13-0820_AVI-CON DBA CA CONSTRUCTION_Contract (2)CONTRACT
This contract is made and entered into by and between the CITY OF SAN JUAN
CAPISTRANO, hereinafter referred to as "CITY" and AVI-CON, INC. dba CA
CONSTRUCTION hereinafter referred to as "CONTRACTOR."
IT IS HEREBY AGREED BETWEEN THE PARTIES AS FOLLOWS:
FIRST. CONTRACT DOCUMENTS. The contract documents shall be considered to include
the Notice Inviting Bids, the Instructions to Bidders, the Proposal, the Bid Bond, the Non-
Collusion Affidavit, the Designation of Sub-Contractors, the Contract which is prepared for
execution by the CITY and the CONTRACTOR. Plans, Specifications and Special Provisions,
the Uniform Building, Plumbing, Electrical and ~echanical Codes, Standard Specifications for
Public Works Construction, 2012 Edition, including all Supplements, Contract Bonds,
Resolutions adopted by the CITY pertaining to the work, insurance policies and certificates, and
any supplemental written agreements amending or extending the scope of the work originally
contemplated that may be required to complete the work in a substantial and acceptable manner.
SECOND. THE WORK. CONTRACTOR agrees to furnish all tools, labor, material,
equipment, transportation, and supplies necessary to perform and complete in good and
workmanlike manner the construction of Friends of the Library Bookstore Relocation, in strict
conformity with the Plans, Specifications and all other contract documents prepared by James
Goodman Architecture. and dated June, 26, 2012 which documents are on file at the Office of
the City Clerk, City Hall, 32400 Pasco Adelanto, San Juan Capistrano, California.
THIRD. PAYMENT. CITY agrees to pay, and CONTRACTOR agrees to accept, the lump sum
adjusted for variations of quantities, at the prices designated in bid proposal at the time and in the
manner set forth in the Specifications.
FOURTH. COMMENCEMENT AND COMPLETION OF THE WORK. CONTRACTOR
agrees to begin and complete the work within the time specified in the Notice Inviting Bids. It is
agreed that it would be impracticable and extremely difficult to fix the actual amount of
damages, and loss sustained by CITY, should CONTRACTOR fail to complete the work in the
specified time; therefore, CONTRACTOR shall pay CITY, as liquidated damages, not in the
nature of a penalty, Five Hundred (500) Dollars per calendar day for each day delayed; provided
that extensions of time with waiver of liquidated damages, may be granted as provided in the
ATTACHMENT 2
Specifications.
FIFTH. PERFORMANCE BOND AND LABOR AND MATERIAL BOND. CONTRACTOR
agrees to furnish bonds guaranteeing the performance of this contract and guaranteeing payment
of all labor and material used under this contract, as required by the laws of the State of
California, on forms approved by the CITY. The Performance Bond shall be for an amount of
one hundred (1 00) percent of the amount of this contract and shall be conditioned on full and
complete performance of the contract, guaranteeing the work against faulty workmanship and
materials for a period of one (1) year after completion and acceptance. The Labor and Material
Bond shall be for an amount of one hundred (1 00) percent of the amount of this contract and
shall be conditioned upon full payment of all Labor and Material entering into or incidental to
the work covered by this contract. CONTRACTOR agrees to furnish the bonds on the forms
found within the Specifications.
The required Performance, Labor and Materials Bonds, and Bid Bond shall provide that the
surety shall pay attorney's fees incurred by CITY in enforcing this agreement.
SIXTH. GENERAL PREVAILING RATE OF PER DIEM WAGES. Pursuant to the Labor
Code ofthe St~te of California, copies of the prevailing rate of per diem wages, as determined by
the Director of the State Department of Industrial Relations, are on file in the Office of the City
Clerk, 32400 Pasco Adelanto, San Juan Capistrano, California, and are hereby incorporated and
made a part hereof. CONTRACTOR agrees that he, or any SUB-CONTRACTOR under him,
shall pay not less than the foregoing specified prevailing rates of wages to all workmen
employed in the execution of the contract.
SEVENTH. INSURANCE. CONTRACTOR shall maintain at all times during this contract
liability and property damage insurance naming the CITY and its elected and appointed officials
as a named insured, which such policies shall be of an amount not less than Two Million
(2,000,000) Dollars combined single limit. Insurance certificates shall be for a minimum period
of one (1) year.
ATTACHMENT 2
CONTRACTOR shall mu111tain in full force and effect comprehensive automobile liability
coverage, including owned ;hired, and non-owned vehicles in the following minimum amounts:
$1,000,000 property damage;
$1 ,000,000 injury to one person/any one occurrence/ not limited to contractual period;
$2,000,000 injury to more than one person/any one occurrence/not limited to contractual
period.
The insurance policies shall bear an endorsement or shall have an attached rider providing that in
the event of expiration of proposed cancellation of such policies for any reason whatsoever, the
CITY shall be notified by registered mail, return receipt requested, giving a sufficient time
before the date thereof to comply with the applicable law or statute but in no event less than
thirty (30) days before expiration or cancellation is effective. CONTRACTOR shall provide to
CITY the policy certificate establishing that the required level of insurance has been satisfied.
CONTRACTOR shall indemnify, defend and save harmless the CITY, its officers, agents, and
employees from and against any and all claims, demands, loss or liability of any kind or nature
which CONTRACTOR, its officers, agents and employees may sustain or incur or which may be
imposed upon them or any of them for injury to or death of persons, damage to property as a
result of, or arising out of, or in any manner connected with the performance of the obligations
under this contract.
EIGHTH. COMPLIANCE WITH OTHER PROVISIONS OF LAW RELATNE TO PUBLIC
CONTRACTS. CITY is subject to the provisions of the Government Code and the Labor Code
of the State of California. It is stipulated and agreed that all provisions of law applicable to
public contracts are a part of this contract to the same extent as though set forth herein and shall
be complied with by CONTRACTOR. These include, but are not limited to, the stipulation that
eight (8) hours labor constitute a legal day's work and CONTRACTOR shall, as a penalty to
CITY, forfeit Twenty-five (25) Dollar for each workman employed in the execution of the
Contract by CONTRACTOR, or by any SUB-CONTRACTOR, for each calendar day during
which such workman is required or permitted to work more than eight (8) hours in violation of
the provisions of Article Three, Chapter One, Part Seven, Division 2, of the California Labor
Code, except as permitted by law.
ATTACHMENT 2
IN WITNESS WHEREOF, this contract is executed by the duly authorized agent(s) of CITY,
pursuant to City Council action, and by CONTRACTOR on the date set before t he name of each.
Dated: · '6\-:J.o\'d.0 \3
~TO FORM:
H~: City Attomey
City of San Juan Capistrano
BY: __ =-------------------
CHARLES A VILA , PRESIDENT
LICENSE NO. AND CLASSIFICATION
4
IN WilNESS WHEREOF, this contract is executed by the duly authorized agent(s) of CITY,
pursuant to City Council action, and by CONTRACTOR on the date set before the name of each.
Dated:--------
ATTEST:
Maria Morris, City Clerk
~ED AS TO FORM: ~-;;;:-City Attorney
City of San Juan Capistrano
BY:, __________ _ JOHN[;S?=0 -:c
CHARLES A VILA, PRESIDENT
LICENSE NO. AND CLASSIFICATION
ATTACHMENT 2
BID PROPOSAL
For the: Friends ofthe Library Bookstore Relocation CIP 13301
To the Members of the City Council
City of San Juan Capistrano
Gentlemen:
From: __ Av_i_-_c_o_n_, r_n_c_. d_b_a -CA--'-C-o n_s_t_ru_c_t_io_n_, _s _as_6-02 , A, B • C61, D4 9
Contractor, License No. & Classification
The undersigned, as bidder, declares that he has carefully examined the location of the proposed
work as described, examined the Plans, Specifications, Special Provisions, including all supplements
therefore, read the Instructions to Bidders, and is familiar with all proposal requirements, and hereby
proposes and agrees, if the proposal is accepted, to complete the said construction in accordance
with the Contract Documents, as defined in Section 1-2 of the Standard Specifications, in the time
stated herein, for the unit price or lump sum given on the following pages of this proposal,
amounting to a total of:
-rl-f REE--Y tlfJO/CFi) r Wf.tnx -~fl' a ) $ -;2;1 ,mo --cQ
Words Jf\OJ of\tV.fJ yY)t~ 1\NO '2£~ Figures
Said amount to include and if~Jirtaxes, 1he furnishing of all materials, the performing of all the
labor requisite or proper and the providing of all necessary machinery, tools, apparatus, and other
means of construction; also, the performance and completion of all the work in the manner set forth,
described and shown in the Specifications or the drawings for the work.
If the contract is awarded, the undersigned agrees to enter into a contract with the City of San Juan
Capistrano and to commence work within fifteen (15) calendar days from the date of execution
thereof, and to diligently prosecute the work to completion before the expiration of One Hundred
Fifty (150) calendar days.
3
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
~~1%~~~~~~'«~«~~~~
} STATE OF CALIFORNIA
County of Riverside
On August 5, 2013
Date
before me, Liza Marie Quintana. Notary Public
Here Insert Name and Title or the Ollicer
personally appeared .::::.C:.:.:h~a!.!rl.::::es~A:.!.v:..:.:ila~------------.=='"Sr==l-' --------------Name\iil of Slgneiij}'
Place Notary Seal Above
who proved to me on the basis of satisfactory evidence to
be the person~ whose name~is/l:n'Q..subscribed to the
within instrument and acknowledged to me that he/she/the;!
executed the same in his/he[ltheic authorized capacity~
and that by his/herJ!heic.signatur~ on the instrument the
person~ or the entity upon behalt'of which the person~
acted, executed the instrument.
the State of California that the foregoi
and correct.
----------------------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.
Description of Attached Document
Document Date: ____________________ Number of Pages: ________ _
Signer(s) Other Than Named Above : ____________________ -,--____ """'7
Capacity(ies) Claimed by Signer(s)
Signer's Name: _____________ _
D Individual ·
D Corporate Officer-Title(s): ______ "------
0 Partner-D Limited 0 General
D Attorney in Fact
D Trustee
0 Guardian or Conservator
D Other : _______ _
Signer Is Representing :
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
Signer's Name :. _____________ _
D Individual
D Corporate Officer-Title(s) . ._· --------
0 Partner-D Limited 0 General
D Attorney in Fact
D Trustee
0 Guardian or Conservator
0 Other: -------
Signer Is Representing:
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
It is also understood by Bidder that the City of San Juan Capistrano has the right to reject this
proposal or to award a contract to the undersigned at the prices stipulated. If the proposal is rejected,
then any check or cashier's check shall be returned to the undersigned within thirty (30) days. No
bid bonds will be returned . If the proposal is accepted and the undersigned fails to enter into a
contract within fifteen ( 15) days after the agreement is delivered to him for signature, or within such
further time as may be granted by the Members of the City Council, then said check shall be cashed
or said bond declared forfeit and an amount equal to the difference between the lowest bid and the
next lowest bid who will execute a contract shall be paid into the treasury of the City of San Juan
Capistrano as liquidated damages for the failure of the undersigned to comply with the terms of this
proposal.
Accompanying this proposal is bid bond (Insert"$ cash," cashier's check,
certified check or bidder's bond on the forms from pages BB-1 and BB-2 of these Contract
Documents, as the case may be), in an amount equal to at least ten (10) percent ofthe total bid.
The following is the name and place of business of the surety company which will furnish the
required bonds as surety if the work is awarded to the undersigned:
The Ohio Casualty Insurance Company,333 City Blvd, West. Suite 300 Orang_e, Ca. 92868
Licensed in accordance with an act providing for the registration of contractors--License No.
588602 -----------and Classification ___ A_,_8 _· c_6 _1 _·0_4 _9 ________ .
4
(If an individual, so state. If a firm or co-partnership, state the firm name and give the names of all
individual co-partners composing the firm: President, Secretary, Treasurer, and Manager thereof.)
Dated fl /~,6 J 7
Dated: '3¥)
I
981 Iowa Ave. Ste . A , Riverside, Ca . 92507
Business Address
(951)781-8055
Telephone Number
Further, the undersigned bidder certifies that he has thoroughly checked the figures set forth in this
proposal, that they are correct to the best of his knowledge and that they constitute his proposal for
the work called out herein.
Dated: __ ey"+-b-~ff-'V3=--__ k(k ?
Signature of Bidder
Dated ~)~ (951)781-8055
5
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
~~~~~~~~~~·-~~~~~~~~~~
STATE OF CALIFORNIA
County of Riverside }
On August 5, 2013
Date
before me , Liza Marie Quintana. Notary Public
Here Insert Name and Title of the Offic er
personally appeared ..::C~h::::a~rl::::e:::.S..:..A.:.:v.!!ila:::_ ___ -"-------:==~· ~=r:Tt:.__ ____________ _
NameOO of Slgnet(li'
Place Notary Seal Above
who proved to me on the basis of satisfactory evidence to
be the person~ whose name~is/aTQ..subscribed to the
within instrument and acknowledged to me that he/shelthe;t
executed the same in his~lthek autho rized capacity(ms)..
and that by his/hsrLThsi.r..signatur~ 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 t laws of
the State of California t t the foregoing pa ra h is true
and correct.
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.
