17-0905_SIEMENS INDUSTRY, INC_Contract 00 52 13 — CONTRACT
This CONTRACT, is made and entered into this ]!!6ay of ':-1,_Yke lour, — , by
and between City of San Juan Capistrano, sometimes hereinafter called "City," and SIEMENS
Industry, Inc., sometimes hereinafter called "Contractor."
WITNESSETH: That the parties hereto have mutually covenanted and agreed, and by these
presents do covenant and agree with each other as follows:
a. SCOPE OF WORK. The Contractor shall perform all Work within the time stipulated in
the Contract, and shall provide all labor, materials, equipment, tools, utility services, and
transportation to complete all of the Work required in strict compliance with the Contract
Documents as specified in Article 5, below, for the following Project:
CITYWIDE STREET NAME SIGN REPLACEMENT PROJECT CIP 11101
The Contractor and its surety shall be liable to the City for any damages arising as a result of
the Contractor's failure to comply with this obligation.
b. TIME FOR COMPLETION. Time is of the essence in the performance of the Work. The
Work shall be, commenced on the date stated in the City's Notice to Proceed. The Contractor
shall complete all Work required by the Contract Documents within 180 calendar days from the
commencement date stated in the Notice to Proceed. By its signature hereunder, Contractor
agrees the time for completion set forth above is adequate and reasonable to complete the
Work.
C. CONTRACT PRICE. The City shall pay to the Contractor as full compensation for the
performance of the Contract, subject to any additions or deductions as provided in the Contract
Documents, and including all applicable taxes and costs, the sum of One Hundred Ninety Five
Thousand Eight Hundred Ninety Eight Dollars and No Cents ($ 195,898.00). Payment shall be
made as set forth in the General Conditions.
d. LIQUIDATED DAMAGES. In accordance with Government Code section 53069.85, it is
agreed that the Contractor will pay the City the sum set forth in Section 00 73 13, Article 1.11
for each and every calendar day of delay beyond the time prescribed in the Contract Documents
for finishing the Work, as Liquidated Damages and not as a penalty or forfeiture. In the event
this is not paid, the Contractor agrees the City may deduct that amount from any money due or
that may become due the Contractor under the Contract. This Article does not exclude recovery
of other damages specified in the Contract Documents.
e. COMPONENT PARTS OF THE CONTRACT. The "Contract Documents" include the
following:
Notice Inviting Bids
Instructions to Bidders
Bid Form
Bid Bond
Designation of Subcontractors
Information Required of Bidders
Non-Collusion Declaration Form
Iran Contracting Act Certification
61147.02100\29379545.1 _39- 00 52 13-CONTRACT
Non-Collusion Declaration Form
Iran Contracting Act Certification
Public Works Contractor Registration Certification
Performance Bond
Payment (Labor and Materials) Bond
General Conditions
Special Conditions
Technical Specifications
Addenda
Plans and Drawings
Standard Specifications for Public Works Construction "Greenbook", latest edition,
Except Sections 1-9
Applicable Local Agency Standards and Specifications, as last revised
Approved and fully executed change orders
Any other documents contained in or incorporated into the Contract
The Contractor shall complete the Work in strict accordance with all of the Contract Documents.
All of the Contract Documents are intended to be complementary. Work required by one of the
Contract Documents and not by others shall be done as if required by all. This Contract shall
supersede any prior agreement of the parties.
f. PROVISIONS REQUIRED BY LAW AND CONTRACTOR COMPLIANCE. Each and
every provision of law required to be included in these Contract Documents shall be deemed to
be included in these Contract Documents. The Contractor shall comply with all requirements of
applicable federal, state and local laws, rules and regulations, including, but not limited to, the
provisions of the California Labor Code and California Public Contract Code which are
applicable to this Work.
g. INDEMNIFICATION. Contractor shall provide indemnification and defense as set forth
in the General Conditions.
h. PREVAILING WAGES. Contractor shall be required to pay the prevailing rate of wages
in accordance with the Labor Code which such rates shall be made available at the City's
Administrative Office or may be obtained online at http://www.dir.ca.gov and which must be
posted at the job site.
