Contract - Insituform - 2016-03-24 CONTRACT
THIS AGREEMENT is made and entered into this,¢day of March,2016 by and between
the COSTA MESA SANITARY DISTRICT,hereinafter referred to as"DISTRICT"and INSITUFORM
TECHNOLOGIES, LLC, a Delaware limited liability company, hereinafter referred to as
"CONTRACTOR."
WITNESSETH
That for and in consideration of the promises and agreements hereinafter made and
exchanged, DISTRICT and CONTRACTOR mutually agree as follows:
1. Scope of the Work. That CONTRACTOR shall perform all the work and shall
provide and furnish all the labor, materials, necessary tools, expendable equipment, and all utility
and transportation services required to construct: CMSD Project#310 Indus Sewer and
Manhole Rehabilitation.
2. Labor and Materials. All of said work to be performed and materials to be furnished
shall be in strict accordance with the plans and specifications entitled_CMSD#310 Indus Sewer and
Manhole Rehabilitation,and CONTRACTOR agrees to do everything required by this Contract and the
Contract Documents including the plans and specifications and any general conditions.
All labor, materials,tools,equipment and services shall be furnished on work performed,and
under the direction, administration and subject to the approval of DISTRICT or its authorized
representatives.
CONTRACTOR warrants that it will not purchase mined construction material for this
PROJECT except from a mining operation that is currently identified in the list published pursuant to
subdivision (b) of Section 2717 of the Public Resources Code. Refer to the current 3098 list for
qualified mining operations at www.consrv.ca.gov/OMR/ab_3098_list/current_list.
3. Time of Completion. CONTRACTOR agrees to commence the work to be performed
under this Contract within five (5) days of receipt of the "Notice to Proceed" and to diligently
prosecute the work to completion before the expiration of 30 working days from the date of
commencement. "Working days" means all calendar days except Saturdays, Sundays, and legal
holidays.
4. Time of the Essence. Time is of the essence of this Contract.
5. Liquidated Damages/Delay Damages. It is agreed by the parties hereto that in case
the total work called for hereunder in all parts and requirements is not finished or completed within
the number of working days as set forth herein,damage will be sustained by the DISTRICT,and that
it is and will be impractical and extremely difficult to ascertain and determine the actual damage
which the DISTRICT will sustain in the event of and by reason of such delay; and it is therefore
agreed the CONTRACTOR will pay to the DISTRICT the sum of TWO HUNDRED FIFTY and
00/100 Dollars ($250.00) per calendar day for each and every day of delay in finishing the work in
excess of the number of days prescribed in paragraph 3 and the CONTRACTOR agrees to pay said
liquidated damages herein provided for, and further agrees that the DISTRICT may deduct the
amount thereof from any monies due or that may become due the CONTRACTOR hereunder.
The CONTRACTOR will be granted an extension of time and will not be assessed with
liquidated damages for any portion of the delay in completion of the work beyond the time named
herein for the completion of the work due to unforeseeable causes beyond the control and without
the fault or negligence of the CONTRACTOR, including but not restricted to acts of God or of the
public enemy, fire, floods, epidemics, quarantine restrictions, strike, and unsuitable weather, or
delays of subcontractors due to such causes, provided CONTRACTOR submits timely notification
and a written Request for Change Order as required herein.
The CONTRACTOR shall within ten(10)days from the beginning of any such delay(unless
the DISTRICT shall grant a further period of time prior to the date of final settlement of the Contract)
notify the District Engineer in writing of the cause of the delay,and the District Engineer shall extend
the time for completing the work if in the District Engineer's judgment the cause so merits. The
District Engineer's determination on this matter shall be final and conclusive on the parties hereto.
CONTRACTOR shall also be required to submit a written Request for Change Order to District
Engineer within fifteen (15)days of the date of such delay. No adjustment shall be allowed for such
delay unless strict compliance with this contractual provision is effected. CONTRACTOR's remedy
shall be limited to the extra days granted and to any damages that he may be entitled to using the
formula agreed to by the parties for all damages as provided in Paragraph 28.
6. The Contract Sum. DISTRICT agrees to pay and CONTRACTOR agrees to accept
in full payment for the work above agreed to be done the sum of: Two Hundred Eighteen
Thousand Four Hundred Fifty-eight and 00/100 Dollars ($218,458.00).
7. Progress Payments. Prior to the fifteenth day of the month next following the
commencement of the work,there shall be paid to CONTRACTOR a sum equal to 90 percent of the
value of the work completed since the commencement of the work as determined by the District
Engineer and thereafter prior to the fifteenth day of each successive month as the work progresses.
CONTRACTOR shall be paid such sum as will bring the payments up each month to 90 percent of
the value of the work completed since the commencement of the work as determined by the District
Engineer,less all previous payments,provided that CONTRACTOR submits his request for payment
prior to the last Wednesday of each preceding month. DISTRICT shall make the final payment, if
unencumbered, or any part thereof unencumbered, 35 days after the acceptance of the work and
the filing of a Notice of Completion. Payments shall be made on demands drawn in the manner
required by law, accompanied by a certificate signed by the District Engineer, stating that the work
for which payment is demanded has been performed in accordance with the terms of the Contract,
and that the amount stated in the certificate is due under the terms of the Contract. Partial
payments on the Contract price shall not be considered as an acceptance of any part of the work.
8. Prompt Payments. DISTRICT agrees to promptly make progress payments on
undisputed and properly submitted payment requests within thirty(30)days and to comply with the
provisions of Public Contract Code Section 20104.50.
9. Retention Securities. Pursuant to California Contract Code Section 22300,
CONTRACTOR will be entitled to post approved securities with the DISTRICT or an approved
financial institution in order to have the DISTRICT release funds retained by the DISTRICT to insure
performance of the Contract.
10. Specifications. The Standard Specifications for Public Works Construction, also
known as the Greenbook, latest edition, shall be controlling unless a different specification is
called out in the Contact Documents, including the Costa Mesa Sanitary District's Standard
Plans and Specifications for the Construction of Sanitary Sewers and the plans and
specifications for CMSD Project#310 Indus Sewer and Manhole Rehabilitation.
11. Change Orders.Change order requests shall be submitted to the District Engineer in
writing who shall have discretion to determine the merit of the change order request. The District
Engineer may approve or disapprove change orders in his discretion except that any change order
resulting in an increase of the Contract price shall be co-signed by the District Manager and/or
approved by the Board of Directors. No amendments, modifications,or waivers of Contract terms or
the Contract Documents, including additional compensation for extra work,will be allowed absent a
written Change Order signed by both parties.
12. Prevailing Wage Rates. DISTRICT has ascertained the general prevailing rate of
per diem wages and the general prevailing rate for legal holidays and overtime work in the locality in
which the work is to be performed for each craft or type of work needed to execute this Contract,
and the same has been placed on file with the District Clerk at the District's principal office.Said per
diem wages can be obtained on the Internet at http://www.dir.ca.gov/dlsr/DPreWageDetermination
htm. Said per diem wages are deemed to include employer payments for health and welfare,
pension,vacation, and travel time and subsistence pay,all in accordance with sections 1773.1 and
1773.8 of the Labor Code of the State of California. No contractor or subcontractor shall be awarded
a contract for a public work unless registered with the Department of Industrial Relations pursuant to
Labor Code Section 1725.5. Contractor agrees to comply with this requirement and to file his payroll
records electronically.
