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CONTRACT SUMMARY SHEET TO: THE OFFICE OF THE CITY CLERK, COUNCIUPUBLIC SERVICES DIVISION ROOM 395, CITY HALL DATE: 1/6/2010 BOARD OF PUBtIC WORKS Room 355. City Hall " 200 North Spring Street "\ FROM (DEPARTMENT): ---~l.,j)"ss.,. At:AR~ge9l<Ies96,-J. G~amntreemmlala419~OO~~~---------- CONTACT PERSON: _M_A_R_Y_c_A_R_T_E_R ,PHONE: 213-978-0262 CONTRACT NO.: C-1l6634 COUNCIL FILE NO.:, _ ADOPTED BY COUNCIL: _ lStl NEW CONTRACT ~ AMENDMENT NO, D ADDENDUM NO, - o SUPPLEMENTAL NO. D CHANGE ORDER NO.= DATE APPROVED BY BPW: 1/4/2010 DATE CONTRACTORNAME: __ ~T~.T~.~P~O~L~IhCH~&~A~S~S~OC~I~A~T~E~S~,~a~j~owi~n~t_v~e~nllt~l!~r~e _ TERM OF CONTRACT: 520 working days '2_ I)D . .).DI2- THROUGH: -=~ __~ __ TOTAL AMOUNT: $5,726,248.21 PURPOSE OF CONTRACT: NORTH MAIN STREET BRIDGE OVER THE LOS ANGELES RIVER EARTHQUAKE RETROFIT NOTE: CONTRACTS ARE PUBLIC RECORDS· SCANNED AND UPLOADED TO THE INTERNET

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Page 1: Do Dprinted in ink. Where an explanation is required or where additional space is needed to explain an answer, use the Responsibility Questionnaire Attachments. Submit the completed

CONTRACT SUMMARY SHEET

TO: THE OFFICE OF THE CITY CLERK,COUNCIUPUBLIC SERVICES DIVISIONROOM 395, CITY HALL

DATE: 1/6/2010

BOARD OF PUBtIC WORKSRoom 355. City Hall "200 North Spring Street "\

FROM (DEPARTMENT): ---~l.,j)"ss.,.At:AR~ge9l<Ies96,-J. G~amntreemmlala419~OO~~~----------

CONTACT PERSON: _M_A_R_Y_c_A_R_T_E_R ,PHONE: 213-978-0262

CONTRACT NO.: C-1l6634 COUNCIL FILE NO.:, _

ADOPTED BY COUNCIL: _lStl NEW CONTRACT~ AMENDMENT NO,D ADDENDUM NO, -o SUPPLEMENTAL NO.D CHANGE ORDER NO.=

DATEAPPROVED BY BPW: 1/4/2010

DATE

CONTRACTORNAME: __ ~T~.T~.~P~O~L~IhCH~&~A~S~S~OC~I~A~T~E~S~,~a~j~owi~n~t_v~e~nllt~l!~r~e_

TERM OF CONTRACT: 520 working days '2_ I)D . .).DI2-THROUGH: -=~__~ __

TOTAL AMOUNT: $5,726,248.21

PURPOSE OF CONTRACT: NORTH MAIN STREET BRIDGE OVER THE LOS ANGELESRIVER EARTHQUAKE RETROFIT

NOTE: CONTRACTS ARE PUBLIC RECORDS· SCANNED AND UPLOADED TO THE INTERNET

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17 ,:. IfVJ s=-b>- (C-u{ (J

l z..-"'I/Af

NORTH MAIN STREET BRIDGE OVER LOS ANGELES RIVERCERTIFICATE OF UA EARTHQUAKE RETROFIT

ApbR"V- BIUTV INSURANCE -• v eo AND ON FILE. W.O. E700203F

Federal Project No. BRLSZD-5006(266)

xdL·k}~i-Deputy City Attorney

1?~. 'Z-~ "L DO?

l~.::p1DJt") I IJ-~ ( )..'(-r. ':!.-

In and for the

City of Los AngelesCalifornia

TYPE OF CONTRACT _C~A~S~H=- ___

PROPOSAL ATTACHMENTS Plan Index No. D-33752 (32 Sheets)

SPECIFICATIONS General Conditions, General Requirements, Technical Specifications(Bridge), Technical Specifications (Roadway), Soil Report, StandardSpecifications for Public Works Construction (Greenbook) 2006 Edition*(parts 2 through 6), and Brown Book 2006 Edition*

,PROJECT LOCATION 2005 Thomas Guide page no. 634-Jl

COMPLETION TIME ....:5:::::2:.::0....:w-,-,o:::::r.:;:k=in""gc.:d:::a:.cY,,-s _

LIQUIDATED DAMAGES _$"'1=z,5"'0:..:0eJP"'ec:.r-'-w'-'0c:.rki=·n"'gced"'a"'-Y _

BID DATE Bids must be received no later than 10:00 a.m. on August 12, 2009 at Los Angeles City Hall;200 North Spring Street, Room 355; Los Angeles, California 90012.

Firm Name: T.T. Polich & Associates, a Joint VentureAddress: 1000 Orange Grove Blvd.-Unit13, Pasadena, CA 91105

I Telephone Number ( 626 ) 403-0472 FaxNumber ( 626 ) 403-0478 IContractor's License Number: Classification: Expiration Date:

763265 A 5/31/11BusinessTax RegistrationCertificate (BTRC)No. 000045910-0001-1

* Part I of Greenbook and Brown Book are not a part of the Specifications.

Rev. 07/03/06F-1

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SCHEDULE OF WORK AND PRICESCity of Los Angeles - Department of Public Works - Bureau of Engineering

NORTH MAIN STREET BRIDGE OVER LOS ANGELES RIVEREARTHQUAKE RETROFITW.O. E700203FFederal Project No. BRLSZD-5006(266)

7/27/2009

BID ITEM DESCRIRTION " . ',' ' 'UNIT QUANTITY UNIT RRICE ITEM TOTAL. ,

Structure Excavation (Bridge) CY 1,456 -<5~ Sc. 400~

2 Structure Backfill (Bridge) 'CY 90 .s~ 4S0 "'!:

3 Bridge Removal (Portion) LS OD. ~,.!!'

4 Structural Concrete (Bridge) CY 1,120 '2124 ..... 'Z."3 1!.1!,6 ••,-5 Lightweight Concrete (Bridge) CY 1,260 "2-"1...$".~ "2..-~~ S'O,,_ !<!!

6 Furnish Polyester Concrete Overlay CF 3,250 5,. .... ( !>2.f7> •..,.

7 Place Polyester Concrete Overlay SF 19,500 ~... ~1 1s-p·~. -8 Core and Pressure Grout Reinforcement LF 884 70.Q$< (;.( e eo.""9 Drill and Bond Dowel LF 9,527 "2S.. e;g "/..;n~ (·H.....""

10 Drill and Bond Dowel (Chemical Adhesive) LF 3,696 e.o..t, /16 ~ 8•• <d'

11 Structural Steel (Bridge) LB 52,747 S.~ Z-" ") 3'>', ..e;

12 Metal Bridge Railing incl. Posts & Pedestals LF 596 s;7)17· "" iI 'i "I c>,,6. ~

13 Drill and Pressure Grout Reinforcement LF '- .. '!>'t..'l.!!

14 Anti-Graffiti Coating LS .:tOOOO~,15 Traffic Control and Construction Staging LS Is» tnrb, '!P

16 Historic Concrete Board Finish SF 40,153 I%? 5;Z :2.1-'7 ~37qt!. .""17 Minor Concrete (Curb) LF 596 ~C>5Z.,-

18 Street Lighting EA t>iJ

19 Protection of Existing Utilities LS cc:c> ,,005; -Class B Field Office LS

.,."20 .:5l)~-

21 Mobilization LS .35Z?- c.::co e.!!TOTAL BID AMOUNT ($): ;:'b

';',2 53, c.~o-Unit abbreviations: LS=Lump Sum, CY=Cubic Yard, Ls=Lmear Feet, EA=Each, LB=Pounds, SF=Square Feet, and CF=Cubic Feet

1. MOBILIZATION: If the successful bidder shows an amount in excess of $350,000 for Mobilization (Bid Item No, 21), the bidderwill be paid $350.000 per Specltlcatton Section 01292 of the General Requirements. The difference between the Contractor's bidamount for the Bid Item No. 21 and $350,000 will be paid after the Statement of Completion has been issued.

2. ENHANCED ELECTRICAL SAFETY CRITERIA: Required on this project for all worksite electrical labor, See Bid Proposal Part III"General Instructions and Information for Bidders", subsections 15d and 16b.

3, SPECIALTY ITEMS: Bid Item Nos, 14,15 and 18 are designated as "SPECIALTY ITEMS".

F-2Revised

7/27/2009

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CONSTRUCTIONCITY OF LOS ANGELES

RESPONSIBILITY QUESTIONNAIRE

RESPONSESTO THE QUESTIONSCONTAINEDIN THIS QUESTIONNAIREMUST BE SUBMITTED ON THIS FORM.In responding to the Questionnaire, neither the City form, nor any of the questions contained therein, maybe retyped, recreated, modified, altered, or changed in any way, in whole or in part. Bidders or Proposersthat submit responses on a form that has been retyped, recreated, modified, altered, or changed in anyway shall be deemed non-responsive.

The signatory of this questionnaire guarantees the truth and accuracy of all statements and answers to theQuestions herein. Failure to complete and return this questionnaire, any false statements, or failure to answer (a)question(s) when required, may render the bid/proposal non-responsive. All responses must be typewritten orprinted in ink. Where an explanation is required or where additional space is needed to explain an answer, usethe Responsibility Questionnaire Attachments. Submit the completed form and all attachments to the awardingauthority. Retain a copy of this completed form for future reference. Contractors must submit updatedinformation to the awarding authority if changes have occurred that would render any of the responses inaccuratein any way. Updates must be submitted to the awarding authority within 30 days of the change(s).

A. CONTACT INFORMATION

CITY DEPARTMENT INFORMATION

Dept. of Public Works,Bur of Engineering Shay Doong fax-213/202-5518City Department/Division Awarding Contract City Contact Person Phone

W.O. E700203F 8 I 12 I 09City Bid or Contract Number and Project Title (If Applicable) Bid Date

SIDDER/CONTRACTOR INFORMATIONT.T. Polich & Associates, " Joint Venture J . 76326.5

Bidder/Proposer Business Name

1000 Orange Grove Blvd.- Unit 13, CA 91105Street Address City State Zip

626/403-0478Tyrone T. Polich, Partner 626/403-0472Contact Person, Title Phone Fax

TYPE OF SUBMISSION:The Questionnaire being submitted is:

TOTAL NUMBER OF PAGES SUBMITTED, INCLUDING ALL ATTACHMENTS: ~

Responsibility Questionnaire (Rev. 10124/03)

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CONSTRUCTIONB. BUSINESS ORGANIZATION'STRUCTURE

Indicate the organizational structure of your firm. "Firm" includes a sole proprietorship, corporation, joint venture,consortium, association, or any combination thereof.

iJ Corporation: Date Incorporated: __ ,__ ,__ State of incorporation: _List the corporation's current officers.

President:

Vice President:

Secretary:

Treasurer:

o Check the box only if your firm is a publicly traded corporation.List those who own 5% or more of the corporation's stocks. Use Attachment A if more space is needed. Publiclytraded corporations need not list the owners of 5% or more of the corporation's stocks.

o Partnership: Date formed: __ ,__ ,__ State of formation:,-;--;- _List all partners in your firm. Use Attachment A if more space is needed.

o Sole Proprietorship: Date started: __ ,__ ,__List any firm(s) that you have been associated with as an owner, partner. or officer for the last five years.Use Attachment A if more space is needed. Do not include ownership of stock in a publicly tradedcompany in your response to this question.

T.T. Polich & Associates, a'Joint Venture

III Joint Venture: Dateformed:~~'~List: (1) each firm that is a member of the joint venture and (2) the percentage of ownership the firm willhave in the joint venture. Use Attachment A if more space is needed. Each member of the JointVenture must complete a separate Questionnaire for the Joint Venture's submission to beconsidered as responsive to the invitation.

T.T. Polich Cons t nuc t Lcn 25% STEVE P. RADOS, INC. 75%

Responsibility Questionnaire (Rev. 10/24/03)

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CONSTRUCTIONC. OWNERSHIP AND NAME CHANGES

( 1. Is your firm a subsidiary, parent, holding company. or affiliate of another firm?

DYes 113 No

If Yes, explain on Attachment A the relationship between your firm and the associated firms. Include informationabout an affiliated firm only if one firm owns 50% or more of another firm, or if an owner. partner or officer of yourfirm holds a similar position in another firm.

2. Has any of the firm's owners, partners, or officers operated a similar business in the past five years?

DYes 00 No

If Yes, list on Attachment A the names and addresses of all such businesses, and the person who operated thebusiness. Include information about a similar business only if an owner, partner, or other officer of your firm holdsa similar position in another firm.

3. Has the firm changed names in the past five years?

DYes Ill! No

If Yes, list on Attachment A all prior names, addresses, and the dates they were used. Explain the reason foreach name change in the last five years.

4. Are any of your firm's licenses held in the name of a corporation or partnership?

[Jl: Yes o No See Attached

If Yes, list on Attachment A the name of the corporation that actually holds the license.

Bidders/Contractors must continue on to Section D and answer all remaining questions contained in thisQuestionnaire,

The responses to the remaining questions in this Questionnaire will not be posted on the Internet but willbe made available to the public for review upon request. Contact the appropriate DesignatedAdministrative Agency,

Responsibility Questionnaire (Rev. 10/24/03)

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CON ST Rue T ION

ATTACHMENT A FOR SECTIONS A THROUGH C

Where additional information or an explanation is required, use the space below to provide theinformation or explanation. Information submitted on this sheet must be typewritten. Include the numberof the question for which you are submitting additional information. Information submitted on thisAttachment in response Questions in Sections A through C will be posted on the internet for publicreview. Make copies of this Attachment if additional pages are needed.

Page F3-c

STEVE P. RADOS, INC. Contractor!s License Number 484452.

4) T.T. Polich Construct.ionJ.lnc: COntractor's License Number 665925

Responsibility Questionnaire (Rev. 10/24/03)

1-3b

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CONSTRUCTIOND. FINANCIAL RESOURCES AND RESPONSIBILITY

5. In the past five years, has your finn ever beendenied bonding?

o Yes • NoIf Yes, explain on AttachmentB the circumstancessurroundingeach instance.

6. Is your finn now,or has it ever been at any time in the last five years, the debtor in a bankruptcycase?

DYes • . No

If Yes, explain on AttachmentB the circumstancessurrounding each instance.

1. Is your companyin the process of, or in negotiationstoward, being sold?

• NoIf Yes, explain the circumstanceson AttachmentB.

E. INSURANCE .." '"

8. In the past five .years, has any bonding company made any payments to satisfy any claims made. against a bond issued on your firm's behalf?

DYes • No.fYes, explain the circumstanceson AttachmentB the circumstancessurrounding each instance.

9. Indicate whether your firm currently has a Workers' Compensation insurance policy in effect, whetherit is legally self-insured, or whether it currently has no Workers' Compensation insurance policy ineffect.

• Workers' Compensation Insurance Policy Currently In EffectD Legally Self-Insured .0. No Workers' Compensation Policy Currently In Effect

If you have no worker!' compensation insurance policy currently in effect, and you are not legally self-insured, provide an explahatlon·on Attachment B. . ..

10. List the Experience Modification Rate (EMR) issued to your firm annually by your Workers'Compensation insurance carrier for the last three years. Begin with the most recent year (YR 1) thatan EMR rate was issued (EMR-1). If any of the rates for the three years is or was 1.00 or higher,you may provide an explanation on Attachment B. ..

YR. 1: .14- EMR-1: 105 YR. 2: ()K EMR-2: gg YR. 3: 07 EMR-3: g '6

11. Within the past five years, has your firm ever had employees but was without Workers'Compensation insurance or state approved self-insurance? .

'l Yes I No

Yes, explain on AttachmentB the circumstancessurrounding each instance. If No, attach a statement fromyour Workers' Compensationinsuranceproviderthat you have been continuously insured for the pastfive years.ResponsibilityQuestionnaire(Rev.10124103)

F·3d

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CONSTRlICTION

F. PERFORMANCE HISTORY

12. How many years has your firm been in business? _-"-9 Years.

13. Has your firm ever held any contracts with the City of Los Angeles or any of its departments?

181 Yes o No Attached

If Yes, list on Attachment B all contracts your firm has had with the City of Los Angeles for the last 10 years. Foreach contract listed in response to this question, include: (a) entity name; (b) purpose of contract; (c) total cost;(d) starting date; and (e) ending date.

14. List on Attachment B all contracts your firm has had with any private or governmental entity (other than theCity of Los Angeles) over the last five years that are similar to the work to be performed on the contract forwhich you are bidding or proposing. For each contract listed in response to this question, include: (a) entityname; (b) name of a contact and phone number; (c) purpose of contract; (d) total cost; (e) starting date; and(f) ending date. At tae he d

o Check the box if you have not had any similar contracts in the last five years.

15. In the past five years, has a governmental or private entity or individual terminated your firm's contract prior tocompletion of the contract?

DYes III No

If Yes, explain on attachment B the circumstances surrounding each instance.

16. In the past five years, has your firm used any subcontractor to perform work on a government contract whenyou knew that the subcontractor had been debarred by a governmental entity?

DYes ili No

If Yes, explain on attachrnent B the circumstances surrounding each instance.

17. In the past five years, has your firm been debarred or determined to be a non-responsible bidder orcontractor?

DYes !Q No

If Yes, explain on Attachment B the circumstances surrounding each instance.

G. DISPUTES

18. In the past five years, has your firm been the defendant in court on a matter related to any of the following issues? Forparts (a)·and (b) below, check Yes even if the matter proceeded to arbitration without court litigation. For part (c), checkYes only if the matter proceeded to court litigation. If you answer Yes to any of the questions below, explain thecircumstances surrounding each instance on Attachment B. You must include the following in your response: the nameof the plaintiffs in each court case. the specific causes of action in each case; the date each case was filed: and thedisposition/current status of each case.(a) Payment to subcontractors?r; Yes iX No

(b) Work performance on a contract?

Responsibility Questionnaire (Rev. 10/24/03)

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CONSTRUCTION

ATTACHMENT 8 FOR SECTIONS 0 THROUGH H

Where additional information or an explanation is required, use the space below to provide theinformation or explanation. Information submitted on this sheet must be typewritten. Include the numberof the question for which you are submitting additional information. Information submitted on thisAttachment in responseQuestions in Sections D through H will not be posted on the internet, but will bemade availableto the public for review upon request Makecopies of this Attachment if additional pagesare needed.

Page F3e

~'3 .... 1M!.Jridp WYSenin.Ovc Los Alplaliwr (W.o. E6000311). Desoto Ave. Bridp W'Jdeninc Over Los AlplalUvll' (W.O. E6OClO453)

I) T.T.Po1ich.~11)Bri4.VJdIaiI.c) S J,531,nl.OO4) fJOl.) 7102

Va Owa StIIIt iii.Wi'"Over AIbo CrIeII: (W.O. 17000240)

a) T.T.PoIicl • .Anoci ....,. L!

iii) Iridp WeInac) S ISJ,'M.OOd)TID

coma Ave. ~1i4.. Over L.A. River I Muon Ave. Btid.. over L.A.lUvc (E700020p)

.) T.TloUm. AaocitIa11)Briel. VldaiJlac) S 3.601"3.00d)4I06e) 7107

19i' Ave. !at• Wilt Briel. Over Arto'1O Stco Owmet (W.O. 17000041. E700005F)

a) T.T.Polida•. &"OCieta •'b) Briel.rwpJlI'IIZIIIItc) S U93,14O.00d)fJ05e) 10r'07

More Next Page

Responsibility Questionnaire (Rev. 10/24103)

1-3i

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CONSTRUCTION

ATTACHMENT B FOR SECTIONS D THROUGH H

Where additional Information or an explanation .. required, ule the lpace below to provide theInformation or explanation. Information lubmltted on thll Iheet mUit be typewritten. Include the numberof the que.tlon for which you are lubmlttlng additional Information. Information lubmltted on thllAttachment In re.pon.e Quntlonl In Sections D through H will not be POlted on the Internet, but will bemade Ivallable to the public for review upon requ.. t. Make copl .. of thll Attachment If Iddltlonl' page.Ire needed.

Page F 3g

1st Street Viaduct Widening Over Los Angeles.River- Phase 3a) T.T. Polich' Associatesb) Viaduct Wideningc) $ 26.803.000d) 3/ 2008e) May 2010

(W.O. E70005lF)(FED PROJ#BBLS

5006(116)

Responsibility QUestionnaire (Rev. 10124103)F·3i

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CONSTRUCTION

ATTACHMENT B FOR SECTIONS 0 THROUGH H

Where additional information or an explanation is required, use the space below to provide theinformation or explanation. Information submitted on this sheet must be typewritten. Include the numberof the question for which you are submitting additional information. Information submitted on thisAttachment in responseQuestions in Sections 0 through H will not be posted on the internet, but will bemade available to the public for review upon request Makecopies of this Attachment if additional pagesare needed.

Page F3e

14

Valley Blw. OYer Sm Gabric11Uver (Contract '8229)

a) T.T. PolicU:AIIociateb) LA CoImtJDepLofpublic Works;Bm Cloud 6261451-3117c:) BridpV_IIIcI) S~15.622.00

-II) ~ _1) '101

,- Te1epaph ROIl! Uadcr A.T. .t S.F.1lari1way in tlIe City of Commerce (Ccmtnct t2618)

a) T.T.PoUchAAltoei.,.\) LA. Couaty dept. ofPllblic Worb; RamseI N. Waait 6161451-3114c) IaiJroId Bridp V"""inl Project4) SU23.B41.00e) tmf) '7101

l.oI ADples Coualy ill CCIID1IIIII'CI tom East Ya to lte 71015 Separationa) T.T.PoUch'AaociatNb) CAL'l'MNS _c:) So\1Ddwall A 1t,et·iIlilll Walls A Bd4p WidminlcI) 54,167,188e) SI04f)3I06

.'

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CON ST R u C T IONYes X No

(c) Employment-related litigation brought by an employee?Yes X No

19. Does your firm have any outstanding judgements pending against it?

DYes [}{ No

If Yes, explain on Attachment B the circumstances surrounding each issue.

20. In the past five years, has your firm been assessed ltquidateddamaqes on a contract?

DYes ili No

If Yes, explain on Attachment B the circumstances surrounding each instance and identify all such projects,the amount assessed and paid, and the name and address of the project owner.

H. COMPLIANCE

21. In the past five years, has your firm or any of its owners, partners or officers, ever been investigated, cited,assessed any penalties, or been found to have violated any laws, rules, or regulations enforced oradministered, by any of the governmental entities listed on Attachment C (Page 10)? For this question, theterm "owner" does not include owners of stock in your firm if your firm is a publicly traded corporation.

[jt Yes o No Attached

If Yes, explain on Attachment B the circumstances surrounding each instance, including the entity that wasinvolved, the dates of such instances, and the outcome.

22. If a license is required to perform any services provided by your firm, in the past five years, has your firm orany person employed by your firm, been investigated, cited, assessed any penalties, subject to anydisciplinary action by a licensing agency, or found to have violated any licensing laws?

DYes l1! No

If Yes, explain on Attachment B the circumstances surrounding each instance in the last five years.

23. In the past five years, has your firm, any of its owners, partners, or officers, ever been penalized or given aletter of warning by the City of Los Angeles for failing to obtain authorization from the City for the substitutionof a Minority-owned (MBE), Women-owned (WBE), or Other (aBE) business enterprise?

iJ Yes o No Attached

If Yes, explain on Attachment B the circumstances surrounding each instance in the last five years.

24. Provide on Attachment B, the name(s), address(s) and telephone number(s) of the apprenticeship programsponsor(s) approved by the California Division of Apprenticeship Standards that will provide apprentices toyour company for use on any public works projects that you are awarded by the City of Los Angeles.

Provide on Attachment B, the name(s), address(s) and telephone number(s) of the apprenticeship programsponsor(s) approved by the California Division of Apprenticeship Standards that have provided apprentices toyour company on any public works project on which your firm has participated within the last 3 years.

Attached

Responsibility Questionnaire (Rev. 10/24/03)

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COIUTll1CTION

ATTACHMENT. FOR IEC110NI D THROUCIH H

..... d...... "'I.al If .. 1III..,lIallII .". _ II ""* ..."

I'IIIIU :' 1:': 1IIIb' 1 ." 15'" ~ .....,.,7 ., .. II ,.. all If 1111 '31 ''-.. I'1ft IU6t •• d iii ....

At .11 .... ...,a ••• a..slla.1n '111 D II •• H •• " ,Dill' ... 15 ...... IV • 'Is 11.. '- "sIt ....... II ... »......,. ••II.D .. ,............. 11. -

..... '-Jf

Question 23 & 21

On the Vanowen St. Bridge Widening over Aliso Creek, Project (E700024D) ourfirm substituted an OBE subcontractor for the listed OBE subcontractor without

timely informing the City. Our firm was assessed a penalty; however Mr. Polichappeared before the Board of Public Works Commissioner on October 22, 2007 andexplained that there were !:Xtenuatingcircumstances to the substitution. The Boardagreed and cut the penalty inhalf. .

-

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CONSTRUCTION

ATTACHMENT B FOR SECTIONS D THROUGH H

Where additional information or an explanation is required, use the space below to provide theInformation or explanation. Information submitted on this sheet must be typewritten. Include the numberof the question for which you are submitting additional Information. information submitted on thisAttachment In response Questions in Sections D through H will not be posted on the Internet, but will bemade available to the public for review upon request. Make copies of this Attachment if additional pagesare needed.

Page F-3f

APPRENTICESHIP PROGRAMSque.tio1l1 24

Southa CaIibaia Caafereacc ofCazpeala"533 S.,.iiDIII&Awaue, s.~1Lot Anplll,CA!HI071c.........l'It J&oOiIIII. DinIctarPbaae: 213173U336

Qrnwt MIICIII1333 S. QII)tu •• Ave., 1350MoarcmI, C,\ '1016Cmtect: 14De IritD, ApJnaIiceIbip CoardinaturPbaae: 62f1144 41iOO

Labann s..""'m CIIibDia Jaillt AppnIdiceIIIip Ccmmit1lleUI5W.SilnaMllhAw..Azua, CA '1702Cantect AppradiceIIDp CoIxdiDatIIr· Sc:oU OcnoaPboae: 62f1610-1700

Responsibility Questionnaire(Rev.10124103)

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CONSTRUCTION

BUSINESS INTEGRITY

25. For questions (a). (b). and (c) below. check Yes if the situation applies to your firm. For these questions, theterm "firm" includes any owners. partners, or officers in the firm. The term "owner" does not include owners ofstock in your firm if the firm is a publicly traded corporation. If you check Yes to any of the three questionsbelow. explain on Attachment B the circumstances surrounding each instance.

(a) Is a governmental entity or public utility currently investigating your firm for making (a) false claims) ormaterial misrepresentations(s)?

1 Yes IllI No

(b) In the past five years. has a governmental entity or public utility alleged or determined that your firm made (a)false claim(s) or material misrepresentation(s)?

DYes C!l No

(c) In the past five years. has your firm been convicted or found liable in a civil suit for making (a) false claim(s)or material misrepresentation(s) to any governmental entity or public utility?

DYes Iill No

26. In the past five years. has your firm or any of its owners or officers been convicted of a crime involving thebidding of a government contract. the awarding of a govemment contract. the performance of a governmentcontract, or the crime of fraud. theft. embezzlement, perjury. bribery? For this question. the term "owner" doesnot include those who own stock in a publicly traded corporation.

DYes l§ No

If Yes, explain on Attachment B the circumstances surrounding each instance.

CERTIFICATION UNDER PENAL TV OF PERJURY

I certify under penalty of perjury under the laws of the State of California that I have read and understandthe questions contained in this questionnaire and the responses contained on all Attachments. I furthercertify that I have provided full and complete answers to each question, and that all information providedin response to this Questionnaire is true and accurate to the best of my knowledge and belief.

Tyrone T. Polich, Partner ~ If 'If) 0Print Name, Title gnature ateT.T. Polich & Associates

Responsibility Questionnaire (Rev. 10/24/03)

F-3g

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CONSTRUCTIONB. BUSINESS ORGANIZATION/STRUCTURE

Indicate the organizational structure of your firm. 'Firm' includes a sole proprietorship, corporation, joint venture,consortium, association, or any combination thereof.

T.T. Polich Construction, Inc.

•01 03 1993 CaliforniaCorporatlori: Date Incorporated: _, __ ,__ State of incorporalion:. _

. List the corporation's current officers.

President: Tyrone T. PolichVice President: Bernadette L. Polich.Secretary: Tyrone T. Polich

Treasurer: Tyrone T. Polich

o .Check the box only if your firm i~ a publicly traded corporation.List those who own 5% or more of the corporation's stocks. Use Attachment A if more space Is needed. Publiclytraded corporations need not list the owners of 5% or more of the corporation's stocks.

'J Partnership: Date formed: __ ,__ ,_ State of formation:List all partners in your firm. Use Attachment A if more space is nee-d:-e-'d.---

o Sole Proprletonihlp: Date started: __ '_._'__ .List any firm(s) that you have been associated with as an owner, partner, or officer for the last five years.Use Attachment A if more space is needed. Do not include ownership of stock In a publicly tra~company in your response to this question.

o Joint Venture: Date formed: --1--1__List: (1) each firm that is a member of the joint venture. and (2) the percentage of ownership the firm willhave in the joll1l venture. Use Attachment A if more space is needed. Each member of the JointVenture must complete a separate Questionnaire for the Joint Venture's submission to be .considered as responsive to the Invitation.

Responsibility Questionnaire(Rev. 10124/03)

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CONSTRUCTIONC. OWNERSHIP AND NAME CHANGES

( 1. Is your firm a subsidiary, parent, holding company, or affiliate of another firm?

DYes• No

If Yes, explain on Attachment A the relationship between your firm and the associated firms. Include informationabout an affiliated firm only if one firm owns 50% or more of another firm, or if an owner, partner or officer of yourfirm holds a similar position in another firm.

2. Has any of the firm's owners, partners, or officers operated a similar business in the past five years?

o 'Yes • NoIf Yes, list on Attachment A the names and addresses of all such businesses, and the person who operated thebusiness. Include information about a .slmilar business only if an owner, partner, or other officer of your firm holdsa similar position In.another firm. .. "

3. Has the firm changed names In the past five years?

DYes • No. , . .. .." . .", ..if Yes, list on Attachment A ali prior names, addresses, and the dates they were used. Explain the reason foreach name change in the last five years.

4. Are any of your firm's licenses held In the name of a corporation or partnership?

• Yes o No' ATTACHED

If Yes, list on Attachment A the name of the corporation that actually holds the license.

Bidders/Contractors must continue on to Section D and answer all remaining questions contained In thisQuestionnaire. .' .

The responses to the remaining questions In this Questionnaire will not be posted on the Internet but willbe made' available to the public' for review upon request Contact the appropriate Designated·Administrative Agency. .

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CONSTRUCTION

ATTACHMENT A FOR SECTIONS A THROUGH C

Where additional Infonnatlon or an explanation is required, use the space below to provide theInfonnation or explanation. Infonnatlon submitted on this sheet must be typewritten. Include the numberof the question for which you are submitting additional Information. Infonnation submitted on thisAttachment In response Questions In Sections A through C will be posted on the Internet for publicreview. Make copies of this Attachment if additional pages are needed.

Page F-3C

(

Question 4- T.T. Polich & Associates; contractor license #763265

I

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CONSTRUCTION

D. FINANCIAL RESOURCES AND RESPONSIBILITY

5. In the past five years, has your firm ever been denied bonding?

o Yes KI No

If Yes, explain on Attachment B the circumstances surrounding each instance.

6. Is your firm now, or has it ever been at any time in the last five years, the debtor in a bankruptcy case?

DYes ro No

If Yes, explain on Attachment B the circumstances surrounding each instance.

7. Is your company in the process of, or in negotiations toward, being sold'?

DYes III No

If Yes, explain the circumstances on Attachment B.

E. INSURANCE

8. In the past five years, has any bonding company made any payments to satisfy any claims madeagainst a bond issued on your firm's behalf?

DYes ei No

If Yes, explain the circumstances on Attachment B the circumstances surrounding each instance.

9. Indicate whether your firm currently has a Workers' Compensation insurance policy in effect, whetherit is legally self-insured, or whether it currently has no Workers' Compensation insurance policy ineffect.

Eli Workers' Compensation Insurance Policy Currently in Effecto Legally Self-Insuredo No Workers' Compensation Policy Currently in Effect

If you have no worker's compensation insurance policy currently in effect, and you are not legally self-insured, provide an explanation on Attachment B.

10. List the Experience Modification Rate (EMR) issued to your firm annually by your Workers'Compensation insurance carrier for the last three years. Begin with the most recent year (YR 1) thatan EMR rate was issued (EMR-1). If any of the rates for the three years is or was 1.00 or higher,you may provide an explanation on Attachment B. NJA

YR. 1: EMR-1: __ YR. 2: __ EMR-2: __ YR. 3: __ EMR-3:

11. Within the past five years,has your firm ever had employees but was without Workers'Compensation insurance or state approved self-insurance?

o Yes ill No

If Yes, explain on Attachment B the circumstances surrounding each instance. If No, attach a statement fromyour Workers' Compensation insurance provider that you have been continuously insured for the past five years.

Responsibility Questionnaire (Rev. 10/24/03)

F-3d

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CONSTRUCTION

(F. PERFORMANCEHISTORY

12. How many years has your firm been in business? __ ..::1.:;..3__ Years.

13. Has your firm ever held any contracts with the City of Los Angeles or any of its departments?

o Yes II No

If Yes, list on Attachment B all contracts your firm has had with the City of Los Angeles for the last 10 years. Foreach contract listed in response to this question, IncliJde: (a) entity name; (b) purpose' of contract; (c) total cost;(d) starting date; and (e) ending date.

14. List on Attachment B all contracts your firm has had with any private or govemmental entity (other than theCity of Los Angeles) over the last five years that are similar to the work to be performed on the contract forwhich you are bidding or proposing. For each contract listed in response to this question,. include:. (a) entityname; (b) name of a contact and phone number; (c) purpose of contract; (d) total cost; (e) starting date; and(f) ending date.

.' 0 Check the box if you have not had any similar contracts in the last five years.

15. In the past five years, has a govemmental or private entity or individual terminated your firm's contract prior tocompletion of the contract? .

o .Yes • No

. Yes, explain on attachment B the circumstances surrounding each instance.

16. In the past five years, has your firm used any subcontractor to perform work on a govemment contract whenyou knew that llie subcontractor had been debarred by a govemmental entity?

DYes. . , No

(fYes, explain on attachment B the circumstances surrounding each instance.

17. In the past five years, has your firm been debarred or determined to be a non-responsible bidder orcontractor?

DYes .• NoIf Yes, explain on Attachment B the circumstances surrounding each instance.

G. DISPUTES

18. In the past five years, has your firm been the defendant in court on a matter related to any of tile following issues? Forpails (a) and (b) below, check Yes even if the matterproceeded to arbitrationwithout court IHigalion. For part (c), checkYes only If the matter proceeded to court rrtlgellon, If you answer Yes to any of the questions below, explain thecircumstances sunoundlng each instance on Attachment B. You must include the following In YOurresponse; !he nameof the plaintiffs in each court case, the specific causes of action in each case: the date each case was filed; and thedlsPOsHionlcurrentstatusof each case.(a) Payment to subcontractors?·o Yes • No

(b) Work performance on a contract?

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CONSTRUCTION

• No( (e) Employment-related litigation brought by an employee?

!.: Yes • No

19. Does your firm have any outstanding judgements pending against it?

DYes • No

If Yes, explain on Attachment B the circumstances surrou.nding each issue.

20. In the past five years. has your firm been assessed liquidated damages on a contract?

DYes • NoIf Yes. explain on Attachment B the circumstances surrounding each Instance and identify ali such projects.the amour.lt assessed and paid. and the name and address of the project owner.

H. COMPLIANCE

21. In the past five years. has your firm or any of Its owners. partners or officers. ever been investigated, cited,assessed any penalties, or been· fODnlleto', haY!il' violated. arty laws, rules, or regulations enforced or'administered, by any of the governmental entities listed on Attachment C (Page 10)? For this question, theterm ·owner" does not include owners of stock in your firm if your firm Is a publicly traded corporation.

DYes• No

• Yes; explain on Attachment B the circumstances surrounding each Instance. Including the entity that was.nvolved. the dates of such instances. and the outcome.

22. If a license is required to perform any services provided by your firm. in the past five years, has your firm orany person employed by your firm. been investigated. cited. assessed any penalties. subject to anydisciplinary action by a licensing agency. or found to have violated any licensing laws?

DYes • NoIf Yes. explain on Attachment B the circumstances surrounding each Instance'in the last five years.

23. In the past five years. has your firm. any of its own~rs, ·partners. or officers, ever been penalized or given aletter of warning by the City of Los Angeles for, failing to obtain authorization from the City for the substitution 'of a Minonly-owned (MBE). Women-owned (WBE). or Other (OBE) business enterprise?

DYes • No

If Yes. explain on Attachment B the circumstances surrounding each instance in the last five years.

24. Provide on Attachment B. the name(s). address(s) aoo telephone number(s) of the apprenticeship, prOgramsponsor(s) approved by the Califomia Division of Apprenticeship Standards that will provide apprentices toyour company for use on any public works projects that you are awarded by the City of Los Angeles.

ATTACHEDProvide on Attachment B. the name(s). address(s) and telephone number(s) of the apprenticeship programsponsor(s) approved by the Califomia Division of Apprenticeship Standards that have provided apprentices toyour company on any public works project on which your firm has participated within the last 3 years.

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CONSTRUCTION

ATTACHMENT B FOR SECTIONS D THROUGH H

Where addltlona' Information or an explanation" required, use the space below to provide theInformation or explanation. Information submitted on this sheet must be typew,ltte". Include the numberof the question for which you are submlltlng additional Information. Information submttmd on thisAttachment In l'llllponse Questions In SectIons 0 through H will not be posted on the Internet, but will bemade available to the public for review upon request. Make copies of this Attachment If additional pagesare needed. .

Page F-3f

APPRENTICESHIP PROGRAMSQuestion 24

Southern California Conference of Carpenter533 S. Fremont Ave., SUite 401Los Angeles, CA 90071 .Contact; Pst McGinn· DirectorPhone" (213) 739-9336

.~

Cement Masons1333 S. Mayflower Avenue. #350Momovia, CA91016Contact: Ed De Brito, Apprenticeship CoordinatorPhone: (626) 444-4600

Laborm Southem California Joint Apprenticeship Committee4399 N. Santa Anita AVCDue. Suite 203HI Monte, CA 91731Contact: Fred Duarte, Apprenticeship CoordinatorPhone: (626) 433-2160

Operating Engineers2200 S. Pellissier PlaceWhittier, CA 90601Contact: Burt Tolbert, Apprenticeship AdministratorPhone: (562) 695-0611

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CONSTRUCTION

( I. BUSINESS INTEGRITY

25. For questions (a), (b), and (c) below, check Yes if the situation applies to your firm. For these questions, theterm "firm" includes any owners, partners, or officers in the firm. The term 'owner" does not include owners ofstock in your firm if the firm is a publicly traded corporation. If YOU check Yes to any of the three auestion§below. explain on Attachment B the c!rcumWmces surrounding each instance.

(a) Is a govemmental entity or public utility currently investigating your firm for making (a) false claims) ormaterial misrepresentations(s)? . .

DYes• No

(b) In the past five years, has a governmental entity or public utility alleged or determined that your firm made (a)false claim(s) or material misrepresentation(s)?

. '.

DYes I No

(c) In the past five years, has your firm been convlctad or found liable in Ii civil suit for making (a) fal~e claim(s) ,. or material mlsrepresentation(s) to any govemmental entity or public utility? •

DYes• No

26. In the past five years, has your firm or any of Its owners or officers been convicted of a crime Involving thebidding of iI govemment contract, the awarding of a govemment contract, the performance of a government·contract, or the crime of fraud, theft, embezzlement, perjury, bribery? For this question, the term 'owner' doesnot include those who own stock In a publicly traded corporation.

DYes• No

If Yes, explain on Attachment B the circumstances surrounding each instance .

.CERTIFICA TlOM UNDER PENAL TV OF PERJURY

I certifY under penalty of perjury under the laws of the State of California that I have read and understandthe questions contained In this questionnaire and the roponses contained on all Attachments. I furthercertify that I have provided fuJI and complete ans_rs to each question, and that all Information providedIn response to this Questionnaire Is true and accurate to the best of my knowledge and belief.

. e T. Polich, President ~ :" g 10Print Name, TRle ate

T.T. Polich Construc·tion

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CONSTRUCTIONB. BUSINESS ORGANIZA TION/STRUCTURE

Indicate the organizational structure of your firm. "Firm" includes a sole proprietorship, corporation, joint venture,consortium, association, or any combination thereof.

STEVE P. RADOS, INC •

• Corporation: Date Incorporated: _ll_L.?:lJ~ State of incorporation:..::C",a",li""f..,o,-!r.!!n",ia~_. List the corporation's current officers.

President: Stephen S. Rados

Vice President: Jack Oiknine/ Donald Iral

Secretarv: Stephen A. Rados

Treasurer: Stephen A. Rados

o .Check the box only if your firm I~ a publicly traded corporation.List those Who own 5% or more of the corporation's stocks. Use Attachment A If more space Is needed. Publiclytraded corporations need not list the owners of 5% or more of the corporation's stocks.

o Partnership: . Date formed: __ '---'_ State of formation:.~.,.,- _List all partners in your firm. Use Attachment A if more space is needed.

o Sole Proprletonihlp: Date started: ---'-'--'_ .List any firm(s) that you have been associated with as an owner, partner, or officer for the last five years.Use Attachment A If more space Is needed. Do not include ownership of stock In a publicly tradedcompany In your response to this question.

o Joint Venture: Date formed: I I .List: (1) each firm thaI is a me'"iiiiierOfiiii!joint venture and (2) the percentage of ownership the firm willhave In the jail'll venture. Use Attachment A If more space Is needed. Each member of the JointVenture must complete a separate Questionnaire for the Joint Venture's submission to be .considered as responsive to the Invttatlon.

Responsibility Questionnaire(Rev. 10124103)F·3b

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CONSTRUCTIONC. OWNERSHIP AND NAME CHANGES

1. Is your firm a subsidiary, parent, holding company, or affiliate of another firm?

• Yes o No ATTACHED

If Ves, explain on Attachment A the relationship between your firm and the associated firms. Include informationabout an affiliated firm only if one firm owns 50% or more of another firm, or if an owner, partner or officer of yourfirm holds a similar position in another firm.

2. Has any of the firm's owners, partners, or officers operated a similar business in the past five years?

DYes • No

If Yes, list on Attachment A the names and addresses of all such businesses, and the person who operated thebusiness. Include Information about a .similar business only if an owner, partner, or other officer of your firm holdsa similar position in.another firm.

3. Has the firm changed names in the past five years?

DYes • No . , .;' ..' ' . .. "

If Yes, list on Attachment A all prior names, addresses, and the dates they were used. Explain the reason foreach name change in the last five years.

4. Are any of your firm's licenses held In the name of a corporation or partnership?

, Yes o No' ATTACHED

If Yes, list on Attachment A the name of the corporation that actually holds the license.

Bidders/Contractors must continue on to Section D and answer all remaining quest.lons contained In thIsQuestIonnaire. .' .

The responses to the remaining questions In this Questionnaire will not be posted on the Internet but willbe made' available to the public' for review upon request. Contact the appropriate Designated·Administrative Agency. .

ResponsibilityQuestionnaire(Rev. 10124103)F-3c

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CONSTRUCTION

ATTACHMENT A FOR SECTIONS A THROUGH C

Where additional information or an explanation is required, use the space below to provide theinformation or explanation. Information submitted on this sheet must be typewritten. Include the numberof the question for which you are submitting additional information. Information submitted on thisAttachment in response Questions in Sections A through C will be posted on the internet for publicreview. Makecopies of this Attachment if additional pagesare needed.

Page F-3c

Question 1 STEVE P. RADOS, INC. is a wholly owned subsidiary ofThe Rados Companies. All of The Rados Companies· stockis owned by the Rados Family.

Question 4 STEVE P. RADOS. INC. Contractor's License#484452

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COIUTl17CTION

AlTActENT I FORII!CTIONI DTHROUQHH

WhIrl """."""'1 .,lInrllftII ,1d, _ IIID¥IIIt ..::---rl;lIn:: WI ' ...... ' _ ltra. 1IIIIIIIr.,111. IIIr ,.. III iii, .1. 1'= ftl' l F1 ,rIll NDnnII IId ."111 till

..... b .111 ' 'All QuI. IIDIII II 1.. 1, .. D H.. III .. , i6MIIt. .."'.v' l', ,....., ............ 3nt ., AMn l1li11.. ,....

..... dllL

..... r-Sf

Question 23 & 21

On the Vanowen St Bridge Widening over Aliso Creek, Project (E700024D) ourfirm substituted an OBE subcontractor for the listed OBE subcon\raCtor without

timely informing the City. Our firm was assessed a penalty; however Mr. Polichappeared before the Board of Public Wolks Commissioner on October 22, 2007 andexplained that there were extenuating cireumstances to the substitution. The Boardagreed and cut the penalty inhalf. .

.......... CIIi ,,'a"'" (RIr. tnMll) -,..

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CO"iSTRl'CTIO'\D. FINANCIAL RESOURCES AND RESPONSIBILITY

J. In the past five years, has your firm ever been denied bonding?

o Yes• No

If Yes, explain on Attachment B the circumstances surrounding each instance.

6. Is your firm now, or has it ever been at any time in the last five years, the debtor in a bankruptcy case?

DYes• No

If Yes, explain on Attachment B the circumstances surrounding each instance.

7. Is your company in the process of, or in negotiations toward, being sold?

DYes • NoIf Yes, explain the circumstances on Attachment B.

E. INSURANCE

8. In the past five years, has any bonding company made any payments to satisfy any claims madeagainst a bond issued on your firm's behalf?

DYes • No

If Yes, explain the circumstances on Attachment B the circumstances surrounding each instance.

9. Indicate whether your firm currently has a Workers' Compensation insurance policy in effect, whetherit is legally self-insured, or whether it currently has no Workers' Compensation insurance policy ineffect.

• Workers' Compensation Insurance Policy Currently In Effecto legally Self-Insuredo No Workers' Compensation Policy Currently in Effect

If you have no worker's compensation insurance policy currently in effect, and you are not legally self-insured, provide an explanation on Attachment B.

10. List the Experience Modification Rate (EMR) issued to your firm annually by your Workers'Compensation insurance carrier for the last three years. Begin with the most recent year (YR 1) thatan EMR rate was issued (EMR-1). If any of the rates for the three years is or was 1.00 or higher,you may provide an explanation on Attachment B.

YR. 1: 2009 EMR-1: 138 YR. 2: 2008 EMR-2: 118 YR. 3:2007 EMR-3: ~

11. Within the past five years, has your firm ever had employees but was without Workers'Compensation insurance or state approved self-insurance?

DYes • No

'-./If Yes, explain on Attachment B the circumstances surrounding each instance. If No, attach a statement fromyour Workers' Compensation insurance provider that you have been continuously insured for the past five years.

ResponsibilityQuestionnaire(Rev. 10/24/03)F-3d

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CONSTRUCTION

ATTACHMENT B FOR SECTIONS 0 THROUGH H

Where additional Information or an explanation II required, use the Ipace below to provide theInfonnatlon or explanation. Infoonltlon lubmltted on this Iheet mUtlt be typewrlUen. Include the numberof the qUlltion for which you are Iubmltting additional Information. Information lubmltted on thisAttachment In reaponle Questions In Sections D through H will not be posted on the Internet, butwlll bemade available to the public for review upon requeat. Make copies of this Attachment If additional pagll

·."needed.

Page F-3d

Question 10) Please see letter next page

RltIDOnslblUtvQuestionnaire(Rev.1012<1103)

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February 13,2009

Re: The Rados CompaniesCalifornia Experience Modification Rating

To Whom It May Concern:

Aon represents The Rados Companies in the placement, review, and monitoring of their Workers'Compensation Program and Experience Modification.

There are several outside factors that have negatively impacted The Rados Companies 2008California Experience Modification Rating which are out oftheir control. Specifically the OwnerControlled Insurance Programs (OCIPs) or Wrap-ups. Under the wrap-up programs the owner isthe key client both to the insurance company and the broker handling the wrap-up. It is verydifficult for an individual contractor enrolled in one of these programs to have any meaningfulcontrol or input to the acceptance of a questionable claim, to advocate legitimate claims, and toanalyze the reserves before they are reported to the Workers' Compensation Insurance RatingBureau in California via unit statistical filings.

In addition, the California Workers' Compensation Rating Bureau has changed their formulaand/or rates for calculating the experience modification rating, which has adversely affectedmany of our clients including The Rados Companies. The current modification does not trulyrefiect the efforts of The Rados Companies' Safety. Loss Control, and Claims ManagementPrograms .

. Should you have any questions, or wish additional information, pJease Jet me know.

Very truly yours,

;(jc.WIV~Diane WellerVice PresidentAon Risk Insurance Services West, Inc.Construction Services Group

1901 Main Street J Suite 300 J Irvine, CA92614t: +1.949.608,6300 ! f: ...1.949.608.6451w. ann.corn J license No. 0363334

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CONSTRUCTION

F. PERFORMANCEHISTORY

12. How many years has your firm been in business? __ 8.:,.7 Years.

13. Has your firm ever held any contracts with the City of Los Angeles or any of its departments?

I Yes o No

If Yes, list on Attachment B all contracts your firm has had with the City of Los Angeles for the last 10 years. Foreach contract listed in response to this question, include: (a) entity name; (b) purpose' of contract; (c) total cost;(d) starting date; and (e) ending date. ATTACHED

14. List on Attachment B all contracts your firm has had with any private or govemmental entity (other than theCity of Los Angeles) over the last five years that are similar to the work to be performed en the contract forwhich you are bidding or proposing. For each contract listed in response to this question,. include: (a) entityname; (b) name of a contact and phone number; (e) purpose of contract; (d) total cost; (e) starting date; and(f) ending date. STEVE P. RADOS, INC. Construe tion Experience

ATTACHED.' 0 Check the box if you have not had any similar contracts in the last five years.

15. In the past five years, has a govemmental or private entity or individual terminated your firm's contract prior tocompletion of the contract? .

o .Yes • NoIf Yes, explain on attachment B the circumstances surrounding each instance.

16. In the past five years, has your firm used any subcontractor to perform work on a govemment contract whenyou knew that the subcontractor had been debarred by a govemmental entity?

DYes. • NoIf Yes, explain on attachment B the circumstances surrounding each instance.

17. In the past five years, has your firm been debarred or determined to be a non-responsible bidder orcontractor?

. 0 Yes • NoIf Yes, explain on Attachment B the circumstances surrounding each instance.

G. DISPUTES

18. In the past five years, has your finn been the defendant in court on a metter related to any of tile following Issues? Forparts (a) and (b) below, check Ves even if the matter proceeded to albitration without court litigation. For part (c), checkVes only If the metter proceeded to court litigation. If you answer Ves to any of the questions below, explain thecircumstances surrounding each Instance on Attachment B. You must include the following in your reSDOOse:the narneof the plaintiffs In each court case. the specific ceuses of action in each case: the date each case was filed; and thedisDOsftionicurrantstatus of eech case.(a) Payment to subcontractors?'o Ves • No

(b) Work performance on a contract?

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CONSTRUCTION

ATTACHMENT B FOR SECTIONS D THROUGH H

'here additional hiformation or an explanation is required, use the space below to provide theInformation or explanation. Information submitted on this sheet must be typewritten. Include the numberof the question for which you are submitting additional information. Information submitted on thisAttachment in response QUBl!\tionsIn Sections 0 through H will not be posted on the Internet, but will bemade available to the public for review upon request. Make copies of this Attachment if additional pagesare needed.

Page F-3e

Question 13 Sunset Blvd. Pumping Pl~nt {EXX31458 & E2000245) ," '

'a) STEVE P. RADOS, INC.b) Pumping Plantc) $ 8,149,000d) 3/1997'e) 1999

Question 14 Please see attached STEVE P. RADOS, INC. Construction Experience

Responsibility Questionnaire (Rev. 10/24/03)

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STEVE P. RADOS INC.Construction Experience

Job# Description Owner Total Contract $

Code Contract Number Start! Finish DateContact Person

North Central Outfall (NCOS)City of Los Angeles Active

#282 Air Treatment Facility (ATF) $ 10,1ll ,000HV-TP

This proj ect will remove and salvage an intermediate W.O.#SZCI12868/15108- 11104/10

odor control unit and construct a twostage air treatmentfacility consisting of three bio-trickling filters, four Joe Hawkins, City ofcarbon absorption units, two 12,000 cubic feet per Los Angelesminute process fans and controls, as well as associated Engineer Associateequipment ducting, piping and valves. The facility will tel 213/485-5919treat foul sewer air. The facility includes approximately750 feet of 3 x 18" High Density Polyethylene (HDPE)influent ducting constructed by open trench downJefferson Blvd., a fan building, and facility process unitssupported at grade on mat slabs with deep pile supports.The project includes civil, architectural, mechanical,electrical, instrumentation and demolition work

SPR Const Experience-Nt'O'S spo 1 211612009

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STEVE P. RADOS, INC.Construction Experience

Job # Project Description Owner Total Contract $

Code Contract Number Start !Finish DateContact Person

#281 l't St, Viaduct Widening Over L.A. River-Phase 3 City of Los ActiveHWY·R·B·W (Preservation of 1 of 11 bridges- historic and iconic Angeles, Dept. oflandmark in Los Angeles) Public Works $ 26,803,000.00

This project involves extending the Viaduct by 26 feet April 2008-over the Los Angeles River and railroads as well as W.O. E700051F May 2010removing the remaining northerly sidewalk and railing. Fed Proj#BHLS-The existing concrete pylons and light poles are to be 5006(336) Jason Lockwoodrelocated to the newly widened location. All exterior 8051901-5913of the newly widened portion will have architecturaland historic treatment, including the concrete stairs,columns and arches, to match the original bridge. Theunderpass streets, Santa Fe Avenue and Myers Street,will be lowered to meet the vertical and lateralclearances and the frontage roads north of the Viaductwill be converted to a pedestrian walkway withlandscaping.

)#280 Freeport Pipeline Facilities- Segment 4HV-W-P ActiveThe work generally involves construction of Freeport Regional $11,004,010approximately 6900 ft of 66-inch- diameter raw water Water Authority Start: 2008pipeline, a Flow control Structure containing flow Sacramento, CA Contract Completionmeters and flow control valving, a Surge Control Time: 1112009Facility containing flow meters, circulation pumps, a

FPL#624 Fred Estep , P.E.,Areasurge control tank with standby power generator and Const. Mgr. 916/226-various support appurtenances. 8300

Upper NW Interceptor 9 & Associated NEA ProjectsThe work to be performed under this contract includes Sacramento Active#279 the furnishing of all labor, materials, and equipment Regional County $51,981,772HV-S-P for the construction of a 36" diameter raw sewage Sanitation District Start Date: 6/2007gravity sewer line of approximately 14,818 ft. (UNWl (SRCSD) Completion: 11/20109);a 36" diameter raw sewage line of approximately Bill Chavez,13,531 ft(NEA-1); and a 24" diameterraw sewage line Sacramento, CA Project Managerof approximately 4,324 ft (NEA-2) and associated Tel 916/876-6015manholes, as shown on the contract plans and herein Contract #3932 Steve Chavezspecified. Both trenchless and open trench Tel 9161728-1169construction methods will be used for the construction .

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SPR Ccnst Experience-Z (2·1) spo 211612009

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I Job# Description Owner Total Contract $

Code Freeport Pipeline Facilities -Segment 2 Contract Number Start/Finish Date

-Approximately 6.7 miles of 84" CML steel pipe with Contact Person

#278 tapewrapped coating. This segment will have double Freeport RegionalHV-S-P structural welded joints (Typical). Water Authority Active

-8" SS relocation (approx. 600ft.) along Auberry Dr. $ 58,900,000

-15" SS relocation (approx. 500 ft) along Elsie Ave. Sacramento, CA Start Date: 5/2007

-10" water pipe relocation (approx. 1900 ft) along Completion Date:

Wilbur Way Contract FPL#622 6/2009

-Major appurtenances include large drain facility at Contact:Eric Mische

Union House Creek near Elsie Ave. and localized or Brian Lee

blowoffs at other identified stations (Typical) Tel 9161 643-1738

-Three tmmels:Elsie Ave. (approx. 80 ft) Union Pacific Fred Estep, P.E.RR and French Rd. (approx. 700 ft), and Elk Grove-Florin Rd. (approx. 450 ft)i Area Const Mgr.

-Roadway improvements including landscaped 916/226-8300

medians,traffic signals, and road striping along sectionof Power Inn Rd., Elsie Ave. and Gerber Rd.

Brushy Creek Pipeline #3 Southbay AqueductPipe diameter 78", Length 15,000' RCCP & 420' WSP

#277 Provide approximately 3.7 miles of 78 inch buried Dept. of WaterflY-Wop pipe (concrete and/or steel) from the South Bay Resources Active

Aqueduct Pumping Plant to Dyer Reservoir, 2. Spec #06-09 $24,719,000Furnishing approximately 400 ft of 78" diameter steel Start Date: 11106pipe, to be delivered to the Department to be installed Completion Date:by others under the Dyer Reservoir Contract 11083.Excavation and backfill,4.Concrete encasement,5. Contact: Brian DePVC conduits from the South Bay Aqueduct Pumping PuyPlant to surge Tank No.3 site,6. Cathodic protection Tel: 916/653-5791system,7. Concrete access structures,8. InstallDepartment furnished valves,9. Coatings and linings,and 10. Seeding.

Air Release & Air Vacuum-Alhambra, Monterey, Commerce Metropolitan Water#276 Project consists of furnishing new replacement DistrictflY-Wop valves.pipes & fittings for Metropolitan's Spec #1542 $ 2,806,000

inventory;removal of existing subsurface vacuum and Start Date: III 2006release valves and delivery to Metropolitan; abatement Completion Date:of lead,PCBs, and asbestos containing material inside 12/2007the subsurface vaults;modification and extension of Contact:.piping system for installation of new vacuum and air JohnWallacerelease and vacuum valve closures. The work also Tel: 9091 392-5472includes coordinating wI various public agencies,obtaining all permits,preparing traffic control plans as ,required by agencies & performing trafficcontrol.trenching.disinfection.hydro testing.tie-

SPR Const Experience-S (2-1) spo 2 211612009

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Job# Description Owner Total Contract $

Contract Number StartlFinish DateCodeContact Personin work,backfilling,resurfacing, and all other

appurtenant work as specified and shown in thedrawings.

Flume 49/50 ReplacementReplacement of approximately 1,500 feet of flume and EI Dorado Completed: 5/07#275 a new spillway -including demolition excavation and Irrigation District

HV-W grading work -concrete supports, installation of Contract#H05-02 $4,734,000existing concrete flume sections-miscellaneous metals, Proj #03014H Contact: Cindymetal building, hydraulically operated spillway gates, Megerdigianpainting and additional miscellaneous appurtenance. Tel.: 530/622-4513.

North South Transmission Main#274 Installed 2383 LF of24"and 3264 LF of 18" dip in the Golden State Water

$1,619,717CompanyHV-W street including AC paving11800628 Contact: Scott Fort

Tel 916/8503-3600Motherlode Force Main Sewer Replacement#273 (Sunset Lane to Shingle Springs Station) ElDorado Active (June'06)HV-S Install 4234 LF of 20" PVC sewer force main Irrigation District $1,919,000including the tie ins to the existing system. FM05-ll Steve Setoodeh

Tel 530/622-4513Finished Water Pump Station Modification#272 Remove existing diesel engines as pumps (2) Stockton East $1,967,000HV-PS Remove existing turbine pumps (4) Water District 3/3/06-1131107Remove existing angle drives & pump control valves Spec 07964-29626-141 Jeanette ThomasRemove existing electrical controls & switch gear. Tel 2091 948-0333Install 4 new owner furnished pump control valves &

motors.

Valmonte Dr.! Stewart Rd. Storm Drain#271 Improvement Dept. of Water $1,007,000HV-SD Installation of approximately 3999 lineal ft. storm Resources 5/1106-9/1/06drain pipe, 24 drainage inlets, 19 manhole~, and other County of William Auappurtenant structures, removing & replacmg curb & Sacramento Tel 9161 875-2225gutter, relocating water lines, relocating sewer services Spec 3863

Tehachapi East Mterbay-Completion -Phase II#270 Replacement contract for completion of portion ofHV-CB work. The original contractor has been terminated, Dept. of Water $15,824,615.00Bypass facilities, flow barrier, control building, Resources 1106/06 - 4/30/06furnished rollergates, topsoil, seeding. Remove Spec 05-16 James Brantley

Contract C5l310 Tel 6611944-8712

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Job # Description Owner Total Contract $

Code cofferdam #2 . Contract Number StartIFinish DateContact Person

#269 Santa Ana Pipeline-Excavation, Inspection & Dept. of Water $3,260,000.00HV-W-P Repair-Phase III Resources 10131105-1130120064 Locations, excavate, shore, expose existing pre- Spec#05-14 Bill Ashtonstressed concrete pipe, for 18 ft length, concrete Contract C51308 Tel 661/946-1024encasement and backfill, support existing utilities.

#268 Bushard Trunk Sewer Rehabilitation Orange County 9116102- 9107

#258 See Job #258 Sanitation District $30,003,210

HV-S-P Job No. 1-2-4 Paul VranesicTel 7141378-0087

Rte 405-Sepulveda to Rte 101 4/2005- 12/2007#267 The bridge work to be done consists of: Greenleaf St. CALTRANS $ 25,604,456HWY-R-B On-Ramp Undercrossing & the Ventura Blvd. Vladimir Gurfinkel

Undercrossing; both single span bridge, one approx. 32 Contract Resident Engineermeters long & 16 meters wide composed of a cast-in- #07-201204 Tel (818)788-3303place post tensioned box girder supported on a cast-in-drilled hole and driven steel pile foundation. The other Jagdish Patelbridge approximately 39 meters wide composed of 8051857-7047

; bulb-tee girders supported on cast-in-drilled holefoundations. Retaining wall and soundwall work to bedone too.

Ortega (74) Highway $1,500,000.00#266 Emergency contract on a 2417 basis for the repair of CALTRANSHWY- flood damages experienced at 6 locations along 1/05-2/05SD Highway 74, the Ortega Highway in Orange County, Contract Jason Yeung, Manager

CA. Work included the clean-up of mud and debris, #EA 12-0H0431 Tel 949/724-2347

installation of various pipe culverts, rip rap, tensar Fax 949/924-2809

slope, stabilization, asphalt paving, guard rail, seedingand mulching, and line striping.

#265Lower NW Interceptor-Sacramento Force Main $44,216,377.00The work consists generally of installing Sacramento

HV-S approximately 9,962 LF of dual 66 inch RCCP,CCP or Regional County 1/05 -12/06

WSP force main by open trenching method. Installing Sanitation District Robert CockburnConst, Manager

approximately 1,480 LF of dual 66inch RCCP force (SRCSD) Ben Townleymain by microtunneling. Installing approximately Resident Engineer640LF of dual 84 inch steel casing by micro tunneling Contract Tel 9161665-2220with 66 inch WSP force main carrier pipe. Installing #3799 Fax 9161665-5235

i approximately 1,047 LF of66 inch RCCP force main

-{iby open trenching. The Project also

"- ..

SPRConst Bxpertence-z (2-1) spo 4 211612009

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, Job # Description Owner Total Contract sCode Contract Number StartIFinish Date

included the installation of 8 Blow-off manholes and Contact Person

14 air release valve structures. Also included was theconstruction of five (5) concrete vaults that eachhoused a gear operatored 66 inch knife gate valve thatwas used for flow isolation and bypass options. At theterminous of the dual force mains a 40 foot deep vaultwas constructed that contained 5 sluice gates, threeadjustable weirs and one 96 inch wide by 10 foot highslide gate and frame.

#264 Garden Grove Freeway (SR-22) Orange County $489,000,000.00HWY- The project will widen the freeway along 12 miles, Trans. AuthorityDB from its eastern connection at the Costa Mesa Fway to (OCTA) 9/04-41 2008Valley View St, near the San Diego Fway. The HOV Lane/Design

improvements include building 2 carpool lanes, adding Build Contact:2 auxiliary lanes between the Santa Ana Freeway & Joe ToolsonBeach Blvd, elevating the fway connector with the Granite-Myers-Rados- 714/743-6717Orange Fway at the City Dr. to eliminate chronic JointVenturetraffic weaving, & building new on-and-off ramp lanes Contract #C-3-0663& additional sound walls.

1#263 Lower NW Interceptor-Southport Gravity Sewer $38,906,896.00HV-S-P The work consists of installing approximately 18,200 Sacramento 12/04- 12/06

lineal feet of 120 inch diameter reinforced concrete Regional County Erick Stricklandsewer pipe, 17 manholes, and associated Sanitation District (Resident Engineer)appurtenances. Pipeline construction will utilize open (SRCSD) Tel 916/302-7039cut techniques. Contract # 3795 Fax 916/928-9605

#262 Coloma Water Treatment Plant Parallel Line So. California $930,802.00HV-TP-P Constructed approximately 4,640 feet in 24 inch raw Water Co. 11/04- 2105

water transmission line along Folsom Blvd. Contract Scott D. Fort# 12240-000 Tel 9161853-3628

Fax 916/852-0171

261 Upper NW Interceptor Section 7/ElkhornHV-S-P The work performed under this portion of the Contract Sacramento $24,158,588.00

included construction of the Upper NW Section 7 Regional County 7/03- 9/05

segment ofUNWI System. The work consisted Sanitation Districtgenerally of: (SRCSD) Glen Grant

Tel 9161 924-8844-installed approximately 3,750 LF of 48" RCP (by Contract #3646 9161 338-3561tunneling and open cut methods). Fax 9161 338-5129-installed approximately 11,700 LF of dual 32"forcemains (by tunneling and open cut methods).

1 -Constructed transition structure.~....

SPR Const Experience-2 (2-1) spo 5 211612009

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)

Job # Description Owner Total Contract $Code Contract Number StartfFinish Date

-Constructed air release, vacuum and blowoff Contact Personstructures and manholes-Constructed landscaping improvements.The other work performed included the construction ofroadway and bridge widening, raised medians,trafficsignal installation and modification,rubberized asphaltconcrete overlay, storm drainage and roadway striping.The project widened Elkhorn Blvd. from 4 lanes to 6traffic lanes including a 12 foot wide landscapedmedian and two five foot wide class nbicycle lanesbetween Don Julio Blvd. and Diablo Dr. The existingElkhorn Blvd. Bridge was widened where the existingoverhead bridge crosses Union Pacific Railroad.

Folsom East Interceptor/Foisom Blvd Widening260 The work performed under this Contract included the Sacramento $14,322,885HV-S-P installation of an interceptor pipe in Folsom Blvd. and Regional County 1/03-9/04

Citrus Rd. The work included the installation of Sanitation District Andrew Page- Civil Engr

approximately 1,960 lineal ft. of 72" diameter (SRCSD) 916/876-6055ThorLude

interceptor, 11,048 lineal ft of 54" diameter Contract 3701 Tel 9161 875·2728interceptor, 115 ft of 48" diameter interceptor, 3 Fax 9161 338-5129junction structures, turning structures, manholes, andconnections to existing interceptor lines. The roadwidening portion of the work begins on Folsom Blvd.just east of the North side of'Folsom Blvd, and extendsnortheast to the intersection of Folsom Blvd. and theFolsom South Canal. This represents a lineal distanceof approximately 4,750 ft.The project also included the widening and repaving ofFolsom Blvd.

Rte 73-Modify Exist Storm Drain Systems CALTRANS $2,048,000.00Construction on State Hway in Orange County at

12/02 ·10/03#259 various locations from 0.2 km. west of wildlife Contract Jose L.BerriosHWY-SD undercrossingno. 1 to 0.7 km of Bison Ave. #12-0C9414 Tel7141 556-0784

overcrossing. Fax 7141 556·3869

Bushard Trunk Sewer Rehabilitation Treatment

#258Plant #2 to Ellis Avenue Orange County $30,033210.00Construction of a new trunk sewer pipeline in the cities Sanitation District

HV-S-p of Huntington Beach & Fountain Valley, in Orange 11102- ActiveCounty, CA. According to the Orange County OCSD Job. No C. Mike Bock

1-2-4 Te1714/593-7340(' Fax 714/964-4775

SPR Const Experience-2 (2-1) spo 6 2/1612009

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Job # Description Agency Total Contract $

Code Contract Number StartiFinish Date

Sanitation Dist. ' s 1999 Strategic Plan, the existing Contact Person

Bushard Trunk Sewer was identified as beinghydraulically and structurally deficient and in need ofrehabilitation. In addition, future uses for the sewerinclude providing relief for the Knott InterceptorSewerlInterplant diversion and wet weather flowstorage. The pipeline will extend approximately21,800 linear feet and have an invert depth generallyranging from 15 to 20 feet below ground surface.

Construction of Avenida delas Banderas City of Rancho $2,400,000.00#256 Overcrossing Santa MargaritaHWY-B Mobilization, clearing and grubbing, traffic control, 2/02- 12/02

Tom Wheelerconstruction of the Avenida delas Banderas Spec #55-698 City EngineerOvercrossing and regarding roadway approaches. TeI949/635-1800

Fax 949/635-1840

Contra Costa Multi-Pnrpose Pipeline Contra Costa Water#255 Project & Raw Water System Improvements District $52,903,703.00HV-W-P This project incorporated the installation of 107,000ft. 6/01- 2/04

of 42 inch diameter treated water and raw water for the Project #197071 Annette McClemore, Contra Costa Water District. Work included multiple Tel 9251 688-8130

tunneling locations of2000 feet of 42 inch pipe up to Fax 9251 688-8350Jim Mansfield

30 feet deep. Other work included cathodic protection Te1925/688-816systems, and 1500 double cell box culvert and 70,000 Paul Nagy 925/274-8130feet trail paving.

Geysers Recharge Project-HealdsburgCity of Santa RosaPipe diameter, length, depth

#254 48", 34,500 LF, 10'-20'HV-W-P Installation of over 34,000 feet of 48" pipe for the Contract #00-845 $22,771,584

Santa Rosa Subregional Water Reclamation District.One microtunneling location crossed under the South 6/00- 12/5/02Russian River with a 60" diameter carrier casing at adepth of up to 90 ft. deep and 667 ft. long. Also at Dan Carlsonanother microtunneling location, crossed under the Te1707/543-3357North Russian River wI a 60 " diameter carrier casing Or 5434200at a depth of up to56 ft deep and 426 ft. long. This Fax 7071543-3035work also included up to 20 foot diameter shafts at thetunneling locations, an on-site Controlled LowStrength Material (CLSM) plant for backfilling the

: pipe, relocation of utilities and traffic control for ai heavy vineyard harvesting traffic.

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Job # Description Owner Total Contract sCode Contract Number StartiFinish Date

Del Amo Blvd. Overcrossing at 1-405 Fwy City Of Carson Contact Person

253 Construction of 1,000 foot post tensioned cast-in-place $12,648,000HWY-R box girder bridge crossing over 12 lanes of Interstate Project No. 22405. This 6 lane bridge also spanned a 270 foot wide 3/01-4/03Dominguez Channel. A double dike water diversionsystem was implemented to protect the work zoneagainst tidal influences and pumped up to 10 million Massoud Ghiamgallons of water a day. This project required Te13101830-7600coordination with numerous utility companies in order Fax: 3101830-7600to relocate and protect in place over a dozen utilitycompanies including high pressure gas, oil, hydrogen,sewer and water mains. Over 3.1 million pounds ofreinforcing steel was corporated over 13,600 cubicyards of concrete in the major structures. Theconstruction included a double cell reinforced concretebox with 36,000 square feet of wall forms. This boxwas constructed under a channel diversion. Otheritems of work included shotcrete slope paving andchannel transition walls, asphalt paving, intersectionsignalizaton and relocation of a fiber optic highwaycommunication lines.

#252 California Meadows! SR 29/ SR 37 Sanitary Sewer 8,761,000.00HV-SS-P Rerouting Project Vallejo Sanitation 8/00-7f02

& Flood ControlPipe diameter-200-1050 mm , Length-3500 metersI District Rudolf Ohlemutz

Job #WW1530 & Te17071644-8949

Installation of 8" through 42" sanitary sewer including Job#WW1531 Fax 7071644-8975

jacking, boring, microtunneling & appurtenances.

Greenflag Storm Drain$8,493,000.00Installation of storm drain pipe up to 96" diameter pipe

#251 on different lines for the County of Los Angeles. This L.A. County, Dept 10/00-7/02HV·S!)'P project was constructed in a residential neighborhood of Public Works Irnad Abboud

with very tight and narrow right-of-way constraints Tel. 213f0847-5170and overhead utility linbe obstructions. This work alsoincluded 730 feet of tunneling in sandy soil up to 100feet deep. A 160 foot long by 120 foot wide by 18 feetdeep detention chamber was constructed under a park.

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Job # Description Owner Total Contract $

Code Contract Number StariFinish Date

Allen-McColloch Pipeline Repair (6 sites) Contact Person

#250 The work consisted of the removal of existing pipeline MWD of Southern $1,535,000.00HV-W-P and installation of new Metropolitan furnished Californiapipeline at 6 locations along the McColloch Pipeline Contract No. 1431 4/00-6/00

John Wallace, R.E.The existing pipeline was prestressed concrete cylinderpipe with nominal diameters of 66 inches, 69 inches, Tel 2131 217-6000

and 78 inches. The Metropolitan-furnished pipe waswelded steel pipe of the same nominal diameters. Thework also included surface demolition, shoring,earthwork, welding, concrete, lining and coating thenew pipeline, and disinfection of the pipeline.

Work had to be completed within a 168 hour shutdownfor 5 sites and 96 hour shutdown for 2 other sites.STEVE P. RADOS, INC. successfully completed thejob ahead of schedule.

Pipe diameter, length, depth- 66"-78"360 LF(total) up to 24; Type of Pipeline -WSP

Sepulveda Blvd. GradeSeparatkm/#249 Winner of Carson's 2003 Distinguished Project City of Carson $16,073,963.00HWY-R-B Award. This project incorporated retaining walls and 9/16/99-4/02a bridge span over a major railroad yard to ease Contract #71- Patricia Elkinscongestion in the City of Carson. Retaining walls used DPM-0046 (001) Tol 3101 830-7600 <1816

over 3,600 cubic yards of concrete. The bridge Fax 310/830-1206included almost 10,000 cubic yards concrete.

#248Rte lOS- Century Fwy Drain Replacement Ph II

Upgraded the drainage systems by removal and CALTRANS $3,616,975.00HWY-R-SD abandonment of existing systems; constructed new 7/99-3/00high density polyethylene pipe drainage system. Contract # 07- Tom ZawitowskiLocation: In Los Angeles County-South Gate, 195004 Tel 5621401-3339Paramount, and Downey from 0.6 km west of GarfieldAve. Overcrossing 0.3 km east of Woodruff Ave.Overcrossing District 07, Rte 105

#246 Washington Blvd.! Santa Fe ImprovementsHWY-RR-B This included 3 bridges: 1) Santa Fe Ave. Bridge ACTA (Alameda $40,901,659

which is a seven span, cast-in-place box girder bridge. Corridor 8/99-6/02It is 712 ft long & 25 ft high 2) BNSF Bridge over TransportationWashington Blvd. is a steel truss bridge 206 ft long Authority) Mark Hackbarthand 42 ft high that includes 2 railroad lines. 3)ACTA To1323/826-1930

Contract #COO97•

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Job # Description Owner Total Contract $Code Contract Number Start/Finish

Contact PersonBridge over Washington Blvd. is a steel girder bridge151 ft. high that includes 5 railroad lines. Othersignificant work included retaining walls, storm drain,sewer & other utility installation as well as box culvertconstruction

#245 Rte 105- Century Fwy Drain Replacement CALTRANS $7,262,790!IWY-R-SD Rehabilitate portions of Interstate 105 (Century 7/98-10/99

Freeway) from west of Garfield Ave. to Woodruff Contract #07- Tom ZawitowskiAve. 4C2804 Tel 562/ 401-3339

#244San Antonio !Euclid Overcrossing- Rte 30 $8,978,718

Construction of two (2) span cast-in-place, post SANBAG 12/97-10/99!IWY-R-B

tensioned box girder bridges each approximately 250 Tom Webbfeet long-and roadway approach and appurtenances. Contract #98-019 TeL 909/ 981-9289

Inland Feeder-Riverside Pipeline South#243 Pipe diameter, length, and depth $35,409,327HV-W-P 144", 30,000 LF, 20' -35' Metropolitan Water 11197-7/99

Project consisted of furnishing & installing District Original date ofapproximately 7 miles of 145.5 inches inside diameter Completion 6/2000

welded steel pipeline. Construction of a reinforced Contract #1300 Actual: 7/99Wayne Bousley

concrete box siphon approximately 270 lineal feet in Unit Manager,lenth. Reinforced transition structures with a concrete- Engineeringlines canal turnout from and return to the existing San Tel. 213/217-6545Diego Canal and appurtenant work. Demolition of two

NormBamardexisting stilling well associated with the pipeline Tel. 213/217-6000crossing the Casa Lorna Casa land replacement of theconcrete lining in the Casa Loma Canal.

Arena Drain & Pump Station#242 Construction of a storm runoff pumping station with L.A. County, Dept. $6,814,830.00

HV-SD-PS appurtenant mechanical equipment, electrical Of Public Works 6/98-8/99instruments and related inlet structure, retention basin. Contract # CB-14248 James CatheyDischarge lines and storm drains; and demolishing and Tel 818-458-3149salvaging two City of El Segundo pump stationsincluding removal and disposal of waste. The projectis located within the City of El Segundo.

Sand Canyon Bridges 56 & 57 E.T .C.A'/Silverado $11,914,000.00

#241Bridge 56 is a 13 span, three frame, cast-in-place post Constructors 5/97-11198

HWY-R-Btensioned box girder bridge. It is approximately 2087 (prime Contractors)

-t

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Job # Description Owner Total Contract $

Code Contract Number StartIFinisb Date

feet long and 37.5 feet wide supported by driven Contact Person

concrete piles. Bridge 57 is 15 span, cast-in-place post Contract #(SUB) William Comtensioned box girder bridge. It is approximately 2900 #0527-0045 Tel 714/451-0862feet long and 37.5 feet wide supported by concretepiles. This bridge interfaces with mechanicallystabilized earth (MSE) retaining walls.

Sunset Blvd. Pumping Plant

The various construction elements were:#240/239 A new Sunset Pumping Plant and emergency storage City of Los $8,149,200.00HV-S-PS facilities: a force main sewer located along pacific Angeles 3/97-1999

Coast Hway between Sunset Blvd. & Potrero canyon. Fred AbdohA gravity sewer lateral between the Tahitain Terrace Contract # Tel 8181 756-9435Mobile Park Home and Temescal Canyon Road; a EXX31458&gravity lateral in Mantua Road; a gravity lateral in E200245Temescal Road Canyon Road; a gravity sewer lateralin Pulga Canyon, with a lateral connecting to theexisting lateral in Puerto Del Mar; a diversion sewerin Muskingham Aye., extending from Northfield S1.tothe new lateral in Pulga Canyon.

Rte 133/5 Separation BridgesRoute 133/5 Separation Bridges is a four span and a 5 $3,293,966.00#238 span, cast-in-place box girder bridge. Approximately E.T.C.A./Silverado

HWY-R-B 9170 cubic yards of structural concrete including Constructors(prime 10/96-11198abutments. At approximately 65 feet high this bridge Contractor) William Comincludes 2 cloverleaf connectors. Tel714/451-0862

EI Paseo Storm DrainPipe diameter, length, depth $2,325,242.00

#237102",1850 LF, 12'-20 City of Newport 5/13/96-2/97installation of 1850 LF long storm drain 60" to 102" Beach-Dept. of

HV-SD-P diameter with 161 LF jacking underPCH, one junction Public Works Marla MatloveTel 7141 644-3322and one transition structure.

Hollyhills Storm Drain- Unit 2 $13,857,216.00#236

This project consisted of installation of over 4800 4/17/95- March 97linear feet of reinforced concrete box sections up to 25 LA County, Dept.HV-SD- ft wide and up to 2 feet high and up to 30 ft deep for of Public Works

CB the Los Angeles County flood Control district, Gary Johnsonincluding 33 transition structures and/or junction Tel 818/458-3114structures, flap gates, and 925 Heal feet of 48" RCP Contract No..; FX50950

.,

SPR Const Experience-2 (2-1) spo 11 211612009

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Job # Description Owner Total Contract $

Code Contract Number StartIFinisb Date

plastic lines sewer pipe. This work done with deep Contact Person

shoring under traffic control on cristreets withconsiderable amount of groundwater. Restoration ofthe existing streets section was also replaced. Thetotal amount of the final contract was $15,622.91.

San Diego Seismic Retrofit- Rte 8,805 CALTRANS $40,495,483.00#235 Project consisted of enlarging 30 viaduct footings andHWY-R-B columns, 95 ramp footing columns. 5.4 million Contract 11-050024

pounds of reinforcing steel was covered with 800 CY 2113/95- 1199

of ramp column concrete and 9100 CY of viaduct Steve Matthew-Johncolumn shafts were vibrated into the potentially Tel 6191 528-0428liquefiable soil. Over 77,000 LF of cast-in-steel pile(CISS) and casi-in-drill hole (CIDH) pile werinstalled. All of this work was accomplished underline traffic. Two new 60" via duct columns wereinstalled on four 75' deep 90" diameter piles.

LA Reservoir Bypass Line #2 Dept. of Water & $5,200,000.00#234 Power: HV-W-P Pipe diameter, length, depth Contract No. 9013 1/95- 2/29/96

48"-84,1850 LF, 12'-20' Stephen C. NielsenTel. 213/367"0909

Installation of:-1850 LF 84" diameter welded steel pipe (CML&C)-1 ea 84" butterfly valve-1 ea 72" butterfly valve-6 ea pre-cast valve vault-mechanical, electrical

Laguna Canyon Bridges California Corridors $10,446,277Laguna Canyon Bridges is a six span, cast-n-place post Constructors 4/6/95-Dec 96

#233 tensioned box girder bridge. Approximately 9170 Contract No.-HWY-R-B cubic yards of structural concrete including abutments. Subcontruct#021 Norm Matson

At approximately 65 feet high this bridge includes 2cloverleaf connectors.

Rt Il8-Bull Creek Bridge Repair#232 CALTRANS $1,788,594.00

HWY-R-B Contract No. 1121/94-2/18/94

07H41-EQ AmerBataTeI2J3/260-9459

1

SPR Const Bxperience-Z (2-1) spo 12 211612009

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Job# Description Owner Total Contract sCode Contract Number StartIFinish Date

#231 Rt lIS-Mission Gothic Bridge Repair CALTRANS Contact Person

HWY-R-B Contract No. $645,303.00

07H727-EQ 1121194- 2118/94

#230 Nishnabotna River Levee Repair U.S. Army CorpsHV-FC- $199,885.00

LR of Engineer 11121194- 211/94ContractNo.DACW 45-94-C-008

#229 Moulton Section BridgesHWY-R-B Type/ High Width California Corridor $11,966,605

Length(LF) (FT) (FT) Constructors 4/1194- Oct. 96

El Toro Bridge CIP box girder bridge/ 30 74 Contract No.1350 Subcontract#008

Aliso Creek CIP box girder bridge/ 25 71816

Laguna Hills CIP box girder bridge/ 25 71376

) Glennwood Dr CIP box girder bridgel 30 81

#228CorningIMill Creek Levee Repair $639,999.00

HV-F-LRU.S. Army Corps 10/22/93-4/24/94of EngineersContract No. LarryGannDACW45-93-B-0169

Rt 1l0-Redondo BeachDemolition and reconstruction of 149 Street

#227 Overcrossing and the Strawberry Park Railroad CALTRANS $6,000,607.00HWY-R-B Bridge. The construction included 2,675 cubic yards

of structural concrete and 493,000 pounds of Contract No. 07- 1110/93- 3/14/96reinforcing steel. Other work included retaining wall 119084 Naresh Kumarand sound wall construction. Tel 310/ 609-1268

Baker-Gisler Interceptor SewerPipe diameter, length, deep $2,945,000.00

#226 24"-66", RCPNCP Orange CountyHV-S-P Baker-Gisler Interceptor, fr Reclamation Plant #1 to Sanitation 4/20/92- 1111192

Gisler Ave. Contract No. 14-1-1A-a-2 & modification Contract No 14-1-to Sta Ana Dyer Rd Trunk Contract No. 1-16. la-2 & 1-16 John Linder

l'

SPR Const Experience-d (2-1) spo 13 2/1612009

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Job # Description Owner Total Contract sCode Contract Number StartlFinish Date

Metro Rail Greenline-Century/Compton Contact Person

#225 The Metro Green Line is one section of the overall LA County $66,447,526.00HWY- light railway system connecting Los Angeles with the TransportationTR-B adjacent connnunities to reduce congested freeways. Connnission 6/12/91- 4/7/95

This project consisted of 13,000 feet of post tensionbox girder bridge, 205 bridge colunms. 2,000 feet of Contract No. R23- Tom Wallerthis line was an "at-grade" segment utilizing TOI-COI00 Tel310/ 568-0270mechanically stabilized earth retaining walls.

#224 Lower Santa Ana River ChannelHV-FC- Construction of approximately 3.2 miles of reinforced Army Corps of $43,110,828.00CC concrete channel, approximately 2.6 miles of stone Engineer

and grouted stone channel, stone jetties and dikes, 4/15/91-8/1193bicycle bridge, automatic tidal gates, utilities Contract No.construction (water and sewer line) and removals, site DACW09-91-C- Bill Gallegosclearing and gubbing, excavation and fill, diversion 0007 Tel 714/ 645-6918and control of water and appurtenant work.

Santa Margarita South Co Pipeline Santa Margarita$24,000,000.00

#223 1111/90- 9/30/92\HV-W-P

Pipe diameter, length, depth Water District Dan Roberson48"-66", 33,800 LF, 25' Contract No. Te 1714/ 455-2722

1485A

#222 PCH Bridge-RtlBrookhurst $14,447,469.00HWY-R-B Construction of Talbert Channel Bridge (Flat Slab CALTRANS

Bridge) and the demolition of Santa Ana River Bridge 10/30/89-5/21/92and staged construction of the Santa Ana Bridge with Contract 12-023774the use of sheet pile walls. The new bridges included Bill Decker6,850 cubic yards of structural concrete and 1,380,000 Tel 714/654-1409pounds of reinforcing steel. Other work included leveeimprovements, rock slope protection, retaining walland sound wall construction.

Tustin Ranch Road- Bridge CALTRANS $10,041,836.00#221 Construction of State highway in Orange County in 6/26/89- 7/31191

HWY-R-B Tustin from El Modena Channel to 0.1 mile south of Contract 12-018824 Enrique AlonsoBrowning Ave. It consisted of widening the freeway Tel 714/ 544-8890and constructing an interchange.

#220 Rt lOS-Inglewood Box Culvert CALTRANS $7,710,661.00

HWY-SD- Frontage road, cul-de-sacs and drainage facilities Contract No. 07- 10/30/89- 12/11/90

CB constructed. 007464 Sean RovhanTel916/I 654-4607f

SPR Const Bxpenence-z (2-1) spo 14 211612009

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Job# Description Owner Total Contract sCode Contract Number StartIFinish Date

Rt, 5- Jamboree Uncrossing Contact Person

#219 Demolition and reconstruction of the Jamboree Road $11,722,039.00HWY-R-B undercrossing and the E1Modena Channel Bridge in CALTRANSOrange County, including 6 ramps and Ioff-ramp 10/20/88- 4/9191

realignment. Bridge demolition and reconstruction Contract No.- 07- Tim Buchananwas performed over 5 stages. The new bridges 018814 Tel 9161 654-4607included 7,000 cubic yards of structural concrete and1,000,000 pounds of reinforcing steel. Other workincluded construction of a pumping plant and over47,000 tons of asphalt concrete.

#218 Rte 105- Bridges at Imperial, Prairie, Hawthorne CALTRANS $17,552,000.00HWY-R- Frontage roads constructed and city streets

B reconstructed by grading and paving with asphalt Contract No. 07- 9/1188-10/15/91concrete on aggregate subbase and paving with 018814Portland cement concrete on lean concrete base over Sean Rovhaniaggregate base, and reinforced concrete box culvert Tel 916/654-4607and 3 multi span prestressed concrete box girderbridges constructed.

#217 Rte, 405- Culver Drive Overcrossing CALTRANS $1,340,109.00HWY-R-B Bridge widened and ramps modified Contract No. 07- 515/88-5/31190

003414 Bill Decker

Rte. 55-McFadden#216 Widening 3.4 miles of Route 55 through Santa Ana, $19,284,728.00

HWY·R-B California. Removed and replaced the McFadden CALTRANSovercrossing under staged construction. New Contract No. 07- 10/20/87- 3115190construction of Warner Ave. overcrossing, and the 102754widening of three other bridges. Other work included Brent Felkerretaining walls with over 2500 cubic yards of Tel 9161 654-4607structural concrete, and over 151,000 pounds of steelreinforcement, 60,000 square feet of sound walls, over103,000 tons of asphalt paving.

Rte 105 Airport Viaduct (LAX) CALTRANS $25,305,354.00#215 Interchange and portion of viaduct constructed and Contract No. 07- 9/25/87- 10/9/92

HWY-R-B airport facilities modified. 060394 Nairouz GriessTel 9161 445-0437

)

SPR Const Bxperience-z (2-1) spo 15 211612009

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Job # Description Owner Total Contract $

Code Contract Number StartlFinish DateContact Person

Rte 405/105 Detours & Widening CALTRANS $24,199,064.00#214 Widening of2 miles of Route 405. New construction Contract 07-060194HWY-RB of 3 new bridges, 2 partial bridges and the widening of 8/12/87- 7/2/90

2 bridges. Other work included retaining walls on Richard DeckerCIDH piling, 60,000 square ft of sound walls, over Tel 9161445-043736,000 tons of asphalt concrete and 18,000 cubicyards of concrete paving.

,

-(

SPR Const Expenence-z (2-1) spo 16 2/1612009

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CONSTRUCTIONr:' Yes I No

(e) Employment-related litigation brought by an employee?!.) Ves • No

19. Does your firm have any outstanding judgements pending against it?

o Yes I No

If Yes, explain on Attachment B the circumstances surrou.nding each issue.

20. In the past five years, has your firm been assessed liquidated damages on a contract?

o Yes • NoIf Yes, explain on Attachment B the circumstances surrounding each Instance and identify all such projects,the amount assessed and paid, and the name and address of the project owner.. .

H. COMPLIANCE

21. In the past five years, has your firm or any of Its owners, partners or officers, ever been investigated, cited,assessed any penalties, or been- fo\)n4to: hay!' ·viOfated.al1y laws, i'lIles, or regulations enforced or'administered, by any of the governmental entities listed on Attachment C (Page 10)? For this question, theterm ·owner" does not Include owners of stock in your firm if your firm Is a publicly traded corporation .

• Yes .0 No ATTACHED

f Yes; explain on Attachment B the circumstances surrounding each Instance, Including the entity that wasinvolved, the dates of such Instances, and the outcome. .

22. If a license is required to perform any services provided by your firm, in the past five years, has your firm orany person employed by your firm, been Investigated, cited, assessed any penalties, subject to anydisciplinary action by a licensing agency, or found to have violated any licenSing laws?

o Yes• No

If Yes, explain on Attachment B the circumstances surrounding each Instance In the last five years.

23. In the past five years, has your firm, any of Its owners, .partners, or officers, ever been penalized or given aletter of wamlng by the City of Los Angeles for· falling to obtain authorization from the City for the substitution .of a Minority-owned (MBE), Women-owned (WBE), or other (OBE) business enterprise?

o Yes • NoIf Yes; explain on Attachment B the circumstances surrounding each instance in the last live years.

24. Provide on Attachment B, the name(s), addresses) and telephone number(s) of the apprenticeship. programsponsor(s) approved by the California Division of Apprenticeship Standards that will provide apprentices toyour company for use on any public worlls projects that you are awarded by the City of Los Angeles.

ATTACHEDProvide on Attachment B, the name(s), addresses) and telephone number(s) of the apprenticeship program

i sponsor(s) approved by the Callfomia Division of Apprenticeship Standards that have provided apprentices toyour company on any public worlls project on which your firm has participated within the last 3 years.

Responsibility Questionnaire (Rev. 10124/03)F-3f

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CONSTRUCTION

ATTACHMENT B FOR SECTIONS D THROUGH H

Wb... 1dcIItI0nal Inforrnlllon or an IXp/anItIon II ,.qui..... ... the 'JI8CI below to proyIde theInformation or txpIandon. InfonnItIon IUbmltflldan "lhIIt IftUIt be typIW,lIiIr .. Include the numberd the qUllflon for which you ... Iubmllllng 8CIcIIIIonaI InformIIlIon. Infonnallon .ubmlbd on thIIAtfIiChIl'IIIIt In ... pons. Queallonlln IecfIoIII D tbn:IuJh H will not be posfIMI on till InIamIt, but will bemade available to the public for I'IVIIw upon I'IqUIIt. illicit copIII of Ibll Att.acbmInt If IIddItlonal pag-

·... nI ..... ·

PIIIJI I-if

On Aupt 24. 2005 at the Cal1raDS NIB 405/101 freeway intercbmp project inShemumOaks, I carpenter working on I wall form fell. He was experienced adbad been IrIinedto UBe. iW1 body bamess ad zetractable lanyard u wen u I poIitioning device. He hadbeen usiq theIe fall protection cIevices illlDOl'llins- He lOt off tile walllllCl whm heretumecI, be Ailed to hook up to. the 1etra..1Ib1e lanyard mel the positioning device had~ cIi8conDected 1Jom his J>..riDis.CalIOSHA iuued two Genen1 citlltlons. One was for the fill protection onIOn IIIIl theother WIt for followiDs OlD' DPP. The inIpectox felt that tile clilcipJiDary actioowasinadequate. The citations were tppeaIed. DurlDJ I aettlament co:ofermce, CalIOSHAoffend to reduce the tines to $150 IUd tbis offer wasllCCeptecl.

On February 2, 2007. I certified moo opeIator c:rme wasll1OVing. o1().toD. hydrauliccrme at the cad ofhis clay. He leCliCted the outrisIPn with the boom fiI11y extelidecllIIIlthe c:nme tipped over at the CaltrIDI iDterdumge NIB 40S freeway IUd the 101 heway,project in Shaman OW.

CalIOSHA napoaded to the accicleat ad iI8IIed one GeoeraI citIItlOllad one Saiouacitlltlon. The citatioDa wen appeeIed IUd recently Mttled. The Serious citlltlon wasreduced to General mel thepropoeed fines were reduced fiom SB.06Oto $1,310.

On Aupat 8. 2008. CalIOSHA iDIpected a pipeline project mel ilsued one GcDeralcitlltlon for. traIch IDC':IIIUrins 5 feet, 6 iDcha without llIddI:r or nmp. 'I'hen wu anmp available IIIClthe citlltlon has been appealed.

IL4I

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COKUJ.l1CTIOJlf

ATTACHIEtfT I FOR IECTJONI D 11ItOUCJH H

When IdcIIIIoIIIIiI InfDnnIIIr:Ift ••• rs ... : n II n........ III ........ II ".,...................... .,1&1 ......... 1•• 11 IIWon .. II1IItIlUltMtrPnullsn. InD........ 1III11btror .. 1II''''an IiIr III1Ich ,. tn·.11 ••• d.D1111i1 .1odn.1m.. .1omIdcIn 1.1l11r1t11c1 ....AISlDIInInt In .pOi. GuliIlllnl SD•• Dlira H.. _ M pa.'"on ..,.."IIIiIt .. M............. tD .. puIIIIc: 1iIr ,1•• or .. Atllch '.dlltlonll ........ nulled.

..... ·F-3f . '.

14.

APPRENTICESHIP PROGRAMS\

Southem Califomia Caot'enmce of CllpeDt«533 S. PmiIoat A'WD.1Ie,Stl! 401Los ADples, CA 90071CoatIct: Pat McGiml· DirectorPboDe:213/739-9336

~Muoaa1333 S. llayf10wer Ave., 1¥350MOIIIOYia, CA 91016CoatIct: lidDeBrito, Apprenticabip CoorcliDItorPboDe: 6261444 4600

Laboren Sautberu Califomia loiDt AppreDticesbip Committee1385 W. Sicm MIdre Ave.AD-, CA 91702CoatIct: .AppnaticeIhip Coordina1al- Scott GardonPboDe: 6261610-1700

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CONSTRlICTION

BUSINESS INTEGRITY

25. For questions (a), (b), and (c) below, check Yes if the situation applies to your firm. For these questions, theterm "firm" includes any owners, partners, or officers in the firm. The term "owner" does not include owners ofstock in your firm if the firm is a publicly traded corporation. If you check Yes to any of the three questionsbelow, explain on Attachment B the circumstances surrounding each instance.

(a) Is a govemmental entity or public utility currently investigating your firm for making (a) false claims) ormaterial misrepresentations(s)?

o Yes IX No

(b) In the past five years, has a govemmental entity or public utility alleged or determined that your firm made (a)false claim(s) or material rmsrepresentationls)?

DYes J9: No

(c) In the past five years, has your firm been convicted or found liable in a civil suit for making (a) false claim(s)or material misrepresentation(s) to any govemmental entity or public utility?

DYes rJ No

,26. In the past five years, has your firm or any of its owners or officers been convicted of a crime involving the\ biddIng of a govemment contract, the awarding of a govemment contract. the performance of a govemment

contract, or the crime of fraud. theft. embezzlement. perjury, bribery? For this question. the term "owner" doesnot include those who own stock in a publicly traded corporation.

DYes rJ No

If Yes, explain on Attachment B the circumstances surrounding each instance.

CERTIFICATION UNDER PENAL TV OF PERJURY

I certify under penalty of perjury under the laws of the State of California that I have read and understandthe questions contained In this questionnaire and the responses contained on all Attachments. I furthercertify that I have provided full and complete answers to each question, and that all Information providedIn response to this Questionnaire Is true and c urate to the best of my knowledge and belief.

2\ "\<::It\.Stephen S. Rados, PartnerSignature DatePrint Name, Title

STEVE p, RADOS, INC.

ResponsibilityQuestionnaire(Rev. 10/24103)F-3g

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ATTACHMENT C: GOVERNMENTAL ENTITIES FOR QUESTIONS No. 21CONSTRUCTION

C,.,,'."Check Yes in response to Question No, 21 if your firm or any of its owners, partners, or officers, have ever been';i'investigated, cited, assessed any penalties, or found to have violated any laws, rules or regulations enforced or

administered, by any of the governmental entities listed below (or any of its subdivisions), including but not limitedto those examples specified below, The term "owner" does not include owners of stock in your firm if your firm isa publicly traded corporation, If you answered Yes, provide an explanation on Attachment B of the circumstancessurrounding each instance, including the entity involved, the dates of such instances, and the outcome,

FEDERAL ENTITIES

Federal Department of Labor• Americans with Disabilities Act• Immigration Reform and Control Act• Family Medical Leave Act• Fair Labor Standards Act• Davis-Bacon and laws covering wage requirements

for federal government contract workers• Migrant and Seasonal Agricultural Workers• Protection Act• Immigration and Naturalization Act• Occupational Safety and Health Act• anti-discrimination provisions applicable to

govemment contractors and subcontractors• whistleblower protection laws

C. ' ".Federal Department of Justice\iLl Civil Rights Act.-r; Americans with Disabilities Act

• Immigration Reform and Control Act of 1986• Bankruptcy fraud and abuse

Federal Department of Housing and UrbanDevelopment (HUD)• anti-discrimination provisions in federally

subsidized/assisted/sponsored housing programs* prevailing wage requirements applicable to HUD

related programs

Federal Environmental Protection Agency* Environmental Protection Act

National Labor Relations Board* National Labor Relations Act

Federal Equal Employment OpportunityCommission* Civil Rights Act* Equal Pay Act* Age Discrimination in Employment Act* Rehabilitation Act

(" • Americans with Disabilities Act

ResponsibilityQuestionnaire(Rev. 10/24/03)

STATE ENTITIES

California's Department of Industrial Relations* Wage and labor standards, and licensing and

registration• Occupational safety and health standards* Workers' compensation self insurance plans• Workers' Compensation Act• wage, hour, and working standards

for apprentices* any provision of the California Labor Code

California's Department of Fair Employmentand Housing

* California Fair Employment and Housing Act• Unruh Civil Rights Act• Ralph Civil Rights Act•California Department of Consumer Affairs* Licensing, registration, and certification

requirements* Occupational licensing requirements administered

and/or enforced by any of the Department'sboards, including the Contractors' State LicensingBoard

California's Department of Justice

Local Entities

City of Los Angeles or any of its subdivisions forviolations of any law, ordinance, code, rule, orRegulation administered and/or enforced by theCity, including any letters of warning or sanctionsissued by the City of Los Angeles for anunauthorized substitution of subcontractors, orunauthorized reductions in dollar amountssubcontracted.

OTHERS

Any other federal, state, local governmentalentity for violation of any other federal, state, orlocal law or regulation relating to wages, labor. orother terms and conditions of employment.

F-3j

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CITY OF LOS ANGELES

PLEDGE OF COMPLIANCE WITH CONTRACTOR RESPONSIBILITY ORDINANCELos Angeles Administrative Code (LAAC) Section 10.40 et seq. (Contractor Responsibility Ordinance) providesthat, unless specifically exempt, City contractors working under service contracts of at least $25,000 and threemonths, contracts for the purchase of goods and products of at least $100,000, contracts for the purchase ofgarments of at least $25,000, and construction contracts of any amount; public lessees; public licensees; andcertain recipients of City financial assistance or City grant funds, shall comply with all applicable provisions ofthe Ordinance. Upon award of a City contract, public lease, public license, financial assistance or grant, thecontractor, public lessee, public licensee, City financial assistance recipient, or grant recipient, and any itssubcontractor(s), shall submit this Pledge of Compliance to the awarding authority.

The contractor agrees to comply with the Contractor Responsibility Ordinance and the following provisions:

(a) To comply with all federal, state, and local laws in the performance of the contract, including but not limitedto laws regarding health and safety, labor and employment, wage and hours, and licenSing laws, whichaffect employees.

(b) To notify the awarding authority within 30 calendar days after receiving notification that any governmentalagency has initiated an investigation which may result in a finding that the contractor did not comply withany federal, state, or local law in the performance of the contract, including but not limited to laws regardinghealth and safety, labor and employment, wage and hours, and licensing laws, which affect employees.

(c) To notify the awarding authority within 30 calendar days of all findings by a governmental agency or courtof competent jurisdiction that the contractor has violated any federal, state, or local law in the performanceof the contract, including but not limited to laws regarding health and safety, labor and employment, wageand hours, and licenSing laws which affect employees.

(d) If applicable, to provide the awarding authority, within 30 calendar days, updated responses to theResponsibiUty Questionnaire if any change occurs which would change any response contained within theResponsibility Questionnaire and such change would affect the contractor's frtness and ability to continuethe contract.

(e) To ensure that subcontractors working on the City agreement (including contractors or subcontractors of apubic lessee, licensee, sublessee, or sublicensee that perform or assist in performing services on theleased or licensed premises) shall comply with all federal, state, and local laws in the performance of thecontract, including but not limited to laws regarding health and safety, labor and employment, wage andhours, and licensing laws, which affect employees.

(f) To ensure that subcontractors working on the City agreement (including contractors or subcontractors of apublic lessee, licensee, sublessee, sublicensee that perform or assist in performing services on the leasedor licensed premises) submit a Pledge of Compliance.

(g) To ensure that subcontractors working on the City agreement (including contractors or subcontractors of apublic lessee, licensee, sublessee, or sublicensee that perform or assist in performing services on theleased or licensed premises) shall comply with paragraphs (b) and (c).

Failure to complete and submit this form to the Awarding Authority may result inwithholding of payments by the City Controller, or contract termination.

Company Name, Address and Phone Number

Signature of Officer or Authorized Representative Date

Print Name and Tifle of Officer or Authorized Representative

Awarding City Department Contract Number

CRO Pledge of Compliance (Rev. 09113101)

F-3k

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IIIJ City Ethics Commission Bidder Certification200 N Spring Stre~City Hall- 24t~ FloorLos Angeles, CA 90012 CECForm50MailStop 129(213) 978-1960

IBid/Contract Number: IIDepartment: Iw.O.IIE700203F . Dept. og Public Works

IName of Bidder: IIPhone: IT.T. Polich & Associates, a Joint Venture . 626-403-0472I Address:

1000 Orange Grove Blvd.-Unit 13, Pasadena, CA 91105 II Email:

[email protected] ICERTIFICATION

I certify the following on my own behalf or on behalf of the entity named above, which I am authorized torepresent:

A. I am a person or entity that is applying for a contract with the City of Los Angeles.

B. The contract for which I am applying is an agreement for one of the following:I. The performance of work or service to the City or the public;2. The provision of goods, equipment, materials, or supplies;3. Receipt of a grant of City financial assistance for economic development or job growth, as further de-

scribed in Los Angeles Administrative Code § I0.40.1(h) [see reverse]; or4. A public lease or license of City property where both of the following apply, as further described in

Los Angeles Administrative Code § 10.37.1(i) [see reverse):a. Iprovide services on the City property through employees, sublessees, sublicensees, contractors, of

subcontractors, and those services:i. Are provided on premises that are visited frequently by substantial numbers of the public; orii, Could be provided by City employees if the awarding authority had the resources; oriii. Further the proprietary interests of the City, as determined in writing by the awarding authority.

b. I am not eligible for exemption fromthe City's living wage ordinance, as eligibility is described inLos Angeles Administrative Code § 10.37(i)(b).

C. The value and duration of the contract for which I am applying is one ofthe following:I. For goods or services contracts-a value of more than $25,000 and a term of at least three months;2. For financial assistance contracts-a value of at least $100,000 and a term of any duration; or3. For construction contracts, public leases, or licenses-any value and duration.

D. I acknowledge and agree to comply with the disclosure requirements and prohibitions established in theLos Angeles Municipal Lobbying Ordinance if! qualify as a lobbying entity under Los Angeles Munici-pal Code § 48.02.

Signature~~~Date: 8/10./09

Name: Tyrone T. Polich

Title: Partner

Under Los Angeles Municipal Code § 48.09(H), this form must be submitted to the awarding authon"tywithyour bid or proposal on the contract noted above.

F- 31

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Los Angeles Administrative Code §10.40.1(h)

(h) "City Financial Assistance Recipient" means any person who receives from the Citydiscrete financial assistance in the amount of One Hundred Thousand Dollars ($100,000.00)or more for economic development or job growth expressly articulated and identified bythe City, as contrasted with generalized financial assistance such as through tax legislation.

Categories of such assistance shall include, but are not limited to, bond financing, planningassistance, tax increment financing exclusively by the City, and tax credits, and shall notinclude assistance provided by the Community Development Bank. City staff assistanceshall not be regarded as financial assistance for purposes of this article. A loan shall not beregarded as financial assistance. The forgiveness of a loan shall be regarded as financialassistance. Aloan shall be regarded as ftnanctat asststance to the extent of any differentialbetween the amount of the loan and the present value of the payments thereunder,discounted over the life of the loan by the applicable federal rate as used in 26 U.S.c.Sections 1274(d), 7Sn(f). A recipient shall not be deemed to include lessees andsublessees.

Los Angeles Administrative Code § 10.37.1(i)

(1) "Pubtic lease or license".(a) Except as provided in (i)(b), "Public lease or license" means a lease or license of City

property on which services are rendered by employees of the public lessee or licenseeor sublessee or sublicensee, or of a contractor or subcontractor, but only where any ofthe following applies:(1) The services are rendered on premises at least a portion of which is visited by

substantial numbers of the public on a frequent basis (including, but not limitedto, airport passenger terminals, parking lots, golf courses, recreational facilities);or

(2) Anyof the services could feasibly be performed by City employees if the awardingauthority had the requisite financial and staffing resources; or

(3) The DM has determined in writing that coverage would further the proprietaryinterests of the City.

(b) Apublic lessee or licensee will·be exempt from the requirements of this article subjectto the following limitations:(1) The lessee or licensee has annual gross revenues of less than the annual gross

revenue threshold, three hundred fifty thousand dollars ($350,000), from businessconducted on City property;

(2) The lessee or licensee employs no more than seven (7) people total in thecompany on and off City property;

(3) To qualify for this exemption, the lessee or licensee must provide proof of itsgross revenues and number of people it employs in the company's entireworkforce to the awarding authority as required by regulation;

(4) Whether annual gross revenues are less than three hundred fifty thousand dollars($350,000) shall be determined based on the gross revenues for the last tax yearprior to application or such other period as may be established by regulation;

(5) The annual gross revenue threshold shall be adjusted annually at the same rateand at the same time as the living wage is adjusted under section 10.37.2 (a);

(6) A lessee or licensee shall be deemed to employ no more than seven (7) people ifthe company's entire workforce worked an average of no more than one thousandtwo-hundred fourteen (1,214) hours per month for at least three-fourths (3/4) ofthe time period that the revenue limitation is measured;

(7) Public leases and licenses shall be deemed to include public subleases andsublicenses;

(S) If a public lease or license has a term of more than two (2) years, the exemptiongranted pursuant to this section shall expire after two (2) years but shall berenewable in two-year increments upon meeting the requirements therefor at thetime of the renewal applfcation or such period established by regulation.

F-3M

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SIGNATURE SHEET AND AFFIDAVITc I1We:ryrone T. Polich &StephenInsert Name(s)

S. Rados Pdepose and say that Iam/We are__ a_r_t_n_e_r_s _

ofT.T. Polich & Associates, a Joint Venture7(Ir.;n"se"'rt,"¥iS"'o:r.'e70"'wn"'e;;;r~',etP"'artn=er"'"",~""'Pr;;es;;;,d"'en""t'~',;;;et""c.),..---------,("'n=sert firm name and address of bIdder)

1000 Orange Grove Blvd.-Unit 13, Pasadena, CA 91105

Contractor's License No. 763265 , License Classification A , Expiration Date 5/31/2011who submit this proposal to the Board of Public Works and hereby declare:

(1) That l!We have read this proposal and have abided by and agree to the conditions herein and have carefully examined the projectplans and read the specifications and l/We hereby propose to furnish all materials and do all the work required to complete thework in accordance with the plans and specifications, for the unit prices or lump sums named in the Schedule of Work andPrices.Furthermore, l/WE have read and understand Ordinance No. 173677of the "Determination of Contractor Responsibility Policy" ofthe City of Los Angeles and l/WE understand my/our obligations under this policy as a bidder and as a contractor should thiscontract be awarded to my/our finn.

(2) That this proposal is genuine, and not sham or collusive, nor made in the interest or in behalf of any person not herein named, andthat l/We have not directly or indirectly induced or solicited any other bidder to put in a sham bid, or any other person, finn orcorporation to refrain from bidding, and that l/We have not in any manner sought by collusion to secure for myself/ourselves anadvantage over any other bidder.

(3) This contract is expressly made for the benefit of the signatory parties only. It is not the intent of any of the signatory parties tocreate or discharge any duty, express or implied, to any party other than the signatory parties. Any benefit derived from thiscontract by a third party is unintended and incidental to the purpose for which this contract is made.

(4) That l/We as principal(s), acknowledge myself/ourselves as being bound by the accompanying Bid Bond when completed by theSurety.

(~ (5) That I have read and understand the provisions of the Pollution Control Sewage Spill Prevention and Response Requirementsand the Board of Public Work's Policy of "Zero Spill" requirements as contained in this Proposal. If awarded this contract, IIWeagree to furnish all of the materials, supplies, tools, equipment, labor and other services necessary for the containment and clean upof any sewage or other pollutants spills or leaks occurring during the performance of this contract l/WE further agree to actimmediately, without instructions from City staff, to contain and clean up any spill in any way involved with my/ our activities onthis project without concern for who or what caused the spill.

ADDENDA - This proposal is submitted with respect to tbe cbanges to tbe contract included in Addenda numbers:I of. S(Fill in Addenda received)

THE CITY OF LOS ANGE~ESacting by and through Its

BOA 0 OF PUBLIC WORKD

By ~i..Ji,:;uLI.U-f.!..!-:.~~

l/W e certify or declare under penalty of perjury that the foregoing is true andcorrect, and that if only Onesignature is provided, it is provided in accordancewith Note 8 in the General Instructions and Information for Bidders of thisproposal. '

1. ~partner 31009Title Date

Tyr2.econd Signature

Stephen S. RadosTitlePartner

Note: ALL SIGNATURES MUST BE PROPERLY COMPLETED AND WITNESSED BY A NOTARY

07/03/06F-4

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CALIFORNIA ALL·PURPOSE ACKNOWLEDGMENT~'??3$©"i~ •

State of California

County of -C:0:=:R"'a:::n!2gooe _ }before me, Sandra Lucero Po, NatallY Public

Here Insert Name and Title of the OfficerOn August 10, 2009

Date

personally appeared _-=Tc<y-=r.;:o-=n"'e--cT-'.o_P_o-=l_=i_c_h===="" _Name(s) of Signer(s)

SANDRA LUCERO POCommission # 182t4VNotary PuDIIc • CIIIfOnIIII

CIIIft8I COUIIIrt.,..;;:~ ...

Place Notary Seal Above

who proved to me on the basis of satisfactory evidence tobe the person(s7 whose name(s) islafe subscribed to thewithin instrument and acknowledged to me thathe/she/they executed the same in his/Rcr/ll1eir authorizedcapacity(ieej, and that by hislhQ~ltl'!cir signature(e) on theinstrument the person(...), or the entity upon behalf ofwhich the personts) acted, executed the instrument

I certify under PENALTY OF PERJURY under the lawsof the State of California that the foregoing paragraph istrue and correct.

WITNESS my hand and official seal.

Signature ~ d. PoSignature of Notary PuBliC

---------------------OPTIONAL-------------------------Though the information be/ow 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

S' t Sh et AffJ.' davit North Main Street Bridge.Title or Type of Document: J.gna ure e , -

Document Date: Number of Pages: _

Signer(s) Other Than Named Above:

Capacity(ies) Claimed by Signer(s)

Signer's Name: _o Individualo Corporate Officer - Title(s):o Partner - 0 Limited 0 Generalo Attorney in Facto Trusteeo Guardian or Conservatoro Other: _

RIGHT THUMBPRINTOF SIGNER

Top of thumb here

Signer Is Representing: _

Signer's Name: _o Individualo Corporate Officer - Tille(s): _o Partner - 0 Limited 0 Generalo Attorney in Facto Trusteeo Guardian or Conservatoro Other: _

RIGHTTHUMBPRINTOF SIGNER

Top of thumb here

Signer Is Representing: _

~~@2007Natlonal Notary Assocanon- 9350 De Soto Ave., P,O.Box 2402 -Chatsworth, CA 91313-2402- www.NationaINotary.org Item #5907 Aeorder:Call Toll-Free 1-B00-876-6B27

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CALIFORNIA ALl·PURPOSE ACKNOWLEDGMENT~. 1'%15C?'57Z.

State of California

County of __ -"-O'-ra"-n:.cg"'e=- _

On August 11, 2009Date

}before me, Michelle F. Smith, Notary Public

Here Insert Name and TIlle of the Officer

personally appeared S'--t_e-'-p_h_en_S'--.-'--R__a_do'__s-'--_--;;;=;;r;;;-,,;;;;:;:=- _-- Name(s) of Signer{s)

MICHEllE F. SMITHComml"loo /I 1753103i ,.. Nolary Public • Callfomla I

Orange County -

J•• e. 0 .,,:,,~.:r;s~,~,:?~11

who proved to me on the basis of satisfactory evidence tobe the personje) whose narnejs) is/are subscribed to thewithin instrument and acknowledged to me thathe/sheilliey executed the same in his/f;lel;'lAeir authorizedcapacity(.ie&), and that by hislhlilr,lIReir signature~ on theinstrument the personts), or the entity upon behalf ofwhich the persorue) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the lawsof the State of California that the foregoing paragraph istrue and correct.

WITNESS my hand and official seal.'

Signatur~~' . -: d dl., F~~ureof Notarypublic

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.

Place Notary Seal Above

Description of Attached Document

Title orType of Document: Si gnature Sheet, Affi davit - North Mai n Street Bri dge

Document Date: Number of Pages: _

Signer(s) Other Than Named Above:

Capacity(ies) Claimed by Signer(s)

Signer's Name: _o Individualo Corporate Officer - Title(s):o Partner - 0 Limited 0 Generalo Attorney in Facto Trusteeo Guardian or Conservatoro Other: _

RIGHT THUMBPRINTOF SIGNER

Top of thumb here

Signer Is Representing: _

Signer's Name: _o Individualo Corporate Officer - Tille(s): _o Partner - 0 Limited 0 Generalo Attorney in Facto Trusteeo Guardian or Conservatoro Other: _

AIGHTTHUMBpRINTOF SIGNER

Top of thumb here

Signer Is Representing: _

•. ~&&U22.~©2007 National Notary Association- 9350 De Solo Ave., P.O.Box 2402 -Chatswonh, CA 91313·2402· www.NationaINotary.org Item #5907 Reorder: Call Tell-Free 1-800-876-6827

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NORTH MAIN STREET BRIDGE OVER LOS ANGELES RIVEREARTHQUAKE RETROFIT

W.O. E700203FFederal Project No. BRLSZD-5006(266)

BID BOND

(Not necessary when certified check or cashier's check accompanies bid)

We, the principal and undersigned Surety, acknowledge ourselves jointly and severally bound to theDepartment ofPublic Works of the City of Los Angeles, for an amount not less than ten percent (10%) of thetotal bid, to be paid to said Department if the proposal shall be accepted and the proposed contract awarded tothe principal, and the principal. shall fail to execute the contract within the time specified bythe generalinstructions in the proposal; and to furnish the required faithful performance and labor and material bonds,within the time specified. Itis hereby agreed that bid errors shall not constitute a defense to forfeiture, exceptas provided by the State of California Public Contracting code Sections5101 through 5105, or as they may be 'amended.

WITNESS our hands this 10th day Of__ Ao.l1!jlgt;<I!l>.St'-- -', 20 09T. T. Polich & Associates, a Joint Venture

By: Tyrone T. PolichPrint Name of Owner or President of Corporation/Company ,

1.~;;:!~Travelers Casualty and Surety Companyof America

Print Surety's Name

9325 Sky-Park Court! 8te. nO, Sao Diego, CA 92123, Mai jug Addtess

August 10, 2009

2. ~~C~Date~ Signature ' , ,

econd Signature'

Po..r-tnef' Stephen S. Rados

Attorney-in-FactTitle

Second Signature Title

~\\\\~~Title

Second Signature Date Title

NOTE: SIGNATURE OF TIIEAUIHORIZED AGENT OF TIIE SURETY MUST BE WITNESSED BY A NOTARY. Ifa bid bond issubmitted on a form other than this form, the bid bond may not be acceptable. See Note 9 inthe Generallnstructions and Informationfor Bidders of this proposal for more Information.

'07/03/06F-5

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~"*"«~$"i~«$"SiSiXS:W*Wii1m~-W£~:W.-$'.'1?;~%~!(~~'*if.:~:{w.~~'ii:~,*Wi:P.(<<.J:1,,';-.Wi(·'ii~{'-::.::.•:::.f.'::"."~'':'6X<ffl,,~~~::::-:~f.*'Sffl:W:~:$:'ff!w.ii1~:mii5~"¥.·:;~.z::Sf.~:S~s~wm"'$:~?~::WiiW.'i~~«1:W.1*:~";;~WBXX",,':f:

Ii CALIFORNIA ALL-PURPOSE I,fil CERTIFICATE OF ACKNOWLEDGMENT Ii~: ~~:I,I II

1

~1 State of California Ii.li County of Orange II!~j g(m ~I.:.: On AUG 1 0 2009 before me, K. Luu, Notary Public ",!.:I.i (Her. insertnemeandtitleof theofficer) ;

~ personally appeared Jane Kepner I'I" who proved to me on the basis of satisfactory evidence to be the personts) whose name(~) is/m subscribed to W~! the within instrument and acknowledged to me that b:ll1'she/~ executed the same in his/her/tbeil( authorized I!~, capacity~~, and that by :b:itl/her/tl:tci:rsignature(s) on the instrument the personts), or the entity upon behalf of !liIII which the personts) acted, executed the instrument. I!

II! Icertify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph IIIili is true and correct. I!>" III. -- ~m WITNESS my h~and official seal. Commlso!·."" ,¥ j 773(;.;;1 l!jill i''-lofary Public ~ Coiifornicl C.·~. 1111

oronce county .~l (Notary Seal) r~:<piflS'.~Nov6,'2011 IIIl~l Signature of Nctary Public ~[

ill • • ~i~: ADDITIONAL OPTIONAL INFORMATION I!!Ii): INSTRUCTIONS FOR COMPLETING TIllS FORM ;::: Any acknowledgment completed in California must contain verbiage exactly as I'ill1 DESCRIPTION OF THE ATTACHED DOCUMENT appears above in the notary section or a separate acknowledgment form must be ~~:: properly completed and attached to that document. The only exception is if a!,:

1

1; documentis to be recordedoutsideof California.In such instances,any alternative }j~'.":.•.,=-,"'.'.: (T'U d ., f h dd) acknowledgment verbiage as may be printed on such a document sa long as the 1~1.."....,i1 e or eecnption 0 attec e ocument verbiage does not require the notary to do something that is illegal for a notary in

California (i.e. certifYing the authorized capacity of the signer). Please check the:: document carefolly for proper notarial wording and attach this form ifrequired. ':;li (Title cr description of attached document continued) \,j

,i.f,l N b fP D t D t • State and County information must be the State and County where the document ~!:.l,urn er 0 ages ocumen a e signer(s) personally appeared before thenotarypublic for acknowledgment. ~~

m Date of notarization must be the date that the signer(s) personally appeared which 1,1III must also be the same date the acknowledgment is completed. i~m (Additional infonnstion) • The notary public must print his or her name as it appears within his or her hi!~i commission followed by e comma and then your title (notary public). WIi! . ~:~~~::ne(s) of document signer(s) who personally appear at the time of J!;1: CAPACIlY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms (i,e. illj!! hefshelthey,js 1&Fe) or circling the correctfcrms. Failure to correctly indicate this 1\:II! 0 Individual (s) infonnationmay lead torejection ofdocument recording. ~l,.. 0 Corporate Officer • The notary seal impression must be clear and photographically reproducible. i'"ll! Impression must not cover' text 'OX' linea-If eealimpression smudges, re-seal if a Iiil~i (Title) sufficient area permits. otherwise complete a different eckncwledgment form. ~lfl 0 Partner( s) • Signature of the notarypublic must match the signature on file with the office of t

r,...,:!.'....:: ...•.,' g ~:~:r.)m-Fact the:oun~~~~J~~~~;J~:~:::~:::;~~~:~:!~;t~~~~Ethis i""i;·,1:::, ...:1

.:. Indicate the capacity claimed by the signer. If the claimed capacity is a ~;corporate officer, indicate the title (l.e. CEO, CFO, Secretary).

V~ Securely attach this document to the signed document !!\!ll:'I;w*-,i:t:,,*,~:'m;'~~:':'*,~~$":''''i:::*,~':<W':.~::;';:$;:;;.;rx-::..;;:*mi'":~~!:,0.~,*m>:r!~::~~>:-':"§$i$ii::::'f:'!::~~~·i::$;':,;;::::::::::~,::::r:::1~~~:b;'*;:':~:::~::;-w.r*~?¥."':*,*'S:';,(:';~~::*~1Y~~:,:,:~:.~.:::::~~::::~::*!,:,.w.:,:,:::::,:~,:,:,;,:,:::,:~,!,,::ji

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POWER OF ATTORNEY

WARNr THIS POWER OF ATTORNEY IS INVALIDWITHOUT THE r

KNOW ALL MEN BY THESE PRESENTS: That Seaboard Surety Company is a corporation duly organized under the laws of the State of New York, that St. PaulFire and Marine Insurance Company, St. Paul Guardian Insurance Company and St. Paul Mercury Insurance Company are corporations duly organized under the lawsof the, State of Minnesota, that Farmington Casualty Company, Travelers Casualty and Surety Company, and Travelers Casualty and Surety Company of America arecorporations duly organized under the laws of the State of Connecticut, that United States Fidelity and Guaranty Company is a corporation duly organized under thelaws of the State of Maryland, that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity andGuaranty Insurance Underwriters, Inc. is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the "Companies"), and thatthe Companies do hereby make, constitute and appoint

......> TRAVElERSJ Farmington Casualty Company

Fidelity and Guaranty Insurance CompanyFidelity and Guaranty Insurance Underwriters, Inc.Seaboard Surety CompanySt. Paul Fire and Marine Insurance Company

Attorney-In Fact No. 219101

BORDER

St. Paul Guardian Insurance CompanySt. Paul Mercury Insurance CompanyTravelers Casualty and Surety CompanyTravelers Casualty and Surety Company of AmericaUnited States Fidelity and Guaranty Company

Certificate No> 0 0 2 3 813 46

James A. Schaller, Jeri Apodaca, Linda Enright, Mike Parizino, Nanette Marlena-Myers, Rhonda C. Abe!, and Jane Kepner

of the City of Irvine , State of California , their true and lawful Attomeyrsj-In-Fact,each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings andother wntmgs obligatory in the nature thereof on behalf of the Companies in their .Qus!ness ~uaranteemg the fidelity of persons, guaranteeing the performance ofcontracts and executing or guaranteeing bonds and undertakings required or pe~~J:'Mn a~,~ons o\\rt;ceedmgs allowed by law

~~\~ \~5t,~\~~ ,>,~~",,(i~"Y, ~~ ~\l

~, ~ .~ 1~IN WITNESS WHEREOF, the Companies have caused this mstrumen!Jto"be S:i..l:!,nel$:aftd~1r~rl)orate seals to be hereto affixed, this _dayof May ,2008 ''\~'' ,- ~:;;,.~,"') ('\ '"~

,cy~ '%'\\)'\ .~Farmington Casualty co~~J- ~ ~Fidelity and Guaranty~s'ura~Fidelity and Guaranty Insu~kSeaboard Surety CompanySt. Paul Fire and Marine Insurance Company

On this the 15th day of May 2008 , before me personally appeared George W. Thompson, who acknowledged himselfto be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc.,Seaboard Surety Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, S1. Paul Mercury Insurance Company, TravelersCasualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he, as such, beingauthorized so to do, executed the foregoing instrument for the purposes therein contained by Signing on behalf of the corporations by himself as a duly authorized officer.

State of ConnecticutCity of Hartford ss.

By:

In Witness Whereof, I hereunto set my hand and official seal.My Commission expires the 30th day of June, 2011.

58440-5-07 Printed in U.S.A.

WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER

St. Paul Guardian Insurance CompanySt. Paul Mercury Insurance CompanyTravelers Casualty and Surety CompanyTravelers Casualty and Surety Company of AmericaUnited States Fidelity and Guaranty Company

"'" Marie C. Tetreault, Notary Public

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CALIFORNIA ALL·PURPOSE ACKNOWLEDGMENTmen

State of California

Coun~of_O~r~a~n~g£e~ _

On August 10, 2009 before me,Date

}Sandra Lucero Po, Notary Public

Here Insert Name and Title of the Officer

personally appeared --'T:t.y-"r:..::o:..::n:.:e'--"'T:..::.--"'-Pio;;l:;;iic~h~=._-------------------, Name(s) of Signer(s)

SANDRA LUCERO POCommission (# ~Nolaly PuIIIIc • (SIn ..

CIrIIIOII CIIIIIiIr

who proved to me on the basis of satisfactory evidence tobe the person(-s-)whose namets) isfare subscribed to thewithin instrument and acknowledged to me thathe/she/they executed the same in hisfl1!Jlltheir authorizedcapacltytiss), and that by his/fwli~ll!jlr signaturefso) on theinstrument the persorue), or the entity upon behalf ofwhich the persorue) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the lawsof the State of California that the foregoing paragraph istrue and correct.

WITNESS my hand and official seal. DSignature ~,"",,",i~OJpl~

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.

Place Notary Seal Above

Description of Attached Document

Title or Type of Document: __ B_~_'d_B__on_d_-__N_o_r_t_h_M_a_i_n_S_t_r_e_e_t_B_r_i_d~g'_e _

Signer(s) Other Than Named Above:

Document Date: Number of Pages: _

Capacity(ies) Claimed by Signer(s)

Signer's Name: _o Individualo Corporate Officer - Title(s):o Partner - 0 Limited 0 Generalo Attorney in Facto Trusteeo Guardian or Conservatoro Other: _

RIGHT THUMBPRINTOF SIGNER

Top of thumb here

Signer Is Representing: _

Signer's Name: _o Individualo Corporate Officer - Title(s): _o Partner - 0 Limited 0 Generalo Attorney in Facto Trusteeo Guardian or Conservatoro Other: _

AJGHTTHUMBPRINTOF SIGNER

Top of thumb here

Signer Is Representing: _

~g;;g:;;:g;w;;;; ~~~..:::;:g;:;;:gw©2007 National Notary Association- 9350 De SOlo Ave., Po.eox 2402 'Chatsworth, CA 91313-2402owww.NationaiNotary.otg Item #5907 aecrcer.cen Toll-Free 1-800-876-6827

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CALIFORNIA ALL·PURPOSE ACKNOWLEDGMENT?'5C1'fCf§C???·3~

State of California

County of _--,O~r_a __n",-ge-,-- _

On August 11, 2009Date

}before me, Michelle F. Smith, N5tary Public

Here Insert Name and Tille of the Officer

, personally appeared S::...t::.;e::Lp:..:.h:c:eccn,-=-S-,-._R:.:a=-d"'o::.;s'--_--.====,-- _Name(s) of Signer(s)

who proved to me on the basis of satisfactory evidence tobe the person(,sJ.whose name(s) is/afeosubscribed to thewithin instrument and acknowledged to me thathe/sRe/tRey executed the same in his/hefI#leir authorizedcapacity(ies}, and that by his/hefAAeir signature(st on theinstrument the personte), or the entity upon behalf ofwhich the persome) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the lawsof the State of California that the foregoing paragraph istrue and correct.

WITNESS my hand and official seal. '

Signature---;" .: /J ///2 F~~i9nature 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.

Place Notary Seal Above

Description of Attached Document

Title orType of Document: Bi d Bond - North Mai n Street Bri dge

Document Date: Number of Pages: _

Signer(s) Other Than Named Above:

Capacity(ies) Claimed by Signer(s)

Signer's Name: _o Individualo Corporate Officer - Title(s):o Partner 0 Limited 0 Generalo Attorney in Facto Trusteeo Guardian or Conservatoro Other: _

RIGHTTHUMBPAINTOFSIGNEA

Top of thumb here

Signer Is Representing: _

Signer's Name: _o Individualo Corporate Officer Title(s): _o Partner - 0 Limited 0 Generalo Attorney in Facto Trusteeo Guardian or Conservatoro Other: _

RIGHT THUMBPRINTOF SIGNER

Top of thumb here

Signer Is Representing: _

~~ QiViQV:§J$iQJiQg~©2007 National Notary Association- 9350 De Soto Ave., P.O.Box 2402 -Ohatswonh, CA 91313-2402- www.NationaINota!)!.org Item #5907 Beorder.Call'Icll-Free 1·800·876-6827

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executed m duplicate

Olnutractnr '5 tinub'ltRnnfuall ~£n h~t4£5£ Jr.es£nt5:

Bond No. 105376533Premium: $37,619.00

C A. 917'5~8

T.T. POLICH & ASSOCIATES, a joint ventureTHAT WE ..

............................._F-_.".~ W~ ., as PRINCIPAL,

and T.:r.~y!!k:r.~..Ql!!!~l!tty..~!!.4.Q1J!~J;Lg.Qm.P.m~'y.Qf.Am.~.J.:.k~ , a corporation

organized under the laws of the State of \!Q!mg.c::J;).!;1!L and duly authorized totransact business under the laws of the State of California, as surety, are held and firmly bound unto THECITY OF LOS ANGELES, A MUNICIPAL CORPORATION, as obligee, In the Just and full sum of

:f.:r.Y:r; ... I:1.r.:L.~.~.<?~.!.....?~~~N.....H..u.~!?~!?~...~!!~~~!::.~.~.~....T.I:J~~~.~~.~.~....:r:~<?y.?.:-:.~.~~!?....~~.~.!..!.:::J:::.~.~.:.........A!'!R..JQI1Q ..Q.::.::.::.:.::::::.:::.::.::.::.::.::.::.::.::::-.::-.::-.::.::.:c::.:.::::::-.::-.:.~.:.::::.:-.:.:.:.::.::.::.::::.-:- .. Dollars ($ ,~~~.2~.'..~~,8:..~.~..),,for the payment whereof well and truly to be made said principal and surety bind themselves, their heirs, executors,'administrators, successors, and assigns, Jointly and severally firmly by these presents.

THE CONDITION of the foregoing obligation is such, that whereas, the above bounded principal is about to enter intoa contract, attached hereto, with said obligee to do and perform the following, to-wit:FOR THE NORTH MAIN STREET BR:t;PGEOVER THE LOS ANGELES RIVER EARTHQUAKE

'i" ••. ,...,..-""----------.---- • • __ • •• _._._. __ • •• ." ••••••••••••••••••••••••••••• " ••••• " •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• _ •••••••

as will more fully appear from said contract, reference to which is hereby made, and which said contract and all documentsIncorporated therein by reference are expressly made a part hereof.

The said surety, for value received; hereby stipulates and agrees that no change, extension of time, alteration or additionto arms of the contract, or to the work to be performed thereunder shail In anywise affect Its obligations on this bond; andit does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the contract or thework.

NOW, THEREFORE, if the above bounded principal shall well and truly perform the work contracted to be done undersaid contract, and shall fully and faithfully carry out and perform all of the terms, covenants and conditions of saidcontract upon its or his part to be performed, then this obligation to be null and void, otherwise to remain in full forceand effect.

No right of action shall accrue under this bond to or for the use of any person other than the obligee named herein.

Signed and sealed this .l.4th day of., P..~.~.~.m!?\l.' A.D. 202lt "

STEVE ~.;-i-~~gg;g~O~~~~~~;. !N~~.~!.l!...".~.I1.~~1.l:e

:: ,..,=~~;":;~~~~:)/ .s c T!.<!.Y:~~.~X!l~1J~It.y.~gQJ'll!.r~.tY..Q9mp.~gY.!?rA!!!.~.:r.~~l!..,_" .."..

By ~ ~ ..e Kepner Attorney-in-Fact.

Surety.

Corporation Individual principal must have signatures acknowledgedin the appropriate blank on the reverse hereof ""

Corporate Seal must be impressed hereon in case of corporation.Form 163a

Page 68: Do Dprinted in ink. Where an explanation is required or where additional space is needed to explain an answer, use the Responsibility Questionnaire Attachments. Submit the completed

~~=~I ::::u~:"" III DEC 1 4 2009 ~I1

1: On before me, K, Luu, Notary Public Iiill personally appeared Jane Kepner (!loro in.ortn""o and tiOooftheoffioer) IIIill ~

III who proved to me on the basis of satisfactory evidence to be the personts) whose namels) is/~ subscribed to I"

", the within instrument and acknowledged to me that b:ill1she/~ executed the same in hililher/tbeiKauthorized ,&i capacity~, and that by W!lher/1hei:rsignature(s) on the instrument the personfs), or the entity upon behalf of IiI~ which the person(:s) acted, executed the instrument II!I 1 certify wOOd'ENALTY OF PERJURY under the I'M of the SOate of California .. " >h, foregoing P"'_ Ii is true~=smyy.and and official seal, "1!/ N~~2:;'~S~~~~,,¥ ~~:~1\41 I:'I ::: . j' "'rr '" ~ ~ ~ l'Ofnia ¥ ...'l~j 'y "". ;'v'" c........11 ,ge county r.:.:;: ",j MyCormr E . - '.,.. ,t,t"·"~''''~'.-"~"~,."m~',_,:,,,,., ' I. XPiresNoV620"11 i? I'W (Notary Seal) . ' -' \'1'" {II "';i"'it"'·~lJ'.~''1\(>!'';"''\'{l):<'r.'''{ll'''";~''''{\;W1' g~ u:• ~~- -~Iii • • il!

I,I!: ADDITIONAL OPTIONAL INFORMATION II;u lNSlRUCTlONS FOR COMPLETING TIllS FORM ~

li"l",.'! Any acknowledgment completed in California must contain verbiage exactly as ii,I,~i DESCRIPTION OF THE ATTACHED DOCUMENT appears above in the notary section or a separate acknowledgment form must be ~

properly completed and attached to that document The only exception is If a

I:: document is to be recorded outside of California. In such instances, {Anyalternative I':

11 (Title or description of attached document) acknowledgment verbiage as may be printed on such a document so long as the III:j verbiage does not require the notary to do something that is illegal for a notary in !

1

,,',:1,1 California (i.e. certf.fYing the authorized capacity of the Signer). Please check the 1

1

,1

., document carefully for proper notarial wording and attach this form ifrequired. :(Title or description of attached document continued)

jll • State and County information must be the State and County where the document l~ffl Number of Pages --- Document Date signer(s) personally appeared before the notary public for acknowledgment iJ'Ig Date of notarization must be the date that the signer(s) personally appeared which ji:: must also be the same date the acknowledgment is completed. :jll (Additional information) The notary public must print his or her name as it appears within his or her -:j!:) commission followed by a comma and then your title (notary public). I!:r rII! • ;:::~;i~~e(s) of document signer(s) who personally appear at the time of ~Il~i CAPACITYCLAIMED BY TIlE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. I~1:: 0 Individual (s) hefsho'they, is {&Fe ) or circling the correct.forme.Failure to correctly indicate this :

I:: information may lead to rejection of document recording. 1"0:

ii 0 Corporate Officer The notary seal impression must be clear and photographically reproducible. :!

I

II Impression must not cover text or lines. If seal impression smudges, re-seal jf Ii ,:,,1.. (Title) sufficient area permits, otherwise complete a different acknowledgment form. .!ii 0 ( Signature of the notary public must match the signature on file with the office of ~

Iii 12!. Partner s) F the county clerk. fl'i.. Attorney-in- act .:. Additional information is not requiredbut could help to ensure this I'1; 0 Trustee(s) acknowledgment isnctmisused or attached to a different document. Ii

I",f; 0 Other .;. Indicate title or typ, eof attaChed, dOCU,ment, number ofpeges and date. ,;"fm .:. Indicate the capacity. claimed by the signer. If the claimed capacity is a ;ll: corporate .officer, indicate the.title (i,e, CEO, CPO, Secretary). PlW • Securely attach thtS document to the Signed document ~l

i!L$i~~:;%~~::...:..:.;~~~~i:'«<1::::::'S:::::~~0,.w.:::,w.:~r::-:::m::w.*~*,:r-1:·:;-·.:•.•:~:i:'.>;HM~~WW~M:i'~~~~'im:~*}1&.$*W*,:-.~-.-.:,::.:..~~~:{i.'{:;':~'?J:'1~w§:,:;m~fffl~>;::-:X:;';:"'«i:-:'.:;.:.::$$~:;':::~'::W·~,~:;.::::Jl

Page 69: Do Dprinted in ink. Where an explanation is required or where additional space is needed to explain an answer, use the Responsibility Questionnaire Attachments. Submit the completed

......TRAVELERSJWARNW "\HIS POWER OF ATTORNEY IS INVALIDWITHOUT THE P' '~ORDER

POWER OF ATTORNEY

Farmington Casualty CompanyFidelity and Guaranty Insurance CompanyFidelity and Guaranty Insurance Underwriters, Inc.Seaboard Surety CompanySt. Paul Fire and Marine Insurance Company

Attorney-In Fact No.

St. Paul Guardian Insurance CompanySt. Paul Mercury Insurance CompanyTravelers Casualty and Surety CompanyTravelers Casualty and Surety Company of AmericaUnited States Fidelity and Guaranty Company

Certificate No. 0 0 19 4 7 8 7 8219101

KNOW ALL MEN BY THESE PRESENTS: That Seaboard Surety Company is a corporation duly organized under the laws of the State of New York, that St. PaulFire and Marine Insurance Company, St. Paul Guardian Insurance Company and St. Paul Mercury Insurance Company are corporations duly organized under the lawsof the State of Minnesota, that Farmington Casualty Company, Travelers Casualty and Surety Company, and Travelers Casualty and Surety Company of America arecorporations duly organized under the laws of the State of Connecticut, that United States Fidelity and Guaranty Company is a corporation duly organized under thelaws of the State of Maryland, that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity andGuaranty Insurance Underwriters, Inc. is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the "Companies"), and thatthe Companies do hereby make, constitute and appoint

James A. Schaller, Jeri Apodaca, Linda Enright, Mike Parizino, Nanette Marie!!awMyers, Rhonda C. Abel, and Jane Kepner

of the City of k'liBG ' State of Califerma ' their true and lawful Attomeyisj-ln-Fect,each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings andother writings obligatory in the nature thereof on behalf of the Companies in their, business of-guaranteeing the fidelity of persons, guaranteeing the performance ofcontracts and executing or guaranteeing bonds and undertakings required or ~1fB1t~~\:,9:~inanr~~\gons o.tl?:~ceedings allowed by law .

.•,,' '(\ . '.".," ,.~ ,1\ I'

~~:f,,;\ ' '\' "}"r\,1~,~"'~'~\\\:":>, "!,,,,}:~~.

IN WITNESS WHEREOF, the Companies have caused this instn,11'l1¢~\t::.tdibe~ignea;;;~d ,~h~il;-'~p;P~r~teseals to be hereto affixed, this 1;..O;..t;..h _

day of September 2007 "'\:'\ ' ~"">:l~\:"~ "'~~\'\. (\". i:/-, "~' \"\

Farmington Casualty Cc~ll~#~~;:,., " \(,"-\,0,. i,h,)" \\' "~Fidelity and Guaranty )nsur~,~,c~: C,9ilipa~rt,.5:\,,) \:' '"Fidelity and Guaranty insui'apt:e\Underwrlt~rs, Inc.Seaboard Surety CompanySt. Paul Fire and Marine Insurance Company

St. Paul Guardian Insurance CompanySt. Paul Mercury Insurance CompanyTravelers Casualty and Surety CompanyTravelers Casualty and Surety Company of AmericaUnited States Fidelity and Guaranty Company

State of ConnecticutCity of Hartford ss.

By:

On this the 10th day of September 200Zbefore me personally appeared George W. Thompson, who acknowledged himselfto be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc.,Seaboard Surety Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, TravelersCasualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he, as such, beingauthorized so to do, executed 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, 1 hereunto set my hand and official seal.My Commission expires the 30th day of June, 2011. '- Marie C. Tetreault, Notary Public

58440-5-07 Printed in U.S.A.

WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER

Page 70: Do Dprinted in ink. Where an explanation is required or where additional space is needed to explain an answer, use the Responsibility Questionnaire Attachments. Submit the completed

CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENTE~

}before me, &~'e lie K ('~,~flAtv--I P""J/c'

~ , ""--"--,f) ~':'¥tname and1ille otme omcer -r-personally appeared ·---"('\-f-y-'r..cq:.:"'..:..c:-e=-. ---,C:o..:,-,-f'.,-,;d,L!t",{:;::c~A~=~ _

f Name(s) of Signer(s)

State of California

County of QL q "':J ~O~cemlw '6 cl OO?

Date

~

MICHelLE F. SMITHCommll.lon II 1753103

3i. NotolY PubliC - California i! Orange County -

J •••••• "~~:'c~'t)1.' .l

who proved to me on the basis of satisfactoryevidencetobe the person(s7whose name(sj ls/are-subscrlbed to thewithin instrument and acknowledged to me thathe/she/theyexecutedthe same in his/~r authorizedcapacity(iesj, and that by his/~r signature(.s)on theinstrument the person(sj, or the entity upon behalf ofwhich the persontsj-acted, executedthe instrument.

I certify under PENALTY OF PERJURY under the lawsof the State of California that the foregoing paragraph istrue and correct.

WITNESS my hand and official seal.

Signatur~lA' >,~r~~' 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.

Place Notary Seal Above

Description of Attached Document

Title or Type of Document: G,-7C6f.C to,/~lJ o..j ;Va, /05J 7 (, 533Document Date: De-ce .......6er-! r;,.,L d 09 Number of Pages: __ ..:.1 _Signer(s) Other Than Named Above:

Capacity(ies) Claimed by Signer(s)

Signer's Name: 0",,,,e---?: (lojc-l,o Individual f'res,.1k~t 'i-

~ Corporate Officer - Title(s): Sec re 1:..r'yo Partner - 0 Limited 0 Generalo Attorney in Facto Trusteeo Guardian or Conservatoro Other: _

RIGHT THUMBPRINTOF SIGNER

Top of thumb here

Signer's Name: _

o Individualo Corporate Officer - Tille(s): _

o Partner - 0 Limited 0 Generalo Attorney in Facto Trusteeo Guardian or Conservatoro Other: _

RIGHT THUMBPRINTOF SIGNER

Top of thumb here

Signer Is Representing: _

g;;;:g;;;:go:g 2:CX2$GJCC&C.2;~W&W&tiC&ZC ",QWJ L ~~ 2"Q:iJQOQJJ&W@I$§ gzg;s:g;©2007 National Notary Asscceton- 9350 De Soto !we., P.o. Box 2402 ·Chatsworth, CA 91313-2402° www.NationaINolary.org nem #5907 Reorder:GaU Toll-Free 1-8Q0.876-6827

Page 71: Do Dprinted in ink. Where an explanation is required or where additional space is needed to explain an answer, use the Responsibility Questionnaire Attachments. Submit the completed

CALIFORNIA ALL·PURPOSE ACKNOWLEDGMENT~.- 7j®N? 7.EtEC?M?'W%

State of California

County of 0('a";)~

Onkc-e~blTIt Joo9 before me, /-...L>.=>-"'-L'-""-~~~~~~~a'=?--"- "--'-"--__Date

personally appeared ~SL:-.t--,--I"''''F-,-,-j""e",,,-S=--. --'-'=:..:c....---;;c;;;;S;,~~::rF~;::c:...-'-'-'-L---""---"---

WITNEs~:a~d ;n~;;i~eak \..'

Signature~<'~ L~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.

MICHELLE f. SMITHCommission # 1753103

i Nolary Public - California ~

z MV~~:';'':'~.2011ilo: t J • :; G • , •• e $ J • , • " $ e

Place Notary Sea! Above

who proved to me on the basis of satisfactory evidence tobe the person(s) whose name(s).is/are subscribed to thewithin instrument and acknowledged to me thatReffiAe/they executed the same in ·l:lisIher/their authorizedcapacity(ies), and that by.l:lisIher/their signature(s) on theinstrument the person(s), or the entity upon behalf ofwhich the person(s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the lawsof the State of California that the foregoing paragraph istrue and correct

Description of Attached Document

Title or Type of Document: COvv7f'<Ul+crr; Ao,JAJu, /053 ")6533Document Date: 7) e cE~ ler I'/; Q 0 Ci '1 Number of Pages: __ -.:..1 _

Signer(s) Other Than Named Above:

Capacity(ies) Claimed by Signer(s)

Signer's Name: 5fe,j f?..... s·· e,,-clo;o Individual '~ Corporate Officer - Title(s): G~P/'eyJ~rfo Partner - 0 Limited 0 GeneralDAlto rney in Facto Trusteeo Guardian or Conservatoro Other: _

R1GHTTHUMBPRINTOF$IGNER

Top of thumb here

Signer Is Repre'l.l'nting: r-rr+__

Sdov<: t t'aJo;; !nCo

Signer's Name: ')iephef'l A. ;&/6.5io Individual

/1'l-Corporate Officer - Title(s): )eO'-" f""-.r ,Io Partner - 0 Limited 0 General /o Attorney in Facto Trusteeo Guardian or Conservatoro Other: _

