Athletic Facilities - Borbon Inc painting
Transcription
Athletic Facilities - Borbon Inc painting
DESERT COMMUNITY COLLEGE DISTRICT AGREEMENT THIS AGREEMENT is made this 3rd day of January, 2013, in the City of Palm Desert, County of Riverside, State of California, by and between DESERT COMMUNITY COLLEGE DISTRICT, a California Community College District hereinafter "District" and BORBON INCORPORATED .; ("Contractor"). WITNESSETH, that the District and the Contractor in consideration of.the mutual covenants contained herein agree as follows: 1. The Work. Within the Contract Time and for the Contract Price, subject to adjustments thereto pursuant to the Contract Documents, the Contractor shall perform and provide all necessary labor, materials, tools, equipment, utilities, services and transportation to complete in a workmanlike manner all of the Work required in connection with the work of improvement commonly referred to as ATHLETIC FACILITIES; Bid Package No. 011200.24; Bid Package Description: Painting. -/ Contractor shall complete all Work covered by the Contract Documents including, without limitation, the Drawings and Specifications prepared by the Architect, LPA, Inc., and other Contract Documents enumerated below, along with all modifications and addenda thereto issued in accordance with the Contract Documents. 2. Contract Time. The Work shall be commenced on the date stated in the District's Notice to Proceed; the Contractor shall achieve Substantial Completion of the Work within the Contract Time set forth in the Special Conditions. 3. Contract Price. The District shall pay the Contractor as full consideration for the Contractor's full, complete and faithful performance of the Contractor's obligations under the Contract Documents, subject to adjustments of the Contract Price in accordance with the Contract Documents, the Contract Price of One hundred sixty-nine thousand sixty-nine Dollars ($169,069.00). I The Contract Price is based upon the Contractor's Base Bid Proposal and the following Alternate Bid Items: NONE. ,/ The District's payment of the Contract Price shall be in accordance with the Contract Documents. / Unit Prices, if any, are as follows: NONE The Contract Price will be increased by an amount equal to the unit price multiplied by the actual number of units of each unit price item incorporated in the Work. 4. Liquidated Damages. Should the Contractor neglect, fail or refuse to: (i) timely submit Submittals in accordance with the Baseline Construction Schedule or the Updated Construction Schedule, as applicable; (ii) achieve Substantial Completion of the Work within the Contract Time, (subject to adjustments authorized under the Contract Documents); or (iii) complete Punchlist items within the time established pursuant to the Contract Documents, the Contractor agrees to pay to the District the per diem Liquidated Damages set forth in the Special Conditions, not as a penalty but as Liquidated Damages, for every day beyond the Contract Time, as adjusted, until Submittals are submitted, Substantial Completion is achieved or the Punchlist items are completed. The Liquidated Damages set forth in the Special Conditions are agreed upon by and BORBONINCORPORATED 01·03·13 $169,069.00 AGREEMENTDATEO: ATHLETIC FACILITIES 41-251-0283-0-0835-0000-6210 EIS PROJECT #230043 AGREEMENT PAGE 1 DESERT COMMUNITY COLLEGE DISTRICT between the Contractor and the District because of the difficulty of fixing the District's actual damages in the event of delayed submission of Submittals, delayed Substantial Completion or delayed completion of Punchlist items. The Contractor acknowledges and agrees that the Liquidated Damages are reasonable and that the Liquidated Damages do not constitute a penalty. If the liquidated Damages assessed by the District pursuant to the foregoing exceed the remaining balance of the Contract Price due the Contractor, the Contractor and the Performance Bond Surety shall be jointly and severally liable to the District for all Liquidated Damages liability of the Contractor exceeding the balance of the Contract Price. 5. Limitation on Contractor Damages. In the event of the District's breach or default under the Contract Documents, the damages, if any, recoverable by the Contractor shall be limited to general damages which are directly and proximately caused solely by the breach or default of the District and shall exclude any and all special or consequential damages, if any, or any kind, type or nature. By executing the Agreement, the Contractor expressly acknowledges the foregoing limitation to recovery of damages from the District if the District is in breach or default of its obligations under the Contract Documents. The Contractor expressly waives and relinquishes all rights to any recovery of special or consequential damages from the District including, without limitation, damages for: (i) lost or impaired bonding capacity; (ii) lost profits arising out of or in connection with any project or project work, except for the Project which is the subject of this Agreement; (iii) loss of bidding opportunities; (iv) loss or prospective economic advantage; and (v) other similar damages, losses or liabilities. 6. The Contract Documents. The documents forming a part of the Contract Documents consist of the following, all of which are component parts of the Contract Documents. Notice to Contractors Calling For Bids Instructions For Bidders Bid Proposal Subcontractors List Non-Collusion Affidavit Statement of Bidder's Qualifications Bid Bond Roof Project Financial Disclosure Certificate Bid Addenda Nos. 1, 2, 3 and 4 Agreement Performance Bond Labor and Materials Payment Bond Drug-Free Workplace Certification General Conditions Special Conditions Guarantee Scope of Work Specifications Drawings Labor Compliance Program OCIP Insurance Program and Policies OCIP Forms 7. Acknowledgment and Confirmation. Contractor acknowledges its receipt, review and understanding of the Drawings, the Specifications and other Contract Documents pertaining to the Work. Contractor certifies that the Contract Documents are adequate, feasible and complete for providing, performing and constructing the Work in a sound and suitable manner for the use specified and intended by the Contract Documents. Contractor certifies that it has, or has available, all necessary equipment, personnel, materials, facilities and technical and financial ability to complete the Work for the Contract Price within the Contract Time and in accordance with the Contract Documents. 8. No Oral Agreements. No oral agreement or conversation either before or after execution of the contract shall affect or modify any of the terms or obligations contained in this Agreement or in any of the documents comprising the Contract Documents. BORBONINCORPORATED AGREEMENT DATED: 01·03·13 $169,069.00 ATHLETIC FACILITIES 41 ·251·0283·0·0835·0000·621 0 EIS PROJECT #230043 AGREEMENT PAGE 2 DESERT COMMUNITY COLLEGE DISTRICT 9. Authority to Execute. The individual(s) executing this Agreement on behalf of the Contractor is/are duly and fully authorized to execute this Agreement on behalf of Contractor and to bind the Contractor to each and every term, condition and covenant of the Contract Documents. CONTRACTORS ARE REQUIRED BY LAW TO BE LICENSED AND REGULATED BY THE CONTRACTORS' STATE LICENSE BOARD. ANY QUESTIONS CONCERNING A CONTRACTOR MAY BE REFERRED TO THE REGISTRAR, CONTRACTORS' STATE LICENSE BOARD, P.O. BOX 2600, SACRAMENTO, CALIFORNIA 95826 IN WITNESS WHEREOF, this Agreement has been duly executed by the District and the Contractor as of the date set forth above. "CONTRACTOR" BORBONINCORPORATED "DISTRICT" DESERT COMMUNITY COLLEGE DISTRICT By: ~m~~ Wade W. Ellis, CPA Title: Director of Fiscal Services By: --,~~~",,=~... -----c.M.=.L.!~~=_ Title: _B..L....;n,-",e=s"-,-;""",d<-..:::.uri,-,-,--",,,--_/_ (CORPORATE SEAL) Attach notary acknowledgment for ali signatures of Prime Trade Contractor. If signed by other than the sole proprietor, a general partner, or corporate officer, attach original notarized Power of Attorney or Corporate Resolution. BOR80N INCORPORATED AGREEMENT DATED: $169,069.00 01~03"13 ATHLETIC FACILITIES 41·251·0283-0-0835-0000-6210 EIS PROJECT #230043 AGREEMENT PAGE 3 01/40/2013 09:51 FAX 714 994 0641 141 001 BORBON INC Minutes of the Annual Meeting of Shareholders Of Borbon, Inc Date: May 1, 2008 Time: 11:00 A.M. Place: 7312 Walnut Ave. Buena Park, CA 90620 Present at said meeting were lhe following: Cecilia Morales Susan Fiorentino Cecilia Morales acted as Chairperson of lhe meeting. Susan Fiorentino acted as Secretary of lhe meeting. The Secretary announced lhat lhe meeting was held pursuant to notice as required under lhe , bylaws of lhe corporation, or lhat notice had been waived by all directors entitled to receive notice under lhe bylaws. Copies of any certificates of mailing of notice prepared by lhe Secretary of lhe Corporation and any written waivers' signed by directors entitled to receive notice of lhis meeting are attached to lhese minutes. The purpose of said meeting was to comply wilh lhe requirements of lhe company bylaws by conducting lhe annual meeting, and to review lhe current status of lhe business and lhe current financial status of lhe company. Share certificates number·4 and number 5 were presented to ' Cecilia Morales. .. 01/30/2013 09:52 FAX 714 994 0641 BORBON INC 141 002 Discussion was held on the status of the application to certify the company as a minority and women owed business. After reviewing the financial status of the company and the current book of business the meeting was adjourned. Dated: May 1, 2008 Cecilia Morales ,6&:zm \&'wl/;;'it; ./ Susan Fiorentino CERTIFICATE OF SECRETARY FOR BORBON INCORPORATED. a California corporation I, CECILIA V. MORALES, hereby certifY as follows: 1. I am the duly elected Secretary of BORBON INCORPORATED., a California corporation (the "Corporation"). 2. The stock of the Corporation is owned as follows: Certificate No. David Morales Dated: July.BL2006 I Number of Shares 100% ownership 1J6~~JV.A~ CECILIA V. MORALES 307681.1 · -.~:,...;,..-" :;\'1',lfl":E ! .... "'~-,-" '!!J'·:(tOmi •. , ,. ! ., !l'!", ,:,'\'l:\'f-.t",;,f!j\~ ,";p.)E. _, ( ."ti,:k:F';;;~M1jt,~ "._~_."<,\b.~,, , z , ) M~4."200s 11,54 ; "> "_"d", ",~~"h,3>t-""' ,',,,", '¥'-\~{''';'; '''~'''""YR-d·I,~'.d1i?iMW~5i'1/;,t~:iP.,.tJi."",~"-'0:'' i'\~.'!i;"¥"-'15fi#0";!" ,,~A, "N, '. NO. 940 CAPl ttL 5\;1$. INC .. 17149840641 06 679391 California Secre~ry orSUlte STAn;r.rENT OF 1"'!'Ct~MJi.tloN !P-w&i!l_ ~'n9!,'!f~:i-~;~ b',:~~~:~ Bo!OOn iOOJIpO""i>d C0T7S9'i5 . Plllp,U3nt:.-'tO . .""'~~~'S;;b:f. ;:;f.L;,.Ei~:c._w;-= p, r e'5 1. den t ~ DESERT COMMUNITY COLLEGE DISTRICT Bond #: 57BCSGK7871 Premium: $2,173.00 PERFORMANCE BOND I KNOW ALL MEN BY THESE PRESENTS that we, Borbon Incorporated, as Principal, and Hartford Fire Insurance Company" ./ as Surety, are held and firmly bound unto DESERT COMMUNITY COLLEGE DISTRICT herelnaftey"the Obligee", in the penal sum of One hundred sixty-nine thousand sixty-nine Dollars ($169,069.00) in lawful money of the United States, well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally. THE CONDITION OF THIS OBLIGATION IS SUCH THAT: WHEREAS, the Obligee, by resolution of its Board of Trustees has awarded to the Principal a Contract for the Work described as ATHLETIC FACILITIESj Project No. 230043; Bid Package No• ./ 011200.24; Bid Package Description: Painting. WHEREAS, the Principal, has entered into an agreement with the Obligee for performance of the Work; the Agreement and all other Contract Documents set forth therein are incorporated herein and made a part hereof by this reference. WHEREAS, by the terms of the Contract Documents, the Principal is required to furnish a bond ensuring the Principal's prompt, full and faithful performance of the Work of the Contract Documents. NOW THEREFORE, if the Principal shall promptly, fully and faithfully perform each and all of the obligations and things to be done and performed by the Principal in strict accordance with the terms of the Contract Documents as they may be modified or amended from time to time; and if the Principal shall indemnify and save harmless the Obligee and all of its officers, agents and employees from any and all losses, liability and damages, claims, Judgments, liens, costs, and fees of every description, which may be incurred by the Obligee by reason of the failure or default on the part of the Principal in the performance of any or all of the terms or the obligations of the Contract Documents, including all modifications, and amendments, thereto, and any warranties or guarantees required thereunder; then this obligation shall ba void; otherwise, it shall be, and remain, in full force and effect. The Surety, for value received, hereby stipulates and agrees that no change, adjustment of the Contract Time, adjustment of the Contract Price, alteratlons, deletions, additions, or any other modifications to the terms of the Contract Documents, the Work to be performed thereunder, or to the Specifications or the Drawings shall limit, restrict or otherwise impair Surety's obligations or Obligee's rights hereunder; Surety hereby waives notice from the Obligee of any such changes, adjustments of Contract Time, adjustments of Contract Price, alterations, deletions, additions or other modifications to the Contract Documents, the Work to be performed under the Contract Documents, or the Drawings or the Specifications, In the event of the Obligee's termination of the Contract due to the Principal's breach or default of the Contract Documents, within twenty (20) days after written notice from the Obligee to the Surety of the Principal's breach or default of the Contract Documents and Obligee's termination of the Contract, the Surety shall notify Obligee in writing of Surety's assumption of obligations hereunder by its election to either remedy the default or breach of the PrinCipal or to take charge of the Work of the Contract Documents and complete the Work at its own expense ("the Notice of Election"); provided, however, that the procedure by which the Surety undertakes to discharge its obligations under this Bond shall be subject to the advance written approval of the Obligee, which approval shall not be ATHI.ETIC FACILITIES B#41~251.0283~O.O!i35.00{)O.6210 Pe~f'ORMANCE BOND - SECTION oosoo MULTI PRIME-ocrp-AB 1$06 (0T.11) PERFORMANCE BONO PAGE1 DESERT COMMUNITY COLLEGE DISTRICT unreasonably withheld, limited or restricted. The insolvency of the Principal or the Principal's mere denial of a failure of performance or default under the Contract Documents shall not by itself, without the Surety's prompt, diligent inquiry and investigation of such denial, be justification for Surety's failure to give the Notice of Election or for its failure to promptly remedy the failure of performance or default of the Principal or to complete the Work. In the event the Surety shall fail to issue its Notice of Election to ObJigee within the time provided for hereinabove, the Obligee may thereafter cause the cure or remedy of the Principal's failure of performance or default or to complete the Work. The Principal and the Surety shall be each jointly and severally liable to the Obligee for all damages and costs sustained by the Obligee as a result of the Principal's failure of performance under the Contract Documents or default in its performance of obJigations thereunder, including without limitation the costs of cure or completion exceeding the then remaining balance of the Contract Price; provided that the Surety's liability hereunder for the costs of performance, damages and other costs sustained by the Obligee upon the Principal's failure of performance under or default under the Contract Documents shall be limited to the penal sum hereof, which shall be deemed to include the costs or value of any Changes to the Work which increases the Contract Price. In the event suit or other proceeding is brought upon this Bond by the Obligee, the Surety shall pay to the Obligee all costs, expenses and fees incurred by the Obligee therewith including, without limitation, attorney's fees. IN WITNESS WHEREOF, the Principal and Surety have executed this inslrument this of January. 