) (1) Drilling Crew Laborer ... $ 33.6$ 13.98 (2) 'Vehicle Operator•/Hauler.$ 33.82 13,95 (3) Horizontal Directional Drill Operator ..............$ 35.67 13.95 ' https://www.wdol,goy/wdoV los/dav6b400ti/CA37,dyb?v�6 5/1/2017 Page 1 A of 25 (4) E,lectronio Tracking �• Locator..............00" .-,-0 37.67 13.95 Laborerss ($'GRIPING/SLURRY Snl1l, ) GROUP 1,,,,,,,,,,,,,,,,,,,,,$ 34.86 17.03 GROUP 2 .....................0 36,1.6 17.03 GROUP 3# ..... , .............. # 38.17 17.03 CROUP 4 .....................$ 39,91. 17.03 IAgORERS STRIPING CLASSIFICATIONS, GROUP 1: Protective ooatinge pavement sealing, indludi'ng repair and filling of craoks'by any method on any surface in parking lots, game courts and playgrounds; oarstops; operation of all related machinery and equipment; equipment repair technician GROUP 21 xraffid surface abrasive blaoter; pot tender - removal of all traffic lines and markings by any method (sandblasting, waterblasti.ng•, grinding, etc.) and preparation of surface .for coatings, Traffic control person; controlling and directing tka£fic through both conventional, and moving lane closures; operation og all related machinery and equipment Gltoup 34 Traffic delineating device applieatori Layout and application of pavement markers, delineating signs, rumble and traffic bars, adhesives, guide markers, other traffic delinoati.ng devices including traffic control, This f ' } category .includes al.i traffic related surface preparation (sandblasting, waterblasting, grinding) as part of the application process,. Traffic protective delineating system installer: removes, relocates, installs, permanently affixed roadside and parking delineation barricades, fending, cable anchor, guard rail,, reference signs, monument markers; operation of all related machinery and equipment; power broom sweeper GROUP 4; Striper: layout and application of traffic stripes and markings; hot thereto plastic; tape traffic stripes and markings, including traffic eontroll operation of all related machinery and equipment. -------- ------------------`Ylwr.y.w-w.------__-------rr.w...v--- g1,414-003 (}003/2016 Rates Fringes - LABORER PLAST99 CLW- UP LABORER. .,,$ 31.60 19.28 PLASTER TENDER ..............$ 34.1.5 19.28 Work on a swing, stage scaffold: $1,00 per hour additional, Work at Military Bases - $3.00 additional, per hour: Coronado Naval Amphibious Base, Fort Irwin, Marine Corps Air Station -29 Palms, imperial Beach Naval Air Station, Marine Corps Logistics Supply Base, Marine Corps Pickle Meadows, Mountain Warfare Training Center, Naval Air racility-Seeley, North Island Naval Air Station, Vandenberg hapd/www,wdol.gov/wdoi/SaaMes/daylobacozl/CA37,dvb?v=6 5/1/2017 ' gage 19 of 25 i,....., AM, ""-""-"`""_" PAaN0036-001 08/01/2016 �""'--�_..__.... Rates Fringes Painters; (XA014ding Lead Abatement) (1) Repaint (excludes San Diego County) ...............$ 27.69 13,24 (2) All Other Work,.,...,,.,$ 31,12 13,24 R9PAXNT Of any previously painted structure, Exceptions; work in,volvf. q the aeroapaae industry, breweries, commercial recreational faoilities, hotels 'Which operate commercial establishments as part of hotel service, and sports facilities, ------------ .-------------------------------------- -1 --------- PAIN0036-008 10/01/2016 Rates cringes DRYWALL FINISHER/TAPER ........... $ •37.18 17.99 ----------------- L ----------------- - ---,y--------------------- PAIN0036-'015 06101/2016 Rates Fringes ....) GLAZIER ..................:.......$ 41,70 21.13 FOOTNOTE! Additional $1,28 per hour fox Work in a condor, from the third (3rd) floor and up Additional $1.25 per hour for work on the outside of the building Prom a swing stage or -any suspended contrivance, from the ground up .....:............. -----------------»--------------------------------- PA7N1$47-002 05/01/201,6 Rates Fringes SOFT FLOOR LAYER .................$ 31.1.0 14.06 -------------------- --,.------------------..---------------------- PLAS0200-006 08/05/2015 Rates Fringes PLASTERER, ....................... 0 36.44 13.77 FORT IRWXH; MARINE CORPS ATR STATION 29 PALMS, AND MARINE CORPS LOWSTICS SUPPLY BAA; $3.00 additional per hour, ------------- I-. --------------------------------------- MAS0500-002 07/01/201.6 Rates D'ringes CEMENT MASON/CONCRETE FINISHER, ,,$ 33.30 23.33 ' - - - - - ----- ----- - - - - -- -r'------------ 1-1 -----------1-" - -- - - --- - ` - - - - -- - - - -- - - b*.'//www.wdol,99v/wdoVoofi100/4Yi$MOOn/CA,37,dvbh-6 5/1/2017 P14UN0016.002 07/01/2016 Rates Fringes Wage 20 of 25 PI,GMBRR, PIPP'nTTER, STFiWITTER Plumber and Pipe,fitter All other work except work on now additions and remodeling 04 bars, restaurant, stores and commercial buildings not to exoeed 5,000 sq, ft. of floor space and work on strip malls, light commeroial, tenant improvement and remodel work.......r...............$ 47.19 21,41 Work at Edwards An ..,......$.51.56 21.41 Work at Ebrt Irwin Army Base, Marine Corps Logistic Base at Nebo, Marine Corps Logistic Base at Yermo and Twenty -Nine Palma Marine ease,,.,....,.,$ 57.69 21.41. Work ONLY on new additions and remodeling nx bars, restaurantp, stakes and commexaial buildings, not to exceed 5,000 sq, ft. of floor space .................$ 45,73 20.43 Work ONLY on strip malls, light commercial, tenant Improvement and remodel. work........................5 ---------------- 35.69 18.76 ------------,__----- PLUM0345-001 07/01/2014 ---_------------------..--- Rates Fringes PLUNBSR Laadsoape/irrigation Fitter.$ 29,27 19.75 Sewer a Storm brain Work.,. .0 $3.24 17.13 ROOF0036- 002 08/01./2015 Mates Fringes ROOFER ...........................$ 35,07 14.40 FOOTNOTN: Pitch premium: Work on which employees are exposed to pitch Fumes or required to handle pitch, pitch base or pitch impregnated products, or any material containing coal tar pitch, the entire roofing crew shall receive $1.75 per hour "pitch premium" pay. ----- V --- - --- _---------_ -. ---------------------------- OFCA0669-009 04/01/2016 Does not include the northern pant of the City of Chino, or the http$V/www.wdol.gov/wdol/soafdo/davisbacon/CA,37.dyb" S/1/2017 Wage 21 of 25 r` 0i.tkes of Montclair and Ontario ( Rates Fringes SPRXNX149R F'Xx'CER,,,,, ,,,,,,,,,.t$ 37,32 20,27 ------------------ ­-------- SYCA0709-004 07/01/'2015 THEI NORTURN TART OP THO CITY OP CHINO, AND THE CXTTES OEp MONTCLAIR AND ONTAnOt Rates 1'ringea SPRINKLER FITTER (Ylre)....... too$ 42.93 24,0.4 ' --------- -----------......--------------------------------- 094010-003 ...----.,.,....SHEE0105-003 07/01./2016 LOS ANGELLS (South of a straight line drawn batwoen Gorman and Big Pines)and Catalina island, INYO, K9AN (Northeast part, Plast Of Rwy 395), MONO ORANGE, RX'VERSXDX$ AND SAN 13MRNARDINO COONTXES ' ,I Rates �`ringes SHMST METAL WORKER (1) Commeroial - New Con€ttructiott and Remodel work ........................$ 41.86 26.88 (2) tndustriax work _. including air pollution control systems, noise abatement, hand rails, guard raila, excluding ariteahtuxal sheet metal work, excliidirig A -C, . heating, ventilating systems for human comfort ... $ --------------- ------------------------------------------�-..- 41.86 26.88 TEAM0011-002 08/01/2016 Rates Tringes 'RUCK DRIVER GROUP 1.... ................t$ 29.09 26.39 GROUP 2 ....................$ 29.24 26.39 GROUP 3 ..............t.,...$ 29.37 26,39 GROUP 4•tt,.t.t.t,.:....stop 29,56 26.39 GROUP .5, ........ 29.59 26.39 GROUP 6...,..t .............$ 29,62 26.39 GROUP 7,.0 .................$ 29.87 26.39 GROUP 8 ....................$ 30.12 26,39 GROUP 9,,,..t ...... t,,,,,ot$ 30.32 26.39 GROUP .lot,.4...0.30.62 26,39 GROG ll...t.tt „t,.,....,..$ 31.12 26,39 GROUP 12.,.,,...,t ....... .•s$ 31.55 26.39 WORK ON ALL MILITARY BASES: (( PWaUM PAX: $3.00 per hour additional, haps;//www,wdol.gov/wdol/so4les/daylsbacan/CA37.dvb" S/112Q17 ' ,I Wage 22 of 25 (29 palms Marine Base, Camp Roberts, China Lake, Edwarde ADIS, r El Centro Naval Facility, Fort Irwin, Marine Corps Logistics Base at Nebo & Yermo, Mountain Warfare Training Centex, Bridgeport, Point Arguello, Point Conception, Vandenberg AM TRUCK DRIMS 0WSIFZCATIONS GROUP 1: Truck driver GROUP 21 Privet of vehicle or combination of vehicles - 2 axles; Traffic control pilot oat excluding moving heavy equipment permit loadl Truck mounted broom GROUP 31. Driver of vehicle or combination of vehicles - 3 axles; Boot persoul Cement mason distribution truck) Fuel truck driver; Water truck - 2 axle/ Dump truck, less than 16 yds. water levell Erosion control driver GROUP 4: Driver of transit mix truck, under. 3 yds.; numporete truok, Less than 6.1/2 yds, water level GROUP '5: Water truck, 3'or more axles; Truckgreaser and tire person ($0.50 additional for tire person); Pipeline and utility working trunk driver, including winah truck and plastic fusion, limited to pipeline and'utility work; Slurry truck driver GROUP 61 Transit mix truck, 3 yde. or more; Dumporete truck, 6-1/2 yds, water level and over; Vehicle or combination of vehicles - 4 or more axles; Oil spreader truck; bump truck, 16 yds. to 25 yds, water level GROUP 71 h rrmts, Swedish crane or similar; Forklift driver; Rosa carrier driver GROUP 81 Dump'truck, 25 yda. to 49 yds, water level; Truck 'repair person; Plater pull - single engine; Weldor GROUP 9: Truck repair peraon/walderl Low bed driver, 9 axles or over GROUP 10: .Dump truck - 50 yda. or more water level; Water pull jingle'engine with attachment GROUP 11: Water pull - twin engine; Water pull twin engine with attachments; Winch truck driver - $1,25 additional when operating winch or.similar special attachments GROUP 121 Boom Truck 17K and above ..�...._ ...._ ._:------------------------- -----.._...r............----_------- WELDERS - Receive rate prescribed for craft performing operation to which welding is incidental. err erre.rrrrs�eer�errarrrrrrrsrasrs,srsr.srre, ��,y�.a�a�r=a-rte+-�4mau bV$V/www.Wdol.gov/W&Vso4les/davisbacon/CA37,dyb?v-6 5/1/2017 Page 23 of 25 Nate; fxeoutive Order (Za) 13706, establishing Paid sick Leave �. for Yederal Contractors applied to all contracts subject to the Davis -Bacon Act fox which the contraot is awarded (and any solicitation was issued) on or after aanuary 1, 2017, if this contract. is covered by the 90, the contractor must provide employees with 1 hour of paid sick leave for every 30 hours they work, up to 56 hours of paid sick leave each year, Xmployees must be permitted to use paid sick leave for their own illness, injury or other health-related needs, including' preventive ogre; to assist a family Member (or person who is like family to the employee) Who is ill., injured, or has other health-related needs, including preventive care) or for reasons resulting ,from, or to assist a family member (or person who is like family to the employee) who is a victim of, domestic violence, sexual, assault, or stalking, Additional information on contractor requirements atd worker proteations under the RO is available at-www.dol.gov/whd/govoontraots. Onlisted classifications needed for work not included within the scope of the classifications listed may be added after award only as provided in the labor standards contract clauses (29CFR 5,5 (a) '(1) (ii)), The body of each wage determination lists the classification and wage rates that have been iound'to be prevailing for the � cited type(s) of construction in the area covered by the wage determination, The olassifioations am listed in alphabetical order of "identifiers" that indicate whether the particular rate is a union rate (current union negotiated rate for local), -a survey rate (weighted average rate) or a union average rate (weighted union average rate). Union Rate Identifiers A four letter classification akibreviation identifier enclosed in dotted lines beginning with characters other than "SU" or "UAVO" denotes that the union classification and rate were prevailing for khat classification in the survey, Example: PLUM0198-005 07/01/2014, PLUM is an abbreviation identifier of the union which prevailed in the survey for this classification, which in this example would be Plumbers. 0198 indicates the local union number or district council number where applicable, i.e., Plumbers Local 0198, The next number, 005 in the example, is an internal number used in processing the wage determination, 07/01/2014 is the effective date of the most current negotiated ,rate, which in this example is July 1, 20.14 , Union prevailing wage rates axe updated to reflect all rate changes in the collective bargaining agxeememt (CBA) governing this classification and rate, Survey Rate Identifiers Ciaseiffcations listed under the "5U" identifier indicate that no'one rate prevailed for this classification in the survey and ht0l//www,wdoi,gov/wdol/soafilos/daviebwo/CA37,dvb?r-�6 5/1/2017 Page 24 of 25 the published rate is derived by aomput.ing a weighted average rate based on all the rates reported in the survey for that classification. As this weighted average rate Joo].udes all rates reported in'the survey, it may include both union and non-union rates. Examples SULA2012-007 5/13/201.4. SU indioates the rates are survey rates based on 4 weighted average calculation of rates and are not majority rates, LA indicates the State of Louisiana. 2012 is the year of survey on which these classifications and rates are based, The next number, 007 3,n the example,, is an internal number used in p.roduoing the wage determination, 8/13/2014 ,indicates the survey completion date For the classifications and rates under that identifier. Survey wage rages are not updated and remain in effect until a new survey is conducted. Union Average Rate xdentifiere alassi,fication(s) listed under the UAVG identifier indicate that no single majority rate prevailed for those classifications; however,.100* of the data reported for the classifications was union data. 9XAMPLEs UAVG-OH-0010, 08/29/2019, UAVG indicates that the rate is a weighted union average rate, OH indicates the state, The next number, 0010 in the example, is'an•internal number used in producing the wage deterAination. 08/2.8/2014 indicates the survey completion date for the classifications and rates under that identifier. A UAVG rate will be updated once a year, usually in January of each year, to reflect a weighted average of the current negoti4ted4BA .rate of the .union locals from which the rate is based, ------------. ...+-..........-......-.........Www--- --..----..---- WAGS .pHTORMINATION AppEALS PROCESS 1.) Has there been an initial decision in the matter? This can bet '• * an existing published Wage determination * a survey underlying a wage determination * a Wage and Hour Division letter setting forth a position on a wage determination matter * a oonformanoe (addit,ional alaseifioation and rate) ruling On survey related matters, initial contact,. including requests for summaries of surveys, should be.with the Wage and Hour Regional; Office for the area in which the survey was conducted because those Regional Offices have responsibility for the Davis -Bacon survey program, If the response from this initial contact is not satisfactory, then the process described in 2.) and 3.) should be followed, Nith regard to any other matter not yet ripe for the ,formal process described here, initial contact should be with the aranoh of Construction wage Determinations. Write to; haps;//www.wdol,gov/wdoVscaflles/dayssbwon/CA37,4,vb?w6 5/1 /2017 Branch of Construction Wage Detexmknati.ons Mage and Hour Division U-0- pepartment of Labor 200 Constitution Avenue, N.W. Washington, DC 20210 2.) If the answer to the question in 1,) is yes, then an interested party (thane affected by the action) can request review and rooOnsideration .from the wage and Hour Administrator (See 29 CFJt Part 1,0 and 29 CFR Part 7) . Write tar Wage and Hour Administrator U,S. Department of Labor 200 Constitution Avenue, N.W. Washington, DC 20210 The request should be adaompaniod by a full statement of the interested party's position and by any information (wage payment data, project description, area practice material, eta.) that the requestor considers relevant to the issue, 3.) If the decision of the Administrator is not favorable, an interested party may appeal directly to the Administrative Review Board (formerly the Wage Appeals Board), Write to; Administrative Review Board U -S. Department of Labor 200 Constitution Avenue, N,w, WashingtolR' 0C 20210 4,) All decisions by the Administrative Roview Board are final, LIED or GBNBM DECISION haps;//www.wdoJ.gov/wdoJ/mfites/davisbaaon/CA37.dvb?r—=6 Wage 25 of 25 �r2caL Ra'2-L ORIGINAL BID DOCUMENTS �� RECEIVED BY \r Asn, A( ' ack�o DATE: t CITY OF CHINO HILLS BID SUBMITTAL/OPENING WORKSHEET PROJECT: Pipeline Avenue Raised Median Project - Project No. S14009 OPENING DATE: 5/11/2017 TIME: 2:00 PM NO. CONTRACTOR BID AMOUNT COMMENTS Z W m w W LU m co U 0 Q LU > II -Amen c?h * . &' ZZZ�, 133 7, /39. 00ro✓ia CA qZ878 - 2Z2q 6Q14r'iQ' � 2. 2-7.3 n!. &nsoo -Ave-. � 79 �' ✓ /Ce �• 03I 2v �8 �����y� v� / 11-a C/S L L j ^ / / 2- ( /14aA A / /A,G , 4. ZUO_'� &v�_ �, 3 tel, DOC) Page / of / Dodge Data & Analytics ADVERTISING DEPARTMENT 3315 Central Avenue Hot Springs, AR 71913 Phone: (626) 335-8545 Fax: (877) 836-5711 NOTICE PUBLICATION ORDER/GREEN SHEET Please publish the following beginning March 30, 2017 (continuous) OFFICIAL NOTICE CITY OF CHINO HILLS CONTRACT TITLE: PIPELINE AVENUE RAISED MEDIAN PROJECT — PROJECT NO. S14009 CONTRACT WORK DESCRIPTION: The work comprises, but is not limited to: mobilization; traffic control; saw cutting and removal of ac pavement, construction of P.C.C. 6 -inch curb median, cold milling and AC pavement overlay, pavement striping and other related work as necessary. OWNER: CITY OF CHINO HILLS 14000 City Center Drive Chino Hills, CA 91709-4869 Contract documents can be obtained beginning Wednesday, April 5, 2017, upon payment of $30.00 for Plans and Specifications picked up at the Engineering Department of the owner. Plans and specifications will be mailed up to seven (7) calendar days prior to the bid opening date. Phone (909) 364-2770 to purchase plans. Mandatory Pre -Bid Meeting: Prospective bidders are required to attend a pre-bid meeting which will be held on Tuesday, April 18, 2017 at 10:00 a.m. at the Chino Hills City Hall, Council Chambers, 14000 City Center Drive, Chino Hills, CA 91709. Failure to participate in the pre- bid meeting will render a bidder non-responsive. 10% Bid Bond Bids Open May 4, 2017, at 2:00 p.m. Chino Hills City Hall, Council Chambers 100% Performance Bond; 100% Payment Bond 40 working days Engineer's Estimate: $370,000 Contractor's License: Class A Technical questions regarding this project should be addressed to the Project Manager, Mark Raab, Phone (909) 364-2746; Email: mraab@chinohills.org. Sincerely, Mark Raab Senior Civil Engineer / Project Manager cc: Associated General Contractors of America, 6212 Ferris Square, San Diego, CA 92121 Bid America, 41085 Elm Street, Murrieta, CA 92562 ConstructConnect, 30 Technology Pkwy. South, Suite 500, Norcross, GA 30092-2912 Construction Bid Board, 11622 EI Camino Real, Suite 100, San Diego, CA 92130 So. Calif. Builders Assn., 732 N. Diamond Bar Blvd., Suite 224, Diamond Bar, CA 91765 The Blue Book Network, 800 E. Main Street, Jefferson Valley, NY 10535 14000 City Center Drive Chino Hills, CA .91709 NOTICE TO ALL PROSPECTIVE BIDDERS: (909) 364-2600 .ADDENDUM -NO. 1 a/wa), a&&/W 0�1 City of Chino Hills "Pipeline Avenue Raised Median, Project No. 814.009," bids for which are to bereceived at the office of the City Clerk of the City of Chino Hills, 14000 City Center Drive, Chino Hills, CA 917p9,until 2.-00 p.m. . on Thursday May 4, . 2617 are hereby modified as follows, 1. The Document entitled "Notice to Bidders, Proposal, Contract, and Spqqial Provisions" asoriginally issued, is hereby amended as follows.: lows.: a. Page 1-2, Section 1.1.1 shall be -modified to show the revised receiving bid date until 10:00 axn. Padfft'TIM 0on Thursday May 11, .2017. b, Appendix A in "Part III — Appendices"'shall be modified as follows:. Delete pages 4-6 (Exhibit 15H -DBE Information — Good Faith Efforts)" entirely. These pages are duplicated and are shown as pages 7-9 following pages 4-6. The duplicated pages (pages 7-9) can remain In Appendix A, The DBE goal rate for this project remains at 4%. c. Appendix .J — Federal Wage Determination Delete entire section lated"September 16, 2015 and substitute enclosed dated April 7, 2017. 2. An acknowledgement of mceipt.of this Addendum No. 1 -shall be entered. on Page 1-19 (Section. 1.3.1-- Bid (Proposal) of the Bid Documents therein, Failure to provide- acknowledgementshall render the bid as non- responsive and subject to rejection. BY ORDER OF THE CITY OF CHINO HILLS May L-12 Attachments: Federal Wage Rate dated April 7, 2017 04 Art Bennett u Ed M. Graham a Ray Marquez 0 Cynthia Moran - Peter J., Rogers C4 0 RIWAAnrm MEMORANDUM DATE: May 11, 2017 TO: Nadeem Majaj, Public Works Director/Interim City Engineer Joe Dyer, Assistant City Engineer Mark L. Raab, P.E., Project Manager FROM: Jessica Mejia, Deputy City Clerk 11 W SUBJECT: Pipeline Avenue Raised Median - Project No. S14009 On May 11, 2017, the City conducted a public bid opening for the Pipeline Avenue Raised Median - Project No. S14009. The following bids were received: Roadway Engineering and Contracting, Inc. $ 316,006.08 321,000.00 Hardy and Harper, Inc. $ 337,139.84 All American Asphalt $ 352,650.72 California Landscape and Design Roadway Engineering and Contracting, Inc. was announced as the apparent low bidder at the bid opening. information included in their bid has been reviewed and they meet The licensing and bonding our minimum requirements. rding this matter, please feel free to contact Should you have any additional questions rega me. PIPELINE AVENUE RASIDED MEDIAN - PROJECT NO. S14009 Roadway Engineering & Contracting Inc. $20,000.00 $10,400.00 $4,800.00 $56,800.00 $73,320.00 $31,286.08 $ 20,400.00 . $13,980.00 $6,000.00 $1,000.00 $32,370.00 $2,000.00 $12,300.00 $23,850.00 $7,500.00 $316,006.08 Bid Opening May 11, 2017 at 10:00 a.m. Verified by Jessica Mejia, Deputy City Clerk 11 1 co N �� � d J J N N uj .'.� cr r� aa�r i 1 G'll N N N rl- 00 N I w w a� U Q 1. tr C/) W :D W.4LLI x O N rr p� H 9 1.3 BID DOCUMENTS The following listed documents, bound herein and reproduced on colored paper, shall be fully executed and submitted with the Bid prior to the time of the opening of Bids. 1.3.1 Bid (Proposal) 1.3.2 Bid Schedule(s) 1.3.3 List of Subcontractors 1.3.4 Anti -Trust Claim 1.3.5 Non -collusion Affidavit 1.3.6 Bid Bond (Bid Security Form) 1.3.7 Bidder's General Information 1.3.8 Federal Requirements (including FHWA Form 1273) — Exhibit 12-G, Appendix B. 1.4.1 Sample City of Chino Hills Agreement Failure of a Bidder to fully execute and submit all of the listed documents with the Bid will render a Bid as non-responsive and subject to rejection. CITY OF CHINO HILLS - PART 1 1-18 1.3.1 B I D (PROPOSAL) BID TO: CITY OF CHINO HILLS, CALIFORNIA The undersigned Bidder proposes and agrees, if this Bid is accepted, to enter into an Agreement with the City in the form included in the Contract Documents to perform the Work as specified or indicated in said Contract Documents entitled: PIPELINE AVE RASIED MEDIAN CONSTRUCTION Project No. S14009 Bidder accepts all of the terms and conditions of the Contract Documents, including without limitation those in the Notice Inviting Bids and the Instructions to Bidders dealing with the disposition of the Bid Security. This Bid will remain open for the period stated in the Notice Inviting Bids, unless otherwise required by law. Bidder will enter into an Agreement within the time and in the manner required in the Instructions to Bidders, and will furnish the insurance certificates, Payment Bond, Performance Bond, and all Permits required by the Contract Documents. Bidder has examined copies of all the Contract Documents, including the following Addenda (receipt of which is hereby acknowledged).- Number cknowledged): Number 1 1kdctQAL,^ No,r Number 2 Number 3 Number 4 Number 5 Number 6 Date Date Date Date Date Date Bidder has familiarized itself with the nature and extent of the Contract Documents, the Work, the site, the locality where the Work is to be performed, the legal requirements (federal, state, and local laws, ordinances, rules, and regulations), and the conditions affecting cost, progress, or performance of the Work, and has made such independent investigations as Bidder deems necessary. CITY OF CHINO HILLS - PART 1 1-19 1.3.1 B I D (PROPOSAL) continued In conformance with the current statutory requirements of California Labor Code Section 1860, et seq., the undersigned confirms the following as its certification: 1 am aware of the provisions of Section 3700 of the 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, before commencing the performance of the Work of this Contract. To all the foregoing, and including all Bid Schedule(s), List of Subcontractors, Non- collusion Affidavit, Bidder's General Information, and Bid Bond contained in these Bid Documents, said Bidder further agrees to complete the Work required under the Contract Documents within the Contract Time stipulated in said Contract Documents, and to accept in full payment therefor the Contract Price based on the Lump Sum or Unit Bid Price(s) named in the aforementioned Bidding Schedule(s). Dated: 5. h- / I _ _ Bidder: �rm�- It (Sign Title: awm& I, Cvk5OA %tce- �zS,c�en CITY OF CHINO HILLS - PART 1 1-20 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached_ and not the truthfulness. accuracy or validity of that document. State of California County of Riverside On 5/1/2017 before me, Dorma Thorne Notary Public Date Here Insert name and Title of the Officer personally appeared Edward J. Carlson who proved to me on the basis of satisfactory evidence to be the person(&) whose name(s) is/afe subscribed to the within instrument and acknowledged to me that he/cho�" executed the same in DONNA THORNE M his/faer hp' authorized capacity(ies), and that by histher4hefr signature(s) on the instrument the person(s), or the entity upon behalf Commission # 2067766 z of which the person(&) acted, executed the instrument. Notary Public - California z Z Riverside County v My Comm. Expires Jun 7, 20181 1 certify under PENALTY OF PERJURY under the laws of the State of California that the forgoing paragraph is true and correct. WITNESS my hand and official seal. Signature jk_&� Place Notary Seal Above Signature of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Bid Proposal Date: 5/1/17 Number of Pages Two (2) Signer(s) Other Than Named Above: Signer's Name: Edward J. Carlson ❑ Individual X Corporate Officer — Title(s): Vice -President ❑ Partner [ ! it Limited ❑General ❑ Attorney in Fact ❑ Trustee ❑ Other: Signer's Name: ❑ Individual ❑ Corporate Officer — Title(s): _ ❑ Partner ❑ ❑ Limited ❑ General Top of thumb here ❑ Attorney in Fact ❑ Trustee ❑ Other: Signer is Representing: All American Asphalt Signer is Representing: Top of thumb here 1.3.2 UNIT PRICE BID SCHEDULE SCHEDULE OF PRICES FOR THE CONSTRUCTION OF THE: PIPELINE AVE RAISED MEDIAN CONSTRUCTION PROJECT NO. 514009 Item No. Description Est. Qty. Unit Unit Price Amount A. Mobilization 1 LS $''," $2„� B. Provide Traffic Control 1 LS $ 12C7fT- .3 C. Construction Surveying 1 LS ---- Saw Cut And Remove Existing Ac 1 Pavement And Aggregate Base And Backfill With Clean Fill Material To 11 360 SF $r� $� Z�i (_ Within 4” Of Top Of Median Curbs 2 Construct 6" Concrete Median Curb Per City Of Chino Hills STD. Drawing 109 2820 LF $ 1g,50, $�— 3. Construct AC Slurry Overlay 97,769 SF $ f 2 $-LTS-M 4 Construct Full Depth AC Pavement Repair 102 TON $10JJL $ 1 ocigI.5-Z 5. Construct 6" Thick Decorative Concrete/Hardscape in Median 932 SF $j�j $ 15c�nZ 6 Adjust Existing Manhole RIM To Finish Grade 6 EA 7 Adjust Existing Valve Cover To Finish Grade 5 EA 8 Cold Mill Existing Asphalt 1" And Replace With AC Leveling Course 195 TON $ �— $��__ 9 Install False Front Median Curb At Sewer Manhole 1 EA 10. Pavement Striping, Legends, Signage And Pavement Markers 1 LS CITY OF CHINO HILLS - PART 1 1-21 UNIT PRICE BID SCHEDULE (cont') SCHEDULE OF PRICES FOR THE CONSTRUCTION OF THE: PIPELINE AVE RAISED MEDIAN CONSTRUCTION PROJECT NO. S14009 Total of All Items (1-12, A,B,C) of the Bid Schedule: $ � sc�'q9 (Price in figures) (Price in words) Pile Pi r',Car.NS oy<' � Name of Bidder CITY OF CHINO HILLS - PART 1 1-22 Install 1.5" PVC (Sch. 40) Irrigation Conduit In 3" PVC (Sch. 40) Sleeve And Install 1.5" Irrigation Conduit For 11 Timing Wires — Minimum 18" Cover — 900 LF Backfill With 1.5 Sack Cement Slurry, Leave Full Section AC Thickness Below Finished Surface Install 1.5" Water Service And Meter 12 Per City of Chino Hills STD. Plan 1 EA $.1v W-11 UNIT PRICE BID SCHEDULE (cont') SCHEDULE OF PRICES FOR THE CONSTRUCTION OF THE: PIPELINE AVE RAISED MEDIAN CONSTRUCTION PROJECT NO. S14009 Total of All Items (1-12, A,B,C) of the Bid Schedule: $ � sc�'q9 (Price in figures) (Price in words) Pile Pi r',Car.NS oy<' � Name of Bidder CITY OF CHINO HILLS - PART 1 1-22 1.3.3 LIST OF SUBCONTRACTORS INFORMATION REQUIRED OF BIDDER As required under Section 4100, et seq., of the Public Contract Code, the Bidder shall list below the name and business address of each subcontractor who will perform Work under this Bid in excess of one-half of one percent of the Contractor's Total Bid Price, and shall also list the portion of the Work which will be done by such subcontractor. After the opening of Bids, no changes or substitutions will be allowed except as otherwise provided by law. The listing of more than one subcontractor for each item of Work to be performed with the words "and/or" will not be permitted. The Contractor shall perform, with its own organization, Contract work amounting to at least 50 percent of the Contract Price except that any designated "Specialty Items" may be performed by subcontract. The amount of any such "Specialty Items" so performed may be deducted from the Contract Price before computing the amount required to be performed by the Contractor with its own organization. The City will identify any "Specialty Items" in the Bid or Proposal. Where an entire item is subcontracted, the value of work subcontracted will be based on the Contract Unit Price. When a portion of an item is subcontracted, the value of work subcontracted will be based on the estimated percentage of the Contract unit price. This will be determined from information submitted by the Contractor and subject to approval by the Engineer. 