[REMAINDER OF PAGE LEFT INTENTIONALLY BLANK]
61147.02100\29379545.1 -40- 00 52 13-CONTRACT
IN WITNESS WHEREOF, this Contract has been duly executed by the above-named parties,
on the day and year above written,
�C_ CITY OF SAN JUAN CAPISTRANO
Na7d" tr for
B Hy
Name an Title:
1 Date:
License No. (2
Date: 207:7-
(CONTRACTOR'S
07:7"(CONTRACTOR'S SIGNATURE MUST BE
NOTARIZED AND CORPORATE
SEAL AFFIXED, IF APPLICABLE)
Approved as to form this JP�c_ jyl
day of 204.
09
Attorney for CiFy4bf San Juan Capistrano
END OF CONTRACT
ATTEST:
() L,W,
Mah@ Morris-, Cio Clerk
B 1147.02100129379545.1 -41- 00 52 13-CONTRACT
1 r 7N 7
00 41 43— BID FORMS
1.1 Bid.
Bids will be received at the City of San Juan Capistrano City Clerks Office, 32400 Paseo Adelanto, San Juan
Capistrano, California, until 2:00 p.m. on Tuesday, July 25, 2017.
NAME OF BIDDER: SIEMENS Industry, Inc.
To the Honorable City Council
of the City of San Juan Capistrano
32400 Paseo Adelanto
San Juan Capistrano, California 92675
The undersigned hereby declare that we have carefully examined the location of the proposed Work, and have
read and examined the Contract Documents, including all plans, specifications, and all addenda, if any for the
following Project:
CITYWIDE STREET NAME SIGN REPLACEMENT PROJECT CIP 11101
We hereby propose to furnish all labor, materials, equipment, tools, transportation, and services, and to
discharge all duties and obligations necessary and required to perform and complete the Project, as described
and in strict conformity with the Drawings, and these Specifications for TOTAL BID PRICE indicated herein.
The undersigned acknowledges receipt, understanding, and full consideration of the following addenda to the
Contract Documents:
Addenda No. #1(7/18) #2(7/20) #3(7/26) #4(7/27) #5(7/31)
1. Attached is the required Bid Guarantee in the amount of not less than 10% of the Total Bid Price.
2. Attached is the completed Designation of Subcontractors form.
3. Attached is the fully executed Noncollusion Declaration form.
4. Attached is the completed Iran Contracting Act Certification form.
5. Attached is the completed Public Works Contractor Registration Certification form.
6. Attached is the completed Contractor's Certificate Regarding Workers' Compensation form.
7. Attached is the completed Bidder Information and Experience form.
61147.02100\29379545.1 CIP 11101 -17- 0041 43-BID FORMS
Y
BID SCHEDULE CIP 11101
Approx Work Items With Unit Price Unit Price Total
ITEM Quantity (Written in Words) (In Figures) Amount
Mobilization for the lump sum price of:
1 1 LS Two Thousand, six hundred $ 2,600.00 $ 2,600.00
dollars (in words)
Provide all Labor, Equipment and
Material Necessary to Remove all the
Existing Street Name Signs and
Mounting Hardware on Residential
Streets Citywide and Replace with New
(Contractor Supplied) Six(6) Inch Wide
2 756 Street Name Signs (lengths vary) and
EACH New Mounting Hardware for the Unit
Price of:
One Hundred Eighteen $ 118.00 $ 89,208.00
dollars.(in words)
Each
Provide all Labor, Equipment and
Material Necessary to Remove all the
Existing Street Name Signs and
Mounting Hardware on Major Streets
Citywide and Replace with New
(Contractor Supplied) Nine (9) Inch Wide
3 250 Street Name Signs (lengths vary) and
EACH New Mounting Hardware for the Unit
Price of:
One Hundred Eighty Two $ 182.00 $ 45,500.00
dollars (in words)
Each
Provide all Labor, Equipment and
Material Necessary to Remove all the
Existing Traffic Signal Mast Arm
Overhead Street Name Signs and
Mounting Hardware at Intersections
Citywide and Replace with New
72 (Contractor Supplied) Eighteen (18) Inch
4 Wide x Ninety-six (96) inch Long
EACH Overhead Street Name Signs and New
Mounting Hardware for the Unit Price of:
Seven Hundred Twenty
dollars (in words) $ 720.00 $ 51,840.00
Each
61147.02100\29379545.1 C I P 11101 -18- 00 41 43-BID FORMS
w
Approx Work Items With Unit Price Unit Price Total
ITEM Quantity (Written in Words) fin Figures) Amount
Remove and Replace Existing 12'
Galvanized Steel Post, 3 inch (nominal)
diameter for the Unit Price of:
6 15 EACH $ 450.00 $ 6,750.00
Four Hundred Fifty
dollars (In words).