20.J}by their duly authorized agent or representative. ,/ ~day Borbon Incorporated (Print/pal's Corporate Sea!) (Principal Name) By: Gg, Q" fi M tfl-(\k~ (Typed or Printed Nama) Title: _ _ _ _ _ _ _ _ _ _ _ _ _ __ ,/ Hartford Fire Insurance Company (Surely's corporate Seal) (Surely Nama) / (A1tsch Allomey·in-Fae: CertUkat\!) (415 ATHLETJC FACIUTIE;S 9#41.251.0283.0·0835-0000·&210 PERFORMANCE BOND - SECTION 00600 MULTI PRIMe -DCI? -AB 1606 (07.11) )~8~36~4~8~58~ _____________________ PeRFORMANce BOND PAGs2 DESERT COMMUNITY COLLEGE DISTRICT Contact name, address, telephone number and email address for notices to the Surety Mr. Pierre LeCompte {Contact Nama) 595 Market Street, 5th Floor, San Francisco, CA 94105 (Addrt.llStI) (415) 836-4858 (Tolophona) [email protected] (Ema!! addrasSl) ATHL~TIC FACILITIES B#41·251"()283.0.o935·0000·S21 0 PERFORMANce BOND - SECTION 00600 MULTI PRIMe..oCIP-AB 1506 (07,11) PERFORMANCE BOND PAGe3 Direct Inquiries/Claims to: THE HARTFORD POWER OF ATTORNEY Bond T·4 One Hartford Plaza Hartford, Connecticut 06155 call: 888·266·3488 or fax: 860·757·5835) Agency Code: 57 KNOW ALL PERSONS BY THESE PRESENTS THAT: 141108 ~ Hartford Fire Insurance Company, a corporation duly organized under the Jaws of the State of Connecticut Hartford Casualty Insurance Company, a corporation duly organized under the laws of the State of Indiana o o o o o o o Hartford Accident and Indemnity Company, a corporation duly organized under the laws of the State of Connecticut Hartford Underwriters Insurance Company, a corporation duly organized under the laws of the State of Connecticut Twin City Fire Insurance Company, a corporation duly organized under the laws ofthe State ofIndiana Hartford Insurance Company of Illinois, a corporation duly organized under the laws of the State of Illinois Hartford Insurance Company of the Midwest, a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of the Southeast, a corporation duly organized under the laws of the State of Florida having their home office in Hartford, Connecticut (hereinafter collectively referred to as the "Companies") do hereby make, constitute and appoint, up to the amount of UNLIMITED VENETIA G. JOHNSON, KANDACE L. REEVES OF FREMONT CA; CATHER~E A. PINNEY, NATALIE ANN HORDER OF PETALUMA CA; STACY M. CLINTON, K. DIXON WRIGHT, NANCY L. WALLIS, DONNALYN REVIS OF SAN CARLOS, CALIFORNIA their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign its name as surely(ies) only as delineated above by [8], and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments 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. In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on August 1, 2009, the Companies have caused these presents to be signed by its Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary. Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they are and will be bound by any mechanlcally appfied signatures applied to this Power of Attorney. We~ley W. Cowling, Assistant Secretary M. Ross Fisher, Vice President STATE OFCONNECTICUT} SS. Hartford COUNTY OF HARTFORD On this 12th day of July, 2012, before me personally came M. Ross Fisher, to me known, who being by me duly sworn, did depose and say: that he resides in the County of Hartford, State of Connecticut; that he is the Vice President of the Companies, the corporations described in and which executed the above instrument; that he knows the seals of the said corporations; that the seals affixed to the said instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of said corporations and that he signed his name thereto by like authority. CERTIFICATE Kathleen T. Maynard Notal)' Public My Commission Expires July 31, 20! 6 I, the undersigned, Vice President of the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is still in full force effective as of January 9, 2013 Signed and sealed at the City of Hartford. Gary W. Stumper, POA 20J2 Vice President CALIFORNIA AlL·PURPOSE ACKNOWLEDGMENT ~~~,w.m; State of California Countyof __~S~o~n~om~a_______________________ On January 9, 2013 before me, Date } 1(. Dixon Wright, Notary Public Here insert Name and Title of the OHicer personally appeared _______ S_ta_c-'-y_M_._C_I_in_t_o_n__"'_'____""====_______________________ Name(sj 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 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 certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official eal. / Place Notary Seal Above Signature-ltr.n~",-~~~~==;c-_ _ _ __ OPTIONAL-----------------------Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: ___________________________________________________________ Document Date: ____________________________________ Number of Pages: _________________ Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Stacy M. Clinton Individual D Corporate Officer - Title(s): D Partner - 0 Limited 0 General lEI Attorney in Fact D Trustee D Guardian or Conservator D Other: _ _ _ _ _ _ __ D Signer Is Representing: ______ Signer's Name: ____________________________ Dlndividual DCorporate Officer - Title(s): _________________ D Partner - 0 Limited 0 General DAttorney in Fact Top of thumb here DTrustee D Guardian or Conservator DOther: _ _ _ _ _ _ _ _ __ Signer Is Representing: __________ ~~~~~""§Y( ©2007 National Notary Association' 9350 De Soto Ave., P.O. Box 2402' Chatsworth, CA 91313·2402- www.NationaINotary.org item 115907 Aeorder:CaIfTolI·Free 1"800·876·6827 y . THE!!J. Producer Compensation Notice HARTFORD You can review and obtain information on The Hartford's producer compensation practices at www.thehartford.com or at 1-800-592-5717. HR 00 H093 00 0207 © 2007, The Hartford Page 1 of 1 CALIFORNIA ALL.PURPOSE ACKNOWLEDGMENT EXf'WZ?:27~ State of California County of On } 0 'fa. Y\~-e \--11-13 before me, Dr. " 11 'I't AY\Y\Q Lo,UYGl Cat-aves ~ ,I 0 \~,rl I _, ~~:' '"':" ~am"'d Till, ofth, OHl,,, personally appeared __-,,=,-,"C:....:: '\../!::..:...=l=A..--'I..::....tv-'-'-"uIU.Lb\...'-'I-(;:::~...;,;:;T.;=v~;;;v-- _ _ _ _ _ _ _ __ Date C Nama{sro! Slgne~y who proved to me on the basis of satisfactory evidence to be the perso~Mwhose namejsf isjlU9 subscribed to the within instrument and acknowledged to me that !;le1shefthl'1 executed the same in h~ffierfth.ei(iiUthorized capacity~sl, and that by J:)i$lherftj)eir signature!s} on the instrument the pe"!on(s}, or the entity upon behalf of which the persotl(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. / Place Notary Seal Above -------------------OPTIONAL------~--------------Though the information below is not required by law, It may prove valuable to persons relying on the document and could prevent fraudulenf.removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: DocumentDate: Pe("'.-fz:;,YVvlCtV)CQ.. \-Cl- /3 ~(1 Ad Number of Pages: _ _ _ _ _ _ __ Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Lee!! II Iv\ orcA \es Signer's Name: CI,. o Individual -I;i<Corporate Officer - Title(s): Partner - 0 limited 0 General o Attorney in Fact Trustee Guardian or Conservator o Other: _ _ _ _ _ _ __ ' . \?,E'i:: i c\evct o o o RIGHTTHUMSPRINT OF SIGNER Top of thumb here g 2 C o Individual o Corporate Officer - Title(s): _ _ _ _ _ _ _ __ 0 Limited 0 General RIGHT THUMBPRINT OFSIGNEA Attorney in Fact Top of thumb hem o Trustee Guardian or Conservator o Other: _ _ _ _ _ _ _ __ o Partner - o o Signer Is Representing: _ _ __ ~.Q. Signer's Name: _ _ _ _ _ _ _ _ _ _ _ _ __ Signer Is Representing: _ _ _ __ WJ§!l. g:c.. 2:. 2 eJC g Q s::::; g:;g;g;; :@'C _ g &D&2 2M «:12007 NaUonat Notary Assoclation· 9350 De Solo Ave., P,O.8o>.: 2402.Chalsworlh, CA 91313-2402· www.NationalNolary.org Item 115907 Aeorder:CaUTon-Free 1-80o.87S·6827 DESERT COMMUNITY COLLEGE DISffilCT Bond #: 57BCSGK7871 Premium: included in perf bond LABOR AND MATERIAL PAYMENT BOND if KNOW ALL MEN BY THESE PRESENTS that we, Borbon Incorporated as Principal, and Hartford Fire Insurance Company 'if as Surety, are held and firmly bound unto DESERT COMMUNITY COLLEGE DISTRICT hereinafter "the Obligee", in the penal sum of One hundred sixty-nine thousand sixty-nine Dollars ($169.069.00lji'f lawful money of the United States, well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally. THE CONDITION OF THIS OBLIGATION IS SUCH THAT: WHEREAS, the Obligee, by resolution of its Board of Trustees has awarded to the Principal a Contract for the Work described as ATHLETIC FACILITIES; Project No. 230043; Bid Package No. 011200.24; Bid Package Description: Painting. ./ WHEREAS, the Principal, has entered into an Agreement with the Obligee for performance of the Work, the Agreement and all other Contract Documents set forth therein are incorporated herein by this reference and made a part hereof. WHEREAS, by the terms of the Contract Documents, the Principal is required to furnish a bond for the prompt, full and faithful payment to any Claimant, as hereinafter defined, for all labor materials or services used, or reasonably required for use, in the performance of the Work. NOW THEREFORE, if the Principal shall promptly, fully and faithfully make payment to any Claimant for all labor, materials or services used or reasonably required for use in the performance of the Work then this obligation shall be void; otherwise, it shall be, and remain, in full force and effect. The term "Claimant" shall refer to any person, corporation, partnership, proprietorship or other entity including without limitation, all persons and entities described in California Civil Code §3181, providing or furnishing labor, materials or services used or reasonably required for use in the performance of the Work under the Contract Documents, without regard for whether such labor, materials or services were sold, leased or rented. This Bond shall inure to the benefit of all Claimants . so as to give them, or their assigns and successors, a right of action upon this Bond. In the event suit is brought on this Bond by any Claimant for amounts due such Claimant for labor, materials or services provided or furnished by such Claimant, the Surety shall pay for the same and reasonable attorneys fees pursuant to Califomia Civil Code §3250. . The Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration, deletion, addition, or any other modification to the terms of the Contract Documents, the Work to be performed thereunder, the Specifications or the Drawings, or any other portion of the Contract Documents, shall in any way limit, restrict or otherwise affect its obligations under this Bond; the Surety hereby waives notice from the Obligee of any such change, extension of time, alteration, deletion, addition or other modification to the Contract Documents, the Work to be performed under the Contract Documents, the Drawings or the Specifications of any other portion of the Contract Documents. ATHlETIC FACIUTI!:S B#41-251..Q283-0-OS36.o00D.621 0 l.A.SoRiMATtlRIALS PAYMENT BOND - SECTION 00S10 MUlTI PRIME~OCIP-Aa 1506 (07.11) PAYMENT BONO PAGE 1 DesERT COMMUNITY COLLE",. DISTRICT 9th IN WITNESS WHEREOF, the Principal and Surety have executed this instrument this day of January • 20.12. by their duly authorized agent or representative. / Borbon Incorporated (PrinCiPal Name) (princlpal'S Corporafe Seal) By: C,(\, Q, '> / A.A «\o,,~ (Si!;lnarure) (Type or Print Name) Title: _ _ _ _ _ _ _ _ _ _ _ _ _ __ (Surety's Ct:lrpClI1',t/!'·$ool) / ) (Attach Attomey·ln~Faol Certlflcatej·' By:_~,.4lJ""""w.<.._+'_--'-"'-':.......;."""""-'='--"-"""--- (Type or Print Name of Attorney~in-faot) ( 415) _.:::c83:.:6.. -4c::,85:.::8:-._ _ _ _ _ _ _ _ __ (Area Code and TelephonE! Number of surety) Contact name, address, telephone number and email address for notices to the Surety Mr. Pierre LeCompte (Con"'o\ Name) 595 Market Street, 5th Floor, San Francisco, CA 94105 (Address) (415) 836-4858 (Telepl1one) [email protected] (Email address) ~ATHLeTlC FACII..£TIES 8#41 ~251-0283·0·08a5..()tlOI).