1. Work to be Performed: _ _ % of Total Contract: 1 qb , Subcontractor's Name:v{ Address: 2,(A J70mova 17aA License No. UlLi1-- I pi ij�r� Is the Subcontractor registered in accordance with Labor Code § 1725.5 [Note: failure to register requires the City to reject Contractor's bid as nonresponsive]? Yes 9 11WE-1 2. Work to be Performed:t % of Total Contract:, Subcontractor's Name: Address: 1.3.3 LIST OF SUBCONTRACTORS CITY OF CHINO HILLS - PART 1 1-23 INFORMATION REQUIRED OF BIDDER (Continued) License No. CIG. ] I Z2 'Did-- iDow t li-SO Is the Subcontractor registered in accordance with Labor Code § 1725.5 [Note.. failure to register requires the City to reject Contractor's bid as nonresponsive]? Yes t No ❑ 3. Work to be Performed: Subcontractor's Name: Address: License No. % of Total Contract: Is the Subcontractor registered in accordance with Labor Code § 1725.5 [Note: failure to register requires the City to reject Contractor's bid as nonresponsive]? Yes ❑ No ❑ 4. Work to be Performed: Subcontractor's Name: Address: License No. % of Total Contract: Is the Subcontractor registered in accordance with Labor Code § 1725.5 [Note: failure to register requires the City to reject Contractor's bid as nonresponsive]? Yes ❑ No ❑ 1.3.3 LIST OF SUBCONTRACTORS CITY OF CHINO HILLS - PART 1 1-24 INFORMATION REQUIRED OF BIDDER (Continued) 5. Work to be Performed: % of Total Contract: Subcontractor's Name: Address: License No. Is the Subcontractor registered in accordance with Labor Code § 1725.5 [Note: failure to register requires the City to reject Contractor's bid as nonresponsive]? Yes ❑ 6. Work to be Performed: Subcontractor's Name.- Address: ame: Address: License No. % of Total Contract: Is the Subcontractor registered in accordance with Labor Code § 1725.5 [Note: failure to register requires the City to reject Contractor's bid as nonresponsive]? Yes ❑ CITY OF CHINO HILLS - PART 1 1-25 No ❑ 1.3.4 ANTI-TRUST CLAIM In submitting a Bid to a public purchasing body, the Bidder offers and agrees that if the Bid is accepted, it will assign to the purchasing body all rights, title and interest in and to all causes of action it may have under Section 4 of the Clayton Act (15 U.S.C. Section 15) or under the Cartwright Act (Chapter 2 of Part 2 of Division 7 of the Business and Professions Code) arising from purchases of goods, materials, or services by the Bidder for sale to the purchasing body pursuant to the Bid. Such assignment shall be made and become effective at the time the purchasing body tenders final payment to the Bidder. RESPECTFULLY SUBMITTED: G Sign re City, State, Zip ii Caw 6aV � C. aAsD n �M ice Pres � &t Title Contractor's License No. Federal I.D. No. (SEAL --if Bid is by a corporation) ATTEST < - f` l�teas i H ()b &,s�_ Address � 9s 1 -331-7(.o(�, Telephone (with area code) S b� I / Date Type of License CITY OF CHINO HILLS - PART 1 1-26 1.3.5 NON -COLLUSION AFFIDAVIT (Public Contract Code Section 7106) In accordance with Public Contract Code 7106, the bidder declares that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Non -collusion Affidavit is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Non- collusion Affidavit. Bidders are cautioned that making a false certification may subject the certifier to criminal prosecution. CITY OF CHINO HILLS - PART 1 1-27 Bond No. 08597423 Bid Date:05/04/2017 1.3.6 BID BOND KNOW ALL MEN BY THESE PRESENTS, that we, the undersigned, All American Asphalt v as Principal, and Fidelity and Deposit Company of Maryland as Surety are hereby held and firmly bound unto the Cid ref Chino Hills_a_ California General Law MuniciPal Corporation, as Owner in the penal sum of _ Ten Percent of Total Amount Bid-------- (10%o_of_Bid) for the payment of _ which; v,lei' and truly to be n7ade, we hereby jointly and severally bind ourselves, successors and assigns. Signed, this 26th day of April, 2017 The Condition of the above obligation is such that whereas the Principal has submitted to the City of Chino Hills _ _ a certain Bid, attached hereto and hereby i nick a po rt hereof to enter into a contract in writing for the Pipeline Avenue Raised Median Project -_Project No. S14009 NOW, -f t--IEREFORE, a. If said Bid shall be rejected, or b. It said aid shall be accepted and the Principal shallexecute and deliver, within ten 1 Q) days after accet�tance, a contract in the foray attached hereto (properlycompletedin accordance with said Bid) and shall furnish a Bond for his/her faithful performance of said Contract and for the payment of all persons performing labor or furnishing materials in connection therewith, the required Insurance Certificates, and shall in all other respects perform the agreement created by the acceptance of said Bid, then this obligation shall be void, otherwise the same shall remain in force and effect; it being expressly understood and agreed that the liability of the Surety for any and all claints hereunder shall, in no event, exceed the penal amount of this obligation as herein stated. The Surety, for value received, hereby stipulates and agrees that the obligation of said Surety and its Bond shell be in no way impaired or affected by any extension of the time within which the City may accept sirch Bid; and said Surety sloes hereby waive notice of any such extension_ In the event suit is brought upon this bond by the Obligee and judgment is recovered, the Surety shall pay all costs incurred by the Obligee it) such suit, including a reasonable attorney's fee to be fixed by the court. CITY OF CHINO HILLS - PART 1 1-28 1.3.6 BID BOND (page 2 of 3) IN WITNESS WHEREOF, the Principal arld the Surety have hereunto set their hand, and seals, and such of them as are corporations have caused their corporate seals to be hereto affixed and these presents to be signed by their proper officers, the clay and year first set forth above. Two Witnesses (If Individual): ATTEST (if Corporation): By - Title (Corporate Seat) A--TES- 'fitle R. Paramo, Notary Public (Corporate Seal) PRINCIPAL: All American Asphalt By Title SURETY: Fidelity and Deposit Company of Maryland Titje Rebecca Haas -Bates. Attorney -in -Fact IMPORTANT: Surety companies executing Bonds nlust possess a certificate Of authority from the California Insurance Commissioner authorizing them to write surety insurance defined in Section 105 of the California Insurance Code, and if the work or project is financed, in whole or in pail, with federal grant or loan funds, n'lust also appear on the I're@SUry Department's tll0St Current list (Circular 570 as amended). THIS IS A REQUIRED FORM, CITY OF CHINO HILLS - PART 1 4-29 1.3,6 BID BOND (page 3 of 3) Any claims Under this bond may be addressed to: (Narne and Address Of Surety) (Name and Address of Agent or Representative in California if different from above) (Telephone NUrnber Of Surety and nd Agent or Representative in California) Fidelity and Deposit Company of Maryland 777 S. Figueroa Street, Suite 3900 Los Angeles, CA 90017 Millennium Corporate Solutions, LLC 5530 Trabuco Road Irvine, CA 92620 Surety: (213) 270-0600 / Agent: (949) 679-7116 CITY OF CHINO HILLS - PART 1 1-30 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached. and not the truthfulness. accuracv. or validitv orthat document. State of California County of Riverside On 5/1/2017 before me, Donna Thorne, Notary Public Date Here Insert name and Title of the Officer personally appeared Edward J. Carlson who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/sheAhey executed the same in his/fierftheir authorized capacity(ies), and that by his/herAheir DONNA Tsignature(s) on the instrument the person(s), or the entity upon behalf THORNE ' Commission H 2067768 of which the person(&) acted, executed the instrument. Notary Public - California z Z �®' Riverside County y My Comm. Expires Jun 7, 2018 I certify under PENALTY OF PERJURY under the laws of the State of California that the forgoing paragraph is true and correct. WITNESS my hand and official seal. Signature &'(/}tom, Place Notary Seal Above Signature of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Bid Bond Date: 4/26/17 Number of Pages Three (3) Signer(&) Other Than Named Above: Fidelity and Deposit Company of Maryland Signer's Name: Edward J. Carlson ❑ Individual X Corporate Officer — Title(s): Vice -President ❑ Partner I ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Other: Signer's Name: ❑ Individual ❑ Corporate Officer — Title(s): ❑ Partner I ❑ Limited ❑ General Top of thumb here ❑ Attorney in Fact ❑ Trustee ❑ Other: Signer is Representing: An Amor;, Ac kh if Signer is Representing: Top of thumb here CALUFORNPA AILL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 111183 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange ) On 04/26/2017 Date before me, R. Paramo, Notary Public personally appeared Rebecca Haas -Bates Here Insert Name and Title of the Officer Name(8)kof SignerN who proved to me on the basis of satisfactory evidence to be the person(* whose name(. is/are subscribed to the within instrument and acknowledged to me that §§/she/they executed the same in hWher/ hsit authorized capacityN, and that by hi&(her/thair signatureTbs on the instrument the personO, or the entity upon behalf of which the persons) acted, executed the instrument. R. PARAM0 Commission # 2035890 Za Notary Public - California z Orange County ^My Comm. Expires Aug5, 2017 I certify under PENALTY OF PERJURY under the laws of the Stat ' that the foregoing paragraph is true d correct. IT ,ESS my ha an official al. Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Bid Bond Document Date: 04126/2017 Number of Pages: Three(3) Signer(s) Other Than Named Above: All American Asphalt Capacity(ies) Claimed by Signer(s) Signer's Name: Rebecca Haas -Bates ❑ Corporate Officer'— Title(s): ❑ Partner — ❑ Limited El General • Individual WAttorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Fidelity and Deposit Company of Maryland Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: L�6"�st.Uv "✓.L,:4;�,i'y. •ev:�4'�.' . ri, ✓ .� vi�,G'✓•.\�'.\_, U�=✓Ci• . �✓S,ar ..�r _� �.y .v a...• .✓6'a. ar. ci }... 6•ariRty .yf. �.L1.yr. 02014•nal Notary Associationwww.NationaiNotary.org :11 • A•Y (1-800-876-6827) ltem#591 EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8, Attorneys -in -Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys -in -fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney-in-fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of the By -Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney ... Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 10th day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMON F, I have hereunto subscribed my name and affixed the corporate seals of the said Companies, thiso?6�iay of 20j_-)_. SEAL o ~ �'i67 1988 ar wr. Michael Bond, Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT ALL REQUIRED INFORMATION TO: Zurich American Insurance Co. Attn: Surety Claims 1299 Zurich Way Schaumburg, IL 60196-1056 STATE OF CALIFORNIA DEPARTMENT CSF INSURANCE SAN nANM900 No. 466; Arneudcd Certificate of Authority THIS IS TO C ITIFY, 77►ut, pursaatet to rise 'I41 VICe Gxle vj the Stene of CWfbrnia, '01444ty attd Deponit Corrtp l.? of hlaryltasd of malt mora, Maryland, organ od wider Mt kN4 01marylattd, sloi,ect to irs,lrtides y'ltrcarporrrtlatt or othtr vIdonatthrt or"44arunt datiolvAr, is hereby "rlud to transact witbt'r: this State, srabgtcr to art pMvislonr qMW Orl(irntt, rhefotlowing dx$,u of irta7tmt t ,jre, Maritxe, Surety, Plate tom, Llattiltty, Worktr + !ConPerWatl f4 Catremax Carrltr L"ft, ,!%lXu rud td"traWrj, 041h0l Cradilt, Sptrittklar, 9"e414 4v#d Vthielt, Autan1009e, AirtrVt and i► U,04Xlanttotts os $wA da"er ars )taiv ortrray Um*et Of 001e4f In the hurtrmnoe Lmvr ofthe Stan .of Cal{fotnta. 7W$ CER77FICATE is azprmly car r& tinedupatt the holder hereof now mrd h,ereoer being In AW 0010 with all, and not in Walattvrr of any, of rite nppliaable laws and (4*J l r4q4lrernents made under° authority of 11w tarps of the 5101,0 of C4,&"ricr at tang as such taws or tx uirements ars is Vjut and alrpilaots, aril as strdi laws vrtd tettttiriements no v are. or awy tttrec er be dragrd or amended.. IN WITNBSS W39U0P, 4 tdive at of 448 79r1t day ofJanwry, .1911:3, have `heretrttto sat my hand and eawe4 arty of1!dal seat to be a fed this 3Ath day of 10tuary, 1985. Ce O.pO 6ruce i uaw t�ec No. 84314 r•►wa�cr Ge ai�.rr 12/3184 BY Victoria S. sMbury C.afocadlan ti 1, thet ur#eraad lzcturar�ct �C�rmnitrloner of lbn Surto of Giullforttitt, ab hertbk ctrt�y that X hcnc F4r cateArbority tt »pw toti1 forcx and tyeat IN I W=NW W 'EtwF, t have horetrnto ,vet my ba"4.4nd cavad trey 000141 041 to he qP ad titter Jrtt='day o/,tvp& I. cu rk Kelm •r�+++Ca�w,r'arrr ,�tl' 1.3.7 BIDDER'S GENERAL INFORMATION The Bidder shall furnish the following information. Failure to complete all Items will cause the Bid to be non-responsive and may cause its rejection. 1. BIDDER/CONTRACTOR'S Name and Street Address: Li0o Lo- S,xft_ C& -0,1a0 CA 2. CONTRACTOR'S Telephone Number: Facsimile Number: 3. CONTRACTOR'S License: Primary Classification State License Number(s) U -40-4,S Supplemental License Classifications�D 4. Is the Bidder/Contractor registered in accordance with Labor Code § 1725.5 [Note: failure to register requires the City to reject Contractor's bid as nonresponsive]? Yes 0 No ❑ 5. Surety Company and Agent who will provide the required Bonds on this Contract: Name of Surety: d , A DtOQSJ— L�-p .y� G•. Address: Surety Co Telephone Numbers: Agent (CiLiCA) y5Du Surety (21 3 ) 2-10 -0Uou Type of Firm (Individual, Partnership or Corporation): ra9c)A_on CITY OF CHINO HILLS - PART 1 1-31 1.3.7 BIDDER'S GENERAL INFORMATION (Continued) 7. Corporation organized under the laws of the State of: (-,,�t;t�rY��`� 8. List the names and addresses of the principal members of the firm or names and OMcefs titles of the principal officers of the corporation or firm: ��i� WrJ �\Z6- L VCr ;-1-2 AWN T Ca&Ogis � s; ►k ROL , z�x 272,A rc 9. No. of years' experience as contractor in this specific type construction work: L49 10. List at least three related projects completed to date: a. Owner *-0CW- &� pm-a,�JA Address Contact Phone Project Class of Work Contract Amount Date Completed. b. Owner _ Address Contact Phone Project Class of Work _ Contract Amount Date Completed _ CITY OF CHINO HILLS - PART 1 1-32 1.3.7 BIDDER'S GENERAL INFORMATION (Continued) C. Owner '414-Vwcase SQc kVWW-x Address Contact Phone Project Class of Work Contract Amount Date Completed _ 11. List the name and title of the person who will supervise full-time the proposed work for your firm: 12. Is full-time supervisor an employee contract services ? OR 13. A financial statement or other information and references sufficiently comprehensive to permit an appraisal of your current financial condition may be required by the Engineer. CITY OF CHINO HILLS - PART 1 1-33 "2016" PAST WORK REFERENCES City of Riverside 3900 Main St. Riverside, CA 92501 Contact: Steve Howard, (951)826-5708 City of Rancho Santa Margarita 2212 El Paseo Rancho Santa Margarita, CA 92688 Contact: Max Maximous, (949)635-1800 City of Diamond Bar 21810 Copley Drive Diamond Bar, CA 91765 Contact: Kimberly Young, (909) 839-7044 City of Bell 6330 Pine Avenue Bell, CA 90201 Contact: Dahi Kim, (323)923-2628 Department of Transportation 72-800 Dinah Shore Dr. Ste. 104 105 Palm Desert, CA 92211 Contact: Khoi Vu, (951) 232-6263 Department of Transportation 3251 '/a University Dr. Trailer No. 2 Irvine, CA 92612 Contact: Peter Shieh, (949)279-8636 City of Victorville 14343 Civic Drive Victorville, CA 92392 Contact: Bruce Miller, (760) 269-0045 2014/2015 Preservation and Maintenance Contract Amount: $3,400,725.00 Start: 01/2016 Completed: 06/2016 Annual Residential Overlay Contract Amount: $245,190.00 Start: 01/2016 Completed: 09/2016 Grand Ave. Beautification Project Contract Amount: $1,939,000.00 Start: 08/2015 Completed: 05/2016 Florence Avenue Overlay Contract Amount: $643,000.00 Start: 04/2016 Completed: 09/2016 Route 111, Contract No, 08-1 C4604 Contract: $1,536,207.00 Start: 04/2016 Completed: 09/2016 Route 73, Contract No. 12 -OM 1104 Contract Amount: $1,545,163.00 Start: 4/2015 Completed: 07/2016 Bear Valley Road Reconstruction Contract Amount: $2,611,215.00 Start: 04/2016 Completed: 07/2016 City of Perris 101 N. D Street Perris, CA 92570 Contact: Brad Brophy, (951)943-6504 City of Palos Verdes Estates 340 Palos Verdes Drive West Palos Verdes Estates, CA 90274 Contact: Ken Rukavina, (310)378-0383 City of Newport Beach 100 Civic Center Drive Newport Beach, CA 92660 Contact: Alfred Castanon, (949)644-3314 City of Newport Beach 100 Civic Center Drive Newport Beach, CA 92660 Contact: Frank Tran, (949)644-3340 City of Aliso Viejo 12 Journey, Suite 100 Aliso Viejo, CA 92656 Contact: Chris Tanio, (949)425-2531 4th Street Improvement Project Contract Amount: $545,680.00 Start Date: 03/2016 Completed: 07/2016 FY 15-16 St. Resurfacing & Slurry Seal Project Contract Amount: $876,455.00 Start: 11/2015 Completed: 06/2016 Corona Del Mar Entry Improvements Contract Amount: $497,497.00 Start Date: 02/2016 Completed: 05/2016 Cameo Shores Pavement Reconstruction Contract Amount: $3,363,363.00 Start Date: 06/2016 Completed: 12/2016 Pacific Park Rehab. -Chase to 73 Fwy Contract Amount: $633,633.00 Start Date: 10/2016 Completed: 12/2016 "2015" PAST WORK REFERENCES City of Hawthorne 4455 W. 162"d Street Hawthorne, CA 90250 Contact: Heecheol Kwon, (310) 349-2980 City of Inglewood One Manchester Blvd, 3rd Floor Inglewood, CA 90301 Contact: Hunter Nguyen, (310) 412-4252 County of Ventura 800 S. Victoria Ave Ventura, CA 93009 Contact: Jeewoong Kim, (805) 654-3987 City of Montclair 5111 Benito Street Montclair, CA 91763 Contact: Steve Stanton, (909) 625-9444 Hawthrone Blvd Reconstruction Contract Amount: $12,579,000.00 Start: 4/2014 Completed: 5/2015 Florence Ave Contract Amount: $2,639,000.00 Start: 4/2015 Completed: 10/2015 Pavement Resurfacing, Phase II Contract Amount: $2,401,970.00 Start: 4/2015 Completed: 10/2015 Northeast Montclair Street Rehabilitation Contract Amount: $514,150.00 Start: 4/2015 Completed: 7/2015 Riverside County Transportation Commission Route 74 Widening 4080 Lemon Street, 3rd Floor Contract: $1,970,004.00 Riverside, CA 92501 Start: 4/2014 Contact: Bill Seitz, (949) 300-9132 Completed: 7/2015 City of Riverside 3900 Main Street Riverside, CA 92501 Contact: Steve Howard, (951) 826-5708 Long Beach Unified School District 2201 E. Market Street Long Beach, CA 92805 Contact: Nancy Chinchilla, (562) 997-7513 2014/15 Arterial Streets Contract Amount: $1,683,076.00 Start: 4/2015 Completed: 9/2015 Garfield Elementary School Pavement Contract Amount: $1,976,508.00 Start: 6/2015 Completed: 11/2015 '`2014'' PAST WORK REFERENCES Cite of Fullerton .303 W. Commonwealth Ave Fullerton, CA 92832 Contract: Kevin Kwak. (714) 738-6865 Port of Long Beach 4801 Airport Plaza Drive Long Beach, CA 90815 Contact: Lincoln Lo, (562) 283-7000 City of Beverly Hills 4551\. Rexford Drive Beverly Hills.. CA 90210 Contact: Mark Cueno, (310) 285-2557 Cite of Jurupa Vallee 12363 Limonite Ave Riverside, CA 92507 Contact: Michael ?,Myers. (95 1.) 332-6464 City of Santa Ana 20 Civic Center Santa Ana; CA 92701 Contact: Kurt'Weimann; (714) 647-5639 Yorba Linda Blvd Reconstruction Contract Amount: $1.346.000.00 Start: 7/2014 Completed: 11/2014 2013 Roadway Maintenance and Slum, Contract Amount: 5992;000.00 Stan: 6/2014 Completed; 10/2014 2012-2013 Street Resurfacing Contract Amount: 82,970.000 Start: 7/2013 Completed: 5/2014 2012-13 Pavement Rehabilitation Contract Amount: 5970.000 Start: 5,'2013 Completed: 12,-2013 Bristol Street Rehabilitation Contract .Amount: .. $6,95-1.475 Start: 3/2013 Completed: 12/2014 "2013" PAST WORK REFERENCES Department of Transportation 3521 '/4University Dr Irvine CA 92612 Contract: Dat Pham, (949) 279-8586 City of Santa Clarita 23920 Valencia Blvd Santa Clarita CA 91355 Contact: Bill Whitlatch, (661) 259-2489 LACDPW 900 S Fremont Ave Alhambra, CA 91803 Contact: Hector Hernandez, (626) 458-2191 Department of Transportation 2023 Chicago Ave,, M Riverside, CA 02507 Contact: Michael Chen, (951) 830-6017 Route 74, Contract No, 12-OL6404 Contract Amount: $1,134,057 Start: 7/2012 Completed: 512013 2011/12 Overlay & Slurry Seal Program Contract Amount: $5,995,000 Start: 8/2012 Completed: 5/2013 Seventh Avenue Contract Amount: $2,077,000 Start: 9/2012 Completed: 12/2013 Route 74, Contract No. 08-OP9504 Contract Amount: $3,450,622 Start: 6/2012 Completed: 9/2013 City of Laguna Hills 9, Citywide Pavement Rehabilitation 24035 ElToro Rd Contract Amount- $1,778,169 Laguna Hills, CA 92053 Start: 8/201,2 Contact: Kenneth Rosenfield, (949) 707-2650 Completed: 9/2013 County of Riverside Transportation 3525 14" St Riverside, CA 92501 Contact: Trai Nguyen, (951) 961-5363 City of Azusa 213 E Foothill Blvd Azusa, CA 91702 Christina Curiel, (626) 812-5254 Gilman Spring,, Road Contract Amount: $1,695,108 Start: 7/2013 Complewd: 9/2013 Pavement Management,Improvements Contract Amount: $980,000 Start: 5/17/12 Completed: 1/18/13 2012,, PAST WORK REFERENCES City of Beverly Hills 345 Foothill Road Beverly Hills, CA 90210 Contact: Juan Martinez, (310) 285-2$21 City of Costa Mesa 77 Fair Drive Costa Mesa, CA 92628 Contact: Thomas Banks, (714) 754-5222 City of Perris 170 Wilkerson Avenue, Ste; D Perris, CA 92570 Contact: Chris Sunde, (951) 943-5604 City of Dana Point 33282 Golden Lantern Dana Point, CA 92629 Contact: 11bu Sinacori, (949) 248-3574 City of Long Beach 333 W. Ocean Blvd., 10'" Floor Long Beach, CA 90802 Contact: Chuck Ramey, (562) 570-6634 City of Santa Ana 20 Civic Center P1a7a Santa Ana, CA 92701. Contact: Edward Torres, (714) 647-5018 City of Fountain Valley 10200. Slater Avenue Fountain Valley, CA 92708 Contact: Alex Salazar, (714) 593-4516 2010-2011 Street Resurfacing Project Contract Amount: $2,800,000,00 Start, 6/1/2011 Completed: 4/30/2012 2010-2011 Citywide Street Rehabilitation Contract Amount: $2,778,000,00 Start: 7/ 1 /201 t Completed: 2/29/2012 Foss Field Parking Expansion Contract Amount: $190,000.00 Start: 1 / 1 /2012 Completed: 2/29/2012 Pacific Coast Highway & Niguel Shores Contract Amount: $676,676.00 Start; 12/1/2011 Completed: 5/30/2012 Willow Street Improvements Contract Amount: 5661,661,00 Start: 12/1/2011 Completed: 6/30/2012 Bristol Street Widening Contract Amount: $8,315,754,0.0 Start: -5/1/2009 Completed: 3/16/2012 Edinger Avenue Improvements Contract Amount: $422,422,00 Start: 51112012 Corn lcted: 8/1/2012. «2011„ PAST WORK REFERENCES City of Compton 205 South Willowbrook Avenue Compton, CA 90220 Contact: Loujuana Mitchell, (310) 761-1437 County of San Bernardino 82$ E. Third Street San Bernardino, CA 92415 Contact: Franklin Luna, (909)387,7920 County of Riverside 2950 Washington Street Riverside, CA 92504 Contact: David Hylkema, (951) 850-6075 City of Stanton 7800 Katella Avenue Stanton, CA 90680-3162 Contact: Quang Le, (714) 890-4234 City of Long Beach 333 West Ocean Blvd, IOc' Floor Long Beach, CA 90802 Contact: Chuck Ramey, (562) 570-6634 City of Paramount 16400 Colorado Boulevard ParAmoun4 CA 90723-5012 Contact: Len Gorecki, (562) 220-2111 City of Huntington Beach 2000 Main Street Huntington Beach, CA 92.648 Contact: Dave Verone, (714) 3758471 Northwood Avenue Reconstruction Contract Amount: $1,180,000.00 Shut: 0/18/2010 Completed: 5/4/2011 Cajon.Blvd, Contract Amount: $565,000.00 Start: 3/11/2011 Completed: 4/8/201.1 De Luz Road Rehabilitation Contract Amount: $740,000.00 Start: 4/25/2011 Completed: 5/23/2011 2010%2011 Citywide Reconstruction Contract Amount; $322,322.00 Start: 3/1/201I Completed: 4/30/2011 Annual Contract Street Reconstruction Contract Amount: $3,433,415.00 Start: 5/1/2010 Completed: Still On -Going Neighborhood Street Resurfacing Contract Amount: $899,909.00 Start: 11/1/2010 Completed: 3/30/2011 Slater Avenue Improvements Contract Amount: $1,926,341.00 Start: VV2010 Completed: 2/30/2011 .Department of Transportation Route 91 Project 464 W. ,Fourth Street Contract Amount: $5,732,812.0.0 San Bernardino, CA 9241 0-1 400 Start: 3/l/2010 Contact: had Abugharbieh, (951) 277-8579 Completed: 3/30/2011 1'201011 PAST WORK REFERENCES City of Santa Ana 20 Civic Center Plaza Santa Ana,, CA 92701 Contact: Edward Tones, (714) 647-5018 City of Chino I3220 Central Avenue Chino, CA 91790 Contact: Emani Naghmeh, (909) 464-8367 City of Costa Mesa 77 Pair Drive Costa Mesa, CA 92628-1200 Contact: Thomas Banks, (714) 754-5222 Segerstrorn .Avenue Rehabilitation Contract Amount: $2,094,618.00 Start: 1112009 Completed: 3/30/2010 Street Rehabilitation Project FY 08/09 Contract Amount: $2,127,501.00 Start: 1112009 Completed 5/31/2010 Rehabilitation of Vanguard Way Contract Amount: $517,646.00 Start: 12/2009 Completed: 2/30/2010 City of Westminster City-wide Overlay 09-10 St. Improvement Project 8200 Westminster Boulevard Contract Amount: $1,17:1,416.00 Westminster, CA 92683 Start: 2/1/2'010 Contact: Tuan Pham, (714) 898-3311 ext. 209 Completed: 5/30/2010 City of Paramount 16400 Colorado Avenue Paramount, CA 90723-5012 Contact: Ed. Cox, (562) 908-6205 City of Cerritos 18125` Bloomfield Avenue Cerritos, CA 90703-3130 Contact: Rash Syed, (562) 916-1221 City of Anaheim 200 South Anaheim Boulevard Anaheim, CA 92805. Contact: Sean Ramsey, (714) 765-5059 City of Garden Grove 11222 Acacia Parkway Carden Grove, CA 92842 Contact: {714) 741-5180 Resurfacing in Rosecrans Avenue Contract Amount: $572,209.00 Stan: 10/1/2009 Completed: 5/30/2010' Bloomfield Avenue Improvements Contract Amount: $1,103,000.00 Start 3/1/2010 Completed: 6/20/201 O Magnolia Avenue Street Improvements Contract Amount: $868,000.00 Start: 4/1/2010 Completed: 7/20/20`10 Harbor Boulevard Street Rehabilitation. Contract Amount: $919,000.00 Start: 3/1/2010 Completed: 6/30/2010 «2009„ PAST WORK. REFERENCES City of Costa Mesa 77 Fair Drive P.O. Box 1200 Costa Mesa, CA 92628-1200 Contact. Tom Banks, (714) 536-5431 City of Dana Point 33282 Golden Lantern Dana Point, CA 92628 Contact: Archie Rempher, (949) 248-3500 City of Beverly Hills 345 Foothill Road Beverly Hills, CA 9027.0 Contact: Juan Martinez, (310) 285-2521 County of San Bernardino 825 Cast Third Street San Bernardino, CA 92415-0835 Contact: Sri Srirajan, (909)387-7935 City of Redondo Beach 415 Diamond, Street Redondo [leach, CA 90277 Contact: Javier Urista, (3 10) 318=0661 City of Westlake Village 31200 Oak Crest Drive Westlake Village, CA 91361 Contact: Roxanne Hughes, (805) 653-6597 Department of Transportation 12975 Culver Blvd, Los Angeles, CA 90066 Contact: Sixto Ramin, (213) 216-4406 City of Rialto 1.50 South Palm Avenue Rialto, CA 92376 Contact: Eddie Chan, (909) 820-2651 Prop 1 B Street Maintenance Contract Amount: $993,993.00 Start; 7/2009 On-going — not completed yet Annual Roadway Resurfacing Project Contract Amount: $3,982,982.00 Start:: 4/2009 On-going — not completed yet 2008-09 Street Resurfacing Contract Amount: $4,085,000.0() Start: 112009 Completed: 8/2009 Arrow Route Contract, Amount: $1,980,000.00 Start 212009 Completed: 7/2009 Public ImprovementPackage Contract Amount: $1,678,000.00 Start, 1/2009 Completed: 912009 Joint Cities Pavement Rehab. Project Contract.Amount: $1,242,241.11 Start: 6/2009 Completed: 9/2009 Route 27, Contract No. 07-2Y4904 Contract Amount- $915,5.11.00 Start: 6/2009 Completed: 9/2009' Route 210 Detour Contract Amount: $.1,983,548.00 Start: 6/2009 Completed: 9/2009 442008" PAST WORK REFERENCES City of Irvine One Civic Center Plaza P.O; Box 19575 Irvine; CA 92606-5268 Contract: Kal Lambaz, (949) 724-7555 City of Anaheim 2100 South Anaheim Blvd. Anaheim, CA 92805 Contact: Scan Razmy, (714) 765-5069 City of Newport .Beach 3300 Newport Blvd. Newport Beach, CA 92658 Contact: Andy 'Tran, (949) 644-3315 University Drive Rehabilitation Contract Amount: -$.3,445,289.40 ,Start: 1/2008 Completed: 6/2008 Anaheim Blvd. Improvements Contract Amount: $278,391,00 Start: 4/2008 Completed' 6/2008 Superior Avcnue1mpr0vCrments Contract Amount: $862,862.00 Start: 1/2008 Completed-. 