13. Discrimination, Minorities, Aliens. The CONTRACTOR shall not unlawfully
discriminate nor allow its employees,agents, principals,or subcontractors to unlawfully discriminate
against any employee or applicant for employment on the basis of race, religious creed, national
origin or sex.
14. Compliance with Davis-Bacon Act. This provision does not apply to this Contract.
15. Payroll Records. The provisions of section 1776 of the Labor Code of the State of
California regarding the preparation, maintenance and filing of payroll records are applicable to this
Contract. Specifically, each CONTRACTOR and subcontractor shall keep an accurate electronic
payroll record,showing the name,address,social security number,work classification,straight time
and overtime hours worked each day and week, and the actual per diem wages paid to each
journeyman, apprentice or worker employed by him in connection with the public work. THE
CONTRACTOR'S AND SUBCONTRACTOR'S PAYROLL RECORDS SHALL BE SUBMITTED TO
THE DISTRICT ENGINEER FOR REVIEW ON A WEEKLY BASIS. THE CONTRACTOR SHALL
BE RESPONSIBLE FOR SUBMITTAL OF SUB-CONTRACTOR'S PAYROLL RECORDS.
16. Penalty. CONTRACTOR shall,as a penalty to the DISTRICT,forfeit up to$50.00 for
each calendar day or portion thereof for each workman paid (either by him or any subcontractor
under him)less than the prevailing rate set forth herein on the work provided for in this Contract,all
in accordance with section 1775 of the Labor Code of the State of California.
17. Apprentices. If applicable, the provisions of Labor Code Section 1777.5 requiring
the use of apprentices in certain ratios to journeymen are hereby imposed upon CONTRACTOR.
18. Legal Dav's Work. In the performance of this Contract, not more than eight (8)
hours shall constitute a day's work, and the CONTRACTOR shall not require more than eight (8)
hours of labor in a day from any person unless the CONTRACTOR complies will all applicable Labor
laws. CONTRACTOR shall conform to Article 3, Chapter 1, Part 7 (section 1810, et seq.) of the
Labor Code of the State of California, and it is agreed that the CONTRACTOR shall forfeit to the
DISTRICT as a penalty the sum of $25.00 for each workman employed in the execution of this
Contract by the CONTRACTOR or any subcontractor for each calendar day during which any
workman is required or permitted to labor more than eight (8) hours in any one calendar day and
forty(40) hours in any one week in violation of said article.
19. Subcontracting. CONTRACTOR acknowledges that he is aware of the provisions
of the "Subletting and Subcontracting Fair Practices Act" (Public Contract Code Section 4100 et
seq.)and that he agrees to comply with all applicable provisions thereof. If any part of the work to
be done under this Contract is subcontracted, the subcontract shall be in writing and shall provide
that all work to be performed thereunder shall be performed in accordance with this Contract. Upon
request, certified copies of any or all subcontracts shall be furnished to the District Engineer or
DISTRICT. The subcontracting of any or all of the work to be done will in no way relieve the
CONTRACTOR of any part of his responsibility under the Contract. Breach of any of the above
provisions will be considered a violation of the Contract, and the DISTRICT may: cancel the
Contract, assess the CONTRACTOR a penalty of not more than 10 percent of the subcontract
involved, or cancel the Contract and assess the penalty.
All persons engaged in the work, including subcontractors,will be considered employees of
the CONTRACTOR. He will be held responsible for their work. The DISTRICT will deal directly with
and make all payments to the CONTRACTOR.
20. Workers' Compensation. CONTRACTOR shall carry Workers' Compensation
Insurance and require all subcontractors to carry Workers'Compensation Insurance as required by
the Labor Code of the State of California. CONTRACTOR, by executing this Contract, hereby
certifies:
"I am aware of the provisions of Section 3700 of the Labor Code
which require every employer to be insured against liability for
Workers' Compensation or to undertake self-insurance in
accordance with the provisions of that code, and I will comply with
such provisions before commencing the performance of the work of
this Contract."
21. Drug-Free Work. CONTRACTOR agrees to provide a drug-free workplace in
accordance with 24 CFR part 24, sub-part F. Under 24 CFR part 24 sub-part F., the
CONTRACTOR will provide certification in writing that it will provide a drug-free workplace by:
(a). Publicizing a statement notifying employees that the unlawful manufacture,distribution,
dispensing, possession or use of a controlled substance is prohibited in the workplace and
specifying the action it will take against employees for violation of such prohibition;
(b). Establish an ongoing drug-free awareness program to inform employees about-
1. Degrees of drug abuse in the workplace;
2. The policy of maintaining a drug-free workplace;
3.Any available drug counseling, rehabilitation and employee assistance programs;
4. The penalties which may be imposed on employees for drug abuse violations
occurring in the workplace.
(c). Making it a requirement that every employee to be engaged in the performance of the
Contract be given a copy of the statement required by paragraph (a);
(d). Notifying employees in the statement required by paragraph (a) that as a condition of
employment under the Contract the employee will -
1. Abide by the term of the statement; and
2. Notify the employer in writing of any conviction for a violation of a criminal drug
statute occurring in the workplace no later than five (5) calendar days after such
conviction.
(e). Notify the DISTRICT in writing,within ten(10)calendar days after receiving notice under
subparagraph (d) (2) from an employee or otherwise receiving actual notice of such
conviction. Employer of said convicted employee must provide notice, including conviction
title, to the DISTRICT;
(f). Taking one of the following actions, within thirty (30) calendar days of receiving notice
under subparagraph (d) (2), with respect to any employee who is so convicted -
1. Taking appropriate action against such an employee, up to and including
termination, consistent with the requirements of the Rehabilitation Act of 1973, as
amended; or
2. Requiring such employee to participate satisfactorily in a drug abuse assistance or
rehabilitation program approved for such purposes by a Federal, State or local
health, law enforcement, or other appropriate agency.
(g). Making a good faith effort to continue to maintain a drug-free workplace through
implementation of paragraphs (a), (b), (c), (d), (e) and W.
22. Bonds. CONTRACTOR shall, prior to the execution of the Contract,furnish bonds
approved by DISTRICT,one in the amount of one hundred percent(100%)of the Contract price,to
guarantee the faithful performance of the work, and the other in the amount of one hundred percent
(100%) of the Contract price to guarantee payment of all claims for labor and materials furnished.
This Contract shall not become effective until such bonds are supplied to and approved by
DISTRICT. All bonds shall be issued by an admitted surety insurer and the DISTRICT reserves the
right to object to any such surety, in accordance with Code of Civil Procedure Section 995.660.
23. CONTRACTOR'S Affidavit. After the completion of the work contemplated by this
Contract, CONTRACTOR shall file with the District Engineer his affidavit stating that all workmen
and persons employed, all firms supplying materials, and all subcontractors upon the project have
been paid in full, and that there are no claims outstanding against the project for either labor or
material,except certain items, if any,to be set forth in an affidavit covering disputed claims,or items
in connection with a Notice to Withhold,which have been filed under the provisions of the statutes of
the State of California.
