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17-017 Pro-Ex Construction, Inc., City Hall I.T. Tenant Improvement Project, Project No. 2017-22CUPERTINO Recording Requested By: o.,nd When Recorded Mail To: City of Cupertino 10300 Torre Ave. Cupertino, CA 95014 23696017 Regina Alcomendras Santa Clara County -Clerk-Recorder 07/12/2017 03:30 PM Titles: 1 Fees: 10.00 Taxes: 0 Tot.al: 0 .00 Pages: 1 SPACE ABOVE THIS LINE IS FOR RECORDER'S USE NOTICE OF COMPLETION Civil Code§§ 8182, 8184, 9204, and 9208 NOTICE IS HEREBY GIVEN THAT: 1. The undersigned is the agent of the owner of the project described below. 2. Owner's full name is: City of Cupertino, California. 3. Owner's address is: City Hall, 10300 Torre Ave., Cupertino, CA 95014. 4. The nature of owner's interest in the project is: _j_ Fee Ownership Lessee Other: __________ _ 5. Construction work on the project performed on the owner's behalf is generally described as follows: City Project Name: (City Project No.: City Hall l.T. Tenant Improvement Project 2017-22) Construct tenant improvements in the I.T. Department's work area. 6. The name of the original contractor for the project is: Pro-Ex Construction, Inc. 7. 8. The project was completed on: __ J~u~IY~6~, 2=0~1~7 ______________ _ The project is located at: ___ ~1~03~0~0~T~or~r~e~A~v~e~.,~C~u=p~e~rt=in~o~,~C~A~9~5~0~1~4~_ Verification: In signing this document, I, the undersigned, declare under penalty of perjury under the laws of the State of California that I have read this notice, and I know and understand the contents of this notice, and that the facts stated in this notic~ are ~ d correct. July 11, 2017; Santa Clara County Date and Place Timm Borden Director of Public Works Project No . 20 I 7-22 DOCUMENT 00520 CONTRACT T HIS CONTRACT, dated this ~~day of ~ , 2011, by and between Pro-Ex Construction. Inc. whose place of business is lo cated at 2216 Cemo Circle. Suite B. Ra ncho Cordova. CA 95670 ("Contractor"), and the CITY OF CU P ERTIN O , a Municipal Corporation of the State of Ca li fo rni a ("C it y") acting unde r a nd by v irtue of the authority vested in the City by the la ws of the State of California. WHEREAS, City , on the~ day ofFebruarv, 2011 awa rd ed to Contractor the following Project: PROJECT NUMBER 2017-22 CITY HALL I.T. TENANT IMPROVEMENT PROJECT N OW , THEREFORE, in consideration of the mutual covenants hereinafte r set forth, Co ntractor and City agree as follows: Article 1. Work 1.1 Contractor s hall complete a ll Work specified in the Cont ract Documents, in accorda nce with the Specifications, Draw in gs, a nd all other terms and conditions of th e Contract Docume nts. Article 2. Agency and Notices to City 2.1 City has designated Alex Acenas, to act as C ity's A uthori zed Represent at ive(s), who will represent City in performin g C ity's duties and resp o ns ibilities and exercising C ity 's rights and a uthorities in Contract Documents. City may change the individual (s) acting as City 's A uth o ri zed Representative(s), or delegate one or more specific function s to one o r more specific C ity's Representatives, including w ithout limitatio n eng ineering, architectural, in spection and general ad mini strative functions, at any time with notice an d without li ab ili ty to Contractor. Each City 's Representative is the beneficiary of all Contractor obligations to City, including wit hout limitation , all releases and indemniti es. 2.2 City has designated Bartos Architecture as th e Cons ulta nt. City may change the id e ntity of the Consultant at any time with notice a nd w ith o ut liability to Contractor. 2.3 City has des ignated Gi l bane Building Co. to act as Construction Manager. City may change the identity of the Construction Manager a t any time with notice and without li ability to Contractor. 2.4 All notices or dem a nd s to City under the Contract Documents shall be to City 's Authorized Representati ve at: I 0300 Torre Avenue, Cupertino, California 95014 or to s uch other person(s) a nd address(es) as City shall prov ide to Contractor. Article 3. Contract Time and Liquidated Damages 3.1 Contract Time. The Contract Time wi ll commence to run on the d ate indicated in the Notic e to Proceed. City may give a Noti ce to Proceed at a ny time within 30 Days after the Notice of Award. Contractor shall not do any Work at the Site prior to th e date on which the Contract Time commences to run . Contractor shall achi eve Final Comp letion of the entire Work and be re ady for F in a l Payment in acco rdance w ith Section 00700 (General Con di t ion s) by March I7 , 