6/2008 City of Westminster Citywide Street Improvements 8200 Westminster Blvd. Contract Amount: $1,118,383,00 Westminster, CA 92683 Start: 3/2009 Contact, Theresa Tran,. (714) 898-3311 Ext, 282 Completed: 7/2008 City of Lake Forest 25550 Comwrcentre Drive,Suite I.00 Lake Forest, CA 926,30 Contact, Luis Estevcz, (949) 461-3485 City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 Contact Ed Torres, (714) 647-5018 Street Resurfacing & S'lurry,Seal Contract Amount: $1,638,52100 Start: 2/2008 Completed: 4/2008 Santa Clara Avenue Improvements Contract Amount: $2,219,523.00 Start: 11/2007 Completed: 3/2008 "2007" PAST WORK REFERENCES City of Westminster Citywide Street Improvements 8200 Westminster Boulevard Contract Amount: $1,085,000.00 Westminster, CA 92683 Start, 11/2006 Contact:. Theresa Tran, (714) 89873311 Ext. 282 Completed: 6/2007 City of Irvine P.O, Box 19575 One Civic Center Plaza Irvine, CA 92606-5208 Contact-, Uyenly Bui, (949) 724-7559 City of Anaheim 200 S. Anaheim Boulevard Anaheim,, CA 92805 Contact: Robert Luciano, (714) 765-5286 City of San Clemente 910 Calle Negocio, Suite 1.00 San Clemente, CA 92376 Contact- Gary Voborsky, (949) 361-6132 City ol'Newport Beach 3300 Newport Boulevard Newport Beach, CA 92658 Contact, Andy Tran, (714) 644-3311 City of Seal Beach 211 Eighth Street Seal Beach, CA 90740 Karim Varshochi, (714) 412-2722 City of "Tustin 300 Centennial Way Tustin, CA 92630 Contact: Benny Tenkcan, (714) 573-3161 Jeronirno Road Contract Amount: $649,000,00 Start: 1/2007 Completed: 5/2007 Weir Canyon Contract Amount: $795,000,00 Start; 3/200.7 Completed, 6/2007 North El Camino Real Contract Amount: $1,400,000,00 Start: 4/2007 Completed: 6/2007 Ci't,vwi,de Street Improvements Contract Amount. $1.392,000.00 Start: 1/2007 Completed: 5/2007 Seal Beach Boulevard Contract Amount: $930,647,00 Start: 12/2006 Completed: 4/2007 Jamboree & Tustin Ranch Road Contract Amount: $2.,700,000.00 Start: 11/2006 Completed: 4/2007 "2006" PAST WORK REFERENCES City of Pomona 505 So., Garey Avenue Pomona, CA 91767 Contact: Hong Wang, (909) 620-3783 City ofHawaiianGardetis 21815 Pioneer Blvd. - Hawaiian Gardens, CA 91706 Contact: Steve Steinbrccher, (562) 420-2641 City of Newport Beach 3300 Newport Blvd, Newport Beach,, CA 92658 Contact,, Mark Pugllsi, (949) 644-3331 City of Dana Point 33282 Golden Lanteit Dana Point, CA 92629 Contact- Matt Sinacori, (949) 248-3574 City of Santa Ana 20 Civic. Center Plaza, Santa Ana, CA 92701 Contact: Michel Girgis, (714) 647-5052 City of Seal Beach 211 Eighth Street Sea] Beach, CA Contract: Scan Crumby, (562.) 431-2527 City of Tustin 300, Centennial Way Tustin, CA 92630 Contact. Benny Tenkean, (714).573-3161 Pomona Blvd. Street. Rehabilitation Contract Amount: $1,736,308.00 Completed-, 3/30/2006 Start: l/l/2006 Carson Street Resurfacing Contract Amount: $695,000.00 Completed: 2/30/20,06 Start: 10/1/2005 Jamboree Road Improvements Contract Amotmt: $1,06.1.06 1.00 Completed: 8/30/2006 Start: 6/2006 Coast Highway Contract Amount: $1,977,977.00 Completed: 6/30/2006 Start: 3/2006 Main Street Improvement$, Contract Amount: $1,333,333.00 Completed.- 6/23/2006 Start: 10/2005 Ocean Avcnue Improvements Contract Amount, $2,032,032.00 Completed. 11 /2006 Start: 8/2006 Tustin Ranch Road Contract Amount.: $993,9913,00 Completed: .8/2006 Start: 5/1,/2006 1.3.8 Federal Requirements FEDERAL REQUIREMENTS AND RESTRICTIONS 1.3.8 Federal Requirements 1.3.8.1 Debarment and Suspension Certification 1.3.8.2 Non -Lobbying Certification for Federal -Aid Contracts 1.3.8.3 Disclosure of Lobbying Activities 1.3.8.4 Equal Employment Opportunity Certification 1.3.8.5 EXHIBIT15-G Local Agency Bidder DBE Commitment Form 1.3.8.6 Section 3 Business Certification Form 1.3.8.7 FHWA Form 1273 — Required Contract Provisions Federal -aid Construction Contracts CITY OF CHINO HILLS - PART 1 1-34 1.3.8 FEDERAL REQUIREMENTS In submitting the Bid, the Bidder offers and agrees that if the Bid is accepted, notwithstanding any state or local laws and regulations, all Federal laws and regulations shall be adhered to. In case of conflict between Federal, state, or local laws or regulations, the strictest shall be adhered to. 2. In submitting the bid, the bidder is aware that this is a public works project requiring payments of prevailing wage rates, Certified Payrolls are required to be submitted weekly by the Contractor, subcontractor(s), and owner operator. Contract payments will be withheld for delinquent or inadequate Certified Payrolls (LC 1771.5). 3. In submitting the Bid, the Bidder offers and agrees that if the Bid is accepted, the Bidder and the subcontractor(s) shall perform all work in accordance with the project Plans and Specifications, including all stipulations designed to meet diversified Federal Environmental, Architectural and related laws and regulations. 4. In submitting the Bid, the Bidder offers and agrees that if the bid is accepted, the Bidder and the subcontractor(s) shall allow the comptroller general of the United States, all authorized Federal, state, county, and/or City officials access to the work area, fiscal, payroll, materials, and other relevant Contract records. All relevant records shall be retained for at least three years. 5. The Contractor and the subcontractor(s) shall comply with the Lead Based Paint Poisoning Prevention Act and the Implementation Regulations (24 CFR 35) issued pursuant thereto, and any amendments thereof. 6. The Contractor and the subcontractor(s) shall comply with Section 503 of the Rehabilitation Act of 1973 (P.L. 93-112), and the Implementation Regulations (41 CFR 60-741) issued pursuant thereto and any amendments thereof. 7. The Contractor and the subcontractor(s) shall comply with Section 402, Vietnam Era Veterans Adjustment Assistance Act of 1974, and the Implementation Regulations (41 CFR 60-250) issued pursuant thereto. 8. The Contractor and the subcontractor(s) shall comply with Title IV of the Civil Rights Act of 1964, and Title VIII of the Civil Rights Act of 1968, and any amendments thereof. 9. The Contractor and the subcontractor(s) shall comply with all applicable standards, orders, or requirements issued under section 306 of the Clean Air Act (42 U.S.0 1857h), section 508 of the Clean Water Act (33 U.S.C. 1368), Executive Order 11738, Environmental Protection Agency regulations (40 CFR Part 15), the Federal Water Pollution Act (P.L. 92- 500) as amended, and all applicable standards or regulations (40 CFR Part 15 and 61) issued pursuant to the said acts. 10. The Contractor and the subcontractor(s) shall comply with the Davis -Bacon Fair Labor Standards Act (40 USC 276 a to a-7), and the implementation regulations issued pursuant thereto (29 CFR Section 1, 5), any amendments thereof and the California Labor Code. Pursuant to the said regulations, entitled "Federal Labor Standards Provisions," "Federal Prevailing Wage Decision," and "State of California Prevailing Wage Rates" respectively. CITY OF CHINO HILLS - PART 1 1-35 The Contractor shall post the "Federal Prevailing Wage Decision" and "State of California Prevailing Wage Rates." 11. The Contractor and the subcontractor(s) shall comply with the Copeland Anti -Kickback Act (18 USC 874), and the Implementation Regulations (29 CFR 3) issued pursuant thereto, and any amendments thereof. 12. The Contractor and the subcontractor(s) shall comply with the Contract work hours, the Safety Standards Act (40 USC 327-332), and the Implementation Regulations (29 CFR 5) issued pursuant thereto, and any amendments thereof. 13. The Contractor shall display the Project Sign, post the "Notice to all Employees Working on Federal or Federally Financed Construction Projects," and the "Equal Employment Opportunity is ... THE LAW..." posters, federal and state wage rates, and other required material, in a visible location at the job site. The signs and posters shall be mounted in an acceptable manner and constructed as specified (see appendix for posters). 14. The Contractor shall comply with all laws, ordinances, and regulations applicable to the work. If the Contractor ascertains at any time that any of the requirements of the Contract are at variance with applicable law, ordinances, regulations, or building code requirements, he or she shall promptly notify the City of Chino Hills, Engineering Department, and shall not proceed with the work in question, except at his or her own risk, until the Engineer has had an opportunity to determine the extent of the responsibility for the variance and the appropriate corrective actions to be undertaken. 15. Wherever applicable, the Contractor and the subcontractor(s) shall comply with Federal Management Circular No. 74-4, and the Office of Management and Budget Circular No. 102, and any amendments thereof. 16. The Contractor and the subcontractor(s) shall comply with the Executive Order 11246 and the Implementation Regulations (24 CFR 130 and 41 CFR Chapter 60) issued pursuant to the regulations. The Contractor and the subcontractor(s) agree to complete, execute, and submit the "Equal Employment Opportunity Certification" (HUD -92010) with the Agreement if awarded the Bid. 17. The Contractor and the subcontractor(s) shall comply with Section 3 of the Housing and Community Development Act of 1968 and the regulations (24 CFR 135) issued pursuant thereto, and amendments thereof. 18. The Contractor and the subcontractor(s) shall comply with the Affirmative Action reporting requirements, entitled "Combined Work Force Profile." 19. Wherever applicable, the Contractor and the subcontractor(s) shall comply with Section 109 of the Housing and Community Development Act of 1974, and the Implementation Regulations (24 CFR 570.601) issued pursuant thereto, and any amendments thereof. 20. Federal Employee Benefit Clause: "No member of, or delegate to, the Congress of the United States, and no Resident Commissioner shall be admitted to any share or part of the Agreement to the said project or to any benefit to arise from the same." CITY OF CHINO HILLS - PART 1 1-36 21. The undersigned as Bidder swears under penalty of perjury that no more than one final, unappealable finding of contempt of court, by a federal court, has been issued against the Bidder (Contractor) within the immediately preceding two-year period because of the Bidder's (Contractor's) failure to comply with an order of a federal court, which orders the Contractor to comply with an order of the National Labor Relations Board. A finding of contempt does not include any finding which has been vacated, dismissed, or otherwise removed by the court because the Bidder (Contractor) has complied with the order which was the basis for the finding (PCC 10232). 22. The list of subcontractors, material suppliers and questionnaire regarding Bidder, are considered part of the Federal Contracting Requirements, and are included in the Bid Proposal. They are required to be completed by the Bidder. 23. The Bidder shall submit the "Non - Collusion Affidavit" with the Bid (PCC 7106). 24. The proposed Contractor and the subcontractor(s) shall complete the "Race and Ethnic Data Reporting Form, HUD -27061," and submit with the agreement. 25. The proposed Contractor and the subcontractor(s) shall complete and execute the "Certification Regarding Debarment and Suspension, (Title 49, Code of Federal Regulations, Part 29) HUD -2992 and submit with the Bid. 26. The Contractor shall complete and execute the "Certification of Nonsegregated Facilities," and submit it with the Bid. 27. The Bidder shall complete, execute, and submit the "Disclosure of Lobbying Activities, Form LLL," with the Bid. 28. Along with the Bid, the Contractor shall submit the "Contractors Certification on Federal Contract Requirements" to certify complete understanding of the diversified Federal requirements imposed on the Contractor(s) of HUD -funded construction projects. 29. The Bidder PflX is a c, 4- (Contractorsa(� me) (individual, partners ip, or corporation) (' If a corporation, incorporated under the laws of the State of U�1;"Nro is If an individual, state individual's name. If a partnership, state names of all individuals, co- partners, composing the firm. If a corporation, state names of president, secretary, treasurer and chief executive officer thereof. (AT L. A,"C rs. 30. Questionnaire Regarding Bidder CITY OF CHINO HILLS - PART 1 1-37 Because this project is federally funded, it is necessary to obtain information concerning type of ownership participation for statistical purposes, for the U.S. Department of Housing and Urban Development (HUD). (a) [ ] 56M ale (b) [ ] Male N I Number of years engaged in the contracting business under present business name 1A 31. In submitting this Bid, the undersigned as Bidder agrees to perform, with its own organization, work amounting to at least fifty percent (50%) of the bid amount except that any designated "specialty items" may be performed by subcontract and may be deducted from the bid amount before computing the amount of work required to be performed by the Bidder. If the Bidder, after computing the amount of work required, fails to meet at least fifty percent (50%) of the amount of work required with its own forces, the Bid will be considered non-responsive and will be rejected with no further consideration. 32. The Bidder understands that if he or she fails to specify a subcontractor or if a bidder specifies more than one subcontractor for the same portion of work to be performed under the contract in excess of one half of one percent (0.5%) of the bidder's total bid, the bidder shall be deemed to have agreed to perform such portion himself or herself, and that he or she shall not be permitted to sublet or subcontract that portion of the work except as may be duly consented to by the City pursuant to the provisions of Section 4107, of the Public Contract Code (PCC 4106). 33. The Bidder understands that circumvention by a general contractor who bids as a prime contractor of the requirement under Section 4104 for him or her to list his or her subcontractors, by the device of listing another contractor who will in turn sublet portions constituting the majority of the work covered by the prime contract, shall be considered a violation of Chapter 4 "Subletting and Subcontracting" starting with Section 4100 of the Public Contract Code and shall subject that prime contractor to the penalties set forth in Section 4110 and 4111 of the Public Contract Code (PCC 4105). 34. In compliance with the provisions of the Public Contract Code, Section 4104, the undersigned Bidder herewith sets forth the name and location of the place of business of each subcontractor who will perform work or labor or render service to the prime Contractor in or about the construction of the work or improvement, or a subcontractor licensed by the State of California who, under subcontract to the prime Contractor, specially fabricates and installs a portion of the work or improvement according to detailed drawings contained in the Plans and Specifications, in an amount in excess of one-half of one percent (0.5%) of the prime Contractor's total bid, or in the case of Bids for the construction of streets, highways, including bridges, in excess of one-half of one percent (0.5%) of the prime Contractor's total bid or ten thousand dollars ($10,000), whichever is greater, and the portion of the work which will be done by each subcontractor. The Bidder shall not list more than one subcontractor for the same portion of work. CITY OF CHINO HILLS - PART 1 1-38 All additional information required by the City regarding any subcontractor who the Bidder is required to list under the Provisions of Sections 4104 and 4107 of the Public Contract Code, other than the subcontractor's name and location of business, may be submitted by the Bidder up to 24 hours after the deadline time and date for receipt of Bids. Failure to timely provide all required subcontractor information shall result in the Bid being determined nonresponsive. REQUIRED SUBCONTRACTORS' INFORMATION /L.ROQA _ NAME Cf✓ (�lc�i ` Y1¢ l l LICENSE NO. AND CLASSIFICATION 5 Z TELEPHONE \ Li <6q -Lj -,,Do �1 J OWNERSHIP (CIRCLE APPLICABLE): DBE MINORITY, WOMEN, SECTION 3, NOT APPLICABLE ADDRESS (i ikr10 �JV, K'- BID AMOUNT % OF ITEM TOTAL NOS. BID CITY, ZIP NAME GST Tr c - LICENSE NO. AND CLASSIFICATION ci1x22 C - !a TELEPHONE 056 WL- 14q j `� �l OWNERSHIP (CIRCLE APPLICABLE): WO DBE, MINORITY, MEN ECTION 3, NOT APPLICABLE ADDRESS �33 2G5D �w�i(.' voU r✓ Y BID AMOUNT % OF ITEM TOTAL NOS. BID CITY, ZIP CITY OF CHINO HILLS - PART 1 1-39 REQUIRED SUBCONTRACTORS' INFORMATION NAME LICENSE NO. AND CLASSIFICATION TELEPHONE OWNERSHIP (CIRCLE APPLICABLE): DBE, MINORITY, WOMEN, SECTION 3, NOT APPLICABLE ADDRESS BID AMOUNT % OF ITEM TOTAL NOS, BID CITY, ZIP NAME LICENSE NO. AND CLASSIFICATION TELEPHONE OWNERSHIP (CIRCLE APPLICABLE): DBE, MINORITY, WOMEN, SECTION 3, NOT APPLICABLE ADDRESS BID AMOUNT % OF ITEM TOTAL NOS. BID CITY, ZIP CITY OF CHINO HILLS - PART 1 1-40 REQUIRED SUBCONTRACTORS' INFORMATION NAME LICENSE NO. AND CLASSIFICATION TELEPHONE OWNERSHIP (CIRCLE APPLICABLE): DBE, MINORITY, WOMEN, SECTION 3, NOT APPLICABLE ADDRESS BID AMOUNT % OF ITEM TOTAL NOS. BID CITY, ZIP DBE, MINORITY, WOMEN, SECTION 3, - NOT APPLICABLE ADDRESS BID AMOUNT % OF NAME LICENSE NO. AND CLASSIFICATION TELEPHONE OWNERSHIP (CIRCLE APPLICABLE): DBE, MINORITY, WOMEN, SECTION 3, NOT APPLICABLE ADDRESS BID AMOUNT % OF ITEM TOTAL NOS. BID CITY, ZIP Duplicate this form as necessary to report bidder and all subcontractor(s) (DBEs and non - DBEs) information. CITY OF CHINO HILLS - PART 1 1-41 35. This project is federally funded, and the Bidder is requested to state if the supplier is a DBE, minority, women, or Section 3 business concern owned firm. LIST OF MATERIAL SUPPLIERS NAME MATERIAL(S) SUPPLIED \� Ccx'C, R- ADDRESSS y U _ ,,.,y Lgou Z.c'�,S`I'- �`%l I ►'` "'v OWNERSHIP (CIRCLE APPLICABLE) DBE MINORITY WOMEN C-0ECTIOry rc) SEP CTDN-3- NOT APPLICAB •, CITY, ZIP � "� pf TELEPHONE b5) U -) o NAME (()�l 1�j e�moi u j j MATERIAL(S) SUPPLIED ADDRESS OWNERSHIP (CIRCLE APPLICABLE) MINORITY C-0ECTIOry rc) WOMEN 3 -� QJNOT APPLICABLE CITY, ZIP TELEPHONE NOT APPLICABLE NAME MATERIAL(S) SUPPLIED ADDRESS OWNERSHIP (CIRCLE APPLICABLE) DBE MINORITY WOMEN SECTION 3 NOT APPLICABLE CITY, ZIP TELEPHONE NAME MATERIAL(S) SUPPLIED ADDRESS OWNERSHIP (CIRCLE APPLICABLE) DBE MINORITY WOMEN SECTION 3 NOT APPLICABLE CITY, ZIP TELEPHONE CITY OF CHINO HILLS - PART 1 1-42 1.3.8.1 DEBARMENT AND SUSPENSION CERTIFICATION DEBARMENT AND SUSPENSION CERTIFICATION TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29 The bidder, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated therewith in the capacity of owner, partner, director, officer, manager: • is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any Federal agency; • has not been suspended, debarred, voluntarily excluded or determined ineligible by any Federal agency within the past 3 years; • does not have a proposed debarment pending; and • has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years. If there are any exceptions to this certification, insert the exceptions in the following space. Exceptions will not necessarily result in denial of award, but will be considered in determining bidder responsibility. For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action. W Notes: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. CITY OF CHINO HILLS - PART 1 1-43 1.3.8.2 NON -LOBBYING CERTIFICATION FOR FEDERAL -AID CONTRACTS NON -LOBBYING CERTIFICATION FOR FEDERAL -AID CONTRACTS The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, 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 any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal 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 undersigned shall complete and submit Standard Form -LLL, "Disclosure of Lobbying Activities," in conformance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person 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. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subrecipients shall certify and disclose accordingly. CITY OF CHINO HILLS - PART 1 1-44 1.3.8.3 DISCLOSURE OF LOBBYING ACTIVITIES DISCLOSURE OF LOBBYING ACTIVITIES k -UM -Mr- r n r rua rUN M i U D16C;LUSE LUBB YINi ACTIVITIES PURSUANT TO 31 U.S.C. 1352 1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type: ® a. contract a. bid/offer/application a. initial b, grant b. initial award b. material change c. cooperative agreement c. post -award d. loan For Material Change e. loan guarantee year quant, f, loan insurance date of last rep 4. Name and Address of Reporting Entity ElPrime n Subawardee Tier if known Congressional District, if known 6. Federal Department/Agency: S. Federal Action Number, if known: 5. If Reporting Entity in No. 4 is Enter Name and Address of P. Congressiona/Dis if known 7. Federal Progr me/Description: CFDAN ber, if applicable 9. Awar mount, if known: 10. a. Name and Address of Lobby Entity h� ly Individuals Performing Services (including (If individual, last name, first name, MI) 1`� address if different from No. 10a) (last name, first name, NII) (attach Continua ' n Sheet(s) if necessary) 11. Amount of Payment (check all that apply) 13. Type of Payment (check all that apply) $ actual pl ed a. retainer b. one-time fee 12. Form of Payment (check all that ap y): c. commission 8 a. cash d. contingent fee b. in-kind. specify: na e e deferred alue f. other, specify 14. Brief Description of Ser es Performed or to be performed and Date(s) of Service, including officer(s), employee(s), r member(s) contacted, for Payment Indicated in Item 11: (attach Continuation Sheet(s) if necessary) 15. Continuati Sheet(s) attached: Yes El No 11 16. /Informationn equested through this form is authorized by .C. Section 1352. This disclosure of lobbying as placed by the tier above when his transaction or entered into. This disclosure is required 31 U.S.C. 1352. This information will be Congress semiannually and will be available for ection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Federal Use Only: Signature: Print Name: Title: WE Ycif�S„ Telephone No.: C�1 '�3LALOO Dater Authorized for Local Reproduction Standard Form - LLL JL--. 1U1W LLL ACV. u7 -16-Y/ INSTRUCTIONS FOR COMPLETION OF SF -LLL, CITY OF CHINO HILLS - PART 1 1-45 DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C. section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity 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 a covered Federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence, the outcome of a covered Federal action. 2. Identify the status of the covered Federal action. 3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last, previously submitted report by this reporting entity for this covered Federal action. 4. Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the first tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5. If the organization filing the report in Item 4 checks "Subawardee" then enter the full name, address, city, state and zip code of the prime Federal recipient. Include Congressional District, if known. 6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments. 8. Enter the most appropriate Federal identifying number available for the Federal action identification in item 1 (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant. or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP -DE -90-001." 9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitments for the prime entity identified in item 4 or 5. 10. (a) Enter the full name,. address, city, state and zip code of the lobbying entity engaged by the reporting entity identified in item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10 (a). Enter Last Name, First Name and Middle Initial (Ml). CITY OF CHINO HILLS - PART 1 1-46 11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the lobbying entity (item 10). Indicate. whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. 12. Check the appropriate box. Check all boxes that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. 13. Check the appropriate box. Check all boxes that apply. If other, specify nature. 14. Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. 15. Check whether or not a continuation sheet(s) is attached. 16. The certifying official shall sign and date the form, print his/her name title and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the. Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, D.C. 20503. SF -LLL -Instructions Rev. 06-04-90aENDIFN CITY OF CHINO HILLS - PART 1 1-47 1.3.8.4 EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION (THE BIDDER'S EXECUTION ON THE SIGNATURE PORTION OF THIS PROPOSAL SHALL ALSO CONSTITUTE AN ENDORSEMENT AND EXECUTION OF THOSE CERTIFICATIONS WHICHARE A PART OF THIS PROPOSAL) EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION The bidder��Pn�- proposed subcontractor , hereby certifies. that he has has not , participated in a previous contract or subcontract subject to the equal opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required, he has 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 filling requirements. 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 clause. Contracts and subcontracts which are exempt from 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.) . Currently, Standard Form 100 (EEO -1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. CITY OF CHINO HILLS - PART 1 1-48 SECTION 1.3.8.5 "GOOD FAITH EFFORT" FORMS EXHIBIT 15-G Local Agency Bidder DBE Commitment CITY OF CHINO HILLS - PART 1 1-49 Local Assistance Procedures Manual Exhibit 15-G Construction Contract DBE Commitment EXHIBIT 15-G CONSTRUCTION CONTRACT DBE CONINIITNIENT 1. Local Agency: U Ute C,1'1i(�u ��� 2. Contract DBE Goal: 3. Project Description:,�x�,�t>rv2 4. Project Location: 7p;.n.elivv Nfea'-. "P_ 5. Bidder's Name: 6. Prime Certified DBE: ❑ 7. Bid Amount: 8. Total Dollar Amount for ALL Subcontractors: 045 0 a 9. Total Number of ALL Subcontractors: 10. Bid 12. DBE Item 11 Description of Work, Service, or Materials Supplied Certification Number pp Number 13. DBE Contact Infomiation (Must be certified on the date bids are opened) 14. DBE Dollar Amount .S%Zc&A tJleY !°i CLWill Local Agency to Complete this Section 21. Local Agency Contract Number:: 22. Federal -Aid Project Number: 15. TOTAL CLAIMED DBE PARTICIPATION 23. Bid Opening Date: 24. Contract Award Date: IMPORTANT: Identify all DBE firms being claimed for credit, Local Agency certifies that all DBE certifications are valid and information on this form is complete and accurate. regardless of tier. Names of the First Tier DBE Subcontractors and their respective item(s) of work listed above must be consistent, where applicable with the names and items of the work in the "Subcontractor List' submitted mi your bid. Written confirmation of each listed DB is required 25. Local Agency Representative's Signature 26. Date 27. Local Agency Representative's Name 28. Phone 29. Local Agency Representative's Title 16. P parer's Si ature 17. Date �� 4 cliri,"._ - ( L_ f�F) 18. Preparers Name 19. Phone 207 Prep r�iT to DISTRIBUTION: 1. Original —Local Agency 2. Copy — Caltrans District Local Assistance Engineer (DLAE). Failure to submit to DLAE within 30 days of contract execution may result in de -obligation of federal funds on contract. Include additional copy with award package. ADA Notice: For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 654-6410 or TDD (916) 654- 3880 or write Records and Forms Management, 1120 N Street, MS -89, Sacramento, CA 95814. Page 1 of 2 July 23, 2015 Local Assistance Procedures Manual Exhibit 15-G Construction Contract DBE Commitment INSTRUCTIONS —CONSTRUCTION CONTRACT DBE COMMITMENT CONTRACTOR SECTION 1. Local Agency - Enter the name of the local or regional agency that is funding the contract. 2. Contract DBE Goal - Enter the contract DBE goal percentage as it appears on the project advertisement. 3. Project Location - Enter the project location as it appears on the project advertisement. 4. Project Description - Enter the project description as it appears on the project advertisement (Bridge Rehab, Seismic Rehab, Overlay, Widening, etc). 5. Bidder's Name - Enter the contractor's firm name. 6. Prime Certified DBE - Check box if prime contractor is a certified DBE. 7. Bid Amount - Enter the total contract bid dollar amount for the prime contractor. 8. Total Dollar Amount for ALL Subcontractors — Enter the total dollar amount for all subcontracted contractors. SUM = (DBEs + all Non -DBEs). Do not include the prime contractor information in this count. 9. Total number of ALL subcontractors — Enter the total number of all subcontracted contractors. SUM = (DBEs + all Non -DBEs). Do not include the prime contractor information in this count. 10. Bid Item Number - Enter bid item number for work, services, or materials supplied to be provided. 11. Description of Work, Services, or Materials Supplied - Enter description of work, services, or materials to be provided. Indicate all work to be performed by DBEs including work performed by the prime contractor's own forces, if the prime is a DBE. If 100% of the item is not to be performed or furnished by the DBE, describe the exact portion to be performed or furnished by the DBE. See LAPM Chapter 9 to determine how to count the participation of DBE firms, 12. DBE Certification Number - Enter the DBE's Certification Identification Number. All DBEs'must be certified on the date bids are opened. 13. DBE Contact Information - Enter the name, address, and phone number of all DBE subcontracted contractors. Also, enter the prime contractor's name and phone number, if the prime is a DBE. 14. DBE Dollar Amount - Enter the subcontracted dollar amount of the work to be performed or service to be provided. Include the prime contractor if the prime is a DBE. See LAPM Chapter 9 for how to count fall/partial participation. 15. Total Claimed DBE Participation - $: Enter the total dollar amounts entered in the "DBE Dollar Amount"column. %: Enter the total DBE participation claimed ("Total Claimed DBE Participation Dollars" divided by item "Bid Amount"). If the total % claimed is less than item "Contract DBE GoaI," an adequately documented Good Faith Effort (GFE) is required (see Exhibit 15-H DBE Information - Good Faith Efforts of the LAPM). 16. Preparer's Signature - The person completing the DBE commitment form on behalf of the contractor's firm must sign their name. 17. Date - Enter the date the DBE commitment form is signed by the contractor's preparer. 18. Preparer's Name - Enter the name of the person preparing and signing the contractor's DBE commitment form. 19. Phone - Enter the area code and phone number of the person signing the contractor's DBE commitment form, 20. Preparer's Title - Enter the position/title of the person signing the contractor's DBE commitment form. LOCAL AGENCY SECTION 21. Local Agency Contract Number - Enter the Local Agency contract number or identifier. 22. Federal -Aid Project Number - Enter the Federal -Aid Project Number. 