24. CONTRACTOR'S Waiver. CONTRACTOR agrees to execute a Final Close Out
Agreement and Release of All Claims. The execution by CONTRACTOR of the Final Close Out
Agreement and Release of All Claims shall constitute a waiver of all claims against DISTRICT under
or arising out of this Contract unless otherwise stated in said document.
25. Notice to Proceed. No work, services, material or equipment shall be performed or
furnished under this Contract unless and until a "Notice to Proceed" has been given to the
CONTRACTOR by the District Engineer and all bonds and certificates of insurance required
pursuant hereto have been furnished to and approved by DISTRICT.
26. Termination.
A. If CONTRACTOR should fail to comply with any of the provisions hereof,or in the
event CONTRACTOR should become the subject of a proceeding under state or federal law for
relief of debtors, or if CONTRACTOR makes an assignment for the benefit of creditors, DISTRICT
shall have the right to hold CONTRACTOR in default and cancel this Contract in whole or in part.
B. Should CONTRACTOR, at any time during the progress of the work, refuse or
neglect to supply sufficient material or labor, or fail to comply with any provision of this Contract,
DISTRICT shall have the right,without prejudice to any other right or remedy it may have,to provide
such materials and labor, or make good such deficiencies as DISTRICT may deem expedient after
three(3)days notice in writing,delivered or mailed to CONTRACTOR at his last address on file with
DISTRICT, and CONTRACTOR shall be liable for the cost and expense thereof which may be
deducted by DISTRICT from any money that may be due CONTRACTOR.
C. Without limiting any rights which DISTRICT may have by reason of any default by
CONTRACTOR hereunder, DISTRICT reserves the right to terminate this Contract in whole or in
part at its convenience. In such event DISTRICT shall compensate CONTRACTOR, subject to
deduction for previous payments(i)by reimbursing CONTRACTOR for all actual expenditures and
costs incurred in performing under this Contract (ii) by reimbursing CONTRACTOR for all
expenditures made and costs incurred with DISTRICT'S prior written approval in settling or
discharging outstanding commitments entered into by CONTRACTOR in performing under this
Contract and (iii) by paying CONTRACTOR as a profit, insofar as a profit is realized hereunder, an
amount equal to the profit on the entire Contract estimated at the time of termination, multiplied by
the percentage of completion of the work. In no event, however, will the compensation to
CONTRACTOR exceed the total Contract price less payments previously made and less the
Contract price of work not terminated. Upon receipt of any notice of termination, CONTRACTOR
shall, unless the notice otherwise directs, (i)immediately discontinue the work and the placing of all
orders and subcontracts in connection with this Contract, (ii) immediately cancel all existing orders
and subcontracts made hereunder and (iii)immediately transfer to DISTRICT all materials,supplies,
work-in-process,appliances,facilities,equipment, machinery and tools acquired by CONTRACTOR
in connection with the performance of this Contract.
27. CONTRACTOR'S Independent Investigation. No plea of ignorance of conditions
that exist or that may hereafter exist, or of conditions or difficulties that may be encountered in the
execution of the work under this Contract,as a result of failure to make the necessary independent
examinations and investigations, and no plea of reliance on initial investigations or reports prepared
by District Engineer and/or DISTRICT for purposes of letting this Contract out to bid, will be
accepted as an excuse for any failure or omission on the part of the CONTRACTOR to fulfill in every
detail all requirements of the Contract Documents. Nor will such reasons be accepted as a basis for
any claims whatsoever for extra compensation or for an extension of time.
28. Damages/Extra Work Compensation. The parties have agreed to modify the
formula for damages set forth in the Standard Specifications for Public Works Construction. The
parties agree that the damage formula shall be used to measure all of CONTRACTOR's damages
or extra work required by this job. CONTRACTOR shall be limited to the following:
Direct costs Mark-up
Labor 20%
Materials 15%
Equipment Rental 15%
Other Items 15%
Subcontracted work 10% (first $5000)
Subcontracted work 5% (work in excess of first$5000)
Specialty Subcontracting
(required by extra work) 5% (Provided at least three
competitive bids are obtained
and contractor selected the
lowest bidder)
Excluded from recovery shall be so-called "Eichleay damages"including, but not limited to,
home office overhead, insurance and bonding costs, lost bonding capacity, lost profits, and lost
interest.
CONTRACTOR acknowledges that his recovery for damages or extra work is limited as
provided in this paragraph.
CONTRACTOR's
Initials U5'I
29. Other Documents Included. It is further agreed by the parties hereto that the
following documents are incorporated into this Contract by reference and are to be read and
construed together as the full, complete and integrated terms of this Contract:
A. Notice Inviting Bids
B. Supplementary Bid Addenda or Bulletins, if applicable
C. Proposal Packet
D. Standard Specifications for Public Works Construction "Greenbook," latest
edition
E. Costa Mesa Sanitary District Standard Plans and Specifications for the
Construction of Sanitary Sewers
F. Construction Plans and Specifications for CMSD Project#310
G. Standard Drawings (Costa Mesa Sanitary District Drawings
and City of Newport Beach Drawings)
H. Soils Report
City of Newport Beach Encroachment Permit
J. Faithful Performance Bond
K. Payment Bond
L. Approved Change Orders, if applicable
M. Contractor's Affidavit
N. Final Closeout Agreement and Release of All Claims
The documents listed in this Paragraph, including this Contract,shall be known and referred
to collectively as the "Contract Documents."
30. Interpretation. In the event of any conflict, inconsistency or incongruity between the
provisions of this Contract and the provisions of any of the Contract Document(s) referenced in
Paragraph 29 hereof, or amendments thereto, the provisions of this Contract shall control in all
respects.
31. Attorney's Fees. In any action or proceeding brought by either party against the
other party arising out of or in any way connected to this Contract, or where any provision hereof is
validly asserted as a defense,the parties shall bear their own attorney's fees,costs,and expenses.
Nothing in this provision shall excuse CONTRACTOR's duty to provide DISTRICT with a defense at
CONTRACTOR's cost when DISTRICT receives a complaint, petition, or other pleading from the xt'
third party requiring DISTRICT to defend itself. Notwithstanding the foregoing,costs and attorney's
fees shall be available pursuant to Code of Civil Procedure Section 386.6 in connection with an
interpleader.
32. Additional Costs. CONTRACTOR shall be responsible to reimburse DISTRICT a
sum equal to the expenses of administration and legal services required to be expended by
DISTRICT in processing Notices to Withhold, Stop Notices,or similar legal documents arising out of
a failure of the CONTRACTOR to pay for labor or materials. Said obligation shall be provided for in
the payment bond required by the CONTRACTOR. The DISTRICT shall further have the right to
offset any such costs and expenses incurred by DISTRICT against any sums owing to
CONTRACTOR.
33. Insurance. CONTRACTOR agrees to provide insurance in accordance with the
requirements set forth herein. If CONTRACTOR uses existing coverage to comply with these
requirements and that coverage does not meet the requirements set forth herein, CONTRACTOR
agrees to amend, supplement or endorse the existing coverage to do so. The following coverages
will be provided by CONTRACTOR and maintained on behalf of the DISTRICT and in accordance
with the requirements set forth herein.