2017. Cit y of Cupertino 00520 - I Contract City Hall I.T. Tenant Impro ve ment Proj ect Project No. 20 I 7-22 3.2 Liquidated Damages. City and Contractor recogni ze that time is of the essence of this Contract and that City will suffer financial loss in the form of contract administration expenses (such as project management and consultant expenses), if all or any part of the Work is not completed w ithin the times specified above, plus any extensions thereof allowed in accordance with the Contract Documents. Consistent with Document 00700 (General Conditions), Contractor and City agree that becau se of the nature of the Project, it would be impractical or extremely difficult to fix the amount of actual damages incurred by City because of a delay in completion of all or any part of the Work. Accordingly, City and Contractor agree that as liquidated damages for delay Contractor shall pay City: 3.2.1 $2,000 for each Calendar Day that expires after the time specified herein for Contractor to achieve Final Completion of the entire Work as specified above. 3.2.2 $3,000 for each occurrence of a vio lation of Document 00800, Section 1.7 WORK DAYS AND HOURS. 3 .2.3 Three Months Salary for each Key Personnel named in Contractor's SOQ pursuant to Article 2.G of Document 00450 (Statement of Qualifications for Construction Work) who leaves the Project and/or Contractor replaces at any point before Final Completion , for any reason whatsoever, that Contractor can demonstrate to City's satisfaction is beyond Contractor's control. Liquidated damages shall apply cumulativel y and , except as provided below, shall be presumed to be the damages suffered by City resulting from delay in completion of the Work. Contractor s hould be aware that California Department of Fish and Game, and other State and Federal agencies, may also levy fines and penalties for the harming, harassi ng or killing of protected wildlife and endangered species. Contractor hereby agrees to become familiar w ith and adhere to wildlife and endangered species protection requirements. 3 .3 Liquidated damages for delay shall only cover administrative, overhead, interest on bonds, an d general lo ss of public use damages suffered by City as a re su lt of delay. Liquidated damages s ha ll not cover the cost of completion of the Work, damages res ultin g from defective Work, lost revenues or costs of substitute facilities, or damages suffered by others who then seek to recover their damages from City (for example, delay claims of other contractors, s ubcontractors, tenants, or other third-parties), and defense costs thereof. Article 4. Contract Sum 4.1 City shall pay Contractor the Contract Sum for completion of Work in accordance with Contract Documents as set forth in Contractor's Bid, attached hereto: See Exhibit "A" attached Article 5. Contractor's Representations In order to induce City to enter into this Contract, Contractor makes the following representation s and warranties: 5.1 Contractor has visited the Site and has examined thoroughly and understood the nature and e '<tent of the Contract Documents, Work, Site, locality, actual conditions, as-built conditions, and all local conditions, and federal , state and local laws a nd regulations that in any manner may affect cost, progress, performance or furnishing of Work or which relate to any aspect of the mea ns, methods , techniques, sequences or procedures of construction to be employe d by Contractor and safety precautions and programs incident thereto. 5.2 Contractor ha s examined thoroughly and understood all reports of exploration and tests of subsurface conditions, as-built drawings , drawings, products specifications or reports , available for Bidding purposes, of phys ical conditions , includin g Un derground Facilities, which are identified in Document 00320 (Geotechnical Data, Hazardous Materials Surveys and Ex isting Conditions), or which may appear in the Drawings. Contractor accepts the determination set forth in these Documents and Document 00700 (General Conditions) of the limited extent of the information contained in such materials upon which Contractor may be entitled to rely . Contractor agrees that except for the information so identified, Contractor does not and shall not rely on any other information contained in such reports and drawings . City of Cupertino 00520 -2 Contract Ci ty Hall l.T . Tenant Improvement Project Project No. 2017-22 5.3 Contractor has conducted or obtained a nd has understood all such examinations, in ves ti gations, explorations, tests, reports and studies (in