caltrans 4 state of california department of ... of california department of transportation contract...

CALTRANSSTATE OF CALIFORNIA

DEPARTMENT OF TRANSPORTATIONBID FOR

BUILDING CONSTRUCTION INALAMEDA COUNTY IN FREMONT AT THE FREMONT MAINTENANCE STATION AT 245MOWRY AVENUEIn District 04 on Route 5706

UNDER

Notice to Bidders and Special Provisions dated August 31, 2015Project plans approved June 29, 2015Standard Specifications dated 2010Standard Plans dated 2010

Identified by

Contract No. 04-0J9404

04-Ala-5706

Project ID 0414000110

4

Bids open Tuesday, September 22, 2015 Dated August 31, 2015

AADD

--------------------------------------------------------------------------------Contract No. 04-0J9404

STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONContract No.: 04-0J9404 Project ID: 0414000110Bidder Name: BRM Construction Bidder ID: VC1200005058BID TO THE DEPARTMENT OF TRANSPORTATIONDES-OE-0102.1

Name of Bidder BRM ConstructionBidder ID VC1200005058Business Street Address 50 Marguerite Dr.(Include even if P.O. Box is used)Business P.O. BoxCity, State, Zip Hollister, CA, 95023Telephone No. 406-261-5359Fax No. 8663232836Contractor License No.851l90California Department of Industrial Relations Registration number" 1000013631Checksum 966E2033

1. Bidder agrees, if this bid is accepted, to enter into a contract with theDepartment, in the form included in the Standard Specifications, to performthe work provided in the Contract under the terms of the Contract for theprice or prices bid~

For a lump sum or unit price based bid, Bidder additionally agrees toperform the work within the number of working days shown on the Noticeto Bidders.

For a cost plus time based bid on a contract without a plant establishmentperiod, Bidder additionally agrees to perform the work within the number

of working days bid.

For a cost plus time based bid on a contract with a plant establishmentperiod, Bidder additionally agrees to perform the non+plant establishmentwork within the number of working days bid for non+plant establishment

work.2. Bidder has and acknowledges the following addenda:O

3. Bidder submits this bid with one of the following forms of bidder's securityequal to at least 10 percent of the bid: Bidder's Bond

4. Bidder's signature is an affirmation of the included certifications. Bidderis cautioned that making a false certification may result in one or more ofthe following:

4.1 Criminal prosecution4.2 Rejection of the bid4.3 Rescission of the award4.4 Termination of the Contract

PRINTED NAME:Bill Opp ANDTITLE OF PERSON SIGNING:Contract Administrator

BY (Authorized signature) DATE SIGNED ( Do not type)--------------------------------------------------------------------------------

STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONContract No.: 04-0J9404 Project ID: 0414000110Bidder Name: BRM Construction Bidder ID: VC120000S0S8

+------------------------------------------------------------------------------+I Estimated I I II Item Item Item I Quantity I Unit Price I Item Total II No. Code Description IUni t of I I II IMeasure I I I+-----------------------------~------------------------------------------------+I 1130100 JOB SITE I I . I I11 IMANAGEMENT I LUMP SUM 1 LUMP SUM I 12,000.001

I I I LS I I I+------------------------------------------------------------------------------+I 1130200 PREPARE WATER I I I I12 1POLLUTION CONTROL I LUMP SUM I LUMP SUM I 750.00 II I PROGRAM I LS I I I+------------------------------------------------------------------------------+I 1130570 TEMPORARY COVER I I I I13 I I 200.01 4.651 930.001I I I SQYD I I I+------------------------------------------------------------------------------+I 1130620 TEMPORARY I I I I14 IDRAINAGE INLET I 4.01 350.001 1,400.0011 I PROTECTION IEA 1 I I+------------------------------------------------------------------------------+I 1130640 TEMPORARY FIBER I 1 I I15 IROLL I 300.01 2.801 840.001

I I ILF I I I+---------------------------------------------------------~----~---------------+I 1130900 TEMPORARY I I I I16 I CONCRETE WASHOUT I LUMP SUM I LUMP SUM I 600.00 II I .1 LS I I I+------------------------------------------------------------------------------+I 1994650 BUILDING WORK 1 I 1 I17 I 1 LUMP SUM I LUMP SUM 1 489,000.001