Description of Attached Document
Title or Type of Document: ______________________________ _
Document Date: ____________________ Number of Pages: ________ _
Signer(s) Other Than Named Above =---------------------:-------
Capacity(ies) Claimed by Slgner(s)
Signer's Name: _____________ _
0 Individual
0 Corporate Officer-T itle(s): ________ _
D Partner-D Limited 0 General
0 Attorney in Fact
0 Trustee
D Guardian or Conse rvator
D Othe r: -------
Signe r Is Representing :
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
Signer's Name : _____________ _
D Individual
0 Co rporate Officer -Title(s),_· --------
0 Partner-D limited D General
0 Attorney in Fact
D Trustee
0 Guardian or Conservator
0 Other : ·-----....,.---
Signer Is Representing :
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
Item Description
No.
1 Foundation
2 Framin
4
5
6
7
8
SCHEDULE OF WORK ITEMS
Friends of the Library Bookstore Relocation
CIP 13301
Quantity Unit Price Cost
Total Bid Price (Enter here and on Page 3)
$ 1YUI l 002 I 00
Figures
6
NON-COLLUSION AFFIDA VII TO BE EXECUTED BY
BIDDER AND SUBMITTED WITH BID
STATE OF CALIFORNIA ' )
) ss. Riv er si de County of ________ _;
_______ c_h_a_rl_e_s_A...,.v...,..i_l_a -.,----------------'being first duly sworn deposes
andsaysthatheis __ P_re_s_id_e_n_t_t_cE_o _______________________ of
Avi-C on, In c. db a CA Cons t ructi on the party making the foregoing
bid; that such bid is not made in the interest of or on behalf of any undisclosed person, partnership,
company, association, organization or corporation; that such bid is genuine and not collusive or
sham; that said 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 said
bidder has not in any manner, directly or indirectly, sought by agreement, communication or
conference with anyone to fix the bid price of said bidder or of any other bidder, or to fix the bid
price of or cost element of such 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 such bid are true; and further, that said bidder has not directly or indirectly,
submitted his 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 in connection therewith, to any corporation,
partnership, company, association, organization, bid depository, or to any member or agent thereof,
or to any other individual except to any person or persons as have a partnership or other financial
:::::" wiili ;; ;;; ~ iliis gecaness <s;: ~
SIGNATURE Cha~~a . Pr eside nt I CEO
~ 2 013
On this the day of __ A_ug_u_st----·n2e.w/be{ore me, the ~dersigned, a Notary Public
in and for said State , personally appeared _lA';:;__~Q;_\_~'_It.::.....:.S_Jt_;_v=-~~1lOt+,-------·
pez:scmally kAO\V-A le me/proved to me on the basis of satisfactory evidence, to be the person~
whose nam«<J ' 5 subscribed to the within instrument,
and acknowledge that ___ \)_e._...,-=----"7-=----r-------executed it.
WITNESS my hand and official se .
7
CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE§ 820
1111 See Attached Document (Notary to cross out lines 1-6 below)
0 See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary)
1.
2.
3.
4.
5.
6.
Signature of Document Signer No. 1 Signature of Document Signer No .2 (if any)
State of California Subscribed and sworn to (or affirmed) before me on
Countyof_R_iv_e_rs_id_e ___________ __ this 5th day of Augus t 20._1..:...3 __
Date Month Year
by
(1) Charles Avila
Name of Signer
proved to me on the basis of satisfactory evidence
to be the person who app~ Jl(
(2) -===--.--=:--------7"--+----'
Place Notary Seal Above
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 anther document.
Further Description of Any Attached Document
Title of Type of Document:------------------------
RI';H I 11•11~1RPH N 1
1,1 ''G',ER tl
HJI Hl 'HlJI'v11lPRINT
U· ~ V-.lH l'l
Top ofthumb here Top of thumb here
Document Date:----------Number of Pages:-----.._ ________ __. .__ ____ ..J
Signer(s) Other Than Named Above:------------------------
DESIGNATION OF SUB-CONTRACTORS
Submit with Proposal.
In compliance with the Provisions of Section 4100-4107 of the Government Code of the State of
California a s amended, the undersigned certifies that he has used the sub-bids of the following listed
sub-contractors in making up his bid, and that the sub-contractors listed will be used for the work for
which they bid, subject to the approval of the Engineer, and in accordance with the applicable
provisions of the Specifications . It is understood and agreed that all those portions of the work
called for in the contract documents for which a sub-contractor is not listed will be performed by the
undersigned through his forces. If no sub-contractors are listed, all bonds and in surance will be
written in the name of the general contractor only.
1.
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AUTHORIZED SIGNATURE ~rles Avila, P r esident I CEO
8
DESIGNATION OF SUB-CONTRACTORS
Submit with Proposal.
In compliance with the Provisions of Section 4100-4107 of the Government Code of the State of
California as amended, the undersigned certifies that he has used the sub-bids of the following listed
sub-contractors in making up his bid, and that the sub-contractors listed will be used for the work for
which they bid, subject to the approval of the Engineer, and in accordance with the applicable
provisions of the Specifications . It is understood and agreed that all those portions of the work
called for in the contract documents for which a sub-contractor is not listed will be performed by the
undersigned through his forces . If no sub-contractors are listed, all bonds and insurance will be
written in the name of the general contractor only.
Item of Work Sub-contractor License No. Address Phone
& Classification
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Avi-Con,Inc.dba CA Construction
BIDDER'S NAME -&;;;> ~
AUTHORIZED SIGNATURE Charles Avila, President I CEO
8
DESIGNATION OF SUB -CONTRACTORS
Submit with Proposal.
In compliance with the Provisions of Section 4100-4107 of the Government Code of the State of
California as amended, the undersigned certifies that he has used the sub-bids of the following listed
sub-contractors in making up his bid, and that the sub-contractors listed will be used for the work for
which they bid, subject to the approval of the Engineer, and in accordance with the applicable
provisions of the Specifications. It is understood and agreed that all those portions of the work
called for in the contract documents for which a sub-contractor is not listed will be performed by the
undersigned through his forces . If no sub-contractors are listed, all bonds and insurance will be
written in the name of the general contractor only .
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Avi-Con,Inc .dba CA Construc t i on
Pre s ide nt I CEO
8
DESIGNATION OF SUB-CONTRACTORS
Submit with Proposal.
In compliance with the Provisions of Section 4100-4107 of the Government Code of the State of
California as amended, the undersigned certifies that he has used the sub-bids of the following listed
sub-contractors in making up his bid, and that the sub-contractors listed will be used for the work for
which they bid, subject to the approval of the Engineer, and in accordance with the applicable
provisions of the Specifications. It is understood and agreed that all those portions of the work
called for in the contract documents for which a sub-contractor is not listed will be performed by the
undersigned through his forces. If no sub-contractors are listed, all bonds and insurance will be
written in the name of the general contractor only.
Item of Work
1.
2.
3.
4 .
5.
6.
7.
8.
Sub-contractor License No.
& Classification
Address
Avi-Con,Inc.dba CA Construction
BIDDER'S NAME
~-~
Phone
AUTHORIZED SIGNATURE Charles Avila , President I CEO
8
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
~~~«~~~~~~~«.~~
STATE OF CALIFORNIA
County of Riverside }
On August 5. 2013
Date
before me, Liza Marie Quintana. Notary Public
Here Insert Name and Title of t he O Ui cer
personally appeared ..:C;.:.;h:.:::a~rle=.;s::;,:..:A;,:.;vi~la=----------~=~'~=77:'---........ ---------
Name(ii1 of Signe~
Place N otary Seal Above
who proved to me on the basis of satisfactory evidence to
be the person~ whose name~is/llre..subscribed to the
within Instrument and acknowled~ed to me that he/s~
executed the same in hislhe{ltheic authorized capacity~
and that by his/hecLthei.tsignatur~ on the instrument the
person~ or the entity upon behalf of which the person~
acted , executed the instrument.
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.
Description of Attached Document
Document Date : ___________________ Number of Pages : _______ _
Signer(s) Other Than Named Above : _________________________ _
Capaclty(les) Claimed by Signer(s)
Signer's Name : _____________ _
D Ind ividual
D Corporate Officer-T ltle(s): ________ _
D Pa rtner -D Limited D General
D Attorney in Fact
D Trustee
0 Guardian or Conservator
0 Ot her : ______ _
Signe r Is Represent ing :
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
Signer's Name: ____________ _
D Individual
D Corporate Officer -Title(s) :...: -----------
0 Partner-0 Limited 0 Ge neral
D Attorney in Fact
D Trustee
D Guardian or Conservator
D Other : -------
Signer Is Representing:
RIGHTTHUMBPRINT
OF SIGNER
Top of thumb here
INSTRUCTION TO BIDDERS
Securing Documents
Plans, Specifications and other contract documents will be available for examination without charge
and copies may be secured in accordance with the "Notice Inviting Bids."
Examination ofPlans, Specifications and Site ofWork
The bidder is required to examine the site of work, the Proposal, the Plans and the Specifications,
and Special Provisions, if any, very carefully. He shall satisfy himself as to the character, quality
and quantities of the work to be performed, the materials to be furnished and the requirements of the
Contract Documents. The plans for the work show conditions as they are believed to exist, but it is
not to be inferred that all the conditions as shown thereon are actually existent, nor shall the City of
San Juan Capistrano or any of its officers or agents be liable for any loss sustained by the contractor
as a result of any variance between conditions shown on the plans and actual conditions revealed
during examination or progress of the work. The submission of a proposal shall be prima facie
evidence that the bidder has made such an examination.
Interpretation ofDrawings and Documents
If any bidder should fmd discrepancies in, or omissions from the drawings, specifications or other
proposed contract documents, or if he should be in doubt as to the true meaning of any part thereof,
he shall at once make a written request to the Engineer for correction, clarification or interpretation
of the point or points in question. The person submitting such a request shall be responsible for its
prompt delivery.
In the event that the Engineer receives such a request and it should be found that certain essential
information is not clearly and fully set forth, or if the Engineer discovers errors, omissions, or points
requiring clarification in the drawings or documents, a written addendum will be mailed to each
person to whom a set of contract documents has been delivered. The City of San Juan Capistrano
will not be responsible for any instructions, explanations or interpretations of the documents
presented to bidders in any manner other than written addendum.
Addenda or Bulletins
The effect of all addenda to the contract documents shall be considered in the bid and said addenda
shall be made a part of the contract documents and shall be returned with them. Before submitting
his bid, each bidder shall inform himself as to whether or not any such addenda have been issued,
and failure to cover in his bid any such addenda issued may render his bid invalid and result in its
rejection.
Disqualification of Bidders
No person, firm or corporation shall be allowed to make, file or be interested in more than one bid
for the same work unless alternate bids are called for. A person, firm or corporation who has
submitted a sub-proposal to a bidder, or who has quoted prices on materials to a bidder, is not hereby
disqualified from submitting a bid in his own behalf.
9
Proposals
Bids to receive consideration shall be in accordance with the following instructions:
A. Bids shall be made only upon the forms provided within these specifications; all bid
items shall be properly filled out; bid prices shall be stated both in words and in
figures; and the signatures of all persons signing shall be in longhand. Where there
is a conflict in the words and the figures, the words shall govern.
B. All prices and notations must be in ink or typewritten. No erasures will be permitted.
Mistakes may be crossed out and corrections typed or written in ink adjacent thereto
and must be initialed in ink by the person or persons sisning the bid.
C. Bids shall not contain any recapitulation of the work to be done. Alternate proposals
will not be considered except as required hereinabove. No oral, telegraphic or
telephonic proposals or modifications will be considered.
D. The City of San Juan Capistrano may require any bidder to furnish a statement ofhis
experience, financial responsibility, technical ability, equipment and references
properly and fully filled out.
E. Each bidder shall list his proposed sub-contractors on the form accompanying the
proposal in accordance with the provisions of the specifications.
F. Each bidder must accompany his bid with either a cashier's check upon some
responsible bank, or a properly certified check upon such bank, or an approved
corporate surety bond payable to the City of San Juan Capistrano for such a sum of
not less than ten (10) percent of the aggregate sum ofthc bid, which check or bond
and the monies represented thereby shall be held by the City of San Juan Capistrano
as a guarantee that the bidder, if awarded the contract, will in good faith enter into
such contract and furnish the required bonds.
The bidder agrees that, in case of his refusal or failure to execute said contract and
give bonds within the time required by these documents, such check or bond, and the
money represented thereby, shall remain the property of the City of San Juan
Capistrano and, if the bidder shall fail to execute said contract, said surety will pay to
the City of San Juan Capistrano the damages which the City of San Juan Capistrano
may suffer by reason of such failure not exceeding the sum of ten ( 1 0) percent of the
amount of the bid. A bid received and not accompanied by such cashier's check,
certified check or approved bond shall be rejected.
G. Bids shall be delivered to the City of San Juan Capistrano at the location stipulated
on or before the day and hour set for the opening of bids, as hereinbefore specified in
the "Notice Inviting Bids." Bids shall be enclosed in a sealed envelope bearing the
title of the work, the name ofthe bidder, bid opening date and time of bid opening .
10
Licensing of Contractor
All persons, firms, partnerships or corporations shall be licensed in accordance with the Business
and Professions Code of the State of California and the applicable ordinances of the City and County
before doing any work of any kind .