Item#5 Per Adendum #5
TOTAL $ 195,898.00
61147.02100\29379545.1 CIP 11101 _19_ 00 41 43-BID FORMS
The costs for any Work shown or required in the Contract Documents, but not specifically identified as a line
item are to be included in the related line items and no additional compensation shall be due to Contractor for
the performance of the Work.
In case of discrepancy between the Unit Price and the Item Cost set forth for a unit basis item, the unit price
shall prevail and shall be utilized as the basis for determining the lowest responsive, responsible Bidder.
However, if the amount set forth as a unit price is ambiguous, unintelligible or uncertain for any cause, or is
omitted, or is the same amount as the entry in the "Item Cost" column, then the amount set forth in the "Item
Cost" column for the item shall prevail and shall be divided by the estimated quantity for the item and the price
thus obtained shall be the Unit Price.
For purposes of evaluating Bids, the City will correct any apparent errors in the extension of unit prices and any
apparent errors in the addition of lump sum and extended prices.
The estimated quantities for Unit Price items are for purposes of comparing Bids only and the City makes no
representation that the actual quantities of work performed will not vary from the estimates. Final payment shall
be determined by the Engineer from measured quantities of work performed based upon the Unit Price.
TOTAL BID PRICE:
TOTAL BID PRICE BASED ON BID SCHEDULE TOTAL OF UNIT PRICES
FOR CITYWIDE STREET NAME SIGN REPLACEMENT PROJECT CIP 11101
$ 195,898.00
Total Bid Price in Numbers
$ One Hundred Ninety Five Thousand,Eight hundred nine eight and No Cents
Total Bid Price in Written Form
In case of discrepancy between the written price and the numerical price, the written price
shall prevail.
The undersigned agrees that this Bid Form constitutes a firm offer to the City which cannot be withdrawn for
the number of calendar days indicated in the Notice Inviting Bids from and after the Bid opening, or until a
Contract for the Work is fully executed by the City and a third party, whichever is earlier.
The successful bidder hereby agrees to sign the contract and furnish the necessary bonds and certificates of
insurance within ten (10) working days after the City provides the successful bidder with the Notice of Award.
Upon receipt of the signed contract and other required documents, the contract will be executed by the City,
after which the City will prepare a letter giving Contractor Notice to Proceed. The official starting date shall be
the date of the Notice to Proceed, unless otherwise specified. The undersigned agrees to begin the Work
within ten (10) working days of the date of the Notice to Proceed, unless otherwise specified.
The undersigned has examined the location of the proposed work and is familiar with the Drawings and
Specifications and the local conditions at the place where work is to be done.
61147.02100\29379545.1 CIP 11101 _20_ 00 41 43-BID FORMS
If awarded the contract, the undersigned agrees that there shall be paid by the undersigned and by all
subcontractors to all laborers, workers and mechanics employed in the execution of such contract no less than
the prevailing wage rate within Orange County for each craft, classification, or type of worker needed to
complete the Work contemplated by this contract as established by the Director of the Department of Industrial
Relations. A copy of the prevailing rate of per diem wages are on file at the City's Administration Office and
shall be made available to interested parties upon request.
Enclosed find cash, bidder's bond, or cashier's or certified check No. laid Bond from the Federal Ins. Company
Bank in the amount of 10% of Total Amount Bid , which is not less than ten percent (10%) of this
bid, payable to City of San Juan Capistrano as bid security and which is given as a guarantee that the
undersigned will enter into a contract and provide the necessary bonds and certificates of insurance if awarded
the Work.