I I I LS I I I+------------------------------------------------------------------------------+I I II I Total Bid I $505,520.00 1+------------------------------------------------------------------------------+


STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONContract No.: 04-0J9404 Project ID: 0414000110Bidder Name: BRM Construction Bidder ID: VC1200005058

DES-OE-OI02.2C (REV 03/2015)

Bidding Firm: BRM Construction

List this sub? Yes

1) Business Name A-I ConstructionLocation City Castro Valley State CACalifornia Contractor License Number 944217Public Works Contractor Registration Number 1000029678Portion of Work Subcontracted:

Item %994650994650994650994650

Description1 Demo of structure existing storage building2 Relocate Fire hydrant and cap existing10 separator I sampling box,diverter box, sanitary sewer box,undergro9 Sawcut, Demo Asphalt,Backfill & Compact, Asphalt patch, Prep for n

BidSync: The State of Cali fomi a: BRM Construction Page 1 of 1

Department of

General ServicesBUILDING GREEN -o.UYING GR EEN .WOR~ING GREEN

Welcome I \.QgQlJtNeed a••i.tance?Contact us«cal( 800-990.9)3-9

BRM Construction - #1374760Supplier Profile

Legal Business Name

Doing Business As

Address

BRM Construction

BRM Construction

50 MARGUERITE DRHOLLISTER,CA 95023

Phone

FAX

(831) 902-7471

Email

Service Areas

Business Types

Billrm@sbcglobal net

ConstructionServiceNon-Manufacturer

Alameda, Contra Costa, EI Dorado, Fresno, Kings, Madera, Merced, Monterey, Napa,Sacramento, San Francisco, San Mateo, 5anta Clara, 5anta Cruz, Tulare,

Keywords General Contractor, Framing Contractor, Metal and wood

Construction License Types B - General Building Contractor

Classifications 721110 - Single family dwelling construction services721111 - Multiple unit dwelling construction services721210- New industrial building and warehouse construction services721211 - Commercial and office building construction services721212 - Agricultural building construction services721523 - Carpentry services951416 - Prefabricated residential buildings and structures951417 - Prefabricated commercial and industrial buildings and structures951418 - Prefabricated emergency relief buildings and structures--------'-- --_. - ------- ---"-- _ ..- ~- _._-_. ~ -- ._._----------~----- _ .._--

Active Certifications

[------ - -

TYPE

SB (MICro)--- --- -- - -- ---

STATUS

Approved

Certification History------ -- -~ --- ---~--- ------- ----------- ._-- ..- --

lYPE STATUS FROM

SB (Micro) Expired Jan 13, 2012

------- - ---~ -- -----lFeb 28, 2014

-- ---- - ---- ---

http://www.bidsync.com/DPXBisCASB ?ac=supplierprofile&supplieroid= 1512304 9/23/2015

http://www.bidsync.com/DPXBisCASB

STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONContract No.: 04-0J9404 Project ID: 0414000110Bidder Name: BRM Construction Bidder ID: VC1200005058REQUEST FOR SMALL BUSINESS PREFERENCE OR NON-SMALL BUSINESS PREFERENCEDES-OE-OI02.7 (REV 02/2010)

COMPLETE ONE OF THE FOLLOWING:

*8mall Business PreferenceThe undersigned requests small business preference and certifies,under penalty of perjury, that the firm meets the requirements of 2 CA Code ofRegs. 1896 et seq. and is certified as a small business at the time and day ofbid opening or has submitted a complete application to the Department ofGeneral Services (DGS) and is subsequently certified. The complete applicationand any required substantiating documentation must be received by DGS by5:00 p.m. on bid opening date.

Small Business Certification (Reference) Number: 1374760

Date: 09/18/15 Signature: _

*Non-Small Business Preference

The undersigned non-small business preference and notifiesthe Department on the Certified Small Business Listing for the Non-SmallBusiness Preference form that it commits to subcontract at least 25 percent ofits bid amount with one or more firms that meets the requirements of 2 CA Codeof Regs. 1896 et seq. and the firms are certified as small businesses at thetime and day of bid opening or have submitted a complete application and aresubsequently certified by the Department of General Services (DGS). Thecomplete application and any required substantiating documentation must bereceived by DGS by 5:00 p.m. on bid opening date. List these firms on theCertified Small Business 'Listing for the Non-Small Business Preference form.