Commercial General Liability/Umbrella Insurance. Primary insurance shall be provided on ISO-
CGL form No. CG 00 01 11 85 or 88 or equivalent, as determined by District Counsel. Total limits
shall be no less than one (1) million dollars per occurrence for all coverages and three (3) million
dollars general aggregate. DISTRICT and its employees and agents shall be added as additional
insured using ISO additional insured endorsement form CG 20 10 with an edition date prior to 1992
or equivalent,as determined by District Counsel.Coverage shall apply on a primary non-contributing
basis in relation to any other insurance or self-insurance, primary or excess,available to DISTRICT
or any employee or agent of DISTRICT. Coverage shall not be limited to the vicarious liability or
supervisory role of any additional insured. Umbrella Liability Insurance(over primary)shall apply to
bodily injury/property damage, personal injury/advertising injury, at a minimum, and shall include a
"drop down" provision providing primary coverage above a maximum $25,000.00 self-insured
retention for liability not covered by primary policies but covered by the umbrella policy. Coverage
shall "follow form" to any underlying coverage. Coverage shall be provided on a "pay on behalf"
basis, with defense costs payable in addition to policy limits. There shall be no cross liability
exclusion. Policies shall have concurrent starting and ending dates. District Counsel shall have the
authority to make determinations on the acceptability of forms of insurance coverage. A
determination that the form of coverage is not acceptable shall cause the award to go to the next
lowest responsible bidder.
Business Auto/Umbrella Liability Insurance. Primary coverage shall be written on ISO Business
Auto Coverage form CA 00 01 06 92 including symbol 1 (Any Auto)or equivalent,as determined by
District Counsel. Limits shall be no less than one (1) million dollars per accident. Starting and
ending dates shall be concurrent. If CONTRACTOR owns no autos, a non-owned auto
endorsement to the General Liability policy described above is acceptable.
Workers'Compensation/Employers' Liability shall be written on a policy form providing workers'
compensation statutory benefits as required by law. Employers' liability limits shall be no less than
one (1) million dollars per accident or disease. Employers' liability coverage shall be scheduled
under any umbrella policy described above. Unless otherwise agreed,this policy shall be endorsed
to waive any right of subrogation as respects the DISTRICT, its employees or agents.
CONTRACTOR and DISTRICT further agree as follows:
1. This Section supersedes all other sections and provisions of this Contract to the extent that
any other section or provision conflicts with or impairs the provisions of this Section.
2. Nothing contained in this Section is to be construed as affecting or altering the legal status
of the parties to this Contract. The insurance requirements set forth in this Section are
intended to be separate and distinct from any other provision in this Contract and shall be
interpreted as such.
3. All insurance coverage and limits provided pursuant to this Contract shall apply to the full
extent of the policies involved, available or applicable. Nothing contained in this Contract or
any other agreement relating to the DISTRICT or its operations limits the application of such
insurance coverage.
4. Requirements of specific coverage features or limits contained in this Section are not
intended as a limitation on coverage, limits or other requirements, or a waiver of any
coverage normally provided by any insurance. Specific reference to a given coverage
feature is for purposes of clarification only and is not intended by any party to be all inclusive,
or to the exclusion of other coverage, or a waiver of any type.
5. For purposes of insurance coverage only, this Contract will be deemed to have been
executed immediately upon any party hereto taking any steps that can be deemed to be in
furtherance of or towards, performance of this Contract.
6. All general or auto liability insurance coverage provided pursuant to this Contract, or any
other agreements pertaining to the performance of this Contract, shall not prohibit
CONTRACTOR, and CONTRACTOR'S employees, or agents, from waiving the right of
subrogation prior to a loss. CONTRACTOR hereby waives all rights of subrogation against
DISTRICT.
7. Unless otherwise approved by DISTRICT, CONTRACTOR'S insurance shall be written by
insurers authorized to do business in the State of California and with a minimum "Best's"
Insurance Guide rating of"A:VII". Self-insurance will not be considered to comply with these
insurance specifications.
8. In the event any policy of insurance required under this Contract does not comply with these
requirements or is canceled and not replaced, DISTRICT has the right but not the duty to
obtain the insurance it deems necessary and CONTRACTOR will promptly reimburse any
r
premium paid by DISTRICT.
9. CONTRACTOR agrees to provide notarized evidence of the insurance required herein,
satisfactory to DISTRICT, consisting of certificate(s) of insurance evidencing all of the
coverages required and an additional insured endorsement to CONTRACTOR'S general
liability and umbrella liability policies(if any) using ISO form CG 2010 with an edition prior to
1992 or equivalent, as determined by the District Counsel. Certificate(s) are to reflect that
the insurer will provide 30 days notice of any cancellation of coverage. CONTRACTOR
agrees to require its insurer to modify such certificates of any cancellation of coverage.
CONTRACTOR agrees to require its insurer to modify such certificates to delete any
exculpatory wording stating that failure of the insurer to mail written notice of cancellation
imposes no obligation, and to delete the word "endeavor" with regard to any notice
provisions. CONTRACTOR agrees to provide complete copies of policies to DISTRICT
upon request.
10. CONTRACTOR shall provide proof that policies of insurance required herein expiring during
the term of this Contract have been renewed or replaced with other policies providing at
least the same coverage. Such proof will be furnished within 72 hours of the expiration of
the coverages.
11. Any actual or alleged failure on the part of DISTRICT or any other additional insured under
these requirements to obtain proof of insurance required under this Contract in no way
waives any right or remedy of DISTRICT or any additional insured, in this or any other
regard.
12. CONTRACTOR agrees to require all subcontractors or other parties hired for this project to
provide general liability insurance naming as additional insured all parties to this Contract.
CONTRACTOR agrees to obtain certificates evidencing such coverage and make
reasonable efforts to ensure that such coverage is provided as required here.
CONTRACTOR agrees to require that no contract used by any subcontractor, or contracts
CONTRACTOR enters into on behalf of DISTRICT,will reserve the right to charge back to
DISTRICT the cost of insurance required by this Contract. CONTRACTOR agrees that
upon request, all agreements with subcontractors or others with whom CONTRACTOR
contracts with on behalf of DISTRICT,will be submitted to DISTRICT for review. Failure of
DISTRICT to request copies of such agreement will not impose any liability on DISTRICT,or
its employees.
13. If CONTRACTOR is a Limited Liability Company, general liability coverage must be
amended
so that the Limited LiabilityCompany and its managers, affiliates, employees,
agents, and other persons necessary or incidental to its operation are insured.
14. CONTRACTOR agrees to provide immediate notice to DISTRICT of any claim or loss
against CONTRACTOR that includes DISTRICT as a defendant. DISTRICT assumes
no obligation or liability by such notice, but has the right(but not the duty)to monitor the
handling of any such claim or claims if they are likely to involve DISTRICT.