$21 () t.AooRlMATERfAlS PAYMENT BOND - SecT/ON OOS10 MULTIPRIME-OCIP-AB 1506(07,11) PAYMENT BOND PAGE 2 Direct Inquiries/Claims to: POWER OF ATTORNEY THE HARTFORD Bond T-4 .One Hartford Plaza Hartford, Connecticut 06155 call: 888·266·3488 or fax: 860·757·5835) Agency Code: 57 KNOW ALL PERSONS BY THESE PRESENTS THAT: EJ Hartford Fire Insurance Company, a corporation duly organized under the laws of the State of Connecticut D D D D D D D 141108 / Hartford Casualty Insurance Company, a corporation duly organized under the laws of the State of Indiana Hartford Accident and Indemnity Company, a corporation duly organized under the laws ofthe State of Connecticut Hartford Underwriters Insurance Company, a corporation duly organized under the laws of the State of Connecticut Twin City Fire Insurance Company, acorporation duly organized under the laws of the State of Indiana Hartford Insurance Company of Illinois, a corporation duly organized under the laws of the State of Illinois Hartford Insurance Company of the Midwest, a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of the Southeast, a corporation duly organized under the laws of the State of Florida having their home office in Hartford, Connecticut (hereinafter collectively referred to as the "Companies") do hereby make, constitute and appOint, up to the amount of UNLIMITED VENETIA G. JOHNSON, KANDACE L. REEVES OF FREMONT CA; CATHERIN~ A. PINNEY, NATALIE ANN HORDER OF PETALUMA CA; STACY M. CLINTON,/K. DIXON WRIGHT, NANCY L. WALLIS, DONNALYN REVIS OF SAN CARLOS, CALIFORNIA their true and lawful Attorney{s)"in"Fact, each in their separate capacity if more than one is named above, to sign its name as surety(ies) only as delineated above by [2:1, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments 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, In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on August 1, 2009, the Companies have caused these presents to be signed by its Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary, Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney, Wesley W, Cowling, Assistant Secretary M. Ross Fisher, Vice President STATE OF CONNECTICUT} SS. Hartford COUNTY OF HARTFORD On this 12th day of July, 2012, before me personally came M. Ross Fisher, to me known, who being by me duly sworn, did depose and say: that he resides in the County of Hartford, State of Connecticut; that he is the Vice President of the Companies, the corporations described in and which executed the above instrument; that he knows the seals of the said corporations; that the seals affixed to the said instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of sa'id corporations and that he signed his name thereto by like authority. ~~~ .~. Kathleen T. Maynard Notary Public My Commission Expires July 31, 2016 CERTIFICATE I. the undersigned, Vice President of the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which Is stm in full force effective as of January 9 I 2013 Signed and sealed at the City of Hartford. j Gary W. Stumper, Vice POA 2012 President CALIFORNIA ALL·PURPOSE ACKNOWLEDGMENT ~~~~~ State of California County of _-'S:.:o"'n.::om=a_ _ _ _ _ _ _ _ _ __ On January 9, 2013 Date personally appeared before me, } K. Dixon Wright, Notary Public Here Insert Name and Tille of the Officer ~ ___-=S.::ta::.:c"'-y-=M::::....C=Ii::.nt:..:o.::n_ _ _ _===="'____________ 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 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 certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS / Place Notary Seal Above Signature-lA~~....li~:."r;;,c=:;-;:;::;::==--~-Signature 01 Notary Public ---------------------OPTIONAL-----------------------Though the information be/ow is not required by law, It may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Document Date: ___________________ Number of Pages: _ _ _ _ _ _ _ __ Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Stacy M. Clinton Individual ICJ Corporate Officer - Title(s): D Partner - 0 Limited 0 General lEI Attorney in Fact D Trustee D Guardian or Conservator D Other: _ _ _ _ _ _ __ o Signer Is Representing: _ _ __ Signer's Name: _ _ _ _ _ _ _ _ _ _ _ _ _ __ o Individual DCorporate Officer - Title(s): _ _ _ _ _ _ _ __ D Partner - 0 Limited 0 General DAttorney in Fact DTrustee Guardian or Conservator DOther: _ _ _ _ _ _ _ __ o Signer Is Representing: _ _ _ __ ~~~~~QWb3~ ©2007 National Notary Associatlon' 9350 De Solo Ave" P.O. Box 2402 'Cha!swotih,CA 91313-2402' WW'W.Nallona!Notary.org !lem #5907 Aeorder:CaIIToll-Free 1-800-876-8827 Producer Compensation Notice You can review and obtain information on The Hartford's producer compensation practices at www.thehartford.com or at 1-800-592-5717, HR 00 H093 00 0207 © 2007, The Hartford Page 1 of 1 CALIFORNIA ALL.PURPOSE ACKNOWLEDGMENT ~7??~ State of California County of On \.- } 0 '((A Vl~-e II-I;; Dale personally appeared before me ' " AvwvJ.. Lo.UYG\ Ca'2a YeS Here Insert Name and Title of the Officer _---:>C"--!'e,", ~,: :C: .!.\,-,\."-Ov",-,~!-".~",O:.!.:V(",l",,\.Q.S~· \ ;;;;;.)~!=-.w;-------- Name{ljY@' Signe:~i) who proved to me on the basis of satisfactory evidence to be the person~ whose namep;f is/~ subscribed to the within' instrument and acRnowledged to me that I;Ie/she/thj}/ executed the sarT)e in his/her/their authorized capacity\jes). and that by tJiS/her/~ir signatur;ls) on the instrument the person(s-y' or the entity upon behalf of which the person{jyacted. 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. Place Notary Seal Above -------------------opnONAL----~~----~~------ Though the information below is not required by Jaw, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: \'- l abo r OIl1ci rJcOOIC,t ( PAl-IVY! etllt-Bofldv 9-- 12> 1 Number of Pages: _ _ _ _ _ _ __ Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s} IvlOV-Ales Signer's Name:CeCill'(1v o Individual o Corporate Officer - Title(s): o Partner - 0 Limited 0 General o Attorney In Fact Trustee Guardian or Conservator o Other: _ _ _ _ _ _ __ o o Signer Is Representing: _ _ __ RIGHT THUMBPRINT OF SIGNER Top of thumb here Signer's Name: _ _ _ _ _ _ _ _ _ _ _ _ __ o Individual o Corporate Officer - Tltle(s): _ _ _ _ _ _ _ __ o Partner - 0 Limited 0 General RIGHTTHUMBPAINT OFSIGNEA o Attorney In Fact Top of thumb here o Trustee o Guardian or Conservator o Other: _ _ _ _ _ _ _ __ Signer Is Representing: _ _ _ __ ~ 2 Q;>g;;;:gz:g """.ZiC, • ,2 2~:C;~ g:;;;:gz:g 2~ <l!l2007 Nal10nal Notary Association. 9350 De Solo Ave., P.O. Box 2402 .Chatsworth, CA 91313·2402" www.NationalNotary.org Item #5907 Roorder;CaIlToU·Free 1-800-876-6827 ,----------------------------'--"'---" CERTIFICATE OF LIABILITY INSURANCE 1/9/2013 6~~T~~~:~~C~6~iSN~~~~I~~:T~~r~E~RO~~~~~~~~~I~~~~~; :X~~~~~i~~T~~ ~~~T~O~~:GT~~FFOR;;ED~BY THE POLl6~~ BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR AND THE CERTIFICATE HOLDER. :~,~:.m' ~" u,~ ~~rm ~ ...:::u, ," lithe, , holder is ~!' "V"~h , the I must be " ,v,<lS ' ~,.' ! pol!cy, ....<>. ~'<' •.': I may require an endorsement. A statement on this certificate does not confer rights to the t'lilti :~~::::~~umsuch ~~~~~,O~A~C,'C~,=========]II~~~[;,~~~rnQ==~ KPD 03,00 SW Greenburg Rd Ste 200 'v"lo"v OR 97223 ! INSURED lo. ' I NAle # I ;Ins Co . Fire lno"'~ne~ Co, I Union Fire BORB01C ~~~a 30104 19682 ft \)..- f- V/ f!1, Y- V ,, ... ,,"'" 'NIIMRFR~ I Nil iNH6fc~T~gG~~~~;T~~~~J~~GJ;NY OF, ,_T~~;6~ CONDI;,~~V~FB~W~ l~~~~!~ 6~~'2~~E~DO~C~~~TA~~/HE :~:p~~i ~gL~~6~~~~ CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, :~~.~~~~;~;;;.~ AFFORDED BY T,:j';:'~b~~CI~S DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. L'''''' 0 onv,"" MAY HAVE BEEN ~ ~~LAi,''"M=,S,r---------------I IA'rfk' TYPE OF' POLICY NUMBER tc--- Fovv, «.. 11112014 b-=:JCLAIMS'MADE EJ LIMIT: ~Ace, ~ 0."'"0", LIABILITY IX ~ ~~ 1"1/2013 OCCUR nno ,,, $10,000 1 MED EXP (AnY0",p,,,on) $0 d.d, _& ADV INJURY 1- nnn non GENERAL Fl~~LlCY Ix I~~R: APn S :;; poon, 1'/'/2013 111/2014 I no '300,000 <? 'CTS, , AGG nno non , ~;n;",roro"c1'1'"cJm" ..".-+,,-,n-nn,n r - - - I I "ODILY I $":::> U BODILY I' 'P', l'~ Y I' r~~E=~T1~--~~~~~~I~'~1 1'11/20'3 11112014.; ~ii~~::~~i_~~~-----i11~/1/2013,-r"1~m14~~~ROOT,I'Im.IT~"~-----1 I~i ! " -EA nnn nnn ' " nnn nnn ,POLICY LIMIT , $1 nnn nnn OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is requIred) 1~~!di!lon"aa,IIJ,n;~~~;.~:",~ I , does not apply to the Worker's Compensation Coverage. i I Athletics Facilities EIS#230043, Desert Community College District and ProWest PCM, Inc dba ProWest ;,vhiii~',"ctv .. are i"v,""c" as additional insureds per form HS2480 0605, Excess Liability policy follows the General Liability and the auto !E: .., CERTIFICATE HOLDER CANCELLATION Desert Community College District cia Statewide Educational Wrap Up Program (SEWUP) , 2355 Crenshaw Blvd Suite.200 Torrance CA 90501 ~ ACORD 25 (2010/05) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE eXPIRATION DATe THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ' # 52UENQT2228 Borbon Polley j THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ANDI RIGHTS OF RECOVERY AGAINST OTHERS This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM / A. Any person or organization whom you are required by contraci; to name as additional insured is an "insured" for LIAS ILiTY COVERAGE but only to the extent that person or organization qualifies as an "insured" under the WHO IS AN INSURED provision of Section II - LIABILITY COVERAGE. S. For any person or organization for whom you are required by contract to provide a waiver of subrogation, the Loss Condition - TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US is applicable. Form HA 991301 87 Printed in U.S.A. Prinla: Express'" Commercial Exc.ess Liability Policy With ¢risisResponse'" DECLARATIONS rh~ D. company i$suing thi's policy is, hidicated py ah 'uX" in th$' box to the left of me. cor:nP?ny,ls name. [j American'l1Qme.Assurahce Company' o ·C"hat1fs CasualtY ·c.ompany Cl o o IIIlno!,s NatiC!nallnsur.~nce' Company I~ Nati!:mal Union FIre Insurance. Cpmpany,of Pl.~burgh, Pa" o o Cbartl,$ Pro:paJ1Y 'C.asuaity· Compilny ChmmaTe-a & In'dustrY rns4ra)"ica ~bmpany '$raniia, 'S"tate Insure'nee: Cort!pany New H"anips.hire' IhSurance C.ompanV "rna Ihsl!rat;1C~ C"ompt'!ny of the StatB of'Pennsylvanla (each of the ab~ve qeing, a 'C'ppltal stock company> Ad:minlstr.live/Mallln:g Addr.e"s: 175 Water $treet, Ne'" '(orl" NY 1003~ Telephone No .• 212-458-500Q r policy NUMEl.ER:8E I, I 019070516 ITEM 1. NAMEDINS.URED: MAIL.ING ADOR·ESS: if I'lENEWAlOF': 080575475 1l0i'lBON INCORPORATED / . 7312 WALNUT AVE BUENA PARK j .{)A9062ce1760 1 ITEM2: POLICY PllRIO,D: FR0IV!:. January 1.2013 TO: january 1,2914 (At 12:01A.M.... ternd.rd time, .'the add1e •• o·f the Named Insured stated abolie.l ITEM3. LliVII'FS O·F INSURANCE The Limits of In$~n:inc'et sUbfecUo the t~t'ms 6fthis ptil!QY, a'ra! A. $10;000,000 S.• :$1.0,0.00,000 C. $'10/000,000 Eaoh Dcqur'e'nc. Sa·o.erill Aggre:g.ate (in accer,dance, w1h S'eqtion IV. limits of'lnsurance) Pro:ducts~Complgted, Operatltms A,9gregate (In 'accord'ance with Section IV. 'Limits of IhSurariCe) D. :$250';000 Ctis'jsRe'5poJ~se E. $50,000 E",ces'S' Ca"su·ally CrlsisFund Limiloi'lnsur-an,ce Sublimit oJ Insur.a"nc,e ITEM 4 •.SCHEDUbE,D UNDERLYING INSURANCE _ S.".$cheduleoi'.Underlylng Insuran.". ITE;M·5, PREMIUM AND PREMIUM COMPUTATION ESTiMATED TOTAL ANNUAL EXPOSURE RATES PER MINIMUM PR.EMIUM ADVANCE PREMIUM FLAT ITEME;, THIS POLICYINGLUDESTHESE ENDORSEMENTS AT INCEPTION DATE!. SEE· ArtACHEO SCHEDULE PROOUCER NAME, CRC INSURANCE SERViCES INC ADDRESS: ·1191SEClONDAVE, STE .1610 SEATTLE, wA 98101 Christopher G. Kopse( Auihorized Repra,sentative or Courtler.lsnalUra (Where Applioable I 9(JZ68 (11/09) AH2706. . l~s.u.e Date: 12/28/12 " :! A iJ l'l~, S,CHEDULE OF UNDERL VING INSURcANCE Ii Ii Ii " ro.: n 11 I~suep E By: NATIQ'NALUNIONFIRE INSURANcE t:OMPANYOP piTTsBURGH, PA Ii I) r TYPE OF PQIJOY ORC.DVERAGE INSURER{' POLICY NO. AND POL CY PERIOD GENERAL LIAElILITY Hartford $1,000,000 UMl;rvlKiters Insuranoe Company PER OC,CURRENCE 1;</31/12 GIONERAL AGGREGATE SORSON INCORPORATED Polioy Number: SE 019070516 I if 01/01114 LIMITS $2,OOQ,000 $2f OOO,000 PRODUCTS & COMPLET'ED OPS. AG'GREGATE $2,000,000 PER PROJECT GENERAL AGGHEGATE Defense EXpenses are in addition to. 'the limit AUTO LlAB ILITY .; Hartford Fire lr1s\,Jrancl; Cornp$ny 12/31/12 $1,000,000 COMB,INEOSING,LE LIMIT 12/31/13 Defs'nS"€i' E.xpense-s are in addition to. 'the limit eMpLOYERS LlAI3IL1TY Hartfot!:! $l,QOOfOOD Underwilers Insu"u]oe C<;impany SODILY INJURY.BY ACCIOgNT 12131/1.2 01/01/14 S601L YINJURY BY DISEASE(EACH $1,000,000 EMP~OYEE) $1,000,000 E\OO,I~Y INJURY BY DiSEASE(POLfCY LIMITS) Defens~ E-Xp~nses are in addition to the iimit E'MP~OYEg BEN,EFITS LlASILITV Hartford $1,000,000 UndervIK.ite.rs Insuranoe Company EACH CLAIM 12/31112 01/01/14 AGGl1E(>ATE $1,000,000 Oefense.EXpenses. "Ie in addition to 'the limit l1e,tre Date 12/31/09 l)NoSCH (&/99) AH0006 SCHEDULE 01' UNDERLYING INSURANCE IssulOCf to, BORSOJllINCORPORATED PolioyNumber: BE 019070516 By: NArIONAL,UNION FIRE INSURANQI' COMPANy OF PITTSSURGH, PA. tyPE OJ: POLlCY ORCOIlERAtlE INSURER'r POL,ICYNO. AND POL C·Y PERIOD :GhristdRher.G--· !(opser AUTHQi'UZED REPRESEiIITATl1lE UJIlD'sCH (5/99) AHOOOa SCHEDULE 0F l:lNDERL YING.INSURANCE REVISION N0. 1 Policy Number: BE IssuMtb: BORBON .!NCORPORAtED 01901051B l'Iy! NATIQNAL VNIQN FrR,E Jl)lS!JRANCE COMPANY OF PITTSBURGH, PA. TYPE d.l' POLICY ~~J1~5~rly'l~~C~)ONDO' GENERAL LIABILIty Hartfqrd Underwiters 1~$ui~tiCe Company 01 101 11:! 