Date: Signature : _

Contract No. 04-0J9404 Page 7

STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONContract No.: 04-0J9404 Project ID: 0414000110Bidder Name: BRM Construction Bidder ID: VC1200005058CALIFORNIA COMPANY PREFERENCEDES-OE-102.9 (REV 11/2008)

This form must be completed by all bidders. Failure of a non-California companyto fill out and sign this form may be cause for rejection of its bid.Eligibility for a reciprocal preference for a California company is waived ifthe California company fails to complete and sign this form under penalty ofperjury.

The undersigned certifies that it is a "California company" as defined in PubCont Code • 6107 and meets one of the following (enter requested information) :

1. I am a California company which has its principal place of business inCalifornia.

or2. I a California company which has its principal place of business in

a state in which there is no local contractor preference on constructioncontracts.Name of State:

or3. I a California company which has its principal place of business in

a state in which there is a local contractor preference and my company haspaid not less than $5,000 in sales or use taxes to California forconstruction related activity for each of the 5 years immediately precedingthe submission of the bid.Name of State:California Sales or Use Tax No.:

orThe undersigned certifies that it is not a "California company. II

4. I a California company.My principal place of business is in:

(Enter state or country)Describe any and all bid preferences provided to your company by the stateor country in which your company has its principal place of business.(Attach additional sheets if necessary.)Describe:

I certify under penalty of perjury under the laws of the State of Californiathat the foregoing is true and correct.

DATE Signature of Bidder _

------------------------------------------------------------------------------~-Contract No. 04-0J9404 Page 8

STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATION, \Contract No.: 04-0J9404 ProJect ID: 0414000110

Bidder Name: BRM Construction Bidder ID: VC1200005058OPT OUT OF PAYMENT ADJUSTMENTS FOR PRICE INDEX FLUCTUATIONSDES-OE-0102.12A (REV. 8/2012)

To opt out of payment adjustments for price index fluctuations as specified,complete this form.

I opt out of the payment adjustments for price index fluctuations.

Enter Date and Name to opt out of payment adjustments for price indexfluctuations.

Date: 09/18/15 Bidder's Name: BRM Construction

Signature: _



UNDOCUMENTED ALIENS EMPLOYMENT

Under Pub Cont Code. 6101, the Bidder certifies compliance with state andfederal law respecting the employment of undocumented aliens.

NONCOLLUSION

NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID

Under PCC 7106 and 23 USC 112, the bidder declares as follows:State of CA County of StanislausName: Bill Opp,being first duly sworn, deposes and says that he or she isContract Administrator ofBRM Constructionthe party making the foregoing bid that the bid is not made in the interestof, or on behalf of, any undisclosed person, partnership, company, association,organization, or corporation; that the bid is genuine and not collusive orsham; that the bidder has not directly or indirectly induced or solicited anyother bidder to put in a false or sham bid, and has not directly or indirectlycolluded, conspired, connived, or agreed with any bidder or anyone else to putin a sham bid, or that anyone shall refrain from bidding; that the bidder hasnot in any manner, directly or indirectly, sought by agreement, communication,or conference with anyone to fix the bid price of the bidder or any otherbidder, or to fix any overhead, profit, or cost element of the bid price, orof that of any other bidder, or to secure any advantage against the public bodyawarding the contract of anyone interested in the proposed contract; that allstatements contained in the bid are true; and, further, that the bidder hasnot, directly or indirectly, submitted his or her bid price or any breakdownthereof, or the contents thereof, or divulged information or data relativethereto, or paid, and will not pay, any fee to any corporation, partnership,company association I organization, bid depository, or to any member or agentthereof to effectuate a collusive or sham bid.

CHILD SUPPORT COMPLIANCE ACT

Under Pub Cont Code. 7110, the contractor acknowledges that:1. The contractor recognizes the importance of child and family support

obligations and shall fully comply with all applicable state and federallaws relating to child and family support enforcement, including, but notlimited to, disclosure of information and compliance with earningsassignment orders, as provided in Chapter 8 (commencing with section 5200)of Part 5 of Division 9 of the Family Code; and

2. The contractor to the best of its knowledge is fully complying with theearnings assignment orders of all employees and is providing the names ofall new employees to the New Hire Registry maintained by the EmploymentDevelopment Department.



