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All American AsphaltSECTION 1200 BID DATE: 5/2/Z1 The undersigned, as bidder, declares it has received and examined the Contract Document entitled Project No. 2023-16, FY23/24 Pavement Management Plan, and will contract with the City, on the form of Contract provided herewith, to do everything required for the fulfillment of the contract for said work at the prices and on the terms and conditions herein contained. We have included the following items and agree that they shall form a part of this bid: SECTION TITLE 1200 Bid 1210 Bid Schedule 1220 Bid Guaranty Bond 1230 Certification of Bidder's Experience and Qualifications 1240 Proposed Subcontractors 1250 Non -Collusion Affidavit 1260 DIR Project Vendor Information 1270 Iran Contracting Act of 2010 1280 Russian Aggression Against Ukraine Sanctions We acknowledge that the following addenda have been received and have been examined as part of the Contract Documents. Bidders must be on the Plan Holders List with the City of La Quinta in order to receive addenda. Addendum # Date Received Initials Attached is a bid guaranty bond as required by Paragraph 1110-15.0, BID GUARANTY. All American Asphalt Name of Bidder (951) 736-7600 Bidder's Telephone Number Bid 1200-1 If our bid is accepted, we agree to sign the contract without qualifications and to furnish the performance and payment bonds and the required evidence of insurance within 10 calendar days after receiving written notice of the award of the contract. We further agree, if our bid is accepted and a Contract for performance of the work is entered into with the City, to so plan work and to prosecute it with such diligence that the work shall be completed within the time stipulated. All American Asphalt Name of Bidder PO Box 2229, Corona, CA 92878 Bidder's Address 267073 Contractor's License No. California State of Incorporation Signatyre of Bidder Edward J. Carlson Printed Name of Signatory Vice President Title of Signatory 951-736-7600 Bidder's Telephone Number publicworks@allamericanasphalt.com Bidder's Email Address 01 /31 /2026 Contractor's Expiration Date Witness Michael Farkas, Secretary Title of Witness Bid 1200-2 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 of that document. State of California County of Riverside On May 2, 2024 before me, Sarah Amanda Langley, Notary Public Date Here Insert name and Title of the Officer personally appeared Edward J. Carlson and Michael Farkas Name(s) of Signer(s) f who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in s SARAH AMANDA LANGLEY hw /their authorized capacity(ies), and that by his,44eF/their ` <• ^ signature(s) nature(s) on the instrument the person(s), or the entity upon behalf Notary Public -California 9 p ( y p = Riverside County > of which the person(s) acted, executed the instrument. ` Commission x 2337877 My Comm. Expires Nov 20, 2024 I certify under PENALTY OF PERJURY under the laws of the State of California that the forgoing paragraph is true and correct. WITNESS ha�andfficial sea%1�� Signat 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 23/24 Pavement Management Plan City of La Quinta Document Date: 05/02/2024 Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Edward J. Carlson ❑ Individual X Corporate Officer —Title(s): Vice President ❑ Partner ❑ ❑ Limited ❑ General RIGHT THUMBPRINT ❑ Attorney in Fact OF ❑ Trustee ❑ Other: Top of thumb here Number of Pages: Signer's Name: Michael Farkas ❑ Individual X Corporate Officer — Title(s): Secretary ❑ Partner, ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Other: Signer is Representing: I I Signer is Representing: Top of thumb here .ALL AM E RI CAN -ASPHALT- At, Lo -ti OI'I'mkium,i Ltitl':r )H, ALL t"\MERICAN ASPHALT ALL AMERICAN AGGREGATES CORPORATE RESOLUTIW4 l f1'.T;'tC'TCtI \ r 2c;117 AL:1.: 71R z I110) ll (h I Resolved, that this Corporation, All American Asphalt, on January 2, 2024 authorizes Edward J. Carlson to execute bid proposals, contracts and agreements on behalf of the company in the capacity of Vice President. Michael Farkas Secretary a ft IS9 O o U o o U a'Ow Om Z J m UU ww = a �z� vw 3 Q ZJ- Z U cSW8 Qa Q N SECTION 1210 BID SCHEDULE PROJECT NO. 2023-16 FY23/24 PAVEMENT MANAGEMENT PLAN City of La Quinta 78-495 Calle Tampico La Quinta, CA 92253 To Whom It May Concern: Pursuant to the Invitation to Bid, and in accordance with the provisions therein stated, the undersigned hereby proposes and agrees that on award by the City under this Bid, to execute a Contract, with necessary bonds, to furnish and install any and all labor, materials, transportation and services for Project No. 2023-16, FY23/24 Pavement Management Plan, in accordance with the plans and specifications therefore adopted and on file with the City within the time hereinafter set forth and at the prices named in this Bid. It is understood that the basis of award shall be the lowest total price of the Base Bid Area plus all Additive Alternates. Unit prices in each and every case represent the true unit price used in preparing the bid schedule totals (Bid Form). Unit prices listed herein include material, installation and appurtenant work as is necessary to have the item complete and in place meeting the full intent of the plans and specifications. We acknowledge that unbalanced unit prices shall be sufficient cause for the rejection of our bid. Bid Schedule 1210-1 BASE BID — FY23/24 PAVEMENT MANAGEMENT PLAN Item Item Description Est. Unit Unit Price Item Total No. Qty. (in figures) (in figures) Dollars Dollars 1 Mobilization 1 LS $ / or, 60o $ /vf 00 2 Traffic Control 1 LS $ 59 dCX) $ S 7 06a 3 Crack Seal and Type II, Latex 2,168,500 SF $ �, 3�G $ 7372,90 Emulsion Aggregate Slurry 4 Pavement Repair Type I: 2" Grind 19,960 SF $ 3.qD $ -77 ey `f and Asphalt Concrete Overlayi Pavement Repair Type II: Edge 5 Repair AC Shoving; Grind AC 70 SF $ 1 Z3 ' 06 $ ( D Shoving 2 Below Adjacent Surface and 2" Overlay Pavement Repair Type III: 6 Remove Existing AC, Compact 370 SF $ 9$ - S6 $ Z I Existing Base, and Variable , Overlay (Depth Per Plan 7 Signing and Striping, Including All 1 LS $ / y0 000 $ ) `f0, 000 Incidentals Total Amount of Bid Items 1 — 7 $ /, /52) 321.0 City may award all or none of the following additive alternates: ADDITIVE ALTERNATE NO. 1 Item Item Description Est. Unit Unit Price Item Total No. Qty. (in figures) (in figures) Dollars Dollars 1 Lower Sewer Manhole to Grade 1 EA $ 2 100 $ 2 OCR per CVWD Standards 2 Raise Sewer Manhole to Grade 1 EA $ 2. 300 $ per CVWD Standards > > Total Amount of Additive Alternate 1 Bid Items 1 — 2 $ Bid Schedule 1210-2 onnITIVF Al TFRNATF NO. 2 - AVENUE 60 Item Item Description Est. Unit Unit Price Item Total No. Qty. (in figures) (in figures) Dollars Dollars 1 Mobilization 1 LS $ � Z ) 00b $ y 2, 000 2 Traffic Control 1 LS $ 2�'500 _E $ 2 3 Sawcut, Remove, and Dispose of Existing Concrete Sidewalk, 1,490 SF $ l o -00 $ 14,Rob Ramp, and Cross -Gutter 4 Construct Sidewalk per City of 55 SF $ $ 4. 010 La Quinta Standard 240 Construct Concrete Curb Ramp 5 per City of La Quinta Standard 1 EA $ 12�000 $ I Z�OOc� 250, Case A 6 Crack Seal and Type II, Latex 345,470 SF $ 0.40 $ 13$� 188 Emulsion Aggregate Slurry 7 Pavement Repair Type I: 2" Grind and Asphalt Concrete 12,990 SF $ S -00 $ 6�j qSC) Overlay Pavement Repair Type III: 8 Remove Existing AC, Compact 140 SF $ 14 g'Oe $ 20 720 Existing Base, and Variable Overlay (Depth Per Plan 9 Construct 5"-6" Asphalt Concrete Over Recompacted 780 SF $ 1 g 00 $ 14, 01+0 Existing Base Grade Parkway, Remove, 10 Modify, and Replace Landscape and Irrigation In 1 LS $ 1 91 1000 $ 1 9)000 Kind to Furthest Extent Possible to Join Proposed Curb Ram 11 Signing and Striping, Including 1 LS 1 $ 9 5, 00 0 $ 96,000 All Incidentals Total Amount of Additive Alternate 2 Bid Items 1 —11 $ 4g9131aS Bid Schedule 1210-3 ADDITIVE ALTERNATE N0_ 3 — APPENDIX D Item Item Description Est. Unit Unit Price Item Total No. Qty. (in figures) (in figures) Dollars Dollars 1 Mobilization 1 LS $ 7 25() $ C-3C7 2 Traffic Control 1 LS $ 2 06 $ 2�� OD Striping and Pavement 3 Markings, Including All 1 LS $ 2k, OW $ 2-(o�000 Incidentals Total Amount of Additive Alternate 3 Bid Items 1 -3 $ 35 350 GRAND TOTAL BASE BID PLUS ALL ADDITIVE ALTERNATES (Figures): GRAND TOTAL BASE BID PLUS ALL ADDITIVE ALTERNATES (Words): ONC ►nil I L-Ck otJ 11 S l X N+U N p ZZD FoRT`(- UN E Tj+DCt9+nl 0,, FIVE t�WJ D Q-Cp S4E�I4EIJ SO L LftQ.S AN A.) q:C� CD Q Bid Amount of each of the above Bid Items must be filled in and completed. It is understood that the quantities shown hereon are but estimates and the bidder is responsible to verify quantities prior to submitting a bid. Final payment will be based upon actual work performed, subject to such adjustments and alterations as elsewhere provided herein. Signature of Bidder (Ink) Edward J. Carlson, Vice President Name of Bidder (Printed or Typed) 951-736-7600 Bidder Telephone Number publicworks@allamericanasphalt.com Bidder Email Address Bid Schedule 1210-4 Bond No. 08597423 Bid Date: 05/09/2024 SECTION 1220 BID GUARANTY BOND PRINCIPAL, and Fidelity and Deposit Company of Maryland , as SURETY, are held and firmly bound unto the City in the penal sum of TEN (10) PERCENT OF THE TOTAL AMOUNT OF THE BID of the Principal above named, submitted by said Principal to the City for the work described below, for the payment of which sum in lawful money of the United States, well and truly to be made to the City to which said bid was submitted, we bind ourselves, our heirs, executors, administrators, and successors, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT WHEREAS, the Principal has submitted the above -mentioned bid to the City, for certain construction specifically described as follows, for which bids are to be opened at La Quinta, California. PROJECT NO.2023-16 FY23/24 PAVEMENT MANAGEMENT PLAN NOW, THEREFORE, if the aforesaid Principal is awarded the contract and, within the time and manner required under the specifications, after the prescribed forms are presented to him/her for signature enters into a written contract in the prescribed form, in accordance with the bid, and files two bonds with the City, one to guarantee faithful performance, and the other to guarantee payment for labor and materials as required by law, and provide certificate of insurance coverage required by the Contract Documents, then this obligation shall be null and void; otherwise, it shall be and remain in full force and virtue. IN WITNESS WHEREOF, we have hereunto set our hands on this 30th day of April . 