Project 185 - Proposal - Sancon - 2011-05-27 , ,-
COSTA MESA SANITARY DISTRICT
ORANGE COUNTY CALIFORNIA
BID PROPOSAL FORM
SYSTEM WIDE SEWER RECONSTRUCTION- PHASE I
Project No. 185
Name of Bidder Sr7.v t O r Inel t✓4
Address: S ? 1 / 2/1"-'y ne tu,t 04- W 1;.v' crq " cot- 9'2647
Phone No. 7/y- 997 —23 2 ?
TO THE BOARD OF DIRECTORS
COSTA MESA SANITARY DISTRICT
Pursuant to and in compliance with the Notice Inviting Sealed Proposals (Bids) and the other documents
relating thereto, the undersigned bidder has carefully examined and is completely familiar with the plans,
specifications, and contract documents including the local conditions affecting the performance of the
contract, the character, quality quantities, and scope of the work, and the materials to be furnished as to
the requirements of the specifications and the contract.
If awarded the contract,the undersigned bidder hereby proposes and agrees to perform within
75 WORKING DAYS, including all of its component parts and everything required to be performed,
and to furnish any and all of the labor material, tools, equipment, transportation, services, permits,
utilities, and all other items necessary to perform the contract and complete in a workmanlike manner all
of the work required in connection with the construction of said work all in strict conformity with the
plans and specifications and other contract documents, including addenda Nos. 1 ,_, , and_,
on file in the District office for the prices hereinafter set forth.
The undersigned as bidder, declares that the only persons or parties interested in this proposal as
principals are those named herein; that this proposal is made without collusion with any person, firm, or
corporation; and he proposes and agrees, if the proposal is accepted, that he will execute a contract with
the District in the form set forth in the contract documents and that he will accept in full payment thereof
the following prices,to wit:
CMSI)Project No. 185
Bid Proposal Form— 1 of 26
� • T
CMSD SEWER PROJECT NO. 185
SCHEDULE OF WORK ITEMS(SCHEDULE A)
SYSTEM WIDE SEWER RECONSTRUCTION- PHASE I
BID APPROX. UNIT TOTAL
DESCRIPTION
ITEM QUANTITY PRICE AMOUNT
I Lump Sum Bonds, Insurance, and Permits: Work under this item
includes any costs incurred for securing bonds, insurance °n
permits and financing for construction work. Lump Sum $ '
2 Lump Sum Mobilization, Demobilization and Cleanup: Work under
this item shall include preparatory and cleanup operations
including, but not limited to, those necessary for the
movement of personnel, equipment, materials, and
incidentals to and from the project site, securing a eco-
temporary construction yard, and maintaining the project \\
site in a safe and orderly manner during construction. Lump Sum $
3 Lump Sum Segment I per Plan.
Rehabilitate full length of sewer segment by CIPP
method.
94Sq
Work under this item shall be all inclusive and include
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
4 Lump Sum Segment 2 per Plan.
Rehabilitate full length of sewer segment by CIPP
method.
tot t}(s.•
Work under this item shall be all inclusive and include
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
CMSD Project No. 185
Bid Proposal Form—2 of 26
CMSD SEWER PROJECT NO. 185
SCHEDULE OF WORK ITEMS (SCHEDULE A)
SYSTEM WIDE SEWER RECONSTRUCTION- PHASE I
BID APPROX. DESCRIPTION UNIT TOTAL
ITEM QUANTITY PRICE AMOUNT
5 Lump Sum Segment 3 per Plan.
Remove Existing 8-inch VCP sewer and Install New 8-
inch VCP Sewer Main With Type `G' Compression
Joints Per Plans and Specifications. Work under this item
shall be all inclusive and include, but is not limited to
traffic control, sewer flow diversion, temporary paving
and patching or trench plates, trench excavation, control
of ground water and surface water bedding, backfill, and
compaction per City Standard 813, installation of pipe
and fittings, removal or protection of interfering portions
of existing utilities or improvements, temporary and
permanent support of utilities, disposal of excess
excavation materials, final paving and striping and all
other work necessary to install the sewer main complete GA55-
in place.
Work under this item shall also include adequate
sheeting, shoring and bracing or equivalent methods for
the protection of the life and limb, which shall comply to
applicable safety orders including, but not limited to,
planning, designing, engineering, furnishing,
constructing, and removing temporary sheeting, shoring
and bracing, and any other work necessary to conform to
the requirements of any permits, OSHA and the
Construction Safety Orders of the State of California,
pursuant to the provisions of Section 6707 of the
California Labor Code. Lump Sum $
6 Lump Sum Segment 4 per Plan.
Rehabilitate full length of sewer segment by CIPP
method. $t o o
Work under this item shall be all inclusive and include
furnishing and installing all labor material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
CMSD Project No. 185
Bid Proposal Form—3 of 26
r`
CMSD SEWER PROJECT NO. 185
SCHEDULE OF WORK ITEMS(SCHEDULE A)
SYSTEM WIDE SEWER RECONSTRUCTION-PHASE 1
BID APPROX. UNIT TOTAL
DESCRIPTION
ITEM QUANTITY PRICE AMOUNT
7 Lump Sum Segment 5 per Plan.
Construct sewer spot repair at location shown
(4 min.)
Work under this item shall be all inclusive and include 155 —
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
8 Lump Sum Segment 6 per Plan.
Rehabilitate full length of sewer segment by CIPP
method.