The bidder furthermore agrees that in case of bidder's default in executing said contract and furnishing
required bonds and certificates of insurance, the cash, bidder's bond, or cashier's or certified check
accompanying this proposal and the money payable thereon shall become and shall remain the property of the
City of San Juan Capistrano.
Bidder is an individual , or corporation X or partnership , organized under the laws of the
State of Delaware- FIO-/1/1972)
Bidder confirms license(s) required by California State Contractor's License Law for the performance of the
subject project are in full effect and proper order. The following are the Bidder's applicable license number(s),
with their expiration date(s) and class of license(s):
Class A - General Engineering Contractor - Expire Date - 02/28/2019
Class C10 - Electrical -- Expire Date 02128/2019
License Number - 758796
If the Bidder is a joint venture, each member of the joint venture must include the required licensing
information.
Sureties that will furnish the Faithful Performance Bond and the Labor and Material Payment Bond, in the form
specified herein, in an amount equal to one hundred percent (100%) of the contract price within ten (10)
working days from the date the City provides the successful bidder the Notice of Award. Sureties must meet
all of the State of California bonding requirements, as defined in California Code of Civil Procedure Section
995.120 and must be authorized by the State of California.
The insurance company or companies to provide the insurance required in the contract documents must have
a Financial Strength Rating of not less than "A-" and a Financial Size Category of not less than "Class VII"
according to the latest Best Key Rating Guide. At the sole discretion of the City, the City may waive the
Financial Strength Rating and the Financial Size Category classifications for Workers' Compensation
insurance.
(signatures continued on next page)
61147.02100\29379545.1 CIP11101 -21- 004143-BID FORMS
I hereby certify under penalty of perjury under the laws of the State of California that all of the information
submitted in connection with this Bid and all of the representations made herein are true and correct.
E4xecs 1 + yerside, CA on this 1 day of August 2017.
(Bidders Name;P�ri)eri
e)
Michael Hutions Manager
(Name
(Sig n re)
rnembers of firm or names and titles of all officers of corporation and their addresses are
IisfeG
Name ludy Marks Title President - Siemens IndustLy
Complete Address 527 Madison Avenue, New York, NY 10022
Phone 212-258-4000 FAX
Name Marcus Welz Title CBO Siemens ITS
Complete Address 9225 Bee Cave Road, Building B, Suite 101 Austin TX 78733
Phone 512-837-8300 FAX 512-837-8439
Name Raiarshi Ghosh Title CFO - Siemens ITS
Complete Address 9225 Bee Cave Road, Building B, Suite 101 Austin TX 78733
Phone 512-837-8300 FAX 512-837-8439
Name Title
Complete Address
Phone FAX
61147.02100\29379545.1 CIP 11101 -22- 00 41 43-BID FORMS
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 Riverside )
On August 1st, 2017 before me, Candace Gallaher - Notary Public
(insert name and title of the officer)
personally appeared Michael Hutchens
who proved to me on the basis of satisfactory evidence to be the persons}whose name(s) is/a;4—
subscribed
s/atesubscribed to the within instrument and acknowledged to me that he/skeAOmyy executed the same in
his/he#t44sir authorized capacity(ieevy, and that by his/terltteirsignature ey on the instrument the
person*. or the entity upon behalf of which the personw 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.
CANDACE GALLAHER
WITNESS my hand and official seal. Commission#r 2117338
Z Notary Public-California
Z orange County
M Comm.Egires Jui 24.2019
Signature (Seal)
1
i
I I
DELEGATION OF APPROVAL AUTHORITY FROM
I �
PRESIDENT KEVIN RIDDETT AND VICE PRESIDENT FINANCE&BUSINESS
ADMINISTRATION MATTHIAS SCHLELEIN
Mobility Management
Urban Transport/Mainline Transport
Intelligent Traffic Systems
Rail Electrification f
Customer Services I.