34. Indemnification. CONTRACTOR and DISTRICT agree that DISTRICT should,to
the fullest extent permitted by law, be fully protected from any loss, injury, damage, claim, lawsuit,
cost, expense, attorney's fees, litigation costs, defense costs, court costs or any other cost arising
out of or in any way related to the performance of this Contract. Accordingly,the provisions of this
indemnity provision are intended by the parties to be interpreted and construed to provide the fullest
protection possible under the law to the DISTRICT,except for liability attributable to the DISTRICT'S
active negligence. CONTRACTOR acknowledges that DISTRICT would not enter into this Contract
in the absence of this commitment from CONTRACTOR to indemnify and protect DISTRICT as set
forth here.
To the fullest extent permitted by law and excepting only the active negligence of DISTRICT,
established by a court of competent jurisdiction or written agreement between the parties,
CONTRACTOR shall defend, indemnify and hold harmless DISTRICT, its employees, agents and
officials,from any liability, claims,suits,actions,arbitration proceedings,administrative proceedings,
regulatory proceedings, losses, expenses or costs of any kind, whether actual, alleged or
threatened,actual attorney fees incurred by DISTRICT,court costs,interest,defense costs including
expert witness fees and any other costs or expenses of any kind whatsoever without restriction or
limitation incurred in relation to, as a consequence of or arising out of or in any way attributable
actually,allegedly or impliedly, in whole or in part to the performance of this Contract. All obligations
under this provision are to be paid by CONTRACTOR as incurred by DISTRICT.
Without affecting the rights of DISTRICT under any provision of this Contract or this Section,
CONTRACTOR shall not be required to indemnify and hold harmless DISTRICT as set forth above
for liability attributable to the active negligence of DISTRICT, provided such active negligence is
determined by agreement between the parties or the findings of a court of competent jurisdiction.
This exception will apply only in instances where the DISTRICT is shown to have been actively
negligent and not in instances where CONTRACTOR is solely or partially at fault or in instances
where DISTRICT'S active negligence accounts for only a percentage of the liability involved. In
those instances,the obligation of CONTRACTOR will be for that portion or percentage of liability not
attributable to the active negligence of DISTRICT as determined by written agreement between the
parties or the findings of a court of competent jurisdiction.
The obligations of CONTRACTOR under this or any other provision of this Contract will not be
limited by the provisions of any workers'compensation act or similar act. CONTRACTOR expressly
waives its statutory immunity under such statutes or laws as to DISTRICT, its employees and
officials.
•
CONTRACTOR agrees to obtain executed indemnity agreements with provisions identical to those
set forth in this section from each and every subcontractor,sub-tier contractor or any other person or
entity involved by,for,with,or on behalf of CONTRACTOR in the performance of the subject matter
of this Contract. In the event CONTRACTOR fails to obtain such indemnity obligations from others
as required here, CONTRACTOR agrees to be fully responsible according to the terms of this
section.
Failure of DISTRICT to monitor compliance with these requirements imposes no additional
obligations on DISTRICT and will in no way act as a waiver of any rights hereunder. This obligation
to indemnify and defend DISTRICT as set forth herein is binding on the successors, assigns, or
heirs of CONTRACTOR and shall survive the termination of this Contract or this section.
35. Permits. The CONTRACTOR shall obtain from DISTRICT, City, County, State,
Federal or other responsible public agencies all licenses and permits, and pay all fees related
thereto, necessary to complete the job.
36. Assignment. No assignment by the CONTRACTOR of this Contract or any part
hereof, or of funds to be received hereunder, will be recognized by the DISTRICT unless such
assignment has had prior written approval and consent of the DISTRICT and the Surety.
37. Safety and Site Condition. CONTRACTOR shall perform all operations with due
regard for safety and in strict compliance with all applicable laws relating thereto. It shall be
CONTRACTOR'S responsibility to keep the site in a clean, neat and orderly condition. It shall also
be CONTRACTOR'S duty to dust-palliate all working areas and access routes, if applicable. All
operations shall be conducted by CONTRACTOR so that no fire hazards are created.
38. Utility Location. DISTRICT acknowledges its responsibilities with respect to locating
facilities pursuant to California Government Code Section 4215.
39. Trenching. If this Contract involves digging trenches or other excavations that
extend deeper than four feet below the surface, CONTRACTOR shall promptly, and before the
following conditions are disturbed, notify the District Engineer in writing, of any:
(a) Material that the CONTRACTOR believes may be material that is hazardous waste, as
defined in Section 25117 of the Health and Safety Code,that is required to be removed to a
Class I, Class II, or Class III disposal site in accordance with provisions of existing law.
(b) Subsurface or latent physical conditions at the site differing from those indicated.
(c) Unknown physical conditions at the site of any unusual nature, different materially from
those ordinarily encountered and generally recognized as inherent in work of the
character provided for in the Contract.
(d) The District Engineer shall promptly investigate the conditions, and if he finds that the
conditions do materially so differ, or do involve hazardous waste, and cause a decrease or
increase in the CONTRACTOR'S cost of,or the time required for,performance of any part of
the work, shall issue a change order in accordance with the procedures described in this
Contract.
(e) In the event that a dispute arises between District Engineer and the CONTRACTOR whether
the conditions materially differ,or involve hazardous waste,or cause a decrease or increase
in the CONTRACTOR's cost of,or time required for, performance of any part of the work,the
CONTRACTOR shall not be excused from any scheduled completion date provided for by
the Contract, but shall proceed with all work to be performed under the Contract. The
CONTRACTOR shall retain any and all rights provided either by contract or by law, which
pertain to the resolution of disputes and protests between the contracting parties.
40. Notices. The parties hereto agree that all formal notices required by this Contract
may be provided to the following persons at the following addresses by sending the same by
certified or registered mail as follows:
DISTRICT: General Manager
Costa Mesa Sanitary District
628 W. 19th Street
Costa Mesa, California 92627-2716
CONTRACTOR: Ursula J. Youngblood
Insituform Technologies, LLC
17988 Edison Avenue
Chesterfield, MO 63005
(636) 530-8000
41. Effect of Invalidity. The invalidity in whole or in part of any provisions hereof shall
not affect the validity of any other provision.
42. Gratuities.CONTRACTOR warrants that neither it nor any of its employees,agents
or representatives has offered or given any gratuities to DISTRICT'S employees, agents or
representatives with a view toward securing this Contract or securing favorable treatment with
respect thereto.
43. Conflict of Interest. CONTRACTOR warrants that he has no blood or marriage
relationship, and that he is not in any way associated with any architect, engineer or other preparer
of the plans and specifications for this project.
44. Copeland"Anti-Kickback"Act. If applicable to this Contract, CONTRACTOR and
its subcontractors shall comply with the provisions of the Copeland "Anti-Kickback" Act (18 USC
Section 874), as supplemented in Department of Labor regulations, which Act provides that each
Contractor shall be prohibited from requiring, by any means, any person employed in the
construction, completion or repair of any public work, to give up any part of the compensation to
which he is otherwise entitled.
45. Final Closeout Agreement and Release of All Claims. Prior to filing the Notice of
Completion the CONTRACTOR and DISTRICT shall execute and record a Final Closeout
Agreement and Release of All Claims, should the District make this request of CONTRACTOR.