NATIONAL LABOR RELATIONS BOARD

Under Pub Cont Code. 10232, the contractor, swears under penalty of perjury,that no more than one final unappealable finding of contempt of court by afederal court has been issued against the contractor within the immediatelypreceding two year period because of the contractor's failure to comply with anorder of a federal court which orders the contractor to comply with an order ofthe National Labor Relations Board.

VIOLATION OF LAW OR A SAFETY REGULATION

Under Pub Cont Code. 10162, the Bidder must complete, under penalty ofperjury, the following questionnaire:

Has the Bidder, any officer of the Bidder, or any employee of the Bidder whohas a proprietary interest in the Bidder, ever been disqualified, removed, orotherwise prevented from bidding on, or completing a federal, state, or localgovernment project because of a violation of law or a safetyregulation? NoIf the answer is yes, explain the circumstances in the following space.

ANTITRUST LAW

Under Pub Con Code. 10285.1, the Bidder declares under penalty of perjuryunder the laws of the State of California that the Bidder Has Notbeen convicted within the preceding three years of any offenses referred to inthat section, including any charge of fraud, bribery, collusion, conspiracy, orany other act in violation of any state or federal antitrust law in connectionwith the bidding upon, award of, or performance of, any public works contract,as defined in Pub Cont Code. 1101, with any public entity, as defined in PubCont Code. 1100, including the Regents of the University of California or theTrustees of the California State University. The term TlBidder" includes anypartner, member, officer, director, responsible managing officer, orresponsible managing employee thereof, as referred to in Section 10285.1.

If the Bidder has been convicted of an offense within the past 3 years, providethe conviction details including the date and ultimate resolution of eachconviction in the space below.

PERMITS, LICENSES, AGREEMENTS, CERTIFICATIONS, AND RAILROADRELATIONS AND INSURANCE REQUIREMENTS

Bidder acknowledges that permits, licenses, agreements, certifications, and therequirements in the document titled "Railroad Relations and InsuranceRequirements" are components of the Contract under section 5-1.02 of theStandard Specifications.



BIDDER RESPONSIBILITY QUESTIONNAIRE

Failure to truthfully answer the following questions will result in a findingthat the bid is nonresponsive. The Bidder must complete, under penalty ofperjury, the following questionnaire:

1. Within the past 10 years, has the Bidder been found to be a nonresponsiblebidder by any public entity, including federal, State, local, or regionalentities?No

2. Within the past 10 years, have any of the Bidder's officers or employeeswith a proprietary interest in the Bidder been determined to be anonresponsible bidder by a public entity, including federal, State, local orregional entities?No

3. Is there any officer or employee of the Bidder who now has or has had anyproprietary interest in another company that bid or bids on public worksprojects whose company has been determined to be a nonresponsible bidder byany public entity, including federal, State, local, or regional entities?No

4. If the answer to any of the 3 preceding questions is yes, disclose allpertinent details of the determination of nonresponsibility, including:

4.1. Date of each nonresponsibility determination

4.2. Name of each public agency issuing the nonresponsibility determinationand a contact person at that agency who would have information about thedetermination

4.3. Contract number for each nonresponsibility determination

END CERTIFICATIONS


STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONBIDDER'S BONDDES-OE 0102.3(REV 3/2008)Contract No. 04-0J9404

Bond No.

We _ _ _

as Principal, and

as Surety are bound unto the State of California, Department of Transportation,hereafter referred to as "Obligee", in the penal sum of ten percent (10%) ofthe total amount of the bid of the Principal submitted to the Obligee for thework described below, for the payment of which sum we bind ourselves, jointlyand severally,

THE CONDITION OF THIS OBLIGATION IS SUCH, THAT:

WHEREAS, the Principal is submitting a bid to the Obligee, forBUILDING CONSTRUCTION INALAMEDA COUNTY IN FREMONT AT THE FREMONT MAINTENANCE STATION AT 245MOWRY AVENUEIn District 04 on Route 5706for which bids are to be opened at 1727 30th Street, Sacramento CA 95816 on09-22-15.

NOW, THEREFORE, if the Principal is awarded the -contract and, within the timeand manner required under the specifications, after the prescribed forms arepresented to him for signature, enters into a written contract, in theprescribed form, in accordance with the bid, and files two bonds with theObligee, one to guarantee faithful performance (if specified in the contract)of the contract and the other to guarantee payment for labor and materials asprovided by law, then this obligation shall be null and void; otherwise, itshall remain in full force.

In the event a suit is brought upon this bond by the Obligee and judgementis recovered, the Surety shall pay all costs incurred by the Obligee in suchsuit, including a reasonable attorney's fee to be fixed by the court.

Dated: _, 20

Principal _

Surety _

By _ _ __

Attorney-in-Fact


Correspondence or claims relating to this bond should be sent to the surety atthe following address:

CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT

State of California

County of

On this

Date

before me,Here insert Name and Title of the Officer

personally appeared ..... _

Name(s) of Signer(s)

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 methat 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 theentity upon behalf of which the person(s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of Californiathat the foregoing paragraph is true and correct.

WITNESS my hand and official seal

SIGNATURE

Signature of Notary Public

(SEAL)


STATE OF CALIFORNIA. OEPARTMENT OF TRANSPORTATIONBIDDER'SBOND )9-18-15DES-OE-0102.3 (REV 3/2008)

We BRM

P02:56 I~I Contract No. _0_4-_0_JO_9_4_04 _

Bond No. N_/~A~ _

_____________ as Principal, and

Travelers Casulaty and Surety Company of America

as Surety are bound unto the State of California, Department of Transportation, hereafter referred to as "Obligee", in the penal sum often percent (10%) of the total amount of the bid of the' Principal submitted to the Obligee for the work described below, for the paymentof which sum we bind ourselves, jointly and severally,

THE CONDITION OF THIS OBLIGATION IS SUCH, THAT:

WHEREAS, the Principal is submitting a bid to the Obligee, for Bllildi9ji Constn Idon _Fremont Maintenance Station(Copy re the exact description of work, including location, as it appears on the proposaO

for which bids are to be opened at In Alameda County In Fremont At the Fremont Maintenance Station At 245 Mowry Avenue(Insert place where bids will be opened)

_______ . on September 22 2015(Insert date of bid opening)

NOW, THEREFORE, if the Principal is awarded the contract and, within the time and manner required under thespecifications, after;Jhe prescribed forms are presented to him for signature, enters into a written contract, in the prescribed form, inaccordance with the bid, and files "two bonds with the Obligee, one to guarantee faithful petformance (if specified in the contract) of thecontract and the other to guarantee payment for labor and materials as provided by law, then this obligation shall be null and void;othervvise, it shall remain in full force.

In the event a suit is brought upon this bond by the Obligee and judgment is recovered, the Surety shall pay all costs incurredby the Obligee in such suit, including a reasonable attorney's fee to be fixed by the court.

Julie A. hiromaCALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT

Dated ..8.ejl!eIIlber 14 , 2015-Correspondence or claims relating to thisbond should be sent to tbe surety at tbefollowing address:11070 White Rock Road, Ste. 130Rancho Cordova, CA 95670

BRMPrincipal

State of California

County of

On thisDate

personally appeared

}Here Insert Name and Tifle ofthe Officer

Name(s) of Signer(s)

who proved to me on the basis of satisfactory evidenc 0 be the person(s) whose name(s) is/are subscribed to the within instrumentand acknowledged to me that he/she/they executed the sa e in his/herftheir authorized capacity(ies), and that by his/her/theirsignature(s) on the instrument the person(s), or the entity upo ehalf of which the person(s) acted, executed the instrument.

Signature

I certify under PENALTY OF PERJURY under the laws of the State 0

(SEAL)

lifornia that the foregoing paragraph is true and correct.

Signature of Notary Public

ADA N t" For individuals with sensory disabilities, this document is available in alternate formats. For information 11(916) 664-6410 or TOO (916) 654-3880 oro Ice write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.