Withdrawal ofBids
Any bidder may withdraw his bid in person or by written request at any time prior to the scheduled
closing time for receipt of bids.
Opening of Bid Proposals
The City of San Juan Capistrano will, in open session, publicly open, examine and declare the bids
at the time set forth in the "Notice Inviting Bids." Bidders or their authorized representatives arc
invited to be present.
Award of Contract or Rejection of Bids
No bidder may withdraw his bid for a period of ninety (90) days after the date set for the opening of
bids. The contract for the work will either be awarded or the bids rejected within the ninety (90)
days from the date set for the opening of bids.
The contract for the work will be awarded to the lowest responsible bidder complying with these
instructions and with the "Notice Inviting Bids." The City of San Juan Capistrano, however,
reserves the right to reject any or all bids and to waive mere informalities, minor technical errors or
irregularities, obvious clerical errors or erasures.
The bidder to whom the award is made shall execute two (2) copies of the written contract with the
City of San Juan Capistrano and furnish the stipulated bonds, insurance and bid breakdown within
fifteen ( 15) days after the bid opening date. The contract shall be made in the form adopted by the
City of San Juan Capistrano. The release of the successful bidder's surety deposit, as previously
stipulated (page 5), shall be made upon the City of San Juan Capistrano's acceptance of the Labor
and Materials Bond and the Faithful Perf01mance Bond.
If the bidder to whom the award is made fails to enter the contract as herein provided, the award may
be annulled and an award may be made to the next lowest responsible bidder; and such bidder shall
fulfill every stipulation embraced herein, as if he were the party to whom the first award was made.
A corporation to which an award is made shall furnish evidence of its corporate existence and
evidence that the officer signing the contract and bonds for the corporation is duly authorized to do
so.
The successful bidder, simultaneously with the execution of the Agreement, will be required to
furnish a Labor and Material Bond in a sum not less than one hundred (1 00) percent of the total
amount payable by the terms of the contract and a Faithful Performance Bond in a sum not less than
one hundred ( 1 00) percent of the amount of the contract Said bonds shall be secured from a surety
company selected from the surety companies set forth in the standard specifications. Bonds must be
submitted on the forms contained in these specifications.
Time Performance
11
The work shall be commenced within fifteen (15) calendar days from the date of issuance of the
Notice to Proceed and shall be diligently prosecuted until completion. A time limit of one hundred
fifty (150) calendar days from the date specified in the Notice to Proceed has been set for completion
of the work. The bidder's attention is directed to the specifications as to provisions for extension of
time of completion and/or assessment ofliquidated damages .
Assignment of Contract
No assignment by the Contractor of any contract to be entered into hereunder or any part thereof, or
of funds to be received thereunder by the Contractor, will be recognized by the awarding authority
unless such assignment has had prior approval of the awarding authority and the surety has been
given notice of such assignment in writing and has consented thereto in writing.
Workmen and Wages
Attention is specifically directed to all provisions of the Labor Code of the State of California with
regard to workmen and wages . Wages shall not be less than prevailing wage rates determined by the
City of San Juan Capistrano pursuant to said Code and as listed in the "Notice Inviting Bids ."
Construction Permits
It shall be the Contractor's responsibility to obtain all necessary permits, bonds and insurance, as
required, for the completion of the project. No extra compensation shall be made therefore .
The Contractor will be required to execute a City Encroachment Permit for construction work under
this contract. This Encroachment Permit does not satisfy the requirement for transportation permits
for overload or overweight vehicles . The Contractor shall contact the Engineering Division for
issuance ofthese permits .
12
·.
BID BOND
KNOW ALL MEN BY THESE PRESENTS, that we, AVI -CON, Inc. dba CA Construct1on
--------------------------~
as PRINCIPAL, and The Ohio Casualty Insur:ance Company
______________ __, as SURETY, hereinafter called Surety, are held and firmly
bound unto the CITY OF SAN JUAN CAPISTRANO, Obligee, hereinafter called City, in the sum
Ten Percent o f the total amount bid
of$ • for payment whereof Principal and Surety bind themselves, their
heirs, executors, administrators, successors, and assigns, jointly and severally , fairly by the se
presents.
THE CONDITION OF THIS OBLIGATION is such that whereas the Principal has
submitted the accompanying bid dated /1l!.~ tin/ (a ~. for the construction of
"Friends of the Library Bookstore Relocation CIP 13301", for the CITY OF SAN JUAN
CAPISTRANO, Orange County, California .
NOW, THEREFORE, ifthe Principal shall not withdraw said bid within th itty (30) days after
the opening of same, and shall, within fifteen ( 1 5) days after the agreement has been presented lo
him for execution, enter into a written contract with the City in accordance with the bid as accepted.
and if the Principal shall give the required bond with good and sufficient sureties, or sureties for the
faithful performance and proper fulfillment of such contract and for the protection of laborers and
materialmen, or in the event of the withdrawal of said bid within the periods specified, or the failure
to enter into said contract and give said bond within the time specified, if the Principal shall within
sixty (60) days after request by the City, pay the City the di:tTerence between the amount speciJied in
said bid and the amount for which the City may procure the required work and' or supplies if the
latter amount be in excess of the former, then the above obligation shall be void and of no e!fecl.
otherwise to remain in full force and virtue.
Further, as a part of the obligation secured hereby, and in addition to the face amount
specified therefore, there shall be included costs and reasonable expenses and fees, including
reasonable attorney's fees, incurred by City in successfully enforcing such obligation , all to be taxed
as costs and included in any judgment rendered.
IN WITNESS WHEREOF, the above-bounden parties have executed tllis instrument under their
BB-1
several seals this ___ 2_2_n_ct ____ day of __ J_u_1Y __ J2013 , the name and corporate seal of each
corporate party being affixed hereto and these presents duly signed by its undersigned representative
pursuant to authority of its governing body.
Two Witnesses (Iflndividual)
AVI-CON, Inc. dba CA Conscntcc~on
PRINCIPAL
ATTEST (If Corporation)
Corporate Seal The Oh1o Casualty Insurance Ccmp'"'Y
ATfEST
APPROVED AS TO FORM:
Hans Van Lighten, City Attorney
BB-2
THIS POWER OF ATTORNEY IS NOT LID UNLESS IT IS PRINTED ON RED BACKGROUND.
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.
American Fire and Casualty Company
The Ohio Casualty Insurance Company
liberty Mutual Insurance Company
West American Insurance Company
PO WER OF ATI ORNEY
Certificate No . 6099104
KNOWN ALL PERSONS BY THESE PRESENTS: That American Fire & Casualty Company and The Oh io Casualty Insurance Company are corporations 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 corporat ion duly organized under the laws of the State of Indiana {here in collectively called the ·companies"), pursuant to and by authority herein set forth , does hereby name, constitute
and appoint. Gerrit E. Brouwer; James P. Schabarum II; Jase Hamilton; Jeffrey W. Cavignac
aH of the city of San Diego , state of CA each individually if there be more than one named, its true and lawful attorney-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 shalf
be as binding upon the Companies as if they have been duly signed by the pres ident and attested by the secretary of the Companies in their own proper persons .
STATE OF WASHINGTON
COUNTY OF KING
ss
American Fire and Casualty Company
The Ohio Casualty Insurance Company
Liberty Mutual Insurance Company
West American Insurance Company
By: G~Secretary
On th is 26th day of April • 2013 , before me personally appeared Gregory W. Davenport, who acknowledged himself to be the Assistant Secretary of American
Fire and Casualty Company, Liberty Mutual Insurance Company, The Oh io Casualty Company, and West American Insurance Company, and that he , as such, be ing authorized so to do,
execute the forego in g instrument for the purposes therein conta ined by sign ing on behalf of the corporations by himself as a duly authorized officer.
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at Seattle, Washington, on the day and year first above written .
~~~UUIII1iJq1 .~"' ~.~~~ ... ""·-..~ l ~tn>!~~. \
~ i IIOTI\R'f ~ ~
;: \ PVIJi.IC • :! ,,.._,... ~t~f "<.'If· :.a!-::.'~~·~o.? ~~~::!~\~
By: ~J?i '~
KD Riley , Not Public
This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of American Fire and Casualty Company, The Ohio Casuatty 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 Attonney. 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 appo int such attorneys-in-fact, as may be necessary to act in behalf of the Corporation to make, execute , seal,
acknowledge and del iver as surety any and all undertakings, bonds, recogn izances and other surety obligat ions. Such attorneys-in-fact , subject to the limitations set forth in their respect ive
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 Pres ident 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-fac~ as may be necessary to act in behalf of the Company to make, execute,
seal, acknowledge and del iver 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 pres ident and attested by the secretary.
Certlflcate of Designation -The President of the Company, acting pursuant to the Bylaws of the Company, authorizes Gregory W. Davenport, Assistant Secretary to appo int 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 undertak ings, bonds, recognizances and
other surety obligations.
Authorization-By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechan ically reproduced signature of any assistant secretary of the
Company, wherever appearing upon a certified copy of any power of attomey 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, David M. Carey, the undersigned, Ass istant Secretary, of American Fire and Casualty Company, 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 correcu:o~ of the Power of Attorney executed by said Companies ,
is in full force and effect and has not been revoked . JUL J. I. 2013
IN TESTI MONY WHE REOF, I have hereunto set rny hand and affixed the seals of sa id Compan ies th is __ day of , 20 __ .
. ,,~ OllVidMC . ·' ~Secretary
LMS_12B73_092012 88 of 250
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
STATE OF CALIFORNIA
County of San Diego }
On 07/22/13 before me, Julia P. Plemmons. Notary Public
Horo Insert Name and Title of the Officer Date
personally appeared =.J:::;as::;.;e:::..··.:...:H:.::::a;.:.m.:.;.;il:.:.:to::.:.n..:.._ ________ -=---:-:-:c=-..,...,..,,.,.---------------
Nama(s) of Sigr'fet(s)
Place Notary Seal Above
who proved to me on the basis of satisfactory evidence to
be the personW whose nameW is/e:re subscribed to the
within instrument and acknowledged to me that helst're/they
executed the same in his/1=\er/t:fteir authorized capacityftest,
and that by his/l=tef/-tfteif-signaturefs) on the instrument the
personM, or the entity upon behalf of which the personM
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~N\A ~
Si re of Nolaty PU!i o
----------------------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.
Description of Attached Document
Title or Type of Document: Bid Bond-A VI-CON, Inc. dba CA Construction
Document Date:-=Oc:...7:...:/2=2::...11:...::3o__ _______________ Number of Pages:-=2=----------
Signer(s) Other Than Named Above:..;,.N.;,;,./A;_;_ _____ -'-------------------
Capacity(ies) Claimed by Signer(s)
Signer's Name:..::J.::.as::..:e:..;H:...:.;a;;.;m.:..:.i;;..;lto=..:n~---------
0 Individual
0 Corporate Officer-Title(s): ________ _
0 Partner-0 Limited 0 General
ri1' Attorney in Fact
0 Trustee
0 Guardian or Conservator
0 Other: ~------
Signer Is Representing :
The Ohio Casualty Insurance
Company
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
Signer's Name: _____________ _
0 Individual
0 Corporate Officer -Title(s):'----------
0 Partner-0 Limited 0 General
0 Attorney in Fact
0 Trustee
0 Guardian or Conservator
0 Other: --------
Signer Is Representing:
RIGHTTHUMBPRINT
OF SIGNER
Top of thumb here
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
~~~~~'§L~..g(,~~~~~~~~~~~
STATE OF CALIFORNIA
County of Riverside }
On August 5, 2013 before me, Liza Marie Quintana. Notary Public
Here Insert Name and Title of the Officer Date
personally appeared .:::C:..:.;h~a~rl.:::.es::::....:...A:.:.v.:.:.;ila:::,_ ________ ---:=="'='' ~=.-::7'-'--------------
Namei?l of Signer¢
Place Notary Seal Above
who proved to me on the basis of satisfactory evidence to
be the personts). whose name~ is/~ subscribed to the
within instrument and acknowledged to me that he/she/the¥
executed the same in his~lttreN: authorized capacity(les)..
and that by his/hstilheil:,signatur~ 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 Ia
the State of California t the foregoing paragrap s
and correct.
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.
Description of Attached Document
Title or Type of Document: ______________________________ _
Document Date: _____________ -'-------Number of Pages: ____ "----'-----'~
Signer(s) Other Than Named Above : __________________________ _
Capacity(ies) Claimed by Slgner(s)
Signer's Name: _____________ _
D Individual
D Corporate Officer-Title(s):. ________ _
D Partner-D Limited D General
D Attorney in Fact
D Trustee
D Guardian or Conservator
D Other : ______ _
Signer Is Representing :
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
Signer's Name: _________ ;..._ ___ _
D Individual
D Corporate Officer -Title(s):'-----------
0 Partner -D Limited D General
D Attorney in Fact
D Trustee
D Guardian or Conservator
D Other : --------
Signer Is Representing:
RIGHTTHUMBPRINT
OF SIGNER
Top of thumb here
ADDENDUM NO. 1
TO THE SPECJFICA TIONS AND BID FORMS
FOR THE CONSTRUCTION
OF THE
FRIENDS OF THE LIBRARY BOOKSTORE RELOCATION
CIP 13301
August, 2013
To: All Plan Holders
From: The City of San Juan Capistrano
James Goodman Architecture
Friends of the Library
Addendum 1 was added as a part of the Plan and Specification package made available
through the City's Plan Room at Coastal Blue. Notice is hereby given to prospective bidders
that the changes, additions, and/or deletions therein are made a part of the Plans and
specifications to furnish, deliver, and install the Friends of the Library Bookstore Relocation
(CIP 1330 1) project as fully and completely as if the same were fully set forth therein.