SIEMENS INDUSTRY, INC.—MOBILITY DIVISION
i'•
A. The undersigned Judy Marks, Acting President and Matthias Schlelein,Vice President, f
Finance and Business Administration of the Mobility Division of Siemens Industry, Inc. (the r
"Corporation"),a corporation duly organized and existing under the laws of the State of Delaware,by
virtue of the authority vested as President and Vice President Finance&Business Administration to
sign or countersign and otherwise execute in the name,or on behalf of the Corporation,any bids,
projects,contracts,agreements and any certificates,affidavits or ancillary documents in connection
therewith to the extent the foregoing instruments and are consistent with the limits of authority
granted under LoA guidelines and grants of release for and on behalf of the Corporation,do hereby
delegate to and acknowledge that the following person(s)may exercise such authority for and on our
behalf up to$10 million.
AUTHOBIZED SIGNATORIES
Business Operations f=inance/Central SumAort Function �
iVame/Pasifion Name/Position
John Paljug Marsha Smith
VP—MM Senior Director. FBA—MM i
Michael Cahill, Christopher Halleus,
VP—UT&MLT FBA—UT&MLT
Robin Stimson Michael Tyler
VP—UT&MLT M K&S Senior Director,FBA—CS
Chris Maynard Madeline Rodriguez
VP—GS Director—LM
Steffen Goeller Miriam Scheer
VP—TPE FBA—TPE
Dave Ward James Thornton
VP—LM Head of Procurement—MO
Marcus Welz Rajarshl Ghosh
VP—ITS ITS BA
Steffen Hertel
Actin FBA—LM
B. It is further acknowledged that the following individuals are hereby authorized to sign or countersign
and otherwise execute in the name or on behalf of the Corporation the same documents as
referenced in paragraph A, up to and including a transactional limit of$5 million.Any such delegation
extends to but Is limited to the same scope,documents and subject matter as referenced and granted
in paragraph A, limited to the monetary amount stated in this paragraph.
AUTHORIZED SIGNATORIES
Business Operations Finance/Central Su art Function a!
Name/Posftic Name/Position
i
j
A
Douglas Dralsbaah Catherine Wilson
D€rector of Projects.MM Manager, FBA-MM
Jack Wilson Valerie Conway
Sales, MM Senior Director SCM LT&MLT
Steve Gitkin Jessica Shaiegan
Sales Director-ITS Director Procurement—MM
David Gutierrez Thomas 1Mechert k
Director UT Director.LR 1
Luis Tond€festa Stefan Fischer f
Director. Products,MM Finance Manager, MM
Matthew Rumbold
Manager,Procurement—CS
i C. It is further acknowledged that the following individuals are hereby authorized to sign or countersign
and otherwise execute in the name,or on behalf of the Corporation,the same documents as
referenced In paragraph A, up to and including a transactional limit of$3 million. Any such delegation
extends to but is limited to the same scope,documents and subject matter as referenced and granted
in paragraph A, limited to the monetary amount stated In this paragraph.
U Z D SIGMA IES
Business O orations FinancelCentral Sucport Function
a e Posit o am lPosltlo
Tony NJI&ki Bassi
Director Ritter.-S Director UT_
Reiner Martin Cathie Steele
Director, CS Se ment Controller CS UT
Omid Akbarzedeh-Paydar Kim Swain
Director BG Segment Controller MC
Mark Bennett Kelly Storin
VP,Operations UT&MLT Se ment Controller, BG
Raymond Ginnell Carrie Hernandez
General Project Manager LM&MC Manager,SPR
Armin Kick Michelle Picard i
Director Hi _ Director UT&MLT
David Hart Mirko Giese
Manager,TPE Director,HI BA
Florian Walter Matthaeus Decker
Director CS Manager, SPR
Steve Teat Craig Debevoise
Director ITS Service Projects Commercial ITS
Dimitrios Andrikos David Anderson
Director, Bid&Project Mana emenJITSProject Procurement Manager.TPE I:
D. It is further acknowledged that the following individuals are hereby authorized to sign or countersign
and otherwise execute in the name,or on behalf of the Corporation,the same documents as €
referenced In paragraph A,up to and including a transactional limit of$1 million.Any such delegation I:
extends to but is limited to the same scope,documents and subject matter as referenced and granted I°
In paragraph A, limited to the monetary amount stated In this paragraph. �^
I'
AUTHORIZED SIGIwiA QR;2 S i
Business Operailons FinancelCentral Support Functlort
Namelposition Name/Position
Stephan Ktein, Tommy Charurat I'
Director, MM Director, Performance Controlling
UT&MLT
is
2 k
I
C
f
r
k
i
i
Paul E€lea, Sandra Kluthousen,
Director MM Commercial Mann er, MM
David Costello, Gisela Kaufmann
Director MM Controller,MM
Dave Jeanette Rudolf Wagnr
Manager,MM PerformancelControllln , MO
Jim Lyons Constanze Wschkl
Sr, Manager,MM Manager,Order Management UT&MLT
Jeff Balogh Ronald Staggs
Sr. Director MM Commerclal Project Manager, UT
George Long Mary Matos { '
Director Engineering UT&MLT Commercial Pro ect Manager, UT
Robert Martner Vesa Vendinen
Senior Project Manager, LM Commercial Oro eat Manager, UT
Jeffrey Curran Chrlstine JaNJ,
Pra ect'Mana er, UT Commerclal Project Mana er CS
Duane Kopp Larry Chen j
Pro ect Manager, CS Commerclal!?ro ect Manager, CS
Ron VanHuuksloot Kavita Patel
Pro ect Manner, UT Commerclal Project Marla er CS
it Thomas Stehlik Patrick Blackburne k
Project Manager,UT Commerclal Project Mana er UT&MLT
Vlorel Anlnoiu Christoph Hilgers
Pro ect Manager,UT _ Director O Oat€ons Controlling UT&MLT
Carsten Nebe Manuel Scnlrnhofer
Project Manager, UT Commercial Project Manager, LM
Mark Anderson Christopher Smith
Project Manager,CS Commercial Project Mana er UT
Aaldrik Meding Adam Huey :
Project Manager,UT Commerclal Project Manager, LM
Jochen Woern Thomas Koprcwskl
Pro ect Manager,CS Commercial Project Man er BG
Brad Bonn Girish Gupta r
Project Manager, CS Commercial Project Manager, LM I
Chander Khanna, Amy Morrison
Sr. Director, Manufacturing Processes Commercial Project Manager,TPE f
UTMLT
Pau j€
I Aichhoizer David Spence
Pro ect Mana or, LM Commerclal Project Manager,ITS n
Ibrahim Kalender Sabine Andrlkos
Project Mana ar BG, Commercial Service Manager, ITS
Barry Sldler Natalie Maga
Program Manager,CS Commercial Project Manager, MM
Christopher Romeo Solomon Lee
Operations Manager, ITS Commercial Project Mana er, MM
Luis Correia David Sarles
Project Mana er,CS Procurement Commodity Man er MM
Trine Boedker Jensen Stuart Adler ;
Project Manager, CS Project Procurement Mana ar MM
Michael Hutchens Joel fNletsen
® eratlons Mana er ITS Commerclal Pro ect Manager, UT
William Tucker Cariljn Goldberg
Operations Manager,ITS Commercial Pro ect Manager, BG
Christopher Mcelroy Matthew Chalmers
Service Account Manager, ITS Finance Manager, MM
Gerhard Leitner James Hryniewicz
Field Engineering Man& ement, CS Commerclal Bid Manager,TPE
V
3
1
,
,1
I�
I
Ivan Bukln Darla LesnyK.h
Project Manager, CS Commercial Project Manager,CS
Brian Duch Christopher Oiesch
Project Manager, CS Production Controller TPE
Kevin McGrew Donna Lam ;
Director Quality LIT&MLT Commercial Project Manager, UT
Goutham Lingannagari Noureann Mitchell
Senior Manager Projects, ITS ProcurementlPro ect Mana er ITS
David Scott Rosa Bequerb
Branch Manager, ITS Commercial�Iroject Manager,
Field Service;LIT&MLT i
Jamil Nasir i
En ineerinDirector_, MM_
Ben Linden !
Senior Director Carborne Engineering, i
MM
Stephen Spratt
Project Manager,TPE I
David Mortimer
Project Manager,TPE
Christopher Hammett
Project Manager,TPE
Teal Shoop
Project Manager,TPE
Joshua Cardin
Pro ect Manager. TPE !