CALIFORNIA ALL.PURPOSE ACKNOWLEDGMENT CIVIL CODE!i 1189Q.''''''''''','''''' co

A notary pubftc or other officer completing this certifICate verifies only the identity of the individual who signed the document towhich this certificate is attached. andi not the truthfulness. lIccuracy, or vaHdity of that document.

State or California

County of_P_la_c_e_r _ }On :J.tpit Ivt.bu- )* .;LQlbefore me. Monica A. Hutchison, Notary Public, personally appeared

Date Here Insert Name and TiVeof the officer

Julie A. ShiromaName(s) of Signer(s)

Who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/aresubscribed to the within instrument and acknowledged to me that he/she/they executed the same inhis/herltheir authorized capacity(ies). and that by hislherltheir signature(s) on the instrument theperson(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

I certify under PENAL TV OF PERJURY under the lawsof the State of California that the foregoing paragraphis true and correc!.

WITNESS my hand and official seal.

Signature: D1.A7w.aJ r'1.W~Signature of Notary Pubiic

Place Notsry Sesl AboveOPTIONAL----------------- -----------------Though this section is optional, comple~ng this information can deter alteration of the document or fraudulent

reaHachment of this form to an unintended document. .

Description of Attached Document

Title or Typeof Document: _

Numberof Pages:__ Signer(s)OtherThan NamedAbove:__

Capacity(ies) Claimed by Signer(s)

Document Date: __

Signe(s Name:__

oCorporateOfficer••Title(s):__o Partner. 0 Limited 0 General

o Individual 0 Attorney in fact

OTrustee OGuardian Of ConservatorOOther: __

Signer is Representing;__

Sjgne~sName:__

oCorporateOfficer••Title(s);__o Partner. 0 Limited 0Generalo Individual 0 Attorney in fact

OTrustee OGuardian Of ConservatorOOther; __

Signer is Representing:_

;,

./ WARNING: THIS POWER OF ATIORNEY IS INVALID WITHOUT THE RED BORDER

••••TRAVELERSJPOWER OF ATTORNEY

Farmington Casualty CompanyFidelity and Guaranty Insurance CompanyFidelity and Guaranty Insurance Underwriters,lnc.St. Paul Fire and Marine Insurance CompanySt. Paul Guardian Insurance Company

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

Attorney-In Fact No. 229599 Certificate No. 0 0 6 4 2 3 715

St. Paul Mercnry Insurance CompanyTravelers Casualty and Surety CompanyTravelers Casualty and Surety Company of AmericaUnited States Fidelity and Guaranty Company

KNOW ALL MEN BY THESE PRESENTS: That Farmington Casualty Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian InsuranceCompany, 51. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United SlatesFidelity and Guaranty Company are corporations duly organized under the laws of the State of Connecticut, that Fidelity and Guaranty Insurance Company is acorporation duly organized under the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters, Inc., is a corporation duly organized under thelaws of the State of Wisconsin (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint

Monica A. Hutchison, Stephen D. Bender. Edward D. Johnson, Todd J. Sorensen. and Julie A. Shiroma

of the City of Roseville , State of California , their true and lawful Attomey(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 andother writings obligatory in the nature thereof on behalf of the Companies in their lmsjness of guaranteeing the fidelity of persons, guaranteeing the performance ofcontracts and executing or guaranteeing bonds and undertakings required or pennit(ed~in any.,aftions or .proceedings allowed by law.

:\\". ~ V' \:V~~~~ ~~~ ~~~~\)",,-0 ~c.,~ ~~~) 30lh

IN WITNESS WHEREOF, the Corhpames have caused this mstrume~to~be signed and theipcorporate seals to be hereto affixed, this _

dayo! June . 2015 <\~~~~/'~~\.'\y.,q~O~ •.,~~

Farmington Casualty C~mpany r~~ ~ VFidelity and GuarantylInlurance'€ompany 0""--Fidelity and Guaranty Insuf:nk~Underwiiters, Inc.St. Paul Fire and Marine Ins~rance CompanySt. Paul Guardian Insurance Company

State of ConnecticutCity of Hartford ss.

.~

~

By:

30th June 2015On this the day of - , before me personally appeared Robert L. Raney, who acknowledged himself tobe the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Jnc., St. PaulFire and Marine Insurance Company, S1. Paul Guardian Insurance Company, S1. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, TravelersCasualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he, as such, being authorized so to do, executed the foregoinginstrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer.

