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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