Abhinav Mitre I
Project Manager,TPE
Shallesh Malgaonker
Director of Operations,TPE
Matthew Thomas ;
Pro ect Manager, CS
Mason Boswell
Project Manager, LIT
Andreas Achhammer tl i p
Project Manager,TPE f
Stefan Lauer
Project Mena er,TPE
Brett Tharp
Project Manager,TPE
Mark Godsey
Project Manager,TPE
Shawn McCualg I E
Director, Field Services LIT&MLT j
E. It is further acknowledged that the following Individuals are her4y authorized to sign or countersign
and otherwise execute In the name,or on behalf of the Corporation,the same documents as they are
referenced In paragraph A, up to and Including a transactional 161t of$250 thousand. Any such
delegation extends to but is limited to the same scope,documer is and subject matter as referenced
and granted In paragraph A, limited to the monetary amount stated In this paragraph.
i
AUTHORIZED SIGNATORIES
I
Business Qperations Finance/,Central Support Function
Name/Position i NamelPosition
Diana Johnson Claudia Thiele
Bid Manager ITS Commercial Project Manager, ITS
4
i
John Billings Cole Walker!
Bid Manager, ITS Financial Anal st,TPE
David Love
Sales Manager, ITS
F. It is further acknowledged that each of the signatures of the persons referred to In paragraphs A, B,
C, D,and E are binding upon the Corporation.
i
G. It Is further acknowledged that any document shall require the signature of two(2)of the above
Authorized Signatories, one each from Business Operations and from Finance/Central Support
Functions,whom shall have the requisite signature authority to be legally binding upon the
Corporation.
H. It is further acknowledged that each of the persons referred to Herein Is authorized to delegate such
person's authority hereunder to additional members of his or her management team up to the limit of
such person's delegation of authority, provided that such delegation is In written form signed by the
delegator and filed with the Legal Department.
i I
I. It is further acknowledged that the Secretary or an Assistant Secretary of the Corporation Is
authorized to issue certifications attesting to the Incumbency,authority and status of any of the
persons referred to in this resolution,
IN WITNESS WHEREOF,we have hereunto subscribed our nameS-and affixed the corporate seal of the
said Corporation, as of the 1st day of January,2017.
l
Ilia -7
Judy arks
r
Actinb President, I
Siemens Industry, Inc.
`7 Mobility Division i
�1 Matthias Schlelein
Vice President, Finance and Business Administration
Siemens Industry, Inc.
Mobility Division
P
I
5
i
1.3 List of Subcontractors
In compliance with the Subletting and Subcontracting Fair Practices Act Chapter 4
(commencing at Section 4100), Pan` 1, Division 2 of the Public Contract Code of the State of
California and any amendments thereof, Bidder shall set forth below: (a) the name and the
location of the place of business, (b) the California contractor license number, (c) the DIR public
works contractor registration number, and (d) the portion of the work which will be done by each
subcontractor who will perform work or labor or render service to the Bidder in or about the
construction of the work or improvement to be performed under this Contract in an amount in
excess of one-half of one percent (0.5%) of the Bidder's Total Bid Price. Notwithstanding the
foregoing, if the work involves the construction of streets and highways, then the Bidder shall list
each subcontractor who will perform work or labor or render service to the Bidder in or about the
work in an amount in excess of one-half of one percent (0.5%) of the Bidder's Total Bid Price or
$10,000, whichever is greater. No additional time shall be granted to provide the below
requested information.
If a Bidder fails to specify a subcontractor or if a contractor specifies more than one
subcontractor for the same portion of work, then the Bidder shall be deemed to have agreed
that it is fully qualified to perform that portion of work and that it shall perform that portion itself.
CSLB
Work to be Name of Location of Contractor Registration D
IR
done by % of
Subcontractor
Subcontractor Business License No. Number Work
NO SUBCONTRACTOR'S
61147.02100\29379545.1 CIP 11101 -26- 00 41 43-BID FORMS
Work to be CSLB DIR
Name of Location of Contractor Registration % of
done by
Subcontractor Subcontractor Business License No. Number Work
NO SUBCONTRACTOR
(Attach additional sheets if necessary)
Name of Bidder SIEMENS I
Signature
Name and Title Michael Hutchins, Operations Manager
Dated August 1, 2017
61147 02100\29379545.1 CIP 11101 -27- 00 41 43-BID FORMS
Bond Number:79434433-CHU-17-157
1.2 BiBond
[Note: Not required when other form of Bidder's Security, e.g. cash, certified check or
cashier's check, accompanies bid.]