46. Guarantees. CONTRACTOR shall and hereby does guarantee all work for a period
of one (1)year after the date of filing of the Notice of Completion and shall repair and replace any
and all such work,together with any other work which may be displaced in so doing that may prove
defective in workmanship and/or materials within the one(1)year period from date of the filing of the
Notice of Completion, without expense whatsoever to the DISTRICT, ordinary wear and tear and
usual abuse or neglect excepted. In the event of failure to comply with the aforementioned
conditions within five (5) days after being notified in writing, the DISTRICT is hereby authorized to
proceed to have the defects repaired and made good at the expense of the CONTRACTOR,who
shall pay the cost and charges therefor immediately on demand.
47. Job Progress. CONTRACTOR agrees to maintain a critical path analysis
throughout the project. CONTRACTOR agrees to meet with the District Engineer on a weekly or
other periodic basis, or as requested by the District Engineer to review job progress.
CONTRACTOR agrees to provide District Engineer with critical path analysis documentation
whenever job progress is impacted so that the completion date may be affected or whenever delays
or other impacts may give rise to CONTRACTOR'S claim for additional days or additional damages.
Delay and other claims of damages based on CONTRACTOR'S planned early completion are
prohibited.
48. Resolution of Claims. For all claims that are less than Three Hundred and Seventy
Five Thousand Dollars ($375,000.00), the provisions of Public Contracts Code Section 20104 et
seq. (Article 1.5— Resolution of Construction Claims) shall be followed.
49. Notice to Contractor of Claims. DISTRICT shall provide notice to CONTRACTOR
upon receipt of any third-party claim related to the Contract.
IN WITNESS WHEREOF, the parties hereto have entered into this agreement the date and year
first above written.
ATTEST: COSTA MES' S• NITARY •!STRICT
40
, AA ...Of A.A....,Air ,
Clerk of the D str. t
President of the Boar' of Directors
APPROVED AS TO FORM:
Secretary of the Board of Directors
644Lif
()AV( (Sk.o
Alan R. Burns
District Counsel
CONTRACTOR
Name: Insituform Technologies, LLC
Address: 17988 Edison Avenue
Chesterfield, MO 63005
APPROVED TO CONTENT: By: YawiQ g V �� ir
Urs la J. Yo od
Contracting &Attesting Officer
Robin B. rs
District Engineer
A NOTARY PUBLIC OR OTHER OFFICER COMPLETING THIS CERTIFICATE VERIFIES ONLY
THE IDENTITY OF THE INDIVIDUAL WHO SIGNED THE DOCUMENT TO WHICH THIS
CERTIFICATE IS ATTACHED,AND NOT THE TRUTHFULNESS,ACCURACY,OR VALIDITY OF
THAT DOCUMENT.
STATE OF CAtI-FORN1A) ss (INDIVIDUAL)/(CORPORATION) ( iLLC.)
COUNTY OF 5�- 1-A-115 )
On , 201 , before9e the undersigned, a Notary Public in and for said
state, personally appeared nso-li a, a i o u�'l�l LJ oo cI • wiip8r oved to me on the
basis of satisfactory evidence to b the person(s) w'hdse name(s) is/are subribed to the within
instrument and acknowledged to me that he/she/they executed the same in hier/their authorized
capacity(ies), and that by his/her/their signature(s)on the instrument the perss), or the entity on
behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of Californthat the foregoing
paragraph is true and correct.
WITNESS my hand and official seal. _
DEBRA K.JASPER -Notary Public-NotarySeal
STATE OFMISSOURISt.Charles CountyNo a Public 'MyCommissionExpres: Nov. 17
( ry ) Commission#14969544
PAYMENT BOND
PAGE 1
Bond No. 106470442
COSTA MESA SANITARY DISTRICT
PAYMENT BOND
(LABOR AND MATERIAL BOND)
KNOW ALL MEN BY THESE PRESENTS:
THAT,WHEREAS,the COSTA MESA SANITARY DISTRICT,a sanitary district,by minute
order of the Board of Directors, adopted on December 17, 2015, has awarded to Insituform
Technologies, LLC, hereinafter designated as the"Principal", Contract No. CMSD PROJECT NO.
310 for the work described as follows: Indus Sewer and Manhole Rehabilitation. Said Contract and
all of its obligations, covenants, terms and conditions are fully incorporated herein by reference.
WHEREAS, said Principal is required by the provisions of said Contract and of the Civil
Code to furnish a bond in connection with said Contract, as hereinafter set forth.
NOW, THEREFORE, WE, the undersigned CONTRACTOR, as Principal and
Travelers Casualty and Surety Company of America,One Tower Square, Hartford,CT 06183
(Name and Address of Surety)
Duly authorized to transact business under the laws of the State of California,as Surety,are
held and firmly bound unto the Costa Mesa Sanitary District, in the penal sum of: Two Hundred
eighteen thousand Four Hundred Fifty-Eight Dollars($218,458), said sum being not less than one
hundred(100%)percent of the estimated amount payable under the terms of the Contract for which
payment well and truly be made, we bind ourselves, our heirs, executors and administrators,
successors and assigns,jointly and severally, firmly by these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH that, if said Principal or his
subcontractors, or the heirs, executors, administrators, successors or assigns thereof, shall fail to
pay any of the persons named in Section 3181 of the Civil Code of the State of California for any
materials, provisions,provender or other supplies used in,upon,for or about the performance of the
work contracted to be done,or for any work or labor performed by any such claimant or any amounts
required to be deducted, withheld, and paid over to the Franchise Tax Board from the wages of
employees of the CONTRACTOR and his subcontractors pursuant to Section 18806 of the Revenue
and Taxation Code, with respect to such work and labor, then said Surety will pay for the same, in
an amount not exceeding the sum set forth hereinabove, and in addition, in case suit is brought
upon the bond,will pay a reasonable attorney's fee to be fixed by the court. This bond shall inure to
the benefit of any and all persons named in the aforesaid Civil Code Section 3181 so as to give a
right of action to them or their assigns in any suit brought upon the bond.
II
PAYMENT BOND
PAGE 2
Bond No. 106470442
Further, the said Surety, for value received, hereby stipulates and agrees that no change,
extension of time, alteration or modification of the Contract Documents or of the work to be
performed thereunder shall in any way affect its obligation on this bond;and it hereby waives notice
of any and all such changes, extensions of time, and alterations or modifications of the Contract
Documents and/or of the work to be performed thereunder.
IN WITNESS WHEREOF, we have hereunto set our hands and seals this
day of March, 2016.
Insituform Technologies, LLC
17988 Edison Avenue
Chesterfield, MO 63005
PRINCIPAL
By: vjL o �wd1
Urs J. Yo d,
Contracting &Attesting Officer
In accordance with the Contract for CMSD PROJECT#310 bonds shall be issued by an admitted
surety insurer and the DISTRICT reserves the right to object to any such surety,in accordance with
Code of Civil Procedure Section 995.660.
By signing below, Surety certifies that the bonds are issued by an admitted surety.