Work under this item shall be all inclusive and include
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
9 Lump Sum Segment 7 per Plan.
Construct sewer spot repair at location shown
(62' min.) g 4'IC
Work under this item shall be all inclusive and include
furnishing and installing all labor material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
10 Lump Sum Segment 8 per Plan.
Rehabilitate full length of sewer segment by CIPP
method. 203°—
Work under this item shall be all inclusive and include
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
CMSD Project No. 185
Bid Proposal Form —4 of26
CMSD SEWER PROJECT NO. 185
SCHEDULE OF WORK ITEMS (SCHEDULE A)
SYSTEM WIDE SEWER RECONSTRUCTION- PHASE I
BID APPROX. UNIT TOTAL
DESCRIPTION
ITEM QUANTITY PRICE AMOUNT
I I Lump Sum Segment 9 per Plan.
Rehabilitate full length of sewer segment by CIPP
method.
Work under this item shall be all inclusive and include q� 405
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
12 Lump Sum Segment 10 per Plan.
Construct sewer spot repair at location shown
(69' min.) q r'js_
Work under this item shall be all inclusive and include
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
13 Lump Sum Segment 11 per Plan.
Rehabilitate full length of sewer segment by CIPP
method.
q� 35/ -
Work under this item shall be all inclusive and include
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
14 Lump Sum Segment 12 per Plan.
Construct sewer spot repair at location shown
(4 min.) 3j� 4(05
Work under this item shall be all inclusive and include
furnishing and installing all labor material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
CMSD Project No. 185
Bid Proposal Form—5 of 26
r
CMSD SEWER PROJECT NO. 185
SCHEDULE OF WORK ITEMS(SCHEDULE A)
SYSTEM WIDE SEWER RECONSTRUCTION- PHASE I
BID APPROX. UNIT TOTAL
DESCRIPTION
ITEM QUANTITY PRICE AMOUNT
15 Lump Sum Segment 13 per Plan.
Construct sewer spot repair at location shown
(3 spots at 4 min.)
3,yG5 -
Work under this item shall be all inclusive and include
furnishing and installing all labor material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
16 Lump Sum Segment 14 per Plan.
Construct sewer spot repair at location shown
(5I min.) $1325 —
Work under this item shall be all inclusive and include
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
17 Lump Sum Segment 15 per Plan.
Construct sewer spot repair at location shown
(2 spots at 4 and 50' min.) Gi ooS
Work under this item shall be all inclusive and include
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
18 Lump Sum Segment 16 per Plan.
Construct sewer spot repair at location shown
(2 spots at 4 min.) Z 4/(3 -
Work under this item shall be all inclusive and include
furnishing and installing all labor material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
CMSD Project No. 185
Bid Proposal Form—6 of 26
CMSD SEWER PROJECT NO. 185
SCHEDULE OF WORK ITEMS(SCHEDULE A)
SYSTEM WIDE SEWER RECONSTRUCTION- PHASE I
BID APPROX. UNIT TOTAL
DESCRIPTION
ITEM QUANTITY PRICE AMOUNT
19 Lump Sum Segment 17 per Plan.
Rehabilitate sewer line by CIPP method. $ 6 Igo -
,
Option A Full length from manhole to manhole Lump Sum
Option B- Spot Repair by C1PP method (3 spots at 4' Lump Sum $ 4 t 0(05
min.)
Work under this item shall be all inclusive and include
furnishing and installing all labor material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line.
20 Lump Sum Segment 18 per Plan.
Construct sewer spot repair at location shown
(2 spots at 4 min.)
Work under this item shall be all inclusive and include
furnishing and installing all labor material, sewer flow
diversion, traffic control plan, and work necessary to Z 3110 —
rehabilitate sewer line. Lump Sum $
21 Lump Sum Segment 19 per Plan.
Construct sewer spot repair at location shown
(2 spots at 4 min.).
Work under this item shall be all inclusive and include Z, 3 to—
furnishing and installing all labor material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
22 Lump Sum Segment 20 per Plan.
Construct sewer spot repair at location shown
(4 min.)
%55 —
Work under this item shall be all inclusive and include 11
furnishing and installing all labor material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
CMSD Project No. 185
Bid Proposal Form—7 of 26
CMSD SEWER PROJECT NO. 185
SCHEDULE OF WORK ITEMS(SCHEDULE A)
SYSTEM WIDE SEWER RECONSTRUCTION- PHASE I
BID APPROX. UNIT TOTAL
DESCRIPTION
ITEM QUANTITY PRICE AMOUNT
23 Lump Sum Segment 21 per Plan.
Construct sewer spot repair at location shown
(5' min.)
2, 3to -
Work under this item shall be all inclusive and include
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
24 Lump Sum Segment 22 per Plan.
Construct sewer spot repair at location shown
(2 spots at 4 min.).
,gta --
Work under this item shall be all inclusive and include
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
25 Lump Sum Segment 23 per Plan.
Construct sewer spot repair at location shown
(2 spots at 4 min.).
3to—
Work under this item shall be all inclusive and include Z�
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
26 Lump Sum Segment 24 per Plan.
Construct sewer spot repair at location shown
(4 min.). I t t gS
Work under this item shall be all inclusive and include
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
CMSD Project No. 185
Bid Proposal Form—8 of 26
CMSD SEWER PROJECT NO. 185
SCHEDULE OF WORK ITEMS(SCHEDULE A)
SYSTEM WIDE SEWER RECONSTRUCTION- PHASE I
BID APPROX. UNIT TOTAL
DESCRIPTION
ITEM QUANTITY PRICE AMOUNT
27 Lump Sum Segment 25 per Plan.
Construct sewer spot repair at location shown
(4 min.)
Work under this item shall be all inclusive and include l 355-
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
28 Lump Sum Segment 26 per Plan.
Construct sewer spot repair at location shown
(4 min.) 3ro —
Work under this item shall be all inclusive and include
furnishing and installing all labor material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
29 Lump Sum Segment 27 per Plan.
Rehabilitate full length of sewer segment by CIPP
method.
9 Cci o -
Work under this item shall be all inclusive and include
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
30 Lump Sum Segment 28 per Plan.
Rehabilitate full length of sewer segment by CIPP
method. q Z,ao-
Work under this item shall be all inclusive and include
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
CMSD Project No. 185
Bid Proposal Form—9 of 26
CMSD SEWER PROJECT NO. 185
SCHEDULE OF WORK ITEMS (SCHEDULE A)
SYSTEM WIDE SEWER RECONSTRUCTION- PHASE 1
BID APPROX. UNIT TOTAL
DESCRIPTION
ITEM QUANTITY PRICE AMOUNT
31 Lump Sum Segment 29 per Plan.
Rehabilitate full length of sewer segment by CIPP
method.
Work under this item shall be all inclusive and include q 1 2.93-
furnishing and installing all labor material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $ _
32 Lump Sum Segment 30 per Plan.
Construct sewer spot repair at location shown
(178' min.)
cj015-
Work under this item shall be all inclusive and include
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
33 Lump Sum Segment 31 per Plan.
Rehabilitate full length of sewer segment by CIPP
method.
Work under this item shall be all inclusive and include I L 1
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
34 Lump Sum Segment 32 per Plan.
Rehabilitate full length of sewer segment by CIPP
method. f3 }05—
Work under this item shall be all inclusive and include
furnishing and installing all labor material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
CMSD Project No. 185
Bid Proposal Form— 10 of 26
CMSD SEWER PROJECT NO. 185
SCHEDULE OF WORK ITEMS(SCHEDULE A)
SYSTEM WIDE SEWER RECONSTRUCTION- PHASE I
BID APPROX. UNIT TOTAL
DESCRIPTION
ITEM QUANTITY PRICE AMOUNT
35 Lump Sum Segment 33 per Plan.
Rehabilitate full length of sewer segment by CIPP
method.
$t (0�5-
Work under this item shall be all inclusive and include
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
36 Lump Sum Segment 34 per Plan.
Construct sewer spot repair at location shown
(2 spots at 5' and 4 min.)
Work under this item shall be all inclusive and include y 'ob5
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
37 Lump Sum Segment 35 per Plan.
Construct sewer spot repair at location shown
(28' min.)
—
Work under this item shall be all inclusive and include ("I' VIS
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
38 Lump Sum Segment 36 per Plan.
Rehabilitate sewer line by CIPP method.
Option A Full length from manhole to manhole $ g scc
Option B- Spot Repair by CIPP method (4 spots at 4' Lump Sum
min.)
Work under this item shall be all inclusive and include Lump Sum $ S Lto,
furnishing and installing all labor material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line.
CMSD Project No. 185
Bid Proposal Form— I I of26
CMSD SEWER PROJECT NO. 185
SCHEDULE OF WORK ITEMS (SCHEDULE A)
SYSTEM WIDE SEWER RECONSTRUCTION- PHASE 1
BID APPROX. DESCRIPTION UNIT TOTAL
ITEM QUANTITY PRICE AMOUNT
39 Lump Sum Segment 37 per Plan.
Rehabilitate sewer line by CIPP method.
Option A- Full length from manhole to manhole
Option B- Spot Repair by CIPP method (4 spots at 4' $ aI I}o-
min.)
Lump Sum
Work under this item shall be all inclusive and include Lump Sum $ ` b 2o
furnishing and installing all labor material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line.
40 Lump Sum Segment 38 per Plan.
Construct sewer spot repair at location shown
(144 min.)
Work under this item shall include furnishing and 9 oZS-
installing all labor material, and work necessary to
rehabilitate sewer line. Lump Sum $
41 Lump Sum Segment 39 per Plan.
Rehabilitate full length of sewer segment by CIPP
method.
Work under this item shall be all inclusive and include 6 91-0
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
42 Lump Sum Segment 40 per Plan.
Construct sewer spot repair at location shown
(2 spots at 4 and 46' min.) I Z o t S —
Work under this item shall be all inclusive and include
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
CMSD Project No. 185
Bid Proposal Form— 12 of 26
CMSD SEWER PROJECT NO. 185
SCHEDULE OF WORK ITEMS(SCHEDULE A)
SYSTEM WIDE SEWER RECONSTRUCTION- PHASE I
BID APPROX. UNIT TOTAL
DESCRIPTION
ITEM QUANTITY PRICE AMOUNT
43 Lump Sum Segment 41 per Plan.
Construct sewer spot repair at location shown
(3 spots at 16' 4 and 4 min.)
cj� 030 -
Work under this item shall be all inclusive and include
furnishing and installing all labor material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
44 Lump Sum Segment 42 per Plan.
Rehabilitate sewer line by CIPP method.
Option A- Full length from manhole to manhole Lump Sum $ °-
Option B- Spot Repair by CIPP method (4 spots at 4' Lump Sum $ G20 -
min.)
Work under this item shall be all inclusive and include
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line.
45 Lump Sum Segment 43 per Plan.
Rehabilitate full length of sewer segment by CIPP
method.
Work under this item shall be all inclusive and include
furnishing and installing all labor, material, sewer flow Q 420-
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
46 Lump Sum Segment 44 per Plan.
Construct sewer spot repair at location shown
(2 spots at 4 min.) yt bZO -
Work under this item shall be all inclusive and include
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
CMSD Project No. 185
Bid Proposal Form- 13 of26
CMSD SEWER PROJECT NO. 185
SCHEDULE OF WORK ITEMS (SCHEDULE A)
SYSTEM WIDE SEWER RECONSTRUCTION- PHASE I
BID APPROX. UNIT TOTAL
DESCRIPTION
ITEM QUANTITY PRICE AMOUNT
47 Lump Sum Segment 45 per Plan.
Construct sewer spot repair at location shown
(4 spots at4 min.) rezo-
Work under this item shall be all inclusive and include
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
48 Lump Sum Segment 46 per Plan.
Construct sewer spot repair at location shown
(2 spots at 5' and 4 min.)
3, '4(0.5—
Work under this item shall be all inclusive and include
furnishing and installing all labor material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
49 Lump Sum Segment 47 per Plan.
Construct sewer spot repair at location shown
(2 spots at 29' and 4 min.) $ (, ,S—
Work under this item shall be all inclusive and include
furnishing and installing all labor material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
50 Lump Sum Segment 48 per Plan.
Construct sewer spot repair at location shown
(2 spots at 6' and 44 min.) P7i 13 0 —
Work under this item shall be all inclusive and include
furnishing and installing all labor material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum S.
CMSD Project No. 185
Bid Proposal Form— 14 of 26
CMSD SEWER PROJECT NO. 185
SCHEDULE OF WORK ITEMS (SCHEDULE A)
SYSTEM WIDE SEWER RECONSTRUCTION- PHASE I
BID APPROX. UNIT TOTAL
DESCRIPTION
ITEM QUANTITY PRICE AMOUNT
51 Lump Sum Segment 49 per Plan.
Construct sewer spot repair at location shown
(2 spots 20' and 4 min.)
ci St, —
Work under this item shall be all inclusive and include
furnishing and installing all labor material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
52 Lump Sum Segment 50 per Plan.
Construct sewer spot repair at location shown
(2 spots 15' and 4 min.) si "115—
Work under this item shall be all inclusive and include
furnishing and installing all labor material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
53 Lump Sum Segment 51 per Plan.
Construct sewer spot repair at location shown
(126' min.) 8 c.c. S-
t
Work under this item shall be all inclusive and include
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
54 Lump Sum Segment 52 per Plan.
Construct sewer spot repair at location shown
(4 min.) I t S S —
Work under this item shall be all inclusive and include
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
CMSD Project No. 185
Bid Proposal Form— 15 of26
CMSD SEWER PROJECT NO. 185
SCHEDULE OF WORK ITEMS (SCHEDULE A)
SYSTEM WIDE SEWER RECONSTRUCTION- PHASE I
BID APPROX. UNIT TOTAL
DESCRIPTION
ITEM QUANTITY PRICE AMOUNT
55 Lump Sum Segment 53 per Plan.
Construct sewer spot repair at location shown
(3 spots 4 min.)
Work under this item shall be all inclusive and include oc.5,
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
56 Lump Sum Segment 54 per Plan.
Rehabilitate full length of sewer segment by CIPP
method.
1;3,S WO—
Work under this item shall be all inclusive and include
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
57 Lump Sum Segment 55 per Plan.
Construct sewer spot repair at location shown
(3 spots 6' 4 and 4 min.)
bZo-
Work under this item shall be all inclusive and include
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
CMSD Project No. 185
Bid Proposal Form— 16 of26
CMSD SEWER PROJECT NO. 185
SCHEDULE OF WORK ITEMS(SCHEDULE A)
SYSTEM WIDE SEWER RECONSTRUCTION- PHASE I
BID APPROX. UNIT TOTAL
DESCRIPTION
ITEM QUANTITY PRICE AMOUNT
58 Lump Sum Segment 56 per Plan.
Remove Existing 8-inch VCP sewer and Install New 8-
inch VCP Sewer Main With Type `O' Compression
Joints Per Plans and Specifications. Work under this item
shall be all inclusive and include, but is not limited to
traffic control, sewer flow diversion, temporary paving
and patching or trench plates, trench excavation, control
of ground water and surface water bedding, backlit!, and
compaction per City Standard 813, installation of pipe
and fittings, removal or protection of interfering portions Co 15S-
,
of existing utilities or improvements, temporary and
permanent support of utilities, disposal of excess
excavation materials, final paving and striping and all
other work necessary to install the sewer main complete
in place.
Work under this item shall also include adequate
sheeting, shoring and bracing or equivalent methods for
the protection of the life and limb, which shall comply to
applicable safety orders including, but not limited to.
planning, designing, engineering, furnishing,
constructing, and removing temporary sheeting, shoring
and bracing, and any other work necessary to conform to
the requirements of any permits, OSHA and the
Construction Safety Orders of the State of California,
pursuant to the provisions of Section 6707 of the
California Labor Code. Lump Sum $
59 Lump Sum Segment 56 per Plan.
Rehabilitate full length of sewer segment by CIPP
method after completion of Bid Item 61
E3, 335
Cleaning DIP portion of sewer line (13') by impact
cutter
Work under this item shall be all inclusive and include
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
CMSD Project No. 185
Bid Proposal Form— 17 of 26
CMSD SEWER PROJECT NO. 185
SCHEDULE OF WORK ITEMS(SCHEDULE A)
SYSTEM WIDE SEWER RECONSTRUCTION- PHASE I
BID APPROX. UNIT TOTAL
DESCRIPTION
ITEM QUANTITY PRICE AMOUNT
60 Lump Sum Segment 57 per Plan.
Construct sewer spot repair at location shown
(3 spots 4 min.)
Work under this item shall be all inclusive and include `j,04;S—
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
61 Lump Sum Segment 58 per Plan.
Construct sewer spot repair at location shown
(14 min.)
S, Lto-
Work under this item shall be all inclusive and include
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
62 Lump Sum Segment 59 per Plan.
Construct sewer spot repair at location shown
(5' min.)
Z) Shp—
Work under this item shall be all inclusive and include
furnishing and installing all labor material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
63 Lump Sum Segment 60 per Plan.
Construct sewer spot repair at location shown
(3 spots 4 min.) y ca S_
Work under this item shall be all inclusive and include
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
CMSD Project No. 185
Bid Proposal Form— 18 of 26
CMSD SEWER PROJECT NO. 185
SCHEDULE OF WORK ITEMS (SCHEDULE A)
SYSTEM WIDE SEWER RECONSTRUCTION- PHASE I
BID APPROX. UNIT TOTAL
DESCRIPTION
ITEM QUANTITY PRICE AMOUNT
64 Lump Sum Segment 61 per Plan.
Construct sewer spot repair at location shown
(2 spots 4 min.)
Work under this item shall be all inclusive and include Z' t0—
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
65 Lump Sum Segment 62 per Plan.
Construct sewer spot repair at location shown
(3spots4 min.) 3 1 ‘.(i,S-
Work under this item shall be all inclusive and include
furnishing and installing all labor material. sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
66 Lump Sum Segment 63 per Plan.
Construct sewer spot repair at location shown
(2 spots 5 and 4 min.) 3> 44(.05 —
Work under this item shall be all inclusive and include
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum S
67 Lump Sum Segment 64 per Plan.
Construct sewer spot repair at location shown
(4 min.) I, )SS—
Work under this item shall be all inclusive and include
furnishing and installing all labor material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
CMSD Project No. 185
Sid Proposal Form— 19 of26
CMSD SEWER PROJECT NO. 185
SCHEDULE OF WORK ITEMS (SCHEDULE A)
SYSTEM WIDE SEWER RECONSTRUCTION- PHASE I
BID APPROX. UNIT TOTAL
DESCRIPTION
ITEM QUANTITY PRICE AMOUNT
68 Lump Sum Segment 65 per Plan.
Construct sewer spot repair at location shown
(3 spots 4 min.) _
Li Work under this item shall be all inclusive and include t S
furnishing and installing all labor material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
69 Lump Sum Segment 66 per Plan.
Rehabilitate full length of sewer segment by CIPP
method.
lylz.o0-
Work under this item shall be all inclusive and include
furnishing and installing all labor, material, sewer flow
diversion, traffic control plan, and work necessary to
rehabilitate sewer line. Lump Sum $
CMSD Project No. 185
Bid Proposal Form—20 of 26
CMSD SEWER PROJECT NO. 185
SCHEDULE OF WORK ITEMS(SCHEDULE A)
SYSTEM WIDE SEWER RECONSTRUCTION- PHASE I
BID APPROX. UNIT TOTAL
DESCRIPTION
ITEM QUANTITY PRICE AMOUNT
70 Lump Sum Segment 67 per Plan.
Remove Existing 12-inch VCP sewer and Install New
12-inch VCP Sewer Main With Type 'Cr' Compression
Joints Per Plans and Specifications. Work under this item
shall be all inclusive and include, but is not limited to
traffic control, sewer flow diversion, temporary paving
and patching or trench plates, trench excavation, control
of ground water and surface water, bedding,backfill, and
compaction per City Standard 813 installation of pipe
and fittings, removal or protection of interfering portions
of existing utilities or improvements, temporary and
permanent support of utilities, disposal of excess 2t q20-
excavation materials, final paving and striping and all
other work necessary to install the sewer main complete
in place.
Work under this item shall also include adequate
sheeting, shoring and bracing or equivalent methods for
the protection of the life and limb, which shall comply to
applicable safety orders including, but not limited to,
planning, designing, engineering, furnishing,
constructing, and removing temporary sheeting, shoring
and bracing, and any other work necessary to conform to
the requirements of any permits, OSHA and the
Construction Safety Orders of the State of California,
pursuant to the provisions of Section 6707 of the
California Labor Code. Lump Sum $
TOTAL AMOUNT OF
ITEMS I THROUGH 70S 455� to 83 —
(TOTAL IN WORDS—SCHEDULE A)
F.,,ti N01"On~o r cry uc ruewsr�.» S�k N� �nn[ ) 4<<•rery r7tn+[d POLLS
Bidders Initial +
Note: In case of a discrepancy between the words and figures, the words shall prevail.
CMSD Project No. 185
Bid Proposal Form—21 of 26
The Contractor agrees that the District will not be held responsible if any of the approximate quantities
shown in the foregoing proposal shall be found incorrect, and he shall not make any claim for damages
or for loss of profits because of a difference between the quantities of the various classes of work as
estimated and the work actually done. If any error omission or mis-statements shall be discovered in
the estimated quantities, it shall not invalidate this contract or release the Contractor from the
execution and completion of the whole or part of the work herein specified, in accordance with the
specifications and the plans herein mentioned and the prices herein agreed upon and fixed therefor or
excuse him from any of the obligations or liabilities hereunder or entitle him to any damages or
compensation otherwise than as provided for in this contract.
The Contractor agrees that the District shall have the right to increase or decrease the quantity of
any bid item or portion of the work or to omit portions of the work as may be deemed necessary or
expedient, and that the payment for incidental items of work, not separately provided in the proposal
shall be considered included in the price bid for other various items of work.
Accompanying this proposal is J3 iddrai l3"-✓D
�S
).
NOTICE. Insert the words 'Cash 'Certified Check' or 'Bidder s Bond' as the case may be in an
amount equal to at least 10%of the total bid price, payable to the Costa Mesa Sanitary District.
The undersigned deposits the above named security as a proposal guaranty and agrees that it shall
be forfeited to the Costa Mesa Sanitary District as liquidated damages in case this proposal is accepted
by the District and the undersigned shall fail to execute a contract for doing said work and to furnish
good and sufficient bonds in the form set forth in the specifications and contract documents of the
District with surety satisfactory to the District within 10 Days after the bidder has received written
notice of the award of the contract; otherwise, said security shall be returned to the undersigned.
Respectfully submitted,
<ANCo - NNJwrO'tJ-I J /✓0 CKUC%. 7ps
oclAS
Contractor's Business Name Contractor Title
Si E"H LFAIW nn- , 0i'- R- C•Fra Cwt. 1,4,13/44P.fa GA.
Business Address: Street By• Title
lr
4.47.7(v,• meow cost 926 H4 73/ 797 /7 /- 3/- 13
City State Zip Contractor's License, Expiration
Date& Classification
71y 84/ 2323
Business Phone Number
Name Title
Residence Phone Number
Bidder s Residence: Street
City State Zip
CMSD Project No. 185
Bid Proposal Form—22 of 26
I declare under penalty of perjury under the laws of the State of California that the forgoing is true
and correct.
14S, cca
Dated at a: this tlT" day of relay 20 11
( igned) cM.a..f-- "Pr>..eo,+S G ,v
The full names and residences of all persons and parties interested in the foregoing proposal, as
principals, are as follows:
NOTICE. Give first and last names in full; in case of corporation, give names of President, Secretary
Treasurer and Manager, and affix corporate seal; in all cases of partnerships and joint ventures give
names of all the individual members.
Nicg O. c3c.✓rorr74 pars ioU✓il
lad /Lohli s w Pot TN SG`Gi?tr!/9 IV
Pa'y jy Sc.a..-IQ..- T fen nen—
CONSTRUCTION PROJECT REFERENCES
In order to more fully evaluate your background and experience for the project herein proposed, it is
requested that you submit a list of Public Works and/or similar construction projects completed, or in
progress,within the last 24 months. Your cooperation in this matter is greatly appreciated.
DATE PROJECT AGENCY'S CONTRACT
AWARDED AWARDING AGENCY ADMINISTRATOR
S sitar AP/0c It ro
CMSD Project No. 185
Bid Proposal Form—23 of 26
PROJECT ADDENDA
Bidder shall signify receipt of all Addenda here, if any•
ADDENDUM NO. DATE RECEIVED BIDDER'S SIGNATURE
DESIGNATION OF SUBCONTRACTORS
In compliance with the 'Subletting and Subcontracting Fair Practices Act' being Sections 4100-4113
of the Government Code of the State of California, and any amendments thereto, each bidder shall set
forth below the name and location of the place of business of each Subcontractor who will perform
work or labor or render service to the prime Contractor in or about the construction of the work or
improvement in an amount in excess of 1/2 of 1% of the prime Contractor's total bid and shall further
set forth the portion of the work which will be done by each such Subcontractor Only one
Subcontractor for each such portion shall be listed.
If the Contractor fails to specify a Subcontractor for any portion of the work to be performed under
the contract, he shall be deemed to have agreed to perform such work himself, and he shall not be
permitted to subcontract that portion of the work except under the conditions hereinafter set forth.
Subletting or subcontracting of any portion of the work to which no Subcontractor was designated in
the original bid, shall only be permitted in cases of public emergency or necessity and then only after a
finding reduced to writing as a public record of the Legislative Body of the owner
Portion State License
Of Work Subcontractor's Name and Address Number Class
Kt& /rE.nS 040,4.4.5 Ka. Co, 1-38L34, Fl
1841 toaae s "ye
5 1..r1 Rte. N t.- C R q ASS
CMSD Project No. 185
Bid Proposal Form—24 of26
NON-COLLUSION AFFIDAVIT
The bidders, by its officers and agents or representatives present at the time of filing this bid, being
duly sworn on their oaths say that neither they nor any of them have in any way directly or
indirectly entered into any arrangement or agreement with any other bidder, or with any public officer
of Costa Mesa Sanitary District whereby such affiant or affiants or either of them has paid or is to pay to
such bidder or public officer any sum of money or has given or is to give to such other bidder or public
officer anything of value whatever, or such affiant or affiants or either of them has not directly or
indirectly entered into any arrangement or agreement with any other bidder or bidder which tends to
or does lessen or destroy free competition in the letting of the contract sought for on the attached bids;
that no bid has been accepted from any Subcontractor or supplier through any bid depository the By-
Laws, Rules, or Regulation of which prohibit or prevent the Contractor from considering any bid from
any Subcontractor or supplier which is not processed through said bid depository or which prevent any
Subcontractor or supplier from bidding to any Contractor who does not use the facilities of or accept
bids from or through such bid depository that no inducement of any form or character other than that
which appears upon the face of the bid will be suggested, offered, paid or delivered to any person of the
contract, nor has this bidder any agreement or understanding of any kind whatsoever with any person
whomsoever to pay deliver to, or share with any other person in any way or manner, any of the
proceeds of the contracts sought by this bid.
Asa Cora C,a b..a u.4aI..1C ■ L
^ei NJt,.�.
' A -so- 4.on
`-9
Subscribed and sworn to before me by
G hiLk`—✓✓✓V-���-rSOns
This I " h day of I 1 i 20t( -� �roe P, SCANLON
l r�.< Commissions 1749369
g` - 'a Notary Public Colifornla I
c• mission expires: I a I .h% Orange County
C` � / MyComm. A92,2011
Notary Public l
CMSD Project No. 185
Bid Proposal Form—26 of26
i
er,
SP SAN(Tq�Y
Fir/..,._,,,,,
hl Iri
'9R?ORAt 1
ADDENDUM NO.1
Contract Documents and Construction Plans
SYSTEM WIDE SEWER RECONSTRUCTION- PHASE I
CIP PROJECT NO 185
Today's Date: May 13,2011
Bid Opening Date: May 31 2011
This Addendum is hereby made a part of the contract documents and construction drawings. Receipt of
the Addendum shall be noted on the Bid Form. The following changes, additions, clarifications or
modifications shall be made to the contract documents and construction drawings, all other conditions
remain the same.
Based on questions and discussions with contractors bidding on the job, the District has provided the
following clarifications:
1 The length of Segment 4 shown on sheet 4 is 200 l.f.
2. The length of Segment 33 shown on sheet 4 is 264 IT
3. Bid Item 14 should read `(2 spots at 4 and 8' min.)' instead of min.)'
4. Bid Item 28 should read '(7' min.)' instead of `(4 min.)'
5. Bid Item 59 should read `Rehabilitate full length of sewer segment by CIPP method after
completion of Bid Item 58. instead of `Rehabilitate hill length of sewer segment by CIPP
method after completion of Bid Item 61
6. All Bid Items showing `Construct sewer spot repair at location shown should read
`Construct sewer spot repair by CIPP method at location shown
If there are any questions,please call(949) 631 1731 office or(714)293-2727 cell. Thank you.
COSTA MESA SANITARY DISTRICT
I
Robin B. Hamers, PE
District Engineer
05-11- 11 14 03 FROM-SANCON ENGINEERING T-2Z8 P0002/0002 F-"94
10%BIDDER'S BOND TO ACCOMPANY PROPOSAL#14 5 6 5 6 8
(Required if the bidder desires to submit bond instead of a certified or cashier's check).
KNOW ALL PEOPLE BY THESE PRESENTS.
Sancon Engineering, Inc
7��I vy, as principals, and
h7ASSx Hu held and firmly bound unto the Costa
Mesa Sanitary District,a special district,organized under the laws of the State of California and situated
in Orange County in the sum of Ten percent of the total bid amount
($ 10% ) to be paid to the District, its successors and assigns, for which payment
well and truly to be made, we bind ourselves, our heirs, executors, and administrators, successors or
assigns,joint and severally firmly by these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH,
That if the certain proposal of the above bounden
Sancon Engineering/ Inc, is accepted by the Costa Mesa
Sanitary District, and if the above bounden, Sancon Engineering, Inc. his
heirs,executors,administrators, successors and assigns, shall duly enter into and execute a contract
for such construction,and shall execute and deliver the LABOR AND MATERIAL and the FAITHFUL
PERFORMANCE BONDS described within 10 days (not including Sunday) from the date of the
mailing of a notice of the above bounden, * by and from District, that said
contract is ready for execution, then this obligation shall become null and void;otherwise it shall be and
remain in full force and virtue. *Sancon Engineering, Inc
IN WITNESS WHEREOF.
We hereunto set our hands and seals this 16th day
of May ,20 11
Sancon Engineering, Inc
SEC-
MASSACHUSETTS INSURANCE COMPANY
BY CI ""4-
Michael R Langan, Attorney in Fact
CMSD Project No. 185
Bid Proposal Form—25 of 26
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
caceeeeecrereeeeeececnceece ceeeeceecac cecececi t .cececrcrcecrcr ,cccecececrcccrcccoccceei•
State of California
County of Las ,Angeles
On Mai /6/ a.O i� before me, Kendra Banks, Notary Public
Date More Insert Name and Tele of the Officer
personally appeared Michael R. Langan
Name(s)of Sign r(s)
who proved to me on the basis of satisfactory evidence to
_ be the persons whose name(t isl-subscribed to the
' 4-, KENDRA BANKS ' within instrument and acknowledged to me that
` < he/:1 c executed the same in hi authorized
- , � COMM. # 1766750 �
�s-. '_ ' NOTARY PUBLIC CALIFORNIA w capacity(:4i, and that by hi signature(a on the
> � ' " LOS ANGELES COUNTY F'
-` ' My Comm.i:zplres Oet.7 2ou instrument pe a peril n(�, or the entity upon behalf of
I -•-----•-•-•- - _- • -. _• which the rson*acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph is
true and correct.
WITNESS y hand an offici seal.
Signature
Place Notary Seal Ahem Signature of Notary Public
OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attached Document J� pp
Title or Type of Document: &-(�(,_gOc\Ole
Document Date: Number of Pages:
Slgner(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signers Name: Michael R. Langan Signers Name:
❑ Individual ❑ Individual
❑ Corporate Officer—Title(s): ❑Corporate Officer—Title(s):
• Partner—❑ Limited ❑ General ❑Partner—❑Limited ❑General
RIG){T•RUMBPRINr RIGHT7HULIBPRINT'
-7{iforney in Fact OF SIGNER ❑Attorney in Fact f:OF SIGNER'"?'
❑ Trustee Top of thumb here ❑Trustee Top of thumb he
❑ Guardian or Conservator ❑Guardian or Conservator
❑ Other ❑Other
Signer Is Representing: Signer Is Representing:
URANCE COMPANY
472037 National Notary Assocatan•9350 De Soto Ave.,P.O.Box 2402-Chatsworth,CA 91313-2402•vmw NatiooalNotary erg Item x5907 Reader:Call Toll-Free1-800.076-•827
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
I CITIZENS INSURANCE COMPANY OF AMERICA
POWERS OF ATTORNEY
CERTIFIED COPY
KNOW ALL MEN BY THESE PRESENTS That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY
both being corporations organized and existing under the laws of the State of New Hampshire, and CITIZENS INSURANCE COMPANY OF
AMERICA, a corporation organized and existing under the laws of the State of Michigan, do hereby constitute and appoint
MICHAEL R. LANGAN
Of Pasadena,CA and each is a true and lawful Attorney(s)-in-fact to sign,execute,seal, acknowledge and deliver for and on its behalf,
and as its act and deed any place within the United States,or if the following fine be filled in,only within the area therein designated
any and all bonds, recognizances,undertakings,contracts of indemnity or other writings obligatory in the nature thereof, as follows.
Any such obligations in the United States,not to exceed Ten Million and No/100($10,000,000)in any single instance
and said companies hereby ratify and confirm all and whatsoever said Attorney(s)-in-fact may lawfully do in the premises by virtue of these presents.
These appointments are made under and by authority of the following Resolution passed by the Board of Directors of said Companies which
resolutions are still in effect
'RESOLVED, That the President or any Vice President, in conjunction with any Assistant Vice President, be and they are hereby authorized and
empowered to appoint Attorneys- -fact of the Company its name and as its acts,to execute and acknowledge for and on its behalf as Surety any and
all bonds,recognizances,contracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof,with power to attach thereto the
seal of the Company Any such write rgs so executed by such Attorneys-in-fact shall be as binding upon the Company as if they had been duly executed
and acknowledged by the regularly elected offic rs of the Company thei own proper persons (Adopted October 7 1981 The Hanover Insurance
Company,Adopted April 14,1982—Massachusetts Bay Insurance Company,Adopted September 7 2001 Citizens Insurance Company of America)
IN WITNESS WHEREOF THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS
INSURANCE COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals, duly attested by a Vice
President and an Assistant Vice President,this 12th day of July 2010.
THE HANOVER INSURANCE COMPANY
y,
MASSACHUSETTS BAY INSURANCE COMPANY
�,,....
,.„,,-,-01,--. �.•' !Gwk CITIZENS.INSURANC-COMPANY OF AMERICA
Q e
V S \ 61+*'T Mary ndderso 'eslde
s,A
A ..-
Pr ' Gr rtv it c Pr 1
THE COMMONWEALTH OF MASSACHUSETTS )
COUNTY OF WORCESTER )ss
On this 12th day of July 2010 before me came the above named Vice President and Assistant Vice President of The Hanover Insurance Company
Massachusetts Bay Insurance Company and Citizens Insurance Company of America, to me personally known to be the individuals and officers
described herein, and acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company
Massachusetts Bay Insurance Company and Citizens Insurance Company of America, respectively and that the said corporate seals and their
signatures as officers were duly affixed and subscribed to said instrument by the authonty and direction of said Corporations
- 13.ARIMIU AM Gan(
NW!Nit
a n°'"'°"el'" Notary Public
yCertmEL.Iaaai
My commission expires on November 3,2011
I, the undersigned Assistant Vice President of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance
Company of America, hereby certify that the above and foregoing is a full, true and correct copy of the Original Power of Attorney issued by said
Companies,and do hereby further certify that the said Powers of Attorney are still in force and effect.
This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of The Hanover Insurance
Company Massachusetts Bay Insurance Company and Citizens Insurance Company of America
'RESOLVED, That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto, granted and
executed by the President or ny Vi President conjunction with any As istant Vice President of the Company,shall be binding on the Company to the
ame extent as if all signatures ther we ma ally affixed, even though on mo of any such signatures thereon may be facsimile (Adopted
October 7 1981 The Hanover Insurance Company Adopted Apnl 14, 1982 Massachusetts Bay Insurance Company,Adopted September 7 2001
Citizens Insurance Company of America) 1
GIVEN under my hand and the seals of said Companies,at Worcester, Massachusetts,this 1601 day of NIA'(/ 20/(
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
C'IZENS INSURANCE COMPANY OF AMERICA
/ _; /
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