23. Bid Opening Date - Enter the date contract bids were opened. 24. Contract Award Date - Enter the date the contract was executed. 25. Local Agency Representative's Signature - The person completing this section of the form for the Local Agency must sign their name to certify that the information in this and the Contractor Section of this form is complete and accurate. 26. Date - Enter the date the DBE commitment form is signed by the Local Agency Representative. 27. Local Agency Representative's Name - Enter -the name of the Local Agency Representative certifying the contractor's DBE commitment form. 28. Phone Enter the area code and phone number of the person signing the contractor's DBE commitment form. 29. Local Agency Representative Title - Enter the Position/title of the Local Agency Representative certifying the contractor's DBE commitment form. Page 2 of 2 July 23, 2015 SECTION 1.3.8.6 CITY OF CHINO HILLS Business Certification Form CITY OF CHINO HILLS - PART 1 1-50 CITY OF CHINO HILLS BUSINESS CERTIFICATION Name of Business Address of Business %-JUQ Contact Person f C , Title 4iicc Re—si I TeIephoneL—_D, �j�y cc E -Mail Add ress_�2iL �k The bidder certifies that he qualifies as a Section 3 Business Concern, based on the following: (Please check applicable item(s)): _Status as a Section 3 resident -owned enterprise (at least 51 % owned by Section 3 residents): • Provide copy of resident lease, evidence of participation in public assistance program, or signed certification of Section 3 resident • Provide documentation of business ownership, such a copy of articles of incorporation, partnership agreement, list of owners/stockholders and percentage ownership of each, organization chart with names and titles At least 30% of permanent, full-time employees are currently Section 3 Residents or were Section3 residents within the past 3 years: • Provide complete list of all permanent, full-time employees • Provide list of employees claiming Section 3 status • Provide documentation of Section 3 status for all applicable employees such as PHA residential lease or signed certification of Section 3 resident Commitment to subcontract 25% of the dollar awarded to qualified Section 3 business (only applicable to prime contractors): • Provide list of subcontracted Section 3 business(es) and subcontract amount • Provide documentation of Section 3 status for applicable businesses ✓ Commitment to give preference for training and employment opportunities to Section 3 residents or business(es) "to the greatest extent feasible" : • Provide "good faith efforts" proof of publication(s) and/or documentation • Provide list of written notices, solicitation, and follow up methods to facilitate participation of Section 3 residents or business es) – include list of names/firms, addresses, and phone numbers. 4e6&e � � Note: The successful bidder s -hall submit adequate documentations checked above to fulfill the requirements to the Section 3 Business Certification with the executed contract agreement and contract bonds. 1 hereby certify that the information provided here is true and correct and understand that any falsification of any information provide , uld subject me to disqualification and punishment under the law. r��ncttSo J.-[A�thoriiae�a�d Signature Date City of Chino Hills—Project Manager's Signature Date CITY OF CHINO HILLS - PART 1 1-51 O---AFFTIE6 - "T I N -PR QGRA M,, M91C POLICY TO ALL AMERICAN ASPHALT PERSONNEL: IT IS THE STATED POLICY OF ALL AMERICAN ASPHALT THAT ALL EMPLOYEES AND APPLICANTS SHALL RECEIVE EQUAL CONSIDERATION AND TREATMENT ALL RECRUITMENT, HIRING, PLACEMENT, TRANSFER AND PROMOTION8 WILL, BE ON THE BASIS OF QUALIFICATIONS OF THE INDIVIDUAL FOR THE. POSITION SEING FILLED WITHOUT REGARD Tid RACE, RELIGION, COLOR, NATIONAL ORIGIN, AGE, SEX OR PHYSICAL HANDICAP, ALL OTHER PERSONNEL ACTIONS, SUCH AS COMPENSATION, BENEFITS, LAYOFFS, RETURN FROM'LAYOFF, TERMINATION'S, TRAINING AND SOCIAL AND RECREATIONAL PROGRAMS ARI~ ADMINISTERED WITHOUT REGARD TO RACE, RELIGION, COLOR, NATIONAL ORIGIN, AGE, SIEX,SEXUAL ORIENTATION, MARITAL STATUS, NATIONAL ORIGIN, ANCESTRY, DISABILITY (MENTAL AND PHYSICAL, INCLUDING HIV AND AIDS)'MEDICAL CONDITION (CANCER AND GENETIC CHARACTERISTICS), AND/OR AGE (40 ANDOVER), ECIUALrOPPORTUNITY IS A CONTINUING EFFORT AND REQUIRES THE FULL SUPPORT OF ALL OF US TO ENSURE THE DEVELOPMENT OF OUR MINO RITY AND FEMALE EMPLOYEES. EACH POSSIBILITY TO HIRE OR PROMOTE SHOULD 13E VIEWED AS AN OPPORTUNITY TOWARD OUR GOAL OF A FULLER UTILIZATION OF OUR MINORITY AND FEMALE EMPLOYEES, EACH MANAGER WILL COMMUNICATE TO EMPLOYEES THAT OUR COMMITMENT TO AN AFFIRMATIVE ACTION PROGRAM IS REAL, IS SUPPORTED BY OUR COMPANY, AND HAS A HIGH PRIORITY. WE ENCOURAGE ALL OF OUR EMPLYEES TO PARTICIPATE IN THIS EFFORT BY ENCOURAGING MINORITIES AND FEMALES TO APPLY FOR EMPLOYMENT AND TO SEEK PFiOMOTION& FOR. ASSISTANCE IN THE EQUAL OPPORTUNITY PROGRAM, MANAGERS. AND EMPLOYEES SHOULD CONTACT MARK LUER, EEC) COORDINATOR., HE HAS THE SPECIFIC RESPONSIBILITIES TO MONITOR AND ASSESS THE PROGRESS FOR OUR EQUAL EMPLOYMENT OPPORTUNITY AND AFFIRMATIVE ACTION PROGRAMS. MARK LUER .PresWent Febroary 13, 2015 TELEPHONE; 951-736-7600 - FAX: 951-739-4671 1 ALL AMERICAN -ASPHALT- AN SPHALTAN EQUAL OPPORTUNITY EMPLOYER April 27th, 2017 International Union of Operating Engineers 100 East Corson Street Pasadena, CA 91103 SUBJECT: Pipeline Avenue Raised Median Project No. S14009 City of Chino Hills Dear Sir/Madam: ALL AMERICAN ASPHALT ALL AMERICAN AGGREGATES T 951-736-7600 F 951-739-4671 P.O. BOX 2229, CORONA, CA 92878-2229 CONTRACTORS LICENSE #267073 A,C12 DIP, #1000001051 All American Asphalt is bidding on the above noted project on May 4th, 2017 at 2:00 PM. This project falls under the United States Department of Housing and Urban Development (HUD) Section 3 regulations for the City of Chino Hills. The Section 3 regulation compliance requires that contractors to the greatest extent feasible hire low-income residents of Chino Hills for the project. We are asking for your cooperation in using your best efforts to dispatch workers from your union that reside in the City of Chino Hills. Please keep this letter on file. When we request that workers are dispatched to a job, we would appreciate your assistance in helping our company and the City of Chino Hills to meet the Section 3 local hiring requirements. Sincerely, Emily Emberson Public Works Administrator r— M X 0 C M Z M. N 00 3 0 UJ CDn m Ne J11111I021401uv Page 1 of 1 azo <o O is �O gr22 c � o Z Z 'M'bn��Z ror7r��r�� o � o m m ���a o 00 n mm �_m , Z Z C,N =Fs x wn Z M � —DI U o �=z _' Cn 5) 5Dm� D Z>> �O CO r r 91 mo z Z55 o W Z Z 00 CO00 Onm -i'b M m F CO o �D z m�D o �. . coon uI -0 MW mm� Z o 546J21CFD653C1 After printing this label: 1. Use the 'Print' button on this page to print your label to your laser or inkjet printer. 2. Fold the printed page along the horizontal line. 3. Place label in shipping pouch and affix it to your shipment so that the barcode portion of the label can be read and scanned. Warning: Use only the printed original label for shipping. Using a photocopy of this label for shipping purposes is fraudulent and could result in additional billing charges, along with the cancellation of your FedEx account number. Use of this system constitutes your agreement to the service conditions in the current FedEx Service Guide, available on fedex.com.FedEx will not be responsible for any claim in excess of $100 per package, whether the result of loss, damage, delay, non- delivery,misdelivery,or misinformation, unless you declare a higher value, pay an additional charge, document your actual loss and file a timely claim. Limitations found in the current FedEx Service Guide apply. Your right to recover from FedEx for any loss, including intrinsic value of the package, loss of sales, income interest, profit, attorney's fees, costs, and other forms of damage whether direct, incidental,consequential, or special is limited to the greater of $100 or the authorized declared value. Recovery cannot exceed actual documented Ioss.Maximum for items of extraordinary value is $1,000, e.g. jewelry, precious metals, negotiable instruments and other items listed in our ServiceGuide. Written claims must be filed within strict time limits, see current FedEx Service Guide. https://www.fedex.com/shipping/html/en//PrintIFrame.html 4/27/2017 i ALL AMERICAN ASPHALT- AN SPHALTAN EQUAL OPPORTUNITY EMPLOYER April 27th, 2017 Southern California Cement Masons 1605 North Susan Street Santa Ana, CA 92703 SUBJECT: Pipeline Avenue Raised Median Project No. 514009 City of Chino Hills Dear Sir/Madam: ALL AMERICAN ASPHALT ALL AMERICAN AGGREGATES T 951-736-7600 F 951-739-4671 P.O. BOX 2229, CORONA, CA 92878-2229 CONTRACTORS LICENSE #267073 A,C12 DIR #1000001051 All American Asphalt is bidding on the above noted project on May 4th, 2017 at 2:00 PM. This project falls under the United States Department of Housing and Urban Development (HUD) Section 3 regulations for the City of Chino Hills. The Section 3 regulation compliance requires that contractors to the greatest extent feasible hire low-income residents of Chino Hills for the project. We are asking for your cooperation in using your best efforts to dispatch workers from your union that reside in the City of Chino Hills. Please keep this letter on file. When we request that workers are dispatched to a job, we would appreciate your assistance in helping our company and the City of Chino Hills to meet the Section 3 local hiring requirements. Sincerely, Emily Emberson Public Works Administrator N C D v C y Cn y D w 0 --1 0 M X Z T N 00 CD w CD m J171117021401uv Page 1 of 1 546J21CFD663C1 After printing this label: 1. Use the 'Print' button on this page to print your label to your laser or inkjet printer. 2. Fold the printed page along the horizontal line. 3. Place label in shipping pouch and affix it to your shipment so that the barcode portion of the label can be read and scanned. Warning: Use only the printed original label for shipping. Using a photocopy of this label for shipping purposes is fraudulent and could result in additional billing charges, along with the cancellation of your FedEx account number. Use of this system constitutes your agreement to the service conditions in the current FedEx Service Guide, available on fedex.com.FedEx will not be responsible for any claim in excess of $100 per package, whether the result of loss, damage, delay, non- delivery,misdelivery,or misinformation, unless you declare a higher value, pay an additional charge, document your actual loss and file a timely claim. Limitations found in the current FedEx Service Guide apply. Your right to recover from FedEx for any loss, including intrinsic value of the package, loss of sales, income interest, profit, attorney's fees, costs, and other forms of damage whether direct, incidental,consequential, or special is limited to the greater of $100 or the authorized declared value. Recovery cannot exceed actual documented Ioss.Maximum for items of extraordinary value is $1,000, e.g. jewelry, precious metals, negotiable instruments and other items listed in our ServiceGuide. Written claims must be filed within strict time limits, see current FedEx Service Guide. https://www.fedex.com/shipping/html/en//PrintIFrame.html 4/27/2017 O E8 gams o C/)N CO� mo ��jz tett F Z CC r on ��mo c n Z = _ MN =ZED > CI)m m W ,-0 Z C C/) A�z > CQZZ mn ZnC7 0 D C/)17-�_ w -n TI N �0 00 0 ZZ nn o 00 M m M m Fm c�ncn Z Z —I z min OM �.. cco!?7 D D X CI) 00 MWv Z Z (/i CI) o 546J21CFD663C1 After printing this label: 1. Use the 'Print' button on this page to print your label to your laser or inkjet printer. 2. Fold the printed page along the horizontal line. 3. Place label in shipping pouch and affix it to your shipment so that the barcode portion of the label can be read and scanned. Warning: Use only the printed original label for shipping. Using a photocopy of this label for shipping purposes is fraudulent and could result in additional billing charges, along with the cancellation of your FedEx account number. Use of this system constitutes your agreement to the service conditions in the current FedEx Service Guide, available on fedex.com.FedEx will not be responsible for any claim in excess of $100 per package, whether the result of loss, damage, delay, non- delivery,misdelivery,or misinformation, unless you declare a higher value, pay an additional charge, document your actual loss and file a timely claim. Limitations found in the current FedEx Service Guide apply. Your right to recover from FedEx for any loss, including intrinsic value of the package, loss of sales, income interest, profit, attorney's fees, costs, and other forms of damage whether direct, incidental,consequential, or special is limited to the greater of $100 or the authorized declared value. Recovery cannot exceed actual documented Ioss.Maximum for items of extraordinary value is $1,000, e.g. jewelry, precious metals, negotiable instruments and other items listed in our ServiceGuide. Written claims must be filed within strict time limits, see current FedEx Service Guide. https://www.fedex.com/shipping/html/en//PrintIFrame.html 4/27/2017 ALL AMERICAN -ASPHALT- AN SPHALTAN EQUAL OPPORTUNITY EMPLOYER April 27th, 2017 Laborers' International Union of North America 4399 Santa Anita Avenue, Suite 204 EI Monte, CA 91731 SUBJECT: Pipeline Avenue Raised Median Project No. S14009 City of Chino Hills Dear Sir/Madam: ALL AMERICAN ASPHALT ALL AMERICAN AGGREGATES T 951-736-7600 F 951-739-4671 P.O. Box 2229, CORONA, CA 92878-2229 CONTRACTORS LICENSE #267073 A,C12 DIR #1000001051 All American Asphalt is bidding on the above noted project on May 4th, 2017 at 2:00 PM. This project falls under the United States Department of Housing and Urban Development (HUD) Section 3 regulations for the City of Chino Hills. The Section 3 regulation compliance requires that contractors to the greatest extent feasible hire low-income residents of Chino Hills for the project. We are asking for your cooperation in using your best efforts to dispatch workers from your union that reside in the City of Chino Hills. Please keep this letter on file. When we request that workers are dispatched to a job, we would appreciate your assistance in helping our company and the City of Chino Hills to meet the Section 3 local hiring requirements. Sincerely, Emily Emberson Public Works Administrator -A 0 AD 00 M CO CO Z � mm zz i '4 00 M DD r r C C Z Z 546J21CFD653C1 Page 1 of 1 After printing this label: 1. Use the 'Print' button on this page to print your label to your laser or inkjet printer. 2. Fold the printed page along the horizontal line. 3. Place label in shipping pouch and affix it to your shipment so that the barcode portion of the label can be read and scanned. 4�-DR10 oF:K"O mnmm�MQ n2Z cn_ Lyngb (/)>op M_ m� O O>C/) o -moi -=-o mon 00o rn �00.Nj ZrD --J W 0 Warning: Use only the printed original label for shipping. Using a photocopy of this label for shipping purposes is fraudulent and could result in additional billing charges, along with the cancellation of your FedEx account number. Use of this system constitutes your agreement to the service conditions in the current FedEx Service Guide, available on fedex.com.FedEx will not be responsible for any claim in excess of $100 per package, whether the result of loss, damage, delay, non- delivery,misdelivery,or misinformation, unless you declare a higher value, pay an additional charge, document your actual loss and file a timely claim. Limitations found in the current FedEx Service Guide apply. Your right to recover from FedEx for any loss, including intrinsic value of the package, loss of sales, income interest, profit, attorney's fees, costs, and other forms of damage whether direct, incidental,consequential, or special is limited to the greater of $100 or the authorized declared value. Recovery cannot exceed actual documented Ioss.Maximum for items of extraordinary value is $1,000, e.g. jewelry, precious metals, negotiable instruments and other items listed in our ServiceGuide. Written claims must be filed within strict time limits, see current FedEx Service Guide. https://www.fedex.coi-/shipping/html/en//PrintIFrame.html 4/27/2017 o� Ny O O CO Ca j O T N CO a O M n z r� y --4 X C) w a -A 0 AD 00 M CO CO Z � mm zz i '4 00 M DD r r C C Z Z 546J21CFD653C1 Page 1 of 1 After printing this label: 1. Use the 'Print' button on this page to print your label to your laser or inkjet printer. 2. Fold the printed page along the horizontal line. 3. Place label in shipping pouch and affix it to your shipment so that the barcode portion of the label can be read and scanned. 4�-DR10 oF:K"O mnmm�MQ n2Z cn_ Lyngb (/)>op M_ m� O O>C/) o -moi -=-o mon 00o rn �00.Nj ZrD --J W 0 Warning: Use only the printed original label for shipping. Using a photocopy of this label for shipping purposes is fraudulent and could result in additional billing charges, along with the cancellation of your FedEx account number. Use of this system constitutes your agreement to the service conditions in the current FedEx Service Guide, available on fedex.com.FedEx will not be responsible for any claim in excess of $100 per package, whether the result of loss, damage, delay, non- delivery,misdelivery,or misinformation, unless you declare a higher value, pay an additional charge, document your actual loss and file a timely claim. Limitations found in the current FedEx Service Guide apply. Your right to recover from FedEx for any loss, including intrinsic value of the package, loss of sales, income interest, profit, attorney's fees, costs, and other forms of damage whether direct, incidental,consequential, or special is limited to the greater of $100 or the authorized declared value. Recovery cannot exceed actual documented Ioss.Maximum for items of extraordinary value is $1,000, e.g. jewelry, precious metals, negotiable instruments and other items listed in our ServiceGuide. Written claims must be filed within strict time limits, see current FedEx Service Guide. https://www.fedex.coi-/shipping/html/en//PrintIFrame.html 4/27/2017 SECTION 1.3.8.7 FHWA Form 1273 Required Contract Provisions Federal -Aid Construction Contracts CITY OF CHINO HILLS - PART 1 1-52 APPENDIX B REQUIRED FEDERAL CONTRACT PROVISIONS FHWA Form 1273 — Required Contract Provisions Federal -aid Construction Contracts Local Assistance Procedures Manual Exhibit 12-G Required Federal -Aid Contract Language EXHIBIT 12-G REQUIRED FEDERAL -AID CONTRACT LANGUAGE (For Local Assistance Construction Projects) The following language must be incorporated into all Local Assistance Federal -aid construction contracts. The following language, with minor edits, was taken from the Code of Federal Regulations. 1. DISADVANTAGED BUSINESS ENTERPRISES (DBE).........................................................2 A. DBE COMMITMENT SUBMITTAL..................................................................................2 B. GOOD FAITH EFFORTS SUBNIITTAL.................................................................. C. EXHIBIT 15-G - CONSTRUCTION CONTRACT DBE COMMITMENT...................................4 D. SUBCONTRACTOR AND DISADVANTAGED BUSINESS ENTERPRISE RECORDS.................4 E. PERFORMANCE OF DISADVANTAGED BUSINESS ENTERPRISES.....................................4 2. BID OPENING............................................................................................... 3. BID RIGGING.............................................................................................................5 4. CONTRACT AWARD...................................................................................................5 5. CONTRACTOR LICENSE.............................................................................................5 6. CHANGED CONDITIONS....................................................................................:........6 A. DIFFERING SITE CONDITION........................................................................................6 B. SUSPENSIONS OF WORK ORDERED BY THE ENGINEER..................................................6 C. SIGNIFICANT CHANGES IN THE CHARACTER OF WORK................................................6 7. BEGINNING OF WORK, TIME OF COMPLETION AND LIQUIDATED DAMAGES.................7 8. BUY AMERICA...........................................................................................................7 FURNISH STEEL AND IRON NIATERIALS TO BE INCORPORATED INTO THE WORK WITH CERTIFICATES OF COMPLIANCE. STEEL AND IRON MATERIALS NIUST BE PRODUCED IN THE U.S. EXCEPT ...........................7 9. QUALITY ASSURANCE...................................................................................... 10. PROMPT PAYMENT OF FUNDS WITHHELD TO SUBCONTRACTORS................................8 11. FORINT FH -WA -1273 REQUIRED CONTRACT PROVISIONS FEDERAL -AID CONTRACTS.. .....9 12. FEMALE AND MINORITY GOALS...............................................................................18 13. FEDERAL TRAINEE PROGRAM...................................................................................19 14. TITLE VI ASSURANCE................................................................................................21 15. USE OF UNITED STATES -FLAG VESSELS (CARGO PREFERENCE ACT) ........................... 22 Page 1 of 24 July 2016 Local Assistance Procedures Manual Exhibit 12-G Required Federal -Aid Contract Language 1. DISADVANTAGED BUSINESS ENTERPRISES (DBE) Under 49 CFR 26.13(b): The contractor, subrecipient or subcontractor shall not discriminate on the basis of race, color, national origin, or sex in the performance of this contract. The contractor shall carry out applicable requirements of 49 CFR part 26 in the award and administration of DOT -assisted contracts. Failure by the contractor to carry out these requirements is a material breach of this contract, which may result in the termination of this contract or such other remedy as the recipient deems appropriate. Take necessary and reasonable steps to ensure that DBEs have opportunity to participate in the contract (49 CFR 26). To ensure equal participation of DBEs provided in 49 CFR 26.5, the Agency shows a goal for DBEs. Make work available to DBEs and select work parts consistent with available DBE subcontractors and suppliers. Meet the DBE goal shown elsewhere in these special provisions or demonstrate that you made adequate good faith efforts to meet this goal. It is your responsibility to verify that the DBE firm is certified as DBE at date of bid opening. For a list of DBEs certified by the California Unified Certification Program, go to: htlp://www.dot.ca.gov/hg/bep/find certified.htm. All DBE participation will count toward the California Department of Transportation's federally mandated statewide overall DBE goal. Credit for materials or supplies you purchase from DBEs counts towards the goal in the following manner: • 100 percent counts if the materials or supplies are obtained from a DBE manufacturer. • 60 percent counts if the materials or supplies are obtained from a DBE regular dealer. • Only fees, commissions, and charges for assistance in the procurement and delivery of materials or supplies count if obtained from a DBE that is neither a manufacturer nor regular dealer. 49 CFR 26.55 defines "manufacturer" and "regular dealer." You receive credit towards the goal if you employ a DBE trucking company that performs a commercially useful function as defined in 49 CFR 26.55(d)(1) through (4) and (6). a. DBE Commitment Submittal Submit the Exhibit 15-G Construction Contract DBE Commitment form, included in the Bid book. if the form is not submitted with the bid, remove the form from the Bid book before submitting your bid. If the DBE Commitment form is not submitted with the bid, the apparent low bidder, the 2nd low bidder, and the 3rd low bidder must complete and submit the DBE Commitment form to the Agency. DBE Commitment form must be received by the Agency no later than 4:00 p.m. on the 4th business day after bid opening. Other bidders do not need to submit the DBE Commitment form unless the Agency requests it. If the Agency requests you to submit a DBE Commitment form, submit the completed form within 4 business days of the request. Submit written confirmation from each DBE stating that it is participating in the contract. Include confirmation with the DBE Commitment form. A copy of a DBE's quote will serve as written confirmation that the DBE is participating in the contract. If you do not submit the DBE Commitment form within the specified time, the Agency will find your bid nonresponsive. Page 2 of 24 Julv 2016 Local Assistance Procedures Manual Exhibit 12-G Required Federal -Aid Contract Language b. Good Faith Efforts Submittal If you have not met the DBE goal, complete and submit the DBE Information - Good Faith Efforts, Exhibit 15-H, form with the bid showing that you made adequate good faith efforts to meet the goal. Only good faith efforts directed towards obtaining participation by DBEs will be considered. If good faith efforts documentation is not submitted with the bid, it must be received by the Agency no later than 4:00 p.m. on the 4th business day after bid opening. If your DBE Commitment form shows that you have met the DBE goal or if you are required to submit the DBE Commitment form, you must also submit good faith efforts documentation within the specified time to protect your eligibility for award of the contract in the event the Agency finds that the DBE goal has not been met. Good faith efforts documentation must include the following information and supporting documents, as necessary: 1. Items of work you have made available to DBE firms. Identify those items of work you might otherwise perform with your own forces and those items that have been broken down into economically feasible units to facilitate DBE participation. For each item listed, show the dollar value and percentage of the total contract. It is your responsibility to demonstrate that sufficient work to meet the goal was made available to DBE firms. 2. Names of certified DBEs and dates on which they were solicited to bid on the project. Include the items of work offered. Describe the methods used for following up initial solicitations to determine with certainty if the DBEs were interested, and the dates of the follow-up. Attach supporting documents such as copies of letters, memos, facsimiles sent, telephone logs, telephone billing statements, and other evidence of solicitation. You are reminded to solicit certified DBEs through all reasonable and available means and provide sufficient time to allow DBEs to respond. 3. Name of selected firm and its status as a DBE for each item of work made available. Include name, address, and telephone number of each DBE that provided a quote and their price quote. If the firm selected for the item is not a DBE, provide the reasons for the selection. 4. Name and date of each publication in which you requested DBE participation for the project. Attach copies of the published advertisements. 5. Names of agencies and dates on which they were contacted to provide assistance in contacting, recruiting, and using DBE firms. If the agencies were contacted in writing, provide copies of supporting documents. 6. List of efforts made to provide interested DBEs with adequate information about the plans, specifications, and requirements of the contract to assist them in responding to a solicitation. If you have provided information, identify the name of the DBE assisted, the nature of the information provided, and date of contact. Provide copies of supporting documents, as appropriate. 7. List of efforts made to assist interested DBEs in obtaining bonding, lines of credit, insurance, necessary equipment, supplies, and materials, excluding supplies and equipment that the DBE subcontractor purchases or leases from the prime contractor or its affiliate. If such assistance is provided by you, identify the name of the DBE assisted, nature of the assistance offered, and date assistance was provided. Provide copies of supporting documents, as appropriate. 8. Any additional data to support demonstration of good faith efforts. The Agency may consider DBE commitments of the 2nd and 3rd bidders when determining whether the low bidder made good faith efforts to meet the DBE goal. Page 3 of 24 July 2016 Local Assistance Procedures Manual Exhibit 12-G Required Federal -Aid Contract Language c. Exhibit 15-G -Construction Contract DBE Commitment Complete and sign Exhibit 15-G Construction Contract DBE Commitment included in the contract documents regardless of whether DBE participation is reported. Provide written confirmation from each DBE that the DBE is participating in the Contract. A copy of a DBE's quote serves as written confirmation. If a DBE is participating as a joint venture partner, the Agency encourages you to submit a copy of the joint venture agreement.) d Subcontractor and Disadvantaged Business Enterprise Records Use each DBE subcontractor as listed on Exhibit 12-B Bidder's List of Subcontractors (DBE and Non -DBE) and Exhibit 15-G Construction Contract DBE Commitment form unless you receive authorization for a substitution. The Agency requests the Contractor to: 1. Notify the Engineer of any changes to its anticipated DBE participation 2. Provide this notification before starting the affected work 3. Maintain records including: • Name and business address of each 1't -tier subcontractor • Name and business address of each DBE subcontractor, DBE vendor, and DBE trucking company, regardless of tier • Date of payment and total amount paid to each business If you are a DBE contractor, include the date of work performed by your own forces and the corresponding value of the work. Before the 15th of each month, submit a Monthly DBE Trucking Verification form. If a DBE is decertified before completing its work, the DBE must notify you in writing of the decertification date. If a business becomes a certified DBE before completing its work, the business must notify you in writing of the certification date. Submit the notifications. On work completion, complete a Disadvantaged Business Enterprises (DBE) Certification Status Change, Exhibit 17-0, form. Submit the form within 30 days of contract acceptance. Upon work completion, complete Exhibit 17-F Final Report — Utilization of Disadvantaged Business Enterprises (DBE), First -Tier Subcontractors. Submit it within 90 days of contract acceptance. The Agency will withhold $10,000 until the form is submitted. The Agency releases the withhold upon submission of the completed form. e. Performance of Disadvantaged Business Enterprises DBEs must perform work or supply materials as listed in the Exhibit 15-G Construction Contract DBE Commitment form, included in the Bid. Do not terminate or substitute a listed DBE for convenience and perform the work with your own forces or obtain materials from other sources without authorization from the Agency. The Agency authorizes a request to use other forces or sources of materials if it shows any of the following justifications: 1. Listed DBE fails or refuses to execute a written contract based on plans and specifications for the project. 