In Witness Whereof, I hereunto set my hand and official seal.My Commission expires the 30th day of June, 2016.

58440-8-12 Printed in U.S.A.

'«\w C.j~"" Marie C. Tetreault, Nolary Public

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

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

This Power of Anomey is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Farmington Casualty Company. Fidelityand Guaranty Insurance Company, Fidelity and Guaranty Insurance UndelWriters. Inc .• 51. Paul Fire and Marine Insurance Company. 51, Paul Guardian InsuranceCompany. St. Paul Mercury Insurance Company, Travelers Casually and SurclY Company, Travelers Casualty and Surety Company of America. and United StatesFidelity and Guaranty Company, which resolutions are now in full force and effcct, reading as follows:

RESOLVED. that the Chairman. the President, any Vice Chairman. any Executive Vice President. any Scnior Vicc President, any Vice President. any Second ViccPresident. the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalfof the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with theCompany's seal bonds. rccogni7.ances, contracts of indemnity, and other writings obligatory in the nmure of a bond. recognizance, or conditional undenaking, and anyof said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her; and it is

}'URTHER RESOLVE». that the Chairman. the President, any Vice Chaimlan. any Executive Vice President. any Senior Vice President or any Vice President maydclegate all or any pan of the foregoing authority to onc or more officers or employees of this Company. provided Ihat each such delegation is in writing and a copythereof is filed in the office of the Secretary: and it is

FURTHER RESOLVE». that any bond. recogni7.ance. contract of indemnity, or writing obligatory in the nature of a bond. recognizance. or conditional undenakingshall be valid and binding upon the Company when (a) signed by the President. any Vice Chairman, any Executive Vice President. any Senior Vice President or any VicePresident, any Second Vice President. the Treasurer. any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with theCompany's seat by a Secretary or Assistant Secretary: or (b) duly executed (under seal, if required) by one or more Attorneys-in-Fact and Agents pursuant to the powerprescribed in his or her cenificale or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is

FURTHER RESOLVED, that the signature of each of the following officers: President. any Executive Vice President. any Senior Vice President, any Vice President.any Assistant Vice President, any Secretary. any Assistant Secretary. and the seal of the Company may be affixed by facsimile to any Power of Attorney or to anycertificate relating thereto appointing Residem Vice Presidents, Resident AssiSlfim Secretaries or Attorneys-ill-Fact for purposes only of executing and attesting bondsand undertakings and other writings obligatory in the nature thereof. and any such Power of Attorney or cenificate bearing such facsimile signature or facsimile sealshall be valid and binding upon the Company and any such power so executed and cenified by such facsimile signature and facsimile seal shall be valid and binding onthe Company in the future with respect to any bond or understanding to which it is attached.

I. Kevin E. Hughes. the undersigned. Assistant Secretary. of Fannington Casually Company. Fidelity and GuaranlY Insurance Company, Fidelity and Guaranty InsuranceUnderwriters, Inc .• SI. Paul Fire and Marine Insurance Company. St. Paul Guardian lnsurance Company, SI. Paul Mercury Insurance Company. Travelers Casualty andSurety Company, Travelers Casualty and Surety Company of America. and United<sG'tes"'Fidelif-tand Guaranty Company do hereby cenify that the above and foregoing

;, a trueandcorrectcopyof thePowerofAttorneyexecutedhy said~~~~~~~f~ ~~~:tdYelTectandhasnotbeenrevoked.

IN TESTIMONY WHEREOF, I havehereuntosel myhandan~fi~ ~e':.ls) '?i;:~pnJ.:;~~ 14t~.yof ?Lpk lY\be,,,---.20 J~'\.",'" -4~)"~ ,\ •."ri:,,\O~\.O\j ;:l..~~~ c~l- •••.\\\\' ~OV r.'I" lary

To verify the authenticity of this Power of Altorney. call 1-800-421-3880 or contact us Ilt www.travelersbond.com. Please refer to the Attorney-In-Fact number, theabove-named individuals and the details of the bond to which the power is attached.

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

.1

http://www.travelersbond.com.

caltrans 4 state of california department of ... of california department of transportation contract...

Documents