This Addendum No. 1 shall form a part of the Contract Documents and take precedence of
the original Contract Documents.
Bidders shall acknowledge receipt of this Addendum No. 1 by signing page Page A 1-2 and
include it in the Contractor's bidding document package.
DATED: August 6, 2013
PAGE Al-l
By: Joe Mankawich
Associate Engineer
City of San Juan Capistrano
Addendum No. 1
City of San Juan Capistrano
Friends of the Library Bookstore Relocation
THIS PAGE TO BE ATTACHED TO BIDDING DOCUMENTS.
I have received Pages Al-l through Al-4.
Date Received by Bidder:
Typed or Printed Name
Addendum l Library Bookstore PAGEAI-2
ADDENDUM NO. 2
TO THE SPECIFICATIONS AND BID FORMS
FOR THE CONSTRUCTION
OF THE
FRIENDS OF THE LIBRARY BOOKSTORE RELOCATION
CIP 13301
August 1, 2013
To: All Plan Holders
From: The City of San Juan Capistrano
James Goodman Architecture
Friends of the Library
Notice is hereby given to prospective bidders that the following changes, additions, and/or
deletions are hereby made a part of the Plans and specifications to furnish, deliver, and install
the Friends ofthe Library Bookstore Relocation {CIP 13301) project as fully and completely
as if the same were fully set forth therein.
This Addendum No .2 shall form a part of the Contract Documents and take precedence of
the original Contract Documents.
Bidders shall acknowledge receipt of this Addendum No. 2 by signing page Al-2 and
emailing a copy of page Al-2 to the City of San Juan Capistrano, Mr. Joe Mankawich,
jmankawich raj,sanjuancapistrano .org by 2:00PM Monday August 5, 2013. In addition,
Page Al-2 shall be included in the Contractor's bidding document package.
DATED: August 1, 2013
PAGE A2-l
By: Joe Mankawich
Associate Engineer
City of San Juan Capistrano
Addendum No.2 (August 1, 2013)
City of San Juan Capistrano
Friends of the Library Bookstore Relocation
THIS PAGE TO BE ATTACHED TO BIDDING DOCUMENTS.
I have received Pages A2-1 through A2-4.
Date Received by Bidder:
8/5/2013
Addendum 2 Library Bookstore -August 1 2013 .doc PAGEA2-2
Avi-Con,Inc.dba CA Construction
Charles Avila, President I CEO
Typed or Printed Name
Addendum No.2 (Au gust 1, 2013)
City of San Ju an Capis trano
Friends of the Library Bookstor e Relocation
BIDDER'S GENERAL INFORMATION
The Bidder shall furnish the following information. Failure to complete all
Items will cause the Bid to be non-responsive and may cause its rejection.
1. BIDDER/CONTRACTOR'S Name and Street Address:
Avi-Con,Inc.dba CA Construction-981 Iowa Ave . Ste. A, Riverside, Ca. 92507
2. CONTRACTOR'S Telephone Number: (951)781 -8055
Facsimile Number: (951) 781-8033
E-mail address: aa®cacons t ruction . n et
3 . CONTRACTOR'S License: Primary Classification
State License Number(s): 588602
Supplemental License Classifications: A, B, C61, D49
4. Surety Company and Agent who will provide the required Bonds on this
Contract: Friends of The Library Bookstore Relocation
Name of Surety The Ohio Casua l ty Insurance Company
Address 333 City Blvd . West , suite 300,0range ca.92868
Surety Company Agent sara Pop l aswki
Telephone Numbers: Agent (71 4 ) 642-0454 Surety (714 l 937-Hoo ex632
5. Type of Firm (Individual, Partnership or Corporation): corporation
6. Corporation organized under the laws of the State of: california
7. List the names and addresses of the principal members of the firm or names
and titles of the principal officers of the corporation or firm:
Charles Avila, President/CEO,Naomi Avila,Vice President ,Jacob Avila ,Secretary
8. Number of years experience as a contractor in this specific type of
construction work: 2 3
9. List at least three related projects of comparable size and complexity
completed within the last 10 years:
Owner Wh ittier Union High School District
Contact Dan ny Tru e
Phone ( 562 ) 698 ~8121 p-·j~
Project ( 56 2 ) _6_9_8 _-8_1_2_1 ___ _
Address 9 4 0 J Sou th Pa inter Ay e . Whittier. ca . 90605
Class ofwork Gener a l Construction
Contract amount ..:.:S~1 .... ..:;.1 ..:.o72~·t...;4:...9:..:9:..:.·~5..:.3 ______ _
Date completed -~9 .... 1 .:..2 .:;:.0 1.:...:2;;:,_ ________ _
Ad dendum 2 Library Bookstore-August l 20l3.doc PAGE A2-l 0
Addendum No.2 (August 1, 2013)
City of San Juan Capistrano
Friends of the Library Bookstore R elocation
Owner County of Los Angeles
Contact Maureen Ng \
Phone ( 3 2 3t_2 _6 o_-_3_4 _7 3_....;~;...n.~,....,x_,((~::s.Y •
Project ( 951 ) 571-0281 WOOd Crest Library
Address 1340 West 106th Street, Los Angeles, CA 90044
Classofwork Renovation o f Existing Public Library
Contract amount ...;$~;..;8;..;7...;;3..:.., .:;.3..:..7 .;;.8 ---------
Date completed __ ....j8...,1..=2oi:00..:.:.09..._ _______ _
Owner ___ c~i_t~y~o~f __ R_iv~e_r_s_l_.d_e ______ _
Contact __ c_h_r_i_s_t _i _n_a __ G_u _er_r_e_r_o ____ _
Phone C'-......,..,..,.9s_l_,13 34 -9304
Project( 951 ) 826-5201 Ri vers ~de Public Library
Address 3581 Mission Inn Ave , Riversi d e , CA 92501
Classofwork I n ter j or Mp d if j catjons to Exis ti ng Library
Contract amount __.$;...lwlu:6!._,., ...LJawawa ________________ _
Date completed __ ....;;6.._/..;.2..;;..oo.;..7;..._ _______ _
10. List the name and title of the person who will supervise full-t i me the
proposed work for your firm: Josh Miller
Which similar project (s) listed above did he/she perform supervisor duties?
California School of the Deaf
Is full-time supervisor an employee OR contract services?
Full-t ime Employee
11. A financial statement or other information and references sufficiently
comprehensive to permit an appraisal of your current financial condition may
be required by the Engineer.
* * * * *
Addendum 2 Library Bookstore -August I 20 13 .doe PAGE A2-11
Completed Projects
Project Name: Hangar 244 Rehabilitation
Project Location: 6990 Marine Way, Irvine, CA 92618
Project Owner: Orange County Great Park Corp.
Contact: Christine Templeton
Title: Manager of Engineering Development
Address: PO Box 19575, Irvine, CA 92623
Phone: 949-724-7408
Fax: 949-724-7407
Project CM: DMC Engineering
Contact: Howard Colburn
Title: Construction Manager
Address: 18 Technology, Suite 100, Irvine, CA 92618
Phone: 949-753-9393
Fax: 949-753-9322
Project Architect: Westgroup Designs
Contact: Rober Ader
Address: 19772 MacArthur Blvd., Suite 100, Irvine, CA 92615
Phone: 949-250-0880
Fax: 949-250-0882
Contract Initial: $1,0 17,000.00
Contract Final: $1,425,927.36
Project Start: 03/281201 I
Project Completion: 07/10/2011
Description of Work: Building abatement and rehabilitation, seismic upgrades.
Status:
Project Manager:
Superintendant:
installation of new mechanical, plumbing, electrical and fire
protection systems.
100%
Paul LaBella
Kevin Frazer
981 Iowa Avenue, Suite A I Riverside, CA 92507 I P 951-781-8055 1 F 951-781-1077
Email cac@caconstructlon.net I Website www.cacgnstructlon.net
License II 588602
Completed Projects
Project Name:
Project Address:
Project Owner:
Address:
Contact:
Title:
Phone:
Fax:
El Toro Memorial Park Maint. Bldg. Fire Damage Repair
25751 Trabuco Road, Lake Forest, CA 92630
Orange County Cemetery District
25751 Trabuco Road, Lake Forest, CA 92630
Tim Deutsch
General Manager
949-95 1-9102
949-95 1 -0236
Project Architect: James Mickartz Architect
Contact: James Mickartz
Address: 4 70 Wald, Irvine, CA 92618
Phone: 949-450-1088
Fax: 949-266-5557
Contract Initial: $327,000.00
Contract Current: $345,989.99
Project Start: October 29, 2012
Completion date: March 15, 2013
Description of Work: Design and build of maintenance building, including demolition
of existing asphalt, site work, grading, removal of debris,
installation of concrete foundation slab. Installation of fire/heat
sensor system to conform with fire department requirements.
Removal of asphalt curbs and installation of new concrete curb to
Status:
Project Manager:
Superintendant:
the designated section of the grounds.
100%
David Patnode
Jeff Moody
981 Iowa Avenue, Suite A 1 Riverside, CA 92507 1 P 951-781-8055 1 F 951-781-1077
Email cac@caconstructlon.net 1 Website www.caconstructlon.net
Ucense # 588602
Completed Projects
Project Name: San Bernardino Valley Municipal Water District Warehouse
Project Location: 600 W. San Bernardino Ave., Redlands, CA 92374
Project Owner: San Bernardino Valley Municipal Water District
Contact: Mike Esquer
Title: Project Manager
Address: 600 West San Bernardino Ave., Redlands, CA 92373
Phone: 909-387-9253
Fax: 909-387-9247
Project Architect: Michael Burke Design
Contact: Michael Burke
Address: 300 East State Street #620, Redlands, CA 92373
Phone: 909-798-2748
Fax: 909-798-6874
Contract Initial: $1,375,000.00
Contract Final: $1,322,845.80
Project Start: 3/5/12
Project Completion: 9/4/12
Description: Construction and operation of a 14,000 square foot single story
warehouse building including site paving, concrete flatwork, storm
drainage, utility systems, landscape planting, landscape irrigation,
Status:
Project Manager:
Superintendant:
site lighting, trash enclosure, and other site features.
100%
David Patnode
Ryan Taylor
98llowa Avenue, Suite A 1 Riverside, CA 92507 I P 951-781-8055 I F 951-781-1077
Email cac@caconstruction.net I Website www.caconstruction.net
License # 588602
Completed Projects
CA Project Number: 09245
Project Name: Navy Medical Drug Screening Lab
Project Address: 9885 Carrol Canyon Rd., San Diego, CA 92134
Project Owner: Stronghold Engineering, Inc.
Contact: Pat Walls
Title: Project Manager
Address: 2000 Market Street, Riverside, CA 92507
Phone: 951-712-8431
Fax: 951-684-3813
Project Architect:Ravatt, Albrecht & Associates, Inc.
Contact: Paul Reinhardt
Title: Architect
Address: 3203 Lightning Street, Suite 201, Santa Maria, CA 93456
Phone: 805-928-5002
Fax: 805-928-0195
Contract Dollar Amount: $2,236,444.94
Change Orders: $316,444.94
Project Start Date: 12/21/09
Project Completion Date: 6/21/10
Description of Work: renovation, upgrades, and expansion
Status: 100%
Superintendant: Joshua Miller
Work Completed By CA: $1,190,000.00
981 Iowa Avenue, Suite A I Riverside, CA 92507 I P 951-781-8055 I F 951-781-1077
Email cac@caconstructlon.net 1 Website www.caconstructlon.net
Ucense # 588602
Completed Projects
Project Name: Arrowhead Regional Medical Center-Pharmacy IV
Project Address: 400 N. Pepper Ave., Colton, CA 92324
Project Owner: County of San Bernardino
Address: 385 N. Arrowhead Ave., San Bernardino, CA 92415
Contact: Arcie Cummings
Title: Project Manager
Phone: 909-387-5227
Fax: 909-387-5050
Project Architect: gk.kworks
Contact: Joseph MacDonald
Address: 2355 Main St., Suite 220, Irvine, CA 92614
Phone: 949-250-1500
Contract Initial: $337,000.00
Contract Final: $347,385.00
Project Start: June 18,2012
Project CompJ.: February 22, 2013
Description of Work: Improvements to existing pharmacy for compliance with USP797
including separate anteroom of at least ISO Class 7 air quality,
create separate clean room environments meeting ISO Class 5 for
ingredients for CSPs for storage of devices that provide
opportunity to exposure to contamination, create two new air
conditioning zones to meet the air change requirements for an ISO
Class 7 environment, implement the additional mechanical and
electrical requirements.
Status: 100%
Project Manager:
Superintendant:
David Patnode
Cody Bierma
981 Iowa Avenue, Suite A I Riverside, CA 92507 I P 951-781·8055 I F 951·781·1077
Email cac((llcaconstruction.net 1 Website www.caconstructlon.net
License # 588602
Completed Proiects
Project Name: General Old Golf Course Clubhouse Remodel
Project Address: 16700 Village West Drive, Riverside, CA 92518
Project Owner: March Joint Powers Authority
Address: 16700 Village Drive Riverside, CA 92518
Contact: Mike De Vries (Vanir Construction Manager)
Tide: Project Manager
Phone: 909-384-1785
Fax: 909-381-7534
Project Architect: Melzer Deckert & Ruder Architects Inc.
Contact: Mark Melzer
Address: 9511 Irvine Center Drive, Irvine, CA 92618
Phone: 949-474-8188
Fax: 949-474-8189
Contract Initial: $1,237,000.00
Contract Final: $1,472,597.40
Project Start: 11/l/11
Project Completion: 5/20/12
Description of Work: Renovation of golf clubhouse building, new exterior and interior
finishes, roofing replacement, new roof structure, demolition of
existing and construction of men's and women's restrooms,
commercial kitchen, retrofit of HV AC and plumbing systems,
electrical work, parking Jot improvements, storm water mitigation
system, new site and building utilities, tie-in connections to
existing utilities, fire line, trenching and backfill, grease
interceptor, landscape, cart paths, and hardscape
Status: 100%
Project Manqer: Paul LaBella
Superintendant: Doug Bell
981 Iowa Avenue, Suite A I Riverside, CA 92507 1 P 951-781-8055 I F 951-781-1077
Email cacOcaconstructlon.net I Website www.caconstruction.net
License # 588602
Transmittal Sheet
981 Iowa Avenue, Suite A
Riverside, CA 92507 CONSTRUCTION
Phone 951-781-8055 Fax 951-781-1077
Lie. #588602 www.caconstruction.net =====------AVI-CONINC.-
TRANSMITTAL SHEET
To : Joe Mankawich From : Aaron Avila
company: City of San Juan Capistrano Title :
Delivery Method : hand Date: 8/21 /2013
Project: Friends Of The Library
CA Project Number: 13355 Owner Project Number:
TRANSMITTAL TYPE:
0 Contract/Agreement 0 Submittals -Submittal #CA --
0 Labor Compliance Fomns 0 Returned Submittals -Submittal #CA --
0 Project Documents 0 Preliminary lnfomnation 0 Schedule of Values
0 Plans/Specifications 0 Project Schedule 0 Pay Application
~Other : BONDS
COMMENTS:
Please find the enclosed
(3) Executed Performance Bonds
(3) Executed Payment Bonds
THE ABOVE ITEMS ARE ISSUED TO YOU:
0 For Approval 0 Approved as Submitted
0 As Requested 0 Approved as Noted
0 Returned for Corrections 0 For Your Use
0 Action Required 0 No Action Required
If you have any questions regarding the attached documents, please contact our office at (951 )781-8055.
Thank you.
Executed in Triplicate
PERFORMANCE BOND
KNOW ALL :MEN BY THESE PRESENTS:
That A VI-CON, Inc . dba CA Construction
Bond No . 024048281
Premium: $5,905 .00
Premium is for contract term and is subject to
adjustment based on final contract price
as Principal, hereinafter called CONTRACTOR, and The Ohio Casualty Insurance Company
as Surety, hereinafter called SURETY, are held and firmly bound unto the CITY OF SAN JUAN
CAPISTRANO, as Obligee, hereinafter called CITY, m the amount of
Three Hundred Twenty Seven Thousand and 00/100 ($327,000.00)
Dollars for payment whereof Contractor and Surety bond themselves, their heirs , executors,
administrators, successors, and assigns, jointly and severally, fairly by these presents .
WHEREAS, Contractor has by written agreement dated ___ 8_1_14_12_0_1_3 _____ _
entered into a (describe agreement):_for the construction of:
"Friends of the Library Bookstore Relocation CIP 13301"
which contract is by reference made a part hereof;
NOW THEREFORE, the condition of this obligation is such that, ifPrincipal shall promptly
and faithfully perform said agreement, then this obligation shall be null and void ; otherwise it shall
remain in full force and effect. Surety waives whatever legal right it may have to require that a
demand be made first against the principal in the event of default.
BE IT FURTHER RESOLVED that:
1. As a part of the obligation secured hereby, and in addition to the face amount
specified, there shall be included costs and reasonable expenses and fees, including reasonable
attorney's fees, incurred by City in successfully enforcing such obligation, all to be taxed as costs
and included in any judgment rendered .
PB-1
2 . Said Surety , for value received, hereby stipulates and agrees that n o ch a nge,
extension of time, alteration , or modification of the contract documents or of the work to be
performed thereunder, shall in any way affect its obligations or this bond, and it does hereb y waive
notice of any such change, extension oftime, alterations, or modifications of the contract documents
or of work to be performed thereunder.
Executed this __ 2_0_th _____ day of __ A_u_g_u_st ________ , 2013 , at
__ c_av_ig_n_a_c_&_A_s_so_c_ia_te_s_, _45_o_s_st_re_e_t _su_it_e_1_8o_o_. _s_an_D_ie_go __ ,, California.
HANS VAN LIGTEN, CITY ATTORNEY
PRINCIPAL
A VI-CON, Inc . dba CA Construction
~~~f:eo
PB-2
se Hamilton , Attorney-in-Fact
OTARTZATTON AND SEAL)
THIS POWER OF ATIORNEY IS NOT {.. 0 UNLESS IT IS PRINTED ON RED BACKG NO.
this Power of Attorney limits the acts of those nallltd nereln, and they have no authority to bind the Company except In the manner and to the extent herein stated.
American Fire and Casualty Company
The Ohio Casualty Insurance Company
Liberty Mutual Insurance Company
West American Insurance Company
POWER OF ATTORNEY ~-
Certificate No. 6099138
all of the city of San Diego state of CA each individually if there be more than one named, its true and lawful attorney-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 6een duly signed by the president and attested by the secretary of the Companies in their own proper persons .
American Fire and Casualty Company
The Ohio Casualty Insurance Company
Liberty Mutual Insurance Company
West American Insurance Company
By: ~et·~
KD Riley , No Pubhc
Certificate of Designation -The President of the Company, acting pursuant to the Bylaws of the Company, authorizes Gregory W. Davenport, Assistant Secretary to appoint such
attorneys-in-fact as may be necessary to act on behalf of the Company to make , execute , seal , ackn9Wiedge an<Ldeliver 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 assistanf secretary of the
Company, wherever appearing upon a certified copy of any power of atfomey 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, David M. Carey, the undersigned, Assistant Secretary, of American Fire and Casualty Company, 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 said Companies ,
is in full force and effect and has not been revoked . 2011
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed th;_. seals__o~id ~Companies th is __ day AtJS ~ 0 Jb __ ~_ .
LMS_12873_092012 122 of 250
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
STATE OF CALIFORNIA
County of San Diego }
On 08/20/13 before me, Julia P. Plemmons. Notary Public
Here Insert Name and Title of the Officer Date
personally appeared =.J:::.as:::.:e::....:....H:.::a:..:..:m~i.:..:.lto:::.:n:..:...._ ________ ___,,---,..,.....,...,..,.c.-:--~---------------
Name(s) of Signer(s)
Place Notary Seal Above
who proved to me on the basis of satisfactory evidence to
be the person{st whose name{st is/are subscribed to the
within instrument and acknowledged to me that helshe/tliey
executed the same in his/l=ter/tfteir authorized capacitytfes1,
and that by his/Aef:/-thetf-signatur$) on the instrument the
person{st, or the entity upon behalf of which the person{st
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 m~ official seal.
Signature ~
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.
Description of Attached Document
Title or Type of Document: Performance Bond-A VI-CON, Inc. dba CA Construction
Document Date:-=-0=8/=2=0.:..../1=-=3'-----------------Number of Pages:_2 _______ _
Signer(s) Other Than Named Above:-'-N.::.:/A:...:_ _______________________ _
Capacity(ies) Claimed by Signer(s)
Signer's Name:-'-J-'-as.;_e_H_am_ilt..;..o_n ________ _
0 Individual
0 Corporate Officer-Title(s): ________ _
0 Partner-0 Limited 0 General
~ Attorney in Fact
0 Trustee
0 Guardian or Conservator
0 Other : ______ _
Signer Is Representing :
The Ohio Casualty Insurance
Company
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
Signer's Name:. _____________ _
0 Individual
0 Corporate Officer-Title(s),_: ________ _
0 Partner-0 Limited 0 Gene ral
0 Attorney in Fact
0 Trustee
0 Guardian or Conservator
0 Other: --------
Signer Is Representing :
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
CAliFORNIA ALL-PURPOSE ACKNOWLEDGMENT
:~-@;.~~~~~~~~~'®~"'9<:>~~~~'%'§%~~~®-G
STATE OF CALIFORNIA
County of Riverside }
On August21,2013 before me, Liza Marie Quintana. Notarv Public
Da te Here Insert Name and Title of the Offi ce r
pe rsonally appeared -=C~h:.=ac:...:rl.=.es::....:....A:..:.v.:.:.:ila=------------:-:-----:-r/'-:-:::.,----:-::"-r _____________ _ Name~ of Signer(jj'
Place Nota ry Seal Above
who proved to me on the basis of satisfactory evidence to
be the person~ whose nameW-is/~subscribed to the
within instrument and acknowledged to me that he/s'he/tt'tey
executed the same in hisfM.(Iltlefl: autho rized capacity~
and that by his/~signaturGts). 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 t
the State of California t the foregoing par ra
and correct.
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.
Description of Attached Document
Title or Type of Document:-------------------------------
Document Date: ___________________ Number of Pages : ________ _
Signe r(s) Other Than Named Above : __________________________ _
Capacity(ies) Claimed by Signer(s)
Signer's Name: _____________ _
0 Individual
0 Corporate Officer-Title(s): ________ _
0 Partner-0 Limited 0 General
0 Attorney in Fact
0 Trustee
0 Guardian or Conservator
0 Other : ______ _
Signer Is Represent ing :
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
Signer's Name:. _____________ _
0 Individual
0 Corporate Off icer -Title(s):'----------
0 Partner-0 Limited 0 Ge neral
0 Attorney in Fact
0 Trustee
0 Guardian or Conservator
0 Other : ______ _
Signer Is Representing :
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
Executed in Triplicate
LABOR AND MATERIAL BOND
KNOW ALL MEN BY THESE PRESENTS : That
Bond No . 024048281
Premium Included
in performance bond
WHEREAS, the CITY OF SAN JUAN CAPISTRANO, a municipal corporation of Oran ge
County, California, has awarded to A VI-CON, Inc . dba CA Construction License o .
588602 hereinafter designated as "Principal", a contract for the construct ion of"Friends of
the Library Bookstore Relocation CIP 13301 "; and
WHEREAS, said Principal is required to furnish a bond in connection with the said contract
providing that if said Principal, or any of his or its sub-contractors, shall fail to pay for any materials ,
provisions, provender or other supplies or teams used in , upon , for or about the performance of the
work contracted to be done, or for any work or labor done thereon of any kind , the surety or thi s
bond will pay the same .
NOW THEREFORE we A VI-CON, Inc . dba CA Construction
Principal, and The Ohio Casualty Insurance Company , as surety, are
Held firmly bound unto the City of San Juan Capistrano, a municipal corporation , in the penal sum
of Three Hundred Twenty Seven Thousand and 00/100 DOLLARS
($ 327,000 .00 ), lawful money of the United States of America, for payment of which sum well and
truly to be made we bind ourselves, our heirs , executors, administrators and successors, jointly and
severally , firmly by these presents .
THE CONDITION OF THIS OBLIGATION is such that , if said Principal , his or its heirs ,
executors, administrators, successors or assign~, or sub-contractors, shall fail to pay for any
materials , provisions, provender, or teams, or other supplies or equipment used in, upon , for or about
the performance of the work contracted to be done , or for any work or labor done thereon of any
kind , or for amounts due under the Unemployment Insurance Act with respect to such work or labor
as required by the provisions ofTitle 1, Division 5, Chapter 3 of the Government Code of California
as amended, that the surety will pay for the same in an amount not exceeding the sum specified in
this bond and also in case suit is brought upon the bond, a reasonable attorney's fee to be fixed by
the court. This bond shall inure to the benefit of an and all persons , companies and corporations
entitled to file claims under said act, so as to give a right of action to them or their assigns in any
suite brought upon this bond .
FURTHER, the said surety, for value received, hereby stipulates and agrees that no change,
extension of time, alteration or modification of the contract documents or of the work to be
performed thereunder shall in any way affect its obligation on this bond and it does hereby waive
notice of any such change, extension of time, alteration or modification of the contract documents or
of work to be performed thereunder.
LM-1
As a part of the obligation secured thereby, and in addition to the face amount specified
therefore, there shall be included costs and reasonable expenses and fees, including reasonable
attorney's fees, incurred by City in successfully enforcing such obligation, all to be taxed as costs
and included in any judgment rendered.
IN WITNESS WHEREOF three (3) identical counterparts ofthis instrument, each of which
shall for all purposes be deemed an original thereof, have been duly executed by the Principal and
surety herein named on the 20th day of August , 2013
The name and corporate seal of each corporate party being hereto atlixed and these presents duly
signed by its undersigned representatives pursuant to authority of its governing body .
The Ohio Casualty Insurance Company
SURETY
STOFORM
y
LM-2
D UNLESS IT IS PRINTED ON RED BACK · NO. THIS POWER OF ATTORNEY IS NOT
thls"PoweroOf Attorney limits the acts of tttose nameo rein, and they have no authority to bind the Company excep n the manner and to the extent herein stated.
American Fire and Casualty Company
The Ohio Casualty Insurance Company
Liberty Mutual Insurance Company
West American Insurance Company
'""0 --:--,;~:-""'-::--= ~-::;:""POWER OF ATTORNEY ~
Certificate No . 6099139
KNOWN ALL PERSONS BY THESE PRESENTS: That American Fire & Casualty Company and The Ohio Casualty Insurance Company are corporations duly organized under the laws of
the State of New Hampshire, !hat Liberty Mutual insurance Company is a corporatio 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 "Comp!!nies"), pursuant to and by aultlority herein set forth, does hereby name , constitute
and appoint, Gerrit E. Brouwer;. James P. Schabarum IL; Jase Hamilton; Jeffrey W. Gavignac
all of the city of San Diego , state of CA each individually if there be more than one named, its true and lawful attorney-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 !~own proper persons .
---_..;:; :;.-.
IN WITNESS WHEREOF,Jhis Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corpofale seals of the Companies have been affixed
thereto this 26th day of Aoril , l.Qll._. ""--"! -
lM$_12873_092012 123 of 250
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
STATE OF CALIFORNIA
County of San Diego }
On 08/20/13 before me, Julia P. Plemmons. Notary Public
Date Here Insert Name and Title of the Officer
personally appeared .::..Ja=.s::..:e=-.c...H:.::a:.:..:m-.:oi:.::.lto::..:n..:...... ________ ----..=:;::-;-::;-;::==---------------
Name(s) of Signer(s)
Place Notary Seal Above
who proved to me on the basis of satisfactory evidence to
be the personts} whose namets} is/ere subscribed to the
within instrument and acknowledged to me that he/she/they
executed the same in his/l'ter/1hetr authorized capacityttes},
and that by his/Ret=fthett'-signatur$) on the instrument the
personts}, or the entity upon behalf of which the personts}
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 m~:nd official seal. Signature~ ~ ~ 0~
Signature of Notary Public
----------------------OPTIONAL----------------------
Though the information below is not required by Jaw, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attached Document
Title or Type of Document: Labor and Material Bond-A VI-CON, Inc. dba CA Construction
Document Date:-"'0-=8/'-=2'-"0"-/1,_,3'-----------------Number of Pages:-=2::....._ ______ _
Signer(s) Other Than Named Above:...:...N""'/A-'--------------------------
Capacity(ies) Claimed by Signer(s)
Signer's Name: -=J-=a::..:se:....:....:H.=.amc:..:.:.:.ilt:..:.o.:..:.n ________ _
D Individual
D Corporate Officer-Title(s): ________ _
D Partner-D Limited D General
!li1' Attorney in Fact
D Trustee
D Guardian or Conservator
D Other : ______ _
Signer Is Representing :
The Ohio Casualty Insurance
Company
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
Signer's Name: _____________ _
D Individual
D Corporate Officer-Title(s),_: ________ _
D Partner-D Limited D Gene ral
D Attorney in Fact
D Trustee
D Guardian or Conservator
D Other : --------
Signer Is Representing :
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
:~~~··Q<.}Q<&~<;,'@;.~~~'g;.~~..g:,~~~~~~~'@@,~'%-'@:..~~'§<.."<X."§
STATE OF CALIFORNIA
County of Riverside }
On Auqust21,2013 before me, Liza Marie Quintana. Notarv Public
Date Here Insert Name and Title of the Officer
personally appeared -=C:.:.:h:=a::..:rl.=.es~A:.:.v.:.:;ila=----------~:---=-"/~.,--~/:..._ ____________ _ Nam~ of Signe~)
Place Notary Seal Above
who proved to me on the basis of satisfactory evidence to
be the person~ whose name~is/l:rfQ.subscribed to the
within instrument and acknowledged to me that he/she/they
executed the same in histhe(~ authorized capacity(tes}..
and that by his/hetfthsi,(signatur~ 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 t Ws of
the State of California t at the foregoing par aph · true
and correct.
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.
Description of Attached Document
Title or Type of Document:-------------------------------
Document Date: ___________________ Number of Pages: ________ _
Signe r(s) Other Than Named Above: __________________________ _
Capacity(ies) Claimed by Signer(s)
Signer's Name : _____________ _
D Individual
D Corporate Officer-Title(s): ________ _
D Partner-D Limited D General
D Attorney in Fact
D Trustee
D Guardian or Conservator
0 Othe r: ______ _
Signer Is Representing :
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
Signer's Name:. _____________ _
D Individual
D Corporate Officer-Title(s ):'-----------
0 Partner-0 Limited 0 General
0 Attorney in Fact
D Trustee
D Guardian or Conservator
D Other : -------
Signer Is Representing :
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
Executed in Triplicate
PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS :
That A VI-CON, Inc. dba CA Construction
Bond No . 024048281
Premium : $5 ,905 .00
Premium is for contract term and is subject to
adjustment based on final contract price
as Principal , hereinafter called CONTRACTOR, and The Ohio Casualty Insurance Company
as Surety, hereinafter called SURETY, are held and firmly bound unto the CITY OF SAN JUAN
CAPISTRANO, as Obligee, hereinafter called CITY, m the amount of
Three Hundred Twenty Seven Thousand and 00/100 ($327,000 .00)
Dollars for payment whereof Contractor and Surety bond themselves , their heirs , executors ,
administrators, successors, and assigns , jointly and severally , fairly by these presents.
WHEREAS , Contractor has by written agreement dated ___ 8_1_14_1_20_1_3 _____ _
entered into a (describe agreement):_for the construction of:
"Friends of the Library Bookstore Relocation CIP 13301 "
which contract is by reference made a part hereof;
NOW THEREFORE, the condition of this obligation is such that, ifPrincipal shall promptl y
and faithfully perform said agreement, then this obligation shall be null and void ; otherwise it shall
remain in full force and effect. Surety waives whatever legal right it may have to require that a
demand be made first against the principal in the event of default.
BE IT FURTHER RESOLVED that:
1. As a part of the obligation secured hereby , and in addition to the face amount
specified, there shall be included costs and reasonable expenses and fees, including reasonable
attorney 's fees , incurred by City in successfully enforcing such obligation, all to be taxed as costs
and included in any judgment rendered .
PB-1
. .
2 . Said Surety , for value received, hereby stipulates and agrees that no change,
extension of time, alteration , or modification of the contract documents or of the work to be
performed thereunder, shall in any way affect its obligations or this bond, and it does hereb y wai ve
notice of any such change, extension of time , alterations , or modifications of the contract document s
or of work to be performed thereunder.
Executed this __ 2_0t_h ____ day of __ A_u_g_us_t ________ , 2013 , at
Cavignac & Associates, 450 B Street suite 1800 , San Diego
---------------------, California.
PRINCIPAL
AS TO FORM
~~
[ H ~"b A \JILl+' I P(e~diiJt17 c ED
(NOTARIZATION AND SEAL )
HANS VAN LIGTEN, CITY ATTORNEY
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THI~ POWER OF ATTORNEY IS NOT
• This Power of Attorney limits the acts of those namea
.10 UNLESS IT IS PRINTED ON RED BACK · UNO.
rein, and they have no authority to bind the Company except in the manner and to the extent herein stated.
Certificate No . 6099140
American Fire and Casualty Company
The Ohio Casualty Insurance Company
Liberty Mutual Insurance Company
West American Insurance Company
POWER OF ATTORNEY
all of the city of San Diego . state of CA each individually if there be more than one named, its true and lawful attorney-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 nave been duly signed by the president and attested by the secretary of the Companies in their own proper persons .
STATE OF WASHINGTON
COUNTY OF KING
.ss
American Fire and Casualty Company
The Ohio Casualty Insurance Company
Liberty Mutual Insurance Company
West American Insurance Company
On th is 26th day of April , 2013 • before me personally appeared Gregory W. Davenport, who acknowledged himself to be the Assistant Secretary of Ame ri can
Fire and Casualty Company, Liberty Mutual Insurance Company, The Oh io Casualty Company, and West American Insurance Company, and that he , as such , being authorized so to do ,
execute the forego ing instrument for the purposes therein conta ined by signing on behalf of the corporations by himself as a duly authorized officer .
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at Seattle , Wash ington , on the day and year first above written .
,,~~~,~~~~,~
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..... , ..... ,<~ \~~ .. ~
By:~~·~
KD Riley . NOPUblic _g!
a; a o.s c ca This Power of Attomey is made and executed pursuant to and by authority of the following By-laws and Authorizations of American Fi re and Casualty Company, The Ohio Casualty Insurance
a;.::; 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 Chaiman or the President , and subject .g» .S to such limitation as the Chaiman or the President may prescribe, shall appo int such attomeys-in-fact , as may be necessary to act in behalf of the Corporation to make , execute , seal ,
o .5 acknowledge and deliver as surety any and all undertakings , bonds, recognizances and other surety obligations . Such attorneys-i n-fact, subject to the limitations set forth in their respect ive
E • powers of attomey, 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
.2 f! the provisions of this artide may be revoked at any time by the Board , the Cha iman , the President or by the officer or officers granting such power or authority.
"'>o i g ARTICLE XIII-Execution of Contracts -SECTION 5. Surety Bonds and Undertakings . Any officer of the Company authorized for that purpose in writing by the cha irman or the president ,
> CD 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 , o ~ seal , acknowledge and del iver as surety any and all undertakings , bonds, recognizances and other surety obligations . SUch attorneys-in-fact subject to the limitations set forth in their
Z U respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such inslrumen!S and to attach thereto the seal of the Company. When so
executed such i nstruments 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 Gregory W. Davenport, Assistant Secretary to appoint such
attomeys-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 , recogn izances 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 attomey 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, David M. Carey, the undersigned , Assistant SecretarY. of American Fire and Casualty CompanY:Ihe 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 said Companies,
is in full force and effect and has not been revoked . Allj 2 0 aD
IN TESTIMONY WHEREOF , I have hereunto set my hand and affixed the seats of sa \0 Companies this __ day of , 20 __ .
LMS_1 2873_092012 124 of.250
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
STATE OF CALIFORNIA
County of San Diego }
On 08/20/13 before me, Julia P. Plemmons. Notary Public
Date Here Insert Name and Title of the Officer
personally appeared -=-Ja=s=-e::....:....H:..::a:.:.:mc.:..:i:..:.lto=-n...:...._ ________ --:-:_-;-;--;-;::,--....,.-,.---------------
Name(s) of Signer(s)
Place Notary Seal Above
who proved to me on the basis of satisfactory evidence to
be the personfst whose namefst is/are subscribed to the
within instrument and acknowledged to me that hefshe/they
executed the same in his/Rer/tfteir authorized capacityfiest,
and that by his/Aef:i+l'teit-signatur$) on the instrument the
personfst, or the entity upon behalf of which the personfst
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 m~nd official seal.
Signature ~~
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.
Description of Attached Document
Title or Type of Document: Performance Bond-AVI-CON, Inc. dba CA Construction
Document Date:-"0""8/""2,_,0"-/1,_,3::...._ _______________ Number of Pages:-=2=---------
Signer(s) Other Than Named Above: -=-N=/A:....:...._ _______________________ _
Capacity(ies) Claimed by Signer(s)
Signer's Name:....:.J-'-as_e_H--'-am_ilt..:..o_n ________ _
0 Individual
0 Corporate Officer-Title(s): ________ _
0 Partner-0 Limited 0 General
~ Attorney in Fact
0 Trustee
0 Guardian or Conservator
0 Other : --------
Signer Is Representing:
The Ohio Casualty Insurance
Company
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
Signer's Name: _____________ _
0 Individual
0 Corporate Officer-Title(s):,___ _______ _
0 Partner-0 Limited 0 General
0 Attorney in Fact
0 Trustee
0 Guardian or Conservator
0 Other: --------
Signer Is Representing:
I
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
:~-g;.~~~~~'IQ(>~~-g;,~~~~~«~~'@.'{';
STATE OF CALIFORNIA
County of Riverside }
On Auqust21.2013
Date
before me, Liza Marie Quintana. Notary Public
Here Insert Name and Title of the Officer
personally appeared ...::Cc:...h;.::a;;_;rl..::.es.::....:....A::..:.v.:..;.;ila::...._ ________ ---;-==~=":::;:X'---------------NameW'~t Signer~'
Place Notary Seal Above
who proved to me on the basis of satisfactory evidence to
be the person~ whose name~is/~subscribed to the
within instrument and acknowledged to me that he/sl'lelthey
executed the same in hisfhe{~ authorized capacity(les+.
and that by his/h&fthe.i.(signatur~ 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 e laws of
the State of California that the foregoing pa graph is true
and correct.
-------------------------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.
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: _____________ _
0 Individual
0 Corporate Officer-Title(s): ________ _
0 Partner-0 Limited 0 General
0 Attorney in Fact
0 Trustee
0 Guardian or Conservator
0 Other: ______ _
Signer Is Representing :
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
Signer's Name:. _____________ _
0 Individual
0 Corporate Officer-Title(s ):'-----------
0 Partner-0 Limited 0 General
0 Attorney in Fact
0 Trustee
0 Guardian or Conservator
0 Other: -------
Signer Is Representing:
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
Executed in Triplicate
LABOR AND MATERIAL BOND
KNOW ALL MEN BY THESE PRESENTS : That
Bond No. 024048281
Premium Included
in performance bond
WHEREAS, the CITY OF SAN JUAN CAPISTRANO, a municipal corporation of Orange
County, California, has awarded to A VI-CON, Inc. dba CA Construction License No .