Travelers Casualty and Surety Company of America
Name
One Tower Square
Street Address
Hartford,CT 06183
City,State,Zip Code
SURETY
By:
Company Repre native Jessica ery,Attorney-in-Fact
APPROVED AS TO FORM:
Alan R. Burns, District Counsel
Costa Mesa Sanitary District
FAITHFUL PERFORMANCE BOND
PAGE 1
Bond No. 106470442
COSTA MESA SANITARY DISTRICT
FAITHFUL PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS:
THAT,WHEREAS,the COSTA MESA SANITARY DISTRICT,a sanitary district,by minute
order of the Board of Directors, adopted on December 17, 2015, has awarded to Insituform
Technologies, LLC, hereinafter designated as the"Principal"Contract No. CMSD Project#310 for
the work described as follows: Indus Sewer and Manhole Rehabilitation.Said Contract and all of its
obligations, covenants, terms and conditions are fully incorporated herein by reference.
WHEREAS,the said Principal is required under the terms of said Contract to furnish a bond
for the faithful performance of said Contract,including a one year guarantee of the work performed.
NOW, THEREFORE, WE, the undersigned CONTRACTOR, as Principal and
Travelers Casualty and Surety Company of America,One Tower Square, Hartford,CT 06183
(NAME AND ADDRESS OF SURETY)
Duly authorized to transact business under the laws of the State of California,as Surety,are
held and firmly bound unto the Costa Mesa Sanitary District, in the penal sum of: Two Hundred
eighteen thousand, Four Hundred Fifty-Eight Dollars($218,458),said sum being not less than one
hundred (100%) percent of the Contract price for the payment of which sum well and truly to be
made,we bind ourselves,our heirs,executors,administrators,and successors,jointly and severally,
firmly by these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH that,if the above burdened Principal,his
or its heirs, executors, administrators, successors or assigns, shall in all things stand to and abide
by, and well and truly keep and perform all the undertakings, terms, covenants, conditions and
agreements in the said Contract and any alteration thereof made as therein provided,on his or their
part,to be kept and performed, at the time and in the manner therein specified, and in all respects
according to their true intent and meaning,and shall indemnify and save harmless the Costa Mesa
Sanitary District, its offices and agents,as therein stipulated,then this obligation shall become null
and void,otherwise it shall be and remain in full force and virtue.This obligation covers a one year
guarantee on work performed after said work has been completed. The one-year period shall
commence on the date the Notice of Completion has been recorded.
In case suit is brought upon this bond, Surety further agrees to pay all court costs and
reasonable attorneys'fees as fixed by the court.
FAITHFUL PERFORMANCE BOND
PAGE 2
Bond No. 106470442
And the said Surety, for value received, hereby stipulates and agrees that no change,
extension of time,alteration or addition to the terms of the Contract Documents or to the work to be
performed thereunder shall in any way affect its obligations on this bond,and it does hereby waive
notice of any such change, extension of time, alteration or addition to the terms of the Contract
Documents or to the work.
IN WITNESS WHEREOF,we have hereunto set our hands and seals this
day of March, 2016.
Insituform Technologies, LLC
17988 Edison Avenue
Chesterfield, MO 63005
PRINCIP L
By: rS u.l ajjot,lT�cC d .
Ursu J. Youngbl
Contracting &Attesting Officer
In accordance with the Contract for CMSD Project#310 all bonds shall be issued by an admitted
surety insurer and the District reserves the right to object to any such surety, in accordance with Code
of Civil Procedure Section 995.660.
By signing below, Surety certifies that the bonds are issued by an admitted surety.
Travelers Casualty and Surety Company of America
Name
One Tower Square
Street Address
Hartford,CT 06183
City,State,Zip Code
SURETY
1
By:
Company Represen ve Jessica Avery Attorney-in-Fact
APPROVED AS TO FORM:
, 64.6---“r-e-s-e--,
I
Alan R. Burns, District Counsel
Costa Mesa Sanitary District
1
CALIFORNIA ALL-PURPOSE
CERTIFICATE OF ACKNOWLEDGMENT
Missouri
State of Cxekikaltie
County of St.Louis
On before me, Debra K.Jasper, Notary Public
(Here insert name and title of the offleer�
personally appeared Ursula J.Youngblood,Contracting&Attesting Officer
r
who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s)is/axe subscribed
to the within instrument and acknowledged to me that be/she/they executed the same in>ttis/her/tkeiR
authorized capacity(ies),and that by>lms/her/the'ix:signature(s)on the instrument the person(s),or the entity
upon behalf of which the person(s)acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct. — -
I DEBRA K.JASPER ►
Notary Public-Notary Seal
STATE OF MISSOURI
WITNESS myhand andofficial cial
/ seal. t St.CharlesI
/ /5J4 My Commission
Expires:
County Nov.17,2016 1
ommission#14969544
Signature o Notary Public .
ADDITIONAL OPTIONAL INFORMATION
INSTRUCTIONS FOR COMPLETING THIS FORM
DESCRIPTION OF THE ATTACHED DOCUMENT Any acknowledgment completed in California must contain verbiage exactly as
appears above in the notary section or a separate acknowledgment form must be
Costa Mesa Sanitary District Faithful Performance Bond properly completed and attached to that document. The only exception is if a '
Costa Mesa Sanitary District Payment Bond document is to be recorded outside of California.In such instances,any alternative
(Title or description of attached document) acknowledgment verbiage as may be printed on such a document so long as the
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
(Title or description of attached document continued) document carefully for proper notarial wording and attach this form if required.
Number of Pages 4 Document Date • State and County information must be the State and County where the document
signer(s)personally appeared before the notary public for acknowledgment.
Insituform Technologies,LLC • Date of notarization must be the date that the signer(s)personally appeared
(Additional information) which must also be the same date the acknowledgment is completed.
• The notary public must print his or her name as it appears within his or her
commission followed by a comma and then your title(notary public).
• Print the name(s)of document signer(s)who personally appear at the time of
CAPACITY CLAIMED BY THE SIGNER notarization.
• Indicate the correct singular or plural forms by crossing off incorrect forms(i.e.
lill Individual(s) he/she/they,is/are)or circling the correct forms.Failure to correctly indicate
this information may lead to rejection of document recording.
x Corporate Officer • The notary seal impression must be clear and photographically reproducible.
Contracting and Attesting Officer Impression must not cover text or lines.If seal impression smudges,re-seal if a
sufficient area permits,otherwise complete a different acknowledgment form.
(Title) • Signature of the notary public must match the signature on file with the office of
Partner(s) the county clerk.
Attorney-in-Fact ••Additional information is not required but could help to ensure this
acknowledgment is not misused or attached to a different document.
Trustee(s) +Indicate title or type of attached document,number of pages and date.
Other ti Indicate the capacity claimed by the signer.If the claimed capacity is a
corporate officer,indicate the title(i.e.CEO,CFO,Secretary).
• Securely attach this document to the signed document
2008 Version CAPA v12.10.07 800-873-9865 www.NotaryClasses.com
S-4067/GE 9/09
XDP
CALIFORNIA ALL-PURPOSE
ERTIFICATE OF ACKNOWLEDGMENT
v
Missouri
State of Galifernta
t
County of St.Louis 1
•
On before me, Amanda L.Williams,Notary Public
(Here insert name and title of the officer) i
. personally appeared Jessica Avery,Attorney-in-Fact
who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/are subscribed to
the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies),and that by his/her/their signature(s)on the instrument the person(s),or the entity upon behalf of
which the person(s)acted,executed the instrument.