The makers of this bond are, Siemens Industry Inc. as
Principal, and Federal Insurance Company as Surety
and are held and firmly bound unto the City of San Juan Capistrano, hereinafter called the City,
in the penal sum of TEN PERCENT (10%) OF THE TOTAL BID PRICE of the Principal
submitted to 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, we bind ourselves, our heirs, executors,
administrators, successors and assigns,jointly and severally, firmly by these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH that whereas the Principal has submitted
the accompanying bid dated August 1 20 17 , for Citywide Street Name Sign
Replacement Project CIP 11101
If the Principal does not withdraw its Bid within the time specified in the Contract Documents;
and if the Principal is awarded the Contract and provides all documents to the City as required
by the Contract Documents; then this obligation shall be null and void. Otherwise, this bond will
remain in full force and effect.
Surety, for value received, hereby stipulates and agrees that no change, extension of time,
alteration or addition to the terms of the Contract Documents shall in affect its obligation under
this bond, and Surety does hereby waive notice of any such changes.
In the event a lawsuit is brought upon this bond by the City and judgment is recovered, the
Surety shall pay all litigation expenses incurred by the City in such suit, including reasonable
attorneys'fees, court costs, expert witness fees and expenses.
IN WITNESS WHEREOF, the above-bound parties have executed this instrument under their
several seals this 1st day of August . 20 17 , the name and corporate seal of
each corporation.
(Corporate Seal) Siemens Industr In _
Contractor/P
t .
Title ,,,��,,rr
ez" .
Federal Insurance Comeau
(Corporate Seal)''` Surety
BY
Attorney-in-Fact
(Attach Attorney-in-Fact Certificate) Title Brittan D.Clavin,Attorney_-1n-Fact
61147 02100129379545 1 CIP 11101 Addendum#2 -23- 00 41 43—BID FORMS
Notary 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
On 20_, before me, Notary Public, personally
appeared , who proved to me on the basis of satisfactory
Name(s)of Signer(s)
evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to
me that helshelthey 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.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph
is true and correct.
WITNESS my hand and official seal.
Signature of Notary Public
OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT
C Individual
Corporate Officer
TIUe(sj Title or Type of Document
Partner(s) Limited
General number of Pages
Attorney-In-Fact
Trustee(s)
Guardian/Conservator Date of Document
Other:
Signer is representing:
Name Of Person(s)Or Entity(ies)
Signer(s)Other Than Named Above
NOTE: This acknowledgment is to be completed for Contractor/Principal.
61147.02100\29379545.1 CIP 11101 -24- 00 4143—BID FORMS
Notary 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 XMFORNIA Missouri
COUNTY OF St.Louis
On August 1 2017, before me, Sandra L.Ham Notary Public, personally
appeared Brittany D.Clavin , 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/herltheir 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.
I certify under PENALTY OF PERJURY under the laws of the State of Califomia that the foregoing paragraph
is true and correct.
WITNESS my hand and official seal.
SANDRA L. HAM
Notary Public. Notary Seal
State of Missouri
St. Louis County
Cori3t StaF�lt�rwott,4401t=77
my Commission Expires nuaty 18, 2021
OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document
CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT
F- Individual
Corporate Officer
_B1-d#3Qi1
Title(s) Title or Type of Document
Partner(s) r_ Limited One
- General Number of Pages
Attorney-In-Fact
Trustee(s) august 1,2017
Guardian/Conservator Date of Document
I Other:
Signer is representing:
Name Of Person(s)Or Entity(ies)
Federal Insurance Company
Signer(s)Other Than Named Above
NOTE: This acknowledgment is to be completed for the Attorney-in-Fact. The Power-of-Attorney to
local representatives of the bonding company must also be attached.
END OF BID BOND
61147.02100129379545.1 CIP 11101 -25- 00 41 43—BID FORMS