2. You stipulated that a bond is a condition of executing the subcontract and the listed DBE fails to meet your bond requirements. Page 4 of 24 .1111v 201f, Local Assistance Procedures Manual Exhibit 12-G Required Federal -Aid Contract Language 3. Work requires a contractor's license and listed DBE does not have a valid Iicense under Contractors License Law. 4. Listed DBE fails or refuses to perform the work or furnish the listed materials. 5. Listed DBE's work is unsatisfactory and not in compliance with the contract. 6. Listed DBE is ineligible to work on the project because of suspension or debarment. 7. Listed DBE becomes bankrupt or insolvent. 8. Listed DBE voluntarily withdraws with written notice from the Contract 9. Listed DBE is ineligible to receive credit for the type of work required. 10. Listed DBE owner dies or becomes disabled resulting in the inability to perform the work on the Contract. 11. Agency determines other documented good cause, Notify the original DBE of your intent to use other forces or material sources and provide the reasons. Provide the DBE with 5 days to respond to your notice and advise you and the Agency of the reasons why the use of other forces or sources of materials should not occur. Your request to use other forces or material sources must include: 1. One or more of the reasons listed in the preceding paragraph. 2. Notices from you to the DBE regarding the request. 3. Notices from the DBEs to you regarding the request. If a listed DBE is terminated or substituted, you must make good faith efforts to find another DBE to substitute for the original DBE. The substitute DBE must perform at least the same amount of work as the original DBE under the contract to the extent needed to meet the DBE goal. The substitute DBE must be certified as a DBE at the time of request for substitution. Unless the Agency authorizes (1) a request to use other forces or sources of materials or (2) a good faith effort for a substitution of a terminated DBE, the Agency does not pay for work listed on the Exhibit 15-G Construction Contract DBE Commitment form unless it is performed or supplied by the listed DBE or an authorized substitute. 2. BID OPENING The Agency publicly opens and reads bids at the time and place shown on the Notice to Bidders. 3. DR) RIGGING The U.S. Department of Transportation (DOT) provides a toll-free hotline to report bid rigging activities. Use the hotline to report bid rigging, bidder collusion, and other fraudulent activities. The hotline number is (800) 424-9071. The service is available 24 hours 7 days a week and is confidential and anonymous.. The hotline is part of the DOT's effort to identify and investigate highway construction contract fraud and abuse and is operated under the direction of the DOT Inspector General. 4. CONTRACT AWARD If the Agency awards the contract, the award is made to the lowest responsible and responsive bidder. 5. CONTRACTOR LICENSE The Contractor must be properly licensed as a contractor from contract award through Contract acceptance (Public Contract Code § 10164). Page 5 of 24 July 2016 Local Assistance Procedures Manual 6, CHANGED CONDITIONS a. Differing Site Conditions Exhibit 12-G Required Federal -Aid Contract Language During the progress of the work, if subsurface or latent physical conditions are encountered at the site differing materially from those indicated in the contract or if unknown physical conditions of an unusual nature, differing materially from those ordinarily encountered and generally recognized as inherent in the work provided for in the contract, are encountered at the site, the party discovering such conditions shall promptly notify the other party in writing of the specific differing conditions before the site is disturbed and before the affected work is performed, Upon written notification, the engineer will investigate the conditions, and if it is determined that the conditions materially differ and cause an increase or decrease in the cost or time required for the performance of any work under the contract, an adjustment, excluding anticipated profits, will be made and the contract modified in writing accordingly. The engineer will notify the contractor of the determination whether or not an adjustment of the contract is warranted. No contract adjustment which results in a benefit to the contractor will be allowed unless the contractor has provided the required written notice. No contract adjustment will be allowed under this clause for any effects caused on unchanged work. (This provision may be omitted by the Local Agency, at their option.) b. Suspensions of Work Ordered by the Engineer 1. If the performance of all or any portion of the work is suspended or delayed by the engineer in writing for an unreasonable period of time (not originally anticipated, customary, or inherent to the construction industry) and the contractor believes that additional compensation and/or contract time is due as a result of such suspension or delay, the contractor shall submit to the engineer in writing a request for adjustment within 7 calendar days of receipt of the notice to resume work. The request shall set forth the reasons and support for such adjustment. 2. Upon receipt, the engineer will evaluate the contractor's request. If the engineer agrees that the cost and/or time required for the performance of the contract has increased as a result of such suspension and the suspension was caused by conditions beyond the control of and not the fault of the contractor, its suppliers, or subcontractors at any approved tier, and not caused by weather, the engineer will make an adjustment (excluding profit) and modify the contract in writing accordingly. The contractor will be noted of the engineer's determination whether or not an adjustment of the contract is warranted. 3. No contract adjustment will be allowed unless the contractor has submitted the request for adjustment within the time prescribed. 4. No contract adjustment will be allowed under this clause to the extent that performance would have been suspended or delayed by any other cause, or for which an adjustment is provided or excluded under any other term or condition of this contract. c. Significant Changes in the Character of Work 1. The engineer reserves the right to make, in writing, at any time during the work, such changes in quantities and such alterations in the work as are necessary to satisfactorily complete the project. Such changes in quantities and alterations shall not invalidate the contract nor release the surety, and the contractor agrees to perform the work as altered. 2. If the alterations or changes in quantities significantly change the character of the work under the contract, whether such alterations or changes are in themselves significant changes to the character of the work or by affecting other work cause such other work to become significantly different in character, an adjustment, excluding anticipated profit, will be made to the contract. The basis for the adjustment shall be agreed upon prior to the performance of the work. If a basis Page 6 of 24 July 2016 Local Assistance Procedures Manual Exhibit 12-G Required Federal -Aid Contract Language cannot be agreed upon, then an adjustment will be made either for or against the contractor in such amount as the engineer may determine to be fair and equitable. If the alterations or changes in quantities do not significantly change the character of the work to be performed under the contract, the altered work will be paid for as provided elsewhere in the contract. 4. The term "significant change" shall be construed to apply only to the following circumstances: • When the character of the work as altered differs materially in kind or nature from that involved or included in the original proposed construction; or • When a major item of work, as defined elsewhere in the contract, is increased in excess of 125 percent or decreased below 75 percent of the original contract quantity. Any allowance for an increase in quantity shall apply only to that portion in excess of 125 percent of original contract item quantity, or in case of a decrease below 75 percent, to the actual amount of work performed. 7. BEGINNING OF WORK, TEVIE OF COMPLETION AND LIQUIDATED DAMAGES The Contractor shall begin work within 15 calendar days after the co tract has been approved by the attorney appointed and authorized to represent the City/County ofNno AIMS. This work shall be diligently prosecuted to completion before the expiration of WORKING DAYS beginning on the fifteenth calendar day after approval of the contract. 40 (Insert amount of Liquidated Damages) The Contractor shall pay to the City/County of�%yv, ' L, the sum of $ l3 000 per day, for each and every calendar day's delay in finishing the work in excess of the number of working days prescribed above. S. BUY AMERICA Furnish steel and iron materials to be incorporated into the work with certificates of compliance. Steel and iron materials must be produced in the U.S. except: 1. Foreign pig iron and processed, pelletized, and reduced iron ore may be used in the domestic production of the steel and iron materials [60 Fed Reg 15478 (03/24/1995)]; 2. If the total combined cost of the materials does not exceed the greater of 0.1 percent of the total bid or $2,500, materials produced outside the U.S. may be used. Production includes: 1. Processing steel and iron materials, including smelting or other processes that alter the physical form or shape (such as rolling, extruding, machining, bending) grinding, and drilling) or chemical composition; 2. Coating application, including epoxy coating, galvanizing, and painting, that protects or enhances the value of steel and iron materials. Page 7 of 24 Julv 2016 Local Assistance Procedures Manual Exhibit 12-G Required Federal -Aid Contract Language 9. QUALITY ASSURANCE The Agency uses a Quality Assurance Program (QAP) to ensure a material is produced to comply with the Contract. You may examine the records and reports of tests the Agency performs if they are available at the job site. Schedule work to allow time for QAP. 10. PROMPT PAY VEENT OF FUNDS WITHHELD TO SUBCONTRACTORS (The local agency must include one of the following three provisions to ensure prompt and full payment of any retainage from the prime contractor, or subcontractor, to a subcontractor. Remove or strike out -the methods not used.) (EITHER) No retainage will be withheld by the agency from progress payments due the prime contractor. Retainage by the prime contractor or subcontractors is prohibited and no retainage will be held by the prime contractor from progress due subcontractors. Any violation of this provision shall subject the violating prime contractor or subcontractor to the penalties, sanctions and other remedies specified in Section 7108.5 of the California Business and Professions Code. This requirement shall not be construed to limit or impair any contractual, administrative, or judicial remedies otherwise available to the prime Contractor or subcontractor in the event of a dispute involving late payment or nonpayment by the prime contractor or deficient subcontract performance, or noncompliance by a subcontractor. (OR) No retainage will be by the agency from progress payments due the prime contractor. Any retainage held by the prime contractors or subcontractors from progress payments due subcontractors shall be promptly paid in full to subcontractors within 30 days after the subcontractor's work is satisfactorily completed. Federal law (49CFR26.29) requires that any delay or postponement of payment over the 30 days may take place only for good cause and with the agency's prior written approval. Any violation of this provision shall subject the violating prime contractor or subcontractor to the penalties, sanctions and other remedies specified in Section 7108.5 of the Business and Professions Code. These requirements shall not be construed to limit or impair any contractual, administrative, or judicial remedies otherwise available to the prime Contractor or subcontractor in the event of a dispute involving late payment or nonpayment by the prime contractor, deficient subcontract performance, or noncompliance by a subcontractor. (OR) The agency shall hold retainage from the prime contractor and shall make prompt and regular incremental acceptances of portions, as determined by the agency, of the contract work, and pay retainage to the prime contractor based on these acceptances. The prime contractor, or subcontractor, shall return all monies withheld in retention from a subcontractor within 30 days after receiving payment for work satisfactorily completed and accepted including incremental acceptances of portions of the contract work by the agency, Federal law (49CFR26.29) requires that any delay or postponement of payment over 30 days may take place only for good cause and with the agency's prior written approval. Any violation of this provision shall subject the violating prime contractor or subcontractor to the penalties, sanctions and other remedies specified in Section 7108.5 of the Business and Professions Code. These requirements shall not be construed to limit or impair any contractual, administrative, or judicial remedies otherwise available to the prime contractor or subcontractor in the event of a dispute involving late payment or nonpayment by the prime contractor, deficient subcontract performance, or noncompliance by a subcontractor. Page 8 of 24 July 2016 Local Assistance Procedures Manual Exhibit 12-G Required Federal -Aid Contract Language 11. FORM FMVA-1273 REQUIRED CONTRACT PROVISIONS FEDERAL -AID CONTRACTS (Excluding ATTACHMENT A - EMPLOYMENT AND MATERIALS PREFERENCE FOR APPALACHIAN DEVELOPMENT HIGHWAY SYSTEM OR APPALACHIAN LOCAL ACCESS ROAD CONTRACTS) [The following 10 pages must be physically inserted into the contract without modification.] Page 9 of 24 July 2016 Local Assistance Procedures Manual Exhibit 12-G Required Federal -Aid Contract Language REQUIRED CONTRACT PROVISIONS FHWA-1273 -- Revised May 1, 2012 FEDERAL -AID CONSTRUCTION CONTRACTS I. General II. Nondiscrimination ill. Nonsegregated Facilities iV. Davis -Bacon and Related Act Provisions V. Contract Work Hours and Safety Standards Act Provisions VI, Subletting or Assigning the Contract VII. Safety: Accident Prevention VIII, False Statements Concerning Highway Projects IX. Implementation of Clean Air Act and Federal Water Pollution Control Act X. Compliance with Governmentwide Suspension and Debarment Requirements XI. Certification Regarding Use of Contract Funds for Lobbying ATTACHMENTS A. Employment and Materials Preference for Appalachian Development Highway System or Appalachian Local Access Road Contracts (included in Appalachian contracts only) L GENERAL 1. Form FHWA-1273 must be physically incorporated in each construction contract funded under Title 23 (excluding emergency contracts solely Intended for debris removal). The contractor (or subcontractor) must insert this form in each subcontract and further require Its inclusion in all lower tier subcontracts (excluding purchase orders, rental agreements and other agreements for supplies or services). The applicable requirements of Form FHWA-1273 are Incorporated by reference for work done under any purchase order, rental agreement or agreement for other services. The prime contractor shall be responsible for compliance by any subcontractor, lower -tier subcontractor or service provider. Form FHWA-1273 must be included in all Federal -aid design -build contracts, in all subcontracts and in lower tier subcontracts (excluding subcontracts for design services, purchase orders, rental agreements and other agreements for supplies or services). The design -builder shall be responsible for compliance by any subcontractor, lower -tier subcontractor or service provider. Contracting agencies may reference Form FHWA-1273 in bid proposal or request for proposal documents, however, the Form FHWA-1273 must be physically incorporated (not referenced) in all contracts, subcontracts and lower -tier subcontracts (excluding purchase orders, rental agreements and other agreements for supplies or services related to a construction contract). 2. Subject to the applicability criteria noted in the following sections, these contract provisions shall apply to all work performed on the contract by the contractor's own organization and with the assistance of workers under the contractor's immediate superintendence and to all work performed on the contract by piecework, station work, or by subcontract. 3. A breach of any of the stipulations contained in these Required Contract Provisions may be sufficient grounds for withholding of progress payments, withholding of final payment, termination of the contract, suspension / debarment or any other action determined to be appropriate by the contracting agency and FHWA. 4. Selection of Labor: During the performance of this contract, the contractor shall not use convict labor for any purpose within the limits of a construction project on a Federal -aid highway unless it is tabor performed by convicts who are on parole, supervised release, or probation. The term Federal -aid highway does not include roadways functionally classified as local roads or rural minor collectors. II. NONDISCRIMINATION The provisions of this section related to 23 CFR Part 230 are applicable to all Federal -aid construction contracts and to all related construction subcontracts of $10,000 or more. The provisions of 23 CFR Part 230 are not applicable to material supply, engineering, or architectural service contracts. In addition, the contractor and all subcontractors must comply with the following policies: Executive Order 11246, 41 CFR 60, 29 CFR 1625- 1627, Title 23 USC Section 140, the Rehabilitation Act of 1973, as amended (29 USC 794), Title VI of the Civil Rights Act of 1964, as amended, and related regulations including 49 CFR Parts 21, 26 and 27; and 23 CFR Parts 200, 230, and 633. The contractor and all subcontractors must comply with: the requirements of the Equal Opportunity Clause in 41 CFR 60-1.4(b) and, for all construction contracts exceeding $10,000, the Standard Federal Equal Employment Opportunity Construction Contract Specifications in 41 CFR 60-4.3. Note: The U.S. Department of Labor has exclusive authority to determine compliance with Executive Order 11246 and the policies of the Secretary of Labor including 41 CFR 60, and 29 CFR 1625-1627. The contracting agency and the FHWA have the authority and the responsibility to ensure compliance with Title 23 USC Section 140, the Rehabilitation Act of 1973, as amended (29 USC 794), and Title VI of the Civil Rights Act of 1964, as amended, and related regulations including 49 CFR Parts 21, 26 and 27; and 23 CFR Parts 200, 230, and 633. The following provision is adopted from 23 CFR 230, Appendix A, with appropriate revisions to conform to the U.S. Department of Labor (US DOL) and FHWA requirements. 1. Equal Employment Opportunity: 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 1530, 29 CFR 1625-1627, 41 CFR 60 and 49 CFR 27) 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 provisions of the Americans with 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: a. The contractor will work with the contracting agency and the Federal Government to ensure that it has made every good faith effort to provide equal opportunity with respect to all of its terms and conditions of employment and in their review of activities under the contract. b. The contractor will accept as its 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, pre -apprenticeship, and/or on- the-job training." 2. EEO Officer: The contractor will designate and make known to the contracting officers an EEO Officer who will have the responsibility for and must be capable of effectively administering and promoting an active EEO program and who must be assigned adequate authority and responsibility to do so Page 10 of 24 July 2016 Local Assistance Procedure Manual 3. 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: a. 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. b. 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. c. 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 minorities and women. d. Notices and posters setting forth the contractor's EEO policy will be placed in areas readily accessible to employees, applicants for employment and potential employees. e. 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. 4. Recruitment: 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 minorities and women in the area from which the project work force would normally be derived. a. 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 minorities and women. To meet this requirement, the contractor will identify sources of potential minority group employees, and establish with such identified sources procedures whereby minority and women applicants may be referred to the contractor for employment consideration. b. In the event the contractor has a valid bargaining agreement providing for exclusive hiring hall referrals, the contractor is expected to observe the provisions of that agreement to the extent that the system meets the contractor's compliance with EEO contract provisions. Where implementation of such an agreement has the effect of discriminating against minorities or women, or obligates the contractor to do the same, such implementation violates Federal nondiscrimination provisions. c. The contractor will encourage its present employees to refer minorities and women as applicants for employment. Information and procedures with regard to referring such applicants will be discussed with employees. 6. Personnel Actions: Wages, working conditions, and employee benefits shall be established and administered, and personnel actions of every type, including hiring, upgrading, promotion, transfer, demotion, layoff, and termination, shall be taken without regard to race, color, religion, sex, national origin, age or disability. The following procedures shall be followed: a. The contractor will conduct periodic inspections of project sites to insure that working conditions and employee facilities do not . indicate discriminatory treatment of project site personnel. Exhibit 12-G Required Federal -Aid Contract Language b. The contractor will periodically evaluate the spread of wages paid within each classification to determine any evidence of discriminatory wage practices. c. The contractor will periodically review selected personnel actions in depth to determine whether there is evidence of discrimination. Where evidence is found, the contractor will promptly take corrective action, If the review indicates that the discrimination may extend beyond the actions reviewed, such corrective action shall include all affected persons. d. The contractor will promptly investigate all complaints of alleged discrimination made to the contractor in connection with its obligations under this contract, will attempt to resolve such complaints, and will take appropriate corrective action within a reasonable time. If the investigation indicates that the discrimination may affect persons other than the complainant, such corrective action shall include such other persons. Upon completion of each investigation, the contractor will inform every complainant of all of their avenues of appeal. 6. Training and Promotion: a. The contractor will assist in locating, qualifying, and increasing the skills of minorities and women who are applicants for employment or current employees. Such efforts should be aimed at developing full journey level status employees in the type of trade or job classification involved. b. Consistent with the contractor's work force requirements and as permissible under Federal and State regulations, the contractor shall make full use of training programs, i.e., apprenticeship, and on. the job training programs for the geographical area of contract performance. In the event a special provision for training is provided under this contract, this subparagraph will be superseded as indicated in the special provision, The contracting agency may reserve training positions for persons who receive welfare assistance in accordance with 23 U.S.C. 140(a). c. The contractorwill advise employees and applicants for employment of available training programs and entrance requirements for each. d. The contractor will periodically review the training and promotion potential of employees who are minorities and women and will encourage eligible employees to apply for such training and promotion. 7. Unions: If the contractor relies in whole or in part upon unions as a source of employees, the contractor will use good faith efforts to obtain the. cooperation of such unions to increase opportunities for minorities and women. Actions by the contractor, either directly or through a contractor's association acting as agent, will include the . procedures set forth below: a. The contractor will use good faith efforts to develop, in cooperation with the unions, joint training programs aimed toward qualifying more minorities and women for membership in the unions and increasing the skills of minorities and women so that they may qualify for higher paying employment. b. The contractor will use good faith efforts to incorporate an EEO clause into each union agreement to the end that such union will be contractually bound to refer applicants without regard to their race, color, religion, sex, national origin, age or disability. c. The contractor is to obtain information as to the referral practices and policies of the labor union except that to the extent such information is within the exclusive possession of the labor union and such labor union refuses to furnish such information to the contractor, the contractor shall so certify to the contracting agency Page 11 of 24 July 2016 Loca-I Assistance Procedure Manual and shall set forth what efforts have been made to obtain such information. d. In the event the union is unable to provide the contractor with a reasonable flow of referrals within the time limit set forth in the collective bargaining agreement, the contractor will, through independent recruitment efforts, fill the employment vacancies without regard to race, color, religion, sex, national origin, age or disability; making full efforts to obtain qualified and/or qualifiable minorities and women. The failure of a union to provide sufficient referrals (even though it is obligated to provide exclusive referrals under the terms of a collective bargaining agreement) does not relieve the contractor from the requirements of this paragraph. In the event the union referral practice prevents the contractor from meeting the obligations pursuant to Executive Order 11246, as amended, and these special provisions, such contractor shall immediately notify the contracting agency. 8. Reasonable Accommodation for Applicants ! Employees with Disabilities: The contractor must be familiar with the requirements for and comply with the Americans with Disabilities Act and all rules and regulations established there under. Employers must provide reasonable accommodation in all employment activities unless to do so would cause an undue hardship. 9. 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 take all necessary and reasonable steps to ensure nondiscrimination in the administration of this contract. a. The contractor shall notify all potential subcontractors and suppliers and lessors of their EEO obligations under this contract. b. The contractor will use good faith efforts to ensure subcontractor compliance with their EEO obligations. 10. Assurance Required by 49 CFR 26.13(b): a. The requirements of 49 CFR Part 26 and the State DOT's U.S DOT -approved DBE program are incorporated by reference. b. The contractor or subcontractor shall not discriminate on the basis of race, color, national origin, or sex in the performance of this contract. The contractor shall carry out applicable requirements of 49 CFR Part 26 in the award and administration of DOT -assisted contracts. Failure by the contractor to carry out these requirements is a material breach of this contract, which may result in the termination of this contract or such other remedy as the contracting agency deems appropriate. 11. 