588602 , hereinafter designated as "Principal", a contract for the construction of"Friends of
the Library Bookstore Relocation CIP 13301"; and
WHEREAS, said Principal is required to furnish a bond in connection with the said contract
providing that if said Principal, or any ofhis or its sub-contractors, shall fail to pay for any materials ,
provisions, provender or other supplies or teams used in, upon, for or about the performance of the
work contracted to be done, or for any work or labor done thereon of any kind , the surety or this
bond will pay the same .
NOW THEREFORE we A VI-CON, Inc . dba CA Construction
Principal, and The Ohio Casualty Insurance Company , as surety, are
Held firmly bound unto the City of San Juan Capistrano, a municipal corporation , in the penal sum
of Three Hundred Twenty Seven Thousand and 00/100 DOLLARS
($ 327,000.00 ), lawful money of the United States of America, for payment of which sum well and
truly to be made we bind ourselves, our heirs, executors, administrators and successors, jointly and
severally, firmly by these presents .
THE CONDITION OF THIS OBLIGATION is such that, if said Principal , his or its heirs ,
executors, administrators, successors or assigns, or sub-contractors, shall fail to pay for any
materials, provisions, provender, or teams , or other supplies or equipment used in, upon , for or about
the performance of the work contracted to be done, or for any work or labor done thereon of any
kind, or for amounts due under the Unemployment Insurance Act with respect to such work or labor
as required by the provisions of Title 1, Division 5, Chapter 3 of the Government Code of California
as amended, that the surety will pay for the same in an amount not exceeding the sum specified in
this bond and also in case suit is brought upon the bond, a reasonable attorney 's fee to be fixed by
the court. This bond shall inure to the benefit of an and all persons , companies and corporations
entitled to file claims under said act, so as to give a right of action to them or their assigns in any
suite brought upon this bond.
FURTHER, the said surety, for value received , hereby stipulates and agrees that no change,
extension of time, alteration or modification of the contract documents or of the work to be
performed thereunder shall in any way affect its obligation on this bond and it does hereby waive
notice of any such change , extension of time, alteration or modification of the contract documents or
of work to be performed thereunder.
LM-1
As a part of the obligation secured thereby, and in addition to the face amount specified
therefore, there shall be included costs and reasonable expenses and fees , including reasonable
attorney's fees, incurred by City in successfully enforcing such obligation, all to be taxed as costs
and included in any judgment rendered.
IN WITNESS WHEREOF three (3) identical counterparts of this instrument, each of which
shall for all purposes be deemed an original thereof, have been duly executed by the Principal and
surety herein named on the 20th · day of August , 2013
The name and corporate seal of each corporate party being hereto affixed and these presents duly
signed by its undersigned representatives pursuant to authority of its governing body .
AVl-CON, Inc . dba CA Construction
APPROVED AS TO FORM
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THiaPOWER OF ATTORNEY IS NOT D UNLESS IT IS PRINTED ON RED BACK
This Power of Attorney llmlts the acts of those nam -nereln, and they have no authority to bind the Company exce
American Fire and Casualty Company
The Ohio Casualty Insurance Company
Liberty Mutual Insurance Company
West American Insurance Company
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS: That American Fire & Casualty Company and The Ohio Casualty Insurance Company are corporations 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 O!'QBnized under the laws of the State of Indiana (herein collec!ively called the "Compan.ies"), pursuant to and by authority herein set forth , does hereby name, constiMe
and appoint , Gerrit E. Brouwer; James P. Schabarum II; Jase Hamrlton; Jeffrey W. Cavrgnac
all of the city of San Diego , state of CA each individually if there be more than one named, its true and lawful attomey-i n-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 obligattons, 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 .
STATE OF WASHINGTON
COUNTY OF KING
ss
American Fire and Casualty Company
The Ohio Casualty Insurance Company
Liberty Mutual Insurance Company
West American Insurance Company
G~stant Secretary
On this 26th day of April , 2013 , before me personally appeared Gregory W. Davenport, who acknowledged himself to be the Assistant Secretary of American
Fire and Casualty Company, Liberty Mutual Insurance 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 there in contained by signing on behalf of the corporations by himself as a duly authorized officer .
IN WITNESS WHEREOF, I have hereunto subscribed my name and affrxed my notarial seal at Seattle, Washington , on the day and year first above written.
<J..'o1Ufll .. tr11 ~~ .. -''~~~~f'>"'~ ~ ··o~-~ ~ f f ~~~~~i .} t
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By: ~E?t ·~
KD Riley, NOPUbtic
This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of American Fire and Casualty Company_,__ 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 ln 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 50
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 artide may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority.
=i g ARTICLE XIII-Execution of Contracts -SECTION 5. Surety Bonds and Undertakings . Any officer of the Company authorized for that purpose in writing by the chainnan 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, o ~ seal, acknowledge and deliver as surety any and all undertakings , bonds, recognizances and other surety obligations . Such attomeys-in-fact subject to the limitations set forth in their
Z u respective powers of attomey, 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 50
executed such instruments shall be as bindillQ 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 Gregory W. Davenport , Assistant Secretary to appoint such
attomeys-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 facsjmile 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.
LMS_12873_092012 125 of 250
..
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
STATE OF CALIFORNIA
County of San Diego }
On 08/20/13 before me, Julia P. Plemmons. Notary Public
Date Here Insert Name and Title of the Officer
personally appeared .::.J.::.as::.ce::....:....H:..::a:..:..:mc:..:i.:.:.lto::.cnc.:....._ ________ ____,.,c:-::-::c~~=,....,-;---------------
Name(sl of Signer(s}
Place Notary Seal Above
who proved to me on the basis of satisfactory evidence to
be the person~ whose name~ is/at=e subscribed to the
within instrument and acknowledged to me that hefshe/they
executed the same in his/l'ter/1fteir authorize(,:! capacity{test,
and that by his/Aef:Ahett-signatur$) 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.
Witness m~cial seal. Signature~ f ~
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.
Description of Attached Document
Title or Type of Document: Labor and Material Bond-A VI-CON, Inc. dba CA Construction
Document Date:-"'0""8,/2""0"-/1!..!3"-------------------Number of Pages:-=2~-------
Signer(s) Other Than Named Above:...:.N~/:...:A:__ _______________________ _
Capacity(ies) Claimed by Signer(s)
Signer's Name:...::J..::a.::..se::.....:...:H.::.a:c.cmc..:.ilt:..::o.:..:.n ________ _
D Individual
D Corporate Officer-Title(s): ________ _
D Partner-D Limited D General
!i1 Attorney in Fact
D Trustee
D Guardian or Conservator
D Other: _______ _
Signer Is Representing :
The Ohio Casualty Insurance
Company
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
Signer's Name :. _____________ _
D Individual
D Corporate Officer-Title(s),_: ________ _
D Partner-D Limited D General
D Attorney in Fact
D Trustee
D Guardian or Conservator
D Other : --------
I
Signer Is Representing:
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
. .
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
:xx"®~~~~~'%~~«'9(."@>~~~~~~-@.~~~"Q<.."G
STATE OF CALIFORNIA
County of Riverside }
On August21,2013 before me, Liza Marie Quintana. Notarv Public
Date Here Insert Name and Title of the Officer
personally appeared -=C:..:.:h:=a::..:rl.::.es::...:....A:..:.v.:.:.:ila=--------------,-,---;-x'.c~.,.--:-;t.c..../ _____________ _
Name;ul of Signer~
Place Notary Seal Above
who proved to me on the basis of sat isfactory evidence to
be the personts+. whose name~is/~subscribed to the
within instrument and acknowledged to me that he/s~
executed the same in his~lltlek authorized capacity~
and that by his/~signatur~ 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 State of California th the foregoing p gr
and correct.
----------------------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.
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 : _____________ _
0 Individual
0 Corporate Officer-Title(s): ________ _
0 Partner-0 Limited 0 General
0 Attorney in Fact
0 Trustee
0 Guardian or Conservator
0 Other : ______ _
Signer Is Representing:
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
Signer's Name : _____________ _
0 Individual
0 Corporate Officer -Title(s):'------------
0 Partner-0 Limited 0 General
0 Attorney in Fact
0 Trustee
0 Guardian or Conservator
0 Other: -------
Signer Is Representing:
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
•
Executed in Triplicate
PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS :
That A VI-CON, Inc. dba CA Construction
Bond No . 024048281
Premium: $5 ,905 .00
Premium is for contract term and is subject to
adjustment based on final contract price
as Principal, hereinafter called CONTRACTOR, and The Ohio Casualty Insurance Company
as Surety, hereinafter called SURETY, are held and firmly bound unto the CITY OF SAN JUAN
CAPISTRANO, as Obligee, hereinafter called CITY, m the amount of
Three Hundred Twenty Seven Thousand and 00/100 ($327,000.00)
Dollars for payment whereof Contractor and Surety bond themselves, their heirs, executors ,
administrators, successors, and assigns, jointly and severally, fairly by these presents .
WHEREAS, Contractor has by written agreement dated ___ 8_1_14_12_0_1_3 _____ _
entered into a (describe agreement):_for the construction of:
"Friends of the Library Bookstore Relocation CIP 13301"
which contract is by reference made a part hereof;
NOW THEREFORE, the condition of this obligation is such that, ifPrincipal shall promptly
and faithfully perform said agreement, then this obligation shall be null and void ; otherwise it shall
remain in full force and effect. Surety waives w:hatever legal right it may have to require that a
demand be made first against the principal in the event of default.
BE IT FURTHER RESOLVED that:
1. As a part of the obligation secured hereby , and in addition to the face amount
specified, there shall be included costs and reasonable expenses and fees, including reasonable
attorney's fees, incurred by City in successfully enforcing such obligation, all to be taxed as costs
and included in any judgment rendered .
PB-1
2 . Said Surety , for value received, hereby stipulates and agrees that no chan g e,
extension of time, alteration , or modification of the contract documents or of the work to be
performed thereunder, shall in any way affect its obligations or this bond, and it does hereb y waiv e
notice of any such change, extension oftime, alterations, or modifications of the contract documents
or of work to be performed thereunder.
Executed this __ 2_0_th _____ day of __ A_u_g_u_st ________ , 2013 , at
__ c_av_ig_n_a_c _&_A_ss_o_c_iat_e_s._4_5_0 _B_S_tr_ee_t_s_uit_e_1_BO_O_, _s_an_D_i_eg_o __ , California .
ASTOFORM
HANS VAN LIGTEN, CITY ATTORNEY
PB-2
PRINCIPAL
SURETY
The Ohio Cas
11 , Attorney-in-Fact
ARTZATTON AND SE AL )
THIS POWER OF ATIORNEY IS NOT ID UNLESS IT IS PRINTED ON RED BACK UNO.
This Power of Attorney limits the acts of those name\! oerein, and they have no authority to bind the Company except 1n the manner and to the extent herein stated.
American Fire and Casualty Company
The Ohio Casualty Insurance Company
Liberty Mutual Insurance Company
West American Insurance Company
POWER OF ATTORNEY
Certificate No . 6099142
all of the city of San Diego . state of CA each individually if there be more than one named , its true and lawful attorney-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 .
American Fire and Casualty Company
The Ohio Casualty Insurance Company
Liberty Mutual Insurance Company
West American Insurance Company
~-;--Gregory:oavenpo; ASSistant Secretary
On th is 26th day of April , 2013 , before me personally appeared Gregory W. Davenport, who acknowledged himself to be the Assistant Secretary of Ame ri can
Fire and Casualty Company, Liberty Mutual Insurance 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 therein contained by signing on behalf of the corporations by himself as a duly authorized officer.
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at Seattle , Washington , on the day and year first above wri tten.
,.,~~~~·,~~~'fr.
.. ::" ''ii-if-·, "' l-f~oT:~\\ ~~~t~~-VJlUC ?/
:I(#JJ \ ;>
By: ~J?t ·~
KD Riley • No Public
This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of American Fire and Casualty Company, The Ohio Casualty Insurance
Company, Liberty Mutuailnsurance 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 attorneys-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 bind ing 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 th is 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, recogn izances and other surety obligations . Such attorneys-in-fact subject to the limitations set forth in their
respective powers of attorney, shall have fuJI 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 CompaiJY! acting pursuant to the Bylaws of the Company, authorizes Gregory W. Davenport, 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 methanically reproduced signature of any assistant secretary of the
Company, wherever appearing upon a certified copy of any power of attomey 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, David M. carey, the undersigned , Assistant Secretary, of American Fire and casualty Company, The Ohio casualty Insurance Company, U~ Mutuailnsurance 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 said Companies ,
is in full force and effect and has not been revoked . tJ6 2 Q 2013
IN TESTIMONY WHEREOF , I have hereunto set my hand and affixed the seals o!,_said Camnanies this __ day of A , 20 __ .
By: -:~::;al...vi=:d:::=M-?:'::c:-<a~~-::y."!:!~r"'~i:-sta~nt:-:S:-ec-:7:-ry-___.:=-.:::...;.:.:~
LMS_12873_092012 126 of 250
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
STATE OF CALIFORNIA
County of San Diego }
On 08/20/13 before me, Julia P . Plemmons, Notary Public
Date Here Insert Name and Title of the Officer
personally appeared .::.Ja=cs::..:e:....:...:H.=a.:..:.m:.:..:il.:.:to:..:..n'----------==~==,--------------
Name(s) of Signer(s)
Place Notary Seal Above
who proved to me on the basis of satisfactory evidence to
be the personts} whose namets} is/at=e subscribed to the
within instrument and acknowledged to me that hefshe/they
executed the same in his/i'ter/thetr authorized capacityttes},
and that by his/i'leffthetf-signature~) on the instrument the
personts}, or the entity upon behalf of which the personts}
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 ha~ and official seal.
Signatu~ ~L fb
S19&tu 'biNOtary 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.
Description of Attached Document
Title or Type of Document: Performance Bond-AVI-CON, Inc. dba CA Construction
Document Date:-"0""8/,_,2,_,0"--/1!..!3"-------------------Number of Pages:--=2=---------
Signer(s) Other Than Named Above: -'-N=/A:....;_ _______________________ _
Capacity(ies) Claimed by Signer(s)
Signer's Name:_J_as_e_H_am_ilt_o_n ________ _
0 Individual
0 Corporate Officer-Title(s): ________ _
0 Partner-0 Limited 0 General
lif Attorney in Fact
0 Trustee
0 Guardian or Conservator
0 Other: --------
Signer Is Representing :
The Ohio Casualty Insurance
Company
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
Signer's Name: _____________ _
0 Individual
0 Corporate Officer-Title(s):'------------
0 Partner-0 Limited 0 General
0 Attorney in Fact
0 Trustee
0 Guardian or Conservator
0 Other: --------
Signer Is Representing:
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
:~·~.x~<s~~~~~'@..~'%~~~~~~~®~>%-g(,~~~~'<X,"Q(;.'{;
STATE OF CALIFORNIA
County of Riverside }
On August21,2013 before me, Liza Marie Quintana. Notarv Public
Date Here Insert Name and Title of the Officer
personally appeared -=C:.:.;h:.=a;:..:rl=-es::....:...A:.:.v.:.:.:ila=-------------=-:---:-r--:-:::.,....-~,£../ _____________ _
Name(i) of Signer(i)
Place Notary Seal Above
who proved to me on the basis of satisfactory evidence to
be the person~ whose name~is/~subscribed to the
within instrument and acknowledged to me that he/s~
executed the same in his~lthe+c authorized capacity~
and that by his/hscLthei.tsignatur~ on the instrument the
person~ or the entity upon behalf of which the person~
acted , executed the instrument.
I certify under PENALTY OF PERJURY un
the State of California that the foregoing ra
and correct.
----------------------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.
Description of Attached Document
T itle or Type of Document:-------------------------------
Document Date: ____________________ Number of Pages : ________ _
Signer(s) Other Than Named Above: __________________________ _
Capacity(ies) Claimed by Signer(s)
Signer's Name : _____________ _
D Individual
D Corporate Officer-Title(s): ________ _
D Partner-D Limited D General
D Attorney in Fact
D Trustee
D Guardian or Conservator
D Other : ______ _
Signer Is Representing :
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
Signer's Name: _____________ _
D Individual
D Corporate Officer-Title(s):,__ _______ _
D Partner -D Limited D General
D Attorney in Fact
D Trustee
D Guardian or Conservato r
D Other : -------
Signer Is Representing:
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
Executed in Triplicate
LABOR AND MATERIAL BOND
KNOW ALL MEN BY THESE PRESENTS : That
Bond No . 024048281
Premium Included
in performance bond
WHEREAS, the CITY OF SAN JUAN CAPISTRANO, a municipal corporation of Oran g e
County , California, has awarded to A VI-CON, Inc . dba CA Construction , Li cense No .
588602 hereinafter designated as "Principal", a contract for the construction of "Friends of
the Library Bookstore Relocation CIP 13301 ";and
WHEREAS, said Principal is required to furnish a bond in connection with the said contract
providing that if said Principal, or any of his or its sub-contractors, shall fail to pay for any materials ,
provisions, provender or other supplies or teams used in , upon, for or about the performance of the
work contracted to be done, or for any work or labor done thereon of any kind , the surety or thi s
bond will pay the same.
NOW THEREFORE we A VI-CON, Inc . dba CA Construction
' ' Principal, and The Ohio Casualty Insurance Company as surety, are
Held firmly bound unto the City of San Juan Capistrano, a municipal corporation, in the penal sum
of Three Hundred Twenty Seven Thousand and 00/100 DOLLARS
($ 327,000.00 ), lawful money of the United States of America, for payment of which sum well and
truly to be made we bind ourselves, our heirs, executors, administrators and successors, jointl y and
severally , firmly by these presents .
THE CONDITION OF THIS OBLIGATION is such that, if said Principal , his or its heirs ,
executors, administrators, successors or assigns, or sub-contractors, shall fa il to pay for an y
materials, provisions, provender, or teams, or other supplies or equipment used in , upon , for or about
the performance of the work contracted to be done , or for any work or labor done thereon o f an y
kind , or for amounts due under the Unemployment Insurance Act with respect to such work or labor
as required by the provisions of Title 1, Division 5, Chapter 3 of the Government Code of California
as amended, that the surety will pay for the same in an amount not exceeding the sum specified in
this bond and also in case suit is brought upon the bond, a reasonable attorney 's fee to be fixed by
the court. This bond shall inure to the benefit of an and all persons, companies and corporations
entitled to file claims under said act, so as to give a right of action to them or their assigns in an y
suite brought upon this bond .
FURTHER, the said surety, for value received, hereby stipulates and agrees that no change,
extension of time, alteration or modification of the contract documents or of the work to be
performed thereunder shall in any way affect its obligation on this bond and it does hereby waive
notice of any such change, extension oftime, alteration or modification of the contract documents or
of work to be performed thereunder.
LM-1
As a part of the obligation secured thereby , and in addition to the face amount specified
therefore, there shall be included costs and reasonable expenses and fees , including reasonable
attorney's fees , incurred by City in successfully enforcing such obligation , all to be taxed as co sts
and included in any judgment rendered .
IN WITNESS WHEREOF three (3) identical counterparts of this instrument, each of which
shall for all purposes be deemed an original thereof, have been duly executed by the Principal and
surety herein named on the 20th day of August , 2013
The name and corporate seal of each corporate party being hereto affixed and these presents dul y
signed by its undersigned representatives pursuant to authority of its governing body .
A VI-CON , Inc. dba CA Const ruction
AS TO FORM
LM-2
ID UNLESS IT IS PRINTED ON RED BACK UNO. THIS POWER OF ATIORNEY IS NOT
This Power of Attorney limits the acts of those nam rlereln , and they have no authority to bind the Company except n the manner and to the extent herein stated.
American Fire and Casualty Company
The Ohio Casualty Insurance Company
Liberty Mutual Insurance Company
West American Insurance Company
POWER OF ATTORNEY
Certificate No . 6099143
all of the city of San Diego state of CA each individually if there be more than one named , its true and lawful attorney-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 bind ing upon the Compan ies as if they have been duly signed by the president and attesteOby the secretary of the Compan ies in their own proper persons .
STATE OF WASHINGTON ss
COUNTY OF KING
American Fire and Casualty Company
The Ohio Casualty Insurance Company
Liberty Mutual Insurance Company
West American Insurance Company
On this 26th day of April • 2013 , before me personally appeared Gregory W. Davenport, who acknowledged himself to be the Ass istant Secretary of American
Fire and Casualty Company, Liberty Mutual insurance Company, The Oh io Casualty Company, and West American Insurance Company, and that he , as such , being authorized so to do ,
execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authori zed officer.
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at Seattle , Washington , on the day and year first above wri tten.
~,~,~~~~fl!~~~,~
"' <>i'" ··. -..
$ 0>""~-~ "-,
{ / ~Ol'AAY .. \ ~
~ ! PUBt.fC · i
\'ti?: q!':.~ti-j l,~,,9f,,~~~~l''~
By :~~-~
KD Riley . NOPUblic
This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizat ions of American Fire and Casualty Company, The Ohio Casualty Insurance
Company, Liberty Mutual Insurance Company, and West American Insurance Company which resolut ions are now in full force and effect read ing as follows:
ARTICLE rv-OFFICERS -Section 12 . Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writi ng by the Cha irman or the President , and subject
to such limitation as the Chairman or the President may prescribe , shall appoint such attorneys-in-fact, as may be necessary to act in behalf of the Corporation to make , execute , seal ,
acknowledge and del iver as surety any and all undertakings , bonds , recognizances and other surety obligations . Such attorneys-in-fact, subject to the limitations set forth in their respect ive
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 !o 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 Cha irman , 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 cha irman 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 andio 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 Gregory W. Davenport, Assistant Secretary to appoint such
attorneys-in-fact as may be necessary to act on behalf of the Company fu make , execute , seal , acknowledge and deliver as surety any and all undertakings , bonds , recogn izances and
other surety obligations .
Authorization -By unan imous consent of the Company's Board of Directors, the Company consents that facs imile 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, David M. Carey, the undersigned , AssistanfSecretary, of American Fire and Casualty Company, 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 said Companies ,
is in full force and effect and has not been revoked . , AUG 2 0 2013
IN TESTIMONY WHEREOF , I have hereunto set my hand and affixed the seal s;_ot5es kl. Companies this __ day of , 20 __ .
LMS_12873_092012 127 of 250
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
STATE OF CALIFORNIA
County of San Diego }
On 08/20/13 before me, Julia P. Plemmons. Notary Public
Date Here Insert Name and Title of the Officer
personally appeared -=-J=as=-e::....:..H:..::a:..:.cm:.:.:i.:.::lto:::..nc.;._ ________ ____,.,,...--;-:---=-=,----,--,---------------
Name(s) of Signer(s)
@ JULIA P. PLEMMONS
_ Commission # 1972967
~ Notary Public -California ~
z San Diego County ~
). • • ~ :· • 0Ml ~oTn1-:xeir;s :PJ \?}~1t(
Place Notary Seal Above
who proved to me on the basis of satisfactory evidence to
be the personts} whose namets} is/are subscribed to the
within instrument and acknowledged to me that he/she/they
executed the same in his/Rer/their authorized capacityties},
and that by his/Rei=ftflett-signatur$) on the instrument the
personts}, or the entity upon behalf of which the personts}
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.
Signatur
----------------------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.
Description of Attached Document
Title or Type of Document: Labor and Material Bond-A VI-CON, Inc. dba CA Construction
Document Date : ..:::0..::::8:.=/2::..:::0::...11.:...:3::..._ _______________ Number of Pages:-=2'---------
Signer(s) Other Than Named Above:..:.N..:.:./:....:A:__ ________________________ _
Capacity(ies) Claimed by Signer(s)
Signer's Name:..;;.J.:..as.:..e'-H-'-am ___ ilt..c.o_n ________ _
0 Individual
0 Corporate Officer-Title(s): ________ _
0 Partner-0 Limited 0 General
[if Attorney in Fact
0 Trustee
0 Guardian or Conservator
0 Other: _______ _
Signer Is Representing:
The Ohio Casualty Insurance
Company
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
Signer's Name:. _____________ _
0 Individual
0 Corporate Officer-Title(s):,__ _______ _
0 Partner-0 Limited 0 General
0 Attorney in Fact
0 Trustee
0 Guardian or Conservator
0 Other: --------
Signer Is Representing:
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
:~~~'<X.'QZ.'%'%-<:X.'QZ."G<:-'9<:.~~~~~~'<%~~~~-<X.'¢<...~~~«-~J(%~~~'¢(.-<X.~-<X.~
STATE OF CALIFORNIA
County of Riverside }
On August21,2013 before me, Liza Marie Quintana. Notary Public
Date Here Insert Name and Title of the Officer
personally appeared -=C..:..;h=a.:..:.rle.::...s~A'-'-v'"'"'ila~----------,-,---=-.....,.-:,~~"'---------------
NameU\ of Signer(li'(
..•. ,. ~· LIZA MARIE QUtNTANA ·
· COMM. #1995198
. NOTARY PUBLIC-CALIFORNIA
SANBERtMOINO COUNTY "Y Comm Elcpirel Nov. 19, 2016
Place Notary Seal Above
who proved to me on the basis of satisfactory evidence to
be the person~ whose name~is/~subscribed to the
within instrument and acknowledged to me that he/s'heJ~
executed the same in hisftcKa.I:ItheK authorized capacity~
and that by his/hstfthe.i.l:.signatur~ on the instrument the
person~ or the entity upon behalf of which the personW
acted, executed the instrument.
I certify under PENALTY OF PERJURY un
the State of California that the foregoing ra
and correct.
----------------------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.
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: _____________ _
D Individual
D Corporate Officer-Title(s): ________ _
D Partner-D Limited D General
D Attorney in Fact
D Trustee
D Guardian or Conservator
D Other: ______ _
Signer Is Representing:
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
Signer's Name:. _____ . ________ _
D Individual
D Corporate Officer-Title(s):'----------
0 Partner-D Limited D General
D Attorney in Fact
D Trustee
D Guardian or Conservator
D Other: ______ _
Signer Is Representing:
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here