RIGHT THUMBPRINTOF SIGNER

Top of thumb here

Signer Is Re»re<wntipg:_y- _;;iel-Iit. t::: VCILt!tSJ, /i;«.

~~~~~2,QiJG@2007National Notary Association' 9350 De Soto Ave., P.O.Box:2402 -Ohatswonh, CA 91313·2402. www.Natlona!Notary.org Item #5907 necroencej Toll-Free 1·800-876;6827

Page 72: Do Dprinted in ink. Where an explanation is required or where additional space is needed to explain an answer, use the Responsibility Questionnaire Attachments. Submit the completed

executed in duplicate,CA'123 J t Itll ~ Bond No. 105376533al1m.:en i nnU premium included in

~ Performance Bond

'linnfu all ~en h~tqese Jresents!CAlli 01' 75° :;?. . V oJ. .J.,",

THAT WE '!:.: ~, p.g.~.r.~~~ :\.~.~?~.~.!;;!.~.~.!~ J.~.;:-.~.~y.~::.~.-u.E.:: · ·..:f.\GGEf"fEf) .. RISK MANAGEMENT.................................................................................................................................. · · Gf'f'''·AflMl-Ni8'fR-IWflli:'·OFF! C E

as principal , and !!:ay.~le.!:a.Ca~J.lalty ..and.Suretz ..c.o.mp.allY-.Qf.Am.arica 9££ 2.2'.2009- ..................................................................................................................·..· · ·..· · ·..·..· ·..··'B'i'''··'t:"'CE·.. .. ..-.,~- ...,. ,.

as suret 11 are held and firmly bound unto the CITY OF LOS ANGELES, California, am, n' paJ

corporation, in the sum of F.J.Y.~..J1J111Q.N..L.. ..§);;Y);;~ ...B.\J.@.~~R ...:r.11);:.t':!.');'.x.::.§JX...');'.gQ.-g.§l\NR~ ....:tW.9....I:!Y.@REI

!.Q.~'!:'.Y.:.:~.~~~.'!:'~~P 2.9I!.Q.Q.:-..:-.:-.::.::.::.::.:::.::-.::.::.::.:;.::.:.::;;:-.:-.::.::.::.:'..:.::::::.::.::.::.:.::.:;:::.::.::.::.::.:.:::::':::::.::.::.Dollars

($ .5.~.7.2.6.•..2.4l3 2.0 ) lawful money of the United States, for which, payment well and trnly to be made, we bind

ourselves, jointly and severally, firmly by these presents.

Signed, sealed and dated ., p.g~gm!:1!)x..H , 20QlL .

The conditions of the above obligation is such that, whereas said principal has been awarded and is about to enter into

a written contract with the City of Los Angeles for 'J:!.:!IE NQ.BJ'J:LJ:1J.i.1N S.h'.B.E.El:..JUn.p.G.E QY.~lL.h'.f!.E ..J;..Q.~ ~!clgl?);..lj:.§ B1.Y.l?g ~.A.BJ!:!Q!I!\[<;.lj: EE!!~Q!f}.'!: ::..•Y{.,.Q.., #..~.?Qg.?Q}.!L " , _.

which is hereto attached, and to which reference is hereby made for all particulars, and is required by said city to give thisbond in connection with the execution of said contract;

Now, therefore, if said principal as contractor in said contract, or rheir, .

.............................................................................. subcontractor, fails to pay for any materials, provisions, provender or othersupplies or teams used in, UpOj1Or for or about the performance of work contracted to be done, or for any work or labordone thereon of any amounts due under the Unemployment Insurance Act with respect to such work or labor, or forany kind or for amounts required to be deducted, withheld, and paid over to the Franchise Tax Board from the wages ofemployees of the principal and his subcontractors pursuant to Sec. 18806 of the Revenue and Taxation Code of the State of

California with respect to such work and labor, said surety , .will pay the same in an amount not exceeding the sum set forth above, and also in case suit is brought upon this bond, areasonable attorney's fee to be fixed by the court. This bond shall insure to the benefit of any and all persons, companiesand corporations entitled to file claims under and by virtue of the applicable provisions of Division III, Part 4, Title 15(commencing with Section No. 3082) of the Civil Code of the State of California, or their assigns.

WlTN~SS our hands this 14th. .f::f?f ·POLiciP"fe'R%'§ocii.\TE·s·; a Jo·fn·t..·venl3~ ..·.STEVE P. ADOS. INC ':L.T._ .EOLI.CH CDNSTRUCT.ID~ I.NC_ ..:r4-'" Principal

By I,(O~'(/'~,,(I~fY:.·~"?·:"~-k~""'''·''P;;;;;;~;i'''''·''''''''

By "'.. .. ?~~~~ "~I 5I.;..l"!'/ll1lY )' d E?<::..ee-r-.e Y Principal.

::::~:~~~:~:~:::~::;;~~:.::.:::::'...:.'Corporation, Partnership or Individual Principal must have signatures acknowledged

in the appropriate blank on the reverse hereof

Page 73: Do Dprinted in ink. Where an explanation is required or where additional space is needed to explain an answer, use the Responsibility Questionnaire Attachments. Submit the completed

~·!::..::::$*:;*:i{*ffi.~ft1'i:$>i$~~Y*,?w.~,:w.*~:.;::::.::::.:·;;.:.:::*·:f*':w..:"«W.«'&~.. :..-:::.:.... ~:%.;;::,*,**.:: ••;.:.::.::...~"'l$~*"e..w,.m;~$~:mw.~~**W~~m;{*.;~"%:".fi«,*W!'ifi'i*i«$i:WM1:w..Wi:1:·~11·i

n. . ...Ii .' CALIFORNIA ALL-PURPOSE IIJ~ CERTIFICATE OF ACKNOWLEDGMENT ~w 'j'

f IIii State of California Ii

I co~:14; II :~--' :::" :..:::.~.7.~~~_ ~h IIIIii who proved to me on the basis of satisfactory evidence to be the personts) whose namets) is/lilre subscribed to Ili

the within instrument and acknowledged to me that lx«'she/~ executed the same in lxislher/tbeiK authorizedcapaci1y~, and that by bmlher/the.i:r signature(s) on the instrument the personts), or the entity upon behalf ofwhich the personts) acted, executed the instrument.I :,';:,';,:~=AL1Y OFPERJURY"""",the lawsoftheStateofc;:;::::::.::: I

I" ~t. CO'~ I I II' Ii:: WIlN SS h d d fficial al _ft1,fol"}' l"m::S()n # 177864i ffi' .Ii E my an an 0 Cl se . 1"rbe- Notary Public _Cailfornlo ,; ,IJ.. ~. a W""· 0 Z ,.i: . '<i ' frJngo County :: IIIi~j (Notary Seal) )t~v"lv"lif~A\t,",~:'!L·;~~~~:;fi::EI.:~')Nov 6, 2011 t II!ni Signature of Notary Public ". ',' ,'- ·'~·'~~'"",!"".'W1"i$F'~toL~. :

~ • ADDITIONAL OPTIONAL INFORMATION • ~I<~l

~i INSTRUCTIONS FOR COMPLETING TIllS FORM <IiI:: Any acknowledgment completed in California must contain verbiage exactly as H:

11.:1,1.' DESCRIPTION OF THE ATTACHED DOCUMENT appears above in the notary Section or a separate acknowledgment form must he Il.!.:l

properly completed and attached to that document. The only exception is if a ~

I:: document is to be recorded outside of Califomia. In such instances, ,any alternative !~:l! acknowledgment verbiage (is may be printed on such a document so lang as the ,ji;1 (Title or description of attached document) verbiage does not require the notary to do something that is illegal for a notary in III

ll'.~' California {i.e. certifying the authorized capacity of the signer}. Please check the li",:l:.........•~document carefolly for proper notarial wording and attach this form Ifrequired.(Title or description of attached document continued)

• State and County information must be the State and County where the documentj~j Number of Pages Document Date signer(s) personallyuppeared before the notary public for acknowledgment. !#

11:1 • Date of notarization must be the date that the signer(s) personally appeared which 111E must also be the same date the acknowledgment is completed. ,1

'I~.:l (Additional infonnation) • The notary public must print his or her name as it appears within his or her ,;:l.:.

, commieeion followed by a Comma and then your title (notary public). iJ) • Print the name(s) of document signer(s) who personally appear at the time of I;

I"i.i:.~ CAPACI1Y CL.All\.1ED BY THE SIGNER • ~~::t~~~.correct singular or plural forms by crossing off incorrect forms (i.e. ;'.io Individual (s) M!she/they;- is!&Fe) or circling the correct forme. Failure to correctly indicate this ~

III information may lead to rejection of document recording, III:: 0 Corporate Officer The notary seal impression must be clear and photographically reproducible. n:

11.:1.1 Impression must not cover text or lines. If seal impression smudges, reo-seal if a ~I"I/';

(Title) sufficient area penn its. otherwise complete a different acknowledgment form.

I'll 0 Partner(s) • Signature of the notary public must match the signature on file with the office of ~j:: the county clerk. 11:tl~ !1l Attomey~in-Fact. .:. Additional information is not required but could help to ensure this i~l

li'..,~\..,; 0 Trustee( s) acknowledgment is not misused or attached to a different document. i..:...!o Other .:. Indicate title or type of attached document, number of pages and date.

f.L~i"~;~~_"'*-''';~'''~''<W$.%W.«*-r.~'~__;'~''""7::'';'''_:''"::::~~~~::::~~::::~:~~::~:~~:~:::~~~,J

Page 74: Do Dprinted in ink. Where an explanation is required or where additional space is needed to explain an answer, use the Responsibility Questionnaire Attachments. Submit the completed

WAAN!r" 'HIS POWER OF ATIORNEY IS INVALIDWITHOUT THE P '?ORDER.....TRAVElERSJ

POWER OF ATTORNEY

Farmington Casualty CompanyFidelity and Guaranty Insurance CompanyFidelity and Guaranty Insurance Underwriters, Inc.Seaboard Surety CompanySt. Paul Fire and Marine Insurance Company

St. Paul Guardian Insurance CompanySt. Paul Mercury Insurance CompanyTravelers Casualty and Surety CompanyTravelers Casualty and Surety Company of AmericaUnited States Fidelity and Guaranty Company

Attorney-In Fact No. Certificate No. a 0 19 4 7 8 8 a219101

KNOW ALL MEN BY THESE PRESENTS: That Seaboard Surety Company is a corporation duly organized under the laws of the State of New York, that St. PaulFire and Marine Insurance Company, St. Paul Guardian Insurance Company and St. Paul Mercury Insurance Company are corporations duly organized under the lawsof the State of Minnesota, that Farmington Casualty Company, Travelers Casualty and Surety Company, and Travelers Casualty and Surety Company of America arecorporations duly organized under the laws of the State of Connecticut, that United States Fidelity and Guaranty Company is a corporation duly organized under thelaws of the State of Maryland, that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity andGuaranty Insurance Underwriters, Inc. is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the "Companies"), and thatthe Companies do hereby make, constitute and appoint

James A. SChaller, Jeri Apodaca, linda Enright, Mike Parizino, Nanette Mariella-Myers, Rhonda C. Abel, and Jane Kepner

of the City of --If.viIl€ ' State of California ' their true and lawful Attomeyisj-in-Facr,each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings andother writings obligatory in the nature thereof on behalf of the Companies in their. business of.guaranteeing the fidelity of persons, guaranteeing the performance ofcontracts and executing or guaranteeing bonds and undertakings required or perm\,tl::.d>i~any,a"B1ionsor proceedings allowed by law .

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,'":;,c~',i'\:'~~;, ",,\,IN WITNESS WHEREOF, the Companies have caused this instnpnent"to"'bes.~gneQ,aii~ tht:!:ir,'c9IPorate seals to be hereto affixed, this 1_0_t_h _day of September 2007 "~';,<'T'\'v,.'."","\"""",,",\;: ',' , ,-:z;:\'\.,'(,'

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Farmington Casualty C~~p~nY' ": t: ',<:\.ij ,', ',\1;~~::\:~:;'Fidelity and Guaranty Jll5hranl;';e:'Company(.\" )' ,Fidelity and Guaranty insura):lte":;U~derwrlih~~, Inc.Seaboard Surety CompanySt. Paul Fire and Marine Insurance Company

St. Paul Guardian Insurance CompanySt. Paul Mercury Insurance CompanyTravelers Casualty and Surety CompanyTravelers Casualty and Surety Company of AmericaUnited States Fidelity and Guaranty Company

State of ConnecticutCity of Hartford ss.

BY'

On this the 10th day of September 2007before me personally appeared George W. Thompson, who acknowledged himselfto be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc.,Seaboard Surety Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, TravelersCasualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he, es such, beingauthorized so to do, executed 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 hereunto set my hand and official seal.My Commission expires the 30th day of June, 2011. "'" Marie C. Tetreault, Notary Public

58440·5·07 Printed in U,S.A.

WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER

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CALIFORNIA ALL·PURPOSE ACKNOWLEDGMENT.. ~

State of California }

County of a rC( A} ~

OnDecp,,,htr 1~02oo2 before me, Ct:l.j,G rS/n,':tJAVIMj t..-Jlc'Date .. J (., Here 1nsert Name Knd Title of the Officer

personally appeared '/y C "" e: (7:~ /:1r Name(s) of Signer(s)

r e , • ft • e ftM1c'H£Lle 1"stC ..i'{ . Of

Comml .. 1on # 1753103i' Notary PUblic· California iz OrangeCounly -

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who proved to me on the basis of satisfactory evidence tobe the person(a) whose name{&) islafe subscribed to thewithin instrument and acknowledged to me thathe/s~etti1ey executed the same in hisfl:lefllAeir authorizedcapacityfles), and that by his/.lleffilgeir signature(s7 on theinstrument the person(5}, or the entity upon behalf ofwhich the person{&) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the lawsof the State of California that the foregoing paragraph istrue and correct.

WITNESS my hand and official seal.

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Signature . f ~SiQrlaiure of Notary Public

---------------------OPTIONAL-------------------------Though the information be/ow 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.

Place Notary Seal Above

Description of Attached Document

Title or Type of Document: f.q.yjrl.p",+ ?joNeIM, /6:{37('SJJDocument Date: ~<2C-€~. b-er /ti c2 "6'7 Number of Pages: 1 _Signer(s) Other Than Named Above:

Capacity(ies) Claimed by Signer(s)

Signer's Name: /yN"e 7101{J.o Individual Pf'<?$/dle.1- 1-)i'l Corporate Officer - Title(s): 'Lt"'U e 7<1.r'.lo Partner - 0 Limited 0 Generalo Attorney in Facto Trusteeo Guardian or Conservatoro Other: _

RIGHTTHUMePRINTOF SIGNER

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Signer's Name: _

o Individualo Corporate Officer - Title(s): _

o Partner - 0 Limited 0 Generalo Attorney in Facto Trusteeo Guardian or Conservatoro Other: _

RrGHTTHUMePRINTOF SIGNER

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Signer Is Representing: _

gz:g;:;g;;;:g.1QJQ\$(~~~~~©20Q7 National Notary Assocraeon- 9350 De Soto Ave., P.O. Box 2402 -Chatswonh, CA 91313·2402· www.NationalNotary,org Item #5907 Reorder:Cali Toll-Free 1-800-876-6827

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CALIFORNIA ALL·PURPOSE ACKNOWLEDGMENT•State of California }

County of Ol'ctA').R.-

On7kc&"",lq-I'(;JOa'l before me, A~/,"& rSi1M~fi,~r(c!'f"i jl,.JL'personally ap:::red __ S'"-lC-c/fP'-C/'_e-,-,,,--_S'__, -<fB-,'=-"-::.:d:...-.:d:,:S'--o;Y,,H:;;;, '''''';;1'~;;;''",'1"N;;;':J;Vc.'_"4.:..":c;..:.~..:.ft_h'.:..A_ft_'~'_'_f(:....:. __,,"-.:J.:....:.0..:;5:...- _

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MICHELLE F, SMITH

CommIssIon # 17S3103-.,; Notary PubliC - CalifornIa ~i Orange county iJ ••• e •• .,~:cr::s~e~2J'}•

who proved to me on the basis of satisfactory evidence tobe the person(s) whose name(s).ffi/are subscribed to thewithin instrument and acknowledged to me thathefshe/they executed the same in..hislAer/their authorizedcapacity(ies), and that by hislher/their signature(s) on theinstrument the person(s), or the entity upon behalf ofwhich the person(s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the lawsof the State of California that the foregoing paragraph istrue and correct.

WITN ESS my hand and official seal. ' '

Signaturek~ r~Signature of Notary Public

---------------------OPTIONAL-------------------------Though the information below ls 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.

Place Notary Seal Above

Description of Attached Document

Title or Type of Document: (),:Li rn £..-,'1 {3t7 ,'-v! .M'Document Date: )).ec'/? ,.. 6-()"('I; c1 Q () '1 'Signer(s) Other Than Named Above:

/(JSJ7C,S 33NumberOfPages: ~ ___

Capacity(ies) Claimed by Signer(s)

Signer's Name: S '*-/1 ~~ r;, i2"-)05o Individual o j. rf

'1\ll Corporate Officer - Title(s): (;;-1 '''' '" 'P,.vo Partner 0 Limited 0 Generald Attorney in Facto Trusteeo Guardian or Conservatoro Other: _

RIGHTTHUMBPRINTOF SIGNER

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Signer Is Repre)len~ng: -,- _

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Signer's Name: Sc-felAth1 A. /i:?,.C!c,5o Individual __'%Corporate Officer - Title(s): S.eoer/ar,!o Partner - 0 Limited 0 Generalo Attorney in Facto Trusteeo Guardian or Conservatoro Other: __

RIQHTTHUMBPRINTOF SIGNER

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gz:g;c:gc:g, :.2;2. QJCC2 g;;gz;;g 23&ikC.2;~©2007 National Notary Association. 9350 De Solo Ave., P.D. Box 2402 -cnetswore, CA 91313-2402- www.NationalNotary.org Item 115907 Reorder:CaIlToll-Free 1-800-876-6827

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JOINT VENTURE AGREEMENT(Two Party)

THIS AGREEMENT, made and entered into this 3rd day of August ,20.JllL, by and between

STEVE P. RADOS, INC. , a California Corporation , and

TT. POLICH CONSTRUCTION, INC. , a _-----"C"'a""lif""or!.!.n"'is"'C""o""rJt.po"'r-"!a""tio"'n'-- _

hereinafter called collectively the "Parties" and individually a "Party".

WHEREAS, City of Los Angeles Board of Public Works, hereinafter called the "Owner", has advertised for bids

for the construction of North Main Street Bridge over Los Angeles River Earthguake Retrofit (W.O. E700203F)

_______ '-- hereinafler called "Project", on which bids are to be submitted on or about

August 12 ,2009; and

WHEREAS, the Parties have agreed to form a joint venture to submit a joint bid for and, if possible, to obtain acontract, hereinafter called the "Construction Contract", with the Owner for the performance of such work; and

WHEREAS, The Parties desire to enter into an Agreement in order to fix and define between themselves theirrespective responsibilities, interests, and liabilities in connection with the submission of a joint bid and theperformance of the Construction Contract in the event it is awarded to them;

NOW, THEREFORE, in consideration of the mutual promises and agreement herein set forth, the Parties herebyagree to constitute themselves as joint venturers for the purpose of submitting a joint bid to the Owner for theperformance of the Construction Contract, and for the further purpose of performing and completing theConstruction Contract in the event that it is awarded to them on such joint bid, and the Parties hereby agree thatsuch bid, if filed, and the Construction Contract, if awarded to them, shall be performed and completed by them asa joint venture pursuant to the following terms and conditions:

1.0 Scope of Agreement

1.1 This agreement shall extend only to the submission of a joint bid and the Construction Contract,including all additions thereto and modifications thereof and shall have no other purpose.

1.2 Nothing contained in this Agreement shall create or be interpreted or construed so as to createany permanent relationship between the Parties or limit their respective rights to carry on theirindividual businesses for their own benefit, including other work for the Owner.

2.0 Construction Contract Bid and Award

2.1 The joint bid, if filed, and the Construction Contract, if awarded to the Parties, shall be bid andentered into in the name of T T POLICH & ASSOCIATESby the Parties as joint venturers. The obligations of the Parties under the joint bid andConstruction Contract shall be joint and several.

2.2 The Construction Contract, if awarded to the Parties as a result of their joint bid, shall be carriedout and performed by them in the name set forth in Subsection 2.1 above and all money,equipment, materials, supplies and other property acquired by the joint venture in connection withthe performance of the Construction Contract shall be held jointly by the Parties in that name.

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2.3 The Parties intend that the joint bid contemplated and provided for herein shall be satisfactory andacceptable to each of them. If both Parties are unable to agree upon a joint bid, a joint bid shallnot be filed, this joint venture shall terminate and neither Party shall have any liability to the other.

2.4 Each Party shall individually bear all costs it may incur in preparing the joint bid and securing theaward of the Construction Contract and no reimbursement of any such bid and pre-award costswill be made to any Party by the other Party or by the joint venture.

2.5 This Agreement shall terminate in the event that award of the Construction Contract is not madeto the Parties.

3.0 Percentage of Participation

3.1 Except as otherwise provided in Sections 6.0 and 9.0 hereof, the interests of the Parties in anyprofits and their respective shares in any losses and/or liabilities that may result from the filing ofjoint bid and/or the performance of the Construction Contract, and their interests in all propertyand equipment acquired and all money received in connection with the performance of theConstruction Contract shall be as follows:

PARTY

STEVE P. RADOS, INC.

PERCENTAGE

T:T. POLICH CONSTRUCTION, INC.------~.-

Each percentage figure above shall be referred to hereinafter as the Party's "Percentage ofParticipation" .

3.2 The Parties agree that in the event any losses arise out of or result from submission of the jOintbid and/or the performance of the Construction Contract, each Party hereto shall assume and paythe share of such losses that is equal to its Percentage of Participation.

3.3 If for any reason a Party sustains any liabilities or is required to pay any losses arising out of ordirectly connected with the submission of the joint bid and/or the performance of the ConstructionContract, or the execution of any surety bonds or indemnity agreements in connection therewith,which are in excess of its Percentage of Participation, the other Party shall promptly reimbursesuch Party the amount or amounts of the losses paid and/or liabilities assumed by such Party thatare in excess of such Party's portion of the work in the joint venture, so that each and everymember of the joint venture will then have paid its proportionate share of such losses to the fullextent of its Percentage of Participation,

3.4 To further assure the intent of this Section 3.0, each of the Parties agrees to indemnify the otherParty aqainst, and to hold the other Party harmless from any and all losses of the joint venture thatare in excess of such other Party's Percentage of Participation. Provided, however, that theprovisions of this Subsection shall be limited to losses that are directly connected with, or arise outof the submission of the joint bid and/or the performance of the Construction Contract or theexecution of any bonds or indemnity agreements in connection therewith, and shall not relate to orinclude any incidental, indirect, or consequential losses that may be sustained or suffered by aParty,

3.5 The Parties shall from time to time execute such bonds and indemnity agreements, includingapplications therefore, and other documents that may be necessary in connection with thesubmission of the joint bid for the performance of the Construction Contract. Provided, however,that the liability of each of the Parties under any agreements to indemnify a surety company orsurety companies shall be limited to the percentage of the total liability assumed by each of theParties under such indemnity agreements that is equal to the Party's Percentage of Participation.

polichljvlpolich-620-080309 ms 2

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4.0 Policy Committee

4.1 The management of the joint venture shall be conducted pursuant to policy established by theParties acting through a "Policy Committee" which is herebyestablished.

4.2 Except as provided in Sections 6.0 and 9.0, each Party shall have a voice in the Policy Committeeequal to its Percentage of Participation. For such purpose each Party is assigned the follOWingnumber of votes and hereby designates the following representatives to exercise such votes:

PARTY

STEVE P. RADOS, INC.

VOTES REPRESENTATIVES

Stephen S. Rados

Walter S. Rados

T.T. POLICH CONSTRUCTION, INC. -- Tyrone T. Polich

Bernadette L. Polich

4.3 Each Party may, at any time, substitute an alternate in place of any of its above-namedrepresentatives by serving written notice to the other Party. Each Party's representative oralternate representative on the Policy Committee is hereby granted and shall her~ possessauthority to act for such Party on all matters of interest to it with respect to its partidpaNonin thejoint venture. J' '!\l

4.4 The Policy Committee shall determine the policy for the management of the jolnt venture bymajority vote, and, as used in this Agreement, a "majority vote" is defined to be any figure greaterthan one-half of the authorized votes.

4.5 The Policy Committee shall have the following Powers:

(a) To determine the time and place of holding its meetings and to establish procedures forconducting Committee affairs.

(b) To determine and act upon the various matters,expressed or implied in other sections ofthisAgreement, which require decision by the Policy Committee.

(c) To determine and act upon any other matters of joint interest to, or requiring prompt actionby, the joint venture.

(d) To determine rental rates not specifically set forth in the Additional Provisions of thisAgreement for equipment owned by any of the Parties and made available for use on thisProject. Any equipment owned by third parties will be invoiced to the joint venture at actualrental costs.

(e) To determine insurance reserves and reserves for other potential liabilities that may resultfrom or arise out of the Project work.

(f) To consider all claims and disputes of any kind between the joint venture and the Owner,subcontractors and/or third parties and to authorize negotiation, arbitration, litigation and/orany other process for their resolution and to authorizethe settlement thereof.

4.6 Notwithstanding any other provisions to the contrary herein, insurance coverages and limits shallbe subject to approval of both Parties.

4.7 The Policy Committee shall generally perform its duties at a meeting at which all desiqnatedrepresentatives of the Parties are present, but where circumstances warrant, telephoniccommunication between all Party representatives or their alternates is authorized.

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4.8 Except as otherwise provided in the Additional Provisions herein, the salaries and expenses ofeach representative on the Committee shall be borne by the Party whom the representative hasbeen designated to represent, and shall not be an expense to the joint venture.

5.0 Delegation of Authority

5.1 STEVE P. RADOS, INC. is hereby deslqnated as the "Managing Party", subject, however, to thesuperior authority and control of the Policy Committee. The Managing Party shall appoint theGeneral Manager through whom the Managing Party shall have direct charge and supervision ofall matters necessary to and connected with the performance of the Construction Contract, exceptas otherwise provided herein.

5.2 Authority to act for and bind the Parties in connection with all or any part of the performance of theConstruction Contract may from time to time be delegated in writing by unanimous vote of bothParties to any of the Parties and/or to any individual or individuals.

5.3 Any delegation of authority to any Party or individual or individuals may be revoked by majorityvote of the Parties; provided, however, that if the authority of the indiVidual serving as GeneralManager is revoked, the Managing Party shall have the right and obligation to appoint anotherindividual to serve in that capacity who is acceptable to the Parties hereto.

5.4 No Party or individual shall have authority to act for or bind the other Party except in connectionwith the performance and administration of the Construction Contract, and then only pursuant toauthority delegated according to the provisions ofthis section.

5.5 For federal income tax purposes, Steve P. Rados. Inc. shall be deemed the "tax matters partner".

6.0 Working Capital Requirements

6.1 The Pelley Committee, upon recommendation by the Managing Party, shall determine the amountof capital required to carry out and perform the Construction Contract and pay for any losses orliabilities resulting therefrom, said amount herein referred to as "Working Capital." Upon suchdetermination, each Party shall contribute the percentage of such Working Capital that is equal toits Percentage of Participation whenever requested to do so by the Policy Committee. Suchcontribution shall be made within ten (10) days after request therefore.

6.2 If a Party fails to promptly contribute its share of Working Capital in the amounts and by the dateset by the Policy Committee, such Party shall be considered to be in default of this Agreement,hereinafter referred to as "Defaulting Party"; and:

(a) A Defaulting Party's share of the profits shall be decreased, and the share of the other Partyin the profits shall be increased proportionately, so that the respective interests of the Partiesin the joint venture profits shall be in the same proportion as the amounts of Working Capitalactually furnished.

(b) A Defaulting Party's share in joint venture losses shall in all events remain the same as thePercentage of Pardcipation and nothing contained in this Agreement nor any eventshereafter occurring shall under any circumstances reduce a Defaulting Party's share in suchlosses.

(c) Reduction in a Defaulting Party's share of the profits and increases in the share of profits ofthe other Party shall be calculated as of the time of each default in contributions. Reductionsin a Defaulting Party's share of profits will not be reinstated.

(d) A Defaulting Party shall pay default interest with respect to its uncontributed share ofWorking Capital at the rate per year of three percent (3%) above the prime rate of interestcharged from time to time by the Bank of America (but not exceeding the maximum allowedby law).

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(e) Default interest payments shall be payable to the joint venture for the accounts of thenondefaulting Party, shall be compounded daily and shall accrue until such time as allcontributions of Working Capital and default interest have been paid.

(f) Any unpaid share of the Working Capital, including all interest above described, shall bededucted from any distributions due a Defaulting Party and, if upon final settlement of thejoint venture accounts, such amounts due a Defaulting Party are insufficient, a DefaultingParty shall, on written demand of the nondefaulting Party, pay such insufficient amount to thejoint venture for the account of the nondefaulting Party; provided, however, that thenondefaulting Party shall be entitled to receive the greater of the interest above described onits excess contribution or the amount by which its shares of any profits were proportionallyincreased, as described in Subsection 6.2(a) above, but not both.

(g) Any distributions of contributed capital, joint venture assets and/or profits otherwisedistributable to a Defaulting Party shall first be applied to the payment of the default interestdue the nondefaulting Party, then to the payment of a Defaulting Party's uncontributed shareof the Working Capital to the account of the nondefaulting Party who made excesscontributions before any distributions of the contributed capital, joint venture assets and/orprofits are made to the Defaulting Party.

(h) A Defaulting Party shall have no right, title or interest in any joint venture contributed capital,assets and/or profits until such time as all contributions to Working Capital and any defaultinterest due thereon have been paid to the joint venture for the distribution to thenondefaulting Party.

(I) A Defaulting Party shall have no representative on the Policy Committee and shall have noright to participate in the affairs of the joint venture until either (i) all of the defaulted WorkingCapital contributions and default interest have been paid to the joint venture, or (ii)distributions to the nondefaulting Party have included repayment of all of the excesscontributions and payment of all default interest. The representatives of the nondefaultingParty on the Policy Committee shall be entitled to vote the Defaulting Party's votes inproportion to its respective share of total Working Capital actually furnished. If the DefaultingParty's representative is reinstated to the Policy Committee pursuant to the terms of thisSubsection, the Defaulting Party shall be entitled to no greater share of votes than is equal toits share of joint venture profits as modified herein pursuant to this Section 6.0.

(j) The provisions of Sections 6.0 and 11.0 notwithstanding, the failure of a Party to contributeits share of Working Capital within the time set by the Policy Committee is a material breachof this Agreement. Such uncontributed capital contributions and all default interest accruedthereon are due and payable on the first day following the payment of excess contributionsby the other Party and each and every day thereafter until all uncontributed Working Capitaland all default interest due thereon have been paid in full. The Party making contributions inexcess of its Percentage of Participation as a result of such Party's default may bring suit in acourt of competent jurisdiction in the name of the joint venture or in its own name against theDefaulting Party for payment of the Defaulting Party's share of said Working Capital and anydefault interest due thereon and shall, in addition, be entitled to recover reasonable attorneyfees and such other relief that may be granted by the court.

7.0 Joint Venture Bank Accounts

7.1 All Contributions of Working Capital made by the Parties and all other funds received by the jointventure in connection with the performance of said Construction Contract shall be deposited in anaccount or accounts in such bank or banks as the Policy Committee may designate which shall beseparate from any bank accounts now maintained by any Party.

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7,2 Withdrawals of such funds may be made in such form and by such persons as ·the PolicyCommittee may from time to time delegate. All persons authorized to draw against the funds ofthe joint venture shall be bonded in such company or companies and in such amounts as theParties may mutually determine.

7,3 Any delegation of authority under this Section shall be asprovided in Section 5,0,

8,0 Accounting and Auditing

8,1 Separate books of .account shall be kept by Steve P. Rados, Inc. of the transactions of the jointventure, A Party to this joint venture may inspect such books at any reasonable time.

8,2 Periodic audits or reviews shall be.made of such books at such times and by such persons as theParties may direct or upon the written request of a Party and copies of the reports shall befurnished to each Party. The costs of any such audits or reviews shall be borne by the requestingPartyor Parties,

8,3 Upon completion of the Construction Contract, a final audit shall be made and copies of suchaudit report shall be furnished to each of the Parties.

9,0 Bankruptcy of a Party

9.1 If a Party hereto shall dissolve, become bankrupt or insolvent, or commit any act of bankruptcy, ortake advantage of any bankruptcy, reorganization,composition or arrangement stanne, then fromand after such date such Party (referred to herein as "Insolvent Party") or its legal representatives,shall have no further voice in the performance of said Construction Contract or in themanagement of the joint venture. All acts, consents and decisions with respect to theperformance of the Construction Contract or the management of the joint venture shall thereafterbe taken solely by the remaining Party,

9,2 The participation of the lnsolvent Party, or its representatives in the profits of the joint ventureshall be as set forth in Section 6,0 of this Agreement for a Defaulting Party but the Insolvent Partyand its representatives shall be charged with, and shall be liable for, any and all losses that maybe suffered by the joint venture under said ConstructionContract, or any additions or supplementsthereto or modifications thereof, to the full extent of the Insolvent Party's Percentage ofParticipation and any uncontributed Working Capital and any default interest due thenondefaultingParty to the full extent of the provisions set forth in Section 6,0 above.

10,0 Distributionof Assets

10,1 The Parties may determine from time to time during the course of this Agreement that some ofthe joint assets held and acquired by the joint venture may be divided among or paid to theParties, as the case may be, in accordance with their respective interests and shares in same, ashereinbefore provided. It is, however, understood and agreed that although for federal and stateincome tax purposes, gain or loss may be reported under the accrual method of accounting, nodistribution of cash in excess of the Parties' tax basis plus its tax liability related to the jointventure shall be made during the life of the Construction Contract.