2024. All American Asphalt J. Ca�lJati, V� Title of Signatory Signatt of Principal 400 East Sixth Street, Corona, CA 92879 Address Fidelity and Deposit Company of Maryland Rebecca Haas -Bates, Attorney -in -Fact Title of Signatory Signature of Surety 777 S. Figueroa Street, Suite 3900 Los Angeles, CA 90017 Address Note: Signatures of those executing for the surety must be properly acknowledged. Bid Guaranty Bond 1220-1 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 of that document. State of California County of Riverside on May 2, 2024 before me, Sarah Amanda Langley, Notary Public Date Here Insert name and Title of the Officer personally appeared Edward J. Carlson Name(a}of Signer(Tr SARAH AMANDA LANGLEY Notary Public - California Riverside County Commission # 2337877 �1 •"� My Comm. Expires Nov 20, 2024 who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/herlth& authorized capacity(fes), and that by his/heA4heir signature(s) on the instrument the person(&), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the forgoing paragraph is true and correct. WITNESS^ hand and official seal Signat e IMAIA Place Notary Seal Above Ignature of No ary ubllc 4 "I" nL 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 Document Date: 04/30/2024 Signer(&) Other Than Named Above: Number of Pages: 3 Rebecca Haas -Bates (Attorney in Fact) Capacity(ies) Claimed by Signer(&) Signer's Name: Edward J. Carlson ❑ Individual X Corporate Officer — Title(s): Vice President ❑ Partner ❑ Limited ❑ General ❑ Attorney in Fact 7T.p ❑ Trustee of thumb here ❑ Other: Signer is Representing: Signer's Name: ❑ Individual N/A ❑ Corporate Officer — Title(s): N/A ❑ Partner ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Other: N/A Signer is Representing: Top of thumb here CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL •. 2.T2,TC.T�.Tt.T�.T<.T2.T2T<.T2.�nC/�.• �. LI.�C!Tt.TQ!T�. Tf.s1'.TL �L.TG.:1,T2�C.:�2.'.�•.AQ.L�I.'.�2.T<.TS�C TC.T2.T�'. T2 <l.�?C.T�.:�f.T�.:�'.T .SQL. 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 04/301/2024 before me, L. Gomez, Notary Public Date Here Insert Name and Title of the Officer personally appeared Rebecca Haas -Bates Name(*of Signerrsl who proved to me on the basis of satisfactory evidence to be the persons} whose name(b . is/axe subscribed to the within instrument and acknowledged to me that'he/she/they executed the same in flfs/her/their authorized capacity, and that by his,/her/twe r signatures on the instrument the person(, or the entity upon behalf of which the persons) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. *my L. GOMEZNotary Public - California WITNESS my hand and official seal. orange County Commission = 2413682 Comm. Expires Aug 23, 2026 Now Signature Si nature of NoteVy 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: 04/30/2024 Number of Pages: One 1 Signer(s) Other Than Named Above: All American Asphalt Capacity(ies) Claimed by Signer(s) Signer's Name: Rebecca Haas -Bates ❑ Corporate Officer — Title(s): O Partner — ❑ Limited ❑ General ❑ Individual W Attorney 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: G�4's4`;4v4�4�4`✓4`,4�t/,4�%4�=!4<N4'.•/4\'i4�.4✓4`.4�4'✓4`.4�4�4�:4�✓.5�4�'✓.4\�4'✓4"✓• �4`.4`.4`.4�.4v 4�:/4'.v4-✓4�.5'✓GAL 4�: 4\:.\!4'✓ •✓4\ EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8, Attomevs-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 I Oth day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this 30th day of April , 2024 . �,�PUw"rr'hq GeSUelly dn''... ,,,turrrrr,,, ,uirru ` INS "' P`Pd. �GPX..... UR9,1,'.�` OSM1 CON, � ``��o'°c O •'+°d''''s a E /UpPP Hq,�� .`` `` 4.Q•'Q,POq'`•ci�`'' �``p0i•'rpp�.��.�''' Q i O Hm o'_ : F 0 q9m� o A SEAL 2 SEAL =a� SEAL 'Sa '"�"nn,,,,u '','" vEw 0 - Thomas 0. McClellan Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND, THE BOND NUMBER, AND YOUR CONTACT INFORMATION TO: Zurich Surety Claims 1299 Zurich Way Schaumburg, IL 60196-1056 renortsfclai msCa.zurichna. com 800-626-4577 Authenticity of this bond can be confirmed at bondvalidator.zurichna.com or 410-559-8790 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Robert D. Murray, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint William SYRKIN, Richard ADAIR, Rebecca HAAS-BATES of Irvine, California, its true and lawful agent and Attomey-in-Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 1 Ith day of October, A.D. 2023. YdgO'i,, ``"�'PN INSU'ii, •�` "g�l'eDi„p :••`�f''Q,POq.`y�z •�4�fOQ,P Oq`.y�l�,n'' =��0 •' �; 3j }n"s_°a O '9s of `t SEAL l3 n• ""' "" °Pµ" ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND By: Robert D. Murray Vice President By: Dawn F. Brown Secretary State of Maryland County of Baltimore On this 11 th day of October, A.D. 2023, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, Robert D. Murray, Vice President and Dawn E. Brown, Secretary of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly swom, deposeth and saith, that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. Genevieve M. Maison - O: GENEVIEVE M. MAISON :z- PUeu� NOTARY PUBL.IC - 9 oti�.'o: '�r•:o?R�'.2 �' BALTIMORE COUNTY, MD Mr Commission Expires JANUARY 27, 2025 Authenticity of this bond can be confirmed at bondvalidator.zurichna.com or 410-559-8790 SECTION 1230 CERTIFICATION OF BIDDER'S EXPERIENCE AND QUALIFICATIONS The undersigned Bidder certifies that he is, at the time of bidding, and shall be, throughout the period of the contract, licensed under the provisions of Chapter 9, Division 3, of the Business and Professions Code of the State of California, to do the type of work contemplated in the Contract Documents. Bidder shall further certify that it is skilled and regularly engaged in the general class and type of work called for in the Contract Documents. The Bidder represents that it is competent, knowledgeable, and has special skills on the nature, extent, and inherent conditions of the work to be performed. Bidder further acknowledges that there are certain peculiar and inherent conditions existent in the construction of the particular facilities, which may create, during the construction program, unusual or peculiar unsafe conditions hazardous to persons and property. Bidder expressly acknowledges that it is aware of such peculiar risks and that it has the skill and experience to foresee and to adopt protective measures to adequately and safely perform the construction work with respect to such hazards. The Bidder shall list below four (4) projects completed in the last seven (7) years of similar size and complexity that indicate the Bidder's experience as a General Contractor. 1. Project Name: Local Residential St. Improvement Project Owner: City of Burbank Construction Cost: $ 7,761,320.00 Construction Time: 01 /2022 - 12/2022 Calendar Days Owner's Representative: Artin Megerdichian Owner's Telephone No.: 818-238-3942 Date of Substantial Completion: 12/2022 2. Project Name: Pavement Management Program Owner: City of Highland Construction Cost: $ 2,082,099.00 Construction Time: 10/2021 - 12/2022 Calendar Days Owner's Representative: Amanda Perez Owner's Telephone No.: 909-864-6861 Date of Substantial Completion: 12/2022 Bidders Experience & Qualifications 1230-1 3. Project Name: E. Coast Highway & Marguerite Avenue Pavement Rehab Contract No. 7807-2 4. Owner: City of Newport Beach Construction Cost: $ 3,363,056.00 Construction Time: 01/2022 - 10/2022 Owner's Representative. Ben Davis Owner's Telephone No.: 949-644-3311 Date of Substantial Completion: 10/2022 Project Name: Local Street Rehabilitation Project Owner: City of Norwalk Construction Cost: $ 1,041,470.00 Construction Time: 01/2021 - 12/2022 Owner's Representative: Damian Rosales Owner's Telephone No.: 562-929-5527 Date of Substantial Completion: 12/2022 Calendar Days Calendar Days Signed this Znd day of Z��12024. All American Asphalt 267073 Name of Bidder z/., 6% Signature of idder Edward J. Carlson Printed Name of Bidder 1000001051 Contractor's License No. DIR Reg No. 01 /31 /2026 Expiration Date Vice President Title of Signatory Bidders Experience & Qualifications 1230-2 2023 PAST WORK REFERENCES City of Loma Linda 25541 Barton Road Loma Linda, CA 92354 Manhattan Beach, CA 90266 Contact: Jarb Thaipejr (909) 799-2811 ithaipeir@lomalinda-ca.gov Euclid Land Venture, LLC 4450 Macarthur Blvd., Ste 100 Newport Beach, CA 92693 Contact: Scott Kendall (949) 783-5341 khaymes@ranchomv.com City of Aliso Viejo 12 Journey Ste #100 Aliso Viejo, Va 92656 Contact: Shaun Pelletier (949) 425-2531 spelletier@avcity.org RMV Realty, Inc. 28811 Ortega HWY San Juan Capistrano, CA 92693 Contract: Jeff Ford (949) 413-8899 iford@ranchomv.com City of Monterey Park 320 W. Newmark Avenue Monterey Park, CA 91754 Contact: Anthony Bendezu (626) 307-1283 a bendezy@ montereypark.ca.eov Pavement Rehab. at Various Locations Contract Amount: $1,476,363.00 Start Date: 9/1/2023 End Date: 12/2023 Merrill Ave. Street Widening Contract Amount: $915,915.00 Start Date: 4/2022 End Date: 2/2023 FY22-23 Slurry Seal & Rehab Project Contract Amount: $1,595,650.00 Start Date: 5/2022 End Date: 5/2023 PA 3.2A Street Improvement Contract Amount: $1,244,244.00 Start Date: 4/2022 End Date: 8/2023 2023 Street Rehabilitation Project Contract Amount: $6,865,699.00 Start Date: 8/2023 End Date: 12/2023 2023 PAST WORK REFERENCES City of Fullerton 303 W. Commonwealth Ave Fullerton, CA 92632 Contact: Pete Acosta, Jr. (714) 738-6871 PeteA@cityoffullerton.com City of Ontario 303 East B Street Ontario, CA 91764 Contact: Leonard Lui (909) 295-2401 LLui@ontarioca.gov. City of Riverside 2900 Main St. Riverside, CA 92522 Contact: Maria Lamping (951) 826-5146 mlamping@riversideca.gov City of Ontario 825 East Third Street San Bernardino, CA 92415 Contact: Samuel E. Nicorici (909) 387-7960 bdavis@newportbeachca.aov City of Costa Mesa 77 Fair Drive Costa Mesa, CA 92626 Contact: Irina Gurovich (714) 754-5324 Irina.gurovich@costamesaca.gov Brookhurst Rd., SR91 St. Rehab Contract Amount: $325,825.00 Start Date: 5/2023 End Date:12/2023 2023 Fall Pavement Rehabilitation Project Contract Amount: $4,569,222.00 Start Date: 08/2023 End Date: 12/2023 Permanent Trench Resurfacing Contract Amount: $455,150.00 Start Date:1/2023 End Date: 6/2023 Chino & Montclair Area Variours Roads Overlay Project Contract Amount: $5,639,575.88 Start Date: 9/2022 End Date: 7/2023 Slurry Seal Project Contract Amount: $2,828,001.50 Start Date:1/2022 End Date: 7/2023 2022 PAST WORK REFERENCES City of Manhattan Beach 1400 Highland Ave. Manhattan Beach, CA 90266 Contact: Bianca Cardenas (310) 802-5357 bcardenasOmanhattanbeach.gov RMV Realty, Inc. 28811 Ortega Hwy San Juan Capistrano, CA 92693 Contact: Kelly Haymes khaymesOranchomv.com City of Westlake Village 31200 Oak Crest Dr. Westlake Village, CA 91361 Contact: Roxanne Hughes (805) 890-8885 rhughes0willdan.com City of Burbank 275 E Olive Burbank, CA 91502 Contact: Artin Megerdichian (818) 238-3942 amegerdichian0burbankca.gov City of Highland 27215 Base Line St. Highland, CA 9234 Contact: Amanda Perez (909) 864-6861 aperez cityofhighland.org Toll Bros, Inc. 725 W. Town & Country Road, Ste 200 Orange, CA 92868 Contact: Brandon Haskell (714) 347-1360 bhaskel IOtollbrothers.com Slurry Seal of Central Area of Sands Section Contract Amount: $673,275.00 Start Date:12/2021 End Date: 7/2022 Planning Area 3.1 Street Improvement Contract Amount: $3,996,996.00 Start Date: 4//2021 End Date: 4/2022 Dales Dr. and Parkridge Ave Street Improv. Amount: $1,025,336.00 Start Date: 5/2022 End Date: 6/2022 Local Residential St. Improv. Project Contract Amount: $7,761,320.00 Start Date:1/2022 End Date: 12/2022 Pavement Management Program Contract Amount: $2,082,099.00 Start Date: 10/2021 End Date:12/2022 The Metro Heights Contract Amount: $2,675,250.00 Start Date: 11/2021 End Date: 4/2022 2021 PAST WORK REFERENCES Colony Commerce C/O Caprock Partners 1300 Dove Street Suite 200 Newport Beach, CA 92660 Contact: Eric Nutter (949) 428-1400 Ext. 209 enutter@moote.com Lennar Homes 25 Enterprise #300 Aliso Viejo, CA 92656 Contact: Diane Hannon (949)349-8000 Diane.hannor@-Leninar.com City of Norco 2870 Clark Ave. Norco, CA 92860 Contact: Todd Shank (951) 270-5603 Todd.shank@norco.ca.us Archibald St. Improvements Contract Amount: $1,949,000.00 Start:12/2019 Completed:12/2021 Merrill & Haven Street Improvement ContractAmount: $1,481,832.15 Start: 6/2020 Completed: 12/2021 Wayne Makin Park Slurry Seal Project Contract Amount: $52,725.89 Start:10/2021 Completed:12/2021 Los Angeles Department of Water and Power Pine Tree Power Plant Access Road Repair 111 North Hope Street, L-43 Improvements Los Angeles, Ca 90012 Contract Amount: $810,400.00 Contact: Joelle Morisseau (213) 367-0123 Start: 5/2021 JoI.le.morissea AA-LP�� Completed:7/2021 City of Dana Point 33282 Golden Lantern Dana Point, CA 92629 Contact: Scott Fisher (949) 248-3577 sfsher@DanaPoint.org Slurry Seal Project 19/20 Contract Amount: $1,897,897.00 Start: 04/2020 Completed: 05/2021 2021 PAST WORK REFERENCES City of Corona 400 South Vicentia Corona, CA 92862 Contact: Barry Ghaemi (951) 736-2400 bghaemigCoronaca.gov. City of Anaheim 200 S. Anaheim Boulevard Anaheim, CA 92805 Contact: Jose Cortez (714) 765-5039 jcortez@anehelm:net Street Pavement Maintenance & Rehab. Project No. 2020.01 Contract Amount: $3,471,178.00 Start: 6/2021 Completed: 1/2022 State College Boulevard Improvement from Ball Road to SR 91 Freeway Contract Amount: $484,848.00 Start: 8/2021 Complete: 4/2022 County of Orange Rossmoor Collectors Grind & Overlay 601 North Ross Street Contract Amount: $ 2,148,320.90 Santa Ana, CA 92701 Start: 4/2021 Contact: Stephen Clayton (714) 995-0206 Complete:12/2021 Stephen.clayton@ocpw.4cgov_ccm City of Norwalk 12700 Norwalk Blvd. Norwalk, CA 90650 Glen W. C. Kau (562) 929-5723 gkau@norwallcca,ggv City of Garden Grove 11222 Acacia Pkwy Garden Grove, CA 92840 Navin Maru (714) 741-5180 nmaru@ggcity.org Local Streets Rehabilitation Zone 27 East of Gard - No. 7925.3 Contract Amount: $1,051,330.00 Start: 6/2021 Completed: 12/2021 Arterial STS. Rehabilitation Contract Amount: $3,185,281.00 Start: 6/2022 Complete:12/2021 2020 PAST WORK REFERENCES City of Ontario 303 East B Street Ontario, CA 91764 Contact: Ariana Kern (909) 395-2129 akern(a)ontarioca.gov City of Loma Linda 25541 Barton Road Loma Linda, CA 92354 Contact: T. Jarb Thaipejr (909) 799-4400 ithaipeir(a.lomalinda-ca.gov City of Jurupa Valley 8920 Limonite Avenue Jurupa Valley, CA 92509 Contact: Chase Keys (951) 332-6464 ckeysa-iurupavalley.org County of Orange 601 N. Ross Street, 4'" Floor Santa Ana, CA 92701 Contact: Albert Rodriguez (714) 667-8800 a Ibert. rod rigueza-ocpw. ocgov. com City of Compton 205 S. Willowbrook Avenue Compton, CA 90220 Contact: Brittany Duhn (310) 605-5505 bduhn(a-D-zandkconsultants.com City of Huntington Beach 2000 Main Street Huntington Beach, CA 92648 Contact: Joe Fuentes (714) 536-5259 ifuentesa-surfcity-hb. org 2020 Fall Pavement Rehabilitation Project Contract Amount: $2,499,333.00 Start Date: 07/2020 End Date: 12/2020 Pavement Rehabilitation — Barton Road Contract Amount: $768,677.00 Start Date: 04/2020 End Date: 12/2020 Granite Hill Drive Pavement Rehabilitation Contract Amount: $999,777.00 Start Date: 04/2020 End Date: 10/2020 JOC Pavement Maintenance Contract Amount: $2,584,747.69 Start Date: 07/2020 End Date: 08/2020 Annual Residential Street Rehabilitation — Phase 1 Contract Amount: $5,295,068.00 Start Date: 05/2020 End Date: 11 /2020 Arterial Rehabilitation of Graham St, Slater Ave, Newland St and Atlanta Ave Contract Amount: $5,181,955.00 Start Date: 05/2020 End Date: 11 /2020 2020 PAST WORK REFERENCES City of Newport Beach 100 Civic Center Drive Newport Beach, CA 92660 Contact: Patricia Kharazmi (949) 644-3344 pkharazmiC@-newportbeachca.gov City of Westminster 8200 Westminster Boulevard Westminster, CA 92683 Contact: Theresa Tran (714) 548-3460 ttran@westminster.ca.gov Crescenta Valley Water District 2700 Foothill Boulevard La Crescenta-Montrose, CA 91214 Contact: Brook Yared (818) 236-4117 byared(&-cvwd.com City of Alhambra 111 S. 1 st Street Alhambra, CA 91801 Contact: Robert Bias (626) 580-5000 rbias@cityofalhambra.org County of Ventura 800 S. Victoria Avenue, #1600 Ventura, CA 93009 Contact: Matt Maechler (805) 477-1911 matthew maechiera-ventura.orq City of Camarillo 601 Carmen Drive Camarillo, CA 93010 Contact: Thang Tran (805) 388-5345 ttran[c-cityofcamarillo.org Cameo Highlands Street Reconstruction Contract Amount: $2,425,694.00 Start Date: 07/2020 End Time: 11 /2020 Citywide Overlay Street Improvements Contract Amount: $1,131,621 Start Date: 02/2020 End Date: 06/2020 Final Paving of Pennsylvania Ave Contract Amount: $82,620.00 Start Date: 02/2020 End Date: 04/2020 2020 HUD Street Improvements Project Contract Amount: $300,433.00 Start Date: 06/2020 End Date: 10/2020 Yerba Buena Rd. (South) Pavement Resurfacing Contract Amount: $2,298,467.40 Start Date: 03/2020 End Date: 06/2020 Earl Joseph Drive Paving Contract Amount: $681,901.50 Start Date: 06/2020 End Date: 07/2020 2019 PAST WORK REFERENCES Pardee Homes 1250 Corona Pointe Court, Ste. 600 Corona, CA. 92879 Contact: Nick Lasher (951) 428-4442 nick.lasher oardeehomes.com City of Fontana 8353 Sierra Avenue Fontana, CA. 92335 Contact: Kimberly Young (909) 350-7632 kyoune@fontana.ore DR Horton 2280 Wardlow Circle Ste. 100 Corona, CA. 92880 Contact: Keith Alex (951) 830-5872 kalex@drhorton.com Irvine Community Development Company 550 Newport Center Dr. Ste. 550 B2 Newport Beach, CA. 92660 Contact: Mike Morse (949) 720-2560 mmorse@ irvinecompany.com City of Downey 11111 Brookshire Avenue Downey, CA. 90241 Contact: Desi Gutierrez, (562) 904-7110 d utierrOdownevca.ore Railroad Canyon Widening Contract Amount: $5,062,746.00 Start Date: 11/2018 End Time: 08/2019 Citrus Avenue Improvements Contract Amount: $502,730.00 Start Date: 08/2018 End Date: 10/2019 Singlton Road Contract Amount: $1,684,000.00 Start Date: 07/2018 End Date:12/2019 Portola Springs PA-6 Enclave 5B Phasel,2 Contract Amount: $2,055,055.00 Start Date: 09/2018 End Date:12/2019 FY 18/19 Slurry Seal Project Contract Amount: $313,425.87 Start Date: 06/2019 End Date: 12/2019 SECTION 1240 PROPOSED SUBCONTRACTORS Pursuant to California Public Contracting Code, Section 4100 et. seq., the following list gives the name, business address, and portion of work (description of work to be done) for each subcontractor that will be used in the work if the bidder is awarded the Contract. (Additional supporting data may be attached to this page. Each page shall be sequentially numbered and headed "Proposed Subcontractors" and shall be signed.) 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 and the amount of any such "Specialty Items" so performed will be deducted from the Contract Price before computing the amount required to be performed by the Contractor with its own organization. "Specialty Items" will be identified by the Agency in the Bid or in the Special Provisions. Where an entire item is subcontracted, the value of work subcontracted will be based on the Contract Unit Price. Subcontractor/Business Address/Description of Work/% of Work/License No./DIR Reg No. rAD P-� k-V�2ED ctZ ILL AE ftg-ev� M Z �-A-L // /. 95, * 996 �U /DIP-= ) 0 do P!`tv rv� .1i V 1�f4 N 6 S t f�P� . CA Is i � P" 0 � / / `�. �/4'0 .Dip: / bO()DC)1q 7� 01 Signature of Bidder Edward J. Carlson, Vice President Name of Bidder Proposed Subcontractors 1240-1 SECTION 1250 NON -COLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ) ) ss. County of Riverside ) Edward J. Carlson being first duly sworn, deposes and say that he or she is Vice President of All American Asphalt , the party making the foregoing bid that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly sought by contract, 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. Signature i Edward J. Carlson Name of Bidder Vice President Title 51212' { Date Non -Collusion Affidavit 1250-1 2CALIFORNIA JURAT GOV CODE § 8202 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Riverside SE'y „� TyF SARAH AMANDA LANGLEY Notary Public - Caiifornia = Riverside County + Commission I L331611 My Comm. Expires Nov 20, 2024 ~ Subscribed and sworn to (or affirmed) before me on this 2nd day of May 2 A Date Month By (1) Edward J. Carlson Name of Signer Proved to me on the basis of satisfactory evidence be the person who appeared before me (.) (,) (and (2) Name of Signer Proved to me on the basis of satisfactory evidence be the person who appeared before me.) aed &n� Signatur Place Notary Seal Above Signature of Notary Public r OPTIONAL Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Further Description of Any Attached Document Title or Type of Document Non Collusion Affidavit Document Date: 05/02/2024 Number of Pages: 1 Signer(s) Other Than Named Above: N/A Top of thumb here Top of thumb here SECTION 1260 DIR Project Vendor Information Vendor Information: Name: All American Asphalt Address: PO Box 2229 City: Corona ST: CA Zip: 92878 Project Manager: Augustine Del Los Reyes Email: publicworks@allamericanasphalt.com Phone: 951-736-7600 CSLB/Certification Number: Public Works Registration No.: 1000001051 Classification: 267073 Asbestos Boilermaker Bricklayers Carpenter Carpet/Linoleum Cement Masons X Drywall Finisher Drywall/Lathers Electricians Elevator Mechanic Glaziers Iron Workers Laborers X Millwrights Operating Eng X Painters Pile Drivers Pipe Trades Plasterers Roofer SheetMetal Sound/Com Surveyor Teamster Tile Worker Prevailing Wages and Payroll: The project is subject to prevailing wage rates and enforcement by the Department of Industrial Relations (DIR). Prevailing wage rates can be obtained at: hftp://www.dir.ca.gov/Public-Works/Prevailing-Wage.html. Contractors and subcontractors on most public Works projects are required to submit certified payroll records to the Labor Commissioner using DIR's electronic certified payroll reporting system. For your convenience, the link for reporting certified payroll is: http://www.dir.ca.gov/Public-Works/Certified-Payroll-Reportin-g.html. A copy of certified payroll, including the names and addresses of employees and/or subcontractors working on the job must be included with invoices submitted to the City of La Quinta. DIR Project Vendor Information 1260-1 6/7/23, 3:02 PM https://cadir.my.salesforce-sites.com/ContractorSearch/PrintReg Details Contractor Information Legal Entity Name ALL AMERICAN ASPHALT Legal Entity Type Corporation Status Active Registration Number 1000001051 Registration effective date 7/1/2023 Registration expiration date 6/30/2026 Mailing Address PO BOX 2229 CORONA 92878 CA United States ... Physical Address 400 E SIXTH ST CORONA 92879 CA United State... Email Address Trade Name/DBA License Number(s) CSLB:267073 CSLB:267073 Legal Entity Information Corporation Number: Federal Employment Identification Number: President Name: Mark Luer Vice President Name: Edward J. Carlson Treasurer Name: Secretary Name: Michael Farkas CEO Name: Agent of Service Name: Michael Farkas Agent of Service Mailing Address: 400 E 6th St, Corona, CA Corona 92879 CA United States of America Workers Compensation Do you lease employees No through Professional hftps:Hcadir.my. salesforce-sites.com/ContractorSearch/PrintReg Details Registration History Effective Date Expiration Date 5/11/2018 6/30/2019 5/8/2017 6/30/2018 5/2/2016 6/30/2017 6/9/2015 6/30/2016 8/25/2014 6/30/2015 7/1/2019 6/30/2020 7/1/2023 6/30/2026 7/1/2020 6/30/2023 SECTION COMPLIANCE WITH IRAN CONTRACTING ACT OF 201 Pursuant to the Iran Contracting Act of 2010 (Pub. Contract Code, § 2200 et seq.), (a) Contractor shall be ineligible to bid on or submit a proposal for any contract for One Million Dollars ($1,000,000) or more if Contractor engages in investment activities in Iran as defined in Public Contract Code Section 2202.5, and/or if Contractor is identified on the list of persons engaging in investment activities in Iran prepared by the State of California pursuant to Public Contract Code Section 2203 subdivision (b). (b) For bids of One Million Dollars ($1,000,000) or more, Contractor must certify that it is not on the list of ineligible vendors prohibited from doing business with the State of California and shall complete the Iran Contracting Act Certification and submit with their proposal at the time of bid. Contractor shall obtain the Iran Contracting Act Certification in the form approved by the State of California, or upon written request to the City Clerk's Office, a copy of the form will be provided to Contractor. Failure by Contractor to provide the certification required by this Section may deem Contractor's bid non -responsive. (c) Nothing in this Section is intended to prevent the City from exercising its rights pursuant to Public Contract Code section 2203, subdivision (c) or (d), or both, on a case -by -case basis. Iran Contracting Act Certification 1270-1 IRAN CONTRACTING ACT CERTIFICATION Pursuant to the Iran Contract Act of 2010 (Public Contract Code 2200-2208), Vendors/Bidders are ineligible to bid on or submit a proposal for any contract with a public entity for goods or services of one million dollars ($1,000,000) or more if the Vendor/Bidder engages in investment activities in Iran. MUST BE SUBMITTED WITH BID PROPOSAL IF BID AMOUNT IS $1,000,000 OR MORE Prior to bidding on, submitting a proposal, or executing a contract or renewal for a public entity contract for goods or services of $1,000,000 or more, a vendor must either: a) certify it is not on the current list of persons engaged in investment activities in Iran created by the California Department of General Services ("DGS") pursuant to Public Contract Code section 2203(b) and is not a financial institution extending $20,000,000 or more in credit to another person, for 45 days or more, if that other person will use the credit to provide goods or services in the energy sector in Iran and is identified on the current list of persons engaged in investment activities in Iran created by DGS; or b) demonstrate it has been exempted from the certification requirement for that solicitation or contract pursuant to Public Contract Code section 2203(c) or (d). To comply with this requirement, please insert your vendor or financial institution name and Federal ID Number (if available) and complete one of the options below. Please note: California law establishes penalties for providing false certifications, including civil penalties equal to the greater of $250,000 or twice the amount of the contract for which the false certification was made, contract termination, and three-year ineligibility to bid on contracts. (Pub. Cont. Code § 2205.) OPTION #1 - CERTIFICATION I, the official named below, certify I am duly authorized to execute this certification on behalf of the vendor/financial institution identified below, and the vendor/financial institution identified below is not on the current list of persons engaged in investment activities in Iran created by DGS and is not a financial institution extending twenty million dollars ($20,000,000) or more in credit to another person/vendor, for 45 days or more, if that other person/vendor will use the credit to provide goods or services in the energy sector in Iran and is identified on the current list of persons engaged in investment activities in Iran created by DGS. certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Vendor Name/Financial Institution (Printed) Federal ID Number (or n/a) All American Asphalt 95-2595043 By (Authorized,$ignAW 'rintedrNameand Title of Person Signing Date Executed Edward J. Carlson, Vice President I 5�212`( Iran Contracting Act Certification 1270-2 OPTION #2 — EXEMPTION Pursuant to Public Contract Code sections 2203(c) and (d), a public entity may permit a vendor/financial institution engaged in investment activities in Iran, on a case - by -case basis, to be eligible for, or to bid on, submit a proposal for, or enters into or renews, a contract for goods and services. If you have obtained an exemption from the certification requirement under the Iran Contracting Act, please fill out the information below, and attach documentation demonstrating the exemption approval. Vendor Name/Financial Institution (Printed) I Federal ID Number (or n/a) By (Authorized Signature) Printed Name and Title of Person Signing I Date Executed Iran Contracting Act Certification 1270-3 SECTION 1280 COMPLIANCE WITH CALIFORNIA EXECUTIVE ORDER N-6-22 RUSSIAN AGGRESSION AGAINST UKRAINE (a) Contractor shall comply with California Governor Executive Order N-6-22 regarding sanctions in response to Russian aggression in the Country of Ukraine, and any implementing guidelines and/or economic sanctions imposed by the United States government in response to Russian actions in Ukraine, as well as any sanctions imposed under California law (collectively "economic sanctions"). Contractor shall comply with all such economic sanctions. By submitting a bid to the City, Contractor agrees to take any and all actions to support the Ukrainian government and people as required by law, including by refraining from new investments in, and financial transactions with, Russian institutions or companies that are headquartered or have their principal place of business in Russia (Russian entities), not transferring technology to Russia or Russian entities, and directly providing support to the government and people of Ukraine. (b) If bidding on a contract for Five Million Dollars ($5,000,000) or more, Contractor shall submit a written report to the City on Contractor's compliance with the economic sanctions, and the steps Contractor has taken in response to Russia's actions in Ukraine, including, but not limited to, desisting from making new investments in, or engaging in financial transactions with, Russian entities, not transferring technology to Russia or Russian entities, and directly providing support to the government and people of Ukraine as required by law. Failure to submit the report required by this Section may deem Contractor's bid non -responsive. Please include a written report to the City if this section is applicable. Russian Aggression Against Ukraine Compliance 1280-1