01/01114 $1,000,000 PER .oCCURRENCE $2,.000,.000 GENE'RAL AGGRi:GATE $2,000;000 PRODUCTS & CO.MPLEtED egs. AGGREGAtE $2,000,000 PER PROJECT GENERAL AGGREGAtE Defense ExpenSes are. in addition to the limit AUTO LIABility Hartford Fire .Insurance Company 01101/13 $1,000,000 COMBINED SINGLE LIMit QR cO\7ERAGE LIMITS 01101114 Defense Expenses are in addition tb the eMPLOYeRS LIABILITY lirilit Hartford' Underli\filers Insurance Company 01/0111S BOpILY.INJl)RYBY DI$EASE(E.ACH 01/01114 EMPLOYE~) $1,000,000 i30DILY INJURY BY ACCIDENT $1;obo,ooO $1;000;000 BODILY INJURY BY DISEASEIPOUCY LIMITS) Defense Expenses'sre in "ddi'lion to the limit EMl'LOYeE BENEFITSLIABJUTY Hartford Underwiters hisuiance Company 1213111,2 01101114 $1,000;000 EACH CLAIM $1,000;000 AGGREGATE Defimse Expenses. ere iii addi'lion to the·lim\t RetroDate 12/31109 UNOl;iCH (51991 AH0006 SCHEDULE OF UNOERl YlNG INSUI'lANCE REVISION NO.1 EFFECTIVE: 01(14113. Issued Ie: BORBON INCORPORATED Felicy Number: BE 019070516 By: NAtIONAL UNION FIRE INSURANCE C;OM!7ANY OF .PITTSBURG H, PA. TYPE OF POlI.CV OR COVERAGE INSURER[ POLICY NO. AND POL tY PERIOD Christonher G. Kgoser AUTHORIZED REPRESENTATIVE UNDSCH(J;/S9) AHOOO6 DESERT COMMUNITY COl-LEGE DISTRICT 810 PROPOSAL TO: DESERT COMMUNITY COLLEGE DISTRICT, a California Community College District, acting by and through its Board of Trustees ("the District'). barron -::ttl CCYfE;V'C.A..:.t-d FROM: (Name of Bi er) hla \\'\~t- Aver\{A£(Address) !SMAct.., pCI r\L. , Cft ClQCe 1'-0 '"13 [ 2- (City, State, Zip Code) hJ\4) qG\q-O\ TO <. (Telephone). ClkQ @. (l iIJ) qCJLi-bLe L/I L • bDnJbVl. (Teiecopier) O.f;r (E-Mail Address of Bidder's Representative(s» SUS on J1(xevyhn 0 (Name(s) of Biddets Authorized Representative(s» PROJECT: ATHLETIC FACILITIES PROJECT NO: 230043 BID PACKAGE NO.: 011200.24 BID PACKAGE DESCRIPTION: All Painting and associated work as defined in Section 011200.24 Scope of Work- Painting 1. Bid Proposal 1.1 Bid Proposal Amount. The undersigned Bidder proposes and agrees to perform the Contract including, without limitation, providing and fumishing any and all of the labor, materials, tools, equipment and services necessary to complete in a workmanlike manner all of the Work and other obligation required by the contract documents .for the sum ~ • j iJ..hJl'\iYle·~W\iiSqI1d I'} I Dollars a .' Ol1e UI1dreC5 t\ " , I Si::lMJ Yle uml avs . DO ). The Bidder confirms that it has checked all of the above figures and understands that neither the District nor any of its agents, employees or representatives shall be responsible for any assumptions, errors or omissions on the part of the undersigned Bidder in preparing and submitting this Bid Proposal. Bidder includes in the Bid Proposal Amount the following Allowance{s): ALLOWANCE NO.1: $9,000.00 Include an allowance of Nine thousand dollars ($9,000.00) for additional work associated with this trade required during the progress of the work. ATHlernC FACJLmES sff41~251-0835-0000 BID PROPOSAL- SECTION 00.350Q MULTI PR1ME-OCIP -AS 1506 (07.11) SID PROPOSAL PAGE 1 PAINTING DESERT COMMUNITY COLLEGE DISTRICT 1.2 Acknowledgment of Bid Addenda. The Bidder confirms that this Bid Proposal incorporates and is inclusive of, all items or other matters contained in Bid Addenda issued by or on behalf of the District. '~ Addenda Nos. 1,2.·?, Y (initial) received, acknowledged and incorporated into this B(d Proposal. 1.3 Alternate Bid Items. The Bidder's price proposal(s) for Alternate Bid Items of the above-identified Bid Package is/are set forth in the form of Alternate Bid Item Proposal included herewith, 1.4 Unit Price Items. The Bidder's price proposals for Unit Price Items of the aboveidenlified Bid Package are set forth in the form of Unit Prices included herewith. 2. Documents Accompanying Bid Proposal. The Bidder has submitted with this Bid Proposal the following: (a) the required Bid Security; (b) Subcontractors List; (c) Statement of Qualifications; (d) Non-Collusion Affidavit; and (e) Title Page and Table of Contents of Injury & Illness Prevention Program. The Bidder acknowledges that this Bid Proposal and other documents accompanying the Bid Proposal are complete, accurate and true; incomplete, inaccurate or untrue responses or information provided herein shall be grounds for the District to reject this Bid Proposal for non-responsive. 3. Bidder Certification of Compliance With Minimum OCIP Requirements. The undersigned Bidder certifies to the District that the Bidder complies with the Minimum OCIP ReqUirements set forth in Paragraph 15 of the Instructions for Bidders. By the initials of the Bidder's authorized representative to the following, Bidder certifies that: .£.. Within the last five (5) years, the Bidder has not committed any serious and/or willful CAL-OSHA violations under Labor Code §§6300 et seq. if The Bidder maintains a current IIPP conforming to the requirements of Labor "(inilial) (initial) (Initial) Code §3201.5 or Labor Code §61101.7 and a copy of the Title Page and Table of Contents of the Bidder's IlPP is submitted concurrently with this Bid Proposal. Bidder has an average Workers' Compensation Experience Modification Rate (EMR) of 1.25 or less over the last five (5) years. The Bidder acknowledges that the foregoing certifications are subject to verification by the District. If upon such verification, it is reasonably determined by the District that the foregoing certifications are not true and correct, the Bid Proposal of the Bidder is subject to rejection for non-responsiveness as a result thereof. The Bidder further acknowledges that if the Bidder does not or cannot verify the Bidder's compliance with each of the foregoing, the Bid Proposal of the Bidder is subject to rejection for non-responsiveness. 4. Award of Contract. If the Bidder submitting this Bid Proposal is awarded the Contract, the undersigned will execute and deliver to the District the Contract in the form attached hereto within five (5) days after notification of award of the Contract. Concurrently with delivery of the executed Agreement to the District, the Bidder awarded the Contract shall deliver to the District: (a) Certificates of Insurance eVidencing all insurance coverages required under the Contract Documents; (b) the Performance Bond; (c) the Labor and Material Payment Bond; (d) the Certificate of Workers' Compensation Insurance; and (e) the Drug-Free Workplace AlHLSTIC FAClJ..mES 6#41-251·0a~5·0000 BID PROPOSAL. - SECTION 003500 MULTIPRIME-OCIP-AB 1506 (07.11) BID PROPOSAL PAGE 2 PAINTING DESERT COMMUNITY COLLEGE DISTRICT Certificate. Failure of the Bidder awarded the Contract to strictly comply with the preceding may result in the District's rescission of the award of the Contract and/or forfeiture of the Bidder's Bid Security. In such event, the District may, in its sale and exclusive discretion elect to award the Contract to the responsible Bidder submitting the next lowest Bid Proposal, or to reject all Bid Proposals. 5. Contractors License. The undersigned Bidder is currently and duly licensed in accordance with the California Contractors License Law, California Business & Professions Code §§7000 et seq., under the following clarSificatiOn(S}C-33 bearing License Number(s}3"SIS5'] , with expiration date(s} of5\31JY . The Bidder certifies that: (a) it is duly licensed, in the necessary class(es), for performing the Work of the Contract Documents; (b) that such license shall be in full force and effect throughout the duration of the performance of the Work under the Contract Documents; and (c) that all Subcontractors providing or performing any portion of the Work shall be so properly licensed to perform or provide such portion of the Work. 6. Agreement to Bidding Requirements. The undersigned Bidder acknowledges and confirms its receipt and review of and agreement to the bidding requirements set forth in the Project Bid and Contract Documents. In accordance with California Civil Code § 1717, Bidder expressly acknowledges and agrees that in the event that Bidder institutes any legal or equitable proceedings in connection with this Bid Proposal and the District is named as a party thereto, the prevailing party(ies) shall recover from the other party(ies), as costs, all attorneys' fees and costs incurred in connection with any such proceeding, including any appeal arising therefrom. This attorney fee provision shall be limited to legal or equitable proceedingiS arising out of a bid protest and shall not extend to or have any force and effect upon any Contract for perfonmance of the Project work or otherwise create or expand either party's rights and obligations under the SiQ and Ccntract Documents. ~'Y7 ~ r~o Date: 'Signature 7. 11- W--/2- Acknowledgment and Confirmation. The undersigned Bidder acknowledges its receipt, review and understanding of the Drawings, the Specifications and other Contract Documents pertaining to the proposed Work. The undersigned Bidder certifies that the Contract Documents are, in its opinion, adequate, feasible and complete for providing, performing and constructing the Work in a sound and suitable manner for the use specified and intended by the Contract Documents. The undersigned Bidder certifies that it has reviewed the Bid Schedule and confirms that the Contract Time is a reasonable period for performing and achieving Substantial Completion of the Work. The undersigned Bidder certifies that it has, or has available, all necessary equipment, personnel, materials, facilities and technical and financial ability to complete the Work for the amount bid herein within the Contract Time and in accordance with the Contract Documents. , By: b..coCVJ"7 ~'t ~ , IS' 1(/1 .-r:-.'. ~I V\, riO v-e.I/(,\1 \I) (Signature) (Corporate Seal) \.. Title: ATHt.ETIC FACII..ITlES e#41·2S1·OS35·0000 . SIO PROPOSAL- SECTION 003500 MIJt.TIPRJf~!:-OCIP-AB 1506 (07.11) . 0 (T¥ped or Printed Name) S ,€.CVe:.::!1;lf 1 810 PROPOSAL PAGE 3 PAINTING ,nes.IIT COMMUNI'N COLLI!Ge DISTRICT BID BOND KNOW Ar..r.. MElli 8Y THEse p~I:!SeNTS that we, Hartford Fire Insurance Company , as Surety and Borbon Incorporated , as Principal, are jointly anp severally, along with their respective heirs, executors, administrators, successors ,and assigns, held and firmly bound unto DESERT COMMUNITY COLLEGe DISTRICT, hereinafter ",the Obligee," for payment of the penal sum hereof in lawfUl money of the United States, as more particularly set forth herein. THe CONDITION OF THIS OBLIGATION IS SUCliiTHAT: WHEREAS, the Principal has submitted the accompanying Bid Pnoposal to the Obligee for the Work commonly described as the ATHLETIC FACILITIES; project No. 230043, Bid Package No. 011200.24 aid Package Description Painting. WHEREAS, subject to the terms of this Bond, the Surety is firmry bound unto the Obligee in the penal sum of t~m percent (10%) of the maximum amount of the Bid Proposal submitted by the Principal to the Obligee, as set forth above. NOW THEREFORe, if the Pril1cipal shall not withdraw said Bid Proposal within the period specified therein after the opening of the same, or, if no period be spadfied, for sixty (80) days after opening of said Bid Proposal; and If the Prine/pails awarded the Contract, and shall within the period speCified therefor, or if no period be specified, within five (5) days after the prescribed forms are presented to him for signature, enter Into e written contract with the Obligee, In accordant:.<! with the Bid Proposal as accepted and give such bond(s) with good and sufficient surety or sureties, as may be reqUire<!. for the faithful performance and proper fulfillment of such Contract and for the payment for Jabor and materials used for the performance of the Contract, or in Hie event of the withdrawal of said Bid Proposal within the period specIfied for the hOlding open of the Bid Proposal or the failure of the Principal to enter into suoh Contract and give such bonds wIthin the tima specified, If the Principal shall pay the Obligee the difference between the amount specified in said Sid Proposal and the amount for which the Obligee may procure the required Work and/or supplies, If the latter amount be in excess of tlie forrner, together with all c:o~ts incurred by the Obligee in again calling for Bids, then the above obligation shall be void and of no effect, otherwise to remain in full force and effect. SUrety, for value received, hereby stipulates and agrees that no change, extension of time. alteration Dr addition to the terms of the Contract or the Call for Bids" the Work to be performed thereunder, the Drawings or the Speolfications accompanying the same, or any other portion Of the Contract Documents shall in no way affect its obllgatioh$ under this Bond. and It does hereby waive notice of any such change, extension of time, alteration or addition to the terms of said Contract, the Call for Bids, the Work, the Drawings or the Specifications, or any other portion of the Contract Documents, In the event suit or other proceeding is brought upon t~is Bond by the Obligee, the Surety shall pay to the Obligee all costs. expenses and fees Incurred by the Obligee In connection therewIth including, without limitation, attorney's fees. A'tkU!'tIC FAmun~s e#41-261.oS3:5·0000 Btc J!(l~O $ICTJON 003000 MULTIPRIMe-OCIP-A~ ,sue (07.11) !lIP IlOND F'I\G~ 1 PAINl'ING Dl!SERT COMMU~ITY COLLEG~ OIS'!JIICT 16th IN WITNESS WHEREOF. the Principal and Surety have executed this instrument this day of November ,:mg by their duly authorl~ed agents or representatives, Borbon Incorporated Susan Fiorentino, TItle: _ _ _ _ _ ~ SecretaRY _ _ _ _ _ _ _ __ Hartford Fire Insurance Company Stac (..i1L) 836-4858 lAta COt!a ,!'t',l r,laphono NlJmbltt or BIJIIlIY) Contact name, address, telephone number and email address for notices to the Surety Pierre LeCompte 595 Market Street, San Francisco, CA 94105 (415) 836-4858 [email protected] A7HL!r!C FAOIUTlM at41-2a1~O(l35·0000 Ulet BONO $ecTIQN 003000 B,O BOND rAG. ~ MULTI PR'M~-OC'P -AS 1.OS (07,111 PAINTInG Direct InquirIes/Claims to: POWER OF ATTORNEY D D D D D D D BOND, T-4 P.O. BOX 2103, 690 ASYLUM AVENUE HARTFORD, CONNECTICUT 06115 call: 888-266·3488 or fax: 860-757-5835) Agency Code: 57 -141108 KNOW ALL PERSONS BY THESE PRESENTS THAT: rn THE HARTFORD Hartford Fire Insurance Company, a.corporation duly organized under the laws of the State ofConnccticut Hartford Casualty Insurance Company, a corporation duly organized under the laws of the State ofTndiana Hartford Accident and Indemnity Company, a corporation dilly organized under the laws of the State of Connecticut Hartford Undervvriters Insurance Company, a corporation duly organized undcrthe laws of the State of Connecticut Twin City Fire Insurance Company, a corporation duly organized under the laws of the State oflndiana Hartford Insurance Company of Illinois, a corporation duly organized under the laws of tile State of Illinois Hartford Insurance Company of the Midwest, a corporation duly organized under the laws of the State oflndiana Hartford Insurance Company of the Southeast, a corporation duly organized under the laws of the State of Florida having their home office in Hartford, Connecticut (hereinafter collective!y referred to as the "Companies") do hereby make, constitute and appoint, up to the amount of Unlimi ted venetia G. Johnson, Kandace L. Reeves of Fremont CAl Catherine A. Pinney, Donnalyn Revis, Natalie Ann Horder of Petaluma CAl Stacy M. Clinton, K. Dixon Wright, Nancy L. Wallis their true and lawful Attorney{s}-in-Fact, each in their separate capacity if more than one is named above, to sign its name as surety(ies) only as delineated above by [gJ, and to execute, sea! and acknowledge any and aU bonds, undertakings, contracts and other written instruments 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, In Witness Whereof, and as authorlzed by a Resolution of the Board of Directors of the Companies on January 22, 2004, the Companies have caused these presents to be signed by its Assistant Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary, Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. Scott Sadowsky, Ass!stant Secretary M. Ross Fisher, Assistant Vice President STATE OFCONNECTICUT} SS. Hartford COUNTY OF HARTFORD On this 31d day of March, 2008, before me personally came M. Ross Fisher, to me known, who being by me duly sworn, did depose and say: that he resides In the County of Hartford, State of Connecticut; that he Is the Assistant Vice President of the Companies, the corporations described In and Which executed the above Instrument; that he knows the seals of the said corporations; that the seals affixed to the said instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of said corporations and that he signed his name thereto by like authorlly. .......... t:~~ _ CERTIFICATE /) ~,.- /. _~~ CorM j:?/) / .... _A." <~ Scott E. Paseka Notruy Public My Commission Expires October 31, 20}2 I, the undersigned, Ass!stant Vice President of the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is still in fun force effective as of November 16 2012 Signed and sealed at the City of Hartford. ' Gary W. Stumper, Assistant Vice President POA 2008 CALIFORNIA ALL·PURPOSE ACKNOWLEDGMENT ~ State of California County of _-,=S:.:o.::n.::om=a_~_ _ _ _ _ _ _ __ On November 16, 2012 before me, Date } Nancy L. Wallis, Notary Public Here Insert Name and 11l1e of lhe OHicer personally appeared ___-"'-S.::ta.::c:!..y.:.M.:..'-C::.l::.in::.t.:.o::.n_ _ _---,==;n;;;=""_~ Name(s) of Signer(s) __________ who proved to me on the basis of satisfactory evidence to be the persoi;ls) whose nameJS'l @'are-stlbscribed to the within instrument and acknowledged to me that ~they executed the same in Ais/@/1I:lGir authorized capacityOesf. and that by ~/tReir signaturejsy on the instrument the person~or the entity upon behalf of which the persontsr 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. Place Notary Sea! Above Signature++'~~+~~~d:~2~_ _ __ ---------------------opnONAL------~---------------Though the information below is not required by law, it may prove valuable' to persons relying on the document and CQuld prevent fraudulent removal and reattachment of thIs form to another document. Description of Attached Document Title or Type of Document: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _~_ _ _ _ _ _ _ _ _ _ _ __ Document Date: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Number of Pages: _ _ _ _ _ _ _ __ Signer(s) Other Than Named Above: Capacity(iesl Claimed by Signer(s) Signer's Name: Stacy M. Clinton D D D !lS D D D Individual Corporate Officer - Title(s): Partner - 0 Limited 0 General Attorney in Fact Trustee Guardian or Conservator Other: _ _ _ _ _ _ __ Signer Is Representing: _ _ __ Signer's Name: _ _ _ _ _ _ _ _ _ _ _ _ _ __ D Individual [JCorporate Officer - Title(s): _ _ _ _ _ _ _ __ [J Partner - 0 Limited 0 General D Attorney in Fact [JTrustee D Guardian or Conservator [JOther: _ _ _ _ _ _ _ __ Signer Is Representing: _ _ _ __ ~~'@~~*~~~.v:g;g;g:;g ©2007 National Notary Association' 9350 De Solo Ave., P.O. 80x 2402 .Chatsworth, CA 91313-2402· www.Nallona!Notary.org Item #5907 Reorder:CaIiToll-Free 1-800-876-6827 SUBCONTRACTORS LIST Project: ATHLETIC FACILITIES . Project No. 230043 Name of Bidder: (6 Dr /;on '-:Tn c . Bid Package No: 011200.24 rJ-t Bid Package Description: Painting ~ 11 f- .' Authorized Signature: ~?kh~ Uh ~ / (A) (8) Licensed Name of Subcontractor Address of Office, Mill or Shop N(J)1Jl (C) Trade or Portion of Work (0) (E) Contractor License No. $$ Value of Work [Submit within 24 hours of Bid Opening per1l13.1 oflnstr. For Bidders] ISubmit within 24 hours of Bid Opening per ~13.1 of lnstr. For Bidders] ISubmlt within 24 hours of Bid Opening per1l13.1 oflns!r. For Bidders] [Submit within 24 hours of Bld Opening per ~13.1 of tnstr. For Bidders] [Submit within 24110urs of Bid Opening per1I13.1 of (nstr. For Bidders] ISubmit within 24 hours of Bid Opening per1f13.1 oflnstr. For Bidders) [Submit within 24 hours of Bid Opening per1[!3.1 of Jnstr. For Bidders] [Submit withIn 24 hours of Bid Opening per1l13.1 of Instr. For Bidders] ISubmit within 24 hours of Bid Opening per 1113.1 of low. For Bidders] [Submit within 24 hours of Bid Opening per'i{13.1 of Instr. For BiddersJ [Submit within 24 hours of Bid Opening per ~13.1 of Inst!. For Bidders] [Submtt within 24 hours of Bid Opening per 1113.1 oflostr. For Bidders] [Duplicate and attached additional page(s) as required.] MoNTERE'f AVENUE Bff41~251-OB3s..o000 SUBCONTRACTORS LISi - SECTION 00225(J MULTI PRIME-OCIP-AB 150& (07.11) PAGE 1 DESERT COMMUNITY COLLEGE; DISTRICT NON-COLLUSION DECLARATION TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID ) STATE OF CA7lfORNIA COUNTY OF UrOYl¥= PROJECT: ) ATHLETIC FACILITIES PROJECT NO: 230043 Bid Package No. 011200.24; Bid Package Description: Painting I, ~~==-~~fi:f'~b,,=\'t2e.;:':V\,-l:h+-''':':-1'\:+=0'----_, being first duly sworn, depose and say that I am :71 ~KIUCSM .me. ~. (Typed or Printed Nam the -,-""",,~~--<.:=:ufL!!.lf<'-_ _ of ,the party submitting I (Bidder Name) the foregoing Bid Pro sal ("the Bidder"). In connection with the foregoing Bid Proposal, the undersigned declares, states and certifies that: 1. The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham. 2. The bidder has not directly Of indirectly induced or solicited any other bidder to put in a false or sham bid. 3. The bidder has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid. or to refrain from bidding. 4. The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder. 5. All statements contained In the bid are true. 6. The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof. to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose. Any person executing this declaration on behalf of a bidder that is a corporation, partnership, jOint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the bidder. I declare under penalty of perjury under the laws of the State of California tl)at the~O~?OinQ.iS true and correct and that this decfaration is executed on 1(- 2-D ,20lb., at !1!ff1(Llt!I'~r lill-, California/i _ :/)/J '"'. 2!sM..V0:Z1 I Signature ~/1.:vnA. -I-- '.' 'i"M.'(/ Uh ~ -j 612 \1\fU\\nlAl A'V'enuC (Address) ABffi.. ~eIY\'::: fqame Printed or Typed ULLL ATHLETIC FACILITIes s#41-251-0835-0000 NON-COLLUSION AFFrDAvtT -SeCtIoN OOZ500 MULTI PRIME~OCIP'-AB 1506 (07~11) CjCjLI_O\ 10 (Area Code and Telephone Number) NON~COlLUS!ON AFFIDAVIT PAGe 1 DESERT COMMUNITY COLLEGE DISTRICT DRUG-FREE WORKPLACE CERTIFICATION I, ---'.t,."-'~~-.,...!.\ ~V\~()ra-:=:u-'le,,-,-,s,--, \"'::""\..E..l.fA (Print Name) am the _?->-;~~t~S.\.d"l-' . . =e,,-,-,o,-,--\-_ of (Title) BORBONINCORPORATED (Contractor Name) I declare, state and certify to all of the following: 1. I am aware of the provisions and requirements of California Government Code §§8350 et seq., the Drug Free Workplace Act of 1990. 2. I am authorized to certify, and do certify, on behalf of Contractor that a drug free workplace will be provided by Contractor by doing all of the following: 3. A. Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensation, possession or use of a controlled substance is prohibited in Contractor's workplace and specifying actions which will be taken against employees for violation of the prohibition; B. Establishing a drug-free awareness program to inform employees about all of the following: i. The dangers of drug abuse in the workplace; ii. Contractor's policy of maintaining a drug-free workplace; iii. The availability of drug counseling, rehabilitation and ernployee-assistance programs; and iv. The penalties that may be imposed upon employees for drug abuse violations; C. Requiring that each employee engaged in the performance of the Contract be given a copy of the statement required by subdivision (A), above, and that as a condition of employment by Contractor in connection with the Work of the Contract, the employee agrees to abide by the terms of the statement. D. Contractor agrees to fulfill and discharge all of Contractor's obligations under the terms and requirements of California Government Code §8355 by, inter alia, publishing a statement notifying employees concerning: (a) the prohibition of any controlled substance in the workplace, (b) establishing a drug-free awareness program, and (c) requiring that each employee engaged in the performance of the Work of the Contract be given a copy of the statement required by California Government Code §8355(a) and requiring that the employee agree to abide by the terms of that statement. Contractor and I understand that if the District determines that Contractor has either: (a) made a false certification herein, or (b) violated this certification by failing to carry out and to implement the requirements of California Government Code §§8355, the Contract awarded herein is subject to termination, suspension of payments, or both. Contractor and I further ATHLETIC FACILITIES 8#41·251-0283·0·0835·0000·621 0 DRUG·FREE WORKPLACE CERTIFICATE - SECTION 00630 MULTI PRIME - OCIP -AB 1506 (07.11) DRUG-FREE WORKPLACE CERTIFICATE PAGE 1 DESERT COMMUNITY COLLEGE DISTRICT understand that, should Contractor violate the terms of the Drug-Free Workplace Act of 1990, Contractor may be subject to debarment in accordance with the provisions of California Government Code §§8350, et seq. 4. Contractor and I acknowledge that Contractor and I are aware of the provisions of California Government Code §§8350, et seq. and hereby certify that Contractor and I will adhere to, fulfill, satisfy and discharge all provisions of and obligations under the Drug-Free Workplace Act of 1990. I declare under penalty of perjury under the laws of the State of Califomia that all of the foregoing is true and correct. /1 Executed at la f /. 8.Jarza,. raVIi CA !/':/.... \ J]dm" r ' I"""l... thisLday of (City and St e) 20..L..,l. (Signature) ( CeollLa Utwa/~sl?res~ (Handwritten or Typed Nanle) ATHLETIC FACILITIES 8#41 w251·0283-0-0835-0000-6210 DRUG-FREE WORKPLACE CERTIFICATE - SeCTION 00630 MULTI PRIME-OCIP- AB 1506 (07.11) DRUG-FREE WORKPLACE CERTIFICATE PAGE 2 DESERT COMMUNITY COLLEGE DISTRICT STATEMENT OF BIDDER'S QUALIFICATIONS Bidder Name: BorboVl ~CD'fFV'?dG?l Project: ATHLETIC FACILITIES Project No.: 230043 Bid Package No.: 011200.24 Bid Package Description: Painting 1. Bidder's Organization (.. 1.1 Form of entity of Bidder, i.e., corporation, partnership, etc.Orr:oV'?tb b'-)f\..d 1.1.1 If a corporation, state the following: State of incorporation: _C......,,-,-,..!.t:!...l-'_ _ _ _ _ _ _ _ _ _ _ _ _ _ __ r D~te of incorporation:-I-i-'cl....1'-'W=<:...._:::-_7r:--:---:-_--,,-_ _ _ __ President/Chief Executive Officer: Secretary: SW,cq/~ 'Fiore Vl·-b V1 0 TreasurerlChief Financial Officer: 1.1.2 reel It'o.... !vi OyUl t-eS . S+> C\ k) :6'oY'€J)/diVl.-{) If a partnership, state the following: Type of partnership, i.e., general partnership, limited partnership: IV/It: Names of all general partners, if any of the general partners are not natural persons, provide the information for each such general partner requested by Paragraphs 1.1.1, 1.1.2 and 1.1.4 as appropriate: _ _ _ _ _ _ _ _ __ 1.1.3 If a proprietorship, state the names of all proprietors: 1.1.4 If a joint venture, state the following Date of organization: _ _ _ _ _..J.N.>L.//c..L.J4='--_ _ _ _ _ _ _ _ _ __ Names of all joint venture members. For each member of the joint venture, provide the information requested by Paragraphs 1.1.1, 1.1.2 and 1.1.3 for each joint venture member, as appficable: _ _ _ _ _ _ _ _ _ _ _ _ _ __ ATH!..ET!C FACILITI5S Bfl41-251..oS3S..QOOO STATEMENT Or QIJAI..!F!CATIONS - SECiJON 002700 MUI.TI PRIME..QCIP-AB 1506 (07.11) STATEMENT OF QUALIFICATIONS PAGE 1 DESERT COMMUNITY COLLEGE DISTRICT ZGt J(S. 1.2 Number of years your organization has been in business as a contractor: 1.3 Number of years your organization has conducted business under its present name: 3lt?';):vf' 1.4 If your organization has conducted business under a name or name style different than YOA//~~nization's present name, identify all prior name(s) or name style(s): i 1.5 2. Your organization's Federal Tax Identification Number: q S- 30'61 '?3 X I..icensing 2.1 California Contractors License: 3s 150) Number: Expiration Date: '5-- '3 \.- i <..\ Responsible Managing EmpioyeelOfficer: -:::tee. Lui I ~'/.... . License Classification(s): .......),C_·_-.,;:3:::;3=:.._ _ _ _ _ _ _ _ _ _ _ __ 3. 2.2 Has a claim or other demand ever been made against your organization's California Yes ~ No Contractors License Bond? If yes, on a separate attachment, state the following: (i) the name, address and telephone number of each person or entity making claim or demand; (i1) the date of each claim or demand; (Hi) the circumstances giving rise to each such claim or demand; and (Iv) the disposition of each such claim or demand. 2.3 Has a complaint ever been filed against your organization's California Contractors No License with the California Contractors State License Board? __ Yes If yes, on a separate attachment, state the followIng for each complaint: (i) the name, address and telephone number of each person or entity making the complaint; (ii) the date of each complaint; (iii) the circumstances giving rise to each such complaInt; and (iv) the disposition of each such complaint, including without limitation, any disciplinary or other action imposed or taken by the California Contractors State License Board as a result of any such complaint. 1 Experience 3.1 Categories of work (other than m~nagementlsupervisifn). ~our organization typically GI VIC (:0·18. '" performs with your own forces 1:'1 h' Vi 3.2 On a separate attachment, list all construction projects completed by your organization in the past two (2) years and for each project identified, state: (i) a general desoription of the work performed by your organization on the project; Oi} the dollar value of the work performed or to be performed by your organization; (iii) the project owner's name, name of the project owner's representative and the address and telephone number of the owner and the project owner's representative; (iv) the project architeot's name, address, telephone number and contact person; (v) the original AruwmcFACIUTlES 8#41-251..0635·0000 STATEMENT OF QUAL1FICATIONS - SEc'noN 002700 MULTI PRIME--OCIP-AB 1506 (07.11) STATgMENT OF QUALIFICATIONS PAGE 2 DESERT COMMUNITY COLLEGE DISTRICT contract price; (vi) the original completion duration; (vii) the final adjusted contract price; and (viii) the actual completion duration. 3.3 4. On a separate attachment, list all construction projects your organization has in progress and for each project listed, state: (i) a general description of the work performed by your organization on the project; (ii) the dollar value of the work performed or to be performed by your organization; (iii) the project owner's name, name of the project owner's representative and the address and telephone number of the project owner and the project owner's representative; (iv) the project architecfs name, address, telephone number and contact person; (v) percent presently complete; and (vi) the current scheduled completion date. Performance History 4.1 Claims and lawsuits (if you answer yes to any of the following, you must attach details). 4.1.1 Have any lawsuits or other administrative, legal, arbitration or other proceedings, ever been brought or commenced against your organization or any of its principals, officers or equity owners in connection with any construction contract or construction project? _ Yes No If so, describe the circumstances, the amount demanded or other relief demand and the disposition of each such lawsuit or other proceeding. L 4.1.2 Has your organization ever filed a lawsuit or commenced other administrative, legal or other proceedings in connection with any construction contract or construction project? __ Yes ;)L No If so, describe the circumstances, tlie amount demanded or other relief demand and the disposition of each such lawsuit or other proceeding. 4.1.3 Are there any judgments, orders, decrees or arbitration awards pending, outstanding against your organization or any of the officers, directors, employees or principals of your organization? __ Yes ':I.. No If so, describe each such judgment, order, decree or arbitiiTtiOii award and the present status of the satisfaction or discharge thereof. 4.2 Has your firm or any predecessor to your firm, or any of its owners, officers, or partners ever been found liable in a civil suit, or found guilty in a criminal action, for making any false c/9jjifl or material misrepresentation to any public agency or entity? Yes,6No If"yes," provide details of each conviction on a separate attachment. 4.3 At any time during the last five years, has your firm or any predecessor to your firm, or any of its owners, officers or partners ever been convicted of a crime involving any federal, .;;9'te, or local law related to construction? _YesANo If "yes," 'provide details of each conviction on a separate attachment. 4.4 At any time during the last five years, has your firm or any predecessor to your firm. or any of its owners, officers or partners ever been convicted of a federal or state crime of fraud, theft or any other act of dishonesty? Yes 'VNo If"yes;,1r~vide details of each conviction on a separate attachment. ATHLETIC FACIliTIES Bif41-251"'()83S..o000 STATEMl'lNT OF QUAUf'!CATfONS - SECTION 002100 MUL11 PRIME -oCIP -AS 1505 (07.11) STATEMENT OF QUALIFICATIONS PAGE 3 DESERT COMMUNITY COLLEGE DISTRICT 4.5 Is your firm currently the debtor in a bankruptcy case? _Yes~o If 'yes," provide details on a separate attachment. 4.6 Was your firm, or any predecessor to your firm, in bankruptcy any time during the last five (5) years? (This question refers only to a bankruptcy action that was not described in answe~ to question 4-5, above). - Yes'~No +" If "yes," provide on a separate attachment. 4.7 In the last five (5) years, has your firm or any predecessor to your firm, been denied an award of a public works contract based on a finding by a public agency that your organization was not a responsible bidder? Yes!?: No If "yes,' provide. details on a separate attachment. 4.8 Within the last five (5) years, has there ever been a period when your organization had employees but was without workers' compensation insurance or state-approved 5elfinsurance? YeS){No iPyes,' provide details on a separate attachment. 4.9 Has yq~urorganization ever refused to sign a construction contract awarded to it? _Yes No 'f so, on a separate attachment, state the following: (i) describe each such contract; (ii) the owner's name, address, telephone number and contact person; and (iii) the circumstances of your refusal to sign such contract. 4.10 Has your organization ever failed to complete a construction contract? _Yes If so, on a separate attachment, state the following: (I) describe each such contract; (iI) the owner's name, address, telephone number and contact person; and (iii) the circumstances of your failure to complete such contract. 4.11 Has your organization ever been declared in default under a construction contract? _ _ Yes -JLNo If so, on a separate attachment, state the following: (i) describe each such contract; (iI) the owner's name, address, telephone number and contact person; and (iii) the circumstances of each such declaration of default. 4.12 Has any construction contract to which your organization was/is a party been terminated for the convenience of the project owner? _YeS~No If so, identify the project and project owner along with a description of the circumstances under which the convenience termination occurred. 4.13 Has your organization been required to pay a premium of more than one percent (1%) for a performance and payment bond on any project(s) on which your firm worked at any time during the past three (3) years? Yes Y No - - If 'yes7"Sfate the percentage that your organization was required to pay. You may provide an explanation for a percentage rate higher than one percent (1%), if you wish to do so. :XNO ATHLETIC FACIL1T!ES a#41-251wG835-0000 STATEMENT OF QUALIFICATIONS - SECTIQN 002700 MULTI PRIME-oCIP-A81506 (01.11) STATEMENT OF QUALIFICATIONS PAGE 4 DESERT COMMUNITY COLLEGE DISTRICT 5. 4.14 Has a claim or other demand ever been asserted against any Bid Bond, Performance Bond, or Payment Bond posted by your organization in connection with any construction G,?~tract or your submittal of a bid proposal for a construction contract? __ Yes ......,ANo If so, an a separate attachment, state the following: (i) the name, address, telephone number and contact person for each claimant; (ii) the date upon which each such demand or claim was made; and (iii) the disposition of each such demand or claim. . 4.15 List all sureties (surety name, name of surety contact person, full address, telephone and email of surety and surety contact person) that have issued bonds for your organization during the last five (5) years, including the inclusive dates during which each issued he bonds: 4.16 During the past five (5) years, has your organization ever been denied bond coverage by a surety company, or has there ever been a period of time when your firm had no surety bond if) place during a public construction project when one was required? __ Yes -$.,.No If "yes," on an attachment indicate the date when your organization was denied coverage and the name of the company or companies which denied coverage; and the period during which you had no surety bond in place. 4.17 At any time during the past five (5) years, has any surety company made any payments on behalf of your organization to satisfy any claims made against a performance or payment bond issued on your firm's behalf, in connection with a construction project, either public or private? Yes':;( No If "ye?,»Qn a separate attachment set forth: (I) the amount of each such claim; (Ii) the name and telephone number of the claimant, (iii) the date of the claim; . (iv) the grounds for the claim; (v) the present status of the claim; (vi) the date of resolution of such claim if resolved; (vii) the' method by which such was resolved if resolved; (viii) the nature of the resolution; and (ix) the amount, if any, at which the claim was resolved. 4.18 In the last five years has any insurance carrier, for any policy of insurance, refused to renew the insurance policy for your firm? _Yes --,2(NO Owner Controlled Insurance Program Qualifications - Safety Requirements In order to be a qualified bidder, the bidding contractor must meet minimum standards in order to bid on the Project. The following qualification standards apply to ALL Bidding Contractors at time of bid opening: 5.1 Workers Compensation Insurance Experience Modification Rating ("EMR"): Current Year EMR ATHleTiC FACILITIES 8#41-251-0835·0000 STATEMENT OF QUALIFICATIONS -SECTION 002700 MULTI PRIME-<lCIP-AB 1506 (07.11) 1.0 STATEMENT OF QUALIFICATIONS PAGES DESERT COMMUNITY COLLEGE DISTRICT 5.2 Bidder has an average Workers' Compensatiq.n Experience Modification Rate (EMR) of 1.2£1 or less over the last five (5) years? '. + Y~fS"NO,,, yO~~ firm is not qualified to bid this Project and your firm's Sid Proposal will be deemed non-responsive. 5.3 Within the past five (5) years has your firm been subject to any Cal-OSHA citation(s) for "serious" and/or "willful" safety violations? _ _ Yes ~No . If "Yes," your firm is not qualified to bid this Project and your firm's Bid Proposal will be deemed non-responsive. 5.4 Have you attached a copy of the Title Page and Table of Contents from your firm's In and Illness Prevention Program (IlPP)? Yes __ No If "No," your firm is not qualified to bid this Project and your firm's Bid Proposal will be deemed non-responsive. X S. Labor; Prevailing Wage and Apprenticeship Compliance AUhe time of submitting this Statement of Qualifications, is your organization ineligible to bid on or be awarded a public works contract, or perform as a sUbcontractor on a public works contract, pursuant to either Labor Code §1777.1 or Labor Code section 6.1 §1777.7? '\ / _ _ Yes ~No If "Yes," state the beginning and ending dates of the period of debarment: 6.2 Has there been more than one occasion during the past five (5) years in which your organization was required to pay either back wages or penalties for your own organization's failure to comply with California prevailing wage laws? NOTE: This question refers only to your own organization's violation of prevailing wage laws, not to ilations of the prevailing wage laws by a subcontractor. Yes No - - If "yes," on a separate attachment, describe the nature of each Violation, identifying the name of the project, the date of its completion, the public agency for which it was constructed; the number of employees who were initially underpaid and the amount of back wages and penalties that you were required to pay. 6.3 During the past five (5) years, has there been more than one occasion in which your own organization has been penalized or required to pay back wages for failure to comply with the Federal Davis-Bacon prevailing wage requirements? Yes No - - If "'jffs," on a separate attachment describe the nature of the violation, identifying the name of the project, the date of its completion, the public agency for which it was constructed; the number of employees who were initially underpaid, the amount of back wages you were required to pay along with the amount of any penalty paid. ::::1.- ATHLEmC FACILITIES S#41H251..o835·0aoo STATEIAENT OF QUAt..IFICATJONS - SeCTION 002700 MULTI PRIME...QCIP-AB 1506 (07.11) STATEMENT OF QUALIFICATIONS PAGES DESERT COMMUNITY COLLEGE DISTRICT 6.4 6.6 7. At any time during the past five (5) years, has your organization been found to have violated any provision of California apprenticeship laws or regulations, or the laws pertaining t)(~e of apprentices on public works? _ _ Yes No If "yes," provide the date(s) of such findings, and attach copies of the Department's final decision(s). References (Include name, contact person, telephone/telecopler and address for each reference provided): 7.1 7.2 7.3 Trade References (three (3) minimum) ':t ~oaS-e &e Gl+hdlJ =€fA =¥ Bank References 7f elM S8> ~ q'rh:uJv~d" .f: Public Works Inspectors of Record (K-12 or community college projects) 'f, eli? Cl ,£Q. ATHLETIC FAclunes B#41-251-0835~OOOO srAIEMENT OF QUALIFICATIONS - SE;CTION 00i700 MUL11 PRIME -oCIP -AB 1506 (07.11) £eg cLHytP~ .r-- STATEMENT OF QUALIFICATIONS PAGE 7 DESERT COMMUNITY COLLEGE DISTRICT 7.4 8. Owner references (three (3) minimum, preferably California K·12 school districts and/or California community college districts) Accuracy and Authority The undersigned is duly authorized to execute this Statement of Bidders Qualifications under penalty of perjury on behalf of the Bidder. The undersigned warrants and represents that he/she has personal knowledge of each of the responses to this Statement of Bidder's Qualifications and/or that he/she has conducted all necessary and appropriate inquiries to determine the truth, completeness and accuracy of responses to this Statement of Bidder's Qualifications. The undersigned declares and certifies that the responses to this Statement of Bidder's Qualifications are complete and accurate; there are no omissions of material fact or information that render any response to be false or misleading and there are no misstatements of fact in any of the responses. Executed this 20 day of No~fIC 20.ll.at // S\A8U\f\ ATHLETlC f'ACJUTlI';$ e#41*251...uS35-0000 S'rATEMENl' OF QUAt..IFICATlONS - SeCTION 002700 MULTI PRIMt=:-aCIP ..A8150S (07.11) BU\iJll\iLV7c\Y!L , (City CAl·and State) I (SIgnature) 'tlOrentiVlO (Type Name and TlUe) STATEMENT OF QUALIFICATIONS PAGES BORBON,INC. PAitmNG CONl"RACTORS General Contractor: Project Injury ~ Illness Prevention Program I.I.P.P. (Safety Policies &: Procedures Manual) 7312 Walnut Avenue, Buena Park, California 90620 Phone # (714) 994-0170 Fax # (714) 994-0641 State License No. 351557 www.borbon.net TABLE OF CONTENTS 1. SAFETY ORGANIZATION Foreword Acknowledgment of Receipt Safety & Health Policy Program Objectives 1 2 3 4 2. ASSIGNMENT OF RESPONIBILITY Safety Coordinator Supervisor's Safety Responsibility Employee Responsibility 5 6-7 8 3. DISCIPLINARY POLICY Introduction Purpose Circumstances leading to Disciplinary Action Procedure Employee Sanctions Snpervision Sanctions Summary Supervisor's Disciplinary Action. Asking me to overlook a Simple Safety Violation Employee Warning 9 9 9 9 10 10 10 11 11 12 4. SAFETY ORIENTATION New Employee Orientation New Employee Checklist Instructions Employee Safety Orientation Guideline Safety Policy Employee Responsibilities for Safety Use of Equipment First Aid Equipment First Aid Responders Employee Conduct Alcohol and Drug Abuse Hazard Communication. Sanitation and Personal Hygiene Special Chemical Hazards Special Training Personal Protective Equipment Special Clothing Code of Safe Practices . Employee Acknowledgement Form 13 13 14 14 14 14 14 14 15 15 15 15 15 15 15 15 18 19 5. EMERGENCY PROCEDURES Purpose Objectives Procedures Emergency Action Plan . Notification Emergency Evacuation . Emergency Coordinator's Responsibility Emergency Contingency Plan Different Type of Emergencies . List of Emergency Equipment and Supplies (Form) 21 21 21 21 21 22 23 24 25-26 28 6. FIRE PREVENTION PROGRAM Fire and Explosion Hazards and Prevention Fire Extinguishers & Equipment Employee Alarm Systems Flammable Liquids Scrap Receptacle- Type, Location and Use Earthquakes Fire and Emergency Plan Check list Fire Extinguisher Inspection Record 29-31 32 33 34 35 36 38 39 7. ACCIDENT /LOSS REPORTING PROCEDURES Purpose & Objectives . Procedure Serious Emergency Reporting Call OSHA Reporting . Handling Non-Serious Accidents First Aid Treatment Property / Equipment Damage Vehicle Accident Reporting Citizen! Public Accidents Reporting Forms/ Format Accident Investigation Report "Employer's Report of Occupational Injury or Illness" "Employee's Claim for Worker's Compensation Benefits" Record Keeping Employee Injuries Vehicle, Property Damage, and Public Liability Reports . First Aid Kit Requirements First Aid Responders OSHA Recordable Injuries First Aid Log 40 40-41 41 42 42 42 42 43 43 43 43 43 43 44 44 44 45 46-48 49-51 53 8. ACCIDENT INVESTIGATION Accident Investigation Procedures Procedures for Investigating Accidents 9. SAFETY INSPECTIONS - HAZARDROUS CORRECTION PROCEDURES Safety Inspections Purpose. Objectives Procedures Program Philosophy Hazard Recognition (Inspections) Hazard Correction Imminent Danger Safety Inspection Form . Employee Participation . Job/Task Observation Guide Safety Inspection Form (Fonn) Request for Corrective Action Items Log of Corrective Action Items . 10. EMPLOYEE SUGGESTIONS Introduction Purpose. Procedure Employee Safety & Health Suggestion Form 54 55 62 62 62 62 62 63 63 64 64 64 65 66 68 69 70 70 70 71 11. SAFETY Training Safety Training of Supervision Safety Traiuing of Employees Communicatiou of Safety & Health Matters Safety Suggestions Program Toolbox (Tailgate) Safety Meetings Safety Training Outline / Guide . Job Hazard Analysis Job Hazard Analysis (Form) 12. HAZARD COMMUNICATION PROGRAM Title and Purpose Legal References Site Coordinator Hazard Determination and Disclosure Labels and Other Forms of Warning Employee Information and Training Outside Contractors Hazardous Non-Routine Tasks . Storage of Hazardous Substances 72 72-75 75 75 76 77 84 85 86 86 86 86 87 87 88 88 89 Hazardous Wastes Disposal Procedures and Regulations . Disclosure Procedure for Emergency Responders Hazardous Chemical (Product) Inventory List of Approved Vendors 13. MATERIAL SAFETY DATA SHEETS Important Reference Information Manufacturing Identification Hazardous Ingredients . Physical Data . Fire and Explosion Hazard Information Health Hazard Data Reactivity Data . Spill and Leak . Special Protection Information Special Precautions 89 90 95 96 97 97 97 97 97 97 98 98 98 98 14. CALIOSHA CaI/OSI-IA Reports and Special Requirements Special CaVOSHA Requirements Posting Requirements . Other Suggested Postings Safety Information and Resources 138 138-139 140 140 141 15. BBP-MEDICAL EXPOSURE CONTROL PROGRAM 165-176 16. PERSONAL PROTECTIVE EQUIPMENT PROGRAM 181-188 17.RESPIRATOR SAFETY PROGRAM 207-241 18. SCAFFOLD SAFETY PROGRAM 242-253 19. FALL PROTECTION PROGRAM 254-263 20. HEAT INJURY PREVENTION PROGRAM 264-267 21. JOB SPECIFIC: SAFETY TRAINING, MSDS & PRODUCT DATA, JOB HAZARD ANALYSIS, CONTACT LIST, COMPETENT PERSON AND DRUG TESTING LETTER. BorbonPaintin.g ..... . Project Name Cars land Attraction & Ride Description of Work PaintIng N list ofCompleted Projects . . Owner Walt Disney . . . . '. ... Construction Mgfl General Architect Contractor Clark Borbon Completion Contract Amount Job No. Date 2690 2012 $ 2539 2012 LEED PROJECT 2,111,658.00 Imaqlneerlnq 575 Anton Blvd., Ste 100 Disney CA Adventure Theme Park Anaheim, CA 92807 Costa Mesa, CA 92626 Los Angeles Trade Tech Center Painting South Campus Los Angeles Community College Taisei Construction MDAJohnson District 400 West Washington Blvd. Anti Graffiti Coatings Los Angeles, CA 90015 High Performance 6261 Katella Avenue # 210 Cypress, CA 90630 $ 881,936.20 Coatings E!astomeric Coatings East Los Angeles College El & Gl Painting Los Angeles Community College Swinerton Builders 2673 2012 $ 406,920.00 2718 2012 $ 439,868.00 2667 2012 $ 474,840.00 District 865 S. Figueroa #3000 Los Angeles, CA 9007l 1301 Avenida Cesar Chavez Monterey Park,CA 91754 Valley Region Span K-S Painting Los Angeles Unified McCarthy W. Bledsoe Street Sylmar, CA 91342t Anti Graffiti School District 20401 SW Birth St Newport Beach, CA 92660 GTE Middle School Painting Long Beach McCarthy 1951 Cherry Avenue Signal Hill, CA90755 Unified School CLAC # 1 Phase 2 Los Angeles Unified 20401 SW Birch St Newport Beach, CA 92660 Hensel Phelps 1600 W. Imperial HWY Box 175 School District 18850 Von Karman, Suite 100 Los Angeles, CA 90047 Valley Region High School No. Granada Hills, CA 91344 9900 N Painting 5 1001 Arroyo Avenue 2011 $ 2,149,753.00 2658 2011 $ 2596 2011 $ 1,013,843.00 2567 2011 $ 2694 2011 $ Irvlne,CA 92612 4 10445 Balboa Blvd. Valley Region High School No. 2615 9960 N Anti Graffiti LAUSD Hensel Phelps 333 S. Beaudry Avenue Los Angeles, CA 90017 Los Angeles Unified School District 18850 Von Karman Ave., Ste. 100 734,749.00 Irvine, CA 92612 Turner Construction Martinez Architects, Inc. 333 S. Beaudry Avenue Ritz Carlton & Marriot Conference Center at LA lIVE! 7177 Exterior eMU Sealer Los Angeles, CA 90017 Olympic & peL Construction Painting GeorgiaPartners, LLC 930 S. Georgia Street Intumescent Fireproofing 714 Olympic Ste 300 San Fernando,CA 91340 los Angeles 443,820.00 Los Angeles, CA 90015 Ontario City Hall Painting 303 East "B" Street High Performance Coatings Ontario, CA 91764 Gensler City of Ontano Turner Construct/on 289,101.00 . . Borbonpain.tinglVlist.ofCompletedProjects . .... Description of Work Project Name .. . .. . . . Owner . Construction Mgr/ General Architect Borbon Contractor Job No. Concerto lofts 09900-Painting GTS 900 FLLC Astant DeStefano& Partners 900 S. Figueroa Street Elastomeric Coatings/Special 9595 Wilshire Blvd. Ste 100 Beverly HHls, CA 90210 9595 Wilshire Blvd. 445 E. Illinois Beverly HHls, CA 90212 Chicago 60610 Los Angeles, CA 90015 2620 Completion Contract Amount Date 2010 $ 1,591,966.00 213-239-2700 Painting LAUSD Turner Construction 355 S. Grand Avenue Floor 11 Los Angeles, CA 90071 Martinez/Kueh, Thomas LLP Kim Project No. 2577 2010 $ 219,000.00 Painting Pinner Construction LAU5D 355 S. Grand Avenue 1255 S. Lewis St Floor 11 Anaheim, CA 92805 Los Angeles, CA 90071 Project No. 2466 2010 $ 377,000.00 South Region Middle School No.2 Painting 3620 Gage Avenue Bell, CA 90201 LAUSD 355 S. Grand Avenue Floor 11 Los Angeles, CA 90071 SJ Amoroso Treta Design 275 E. Baker Streeet, 1055 Wilshire Suite B Costa Mesa, CA Blvd. Los 92626 Angeles, CA 90017 Thomas Kim Project No. 2652 2010 $ 577,000.00 Oscar De La Hoya Charter School 1114 S. Lorena Street Los Angeles, CA 90023 Green Dot Public Schools 350 S. Fig Suite 213 Los Angeles, CA 90071 Howard S. Wright 2121 Alton Parkway #150 Irvine, CA 92600 Jake Vigil Project No. 2618 2010 $ 313,400.00 2602 2009 $ 737,221.84 Thomas Kim Project No. 2505 2009 $ 804,000.00 Project No. 2392 200B $ 249,000.00 Thomas Kim 8/1/2008 $ 320,000.00 Sara Coughlin Elementary School Addition 11035 Borden Avenue Pacoima, CA 91331 Ramona Opportunity High School 231 S. Alma Avenue Los Angeles, CA 90063 Painting Metro Goldline Extension 2420 Painting East Cesar Chavez Los Angeles, CA Anti Graffiti Concrete Sealer 90033 Los Angeles County Eastside Light Rail Constructors MTA Central Region E5 #19 831 N. Bonnie Beach Place Los Angeles, CA 90063 Painting LAUSD Pinner Construction Intumescent Fireproofing 355 S. Grand Avenue 1255 S. Lew',s St Floor 11 Anaheim, CA 92805 Los Angeles, CA 90071 EI Camino Humanities Painting Byrd High School 9171 Telfair Avenue Valley, CA 91352 Painting Sun Anti Graffiti Fireproofing EI Camino CW Driver Community College 16007 Crenshaw Blvd. District Torrance, Ca 90506 16007 Crenshaw Blvd Torrance, CA 90506 LAUSD 355 S. Grand Avenue Floor 11 Los Angeles, CA 90071 DJM Construction 1540 S. Lewis 5t Anaheim,CA 90095 John Sack (714) 399-3640 Rossetti Architects 999 N. Sepulveda, Suite 100 EI Segundo, CA 90215 . -" Borbonpainting· tv List of Completed Projects , . Description of Work Project Name Owner Construction Mgr/ General Architect Borbon Contractor Job No. 700 N, Central Ave, Glendale, CA 91203 818,246.3481 Gensler Architects Painting 801 Grand, LLC Intumescent Fire proofing 310 Washington Blvd, Marina Del Rey, CA 90292 peL Construction Contact: Ziad Khalid Vantilberg, Barnvard & Solderberg 2000 Avenue of the Stars Los Angeles, CA 90012 Painting Howard S,Wright 1111 5, Grand Ave Los Angeles, CA 90015 Gensler Luma Condos 1100 South Hope St Los Angeles, CA 90015 Painting Olympic West parking Structure 1005 W, Chick Hearn Court Los Angeles, CA 90015 Painting 9960-High Performance Coatings Grand Lofts 801 S, Grand Los Angeles, CA 90017 LA Arena Land Company,Inc 1100 5, Flower St. Los Angeles, CA 90015 Entertainment, LLC A Delaware Limited Liability Company C/O J,P, Morgan Fleming Asset. Mgmt. 522 Fifth Ave, 9th NY, floor NY 10036 South Park,RPO LLC Howard S,Wright 1120 NW Couch Ste 1111 5, Grand Ave 600 Los Angeles, CA 90015 Portland, OR 97209 Painting South Park,RPO LLC 1120 NW Couch Ste 600 Portland, OR 97209 UCLA Sproul Hall 360 De Neve Drive Los Angeles, CA 90095 Painting LAX- Remote Boarding MODS Van Nuys Air 16781 Stagg Street Nuys, Ca 91406 EVO Condos Grand Avenue Angeles, CA 90015 1111 . $ 887,000,00 2008 $ 749,524,00 2007 $ 510,000,00 2008 $ 919,765,00 Jake Vigil Borbon No,2479 Steve .' Barrett Project No,2336 Project NO, 2337 Ankrom Moisan Associates Project No, 2394 Architects Howard S,Wright 11115, Grand Ave Los Angeles, CA 90015 Steve Thompson (949) 567-1909 Project No,2389 Sep-08 $ 2,223,779,00 University of DJM Construction California 1540 5, Lewis St Dan Batiwalla (310( Anaheim,CA 90095 206-8364 John Sack (714) 399-3640 Thomas Kim Project No, 2490 2008 $1,157,606 Painting Los Angeles World Airports 1 World Way Los Angeles, CA 90009 Project No,2373 2006 $ Painting Wall covering City of Los Angeles Swinerton Dept of Public Works 865 5, Figueroa Los Angeles CA 90017 Steve Barrett Project No, 2248 2004 $ 1,088,637.46 Los Van . Completion Contract Amount Date 2H Construction 2651 Walnut Ave Signal Hill CA 90755 562-4B4-5567 Uberstudio 525,000,00 ". , . ..BQrbonpainting rvlist of Completed Projects Project Name .. Description of Work Owner . Construction MgrJ General Architect Borbon Completion Contractor Job No. Date ' . Contract Amount Remote Boarding Mods LAX Painting Los Angeles World Airports 1 World Way Los Angeles, CA 90009 2H Construction 2651 Walnut Ave Signal Hill CA 90755 562-484-5567 Steve Barrett Project No, 2373 Jul-06 UCLA Westwood Hospital Replacement 603 Westwood Plaza Los Angeles, CA 90095 310.824.5053 AESS PROJECT Painting High Performance Coatings Water Repellent Joint Sealants WaH Covering UC Regents of University of Ca 720. Charles E. Young Drive Los Angeles CA 90095 Tutor- Saliba Thomas Kim Project No.2086 2006 $ 5,384,340,00 Jake Vigil Project No.2545 Start 1/2008 Jun-08 $ 1,615,000,00 Steven 2007 $ 1,001,298,00 15901 Olden St, Sylmar, CA 91342 818.362,8391 Americana @ Brand Painting 233 S. Central AVenue Glendale CA High Performance Coatings 91204 Bemard's Caruso 101 The Grove Drive Los Angeles ca 90036 Symantec MFox Hills 6059 Bristol Parkway Culver City, ca 90230 Borbon Project No. 2474 Painting Fabric Wrapped Panels Symantec Corporation 2500 Broadway #200 Santa Monica, CA 90404 De! Ammo Parking Structure 21519 C. Mardona Torrance, CA 90503 Painting Mills Corporation Whiting Turner 1300 Wilson Ste 400 3,Corporate Ste 100 Arlington, VA 22204 Irvine,CA 91266 LAUSD New High School No.lO 2202 S. Figueroa #734 Los Angeles, CA 90007 Painting LAUSD Clark Construction 355 S. Grand Avenue 3100 Bristol st. Ste 100 Floor 11 Costa Mesa, ca 92606 Los Angeles, CA 90071 los Angeles New Primary School # 5 los Angeles Unified Painting Intumescent Fireproofing School District los Angeles Police Hedquarters 9962 Anti Graffiti 218 South Spring Street 9912 Painting Los Angeles, CA 90012 Webcor 550 S, Hope Street Los Angeles, CA 90071 DJM Construction 1540 S, Lewis St Anaheim,CA 90095 John Sack (714) 399-3640 $ 549,418,91 Barrett Project No, 2474 Walker Parking Project Consultants No.2388 Jun~06 $ 315,667.00 $ 950,000,00 $ 174,419,00 Project NO. 2244 Cunningham Group Architecture Thomas Kim Project No,2217 Jun-05 City of Los Angeles Dept of Public Works 2440 2010 Riverside County ASR ConstructIon Economic Dev. Agency 2665 $ 1,539,124.00 Fire Retardant Intumescent Fireproofing Thermal Sheriff Station A!rport Blvd. & Polk Street ,Riverside, CA 92509 $ 388,319.54 Borbon, Inc. References ... . .. , . . , .... . .. , Frazee Paint . .Pail'1t Vendors '. V' p' .... ..... ·.Istaamt. . ..... Sherwin-Williams . .. . .. Gerardo 2366 S. Travers Avenue Commerce, CA 90040 (213) 727-2861 Patrick Dowling 2020 E. Ora ngethorpe Fullerton, CA 92831 (714)680-3800 Ernie Hernandez 80610rnagethorpe Buena Park, CA 90621 (714) 818-3344 Frazee - $394,814 Vista - $1,310,114 Sherwin Williams - $239,078 ..... .. . . d· . . . TrCl " e " ."',. . ·,··Pinl"lerConstructi()n Irufl1erConstruction . . .. ... Whiting .... - Turner .,...,. . ... ...••. ... .... .. > , . . ... ,... , . Jeff Dodds 3 Corp. Plaza Suite 100 Irvine, CA 92606 John Pinner 1255 S. Lewis Street Anaheim, CA 92805 Beverly King 555 W. 5th Street 37th Floor Los Angeles, CA 90013 (949) 836-0800 (714) 490-4000 (213) 891-3000 Bol1ding & SuretyJnforIl1at~on: ~llsu~al1ce(jaf!i~t§tAg~11~}I1~()r1Il~~iol1 The Hartford Fire Insurance Company KPDlnsurance Services Contact: Dixon Wright Business Address: Contact: Dawna Brosius, Commercial Account Manager Business Address: 33 New Montgomery Street, 7th Floor San Francisco, Ca 94104 Business Phone: 415.836.4858 1 lincoln Center, Suite 200 10300 SW Greenburg Road Pordand, OR 97223 Business Phone: 503.892.0550 Business Fax: 800.929.0191 WelJsFargo ofCalifOrl1iail1SUrilnCe Services,Illc. ~Broker Contact: Stacey M. Davis Business Address: 1039 N. McDowell Boulevard, Suite A Petaluma, California 94954 Business Phone: (707) 77H849 Business Fax: (707) 769-1868 Gel1eralLiahility: Hartford Underwriters Insurance Company 4utomobileLiahility: Hartford Fire Insurance 'Bilnk&eferenc:e J]ilnk ofthe West Contact: Edgar Morales Business Address: 10230 S. Paramount Blvd. Downey, CA 90241 Business Phone: 562.928.3361 Business Fax: 562.928.3369 . Excess/UmbreJJa Liability: National Union Fire Insurance Company Workers Compensation Hartford Underwriters Insurance Company BORBON, INC. EDUCATION PROJECTS .. Pomona College Mason Hall .. Prairie Vista Middle School It- Ramona Opportunity High School ~ Rio Hondo College Central Plant .. Roosevelt Elementary School Modernization .. Saddleback College BGS Building .. San Pedro High School New Gymnasium .. Santa Ana College Physical Education Building .. UCLA Engineering Building .. UCLA Geology Building .. UCLA Hedrick Hall .. UCLA Kinsey Hall .. UCLA Sproul Hall Dormitories .. University of La Verne Abraham Campus Center II< Valley Region Early Education Center # 1 .. Warren High School Science Building .. 333 Beaudry - Los Angeles Unified School District Headquarters .. Byrd High School .. Cabrillo Elementary School .. California State University, Fullerton, Student Recreation Center .. California State University, Northridge, Science Building 5 .. California State University, San Bernardino, Palm Desert Campus .. Caltech Annenburg 1ST .. Central Los Angeles Learning Center # 1 BORBON, INC. • Chaffey College Main Instructional Building • Cypress College Administration & Book Store • Dana Middle School .. Edison High School Modernization ~ EI Camino College Humanities Building • Golden West College Health Sciences Building • Gualberto J. Valadez Middle School • Hawthorne Middle School • Heritage High School • Irvine Valley College Performing Arts Center • Laguna Hills High School Modernization • Loma Linda University Complex • Los Angeles City College Child Development Center • Los Angeles Mission College Child Development Center • Los Angeles Mission College Parking Structure A • Los Angeles Southwest College Technical Education Building • Los Angeles Trade Technical College Child Development Center • Louis Vandermolen Elementary School • Miguel Contreras High School • Murrieta Mesa High School Step Up on Vine Painting 1057 Vine Street 2811 $ 79,000.00 2820 $ 254,000.00 2769 $ 793,210.00 1075 Hamilton Road Duarte, CA 91010 Los Angeles, CA 90038 Northridge Hospital Shangri- La Painting Clark Construction 8200 Reseda Blvd. Northridge, CA 91328 Project Manager: DisneyGC3 Project Painting . Project Manager: Dorsey High School Paints & Coatings Pinner Construction 2784 $ 246,500.00 Painting McCarthy Building, Co. 2753 $ 263,525.00 2744 $ 652,240.00 OSHPD 2066 $ 922,000.00 OSHPD 2633 $ 824,430.00 2664 $ 234,508.00 3537 Farmdale Avenue Los Angeles, CA 90016 Paramount High School Phase V 14429 S. Downey Ave. 20401 S.W. Birch Street,Suite 300 Paramount, CA 90723 Newport Beach, CA 92660 Kaiser Anaheim HSB 3400 E. La Palma Avenue Anaheim, CA 92807 Painting Intumescent Fireproofing High Performance 949-951-8383 Hensel Phelps 18850 Von Karman Ave., Ste. 100 Irvine, CA 92612 Santa Monica Orthopedic Hospital Painting Intumescent Fireproofing Kaiser Ontario Hospital & HSB Painting Tutor- Saliba Corporation 15901 Olden Street Sylmar, CA 91342 818-362-8391 Whiting Turner 2295 S. Vineyard Anti-Graffiti Coatings 3 Coprorate, Suite 100 Ontario, CA 91761 Water Repellents Irvine, CA 91266 131116th Street Santa Monica, CA 90404 1 Building, Co. 20~01 S.W. Birch Street, Suite 300 Newport Beach, CA 92660 302 West Huntington Drive Arcadia, CA 91007 07190"Anti Graffiti Coatings 09860-Water Repellents 07920-Sealant/Caulking Valley Region High School No.9 09900-Painting Tuner Construction lS020 W. Saticoy Street Van Nuys, CA 92405 09960-Anti Graffiti Coatings 09980-Concrete Floor Sealers 1900 S. State College # 200 Anaheim, CA 92806 South Region Elementary School No.9 Painting Sundt Construction 2777 Willow Place 1660 Hotel Circle N. Suite 400 South Gate, CA 90280 San Diego, CA 92108 Rancho Mirage High School No.4 9900-Painting McCarthy Ramona Rd & DaVall Rd 07900-Sealants/Caulking 20401 SW Birch St 2612 $ 460,000.00 2733 $ 165,000.00 2705 $ 889,593.00 2670 $ 74,000.00 Newport Beach, CA 92660 Rancho Mirage, CA Metro Pomona Atlantic Parking Structure Painting Klorman 255 South Atlantic Blvd. Los Angeles, CA Anti Graffiti Water Repellent 23047 Ventura Blvd. Woodland Hills, CA 91364 LASWC Middle College High School B~rI'1ards Bros. 2737 $ 184,000.00 1600 W. Imperial HWY # 172 Los Angeles, CA 90047 Alaska Airlines 555 First Street San Fernando, CA 91340 Hensel Phelps 18850 Von Karmen Ave., Ste. 100 Irvine, CA 92612 2742 $ 326,945.00 2594 $ 361,896.00 7101 West Imperial Highway Los Angeles, CA 90045 South Region Elementary School No.4 Painting Pinner Construction 8929 Koffman Street South Gate, CA 90280 Fireproofing 1255 S. Lewis St Anaheim, CA 92805 2 Central Region ES #22 Painting Hensel Phelps 13150 Bluff Creek Drive 9960-Anti Graffiti 18850 Von Karman Ave., Ste. 100 Playa Vista, CA 90094 Concrete Floor Sealers Irvine, CA 92612 Central Region Elementary School No. 20 Painting Hensel Phelps 9960-Anti Graffiti Concrete Floor Sea lers 18850 Von Karman Ave., Ste. 100 Irvine, CA 92612 leuzinger High School Pankow Builders 4118 Rosecrans Lawndale, CA 90266 3280 E. Foothill Blvd., Ste 100 Pasadena, CA 91107 Cal Poly Pomona College of Business Painting CW Driver 3801 West Temple Avenue Pomona, CA 91768 Exterior Texture Coatings Multi Color Interior Coatings Epoxy Coatings Water Repellents 4200 Concours #350 Ontario, CA 91764 Cal State University Northridge Student Rec Center 18111 Nordhoff Street 468 N. Rosemead Blvd Northridge, CA 91330 Pasadena, CA 91107 laguna Niguel City Halll Phase II C.W. Driver CW Driver 2730 $ 248,000.00 2724 $ 243,100.00 2736 $ 183,950.00 2692 $ 358,800.00 2684 $ 359,100.00 2710 $ 159,850.00 2707 $ 1,550,000.00 Irvine, CA 92612 Kaiser Anaheim CUP 8< Hospital Hensel Phelps 3400 East La Palma 18850 Von Karman Ave., Ste. 100 Anaheim, CA 92807 Irvine, CA 92612 3 Ql 'iL ~r[""l'rC ~,~~~ Kaiser Ontario Hospital Painting Whiting Turner 2295 S. Vineyard Avenue Anti Graffiti ' 3.Corporate Ste 100 Ontario, CA 91761 Water Repellents Irvine,CA 91266 Methodist Hospital Painting McCarthy 302 W. Huntington Drive Sealant-Caulking 20401 SW Birch St Arcadia, CA 91007 Anti Graffiti Newport Beach, CA 92660 2633 $ 824,430.00 2634 $ 811,000.00 2647 $ 195,000.00 Water Repellents UCLA Olive View Medical Center Painting McCarthy 14445 Olive View Drive Sealant-Caulking 20401SW l3irch St Sylmar, CA 91342 Newport Beach, CA 92660 San Gorgonio Memorial Hospital ProWest 2688 $ 182,000.00 Emma Construction 2502 $ 71,000.00 600 N. Highland Springs Ave Banning CA 92220-3090. LA Mission College Child Development Center Painting 13356 Elridge Avenue Water Repellents Sylmar, CA 91342 4 Central lA Area New Middle School #1 Pinner Construction 6506 Union Avenue 1255 S. Lewis St Los Angeles, CA Anaheim, CA 92805 LA live! Conference Center BOH Painting PCl 1015 S. Cherry St Elastomeric Coatings 70()N. Central Ave. Los Angeles, CA 90015 Anti Graffiti Water Repellents Glendale, CA 91203 Painting Bernards los Angeles Southwest Middle College High School 1600 W. Imperial Highway #172 ~n~i Gr~ffiti: Permashield Base 555 First Street los Angeles, CA 90047 Aqua Seal MA12 San Fernando, CA 91340 USC John McKay Center Painting Tutor- Saliba Corporation 2270 $ 502,700.00 2622 $ 535,192.00 2737 $ 184,000.00 2738 $ 302,000.00 remlum 940 W. 35th Street 15901 Olden Street Los Angeles, CA 90089 Sylmar, CA 91342 818-362-8391 5 o 81 r~r'iES+IilJ e~~~'J; Metro Pomona Altlantic Parking Structure K10rman Construction 255 S. Atlantic Blvd. 23047 Ventrua Blvd. Los Angeles, Ca Woodland Hills, CA 91364 Pomona College South Campus Parking Sturcture Whiting Turner 295 E. First Street 3 Corporate Park, Suite 100 Claremont, CA 91711 Irvine, CA 92606 Civic Park 99113-Exterior Painting Pankow 227 N. Spring Street 99123-Interior Painting 3280 E. Foothill Los Angeles, CA 90012 99623-Anti- Graffiti Pasadena, CA 91107 2670 $ 74,000.00 2693 $ 195,170.00 2752 $ 37,500.00 $ 359,100.00 9960-High Performance los Angeles Harbor College S.A.I.I..S. project 9900-Painting 1111 Figueroa Place Wilmington, CA 90744 98433-WaliCovering 99623-Anti- Graffiti Bernards 23461 S. Pointe Dr. # 300 Laguna Hills, CA 92653 40120-Masomy Cleaing Cal State University Northridge 18111 Nordhoff Street Northridge, CA 91330 71900-Water Repellent 09910-Painting 99623-Anti-GraffitijWater 97209-Wallcovering 79200-Cauliking and Sealents C.W. Driver 468 N. Rosemead Blvd. Pasadena, CA 91107 626-351-8800 99618-Elastomeric coatings 78123-Intumescent 99613-Epoxy Coatings 6 06/06/2012 10:25 FAX 714 994 0641 BORBON INC ~001 CA.1ia" Siale Of California CONTRACTORS STATE LICENSE BOARD Consumer-" ACTIVE UCENSE Mtairs ,-. ....." 351557 E<Ow CORP , "".""',-. BORBON INCORPORATED ""''''''''''''''' 05/31/2014 www.cslb.ca.gov , "- ~~ "" ,,~~;:- ~ ~y ~ j'- - ::"":I,,,,,~, "!«~L~0'}n0At ~,mlllnH~~i ,~,r%f "~.im~~~ ~~~~~c~:~,,::!:~g_ Name Address Telephone WLC Architects 10470 Footill Blvd Rancho Cucamonga, CA 91730 909.987.0909 Gensler 2500 Broadway Ste 300 Santa Monica, CA 90404 310.449.5600 Perkins & Will 617 West Street Ste 1200 Santa Monica, CA 90017 213.270.8400 HMC Architects 2601 Main St 100 Irvine, CA 92614 909.567.1833 PJHM Architects 647 Camino De Los Mares San Clemente, CA 92673 949.496.6191 rh 1. Name: Moreno Valley Unified School District Address: 25634 Allesandro Blvd. Moreno Valley CA Telephone: 909.485.5600 Contact: Purchasing at above Number Scope of Work: Painting of Moreno Valley HS #2 Amount: $ 330,000.00 2. Name: Los Angeles Unified School District Address: 355 S. Grand Avenue Suite 100, Los Angeles CA Telephone: 818.956.0533 Contact: Purchasing at above Number Scope of Work: Painting of Misc. LAUSD Schools 3. Name: Newhall Unified School District Address: 25375 Orchard Village Rd. Ste 20, Newhall CA Telephone: 661.286.2200 Contact: Purchasing at above Number Scope of Work: Painting of Oak Hills Elementary School Amount: $123,400.00 4. Name: Magnolia Unified School District Address: 2705 W. Orange Avenue, Anaheim CA Telephone: 714.761.5533 Contact: Purchasing at above Number Scope of Work: Painting of Pyles & Salk Elementary Schools Amount: $ 130,000.00 5. Name: ABC Unified School District Address: 16700 Norwalk Blvd., Cerritos CA Telephone: 562.926.5516 Scope of Work Painting of Misc Sites Amount: $ 259,000.00 6. Name: Centinela Valley Unified School District Address: 14901 S. Inglewood Ave, Lawudale CA Telephone: 310.263.3250 Scope of Work: Painting of Hawthome High School Amount: $ 231,200.00 Southern California Painters & Decorators Labor Management Cooperation Committee 1155 Corporate Center Dr.• Monterey Park, CA 91754 (626) 844-1040 FAX (626) 798-0959 June 21, 2012 To whom it may concern: RE: Borbon Inc. Borbon Inc. is currently signed to the Painters and Allied Trades District Council #36 master labor agreement 2010 - 2013 and has been a signatory contractor in good standing since January 1975. As of this date the Borbon Inc, is current with their employee to the trust funds through the month of April 2012. Further review of our records reveal that their state contractors license and worker compensation insurance are also current. If you have any questions or if I can be of any further assistance please feel free to call me. Sincerely, ,aY4?~c/ Wileyz~kF~ Administrator statuslettelllXX Check a License - License Detail - Contractors State License Board ~ DEPARTMENT OF CONSUMER AFFAIRS U~. Contractors State License Board Page 1 of 1 Contractor's license Detail - License # 351557 & DISCLAIMER: A license status check provides information taken from the CSL8 license database. Before relying on this Information, you should be aware of the following limitations• ..w CSLB complaint disclosure IS restricted by law (B&P 7124.6) If this entity is subject to pubUc complaint disclosure, a !ink for complaint disclosure will appear below. Click on the link or button to oblain complaint and/or legal action Information . .» Per B&P 7071.17 , only construction related civil judgments reported to the CSl8 are disclosed. .,;". Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration, "»' Due to workload, there may be relevant information that has not yet been entered onto the Board's license database, License Number Business Information 351557 Extract Date 2/5/2013 ====:-::::--------------BORBON INCORPORATED Business Phone Number: (714) 994-0170 -=-=____________ ________ 7312 WALNUT AVE -'B""U,ENA P~!3J$1 CA 9_0620'-_ _ _ _ _ _ _ _ __ J~[l.~~ £qP.91~!!Pll, __________________ ,________ ,_, _ _,_",_ 02f1_5/19Z? Issue Date _ _ _ _-"05131120-'_4'---_ _ _ _ _ _ _ _ _ _ _ _ _ _ __ License Status ACTIVE This license is current and active. Allinfonnation below should be reviewed. CLASS Classifications DESCRIPTION -_..._---_.. _---C33 PAINTING AND DECORATING CONTRACTOR'S BOND This license filed a Contractor's Bond with HARTFORD FIRE INSURANCE COMPANY. Bond Number: 57BSBEI3979 Bond Amount: $12,500 Effective Date: 01/01/2007 Bonding Contractor's Bond History BONO OF QUALIFYING INDIVIDUAL 1. This license filed Bond of Qualifying Individual number 57B88080379 for WILCOX JOE KENNETH in the amount of $12,500 with HARTFORD FIRE INSURANCE COMPANY. Effective Date: 01/01/2007 BOl's Bond History WORKERS' COMPENSATION This license has workers compensation insurance with FEDERAL !NSURANCE COMPANY Workers' Compensation Polley Number: 52WEQT2226 Effective Date: 01/01/2012 expire Date: 01/01/2014 Workers' Compensation History Personnel listed on this license (current or disassociated) are !isted on other licenses, Personnel List Other Licenses Conditions of Use I Privacy Policy Copyright © 201 0 State of California https:/1www2.cslb.ca.gov/OnlineServices/CheckLicenseIIfLicenseDetail.aspx?LicNum=3 51... 2/5/2013