10,2 In the event either of the Parties desires funds in excess of its tax basis plus its tax liabilityrelatedto the joint venture, it may request a loan from the joint venture to be repaid no later than uponcompletion of the Construction Contract. The Parties shall be empowered to make such loans asthey deem proper at market interest rates and as mutually determined by the Parties.

10,3 The Parties shall, prior to the sale or distribution of any equipment or other assets, mutually agreeupon the valuation and method of distribution of the equipment or assets involved.

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10A Upon the completion of the Construction Contract, the remaining assets of the joint venture andthe profits or losses accrued in the performance of the Construction Contract shall be divided inaccordance with the Parties' respective interests and share in same, as herein provided.

10.5 When final disposition and distribution of all assets and/or liabilities has been made, thisAgreement shall terminate; provided, however, that if claims of any nature or legal action of anytype are brought against the joint venture or either of the Parties at any time after the distributionof said assets and/or liabilities by any party or parties, including the Owner and subcontractors atany level, who are not signatory to this Agreement or a surety of or affiliated with a Party and suchclaims and/or legal action relate to or arise out of this Agreement, the performance of theConstruction Contract and/or the work product thereof, this Agreement shall be considered tohave remained in full force and effect and the rights and obligations of the Parties hereto withrespect to the resolution of such matters shall be determined by this Agreement, the passage oftime notwithstanding.

11.0 Disputes

11.1 In the event of any dispute whatsoever between the Parties, they shall exhaust every effort tosettle or dispose of the same.

11.2 Should any dispute between the Parties affect or threaten the orderly or timely progress of thework, the Parties shall proceed diligently with the work as directed by the Managing Party inwriting, whose decision with respect to matters affecting the prosecution or performance of thework shall be final and binding unless the aggrieved Party provides written notice of its objectionswithin twenty (20) days after receipt of Managing Party's written directive. In no event shall anydispute be permitted to delay the progress of the work.

11.3 In the event any controversy arising under this agreement is not resolved, at the request of anyParty, the case shall be referred to the nearest office of Judicial Arbitration & Mediation Services,Inc. (JAMS) for mediation, that is, an informal, non-binding conference or conferences betweenthe Parties in which a retired judge or justice will seek to guide the Parties to a resolution of thecase.

(a) The Parties are free to select any mutually acceptable panel member from the list of retiredjudges and justices at JAMS. If the Parties cannot agree or have no particular choice ofmediator and simply request that JAMS assign one to the case, then a list and resumes ofavailable mediators, numbering ten, will be sent to the Parties, each of whom may alternatelystrike up to eight names from the list, for mediator. The designated mediator shall beselected by the Arbitration Administrator of JAMS from the remaining names.

(b) The mediation process shall continue until the case is resolved or the mediator makes afinding that there is no possibility of settlement through mediation (or any Party chooses notto continue further).

11.4 In the event the Parties have exhausted the procedures described herein for dispute resolution,and the controversy or claim has not been resolved, a dissenting Party may file its claim in a courtof proper jurisdiction within ninety (90) days after issuance of a notice that the mediation processhas been terminated. If a lawsuit is not filed within said ninety (90) days, the controversy of claimshall be deemed to have been adjusted in accordance with the terms of this agreement.

12.0 Insurance

12.1 The joint venture shall, at its own cost and expense, procure, carry and maintain such insuranceas required by the Construction Contract, including insurance on all operations as follows:

(a) Worker's Compensation and Employer's liability Insurance

(b) Comprehensive Auto and General Liability Insurance including coverage for:

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(i) Personal injury,

(ii) Premises and Operations and Mobile Equipment Liability,

(iii) Blanket ContraciualLiabihty,

(iv) Completed Operations and Products Liability,

(v) Broad Form Property Damage Liability,

(vi) Liabilitywhich such party may incur as a result of the operations, acts, oromissions of its subcontractors, suppliers or materialman, and their agentsor employees,

(vii) Automobile Liability, including owned, non-owned, and hired automobiles,

(viii) Explosion Collapse and Underground Hazards, and

(ix) State of California (DOT) Endorsement

(c) Excess (umbrella) liability insurance, with the insurance detailed in subparagraphs 12.1(a)and 12.1(b) above being declared underlying coverages as to the joint venture excess(umbrella) liability insurance coverage.

(d) Builder's Risk insurance coverage, with limits and deductibles to be agreed upon by theParties.

(e) Equipment Insurance as decided by the Policy Committee.

(f) Pollution Liability insurance coverage.

(g) Employment Practices Liability insurance coverage.

12.2 All insurance and each policy as represented in subparagraphs 12.1(a), 12.1(b), 12.1(c), 12.1(d)and 12.1(e) required under this agreement shall have limits and deductibles as set forth inAddendum "B". Each Party shall be provided with certificates of insurance from companiesacceptable to both Parties evidencing that all insurances are in force and will not be canceled,reduced or modified without thirty (30) days prior written notice from the insurance carrier to eachParty. Such policies shall be endorsed to designate both Parties hereto and this joint venture asadditional insureds.

12.3 Each Party shall procure, carry and maintain excess (umbrella) liability insurance with limits anddeductibles as set forth in Addendum "B" and with the insurance required of the joint venture [see12.1(a),(b),(c)] declared as underlying coverages with respect to the excess (umbrella) liabilityinsurance required of each of the Parties. Each Party shall furnish to the other Party certificatesof insurance from companies with at least a Best "M" rating evidencing that such insurance is inforce and will not be canceled, reduced or modified without thirty (30) days prior written notice toeach Party. Such policies shall be endorsed to daslqnate both parties hereto and this jointventure as additional insureds.

12.4 Until two (2) years after acceptance of the Project by Owner, each Party shall name the jointventure as an additional insured on all its automobile liability policies. All such automoblle liabilitypolicies shall provide minimum limits of Ten Million Dollars ($10,000,000.00), including theumbrellas, combined single limit for bodily injury and property damage.

12.5 Each Party shall name the joint venture as an additional insured on all its contractor's equipmentpolicies.

12.6 Commencing on the earlier of the termination or completion and acceptance of the ConstructionContract and continuing for twelve (12) years thereafter, each Party shall name the joint ventureas an additional insured on all liability policies (both primary and excess [umbrella] policies)maintained by said Party, which policies shall provide minimum limits of Ten Million Dollars($10,000,000.00) combined single limit for the first two (2) years and with such minimum limits asmaintained by the Party for the next ten (10) years.

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13,0 Other Provisions

13,1 The principal office of the joint venture shall be located at the Project site or as otherwisedetermined by the Policy Committee,

13,2 This Agreement shall be govemed and construed pursuant to the laws of the State of California,

13,3 In the event that any part, term or provision of this Agreement is determined by a court ofcompetent jurisdiction to be unlawful or unenforceable, the validity and enforceability of theremaining portions or provisions shall not be affected thereby,

13.4 Each Party, through its execution of this Agreemen~ hereby individually certifies and attests to theother Party and to any third parties having an interest in the Project, that neither it nor anymembers, affiliates, or employees of its company has participated in any antitrust activities or anyother illegal anticompetitive activity with respect to bidding and/or obtaining the ConstructionContract for Which purpose this joint venture is being formed,

13,5 This Agreement constitutes the entire agreement between the Parties, and is subject to no otheroral or written proposals, agreements or understandings whatsoever, and can only besupplemented or amended by a written document subscribed by the Parties,

13,6 This Agreement is binding upon the heirs, court-appointed representatives, assigns andsuccessors of the Parties, The interests and lights of a Party in the Construction Contract and asa member of this joint venture, shall not be transferable or assignable without written consent ofthe other Party, except that a Party may assign its share in any money to be received by it fromthe ioint venture for the purpose of obtaining a loan or loans from any bank or other lendingagency, Any such assignment, pledge, hypothecation or other coliateralization of the proceeds orreceivables of a Party to this joint venture shall be subordinate to any claims, offsets, adjustmentsand/or repayment of uncontributed Working Capital and/or default interest to the nonassigningParty,

14,0 Additional Provisions

See Addendum "A", "8" and Guaranty,

IN WITNESS WHEREOF, the Parties have caused this Agreement to be executed by their duly authorizedofficers or agents effective the day and year first above written,

STEV\i p, RADOS, INC,

8B

Witness Witness

=.o. Box 15128

Santa Ana, CA 92735

Tel: (714) 835-4612, FAX: (714) 835-2186

LiCENSE #484452 AB

p,o, Box 828

Sierra Madre, CA 91025

Tel (626) 403-0472, FAX: (626) 403-0478

LICENSE #665925 A

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ADDENDUM A

Additional Provisions

The following additional provisions are attached hereto and made a part hereof:

14.1 If either Party sells materials, supplies, parts or small tools to the joint venture, such items shall bepurchased by the joint venture at a price at which they could be acquired by the joint venture fromoutside sources or at a price agreed upon at the time of submitting the bid.

14.2 If either part_furnishes construction materials for use in connection with the work, the project willbe charged of the replacement value for their usage. The furnishing Party shall retainownership of e materials and they shall be returned in good condition at project completion.These charges will be modified if different terms of payment are provided for in the estimate forthe project or are.agreed upon and set forth in Addendum "C", to be attached hereto and made apart hereof.

14.3(a) It is anticipated by the Parties hereto that in the performance of the work under said constructioncontract that plant and equipment owned by the parties may be used by the joint venture. Eachparty agrees to furnish to the joint venture, on the terms and conditions and reimbursement ratesto be agreed upon, such of its plant and equipment as is available and considered by theManaging Party as suitable for the work. The plant and equipment reimbursements shall bemade periodically by the joint venture to the Party furnishing such plant and equipment. Theproceeds received by a Party from the joint venture for plant and equipment reimbursement shallbe the sole property of such Party. The Managing Party shall make known the equipment needsof the joint venture in sufficient time to schedule proper delivery.

14.4(a) In consideration for assisting in the administration of the Construction Contract, T.T. POLICHCONSTRUCT.IO.N., I.N.C•. ,.s.h.a.1I~be paid as a job cost of the joint venture a sum equal t~

of the Construction Contract in order to partially reimburse it forIts costs not included in the job costs otherwise charged to the performance of the ConstructionContract by the joint venture.

(b) In consideration for its assumption of primary responsibility for the active management andprosecution of the said work, as referred to in Section 5.0, and for administering the ConstructionContract, STEVE P. RADOS, INC., as the Managing Partner, shall be paid as a job cost of thejoint venture a sum equal to~ of the Construction Contract in order to partiallyreimburse it for the management and administration of the Contract and for its costs not includedin the job costs otherwise charged to the performance of the Construction Contract by the jointventure. The costs which this sum is intended to compensate include, but are not limited to, jobadministration, payroll, accounts payable, accounting, safety administration, and insurance claimsadministration, along with associated off-site expenses.

(c) Employees assigned full-time to the project and identified in the estimate will be charged to theproject and will not be included in this administrative and management fee.

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12.1(a) ooverages--

12.1(b) ooverages --

12.1.(c) ooverages --

polich\jvlpolich-620-080309 ms

ADDENDUM B

Insuranoe Requirements

no deduotible; combined single limit ooverage of statutory limit; per accident limit of OneMillion Dollars ($1,000,000.00), disease each employee limit of One Million Dollars($1,000,000.00), disease policy limit of One Million Dollars ($1,000,000.00).

deduotible not to exoeed Twenty-five Thousand Dollars ($25,000.00) for general liability;limits to be One Million Dollars ($1,000,000.00) per occurrence, One Million Dollars($1,000,000.00) products - completed operations aggregate limit, Two Million Dollars($2,000,000.00) general aggregate. Auto liability will provide limits of One MillionDollars ($1,000,000.00) CSL per occurrence with no deductible applicable.

coverages (a) and (b) as declared underlying coverages for excess (umbrella) liabilityinsurance; limits to be Nineteen Million Dollars ($19,000,000.00) in excess of underlyingcoverages or as required by the Construction Contract, whichever is greater.

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GUARANTY

This Guaranty is made with reference to the Joint VentureAgreement ("Agreement") dated August 3, 2009 between STEVE P.RADOS, INC. ("SPR") and T. T. POLICH CONSTRUCTION,INC. (" POLICH"),pertaining to the project known as North Main $treet Bridge overLos Angeles River Earthquake Retrofit (W.O. E700203F) (Project").

In consideration of the making and performance of the Agreementby SPR, and other considerations, receipt of which is herebyacknowledged, the undersigned ("Guarantor"), individually guaranteesthe full and complete performance by POLICH of all terms andconditions of the Agreement, including all modifications thereof.Upon default by POLICH and seven (7) days written notice thereof bySPR, Guarantor shall undertake or arrange for full and completeperformance of said Agreement, and pay all expenses and debtsincurred by POLICH, at no additional cost or liability to SPR.

All notices required by this Guaranty shall be satisfied ifdelivered personally, by courier or by certified mail, to:

Tyrone T. Polich

P. O. Box 828

Sierra Madre, CA 91025

Except for notices required herein and in the Agreement, theundersigned waives all other notices pertaining to this Guaranty,including but not limited to notice of acceptance, default or demand.Without further notice from SPR, Guarantor consents to allmodifications, amendments and additions made according to theAgreement.

The prevailing party in any action,brought to enforce the provisions of theto recover, as part of any judgmentattorneys' fees and expenses.

litigation orGuaranty shallor award, its

arbitrationbe entitled

reasonable

GUARANTOR . ~ e

~"'=A>~~~Witness:

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Noncollusion AffidavitITitle 23 United States Code Section 112 and

Public Contract Code Section 7106)

To the CITY f COUNTY of LOS ANGELESDEPARTMENT OF PUBLIC WORKS.

In conformance with Title 23 United States Code Section 112 and Public Contract Code 7106 the bidder declares

that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company,

association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not

directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or

indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that

anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by

agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to

fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any

advantage against the public body awarding the contract of anyone interested in the proposed contract; that all

statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his

or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative

thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid

depository, or to any member or agent thereof to effectuate a collusive or sham bid.

Note: The above Noncollusion Affidavit is part of the Proposal. Signing this Proposal on the signatureportion thereof shall also constitute signature of this Noncollusion Affidavit. Bidders are cautioned thatmaking a false certification may subject the certifier to criminal prosecution.

(

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C"". :....

","".'

LIST OF SUBCONTRACTORS

In accordance with provisions pertaining to the listing of Subcontractors, the bidder shall list herein each first tierSubcontractor to whom it proposes to subcontract portions of the work in an amount in excess of Vz of 1% of theContractor's total bid or $10,000,00, whichever is greater, and the dollar value of each listed subcontract.

DBE Prime must list themselves and enter the dollar of work to be performed by their workforce in orderfor their participation to be counted towards achieving DBE Availability Advisory percentage level.

No DBE credit will be given unless the snbcontracting amonnt is listed.

Name, Business Address, Telephone Subcontractor (1 )Certification Dollar Value of SubcontractNumber, and Contact Person License Number Agency and

and Exp. Date Certification #

S....,-tt., is..... r. ,-\.v. • ..ho:t License Number: LA CT MTA $ (.,P, <'<.11,

SI'i <; ~ P <::'1-\ <..\.. '2. t> \ 11"-'0, C.vcf N~'2.'1 OZ. Dr" " ......,,<J Expiration Date: Cert. # Expiration Date:

<SCl.'<1;>/.10H (DBE) Gender/Ethnicity:Description of work: n.~6p.(a Bid Item #'s ~ 'I 5'. \'2..

()Il> \I • 'S r: J (\."-'" , License Number: LACT@W $ ~"1 'C 4 oe ,\~'31\ ~ ... ~ S.J.<CI l'>~O"2- 'l u::m 4.,1 (.Ll .u> '-k ,\01.5"0 Expiration Date: Cert.# Expiration Date:

=1'l "'~ 7'1" e1Tb 'Sill+'- r 17'>1::.) Gender/Ethnicity:

Descriptlon of work: &..:i.. no 0 Bid Item#'s \.3 .

-IA< o<!' .l) • Q, License Number: LA CT MTA $ ::n./ 'nr,I~(0 W' 2' -....I( s-l-. G. rr-o,6 /.'f..,'-r:::.... A?_ ~S'2-B2- Expiration Date: Cert.# Expiration Date:

('(,2, utt::1· I tsz.t 1kr"""' ...... DBE Gender/Ethnicity:

Description ofwork:VI>\'tes-\cr ,. ~':\T: Bid Item#'s (,.7r: ~" ...., C. License Number: LA CT MTA $ ¢.I/ 1/1.. •1),"2. 't ,30 ~~A.- I 'i '/-6 '-I fo NIA

5'0 ~ IAA 7"' c}. 9013 Expiration Date: Cert.# Expiration Date:

{, '2. c <.( 'I2- I J2. f4. .,.~ DBE Gender/Ethnicity:

IDescription of work: t ••t.G k' lL . Bid Item #'s 12.-<;..1. j O. 0('. -£"-. • License Number: LA CT MTA $ 'I L.. '-I b-O ... ~ It. • 1':/'0-" t . I 'S'-I-~ 'p.\'0 1..!> A--

~V...u.... c.AV "inS''L Expiration Date: Cert.# Expiration Date:

~'Sll e.s<llll'l'i 1}./. DBE GenderlEthnicity:

Description of work: ,1.,.~(f,.1'i;Jl''; Bid Item#'s J~() '1A.A 5"i JT'-":'" ' License Number: LA CT MTA $ ::?? 'IJ -?6 ~o '-lYe, z, &r....o. /.~./l. ss» , 13

Lvr IN. -ts-: ell. '7P7U:> Expiration Date: Cert.# Expiration Date:

1I\,(' ~'l.-~'1aDli Wlt:N:IL. DBE GenderlEthnicity:

£. I rl.L +r, t: .Q.- J Bid Item#'s 1<;;;'. r e11SoecifvCertifvinaAaencv: LA Cilv of LosAnaeles Publicof Publicworks; CT - State Departmentof Transportation(Oaltrans);

MTA LosAnaelesCounlv MetrooolitanTransportationAuthority

Rev. 02122107F-7

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LIST OF SUBCONTRACTORS

In accordance with provisions pertaining to the listing of Subcontractors. the bidder shall list herein each first tierSubcontractor to whom it proposes to subcontract portions of the work in an amount in excess of Y, of 1% of theContractor's total bid or $10.000.00. whichever is greater, and the dollar value of each listed subcontract.

DBE Prime must list themselves and enter the dollar of work to be performed by their workforce in orderfor their participation to be counted towards achieving DBE Availability Advisory percentage level.

No DBE credit will be given unless the snbcontracting amount is listed.

Name, Business Address, Telephone Subcontractor (1)Certification Dollar Value of SubcontractNumber, and Contact Person License Number Agency and

and Exp. Date Certification #License Number: LA CT MTA $

Expiration Date: Cert.# Expiration Date:DBE Gender/Ethnicily:

Description of work: Bid Item#'s

License Number: LA CT MTA $

Expiration Date: Cert.# Expiration Date:DBE Gender/Ethnicily:

Description of work: Bid Item#'s

License Number: LA CT MTA $

Expiration Date: Cert.# Expiration Date:DBE Gender/Ethnicily:

Description of work: Bid Item#'sLicense Number: LA CT MTA $

Expiration Date: Cert.# Expiration Date:DBE Gender/Ethnicily:

Description of work: Bid Item#'sLicense Number: LA CT MTA $

Expiration Date: Cert. # Expiration Date:DBE Gender/Ethnicity:

Description of work: Bid Item#'s

License Number: LA CT MTA $

Expiration Date: Cert. # Expiration Date:DBE Gender/Ethnicity:

Bid Item #'s1) SoecifvCertifvinoAoencv: LA - Cityof Los Anaelas Publicof Publicworks: CT - State Deoartmentof TransPOrtation(Callrans):

MTA- Los AnaelasCountvMetroooillanTransoortationAuthoritv

Rev. 02122107F-7

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LIST OF SUBCONTRACTORS

In accordance with provisions pertaining to the listing of Subcontractors, the bidder shall list herein each first tierSubcontractor to whom it proposes to subcontract portions of the work in an amount in excess of Y, of 1% of theContractor's total bid or $10,000.00, whichever is greater, and the dollar value of each listed subcontract.

DBE Prime must list themselves and enter the dollar of work to be performed by their workforce in orderfor their participation to be counted towards achieving DBE Availability Advisory percentage level.

No DBE credit will be given unless the subcontracting amount is listed.

Name, Business Address, Telephone Subcontractor (1)Certification Dollar Value of SubcontractNumber, and Contact Person License Number Agency and

and EXD.Date Certification #License Number: LA CT MTA $

Expiration Date: Cert.# Expiration Date:DBE Gender/Ethnicity:

Description of work: Bid Item"ifsLicense Number: LA CT MTA $

Expiration Date: Cert. # Expiration Date:DBE Gender/Ethnicity:

Description of work: Bid Item"ifsLicense Number: LA CT MTA $

Expiration Date: Cert.# Expiration Date:DBE Gender/Ethnicity:

Description of work: Bid Item"ifsLicense Number: LA CT MTA $

Expiration Date: Cert.# Expiration Date:DBE Gender/Ethnicity:

Description of work: Bid Item"ifsLicense Number: LA CT MTA $

Expiration Date: Cert.# Expiration Date:DBE Gender/Ethnicity:

Description of work: Bid Item"ifsLicense Number: LA CT MTA $

Expiration Date: Cert. # Expiration Date:DBE Gender/Ethnicity:

Bid Item"ifs1) SoecifvCertifvinaAaencv: LA - Citv of LosAnaeles Publicof Publicworks' CT - State Deoartmentof TransoortationICaltrans\:

MTA LosAnaeles CauntvMetrooolitanTransoortationAuthoritv

Rev. 02122107F-7

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LIST OF SUBCONTRACTORS (continued)

VENDOR AND/OR SUPPLIER AND BROKER PARTICIPATION RECOGNITION

The bidder must list herein names of vendors and/or suppliers and brokers and the dollar amounts for which the bidder hasobligated itself (list manufacturers on page F-7).

VendorlSupplierlBrokerName. Business Address, Telephone number, andContact Person

Supplier/Broker Subcontract InformationCertificationAgency andCertification # (I)

LA CT MTA

Cert#

DBE

Exp.:

Gen.lEth.:

LA CT MTA

Cert#

DBE

Exp.:

Gen.lEth.:

LA CT MTA

Cert#

DBE

Exp.:

Gen.lEth.:

Total Dollar Amount of Subcontract

Description ofmateriaVservice rendered:

s

Description of material/service rendered:

Description ofmateriallservice rendered:

(I) Specify Certifying agency: LA - City of Los Angeles, Bureau of Contract AdministrationCT - State of California, Department of Transportation (Caltrans)MTA - Los Angeles County Metropolitan Transportation Authority

(2) DBE participation credit for a vendor and/or supplier is LIMITED TO 60% of the amount paid, unless thevendor/supplier manufactures or substantially alters the materials/supplies. MUltiply the "Total DollarAmount of Subcontract" by 0.6 if applicable.

(3) DBE participation credit for brokers is LIMITED TO THE FEE OR COMMISSION charged forproviding the desired service. Multiply the "Total Dollar Amount of Subcontract" by the broker'scommission percentage.

~b ----:;:::::;-;;----Tyrone T. PolicNAME & SIGNA TIlRE OF PERSON CO LETING PAGES F·7 TIlROUGH p.g

626/ 403-0472PartnerTIlLE TELEPHONE NO.

(

07/03/06F-8

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EQUAL EMPLOYMENT OPPORTUNITY OFFICER

PURSUANT TO EXECUTIVE ORDER 11246, THE BIDDER SHALL DESIGNATE ARESPONSIBLE OFFICIAL TO MONITOR ALL EMPLOYMENT RELATED ACTIVITY TOENSURE EQUAL EMPLOYMENT OPPORTUNITY IS BEING CARRIED OUT.

Tyrone T. Polich, PartnerPlease be advised that -----;-==----,;--;;0:;-;:--------------

( Print Name and Title)

___________ --,- herebyappoints

___ -;:cc:-l_au_d-=e-:-F...,i-,s_k.,..e----', as its Equal Employment Opportunity Officer.(Name of Appointee)

the Officer has been given the authority to establish, disseminate and enforce the EqualEmployment and Affirmative Action Policies ofthis firm. The Officer may be contactedat the location below concerning matters related to any affirmative actions taken by thisfirm to increase the utilization of minorities and women in its employment.

Work Location: 2002 E. McFadden Avenue, Ste 200, Santa Ana, CA 92705

Phone No.: ( 714 ) 835-4612

(Rev. 07/03/06

F-9

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EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION

The bidder T. T. Polich & Associates, a Joint Venture , proposed

subcontractor , hereby certifies that he has ~ ,

has not ~ participated in a previous contract or subcontract subject to the equal opportunity clauses, as

required by Executive Orders 10925, 11114, or 11246, and that, where required, he has filed with the

Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal

Government contracting or administering agency, or the former President's Committee on Equal

Employment Opportunity, all reports due under the applicable filling requirements.

Note: The above certification is required by the Equal Employment Opportunity Regulations of theSecretary of Labor (41 CFR 60-1.7(b) (I)), and must be submitted by bidders and proposedsubcontractors only in connection with contracts and subcontracts which are subject to the equalopportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clauseare set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of $\0,000 or under areexempt.)

Currently, Standard Form 100 (EEO-I) is the only report required by the Executive Orders or theirimplementing regulations.

Proposed prime contractors and subcontractors who have participated in a previous contract orsubcontract SUbject to the Executive Orders and have not filed the required reports should note that 41CFR 60-1.7(b) (I) prevents the award of contracts and subcontracts unless such contractor submits areport covering the delinquent period or such other period specified by the Federal HighwayAdministration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor.

(Rev. 07/03/06

F-10

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DEBARMENT AND SUSPENSION CERTIFICATION

TITLE 49, CODE OF FEDERAL REGULA T10NS, PART 29

The bidder, under penalty of perjury, certifies that, except as noted below, he/she or any other personassociated therewith in the capacity of owner, partner, director, officer, manager:

• is not currently under suspension, debarment, voluntary exclusion, or determination ofineligibility by any Federal agency;

• has not been suspended, debarred, voluntarily excluded or determined ineligible by any Federalagency within the past 3 years;

• does not have a proposed debarment pending; and

• has not been indicted, convicted, or had a civil judgement rendered against it by a court ofcompetent jurisdiction in any matter involving fraud or official misconduct within the past3 years.

If there are any exceptions to this certification, insert the exceptions in the following space.

Exceptions will not necessarily result in denial of award, but will be considered in determining bidderresponsibility. For any exception noted above, indicate below to whom it applies, initiating agency, anddates of action.

Notes: Providing false information may result in criminal prosecution or administrative sanctions.The above certification is part of the Proposal. Signing this Proposal on the signature portionthereof shall also constitute signature of this Certification.

Rev. 07/03/06F-ll

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c~.CERTIFICATION OF NON-SEGREGATED FACILITIES

(Applicable to federally assisted construction contracts and related subcontractsexceeding $10,000 which are not exempt from the Equal Opportunity Clause.)

The federally assisted construction contractor certifies that he does not maintainor provide for his employees any segregated facilities at any of his establishments, andthat he does not permit his employees to perform their services at any location, under hiscontrol, where segregated facilities are maintained. The federally assisted constructioncontractor certifies further that he will not maintain or provide for his employees anysegregated facilities at any of his establishments, and that he will not permit hisemployees to perform their services at any location, under his control, where segregatedfacilities are maintained. The federally assisted construction contractor agrees that abreach of this certification is a violation of the Equal Opportunity Clause in this contract.As used in this certification, the term "segregated facilities" means any waiting rooms,work areas, restrooms and wash rooms, restaurants and other eating areas, time clocks,locker rooms and other storage or dressing areas, transportation, and housing facilitiesprovided for employees which are segregated by explicit directive or are in factsegregated on the basis of race, creed, color, or national origin, because of habit, localcustom, or otherwise. The federally assisted construction contractor agrees that (exceptwhere he has obtained identical certifications from proposed subcontractors for specifiedtime period) he will obtain identical certifications from proposed subcontractors prior tothe award of subcontracts exceeding $10,000 which are not exempt form the provisionsofthe Equal Opportunity Clause, and that he will retain such certifications in his files.

The above certification is required by the Equal Employment Opportunity Regulations ofthe Secretary of Labor 41 CFR 60-1.8b, and must be submitted by the bidder andproposed subcontractors only in connection with contracts and subcontracts which aresubject to the equal opportunity clause. Contracts and subcontracts which are exemptfrom the equal opportunity clause are set forth in 41 CFR 60-1.5 (Generally onlycontracts or subcontracts of $10,000 or under are exempt).

Note: The above certification is part of the Proposal. Signing this Proposal on thesignature portion thereof shall also constitute signature of this Certification.Bidders are cautioned that making a false certification may subject the certifier tocriminal prosecution.

Rev. 07/03/06F-12

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NONLOBBYING CERTIFICATIONFOR FEDERAL-AID CONTRACTS

The prospective participant certifies, by signing and submitting this bid or proposal, to the bestof his or her knowledge and belief, that:

(I) No Federal appropriated funds have been paid or will be paid, by or on behalf of theundersigned, to any person for influencing or attempting to influence an officer oremployee of any Federal agency, a Member of Congress, an officer or employee ofCongress, or an employee of a Member of Congress in connection with the awarding ofany Federal contract, the making of any Federal grant, the making of any Federal loan,the entering into of any cooperative agreement, and the extension, continuation, renewal,amendment, or modification of any Federal contract, grant, loan, or cooperativeagreement.

(2) If any funds other than Federal appropriated funds have been paid or will be paid to anyperson for influencing or attempting to influence an officer or employee of any Federalagency, a Member of Congress, an officer or employee of Congress, or an employee of aMember of Congress in connection with this Federal contract, grant, loan, or cooperativeagreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosureof Lobbying Activities," in conformance with its instructions.

This certification is a material representation of fact upon which reliance was placed when thistransaction was made or entered into. Submission of this certification is a prerequisite formaking or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Anyperson who fails to file the required certification shall be subject to a civil penalty of not lessthan $10,000 and not more than $100,000 for each such failure.

The prospective participant also agrees by submitting his or her bid or proposal that he or sheshall require that the language of this certification be included in all lower tier subcontracts,which exceed $100,000 and that all such subrecipients shall certify and disclose accordingly.

Rev. 07/03/06F-13

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••

(

NOT APPLICABLEDISCLOSURE OF LOBBYING ACTIVITIES

COMPLETE THIS FORM TO DISCLOSE LOBBYING ACTIVITIES PURSUANT TO 31 USC 1352..1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type:

D a. contract D a. bidloffer/aoolication D a. initialb. grant b. initial award b. material changec. cooperative agreement c. post-awardd. loan For Material Change Only:e. loan guarantee year __ quarterf. loan insurance date of last report

4. Name and Address of Reporting Entity s, If Reporting Entity in No.4 is Subawardee,Enter Name and Address of Prime:o Prime o Subawardee

Tier ___ , ifknown

Congressional District. ifknown Congressional District. if known

6. Federal Department/Agency: 7. Federal Program Name!Description:

CFDA Number, if applicable

8. Federal Action Number, if known: 9. Award Amount, if known:

10. a. Name and Address of Lobby Entity b. Individuals Performing Services (including(If individual; last name, first name, MI) address if different from No. lOa)

(last name, first name, MI)

(attach Continuation Sheet(s) if necessary)

11. Amount of Payment (check all that apply) 13. Type of Payment (check all that apply)

s o actual o planned - a. retainer-- b. one-time fee12. Form of Payment (check all that apply): - c. commissionB a. cash - d. contingent fee

b. in-kind; specify: nature - e deferredvalue f. other, specify

14. Brief Description of Services Performed or to be performed and Date(s) of Service, includingofficer(s), employeets), or member(s) contacted, for Payment Indicated in Item 11:

(attach Continuation Sheet(s) if necessary)

IS. Continuation Sheet(s) attached: Yes 0 No 016. Information requested through this form is authorized by Title

31 V.S.c. Section 1352. This disclosure oflobbying reliance Signature:was placed by the tier above when his transaction was made orentered into. This disclosure is required pursuant to 31.V.S.C. Print Name:1352. This information will be reported to Congresssemiannually and will be available for public inspection. Any

Title:person who fails to file the required disclosure shall be subjectto a civil penalty of not less than $10,000 and not more than$100,000 for each such- failure. Telephone No.: Date:

Authorized for Local ReproductionFederal Use Only: Standard Form - LLL

Standard Form LLL Rev. 09·12~97

F-14

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c

c.~.'

INSTRliCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES

This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiationor receipt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C. section 1352. The filingof a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting toinfluence an officer or employee of any agency, a Member of Congress an officer or employee of Congress or an employee of aMember of Congress in connection with a covered Federal action. Attach a continuation sheet for additional information if thespace on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer tothe implementing guidance published by the Office of Management and Budget for additional information.

I. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence, theoutcome of a covered Federal action.

2. Identify the status of the covered Federal action.3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the

information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last,previously submitted report by this reporting entity for this covered Federal action.

4. Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District if known.Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subawardrecipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the first tier. Subawardsinclude but are not limited to subcontracts, subgrants and contract awards under grants.

5. If the organization filing the report in Item 4 checks "Subawardee" then enter the full name, address, city, state and zipcode of the prime Federal recipient. Include Congressional District, if known.

6. Enter the narne of the Federal agency making the award or loan commitment. Include at least one organization levelbelow agency name, ifknown. For example, Department of Transportation, United States Coast Guard.

7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the fullCatalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loancommitments.

8. Enter the most appropriate Federal identifying number available for the Federal action identification in item 1 (e.g.,Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant.or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes,e.g., "RFP-DE-90-001."

9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter theFederal amount ofthe award/loan commitments for the prime entity identified in item 4 or 5.

10. (a) Enter the full name, address, city, state and zip code of the lobbying entity engaged by the reporting entityidentified in item 4 to influenced the covered Federal action.(b) Enter the full names ofthe individual(s) performing services and include full address if different from 10 (a). EnterLast Name, First Name and Middle Initial (MI).

11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to thelobbying entity (item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check allboxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to bemade.

12. Check the appropriate box(es). Check all boxes that apply. If payment is made through an in-kind contribution,specify the nature and value of the in-kind payment.

13. Check the appropriate box(es). Check all boxes that apply. If other, specify nature.14. Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to

perform and the date(s) of any services rendered. Include all preparatory and related activity not just time spent inactual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s)employee(s) or Member(s) of Congress that were contacted.

15. Check whether or not a continuation sheet(s) is attached.16. The certifying official shall sign and date the form, print hislher name title and telephone number.

Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time forreviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing andreviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection ofinformation, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork ReductionProject (0348-0046), Washington, D.C. 20503.

F-15

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(-. CERTIFICATION OF COMPLIANCE WITH CHILD SUPPORT OBLIGATIONS"-'"_.

The undersigned hereby agrees that T. T. Polich & Associates, a Joint Ventur~il1:Name of Business

L Fully comply with all applicable State and Federal employment reporting requirements for itsemployees.

2. Fully comply with and implement all lawfully served Wage and earnings Assignment Orders andNotices of Assignment.

3. Certify that the principal owner(s) of the business are in compliance with any Wage and EarningsAssignment Orders and Notices of Assignment applicable to them personally.

4. Certify that the business will maintain such compliance throughout the terms of the contract.

5. This certification is a material representation off act upon which reliance was placed when the partiesentered into this transaction

6. The undersigned shall require that the language ofthis Certification be included in all subcontracts andthat all subcontractors shall certify and disclose accordingly.

c··.·' ..-' Upon signing below, the bidder by hislher signature affixed hereto declares under penalty of perjury thathelshe has read the Child Support Assignment Orders contained in the Citye s Ordinance No. 172401 andaccepts all the Citye s requirements contained therein throughout the duration ofthis project.

Signature TitleTyrone T. Polich

T.T. Polich & AssOCiates, a Joint VentureCompany Name

Date I

(

07/03/06F-16

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HIRING OF "LOCAL-HIRE" PERSONNEL IN CITY PROJECTS

The City requests that each contractor state his/her respective willingness tovoluntarily provide training and employment opportunities for "at-risk" individuals inthe community as detailed in the MAYOR'S EXECUTIVE ORDER No. PE-6.

Please note that your participation is entirely voluntary and no special benefits orfavors will be granted to those who volunteer for this innovative initiative. The Citytakes no responsibility for the personnel nor any costs resulting from this hiring. Allexisting contract provisions and applicable laws remain in place.

Procedure for Contractors to hire SNAP Workers as ApprenticesI. The interested contractor contacts a LA SNAP JOBS Coordinator at the

City's Bureau of Contract Administration, Jose Ramirez at (2i3) 847-2629,Rodger Shimatsu at (2i3) 847-2656, or Manny Perez at (213) 847-2651 toobtain a list of qualified community based organizations.

II. After selecting the desired candidate{s), the contractor sends them to SergioRascon, Business Manager of Laborers' Local 300 to be initiated as anapprentice.

III. Sergio Rascon initiates them into the Union.IV. Sergio Rascon sends the initiation papers to the State for approval.V. The State retums the approved initiation papers to Sergio Rascon indicating

that the candidate is in an apprentice program certified by the State.VI. The candidate is now eligible to work as an apprentice.

Instructions: Please check the appropriate box. Print or type the requiredinformation below. Sign and date the document. Turn in this formwith your bid proposal package.

Yes, we will participate in the voluntary program to provide training andemployment opportunities for "at-risk" individuals in the community asdetailed in the Mayor's Executive Directive No. PE-6.

o No, we will not participate in the voluntary program to provide training andemployment opportunities for "at-risk" individuals in the community asdetailed in the Mayor's Executive Directive No. PE-6.

T.T. Polich & Associates, a Joint VentureCompany Name

Tyrone T. Polich PartnerTitle

'1/10/01, D.;te

Print Name ./1 0

s:;--->~~~Signature

10/31/07F-17

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COMPLIANCECITY OF LOS ANGELESDepartment of Public Works

Bureau of Contract AdministrationOffice of Contract Compliance

1149 S. Broadway, 3m Floor, Los Angeles, CA 90015Phone: (213) 847-1922 - Fax: (213) 847-2777

EQUAL BENEFITS ORDINANCE COMPLIANCE FORMYour company must be certified as complying with Los Angeles Administrative Code Section 10.8.2.1, EqualBenefits Ordinance, prior to the execution of a City agreement. This form must be returned to the City departmentawarding the agreement. II responding to a request for bid/proposal, submit this form with the bid/proposal.

City Dept. Awarding Contract: Dept. of tublic Works Contact/Phone:

SECTION 1. CONTACTINFORMATIONCompany Name: T.T. Polich & Associates, a Joint VentureCompany Address: 1000 Orange Grove Blvd.-Unit 13City: Pasadena State: CA Zip: 91105--~------------~~~--~---Contact Person: Tyrone T. Polich Phone: 626/403-0472 Fax: 626/403-0478Iam a one-person contractor, and I have no employees. DYes liD No (if you answered 'Yes, ff go to Section 3)Approximate Number of Employees in the United States: -'2:.0°'-- _Are any of your employees covered by a collective bargaining agreement or union trust fund? DYes D No

SECTION 2. COMPLIANCE QUESTIONSHas your company previously submitted a Compliance Form and all supporting documentation? DYes D NoIf Yes, AND the benefits provided to your employees have not changed since that time, continue onto Section 3. IfNo, OR ifthe benefits provided to your emplovees have changed since that time. complete the rest of this form.e ,)In the table below, check all benefits that your company cyrrently provides to employees or to which youremployees have access. Provide information for each benefits carrier if your employees have access tomore than one carrier. Note: some benefits are available or apply to employees because they have a spouse ordomestic partner to whom the benefit applies, such as bereavement leave that allows an employee time offbecause of the death of a spouse or domestic partner; other benefits are provided directly to the spouse ord' h d" h h d' d dornssuc partner, sue as me leal Insurance t at covers t e soouse or ornesnc oarmer as a eoen ent.

BENEFIT(S) YOUR This Benefit Is This Benefit Is Available/Applies Available/Appliesto Domestic

COMPANY CURRENTLY Not Offered Available to to Spouses of Partners ofOFFERS to Employees Employees Employees

Emplovees1 w... Ith In~......nee II IQ' Name of "orrl 'r/"n

Hea th Carrier 1: 0 0 0 0Hea h Carrier 2: 0 0 0 0Daddttional carriers on attachment.

2 DAn'"t lnsuranee 'LI~' Nom .. nf ".rrl"rI,'"Dental Carrier 1: 0 0 0 0Dental Carrier 2: 0 0 0 0o additional carriers on attachment.

3 Vlsl"n Plan ILlst NamA nf CarrlArlsnVision Carrier 1: 0 0 0 0Visinn Carrier 2: 0 0 0 0

4 Pen.ionl401 k' Plans 0 0 0 05 Bereavement Leave 0 0 0 06 FamilY Leave 0 0 0 0 ~~,7 Parental Leave 0 0 0 08 Emolovee Assistance Pronram 0 0 0 09 Relocation & Travel 0 0 0 0

10 Comoanv Discount Facilities & Events 0 0 0 011 Credtt Union 0 0 0 012 Child Care 0 0 0 013 Other: 0 0 0 014 Other: 0 0 0 0

F-18aForm OCc/EBQ-l (Rev. 06/06) Page 1

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COMPLIANCE

c

YOU MUST SUBMIT SUPPORTING DOCUMENTATION TO VERIFY EACH BENEFIT MARKED. Without properdocumentation for each carrier and each benefit marked, your company cannot be certified as complying with theEBO.lf documentation for a particular benefit does not exist, attach an explanation. Refer to the "Documentation toVerify Compliance with the Equal Benefits Ordinance" fact sheet for more information on the type of documentationthat must be submitted to verify compliance with the EBO.

If in the Table in Section 2 you indicated that your company does not provide all benefits equally throughout itsentire operations to all your employees with spouses and employees with domestic partners of the same anddifferent sex, you may:

o a. Request additional time to comply with the EBO. Provisional Compliance may be granted toContractors who agree to fully comply with the EBO but need more time to incomorate the requirements ofthe EBO into their operations. Submit the Application for Provisional Compliance (OCC/EBO-3) andsupporting documentation with this Compliance Form.

o b. Request to be allowed to comply with the EBO by providing affected employees with the cashequivalent. Your company must agree to provide employees with a cash equivalent. In most cases, thecash equivalent is the amount of money equivalent to what your company pays for spousal benefits that areunavailable for domestic partners, or vice versa. Submit a completed Application for Reasonable MeasuresDetermination (OCC/EBO-2) and supporting documentation with this Compliance Form.

o c. Comply on a Contract·by·Contract Basis. Compliance may be granted on a contract-by-contract basisfor those Contractors who have multiple locations in the U.S. but cannot comply with the EBO throughoutthe Contractor's operations. Indicate below the compliance category you are requesting:o Contractor has multiple operations located both within and outside City limits. Contractor will comply with

the EBO only for the operation(s) located within City limits and for employee(s) located elsewhere in theUnited States who perform work relating to the City agreement. Supporting documentation for theaffected operation(s)/employees must be submitted.

o Contractor has no offices within City limits but does have (an) employee(s) working on the Cityagreement located elsewhere in the United States. Contractor will comply with the EBO only foremployee(s) located elsewhere in the United States who perform work relating to the City agreement.Supporting documentation for the affected employee(s) must be submitted.

SECTION 3. EXECUTE THE DECLARATION AND SUBMIT THE FORM TO THE AWARDING DEPARTMENTThis form must be returned to the City department awarding the agreement. If responding to a request forbid/proposal, submit this form with the bid/proposal to the awarding department. The awarding department willforward the form to the Department of Public Works, Bureau of Contract Administration, Office of ContractCompliance for review.

DECLARATION UNDER PENALTY OF PERJURYI declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct, andthat I am authorized to bind this entity contractually.

Executed this 10 'II. day of _A_u_gu_s_t , in the year _2_0_0_9__ , at Santa Ana

~

-::(C"'ity"")------·, -(S-tat-e)-

._ V. " ': /..J 1000 Orange Grove Blvd-Unit 131i9~9A!..-<.~ ~ "'Ma'"'il::-ing-A"'d"'dr-ess-'------------

Pasadena, CA 91105

CA

Tyrone T. PolichName of Signatory (please print) City,State,ZipCode

330861912Federal 10 Number

F-18bForm OCC/EBO-1 (Rev. 06106) Page 2

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COMPLIANCECITY OF LOS ANGELESDepartment of Public Works

Bureau of Contract AdministrationOffice of Contract Compliance

1149 S. Broadway Street, 3rd Floor, Los Angeles, CA 90015Phone: (213) 847-1922 - Fax: (213) 847-2777

DOCUMENTATION TO VERIFY COMPLIANCE WITH THE EQUAL BENEFITS ORDINANCESection 2 of the Equal Benefits Ordinance Compliance Form (Form OCC/EBO-1) requires that you submitsupporting documentation to the Office of Contract Compliance to verify that all benefits marked in your response(s)are offered in a nondiscriminatory manner. This list is intended to be used only as a guide for the type ofdocumentation needed.

Health, Dental, Vision Insurance: A statement from your insurance provider that spouses and domestic partnersreceive equal coverage in your medical plan. This may be in a letter from your.insurance provider or reflected in theeligibility section of your official insurance plan document. Note that "domestic partner" includes same-sex as wellas different-sex partners so that the definition of "domestic partner" contained in the plan document must includedifferent-sex partners.

Pension/401 (k) Plans: Documentation should indicate that participating employees may designate a beneficiary toreceive the amount payable upon the death of the employee. Submit a blank beneficiary designation form.

Bereavement Leave: Your bereavement leave or funeral leave policy indicating the benefit is offered equally. Ifyour policy allows employees time off from work because of the death of a spouse, it should also allow for time offbecause of the death of a domestic partner. If the policy allows time off for the death of a parent in-law or otherrelative of a spouse, it must include time off for the death of a domestic partner's equivalent relative.

Family Leave: Your company's Family and Medical Leave Act policy. All companies with 50 or more employeesmust offer this benefit. Your policy should indicate that employees may take leave because of the serious medicalcondition of their spouse or domestic partner.

Parental Leave: Your company's policy indicating that employees may take leave for the birth or adoption of achild. If leave is available for step-children (the spouse's child) then leave should also be made available for thechild of a domestic partner.

Employee Assistance Program (EAP): The benefit typically refers to programs that allow employees and theirfamily members access to counselors who provide short-term counseling and referrals to assist in dealing withissues such as family problems, addiction, and financial and legal difficulties. Your company's EAP policy mustconfirm that spouses, domestic partners and their parents and children are equally eligible (or ineligible) for suchbenefits. If provided through a third party, a statement from the third party provider regarding eligibility is required.

Relocation & Travel: Your company's policy confirming that expenses for travel or relocation will be paid on thesame basis for spouses and domestic partners of employees.

Company Discounts, Facilities & Events: Your company's policy confirming that to the extent discounts, facilities(such as a gym) and events (such as a company holiday party) are equally available to spouses and domesticpartners of employees.

Credit Union: Documentation from the credit union indicating that spouses and domestic partners have equalaccess to credit union services.

Child Care: Documentation that the children of spouses (step-children) and children of domestic partners haveequal access to child care services.

C. Other Benefits: Documentation of any other benefits listed to indicate that they are offered equally.

F-18cForm OCC/EBO-1 (Rev. 06106) Page 3

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PROVISIONAL COMPLIANCECITY OF LOS ANGELESDepartment of Public Works

Bureau of Contract AdministrationOffice of Contract Compliance

1149 S. Broadway Street, 3'd Floor, Los Angeles, CA 90015Phone: (213) 847-1922 - Fax: (213) 847-2777

APPLICATION FOR PROVISIONAL COMPLIANCE WITH EQUAL BENEFITS ORDINANCECOMPLETE AND SUBMIT THIS FORM ONLY IF APPLICABLE. Contractors entering into, amending, or biddingon a City contract who agree to comply with the Equal Benefits Ordinance ("EBO") but need more time toincorporate the requirements of the EBO into their operations must submit this form, and supporting documentation,to the Department of Public Works, Bureau of Contract Administration, Office of Contract Compliance ("OCC').(This form must be submitted with the EBO Compliance Form OCC/EBO-1.) The Contractor may be grantedadditional time to incorporate the requirements of the EBO only in the circumstances indicated below. Fill out allsections that apply. Attach additional sheets if necessary.

__ A. OPEN ENROLLMENT FOR HEALTH, DENTAL ANDIOR VISION INSURANCE PLANSThe Contractor may be granted additional time to implement the requirements of the EBO if equal benefits cannotbe provided until after the first open enrollment process following the date the contract with the City is executed. Toqualify, the Contractor must submit evidence that reasonable efforts are being undertaken to implement therequirements of the EBO. Additional time granted may not exceed two years from the date the contract with the Cityis executed, and applies only to benefits for which an open enrollment period is applicable.

____ - Date domestic partner (same and different sex) coverage will become effective.

You must submit copies of correspondence between your company and your insurance provider(s)documenting your effort to obtain domestic partner coverage for same- and different-sex couples. Youshould also submit verification of the next open enrollment date or the date the benefits become available.c..··.. ",'

__ B. ADMINISTRATIVE ACTIONS AND REQUESTS FOR EXTENSIONThe Contractor may be granted additional time to implement the requirements of the EBO if the administrativeactions necessary to incorporate the EBO cannot be completed prior to the date that the contract with the City isexecuted. Additional time granted for the completion of the administrative action shall apply only to those benefitsthat require administrative actions and may not exceed three months. Upon written request by the Contractor and atthe discretion of the OCC, the Contractor may be granted additional time to complete the administrative actions.Administrative actions may include personnel policy revisions and the development and distribution of employeecommunications.

Describe below or on an attachment the administrative actions needed and the anticipated completion dates.Attach supporting documentation such as the relevant portions of your current policy and the changes youplan to make.

If you are requesting an extension beyond three months, explain why more than three months is needed and attachany supporting documentation that may be relevant.

(

F-18dForm OCC/EBO-3 (Rev. 06/06) Page 1

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PROVISIONAL COMPLIANCE__ C. COLLECTIVE BARGAINING AGREEMENTSCompliance with the EBO may be delayed until the expiration of a Contractor's current collective bargainingagreement{s) (CBA). When the CBA is renegotiated, the Contractor must propose to the union for incorporationinto the CBA the EBO requirements so that all benefits provided to employees with spouses are also extended toemployees with domestic partners. Provisional compliance status may be granted if all of the following conditionsare met.

1. The provision of some or all of the benefits offered to the Contractor's employees are governed by one or moreCBA{s) but domestic partner coverage for same- and different-sex couples is not offered under the CBA{s).

Required Information: Indicate below the name of each CBA for which Provisional Compliance is beingrequested and the time period the CBA covers. 1 1 130/20teamsters 7 1 09 6 10

Name of Bargaining Unit: carpenters Start.date:7/1 106 End date: 6/30/2010Name of Bargaining Unit: cement masons Start date: 7/1109 End date: 6/3012011Name of Bargaining Unit: operat; ng eng; neers Start date: 7/1/07 End date: 6/30/2010

laborers . 771709 6730720122. The Contractor agrees to propose to the union that the EBO requirements be incorporated into each of the

CBA{s) by signing the statement below.

When the CBA is renegotiated, we will propose to the union that the EBO requirements beincorporated into the CBA so that all benefits provided to employees with spouses will be extendedto employees with same or different sex domestic partners. After the CBA expires, we will provide,upon request by the City, reports on the status of the efforts to incorporate the EBO requirementsinto the CBA.

By the end of negotiations, we agree to notify the OCC of the result by submitting a statement whichwill indicate: (1) when the issue of same and different sex domestic partners was raised duringnegotiations; and (2) whether or not the EBO requirements was incorporated into the CBA. Weunderstand that a separate statement must be submitted for each CBA for which ProvisionalCompliance was requested.

Trone T. Polich PartnerNameof Signatory(Print) Title

3. For benefits not strictly governed by a CBA, the Contractor must establish policies so that those benefits areprovided in accordance with the requirements of the EBO. For example, the Contractor may be required toexpand the existing bereavement leave policy to allow an employee with a domestic partner time off in event ofthe domestic partner's death even if the CBA does not require the employer to do so.

Required documentation: A listing of benefits not strictly governed by the CBA along with the Contractor'spolicies as they relate to those benefits.

EXECUTE THE DECLARATION AND SUBMIT THE FORM TO THE AWARDING DEPARTMENT: This form, andthe Equal Benefits Ordinance Compliance Form (Form OCC/EBO-1) must be returned to the City departmentawarding the agreement. If responding to a request for bid/proposal, submit this form with the bid/proposal to theawarding department. The awarding department will forward the form to the OCC for review.

DECLARATION UNDER PENAL TV OF PERJURYIdeclare under penalty of perjury under the laws of the State of California that the foregoing is true and correct, andthat Iam authorized to bind this entity contractually.

Executed this /01A) day of August , in the year _2o_o_9 , at Santa Ana

~

CA,--(State)

T.T. Polich & Associates, a Joint Ventur PartnerNameof Company Nameof Signatory(Print)

Tyrone T. PolichSignature Title

F-18eFormOCC/EBO·3 (Rev.06106) Page 2

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REASONABLE MEASURES

(.•. -..;.:."

CITY OF LOS ANGELESDepartment of Public Works

Bureau of Contract AdministrationOffice of Contract Compliance

1149 S. Broadway Street, 3'd Floor, Los Angeles, CA 90015Phone: (213) 847-1922 - Fax: (213) 847-2777

APPLICATION FOR REASONABLE MEASURES DETERMINATION· CASH EQUIVALENT COMPLIANCE

T.T. Polich & Associates, a Joint Venture 330861912Nameof Company FederallD Number

1000 Orange Grove Blvd.-Unit 13 Pasadena CA 91105StreetAddress City, State Zip

Tyrone T. Polich 626/403-0472 626/ 403-0478ContactPerson/Title TelephoneNumber FaxNumber

Before the Department of Public Works, Bureau of Contract Administration. Office of Contract Compliance (OCC) will approvea contractor's application to comply with the Equal Benefits Ordinance (EBO) by paying a cash equivalent the OCC mustdetermine that: (a) the contractor has made a reasonable yet unsuccessful effort to provide equal benefits; or (b) under thecircumstances, it would be unreasonable to require the contractor to provide benefits to domestic partners (or spouses ifapplicable). To apply, contractors must submit:

1. An explanation and documentation that demonstrates: (a) the Contractor has made a reasonable, yet unsuccessful,effort to provide equal benefits; or (b) under the circumstances, it would be unreasonable to require the contractor toprovide equal benefits rather than paying the cash equivalent. See EBO Regulation #2B(1 )(a) and #2B(1 )(bl.

2. This completed application. Fill in the company's information, then read and sign the acknowledgement below.3. A completed Equal Benefits Ordinance Compliance Form (Form OCC/EBO-1). Be certain that box 'b" on page two of the

form is checked.4. A draft of the memorandum that will be distributed to affected employees informing them of the cash equivalent option.5. Copies of the revised policies, such as bereavement, for which the cash equivalent is not applicable.

If approved by the OCC, a contractor will be allowed to comply with the EBO by paying its employees with domestic partnersthe cash equivalent of benefits made available to the spouses of its employees. The cash equivalent is the difference betweenthe amount an employer pays to provide an employee with spousal or family coverage and the amount that an employer paysto provide an employee with employee-only coverage. For example, an employer pays $200 per month to provide benefits foran employee and his/her spouse, and $150 per month to provide benefits for an employee with employee-only coverage. Thecash equivalent that must be paid to the employee with a domestic partner is $50 per month.

For benefits for which a cash equivalent is not applicable, such as bereavement leave, the employer must amend its policies sothat domestic partners are treated in the same manner as spouses. For example, if the policy allows an employee three daysoff in the event of the death of a spouse or the spouse's parents, the policy must be amended to allow an employee three daysoff in the event of the death of a domestic partner or the domestic partner's parents.

ACKNOWLEDGEMENT REGARDING APPLICATIONI declare under penalty of perjury under the laws of the State of California that I am authorized to bind thecompany/entity listed above. Iunderstand that this Application must be approved by the OCC before compliance bypaying the cash equivalent will be allowed. By siqning below, Iagree on behalf of the company that if this Applicationis approved by the OCC, the company will comply with the EBO by providing employees with domestic partners thecash equivalent of the benefits that are made available to employees with spouses. For those benefits to which thecash equivalent is not applicable, such as for bereavement leave or family leave, the company agrees to amend itspoliCies so that the domestic partners of employees will be treated in the same manner as the spouse of an employee.The relatives of domestic partners will be treated in the same manner as relatives of spouses. The company furtheragrees to provide a memorandum notifying our affected employees of the availability of the cash equivalent option ifthey have domestic lartners for whom equal benefits cannot be provided.

Executed this '/0 Mday of August , in the year 200 at Santa Ana----~(C~I~~)--------------~Partner

CA

Nameof Signatory(Print) Signature TitleTrone T. Polich

F-18fFormOCC/EBO-2(Rev.06/06)

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c:CITY OF LOS ANGELESDepartment of Public Works

Bureau of Contract AdministrationOffice of Contract Compliance

1149 S. Broadway Street, 3,dFloor, Los Angeles, CA 90015Phone: (213) 847-1922 - Fax: (213) 847-2777

INSTRUCTIONS FOR COMPLETING EQUAL BENEFITS ORDINANCE FORMS

1. Start with the Equal Benefits Ordinance (EBO) Compliance Form (Form OCC/EBO-1). Your company must bedetermined to be in compliance with the ESO before a contract with the City may be executed. In Section 2 of theform, indicate what benefits your company currently offers its employees. If a benefit is not offered, indicate thebenefit is not offered.

If your company currently does not offer equal benefits to employees with spouses and employees with same ordifferent sex domestic partners, you may, on page two of the EBO Compliance Form, request one of the followingby checking the appropriate box on the form:a. Ftequest additional time to come into compliance with the EBO. This is available to contractors who agree

to fully comply with the EBO but need additional time to add domestic partner coverage, to change companypolicies, or to negotiate the addition of domestic partner coverage to a collective bargaining agreement.Complete the Application for Provisional Compliance (Form OCC/EBO-3) and return it with the EBOCompliance Form (Form OCC/ESO-1). You must submit supporting documentation to verify why additional timeis needed.

b. Request to be allowed to comply with the EBO by providing employees the cash equivalent. This isavailable to contractors who meet both of the following: (1) agree to provide employees with domestic partnersthe cash equivalent of the benefits offered to employees with spouses; and (2) have demonstrated that theyhave taken reasonable yet unsuccessful efforts to comply, or that it would be unreasonable under thecircumstances to require the contractor to provide equal benefits rather than pay the cash equivalent toemployees. Complete the Application for Reasonable Measures Determination (Form OCC/EBO-2) and returnit with the ESO Compliance Form (Form OCC/EBO-1). You must submit the supporting documentationrequested in the Reasonable Measures Form.

c. Request to be allowed to comply with the EBO on a contract-by-contract basis. If your company can onlycomply with the ESO for those locations or employees covered by the EBO, you may apply for compliance on acontract-by-contract basis. Contact the Department of Public Works, Office of Contract Compliance foradditional information. Check the appropriate box on the EBO Compliance Form (Form OCC/EBO-1) andsubmit supporting documentation regarding the locations and employees affected by the EBO.

2. Obtain supporting documentation. The City must verify that each benefit offered by your company is offeredequally. Refer to the EBO supporting documentation information sheet for the type of documentation that will berequired. You must submit supportinq documentation for each benefit checked in Question 2 of the EBOCompliance Form (Form OCC/EBO-1).Unless otherwise specified in the RFB/RFP/RFQ, you do not need to submit supporting documentation with thebid or proposal. However, because supporting documentation will be required if you are selected for award of acontract, you must have the supporting documentation readily available for submission. A delay in the submission ofdocumentation will result in a delay in the execution of your contract. If you have already been notified that youhave been selected for the award of a contract, supporting documentation must be submitted immediatelyto avoid delays.

3. Submit the EBO Compliance Form (Form OCC/EBO-1) to the awarding department. If you are requestingadditional time to comply or to be allowed to pay employees the cash equivalent, you must also submit theappropriate forms (see #1 above) and supporting documentation with the ESO Compliance Form.

4. The forms and documentation will be forwarded to the Office of Contract Compliance for review. If additionalinformation or supporting documentation is needed, the Contractor Enforcement Section will contact you to obtainthe information. Because your contract cannot be executed Until you have been determined to be incompliance with the EBO. you must respond promptly to any request for additional information.\

F-18gForm QCC/ESQ·10 (Rev. 06/06)

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BCA 168(6-11-07) DEPARTMENT OF PUBLIC WORKS

Bureau of Contract Administrationc ELECTRICAL SAFETY POLICY - IMPLEMENTATION PLAN

North Main St. over Los Angeles River aA,I,E,700203FPROJECT: ~ ...,dINSPECTOR: ------DATE:---------

THE CONTRACTOR SHALL: PLAN AND IMPLEMENT THE ELECTRICAL SAFETYPOLICY IN ACCORDANCE WITH THE BOARD OF PUBLIC WORKS POLICY:

Electrical work is to be performed by Journeyman Electrician, Transportation System Electrician,Transportation System Technician, or Apprentices currently being trained in a California Approved ElectricalApprenticeship Program under the supervision of a Journeyman Electrician.

APPRENTICES AND JOURNEY -lEVEL WORKERS:

The use of Journey-Level workers wi" comply with a" State of California labor laws.

All apprentices will be registered in a State of California Approved Apprenticeship Program

THE WORKFORCE OF PROJECTS DESIGNATED AS REQUIRING "ENHANCED ELECTRICALSAFETY CRITERIA" SHALL COMPLY WITH THE FOLLOWING:

70"1. of all UJourneyman Wiremen" will be graduates of. State of California Approved EleetricalApprenticeship Program or hold a valid C·IO California Contractor'. License Issued by the State ofCalifornia.

20 % of the jobsite electrical workers will be OSHA 10-hour General Industry Safely and HealthCertified.

At least one jobsite electrical worker will be OSHA 30-hour General Industry Safely anelHeaHhCertified.

The required workforce ratios will be determined by verifying the. workforce composition on adaHybasis.

Electrical Work is defined as placement, installation, erection, or connection of any electrical wires,fixtures, appliances, apparatus, raceways, conduits, solar photovoltaic cells, or any part thereof, whichgenerates, transmits, transforms, or utilizes electrical energy in any form or for any purpose regardless ofvoltage.

FAILURE TO FULLY IMPLEMENT AND MONITOR THE ELECTRICAL SAFETY POLICY MAYRESULT IN AN ASSESSMENT OF PENALTIES ANDfORl'OSSIBLE SANCTIONS AGAINST THECONTRACTOR.

Distribution: ContractorJob FOeProject Engineer

As the contractor's representative, I understand and agree to complywith the above Electrical Safety POlicy.

~&OX~ SignatureTyrone T. Polich

I bate

F-19