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 the date of the final payment to the contractor for all contract work and shall be available at reasonable times and places for inspection by authorized representatives of the contracting agency, and the FHWA. a. The records kept by the contractor shall document the following: (1) The number and work hours of minority and non -minority group members and women employed in each work classification on the project; (2) The progress and efforts being made in cooperation with unions, when applicable, to increase employment opportunities for minorities and women; and Exhibit 12-G Required Federal -Aid Contract Language (3) The progress and efforts being made in locating, hiring, training, qualifying, and upgrading minorities and women; b. The contractors and subcontractors will submit an annual report to the contracting agency each July for the duration of the project, indicating the number of minority, women, and non -minority group employees currently engaged in each work classification required by the contract work. This information is to be reported on Form FHWA-1391. The staffing data should represent the project work force on board in all or any part of the last payroll period preceding the end of July. If on-the-job training is being required by special provision, the contractor will be required to collect and report training data. The employment data should reflect the work force on board during all or any part of the last payroll period preceding the end of July. lll. NONSEGREGATED FACILITIES This provision is applicable to all Federal -aid construction contracts and to all related construction subcontracts of $10,000 or more. The contractor must ensure that facilities provided for employees are provided in such a manner that segregation on the basis of race, color, religion, sex, or national origin cannot result. The contractor may neither require such segregated use by written or oral policies nor tolerate such use by employee custom. The contractor's obligation extends further to ensure that its employees are not assigned to perform their services at any location, under the contractor's control, where the facilities are segregated. The term "facilities" includes waiting rooms, work areas, restaurants and other eating areas, time clocks, restrooms, washrooms, locker rooms, and other storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, and housing provided for employees. The contractor shall provide separate or single-user,restrooms and necessary dressing or sleeping areas to assure privacy between sexes. IV. DAViS-BACON AND RELATED ACT PROVISIONS This section is applicable to all Federal -aid construction projects, exceeding $2,000 and to all relatedsubcontracts and lower -tier subcontracts (regardless of subcontract size). The requirements apply to all projects located within the right-of-way of a roadway that is functionally classified as Federal -aid highway. This excludes roadways functionally classified as local roads or rural minor collectors, which are exempt. Contracting agencies may elect to apply these requirements to other projects. The following provisions are from the U.S. Department of Labor regulations in 29 CFR 5.5 "Contract provisions and related matters" with minor revisions to conform to the FHWA-1273 format and FHWA program requirements. 1. Minimum wages a. All laborers and mechanics employed or working upon the site of the work, will be paid unconditionally and not less often than once a week, and without subsequent deduction or rebate on any account (except such payroll deductions as are permitted by regulations issued by the Secretary of Labor under the Copeland Act (29 CFR part 3)), the full amount of wages and bona fide fringe benefits (or cash equivalents thereof) due at time of payment computed at rates not less than those contained in the wage determination of the Secretary of Labor which is attached hereto and made a part hereof, regardless of any contractual relationship which may be alleged to exist between the contractor and such laborers and mechanics. Page 12 of 24 July 2016 Local Assistance Procedure Manual Contributions made or costs reasonably anticipated for bona fide fringe benefits under section 1(b)(2) of the Davis -Bacon Act on behalf of laborers or mechanics are considered wages paid to such laborers or mechanics, subject to the provisions of paragraph 1.d. of this section; also, regular contributions made or costs incurred for more than a weekly period (but not less often than quarterly) under plans, funds, or programs which cover the particular weekly period, are deemed to be constructively made or incurred during such weekly period. Such laborers and mechanics shall be paid the appropriate wage rate and fringe benefits on the wage determination for the classification of work actually performed, without regard to skill, except as provided in 29 CFR 5.5(a)(4). Laborers or mechanics performing work in more than one classification may be compensated at the rate specified for each classification for the time actually worked therein: Provided, That the employer's payroll . records accurately set forth the time spent in each classification in which work is performed. The wage determination (including any additional classification and wage rates conformed under paragraph 1.b. of this section) and the Davis -Bacon poster (WH -1321) shall be posted at all times by the contractor and its subcontractors at the site of the work in a prominent and accessible place where it can be easily seen by the workers. b. (1) The contracting officer shall require that any class of laborers or mechanics, including helpers, which is not listed in the wage determination and which is to be employed under the contract shall be classified in conformance with the wage determination. The contracting officer shall approve an additional classification and wage rate and fringe benefits therefore only when the following criteria have been met: (i) The work to be performed by the classification requested is not performed by a classification in the wage determination; and (ii) The classification is utilized in the area by the construction industry; and (illi) The proposed wage rate, including any bona fide fringe benefits, bears a reasonable relationship to the wage rates contained in the wage determination. (2) If the contractor and the laborers and mechanics to be employed in the classification (if known), or their representatives, and the contracting officer agree on the classification and wage rate (including the amount designated for fringe benefits where appropriate), a report of the action taken shall be sent by the contracting officer to the Administrator of the Wage and Hour Division, Employment Standards Administration, U.S. Department of Labor, Washington, DC 20210. The Administrator, or an authorized representative, will approve, modify, or disapprove every additional classification action within 30 days of receipt and so advise the contracting officer or will notify the contracting offices within the 30 -day period that additional time is necessary. (3) In the event the contractor, the laborers or mechanics to be employed in the classification or their representatives, and the contracting officer do not agree on the proposed classification and wage rate (including the amount designated for fringe benefits, where appropriate), the contracting officer shall refer the questions, including the views of all interested parties and the recommendation of the contracting officer, to the Wage and Hour Administrator for determination. The Wage and Hour Administrator, or an authorized representative, will issue a determination within 30 days of receipt and so advise the contracting officer or will notify the contracting officer within the 30 - day period that additional time is necessary. Exhibit 12-G Required Federal -Aid Contract Language (4) The wage rate (including fringe benefits where appropriate) determined pursuant to paragraphs 1.b.(2) or 1.b.(3) of this section, shall be paid to all workers performing work in the classification under this contract from the first day on which work is performed in the classification. c. Whenever the minimum wage rate prescribed in the contract for a class of laborers or mechanics includes a fringe benefit which is not expressed as an hourly rate, the contractor shall either pay the benefit as stated in the wage determination or shall pay another bona fide fringe benefit or an hourly cash equivalent thereof. d. If the contractor does not make payments to a trustee or other third person, the contractor may consider as part of the wages of any laborer or mechanic the amount of any costs reasonably anticipated in providing bona fide fringe benefits under a plan or program, Provided, That the Secretary of Labor has found, upon the written request of the contractor, that the applicable standards of the Davis -Bacon Act have been met. The Secretary of Labor may require the contractor to set aside in a separate account assets for the meeting of obligations under the plan or program. 2. Withholding The contracting agency shall upon its own action or upon written request of an authorized representative of the Department of Labor, withhold or cause to be withheld from the contractor under this contract, or any other Federal contract with the same prime contractor, or any other federally -assisted contract subject to Davis - Bacon prevailing wage requirements, which is held by the same prime contractor, so much of the accrued payments or advances as may be considered necessary to pay laborers and mechanics, including apprentices, trainees, and helpers, employed by the contractor or any subcontractor the full amount of wages required by the contract. In the event of failure to pay any laborer or mechanic, including any apprentice, trainee, or helper, employed or working on the site of the work, all or part of the wages required by the contract, the contracting agency may, after written notice to the contractor, take such action as may be necessary to cause the suspension of any further payment, advance, or guarantee of funds until such violations have ceased. 3. Payrolls and basic records a. Payrolls and basic records relating thereto shall be maintained by the contractor during the course of the work and preserved for a period of three years thereafter for all laborers and mechanics working at the site of the work. Such records shall contain the name, address, and social security number of each such worker, his or her correct classification, hourly rates of wages paid (including rates of contributions or costs anticipated for bona fide fringe benefits or cash equivalents thereof of the types described in section 1(b)(2)(B) of the Davis -Bacon Act), daily and weekly number of hours worked, deductions made and actual wages paid. Whenever the Secretary of Labor has found under 29 CFR 5.5(a)(1)(iv) that the wages of any laborer or mechanic include the amount of any costs reasonably anticipated in providing benefits under a plan or program described in section 1(b)(2)(B) of the Davis -Bacon Act, the contractor shall maintain records which show that the commitment to provide such benefits is enforceable, that the plan or program is financially responsible, and that the plan or program has been communicated in writing to the laborers or mechanics affected, and records which show the costs anticipated or the actual cost incurred in providing such benefits. Contractors employing apprentices or trainees under approved programs shall maintain written evidence of the registration of apprenticeship programs and certification of trainee programs, the registration of the apprentices and trainees, and the ratios and wage rates prescribed in the applicable programs. -------------- Page 13 of 24 July 2016 Local Assistance Procedure Manual b. (1) The contractor shall submit weekly for each week in which any contract work is performed a copy of all payrolls to the contracting agency. The payrolls submitted shall set out accurately and completely all of the information required to be maintained under 29 CFR 5.5(a)(3)(i), except that full social security numbers and home addresses shall not be included on weekly transmittals. Instead the payrolls shall only need to_include an individually identifying number for each employee ( e.g. , the last four digits of the employee's social security number). The required weekly payroll information may be submitted in any form desired. Optional Form WH -347 is available for this purpose from the Wage and Hour Division Web site at http://www.dol.gov/esa/whd/forms/wh347instr.htm or its successor site. The prime contractor is responsible for the submission of copies of payrolls by all subcontractors. Contractors and subcontractors shall maintain the full social security number and current address of each covered worker, and shall provide them upon request to the contracting agency for transmission to the State DOT, the FHWA or the Wage and Hour Division of the Department of Labor for purposes of an investigation or audit of compliance with prevailing wage requirements. It is not a violation of this section for a prime contractor to require a subcontractor to provide addresses and social security numbers to the prime contractor for its own records, without weekly submission to the contracting agency.. (2) Each payroll submitted shall be accompanied by a "Statement of Compliance," signed by the contractor or subcontractor or his or her agent who pays or supervises the payment of the persons employed under the contract and shall certify the following: (i) That the payroll for the payroll period contains the information required to be provided under §5.5 (a)(3)(ii) of Regulations, 29 CFR part 5, the appropriate information is being maintained under §5.5 (a)(3)(1) of Regulations, 29 CFR part 5, and that such information is correct and complete; (ii) That each laborer or mechanic (including each helper, apprentice, and trainee) employed on the contract during the payroll period has been paid the full weekly wages earned, without rebate, either directly or indirectly, and that no deductions have been made either directly or indirectly from the full wages earned, other than permissible deductions as set forth in Regulations, 29 CFR part 3; (iii) That each laborer or mechanic has been paid not less than the applicable wage rates and fringe benefits or cash equivalents for the classification of work performed, as specified in the applicable wage determination incorporated into the contract. (3) The weekly submission of a properly executed certification set forth on the reverse side of Optional Form WH -347 shall satisfy the requirement for submission of the "Statement of Compliance" required by paragraph 3.b.(2) of this section. (4) The falsification of any of the above certifications may subject the contractor or subcontractor to civil or criminal prosecution under section 1001 of title 18 and section 231 of title 31 of the United States Code. c. The contractor or subcontractor shall make the records required under paragraph 3.a. of this section available for inspection, copying, or transcription by authorized representatives of the contracting agency, the State DOT, the FHWA, or the Department of Labor, 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 FHWA may, after written notice to the contractor, the Exhibit 12-G Required Federal -Aid Contract Language contracting agency or the State DOT, take such action 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 for debarment action pursuant to 29 CFR 5.12. 4. Apprentices and trainees a. Apprentices (programs of the USDOL). Apprentices will be permitted to work at less than the predetermined rate for the work they performed when they are employed pursuant to and individually registered in a bona fide apprenticeship program registered with the U.S. Department of Labor, Employment and Training Administration, Office of Apprenticeship Training, Employer and Labor Services, or with a State Apprenticeship Agency recognized by the Office, or if a person is employed in his or her first 90 days of probationary employment as an apprentice in such an apprenticeship program, who is not individually registered in the program, but who has been certified by the Office of Apprenticeship Training, Employer and Labor Services or a State Apprenticeship Agency (where appropriate) to be eligible for probationary employment as an apprentice. The allowable ratio of apprentices to journeymen on the job site in any craft classification shall not be greater than the ratio permitted to the contractor as to the entire work force under the registered program. Any worker listed on a payroll at an apprentice wage rate, who is not registered or otherwise employed as stated above, shall be paid not less than the applicable wage rate on the wage determination for the classification of work actually performed. In addition, any apprentice performing work on the job site in excess of the ratio permitted under the registered program shall be paid not less than the applicable wage rate on the wage determination for the work actually performed. Where a contractor is performing construction on a project in a locality other than that in which its program is registered, the ratios and wage rates (expressed in percentages of the journeyman's hourly rate) specified in the contractor's or subcontractor's registered program shall be observed. Every apprentice must be paid at not less than the rate specified in the registered program for the apprentice's level of progress, expressed as a percentage of the journeymen hourly rate specified in the applicable wage determination. Apprentices shall be paid fringe benefits in accordance with the provisions of the apprenticeship program. If the apprenticeship program does not specify fringe benefits, apprentices must be paid the full amount of fringe benefits listed on the wage determination for the applicable classification. If the Administrator determines that a different practice prevails for the applicable apprentice classification, fringes shall be paid in accordance with that determination. In the event the Office of Apprenticeship Training, Employer and Labor Services, or a State Apprenticeship Agency recognized by the Office, withdraws approval of an apprenticeship program, the contractor will no longer be permitted to utilize apprentices at less than the applicable predetermined rate for the work performed until an acceptable program is approved. b. Trainees (programs of the USDOL). Except as provided in 29 CFR 5.16, trainees will not be permitted to work at less than the predetermined rate for the work performed unless they are employed pursuant to and individually registered in Page 14 of 24 July 2016 Local Assistance Procedure Manual a program which has received prior approval, evidenced by formal certification by the U.S. Department of Labor, Employment and Training Administration. The ratio of trainees to journeymen on the job site shall not be greater than permitted under the plan approved by the Employment and Training Administration. Every trainee must be paid at not less than the rate specified in the approved program for the trainee's level of progress, expressed as a percentage of the journeyman hourly rate specified in the applicable wage determination. Trainees shall be paid fringe benefits in accordance with the provisions of the trainee program. if the trainee program does not mention fringe benefits, trainees shall be paid the full amount of fringe benefits listed on the wage determination unless the Administrator of the Wage and Hour Division determines that there is an apprenticeship program associated with the corresponding journeyman wage rate on the wage determination which provides for less than full fringe benefits for apprentices. Any employee listed on the payroll at a trainee rate who is not registered and participating in a training plan approved by the Employment and Training Administration shall be paid not less than the applicable wage rate on the wage determination for the classification of work actually performed. In addition, any trainee performing work on the job site in excess of the ratio permitted under the registered program shall be paid not less than the applicable wage rate on the wage determination for the work actually performed. In the event the Employment and Training Administration withdraws approval of a training program, the contractor will no longer be permitted to utilize trainees at less than the applicable predetermined rate for the work performed until an acceptable program is approved. c. Equal employment opportunity. The utilization of apprentices, trainees and journeymen under this part shall be in conformity with the equal employment opportunity requirements of Executive Order 11246, as amended, and 29 GFR part 30. d. Apprentices and Trainees (programs of the U.S. DOT) Apprentices and trainees working under apprenticeship and skill training programs which have been certified by the Secretary of Transportation as promoting EEO in connection with Federal -aid highway construction programs are not subject to the requirements of paragraph 4 of this Section IV, The straight time hourly wage rates for apprentices and trainees under such programs will be established by the particular programs. The ratio of apprentices and trainees to journeymen shall not be greater than permitted by the terms of the particular program. S. Compliance with Copeland Act requirements. The contractor shall comply with the requirements of 29 CFR part 3, which are incorporated by reference in this contract. 6. Subcontracts. The contractor or subcontractor shall insert Form FHWA-1273 in any subcontracts and also require the subcontractors to include Form FHWA-1273 in any lower tier subcontracts. The prime contractor shall be responsible for the compliance by any subcontractor or lower tier subcontractor with all the contract clauses in 29 CFR 5.5. 7. Contract termination; debarment. A breach of the contract clauses in 29 CFR 5.5 may be grounds for termination of the contract, and for debarment as a contractor and a subcontractor as provided in 29 CFR 5.12. Exhibit 12-G Required Federal -Aid Contract Language 8. Compliance with Davis -Bacon and Related Act requirements. All rulings and interpretations of the Davis -Bacon and Related Acts contained in 29 CFR parts 1, 3, and 5 are herein incorporated by reference in this contract. 9. Disputes concerning labor standards. Disputes arising out of the labor standards provisions of this contract shall not be subject to the general disputes clause of this contract. Such disputes shall be resolved in accordance with the procedures of the Department of Labor set forth in 29 CFR parts 5, 6, and 7. Disputes within the meaning of this clause include disputes between the contractor (or any of its subcontractors) and the contracting agency, the U.S. Department of Labor, or the employees or their representatives. 10. Certification of eligibility. a. By entering into this contract, the contractor certifies that neither it (nor he or she) nor any person or firm who has an interest in the contractor's firm is a person or firm ineligible to be awarded Government contracts by virtue of section 3(a) of the Davis -Bacon Act or 29 CFR 5.12(a)(1). b. No part of this contract shall be subcontracted to any person or firm ineligible for award of a Government contract by virtue of section 3(a) of the Davis -Bacon Act or 29 CFR 5.12(a)(1). c. The penalty for making false statements is prescribed in the U Criminal Code, 18 U.S.C, 1001. V. CONTRACT WORK HOURS AND SAFETY STANDARDS ACT The following clauses apply to any Federal -aid construction contract in an amount in excess of $100,000 and subject to the overtime provisions of the Contract Work Hours and Safety Standards Act. These clauses shall be inserted in addition to the clauses required by 29 CFR 5.5(a) or 29 CFR 4.6. As used in this paragraph, the terms laborers and mechanics include watchmen and guards. 1. Overtime requirements. No contractor or subcontractor contracting for any part of the contract work which may require or involve the employment of laborers or mechanics shall require or permit any such laborer or mechanic in any workweek in which he or she is employed on such work to work in excess of forty hours in such workweek unless such laborer or mechanic receives compensation at a rate not less than one and one-half times the basic rate of pay for all hours worked in excess of forty hours in such workweek. 2. Violation; liability for unpaid wages; liquidated damages. In the event of any violation of the clause set forth in paragraph (1.) of this section, the contractor and any subcontractor responsible therefor shall be liable for the unpaid wages. In addition, such contractor and subcontractor shall be liable to the United States (in the case of work done under contract for the District of Columbia or a territory, to such District or to such territory), for liquidated damages. Such liquidated damages shall be computed with respect to each individual laborer or mechanic, including watchmen and guards, employed in violation of the clause set forth in paragraph (1.) of this section, in the sum of $10 for each calendar day on which such individual was required or permitted to work in excess of the standard workweek of forty hours without payment of the overtime wages required by the clause set forth in paragraph (1,) of this section. Page 15 of 24 July 2016 Local Assistance Procedure Manual 3. Withholding for unpaid wages and liquidated damages. The FHWA or the contacting agency shall upon its own action or upon written request of an authorized representative of the Department of Labor withhold or cause to be withheld, from any moneys payable on account of work performed by the contractor or subcontractor under any such contract or any other Federal contract with the same prime contractor, or any other federally -assisted contract subject to the Contract Work Hours and Safety Standards Act, which is held by the same prime contractor, such sums as may be determined to be necessary to satisfy any liabilities of such contractor or subcontractor for unpaid wages and liquidated damages as provided in the clause set forth in paragraph (2.) of this section. 4. Subcontracts. The contractor or subcontractor shall insert in any subcontracts the clauses set forth in paragraph (1.) through (4.) of this section and also a clause requiring the subcontractors to include these clauses in any lower tier subcontracts. The prime contractor shall be responsible for compliance by any subcontractor or lower tier subcontractor with the clauses set forth in paragraphs (1.) through (4.) of this section. VI. SUBLETTING OR ASSIGNING THE CONTRACT This provision is applicable to all Federal -aid construction contracts on the National Highway System. 1. The contractor shall perform with its own organization contract work amounting to not less than 30 percent (or a greater percentage if specified elsewhere in the contract) of the total original contract price, excluding any specialty items designated by the contracting agency. Specialty items may be performed by subcontract and the amount of any such specialty items performed may be deducted from the total original contract price before computing the amount of work required to be performed by the contractor's own organization (23 CFR 635.116). a. The term "perform work with its own organization" refers to workers employed or leased by the prime contractor, and equipment owned or rented by the prime contractor, with or without operators. Such term does not include employees or equipment of a subcontractor or lower tier subcontractor, agents of the prime contractor, or any other assignees. The term may include payments for the costs of hiring leased employees from an employee leasing firm meeting all relevant Federal and State regulatory requirements. Leased employees may only be included in this term if the prime contractor meets all of the following conditions: (1) the prime contractor maintains control over the supervision of the day-to-day activities of the leased employees; (2) the prime contractor remains responsible for the quality of the work of the leased employees; (3) the prime contractor retains all power to accept or exclude individual employees from work on the project; and (4) the prime contractor remaihs ultimately responsible for the payment of predetermined minimum wages, the submission of payrolls, statements of compliance and all other Federal regulatory requirements. b. "Specialty Items" shall be construed to be limited to work that requires highly specialized knowledge, abilities, or equipment not ordinarily available in the type of contracting organizations qualified and expected to bid or propose on the contract as a whole and in general are to be limited to minor components of the overall contract. 2. The contract amount upon which the requirements set forth in paragraph (1) of Section VI is computed includes the cost of material and manufactured products which are to be purchased or produced by the contractor under the contract provisions. Exhibit 12-G Required Federal -Aid Contract Language 3. The contractor shall furnish (a) a competent superintendent or supervisor who is employed by the firm, has full authority to direct performance of the work in accordance with the contract requirements, and is in charge of all construction operations (regardless of who performs the work) and (b) such other of its own organizational resources (supervision, management, and engineering services) as the contracting officer determines is necessary to assure the performance of the contract. 