.
:I I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph
'I is true and correct.
. ♦ • . • . .
AN+r;NIDA L. WILLIAMS
)(ITNESS my hand and official seal.* Nom!, public-Notary Seal
� �� /� 0, S akeitliti)
ST,TF.- CF MISSOURI'��" �V` i 1 cis C1350 ,:My Comm _ :"vires: July 24,2017 ,
(Notary Seal) :0^1^,..', 13507267
Signature of Notary ublic Amanda L.Williams,Notary Public • • - '"."
4 1
ADDITIONAL OPTIONAL INFORMATION
INSTRUCTIONS FOR COMPLETING THIS FORM
Any acknowledgment completed in California must contain verbiage exactly as
DESCRIPTION OF THE ATTACHED DOCUMENT appears above in the notary section or a separate acknowledgment form must be
Costa Mesa Sanitary District Faithful Peformance Bond properly completed and attached to that document. The only exception is if a
Costa Mesa Sanitary District Payment Bond document is to be recorded outside of California.In such instances,any alternative
(Title or description of attached document) acknowledgment verbiage as may be printed on such a document so long as the
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
(Title or description of attached document continued) document carefully for proper notarial wording and attach this form if required.
• State and County information must be the State and County where the document
Number of Pages 4 Document Date signer(s)personally appeared before the notary public for acknowledgment.
• Date of notarization must be the date that the signer(s)personally appeared which
Travelers Casualty and Surety Company of America must also be the same date the acknowledgment is completed.
(Additional information) • The notary public must print his or her name as it appears within his or her
commission followed by a comma and then your title(notary public).
• Print the name(s)of document signer(s)who personally appear at the time of 1
notarization.
CAPACITY CLAIMED BY THE SIGNER • indicate the correct singular or plural forms by crossing off incorrect forms(i.e.
❑ Individual(s) he/she/they, is/aee)or circling the correct forms.Failure to correctly indicate this
information may lead to rejection of document recording.
❑ Corporate Officer • The notary seal impression must be clear and photographically reproducible.
Impression must not cover text or lines.If seal impression smudges,re-seal if a
(Title) sufficient area permits,otherwise complete a different acknowledgment form.
❑ Partner(s) • Signature of the notary public must match the signature on file with the office of
the county clerk.
I CR Attorney-in-Fact
O Trustee(s) + Additional information is not required but could help to ensure this
acknowledgment is not misused or attached to a different document 1
❑ Other Indicate title or type of attached document,number of pages and date.
Indicate the capacity claimed by the signer. if the claimed capacity is a
corporate officer,indicate the title(i.e.CEO,CFO,Secretary).
I • Securely attach this document to the signed document
I
2008 Version CAPA v12.10.07 800-873-9865 www.NotaryClasses.com
State of Missouri
County of St. Louis
On , before me, a Notary Public in and for said County and State, residing therein, duly
commissioned and sworn, personally appeared Jessica Avery known to me to be Attorney-in-Fact of
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
the corporation described in and that executed the within and foregoing instrument, and known to me
to be the person who executed the said instrument in behalf of said corporation, and he duly
acknowledged to me that such corporation executed the same.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal, the day and year
stated in this certificate above.
UM.( h\LQta tDLLQOi/L
Amanda L. Williams, Notary Public
AMANDA L.WILLIAMS ►
Notary Public-Notary Seal ►
STATE OF MISSOURI o
St.Louis County ►
4 My Commission Expires: July 24,2017 0
Commission#13507257
My Commission Expires: Ac'" ' "^^'`ril.`^
• WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER
4111111POWER OF ATTORNEY
J
TRAVELERS Farmington Casualty Company St.Paul Mercury Insurance Company
Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company
Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company of America
St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company
St.Paul Guardian Insurance Company
Attorney-In Fact No. 230491 Certificate No. 0 0 6 6 4 8 1 0 6
KNOW ALL MEN BY THESE PRESENTS: That Farmington Casualty Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance
Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States
Fidelity and Guaranty Company are corporations duly organized under the laws of the State of Connecticut,that Fidelity and Guaranty Insurance Company is a
corporation duly organized under the laws of the State of Iowa,and that Fidelity and Guaranty Insurance Underwriters,Inc.,is a corporation duly organized under the
laws of the State of Wisconsin(herein collectively called the"Companies"),and that the Companies do hereby make,constitute and appoint
Andrew P.Thome,Dana A.Dragoy,Peter J.Mohs,Debra A.Woodard,Barbara Buchhold, Michael D.Wiedemeier,Amanda L.Williams,and Jessica
Avery
of the City of Chesterfield ,State of Missouri ,their true and lawful Attorney(s)-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 and
other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons,guaranteeing the performance of
contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law.
25th
IN WITNESS WHEREOF,the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed,this
day of February 2016
Farmington Casualty Company St.Paul Mercury Insurance Company
Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company
Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company of America
St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company
St.Paul Guardian Insurance Company
E'N'SG �ICfQo\;O.RS Pp OARAGG9'�os W��:J:G'.rSOPEPNO•2SRLAU•Ll:qfah•'i:�3 F +al a tof$•.y•(.,�y,, TJ �
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0,00 Le:4N JF ' 9JP\."4 tPG � �o 1fD ha7 it1mAym mHARTFORDI
(91982 Ly9n 1951 7 SE
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MCICONN. o $ 4m
,t44g.,: ,f b
Q
State of Connecticut By:
City of Hartford ss. Robert L.Raney, enior Vice President
On this the 25th day of February 2016 before me personally appeared Robert L.Raney,who acknowledged himself to
be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters,Inc.,St.Paul
Fire and Marine Insurance Company,St.Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers
Casualty and Surety Company of America,and United States Fidelity and Guaranty Company,and that he,as such,being authorized 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.
G•T�
In Witness Whereof,I hereunto set my hand and official seal.
t
• W w" C
My Commission expires the 30th day of June,2016. * Ammo * Marie C.Tetreault,Notary Public
O 4-
CCS'
58440-8-12 Printed in U.S.A.
WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER
REQUEST FOR CHANGE ORDER RCO No.
(Payment or Time)
NOTICE: Conditions arising that would support a request for payment for additional work or time extension must be
brought to the District's attention within ten (10) days, and a Request for Change Order for additional work/time
extensions must be filed within fifteen(15)days. THIS FORM MUST BE USED. (See Contract Section 5.)
Circumstances supporting payment for additional work/time:
1. Describe why payment should be granted. Attach any more detailed discussion,with backup documents as an
exhibit. (Remember: damages have been contractually limited on this job. See Section 28 of the Contract.)
2. Describe the delay and why a time extension is appropriate. Provide any backup documents as may be
necessary to support the request. You must demonstrate how the critical path was impacted.
Submitted by
Construction Manager's Approval: Engineer's Approval:
By: By:
NOTE: Approval of this request for change order is only effective upon District approval of the change order.
Change Order approved/denied by: