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Matich Corporation0 May 22, 2024 Matich Corporation ATTN: Jason Jones 1596 Harry Sheppard Blvd. San Bernardino, CA 92408 ta "NW CALIFORNIA - SUBJECT: BID BOND RELEASE — PROJECT NO. 2021-01 DUNE PALMS ROAD PAVEMENT REHABILITATION To Whom It May Concern: Thank you for submitting your proposal for the above referenced project. The La Quinta City Council, at its regular meeting of May 21, 2024, awarded the contract to the lowest responsive bidder, Vance Corporation. The above -mentioned original Bid Bond, which accompanied your proposal, is enclosed. Your interest in working with the City of La Quinta is greatly appreciated, and we hope that you will accept future opportunities to bid on other city projects. Sincerely, Laurie McGinley, Deputy City Clerk City Clerk's Office Enclosure c: Liberty Mutual Insurance Company File SECTION 1200 BID DATE: 110Iq 14,Q34 The undersigned, as bidder, declares it has received and examined the Contract Document entitled Project No. 2021-01, Dune Palms Road Pavement Rehabilitation, 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 Ni�-y lo, aoa�t Attached is a bid guaranty bond as required by Paragraph 1110-15.0, BID GUARANTY. Matich Corporation Name of Bidder 909-382-7400 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. Matich Corporation Name of Bidder 1596 Harry Sheppard Blvd San Bernardino, CA 92408 Bidder's Address 149783 Contractor's License No. California State of Incorporation Siggfuref oXidder Jason G. Jones Printed Name of Signatory Vice President - Estimating Title of Signatory 909-382-7400 Bidder's Telephone Number jjones@matichcorp.com Bidder's Email Address November 30, 2025 Contractor's Expiration Date Vice President - Operations Title of Witness Bid 1200-2 CONTRACTORS dC� STATE LICENSE BOARD ACTIVE LICENSE .,.°�..149783 _, CORP a...,,,�. MATICH CORPORATION 'I "I i30i2025 wvwv.csib ca aov F�A CH Lj� �J P®R�AiIO SINCE 1918 Corporate Resolution At a meeting of the Board of Directors of MATICH CORPORATION, a California corporation duly called and held on the 151h day of October 2021, a quorum being present the following RESOLUTION was adopted: Resolved, the Corporate Officers for Matich Corporation are: PRESIDENT ROBERT M. MATICH VICE PRESIDENT & TREASURER RANDALL S. VALADEZ VICE PRESIDENT & CORPORATE SECRETEARY RANDALL S. VALADEZ VICE PRESIDENT — ESTIMATING JASON G. JONES VICE PRESIDENT — CONSTRUCTION OPERATIONS JACOB 0. READE FURTHER RESOLVED, that the above listed Corporate Officers are duly authorized to sign document (bids, contracts, etc.) as may be necessary on behalf of MATICH CORPORATION. I, Randall S. Valadez, Secretary of MATICH CORPORATION have compared the foregoing RESOLUTION with original thereof, as it appears in the records of the Board of Directors of said company, and do so certify that the same is true and correct transcript there from, and of the whole said original RESOLUTION. I further certify that said RESOLUTION has not been amended or revoked and is still in full force and effect. IN WITNESS THEREOF, I hereunto set my hand as such Secretary thi th day of October 2021. 1 A �dK Randall S. Valadez, Secretary 1596 HARRY SHEPPARD BLVD, SAN BERNARDINO 92408 a TELEPHONE (909) 382-7400 • FAX (909) 382-0191 www.matichcorp.com ADDENDUM NUMBER 1 TO: All Prospective Bidders and Plan Holders FROM: Ubaldo Ayon Jr., Assistant Construction Manager DATE: May 10, 2024 SUBJECT: Project No. 2021-01, Dune Palms Road Pavement Rehabilitation The following shall be considered as incorporated into the project plans and specifications for the above referenced project. Portions of plans and specifications not specifically mentioned in this Addendum remain in force. ■ PROJECT SPECIFICATIONS Section 1210: Section 1210 is replaced; the following is a summary of the changes: • Item 10 description changed from "Construct 4" Asphalt Concrete Over Pulverized Base" to "Construct 4.5" Asphalt Concrete Over Pulverized Base" Section 1300: Sheet 1340-4, Paragraph 10, Replace with the following: As Reads: Except as otherwise required, Contractor shall concurrently with the execution of this contract, furnish the City a Milestone Schedule with a beginning date of 15 days after the Notice of Award as provided in said Specifications, Section 4.2, Construction Schedule. Contractor shall pay to City $500.00 liquidated damages per calendar day that the Milestone Schedule is not provided. Is Amended to Read: Except as otherwise required, Contractor shall furnish the City a Milestone Schedule within 10 days of the Notice of Award or with the return of this contract signed by the Contractor, whichever is earlier, with a beginning date of 15 days after the Notice of Award as provided in said Specifications, Section 4.2, Construction Schedule. Contractor shall pay to City $500.00 liquidated damages per calendar day that the Milestone Schedule is not provided. ta Qa�fra Section 4000: Sheet 4000-13, Section 15.6: Asphalt Measurement, Replace the measurement and payment paragraph with the following: As Reads: The contract Unit price paid per Square Foot for Construct 4" Asphalt Concrete Over Pulverized Base includes full compensation for furnishing all labor, materials, tools, equipment, and incidentals, and for doing all the work involved in constructing and placing Asphalt Concrete Pavement, complete in place, including hauling, as shown on the plans, as specified in the Standard Specifications and these special provisions, and as directed by the engineer, and no additional compensation will be allowed therefore. Is Amended to Read: The contract Unit price paid per Square Foot for Construct 4.5" Asphalt Concrete Over Pulverized Base includes full compensation for furnishing all labor, materials, tools, equipment, and incidentals, and for doing all the work involved in constructing and placing Asphalt Concrete Pavement, complete in place, including hauling, as shown on the plans, as specified in the Standard Specifications and these special provisions, and as directed by the engineer, and no additional compensation will be allowed therefore. ■ PROJECT PLANS Sheets 2-3: Construction Note 8 is changed from "Place 4" Asphalt over pulverized base" to "Place 4.5" Asphalt over pulverized base". ■ PROJECT CLARIFICATIONS Question 1: Do utility valves and manholes need to be lowered prior to grading and paving. Answer 1: Yes, all utility valves and manholes will need to be lowered through either coordination with utility company or as awarded in the contract. ta Qa4fra The Contractor is hereby notified; Addendum No. 1 must be acknowledged and initialed as stipulated under the instructions to Bidders and submitted as part of the Bid. Failure to do so shall result in the City designating said bid as "Non -Responsive." APPROVED: Digitally signed by Ubaldo Ayon Jr Date: 2024.05.10 13:57:07 -07'00' Ubaldo Ayon Jr. Assistant Construction Manager Attachments: 1. Bid Schedule Dated 5/10/2024 END OF ADDENDUM NUMBER 1 Addendum 01 — 5/10/2024 SECTION 1210 BID SCHEDULE PROJECT NO.2021-01 DUNE PALMS ROAD PAVEMENT REHABILITATION 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 2021-01, Dune Palms Road Pavement Rehabilitation, 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. BASE BID — DUNE PALMS ROAD PAVEMENT REHABILITATION Item Item Description Est. Unit Unit Price Item Total No. Qty. (in figures) (in figures) Dollars Dollars 1 Mobilization 1 LS $145q,000f 0 $ 15K ,00C) -)o 2 Traffic Control 1 LS $,5q Epp °= $ S D�� 00 3 Dust Control 1 LS $ 500 oo $ 6 <0o4 D 4 Sawcut, Remove, and Dispose 1,245 SF $ �y 0 3 $ 6�6. of ExistingSidewalk and Ramp3. Sawcut, Remove, and Dispose 5 of Existing Concrete Curb and 120 LF $ oo $ a Joo Guter I 1 Bid Schedule 1210-1 Addendum 01 - 5/10/2024 Item Item Description Est. Unit Unit Price Item Total No. Qty. (in figures) (in figures) Dollars Dollars 6 Construct Sidewalk per City of 120 SF ob La Quinta Std. No. 240 Construct Concrete Curb Ramp 7 per City of La Quinta Std. No. 2 EA $ •' 1000. — $ Qo � 600. 250, Case A 8 Earthwork 1 LS $ 6D0 ,00 $ 3 8 60o 9 Pulverize 12" of Road Section — 75,750 SF $ 9y $ I ZOS Three Ste Process — , 10 Construct 4.5" Asphalt Concrete 75,750 SF $ Sn $ Z�Z /D0. Over Pulverized Base 11 and Asphalt Concrete 78,070 SF $ ', �, $132 �� 00 OverlaGrind Grade Parkway, Remove, Modify, and Replace 12 Landscape and Irrigation in 1 LS $ q'JOD ov $ Kind to Furthest Extent Possible to Join Proposed Curb Ram Salvage to City Existing Pull 13 Box and Furnish and Install New No. 6(T) Traffic Pull Box 4 EA $ (� i5o. �- $ 2 2� ov per CALTRANS Std. Plan ES- � 8B 14 Signing and Striping, Including 1 LS $ 5Co 000.03 $ Slo, ODO 0'0 All Incidentals Total Amount of Bid Items 1 —14 $ 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 Water Valve to Grade 16 EA $��� n_" $ G� �Zdo0 per CVWD Standards 2 Raise Water Valve to Grade per 16 EA o2 $ 1 (�� _ $ I a, , CVWD Standards two. Total Amount of Bid Items 1 — 2 $Z BOn orr Bid Schedule 1210-2 Addendum 01 - 5/10/2024 ADDITIVE ALTERNATE NO. 2 Item Item Description Est. Unit Unit Price Item Total No. Qty. (in figures) (in figures) Dollars Dollars 1 Lower Sewer Manhole to Grade 6 EA $ o 0 0_ $ 6 300, per CVWD Standards OS�, 2 Raise Sewer Manhole to Grade 6T EA $ ���, o° o: $ �o per CVWD Standards Zo Total Amount of Bid Items 1 — 2 $12 100, 00 GRAND TOTAL BASE BID PLUS ALL ADDITIVE ALTERNATES (Figures): GRAND TOTAL BASE BID PLUS ALL ADDITIVE ALTERNATES (Words): {�k-t +�OQS61 d ov1e k014YM twMt�j 0Y(6 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. n A Jason G.Jones Signature of Bidder (Ink) Matich Corporation Name of Bidder (Printed or Typed) 909-382-7400 Bidder Telephone Number bones@matichcorp.com Bidder Email Address Bid Schedule 1210-3 SECTION 1220 BID GUARANTY BOND PRINCIPAL, and Liberty Mutual Insurance Company, 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. 2021-01 DUNE PALMS ROAD PAVEMENT REHABILITATION 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 2nd day of May , 2024. Principal: Matich Corporation Title of Signatory Sign turd o rincipal 71uso U jont.s 1596 Harry Sheppard Blvd. San Bernardino, CA 92408 Address Surety: Liberty Mutual Insurance Company Heather Saltarelli, Attorney -in -Fact Title of Signatory -41 caw . Signature of Surety 790 The City Drive South, #200 Orange, CA 92868 Address Note: Signatures of those executing for the surety must be properly acknowledged. Bid Guaranty Bond 1220-1 CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT 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 SAN BERNARDINO On 5/3/2024 before me, G.M.Bernal Kleespies Notary Public (Here insert name ana title o the officer) personally appeared JASON G JONES who proved to me on the basis of satisfactory evidence to be the person(A) whose nameo(5/are subscribed to the wl In instrument and acknowledged to me that t'her/their he/they executed the same in Ii `/her/their authorized capacity, and that by signature ) on the instrument the person or the entity upon behalf of which the person( 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. 000� G M. BERNAL KLEESPIES WITNESS my hand and official seal. F + `''' Notary Puublicblic -coM5sa5o CC � California .'y' j# SAN BERNARDINO COUNTY My Comm. MAY 4, 2025 ,00 Notary Public Signature (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT BID GUARANTY BOND (Title or description of attached document) (Title or description of attached document continued) Number of Pages Document Date CAPACITY CLAIMED BY THE SIGNER ❑ Individual (s) ❑ Corporate Officer (Title) ❑ Partner(s) ❑ Attorney -in -Fact ❑ Trustee(s) Li Other www.Notary�-iaoses.com 800-873-9865 INSTRUCTIONS FOR COMPLETING THIS FORM This form complies with current California statutes regarding notary wording and, if needed, should be completed and attached to the document. Acknowledgments from other states may be completed for documents being sent to that state so long as the wording does not require the California notary to violate California notary law. • State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s) personally appeared which must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title (notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. • Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. he/she/they, is /ere ) or circling the correct forms. Failure to correctly indicate this information may lead to rejection of document recording. • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges, re -seal if a sufficient area permits, otherwise complete a different acknowledgment form. • Signature of the notary public must match the signature on file with the office of the county clerk. Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a different document. 4. Indicate title or type of attached document, number of pages and date. Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i.e. CEO, CFO, Secretary). • Securely attach this document to the signed document with a staple. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 ------------ A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) County of Orange ) On MAY 0 2 2024 before me, Kim Luu, Notary Public Date Here Insert Name and Title of the Officer personally appeared Heather Saltarelli _ Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to at that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their Signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. ° KIM LUU Commission # 2472703 F : -a J Notary Public - Cahforma '. ORANGE County My Comm. Expires DEC 17, 2027 I certify under PENALTY OF PERJURY under the laws of the State of Califomia that the foregoing paragraph is true and correct. WITNESS my handP111, fficial seal. Signature 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: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Corporate Officer — Title(s): Partner -- Limited General Individual x Attorney in Fact Trustee Guardian or Conservator Other: Signer Is Representing: Signer's Name: Corporate Officer — Title(s): Partner — Limited General Individual Attorney in Fact Trustee Guardian or Conservator Other: Signer Is Representing: ©2014 National Notary Association ° www.NationalNotary.org ° 1-800-US NOTARY (1-800-876-6827) Item tt5907 This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated. Liberty Liberty Mutual Insurance Company Mutual® The Ohio Casualty Insurance Company Certificate No: 8209664-977460 SURETY West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Jeri Apodaca, Kevin Cathcart, Vanessa Copeland, Reece Joel Diaz, Maria Guise, Terah Lane. Eric Lowey, Kim Luu, Leigh McDonough, Michael D. Parizino. Lisa Pellerito, Rachelle Rheault, Mark Richardson, Heather Saltarelli, James Schaller all of the city of Irvine state of CA each individually if there be more than one named, its true and lawful attomey-in-fact to make, execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 23rd day of March , 2023 . State of PENNSYLVANIA County of MONTGOMERY Liberty Mutual Insurance Company \NSUR VSY INS& d %Nsuo The Ohio Casualty Insurance Company j2°°aPO'�rFoy�+� r°°aPOQ •yam �O 2°oRPORarQy0 West American Insurance Company IF0 m w 1912 0 2 1919 o Q 1991 0 t1�9s64 CHUs��.da % �yAM9S+',aDY� �S �NDIANP ,da3 ,1 David M. Carey, Assistant Secretary N O C U SCD c� " On this 23rd dayof March 2023 before me personally appeared David M. Care who acknowledged himself to be the Assistant Secrets of Liberty Mutual Insurance C0 a�i P Y PP Y 9 Secretary rtY U io Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes L Q therein contained by signing on behalf of the corporations by himself as a duly authorized officer. a im IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at Plymouth Meeting, Pennsylvania, on the day and year first above written. U) 5P PAST L Q� MONwt F< Commonwealth of Pennsylvania - Notary Seal O Uo�• Q<? Y Teresa Pastella, Notary Public I N OF Montgomery County My commission expires March 28, 2025 By �P Commission number 1126044 'k.. A51'0i 'C' Member, Pennsylvania Association of Notaries Teresa Pastella, Notary Public n qqy PVO� This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual ! •� Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: ARTICLE IV — OFFICERS: Section 12. Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the President may prescribe, shall appoint such attomeys-in-fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney -in -fact under the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority. ARTICLE XIII — Execution of Contracts: Section 5. Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation — The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attorneys -in - fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Authorization — By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed. I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by ,iald Companies, is in full force and effect and has not been revoked. �t IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this day of MAY 0 2 , 2024 P� I? .1 P�ZY INSL aPO\NSuRq c°Ryr ti� yJ °°aroRyr Pgy 4P `oav°"AIr LC+ Jrn 1912 0 1919 0 2 1991 0 � o s o F d�9SSACHU`���aa SO ��HAMPS��a Y �NDIANP a3 By: / Renee C. Llewellyn, Assistant Secretary LMS-12873 LMIC OCIC WAIC Multi Co 02/21 A• i O v N N c e) Ib 0 co U N rn 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: PMP 2022 Street Resurfacing Project, 211006 Owner: City of Redlands Construction Cost: $ 4,970,068.00 Construction Time: 150 Calendar Days Owner's Representative: Goutam Dobey Owner's Telephone No.: 909-798-7584 Date of Substantial Completion: Feb. 2, 2024 2. Project Name: 2022/2023 Pavement Rehabilitation Program, 11186 Owner: City of Yucaipa Construction Cost: $ 1,365,373.00 Construction Time: 56 Calendar Days Owner's Representative: Daniel Meisenbach Owner's Telephone No.: 909-797-2489 Date of Substantial Completion: Jan. 05, 2024 Bidders Experience & Qualifications 1230-1 3. Project Name: Fred Waring Rehab, Project No. 752-23/MST00008 Owner: City of Palm Desert Construction Cost: $ 3,264,473.00 Construction Time: 105 Calendar Days Owner's Representative: Ryan Gayler Owner's Telephone No.: 760-776-6393 Date of Substantial Completion: Dec. 8, 2023 4. Project Name: Highway 111 Phase 2 and Local Streetd Pavement Rehabilitation Owner: City of Indian Wells Construction Cost: $ 2,019,181.00 Construction Time: 60 Calendar Days Owner's Representative: Ken Seumalo Owner's Telephone No.: 760-346-2489 Date of Substantial Completion: Oct. 20, 2023 Signed this 13th day of May , 2024. Matich Corporation 149783 1000004260 Name of Bidder Contractor's License No. DIR Reg No. Nov. 30, 2025 Signa re t Idder Expiration Date Jason G. Jones Printed Name of Bidder Vice President - Estimating Title of Signatory Bidders Experience & Qualifications 1230-2 Contractor Information Legal Entity Name MATICH CORPORATION Legal Entity Type Corporation Status Active Registration Number 1000004260 Registration effective date 7/1/2022 Registration expiration date 6/30/2025 Mailing Address P 0 BOX 10 HIGHLAND 92346 CA United States of America Physical Address 1596 E HARRY SHEPPARD BLVD SAN BERNARDINO 92408 ... Email Address Trade Name/DBA MATICH CORPORATION License Number(s) CSLB:149783 Legal Entity Information Corporation Number: Federal Employment Identification Number: President Name: Robert Matich Vice President Name: Treasurer Name: Secretary Name: CEO Name: Agent of Service Name: Robert Matich Agent of Service Mailing Address: 1596 Harry Sheppard Blvd. San Bernardino 92408 CA United States of America Workers Compensation Do you lease employees No through Professional Employer Organization (PEO)?: Registration History Effective Date Expiration Date 6/5/2018 6/30/2019 5/8/2017 6/30/2018 6/7/2016 6/30/2017 7/8/2015 6/30/2016 12/22/2014 6/30/2015 7/1/2019 6/30/2022 7/1/2022 6/30/2025 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. ESS t+jIifies 1-,N5 avarrj st. 0-101 liG. q3-)-798 Rd uSti ,l✓►G coronti, G,A 93-0-19 NAv-tVolcs '�.13�_ 012 lot�0oo#aSCo M , 11er-F6ju,Pme4fi P.o. 6ox a-gSG t iG. $ 31406a (0naM CAV1 lrtG LrAOUAO'- , C-4 61353'1 PurVe1')Zr, fG ,I cot- DIR . 10pQQ13-753 CAT T(CAM;rl Ii�G. 11 corin^-¢r'C Ctt Lt G• j4Ve Gjd,e. C-k claSb-i io � 33? D12-10onooll150 Sign tur o Bidder Jason G. Jones Matich Corporation Name of Bidder Proposed Subcontractors 1240-1 SECTION 1250 NON -COLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED State of California ss. County of San Bernardino WITH BID Jason G. Jones , being first duly sworn, deposes and say that he or she is Vice President of Estimating of Matich Corporation 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. Signalire, f oronG. Jones Matich Corporation Name of Bidder Vice President - Estimating Title May 13, 2024 Date Non -Collusion Affidavit 1250-1 SECTION 1260 DIR Project Vendor Information Vendor Information: Name: Matich Corporation Address:1596 Harry Sheppard Blvd. City: San Bernardino ST: CA Zip: 92408 Project Manager: Jason G. Jones Email: jjones@matichcorp.com Phone: 909-382-7400 CSLB/Certification Number: 149783 / A & B Public Works Registration No.:1000004260 Classification: Asbestos Boilermaker Bricklayers Carpenter Carpet/Linoleum Cement Masons V Drywall Finisher Drywall/Lathers Electricians Elevator Mechanic Glaziers Iron Workers LaborersMillwrights Operating Eng V Painters Pile Drivers Pipe Trades Plasterers _ Roofer SheetMetal Sound/Com Surveyor Teamster V 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: http://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-Reporting.htmi. 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 • 1 L4K*1 J, I;j 14 U � Lei WA 19: Klm-1 iz EK61 Iz 11 ZT-j-82 11 iz Lem"m ffel;W*1 M1 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. I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct. VendorP Mati By (Autl Institution (Printed) Title of Person Signing I, Vice President - Estimating Federal ID Number (or n/a) 95-1810911 Date Executed May 13, 2024 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) Federal /D Number (or n/a) N/A By (Authorized Signature) Printed Name and Title of Person Signing Date Executed j 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