4. No portion of the contract shall be sublet, assigned or otherwise disposed of except with the written consent of the contracting officer, or authorized representative, and such consent when given shall not be construed to relieve the contractor of any responsibility for the fulfillment of the contract. Written consent will be given only after the contracting agency has assured that each subcontract is evidenced in writing and that it contains all pertinent provisions and requirements of the prime contract. 5. The 30% self -performance requirement of paragraph (1) is not applicable to design -build contracts; however, contracting agencies may establish their own self -performance requirements. VII. SAFETY: ACCIDENT PREVENTION This provision is applicable to all Federal -aid construction contracts and to all related subcontracts. 1. In the performance of this contract the contractor shall comply with all applicable Federal, State, and local laws governing safety, health, and sanitation (23 CFR 635). The contractor shall provide all safeguards, safety devices and protective equipment and take any other needed actions as it determines, or as the contracting officer may determine, to be reasonably necessary to protect the life and health of employees on the job and the safety of the public and to protect property in connection with the performance of the work covered by the contract. 2. It is a condition of this contract, and shall be made a condition of each subcontract, which the contractor enters into pursuant to this contract, that the contractor and any subcontractor shall not permit any employee, in performance of the contract, to work in surroundings or under conditions which are unsanitary, hazardous or dangerous to his/her health or safety, as determined under construction safety and health standards (29 CFR 1926) promulgated by the Secretary of Labor, in accordance with Section 107 of the Contract Work Hours and Safety Standards Act (40 U.S.C. 3704). 3. Pursuant to 29 CFR 1926.3, it is a condition of this contract that the Secretary of Labor or authorized representative thereof, shall have right of entry to any site of contract performance to inspect or investigate the matter of compliance with the construction safety and health standards and to carry out the duties of the Secretary under Section 107 of the Contract Work Hours and Safety Standards Act (40 U.S.C.3704). Vill. FALSE STATEMENTS CONCERNING HIGHWAY PROJECTS This provision is applicable to all Federal -aid construction contracts and to all related subcontracts. In order to assure high quality and durable construction in conformity with approved plans and specifications and a high degree of reliability on statements and representations made by engineers, contractors, suppliers, and workers on Federal -aid highway projects, it is essential that all persons concerned with the project perform their functions as carefully, thoroughly, and honestly as possible. Willful falsification, distortion, or misrepresentation with respect to any facts related to the project is a violation of Federal law. To prevent any misunderstanding regarding the seriousness of these Page 16 of 24 July 2016 Local Assistance Procedure Manual and similar acts, Form FHWA-1022 shall be posted on each Federal -aid highway project (23 CFR 635) in one or more places where it is readily available to all persons concerned with the project: 18 U.S.C. 1020 reads as follows: "Whoever, being an officer, agent, or employee of the United States, or of any State or Territory, or whoever, whether a person, association, firm, or corporation, knowingly makes any false statement, false representation, or false report as to the character, quality, quantity, or cost of the material used or to be used, or the quantity or quality of the work performed or to be performed, or the cost thereof in connection with the submission of plans, maps, specifications, contracts, or costs of construction on any highway or related project submitted for approval to the Secretary of Transportation; or Whoever knowingly makes any false statement, false representation, false report or false claim with respect to the character, quality, quantity, or cost of any work performed or to be performed, or materials furnished or to be furnished, in connection with the construction of any highway or related project approved by the Secretary of Transportation; or Whoever knowingly makes any false statement or false representation as to material fact in any statement, certificate, or report submitted pursuant to provisions of the Federal -aid Roads Act approved July 1, 1916, (39 Stat. 355), as amended and supplemented; Shall be fined under this title or imprisoned not more than 5 years or both." IX. IMPLEMENTATION OF CLEAN AIR ACT AND FEDERAL WATER POLLUTION CONTROL ACT This provision is applicable to all Federal -aid construction contracts and to all related subcontracts. By submission of this bid/proposal or the execution of this contract, or subcontract, as appropriate, the bidder, proposer, Federal -aid construction contractor, or subcontractor, as appropriate, will be deemed to have stipulated as follows: 1. That any person who is or will be utilized in the performance of this contract is not prohibited from receiving an award due to a violation of Section 508 of the Clean WaterAct or Section 306 of the Clean Air Act. 2. That the contractor agrees to include or cause to be included the requirements of paragraph (1) of this Section X in every subcontract, and further agrees to take such action as the contracting agency may direct as a means of enforcing such requirements. X. CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION This provision is applicable to all Federal -aid construction contracts, design -build contracts, subcontracts, lower -tier subcontracts, purchase orders, lease agreements, consultant contracts or any other covered transaction requiring FHWA approval or that is estimated to cost $25,000 or more — as defined in 2 CFR Parts 180 and 1200. 1. Instructions for Certification — First Tier Participants: a. By signing and submitting this proposal, the prospective first tier participant is providing the certification set out below. Exhibit 12-G Required Federal -Aid Contract Language b. The inability of a person to provide the certification set out below will not necessarily result in denial of participation in this covered transaction. The prospective first tier participant shall submit an explanation of why it cannot provide the certification set out below. The certification or explanation will be considered in connection with the department or agency's determination whether to enter into this transaction. However, failure of the prospective first tier participant to furnish a certification or an explanation shall disqualify such a person from participation in this transaction. c. The certification in this clause is a material representation of fact upon which reliance was placed when the contracting agency determined to enter into this transaction. If it is later determined that the prospective participant knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government, the contracting. agency may terminate this transaction for cause of default. d. The prospective first tier participant shall provide immediate written notice to the contracting agency to whom this proposal is submitted if any time the prospective first tier participant learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances. e. The terms "covered transaction," "debarred," "suspended," "ineligible," "participant," "person," "principal," and "voluntarily excluded," as used in this clause, are defined in 2 CFR Parts 180 and 1200. "First Tier Covered Transactions" refers to any covered transaction between a grantee or subgrantee of Federal funds and participant (such as the prime or general contract). "Lower Tier Covered Transactions" refers to any covered transaction under a First Tier Covered Transaction (such as subcontracts). "First Tier Participant" refers to the participant who has entered. into a covered transaction with a grantee or subgrantee of Federal funds (such as the prime or general contractor). "Lower Tier Participant" refers any participant who has entered into a covered transaction with a First Tier Participant or other Lower Tier Participants (such as subcontractors and suppliers). f. The prospective first tier participant agrees by submitting this proposal that, should the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the department or agency entering into this transaction. g. The prospective first tier participant further agrees by submitting this proposal that it will include the clause titled Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion -Lower Tier Covered Transactions," provided by the department or contracting agency, entering into this covered transaction, without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions exceeding the $25,000 threshold. h. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that is not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows that the certification is erroneous. A participant is responsible for ensuring that its principals are not suspended, debarred, or otherwise ineligible to participate in covered transactions. To verify the eligibility of its principals, as well as the eligibility of any lower tier prospective participants, each participant may, but is not required to, check the Excluded Parties List System website (https:/hvww.epls.gov/,l, which is compiled by the General Services Administration. 1. Nothing contained in the foregoing shall be construed to require the establishment of a system of records in order to render in good Page 17 of 24 July 2016 Local Assistance Procedure Manual faith the certification required by this clause. The knowledge and information of the prospective participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. j. Except for transactions authorized under paragraph (f) of these instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal Government, the department or agency may terminate this transaction for cause or default. 2. Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion — First Tier Participants: a. The prospective first tier participant certifies to the best of its knowledge and belief, that it and its principals: (1) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participating in covered transactions by any Federal department or agency; (2) Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; (3) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State or local) with commission of any of the offenses enumerated in paragraph (a)(2) of this certification; and (4) Have not within a three-year period preceding this application/proposal had one or more public transactions (Federal, State or local) terminated for cause or default. b. Where the prospective participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal. 2. Instructions for Certification - Lower Tier Participants: (Applicable to all subcontracts, purchase orders and other lower tier transactions requiring prior FHWA approval or estimated to cost $25,000 or more - 2 CFR Parts 180 and 1200) a, By signing and submitting this proposal, the prospective lower tier is providing the certification set out below, b. The certification in this clause is a material representation of fact upon which reliance was placed when this transaction was entered into. If it is later determined that the prospective lower tier participant knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government, the department, or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment. c. The prospective lower tier participant shall provide immediate written notice to the person to which this proposal. is submitted if at any time the prospective lower tier participant learns that its certification was erroneous by reason of changed circumstances. d. The terms 'covered transaction," "debarred," "suspended," "ineligible," "participant," "person," "principal," and "voluntarily Exhibit 12-G Required Federal -Aid Contract Language excluded," as used in this clause, are defined in 2 CFR Parts 180 and 1200. You may contact the person to which this proposal is submitted for assistance in obtaining a copy of those regulations. "First Tier Covered Transactions" refers to any covered transaction between a grantee or subgrantee of Federal funds and a participant (such as the prime or general contract). "Lower Tier Covered Transactions" refers to any covered transaction under a First Tier Covered Transaction (such as subcontracts). "First Tier Participant" refers to the participant who has entered into a covered transaction with a grantee or subgrantee of Federal funds (such as the prime or general contractor). "Lower Tier Participant" refers any participant who has entered into a covered transaction with a First Tier Participant or other Lower Tier Participants (such as subcontractors and suppliers). e, The prospective lower tier participant agrees by submitting this proposal that, should the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the department or agency with which this transaction originated. f. The prospective lower tier participant further agrees by submitting this proposal that it will include this clause titled "Certification Regarding Debarment, Suspension, ineligibility and Voluntary Exclusion -Lower Tier Covered Transaction," without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions exceeding the $25,000 threshold. g. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that is not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows that the certification is erroneous. A participant is responsible for ensuring that its principals are not suspended, debarred, or otherwise ineligible to participate in covered transactions. To verify the eligibility of its principals, as well as the eligibility of any lower tier prospective participants, each participant may, but is not required to, check the Excluded Parties List System website (hM2s•/A"nv epls aov/ , which is compiled by the General Services Administration, h. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and information of participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. i. Except for transactions authorized under paragraph a of these instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal Government, the department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment. Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion..LowerTier Participants: 1. The prospective lower tier participant certifies, by submission of this proposal, that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participating in covered transactions by any Federal department or agency. -------------- Page 18 of 24 July 2016 Local Assistance Procedure Manual 2. Where the prospective lower tier participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal. XI. CERTIFICATION REGARDING USE OF CONTRACT FUNDS FOR LOBBYING This provision is applicable to all Federal -aid construction contracts and to all related subcontracts which exceed $100,000 (49 CFR 20). 1. The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that: a. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, 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 any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. b. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal 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 undersigned shall complete and submit Standard Form -LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. 2. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31 U.S.C. 1352. 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. 3. The prospective participant also agrees by submitting its bid or proposal that the participant shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such recipients shall certify and disclose accordingly. Exhibit 12-G Required Federal -Aid Contract Language Page 19 of 24 July 2016 Local Assistance Procedures Manual Exhibit 12-G Required Federal -Aid -Contract Language 12. FEMALE AND MINORITY GOALS To comply with Section H, "Nondiscrimination," of "Required Contract Provisions Federal -Aid Construction Contracts," the following are for female and minority utilization goals for Federal -aid construction contracts and subcontracts that exceed $10,000: The nationwide goal for female utilization is 6.9 percent. The goals for minority utilization [45 Fed Reg 65984 (10/3/1980)] are as follows: MINORITY UTILIZATION GOALS _T_ Economic Area Goal (Percent) Redding CA: 174 Non -SMSA (Standard Metropolitan Statistical Area) Counties: 6.8 CA Lassen; CA Modoc; CA Plumas; CA Shasta; CA Siskiyou; CA Tehama Eureka, CA . 175 Non -SMSA Counties: 6.6 CA Del Norte; CA Humboldt; CA Trinity San Francisco -Oakland -San Jose, CA: SMSA Counties: 7120 Salinas -Seaside -Monterey, CA CA Monterey 28.9 7360 San Francisco -Oakland CA Alameda; CA Contra Costa; CA Marin; CA San Francisco; CA San Mateo 25.6 7400 San Jose, CA CA Santa Clara, CA 176 19.6 7485 Santa Cruz, CA CA Santa Cruz 7500 Santa Rosa 14.9 CA Sonoma 8720 Vallejo -Fairfield -Napa, CA 9.1 CA Napa; CA Solano Non -SMSA Counties: 17.1 CA Lake; CA Mendocino; CA San Benito 23.2 Sacramento, CA: SMSA Counties: 6920 Sacramento, CA 177 CA Placer; CA Sacramento; CA Yolo 16.1 Non -SMSA Counties CA Butte; CA Colusa; CA El Dorado; CA Glenn; CA Nevada; CA Sierra; CA Sutter; 14.3 CA Yuba Stockton -Modesto, CA: ---- SMSA Counties: 5170 Modesto, CA 178 CA Stanislaus 12.3 8120 Stockton, CA CA San Joaquin 24.3 Non -SMSA Counties CA Alpine; CA Amador; CA Calaveras; CA Mariposa; CA Merced; CA Tuolumne 19.8 -------------- Page 20 of 24 July 2016 Local Assistance Procedures Manual Exhibit 12-G Required Federal -Aid Contract Language Fresno -Bakersfield, CA SMSA Counties: 0680 Bakersfield, CA 179 CA Kern 19. I 2840 Fresno, CA CA Fresno 26.1 Non -SMSA Counties: CA Kings; CA Madera; CA Tulare 23.6 Los Angeles, CA: SMSA Counties: 0360 Anaheim -Santa Ana -Garden Grove, CA CA Orange 11.9 4480 Los Angeles -Long Beach, CA CA Los Angeles 28.3 180 6000 Oxnard -Simi Valley -Ventura, CA CA Ventura 21.5 6780 Riverside -San Bernardino -Ontario, CA CA Riverside; CA San Bernardino 19.0 7480 Santa Barbara -Santa Maria -Lompoc, CA CA Santa Barbara 19,7 Non -SMSA Counties CA Inyo; CA Mono; CA San Luis Obispo 2'1.6 San Diego, CA: SMSA Counties 181 7320 San Diego, CA - 16.9 CA San Diego Non -SMSA Counties CA Imperial 18.2 For the last full week July during which work is performed under the contract, you and each no material - supplier subcontractor with a subcontract of $10,000 or more must complete Form FHWA PR -1391 (Appendix C to 23 CFR 230). Submit the forms by August 15. 13. FEDERAL, TRAINEE PROGRAM For the Federal training program, the number of trainees or apprentices is %1D This section applies if a number of trainees or apprentices is specified in the special provisions. As part of your equal opportunity affirmative action program, provide on-the-job training to develop full journeymen in the types of trades or job classifications involved. You have primary responsibility for meeting this training requirement. If you subcontract a contract part, determine how many trainees or apprentices are to be trained by the subcontractor. Include these training requirements in your subcontract. Where feasible, 25 percent of apprentices or trainees in each occupation must be in their 1st year of apprenticeship or training. Distribute the number of apprentices or trainees among the work classifications on the basis of your needs and the availability of journeymen in the various classifications within a reasonable recruitment area. Before starting work, submit to the City/County ofQinvlmk� : Page 21 of 24 July 2016 Local Assistance Procedures Manual Exhibit 12-G Required Federal -Aid Contract Language 1. Number of apprentices or trainees to be trained for each classification 2. Training program to be used 3. Training starting date for each classification Obtain the City/County's ofG ; tUV%, approval for this submitted information before you start work. The City/County o •ry ;SCS credits you for each apprentice or trainee you employ on the work who is currently enrolled or becomes enrolled in an approved program. The primary objective of this section is to train and upgrade minorities and women toward journeymen status. Make every effort to enroll minority and women apprentices or trainees, such as conducting systematic and direct recruitment through public and private sources likely toyield minority and women apprentices or trainees, to the extent they are available within a reasonable recruitment area. Show that you have made the efforts. In making these efforts, do not discriminate against any applicant for training. Do not employ as an apprentice or trainee an employee: 1. In any classification in which the employee has successfully completed a training course leading to journeyman status or in which the employee has been employed as a journeyman 2. Who is not registered in a program approved by the US Department of Labor, Bureau of Apprenticeship and Training Ask the employee if the employee has successfully completed a training course leading to journeyman status or has been employed as a journeyman. Your records must show the employee's answers to the questions, In your training V p}rogram, establish the minimum length and training type for each classification. The City/County of 100 [1(L and FHWA approves a program if one of the following is met: 1. It is calculated to: ■ Meet the your equal employment opportunity responsibilities ■ Qualify the average apprentice or trainee for journeyman status in the classification involved by the end of the training period 2. It is registered with the U.S. Department of Labor, Bureau of Apprenticeship and Training, and it is administered in a way consistent with the equal employment responsibilities of Federal -aid highway construction contracts Obtain the State's approval for your training program before you start work involving the classification covered by the program. Provide training in the construction crafts, not in clerk -typist or secretarial -type positions. Training is allowed in lower level management positions such as office engineers, estimators, and timekeepers if the training is oriented toward construction applications. Training is allowed in the laborer classification if significant and meaningful training is provided and approved by the division office. Off-site training is allowed if the training is an integral part of an approved training program and does not make up a significant part of the overall training. The City/County of `y, iJw L reimburses you 80 cents per hour of training given an employee on this contract under an approved training program: 1. For on-site training 2. For off-site training if the apprentice or trainee is currently employed on a Federal -aid project and you do at least one of the following: ■ Contribute to the cost of the training ■ Provide the instruction to the apprentice or trainee ■ Pay the apprentice's or trainee's wages during the off-site training period If you comply this section. Page 22 of 24 July 2016 Local Assistance Procedures Manual Exhibit 12-G Required Federal -Aid Contract Language Each apprentice or trainee must: 1. Begin training on the project as soon as feasible after the start of work involving the apprentice's or trainee's skill 2. Remain on the project as long as training opportunities exist in the apprentice's or trainee's work classification or until the apprentice or trainee has completed the training program Furnish the apprentice or trainee: 1. Copy of the program you will comply with in providing the training 2. Certification showing the type and length of training satisfactorily completed 14. TITLE VI ASSURANCES During the performance of this Agreement, the contractor, for itself, its assignees and successors in interest (hereinafter collectively referred to as CONTRACTOR) agrees as follows.: (1) Compliance with Regulations: CONTRACTOR shall comply with the regulations relative to nondiscrimination in federally assisted programs of the Department of Transportation, Title 49, Code of Federal Regulations, Part 21, as they may be amended from time to time, (hereinafter referred to as the REGULATIONS), which are herein incorporated by reference and made a part of this agreement. (2) Nondiscrimination: CONTRACTOR, with regard to the work performed by it during the AGREEMENT, shall not discriminate on the grounds of race, color, sex, national origin, religion, age, or disability in the selection and retention of sub -applicants, including procurements of materials and leases of equipment. CONTRACTOR shall not participate either directly or indirectly in the discrimination prohibited by Section 21.5 of the Regulations, including employment practices when the agreement covers a program set forth in Appendix B of the Regulations. (3) Solicitations for Sub-ajzreements, Including Procurements of Materials and Equipment: In all solicitations either by competitive bidding or negotiation made by CONTRACTOR for work to be performed under a Sub -agreement, including procurements of materials or leases of equipment, each potential sub -applicant or supplier shall be notified by CONTRACTOR of the CONTRACTOR'S obligations under this Agreement and the Regulations relative to nondiscrimination on the grounds of race, color, or national origin. (4) Information and Reports: CONTRACTOR shall provide all information and reports required by the Regulations, or directives issued pursuant thereto, and shall permit access to its books, records, accounts, other sources of information, and its facilities as may be determined by the California Department of Transportation or FHWA to be pertinent to ascertain compliance_ with such Regulations or directives. Where any information required of CONTRACTOR is in the exclusive possession of another who fails or refuses to furnish this information, CONTRACTOR shall so certify to the California Department of Transportation or the FHWA as appropriate, and shall set forth what efforts CONTRACTOR has made to obtain the information. (5) Sanctions for Noncompliance: In the event of CONTRACTOR's noncompliance with the nondiscrimination provisions of this agreement, the California Department of Transportation shall impose such agreement sanctions as it or the FHWA may determine to be appropriate, including, but not limited to: (a) withholding of payments to CONTRACTOR under the Agreement within a reasonable period of time, not to exceed 90 days; and/or (b) cancellation, termination or suspension of the Agreement, in whole or in part. (6) Incorporation of Provisions: CONTRACTOR shall include the provisions of paragraphs (1) through (6) in every sub -agreement, including procurements of materials and leases of equipment, unless exempt by the Regulations, or directives issued pursuant thereto. Page 23 of 24 July 2016 Local Assistance Procedures Manual Exhibit 12-G Required Federal -Aid Contract Language CONTRACTOR shall take such action with respect to any sub -agreement or procurement as the California Department of Transportation or FHWA may direct as a means of enforcing such provisions including sanctions for noncompliance, provided, however, that, in the event CONTRACTOR becomes involved in, or is threatened with, litigation with a sub -applicant or supplier as a result of such direction, CONTRACTOR may request the California Department of Transportation enter into such litigation to protect the interests of the State, and, in addition, CONTRACTOR may request the United States to enter into such litigation to protect the interests of the United States. 15. USE OF UNITED STATES -FLAG VESSELS The CONTRACTOR agrees - 1. To utilize privately owned United States -flag commercial vessels to ship at least 50 percent of the gross tonnage (computed separately for dry bulk carries, dry cargo liners, and tankers) involved, whenever shipping any equipment, material, or commodities pursuant to this contract, to the extent such vessels are available at fair and reasonable rates for United States -flag commercial vessels. 2. To Furnish within 20 days following the date of loading for shipments originating within the United State or within 30 working days following the date of loading for shipments originating outside the United States, a legible copy of a rated `'on -board" commercial ocean bill -of -lading in English for each shipment of cargo described in paragraph (1) of this section to both the Contracting Officer (through the prime contractor in the case of subcontractor bills -of -lading) and to the Division of National Cargo, Office of Market Development, Maritime Administration, Washington, DC 20590. ;. To insert the substance of the provisions of this clause in all subcontracts issued pursuant to this contract. !MAINTAIN RECORDS AND SUBMIT REPORTS DOCUMENTING YOUR PERFORNIANCE UNDER THIS SECTION Page 24 of 24 July 2016 APPENDIX A FEDERAL COMPLIANCE FORMS REQUIRED OF THE TOP THREE (3) APPARENT LOW BIDDERS The following forms must be submitted to the Project Manager no later than Ei 4:00pm on the fourth (4th) business day after bid opening. Failure to do so will render the bid nonresponsive. I Exhibit 12-B Bidder's List of Subcontractors (DBE and Non -DBE) Exhibit 15-G Local Agency Bidder DBE Commitment (Construction Contracts) Exhibit 15-H DBE Information — Good Faith Efforts w lCq� yA m -0 ,n 61 C C C 0 —.2 C 0 L C C C 0 G 0 >' �_ C C C O C O ,' I C C C O C O T G C C O C O } C C _ O O N = a C G E G oL F ��'� N C o G .0 F CCI �C m -I to 011 EI L E ri UC G 'G tn , VV' ��� �b� .-{ V lA VV`�w L e �� ��w V V VV c L w- 0 yan 0 w 0 v 0 d ¢ v Yl u E co m Z CI i 4l z cc a CJ � �= M 1� Ln �. E '1 u n. m a+ C C � C C Ln �a 4A .V c C G i z U' 61 Local Amistance Procedures Manual Exhibit 15-H DBE Inrormatioa - Good Faith Effort EXE IBIT 15-H DBE INFORMATION —GOOD FAITH EFFORTS t DBE INFORMATION - GOOD FAITH EFFORTS R Federal -aid Project No.��� 71 b� Bid Opening Date I The � C" %, established a Disadvantaged Business Enterprise (DBE) goal of % fahis project. The information provided herein shows that a good faith effort was made. Lowest, second lowest and third lowest bidders shall submit the following information to document adequate good faith efforts. Bidders should submit the following information even if the "Local Agency Bidder DBE Commitment" form indicates that the bidder has met the DBE goal. This will protect the bidder's eligibility for award of the contract if the administering agency determines that the bidder failed to meet the goal for various reasons, e.g., a DBE firm was not certified at bid opening, or the bidder made a mathematical error. Submittal of only the "Local Agency Bidder DBE Commitment" form may not provide sufficient documentation to demonstrate that adequate good faith efforts were made. Tile following items are listed in the Section entitled "Submission of DBE Commitment" of the Special Provisions: A. The names and dates of each publication in which a request for DBE participation for this project was placed by the bidder (please attach copies of advertisements or proofs of publication): publications Dates of Advertisement f' I _ B. The names and dates of written notices sent to certified DBEs soliciting bids for this project and the dates and methods used for following up initial solicitations to determine with certainty whether the DBEs were interested (please attach copies of solicitations, telephone records, fax confirmations, etc.): Names of DBEs Solicited Date of Initial Follow Up Methods and Dates Solicitation Page 15-1 r OB 12-04 June 29, 2012 m v Exhibit 15-H DBE Information -Good Faith Effort Local Assistance Procedures Manual C. The items of work which the bidder made available to DBE firms including, where appropriate, any breaking down of the contract work items (including those items normally performed by the bidder with its own forces) into economically feasible units to facilitate DBE participation. It is the bidder's responsibility to demonstrate that sufficient work to facilitate DBE participation was made available to DBE firms. Items of Work Bidder Normally Breakdown of Amount Percentage Performs Item Items M Of D. The names, addresses and phone numbers of rejected DBE firms, the reasons for the bidder's rejection of the DBEs, the firms selected for that work (please attach copies of quotes from the firms involved), and the price difference for each DBE if the selected firm is not a DBE: Names, addresses and phone numbers of rejected DBEs and the reasons for the bidder's rejection of the DBEs: 1.. I. Names, E. Efforts made to assist interested DBEs in obtaining bonding, lines of credit or insurance, and any technical assistance or information related to the plans, specifications and requirements for the work which was provided to DBEs! l b Page 15-2 .Tune 29, 2012 OB 12-04 Local Assistance Procedures Manual E zhlblt 15-H DISE information - Good Falth Effort F. Efforts made to assist interested DBEs in obtaining necessary equipment, supplies, materials or j� related assistance or services, excluding supplies and equipment the DDE subcontractor �j purchases or leases from t e prime cgntractor or its ffiliate: f i Cc7t� S �d i '\A i,- I SC'S QJVit,� _i G. The names of agencies, organizations or groups contacted to provide assistance in contacting, recruiting and using DBE firms (please attach copies of requests to agencies and any responses received, i.e., lists, Internet page download, etc.): Name of Agency/Organization Method/Date of Contact Results _ ' � 5 Z • t� H. Any additional data to support a demonstration of good faith efforts (use additional sheets if necessary); Fleas -e See Aj6c-W rA NOTE: USE ADDITIONAL SHEETS OF PAPER IF NECESSARY, C OB 12-04 Page 15-3 DJune 29, 2012 4/27/2017 Seeking Section 3 and DBE Businesses! - Classified Ad Wt�lassAffle�A-7.--., Hello, Kim Bird not you? Your stuff Heln Post an ad (free) Log out Search for... SEARCH CommunityAnnouncements Search for... �..,._.__._---- ----------- Community: Announcements • All Categories • Jobs • Vehicles • Items for Sale • Pets • Real Estate • For Rent • Services • Personals • Community • All Community • Announcements • Ca ool • Churches • Free Stuff • Garage Sales • General Entertainment • Items Wanted • Lost & Found • Musicians & Bands • Volunteers • Zip or city • Los Angeles: San Gabriel Valley • Los Angeles: Westside • More locations—* Your ad has been posted. Post another ad Edit this ad Help bage Your stuff Share your ad for more visibility! Chino Hills, CA in Chino --- - --- Hills, SEARGHy CA https://www.classifiedads.com/announcements/1852rp261fc3 1/4 4/27/2017 Seeking Section 3 and DBE Businesses! - Classified Ad Seeking Section 3 and DBE Businesses! Share & Like Share this +1'`_w° Ad #265036277 Created: April 27, 2017 Updated: April 27, 2017 Expires: May 4, 2017 Viewed: 0 times Avoid scams Signs of fraud: wire transfer, money orders, cashier checks, shipping, escrow, "transaction protection", "guarantee". Be safe by dealing locally. Read more Report this ad Overview Respond to this Ad Ad number:#265036277 Contact:Kim Bird Phone: 951-736-7600 City:Corona Zip:92879 Posted in: Orange County Announcements Description Respond to this Ad Sub Bids Requested: From Certified DBE and Section 3 Subcontractors and Suppliers for the Following Project: City of Chino Hills Pipeline Avenue Raised Median Project No. 514009 Bid Date: May 4th, 2017 @ 2:OOPM Quotes are requested for (but not limited to) the following services & Suppliers: Striping and Markings https:/Miww.classifiedads.com/announcements/1852rp261fc3 2/4 4/27/2017 Survey ALL AMERICAN ASPHALT (Equal Opportunity Employer) P.O. Box 2229 Seeking Section 3 and DBE Businessesl - Classified Ad Corona, CA 92878-2229 (951)736-7600 Fax; (951) 736-7646 Information and/or assistance regarding or obtaining plans and Specifications are available upon request Respond to this Ad Your name Your email Message ,r end Message ., Report this ad Type of problem: Harassment 0 Spam Scam or fraud Wrong category 0 Violation of terms 0 Other (please comment) Your email (optional) publicworks@allamelicanasphalt.com URL (optional) Comment (optional) C I would like a response Send report f https://www.classifiedads.com/announcements/1852rp261fc3 3/4 4/27/2017 Sending ... .� Sending... Seeking Section 3 and DBE Buslnessesl - Classified Ad Ads related to announcements 50% Off Grad Announcements - Free Shipping Ends Soon Cool 2017 graduation announcements & graduation invitations at Simpl two Impress www.sim.plytoi=ress.com Webcrawler.com Search multiple engines for what you are looking for www.Webcrawler.com About Locations More information Terms of Use Pri_ vac He1n Contact Careers Blog © 2017 ClassifiedAds.com, Inc. All rights reserved. https:/twww.classifiedads.com/announcements/1852rp261fc3 4/4 Emily Emberson From: ClassifiedAds,com <noreply@classifiedads,com> Sent: Thursday, April 27, 2017 9:48 AM To: Public Works Subject: COMMERCIAL: Your ad has been posted: Seeking Section 3 and DBE Businesses! Dear Kim Bird, YOUR AD HAS BEEN POSTED. Please keep this email. You will need it to manage your ad. EDIT your ad by clicking this link: https://www.classifiedads.com/2100139v265036277vOf23bl37_edit DELETE your ad by clicking this link: https://www.classifiedads.com/2100139v265036277vOf23bl37_delete VIEW & SHARE your ad by clicking this link: https://www.classifiedads.com/announcements/1852rp261fc3 QUESTIONS? See our help page and contact us by clicking this link: https://www.classifiedads.com/info.php?help If your email program does not recognize the links above, simply copy and paste the link into your web browser address bar. Thank you for posting on ClassifiedAds,com 1 SCAM WARNING: Only deal with people in your area. Don't wire funds (Western Union, Money Gram, etc.). Beware of fake cashier's checks and money orders. Beware of identity theft. Don't share your private info. Use caution when accepting relay calls from the hearing and speech impared. Avoid shipping and escrow. Avoid deals that are too good to be true. Learn more about how to avoid scams by clicking this link: https://www.classifiedads.com/info.php?fraud Please do not reply to this automated message. It was sent from an unmonitored email address. NAP North America Procurement Council Menu Register for Free Logout Click HERE to downiaad your free copy of our new magazine TRILLIONS Users who violate the Terms of Usage of this site may have their IP blocked temporarily or permanently and may face legal prosecution. Read More.. Seeking Section 3 and DBE Subcontractors Edit Description : Sub Bids Requested: From Certified DBE and Section 3 Subcontractors and Suppliers for the Following Project: City of Chino Hills Pipeline Avenue Raised Median Project No. 514009 Bid Date: May 4th, 2017 @ 2:OOPM Quotes are requested for (but not limited to) the following services & Suppliers: Striping and Markings Survey ALL AMERICAN ASPHALT (Equal Opportunity Employer) P.O. Box 2229 Corona, CA 92878-2229 (951)736-7600 Fax; (951) 736-7646 Information and/or assistance regarding or obtaining plans and Specifications are available upon request Category : MBE/DBE/WBENBE/LBE Expiration date: 05/03/2017 Publisher Information Name: All American Asphalt Posted:04/27/2017 11:48 am Last updated:04/27/2017 11:48 am Bid On Contractor Jobs Highly Targeted Contractor Leads. Get A Free Preview Of Local Demand. Go to homeadvisorpros.com Post an Ad My Ads Search Ads Ads by Category Cars & Trucks Const. Equip. Const. Materials Employment MBE/DBE/WBENBE/LBE Misc. Items Services Available Services Needed Install -It -Direct Brick Pavers Brick Pavers look Incredible And Require No Maintenance. Get A Free Estimate! Business News U.S. Silica Acquires New Cost Effective Solution for Roofing Nonprofit to Provide Solar Power to Orphanages in Mexico PNL Tapped as Rayton Solar's Exclusive Supplier of High Current Proton Accelerators Environmental Quality Committee Approves Three Bills to Protect and Conserve California's Water Tetra Tech Wins $57M Contract to Promote Clean Energy Services in Pakistan March for Science Today Construction Begins on the 48 Tbps Hong Kong -Guam Undersea Cable Kiewit Infrastructure Wins DWR's Oroville Spillways Repair Contract KRC, AMS Reveals Plan to Build 11 MWh Hybrid Electric Building Fleet Damaged Bridge in California's Big Sur Gets Demolished Facebook Selects Nebraska for Its Ninth Data Center Mammoth Resorts to be Purchased by Affiliates of Two Colorado Firms Southern California Allots $1.5M for Reservoir Project VitalSource Acquires Verba Software, Inc. 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Corruption Trucom Partners with AT&T Quantum Capital Arranges $33.5M Debt Package For New LA Building Hood Design Studio Selected To Create Linear Park Along Beerline Trail CircusTrix Acquires Trampoline Park Operator Facebook Moves Into Larger Johannesburg Space as African Business Increases NFWF Announces $17M in Grants to Restore Angeles National Forest Watersheds New State Funding Proposal Applauded by Bay Area Transportation Leaders Pembrook Provides $7.57M First Mortgage Loan to Complete Construction of Alondra Villas American Water's Subsidiary Buys Meadowbrook Water Company Hitachi Zosen to Build First Kompogas Anaerobic Digestion Plant in U.S. Museum of Ice Cream to Open in Los Angeles State Transportation Bill Could Give Relief To North Coast Roads WETA Receives $20M for Downtown SF Ferry Terminal Expansion U.S. DOL Announces $36M for Recovery, Clean-up Efforts in Northern California California Farmers Can Tap $19M Funding to Improve Air Quality Monrovia Partners with WaterLink to Create Beautiful Sustainable Landscapes American Documentary Film Festival to Feature Unique Way to Support Filmmakers' Causes CalCom, SunLink Partner to Bring Solar Energy to California Farms Teledyne to Supply Infrared Detectors for Mission to Jupiter PG&E Launches Better Together Resilient Communities Grant Chinese Solar Company to Locate First U.S. Facility in California Salka Announces Purchase and Sale Agreement with Castlelake for Summit Wind Project Wood Protection Technologies Announces Licensing and Distribution Agreement ALL AMERICAN -ASPHALT- AN SPHALTAN EQUAL OPPORTUNITY EMPLOYER April 27th, 2017 ABC Resources 1527 West State Street Ontario, CA 91762 ATTN: Estimating ALL AMERICAN ASPHALT ALL AMERICAN AGGREGATES T 951-736-7600 F 951-739-4671 P.O. BOX 2229, CORONA, CA 92878-2229 CONTRACTORS LICENSE #267073 A,C12 DIR #1000001051 We will be bidding a City of Chino Hills project called "Pipeline Avenue Raised Median Project No. 514009." This project bids Thursday, May 4th, 2017 at 2:00 PM. We are requesting bids from DBE Businesses for the following items of work: Striping and Marking Survey We have Plans and Specifications for review in our office. If you have any questions please contact Edward Ryu at (951) 736-7600. Sincerely, Emily Emberson Project Administrator 0 Z D c N 0� ZM IN o �T. '4 y c� 0 0 00 W 00 CD Ln N N m J171117021401uv Page 1 of 1 'Co� o ccs �� anmo O o Z A N mo oz mn jc� 'mmz o --I -4 ri pn �nmp o m Mn ZZ On 0 CO Cf) �N =)-..O ��z C7 Q mp > ---I ori cfl m c� y Cnm Cn n m o o 546J21CFD6i53C1 After printing this label: 1. Use the 'Print' button on this page to print your label to your laser or inkjet printer. 2. Fold the printed page along the horizontal line. 3. Place label in shipping pouch and affix it to your shipment so that the barcode portion of the label can be read and scanned. m c�ncn m 4,Co m n Z (— 0 o SDP WPM `Dom Zrn --J W cn 0 Warning: Use only the printed original label for shipping. Using a photocopy of this label for shipping purposes is fraudulent and could result in additional billing charges, along with the cancellation of your FedEx account number. Use of this system constitutes your agreement to the service conditions in the current FedEx Service Guide, available on fedex.com.FedEx will not be responsible for any claim in excess of $100 per package, whether the result of loss, damage, delay, non- delivery,misdelivery,or misinformation, unless you declare a higher value, pay an additional charge, document your actual loss and file a timely claim. Limitations found in the current FedEx Service Guide apply. Your right to recover from FedEx for any loss, including intrinsic value of the package, loss of sales, income interest, profit, attorney's fees, costs, and other forms of damage whether direct, incidental,consequential, or special is limited to the greater of $100 or the authorized declared value. Recovery cannot exceed actual documented Ioss.Maximum for items of extraordinary value is $1,000, e.g. jewelry, precious metals, negotiable instruments and other items listed in our ServiceGuide. Written claims must be filed within strict time limits, see current FedEx Service Guide. https://www.fedex.com/shipping/html/en//PrintIFrame.html 4/27/2017 `tea i ALL AMERICAN -ASPHALT- AN SPHALTAN EQUAL OPPORTUNITY EMPLOYER April 27th, 2017 BC Traffic Specialist 638 West Southern Avenue Orange, CA 92865 ATTN: Estimating ALL AMERICAN ASPHALT ALL AMERICAN AGGREGATES T 951-736-7600 F 951-739-4671 P.O. BOX 2229, CORONA, CA 92878-2229 CONTRACTORS LICENSE #267073 A,C12 DIR #1000001051 We will be bidding a City of Chino Hills project called "Pipeline Avenue Raised Median Project No. 514009." This project bids Thursday, May 4th, 2017 at 2:00 PM. We are requesting bids from DBE Businesses for the following items of work: Striping and Marking Survey We have Plans and Specifications for review in our office. If you have any questions please contact Edward Ryu at (951) 736-7600. Sincerely, Emily Emberson Project Administrator N FO o� .y 4 CD O O CO O y O 0 X 0 M Z Z rnD �B J171117021401ui CO00 T _n F5 3 U-0 C'1 C7 COC/) --t --I 546J21CFD653C1 Page 1 of 1 After printing this label: 1. Use the 'Print' button on this page to print your label to your laser or inkjet printer. 2. Fold the printed page along the horizontal line. 3. Place label in shipping pouch and affix it to your shipment so that the barcode portion of the label can be read and scanned. Warning: Use only the printed original label for shipping. Using a photocopy of this label for shipping purposes is fraudulent and could result in additional billing charges, along with the cancellation of your FedEx account number. Use of this system constitutes your agreement to the service conditions in the current FedEx Service Guide, available on fedex.com.FedEx will not be responsible for any claim in excess of $100 per package, whether the result of loss, damage, delay, non- delivery,misdelivery, or misinformation, unless you declare a higher value, pay an additional charge, document your actual loss and file a timely claim. Limitations found in the current FedEx Service Guide apply. Your right to recover from FedEx for any loss, including intrinsic value of the package, loss of sales, income interest, profit, attorney's fees, costs, and other forms of damage whether direct, incidental,consequential, or special is limited to the greater of $100 or the authorized declared value. Recovery cannot exceed actual documented Ioss.Maximum for items of extraordinary value is $1,000, e.g. jewelry, precious metals, negotiable instruments and other items listed in our ServiceGuide. Written claims must be filed within strict time limits, see current FedEx Service Guide. https://www.fedex.com/shipping/html/en//PrintIFrame.html 4/27/2017 1 ALL AMERICAN ASP HALT AN EQUAL OPPORTUNITY EMPLOYER April 27th, 2017 CAT Tracking 2950 Rubidoux Blvd. Riverside, CA 92509 ATTN: Estimating ALL AMERICAN ASPHALT ALL AMERICAN AGGREGATES T 951-736-7600 F 951-739-4671 P.O. BOX 2229, CORONA, CA 92878-2229 CONTRACTORS LICENSE #267073 A,C12 DIR #1000001051 We will be bidding a City of Chino Hills project called "Pipeline Avenue Raised Median Project No. S14009." This project bids Thursday, May 4th, 2017 at 2:00 PM. We are requesting bids from DBE Businesses for the following items of work: Striping and Marking Survey We have Plans and Specifications for review in our office. If you have any questions please contact Edward Ryu at (951) 736-7600. Sincerely, Emily Emberson Project Administrator 0 Z D 0 0 M X Z rn� J171117021401uv Page 1 of 1 After printing this label: 1. Use the 'Print' button on this page to print your label to your laser or inkjet printer. 2. Fold the printed page along the horizontal line. 3. Place label in shipping pouch and affix it to your shipment so that the barcode portion of the label can be read and scanned. Warning: Use only the printed original label for shipping. Using a photocopy of this label for shipping purposes is fraudulent and could result in additional billing charges, along with the cancellation of your FedEx account number. Use of this system constitutes your agreement to the service conditions in the current FedEx Service Guide, available on fedex.com.FedEx will not be responsible for any claim in excess of $100 per package, whether the result of loss, damage, delay, non- delivery,misdelivery,or misinformation, unless you declare a higher value, pay an additional charge, document your actual loss and file a timely claim. Limitations found in the current FedEx Service Guide apply. Your right to recover from FedEx for any loss, including intrinsic value of the package, loss of sales, income interest, profit, attorney's fees, costs, and other forms of damage whether direct, incidental,consequential, or special is limited to the greater of $100 or the authorized declared value. Recovery cannot exceed actual documented Ioss.Maximum for items of extraordinary value is $1,000, e.g. jewelry, precious metals, negotiable instruments and other items listed in our ServiceGuide. Written claims must be filed within strict time limits, see current FedEx Service Guide. https://www.fedex.com/shipping/html/en//PrintIFrame.html 4/27/2017 0 mzo p ci><J � n n D D ccs aAmp rjp mAA�G'� oz — C tti o m o --� cnmmz �'' IIAMo o M ;D fT� Ln IM C mm ZMMZ m W SAD A 0 0 0 0 �. 4 Z M T T = � � XG)0 — w _ -13 C)0 0 0 M� 0 o v =o m CA (-))n.C/) Z m�� 0 .. Doom M Zr A MCO � m ti 0 546J21CFD6153C1 After printing this label: 1. Use the 'Print' button on this page to print your label to your laser or inkjet printer. 2. Fold the printed page along the horizontal line. 3. Place label in shipping pouch and affix it to your shipment so that the barcode portion of the label can be read and scanned. Warning: Use only the printed original label for shipping. Using a photocopy of this label for shipping purposes is fraudulent and could result in additional billing charges, along with the cancellation of your FedEx account number. Use of this system constitutes your agreement to the service conditions in the current FedEx Service Guide, available on fedex.com.FedEx will not be responsible for any claim in excess of $100 per package, whether the result of loss, damage, delay, non- delivery,misdelivery,or misinformation, unless you declare a higher value, pay an additional charge, document your actual loss and file a timely claim. Limitations found in the current FedEx Service Guide apply. Your right to recover from FedEx for any loss, including intrinsic value of the package, loss of sales, income interest, profit, attorney's fees, costs, and other forms of damage whether direct, incidental,consequential, or special is limited to the greater of $100 or the authorized declared value. Recovery cannot exceed actual documented Ioss.Maximum for items of extraordinary value is $1,000, e.g. jewelry, precious metals, negotiable instruments and other items listed in our ServiceGuide. Written claims must be filed within strict time limits, see current FedEx Service Guide. https://www.fedex.com/shipping/html/en//PrintIFrame.html 4/27/2017 1 ALL AMERICAN -ASPHALT- AN SPHALTAN EQUAL OPPORTUNITY EMPLOYER April 27th, 2017 Payco Specialties 120 North 2 d Avenue Chula Vista, CA 91910 ATTN: Estimating ALL AMERICAN ASPHALT ALL AMERICAN AGGREGATES T 951-736-7600 F 951-739-4671 P.O. BOX 2229, CORONA, CA 92878-2229 CONTRACTORS LICENSE #267073 A,C12 DI #1000001051 We will be bidding a City of Chino Hills project called "Pipeline Avenue Raised Median Project No. 514009." This project bids Thursday, May 4th, 2017 at 2:00 PM. We are requesting bids from DBE Businesses for the following items of work: Striping and Marking Survey We have Plans and Specifications for review in our office. If you have any questions please contact Edward Ryu at (951) 736-7600. Sincerely, Emily Emberson Project Administrator v D c CD DCD Z o o �T. .4 y O 0 00 W 4 N Ln CD N 00 n M CDUO 0 n nm NB J171117021401uv Page 1 of 1 — p ccs �nmp o = N n oz C O ��rnE-mz U) o o n Z O m� z%o? N cnv 2 On cpnZ y m m� n C n c -)m n y Z r M m o T V/A O 546J2]CFD6153C1 After printing this label: 1. Use the 'Print' button on this page to print your label to your laser or inkjet printer. 2. Fold the printed page along the horizontal line. 3. Place label in shipping pouch and affix it to your shipment so that the barcode portion of the label can be read and scanned. Warning: Use only the printed original label for shipping. Using a photocopy of this label for shipping purposes is fraudulent and could result in additional billing charges, along with the cancellation of your FedEx account number. Use of this system constitutes your agreement to the service conditions in the current FedEx Service Guide, available on fedex.com.FedEx will not be responsible for any claim in excess of $100 per package, whether the result of loss, damage, delay, non- delivery, misdelivery, or misinformation, unless you declare a higher value, pay an additional charge, document your actual loss and file a timely claim. Limitations found in the current FedEx Service Guide apply. Your right to recover from FedEx for any loss, including intrinsic value of the package, loss of sales, income interest, profit, attorney's fees, costs, and other forms of damage whether direct, incidental, consequentia1, or special is limited to the greater of $100 or the authorized declared value. Recovery cannot exceed actual documented Ioss.Maximum for items of extraordinary value is $1,000, e.g. jewelry, precious metals, negotiable instruments and other items listed in our ServiceGuide. Written claims must be filed within strict time limits, see current FedEx Service Guide. https://www.fedex.com/shipping/html/en//PrintIFrame.html 4/27/2017 1 ALL AMERICAN -ASPHALT- AN SPHALTAN EQUAL OPPORTUNITY EMPLOYER April 27th, 2017 Super Seal and Stripe 310 A. Street Fillmore, CA 93015 ATTN: Estimating ALL AMERICAN ASPHALT ALL AMERICAN AGGREGATES T 951-736-7600 F 951-739-4671 P.O. Box 2229, CORONA, CA 92878-2229 CONTRACTORS LICENSE #267073 A,C12 DI #1000001051 We will be bidding a City of Chino Hills project called "Pipeline Avenue Raised Median Project No. 514009." This project bids Thursday, May 4th, 2017 at 2:00 PM. We are requesting bids from DBE Businesses for the following items of work: Striping and Marking Survey We have Plans and Specifications for review in our office. If you have any questions please contact Edward Ryu at (951) 736-7600. Sincerely, Emily Emberson Project Administrator 00W C Q M C-7 o� 4 .v CQ CD CD 00 W Cn W cD 00 rn� J171117021401uv W 0 D CO X M M 0 Cn CO C C 0-0 X M Cf) CO nn DD Z vv Cf) CO --I - -I -0-0 546J21CFD663Cl Page 1 of 1 CO �Dm0 ZO oorr�� mo m0-2 OZ��mz cnn W�M a p UJc�mO M,SZ11D C— �-Z 'a_ M� 0 After printing this label: 1. Use the 'Print' button on this page to print your label to your laser or inkjet printer." 2. Fold the printed page along the horizontal line. 3. Place label in shipping pouch and affix it to your shipment so that the barcode portion of the label can be read and scanned. CO O>cn F Z m�n m mo.. ;0 �OrN MU3 0 mW� i" 0 Warning: Use only the printed original label for shipping. Using a photocopy of this label for shipping purposes is fraudulent and could result in additional billing charges, along with the cancellation of your FedEx account number. Use of this system constitutes your agreement to the service conditions in the current FedEx Service Guide, available on fedex.com.FedEx will not be responsible for any claim in excess of $100 per package, whether the result of loss, damage, delay, non- delivery,misdelivery,or misinformation, unless you declare a higher value, pay an additional charge, document your actual loss and file a timely claim. Limitations found in the current FedEx Service Guide apply. Your right to recover from FedEx for any loss, including intrinsic value of the package, loss of sales, income interest, profit, attorney's fees, costs, and other forms of damage whether direct, incidental,consequential, or special is limited to the greater of $100 or the authorized declared value. Recovery cannot exceed actual documented Ioss.Maximum for items of extraordinary value is $1,000, e.g. jewelry, precious metals, negotiable instruments and other items listed in our ServiceGuide. Written claims must be filed within strict time limits, see current FedEx Service Guide. https://www.fedex.com/shipping/html/en//PrintIFrame.html 4/27/2017 1 ALL AMERICAN ASPHALT- AN SPHALTAN EQUAL OPPORTUNITY EMPLOYER April 27th, 2017 Caseland Surveying and Mapping 614 North Eckhoff Street Orange, CA 92868 ATTN: Estimating ALL AMERICAN ASPHALT ALL AMERICAN AGGREGATES T 951-736-7600 F 951-739-4671 P.O. BOX 2229, CORONA, CA 92878-2229 CONTRACTORS LICENSE #267073 A,C12 DIR #1000001051 We will be bidding a City of Chino Hills project called "Pipeline Avenue Raised Median Project No. 514009." This project bids Thursday, May 4th, 2017 at 2:00 PM. We are requesting bids from DBE Businesses for the following items of work: Striping and Marking Survey We have Plans and Specifications for review in our office. If you have any questions please contact Edward Ryu at (951) 736-7600. Sincerely, Emily Emberson Project Administrator C C N ZCO Do o X 4 0 0 CO w .p CM CO 0 0 IU O 0 M Z T N CO D X 0 U) CD FmI.I e J171111071401uv Z m N 00 M 00 0 DD Cn CO mm Z Z v 0 Cf) Cf) XM mm 0 Q 90 too D D � V7 546J2/CFD6153C1 Page 1 of 1 Z8-nmO ZO oo��� q - MbOZ E ��mz sl -n -1- 5 3 <g(2(7000 n rr� �W =npD 5. W�z M_ 1� w 0 After printing this label: 1. Use the 'Print' button on this page to print your label to your laser or inkjet printer. 2. Fold the printed page along the horizontal line. 3. Place label in shipping pouch and affix it to your shipment so that the barcode portion of the label can be read and scanned. 00 O> W r .nP. � -5 M op4*7p z (D M �o MWD 0 w ti 0 Warning: Use only the printed original label for shipping. Using a photocopy of this label for shipping purposes is fraudulent and could result in additional billing charges, along with the cancellation of your FedEx account number. Use of this system constitutes your agreement to the service conditions in the current FedEx Service Guide, available on fedex.com.FedEx will not be responsible for any claim in excess of $100 per package, whether the result of loss, damage, delay, non- delivery,misdelivery,or misinformation, unless you declare a higher value, pay an additional charge, document your actual loss and file a timely claim. Limitations found in the current FedEx Service Guide apply. Your right to recover from FedEx for any loss, including intrinsic value of the package, loss of sales, income interest, profit, attorney's fees, costs, and other forms of damage whether direct, incidental,consequential, or special is limited to the greater of $100 or the authorized declared value. Recovery cannot exceed actual documented Ioss.Maximum for items of extraordinary value is $1,000, e.g. jewelry, precious metals, negotiable instruments and other items listed in our ServiceGuide. Written claims must be filed within strict time limits, see current FedEx Service Guide. https://www.fedex.com/shipping/html/en//PrintIFrame.html 4/27/2017