addition to or to s upplement those refe rred to in Section 5.2 of this Document 00520) that pertain to the s ubsurface cond iti ons, as-built conditions, underground facilities, and a ll other ph ys ica l conditions at or contiguous to the Site or otherwise that may affect the cost, progre ss, performance or furni s hing of Work, as Contractor cons iders necessary fo r the performance o r furnishing of Work at the Contract Sum, within the Contract Time a nd in acco rdance with the other terms and conditions of the Contract Documents, includin g specificall y the pro v isions of Document 00700 (General Conditions); a nd no additional examinations, investi gations, explorations, tests, reports, studies or similar inform ation or data are or will be required by Contractor for s uch purpo ses . 5.4 Contractor has correlated it s knowledge a nd the results of all such observations, examinations, investi gation s, explorations, tests, reports and studies with the term s and conditions of the Contract Docume nts. 5 .5 Contractor ha s given City prompt wri tten notice of a ll conflicts, errors, a mbiguities , or di screpancies th at it has discovered in or among the Contract Documents and as-built drawings and actual conditions and the written re so lution thereof throug h Addenda iss ued by City is acceptable to Contractor. 5.6 Contractor is dul y organized, existing a nd in goo d standing under applicable state law, and is dul y qu a lifi ed to conduct business in the State of California. 5.7 Contractor has dul y a uthori zed the execution, deli very and performa nce of this Contract, the other Contract Documents and the Work to be performed herein. T he Contract Documents do not v iol a te or create a de fa ult under any in strument, contract, order or decree binding on Contractor. 5.8 Contractor has listed S ubcontractors purs ua nt to the Subcontractor Listing Law, California Public Contracting Code §4 100 et seq. in doc ument 00340 (S ubcontractors List) Artic le 6 . Contract Documents 6.1 Contract D oc uments consist of the fo ll owin g documents, including all c ha nges, adde nd a, and modifications thereto: City of Cup ertino Document 00400 Bid Form Document 00430 Subcontractors List Document 00450 Statement of Qualification s Document 00481 No n-Collus io n Affidavit Document 00482 Bidder Certifications Document 00510 Notice of A ward Document 00520 Contract Doc ument 00530 In s urance Forms Document 00550 Notice to Proceed Document 0061 0 Construction Performance Bond Document 00620 Construct ion Labor and Material Pay ment Bond Document 00630 Guaranty Document 00650 Agreement a nd Release of Any and All Claims Document 00660 Substitution Request Form Document 00680 Escrow Agreement for Security Deposit in Lieu of Retention Document 00700 General Conditions Document 00800 Special Conditions Document 00820 Special Environmental Conditions Document 00821 In s urance Document 00822 Apprenticeship Program Technical Specification/Speci a l Pro vis ions Addenda(s) Drawings/Plan s 00520 -3 Ci ty Hall I.T. Tenant Improvem ent Proj ec t Co ntract Proj ec t No . 2017-22 6.2 There are no Co ntract Documents other than tho se li sted in thi s Docum e nt 00520, Art ic le 6. Document 00320 (Geotechnical Data, Hazardou s Material S ur veys a nd Ex isting Conditions), and the information s upplied therein , are not Co ntract Do c uments . The Co ntract Do c uments may o nl y be a mended , modified or supplemented as pro v ided in Document 00700 (General Co ndition s). Article 7. Miscellaneous 7.1 Terms used in this Co ntrac t are defined in Document 00700 (General Co nditi o ns) a nd w ill have the meanin g indicated therein. 7.2 It is und e rstood and agreed th at in no instance are the persons s ignin g this Co ntract for or on behalf of City o r acting as a n employee, agent , or represent ati ve of Ci ty, liable on this Contract or a ny of the Contract Documents, o r up o n a ny warranty of authority , or otherwise, a nd it is further understood and agreed th at liability of the City is limited and co nfined to s uch liability as authorized or imposed by the Contract Documents o r applicab le law. 7.3 Contractor s ha ll not assign any portion of the Co ntract Documents, and may s ubcontract portions of the Contract Docume nt s only in co mpli a nc e w ith the Subcontractor Listing Law, Ca liforni a Public Contracting Code §4100 et seq. 7.4 T h e Contract S um in c lud es a ll allowances (if a ny). 7 .5 In entering into a publi c works co ntract o r a s ub co ntract to s uppl y goods, services or m aterial s pursuant to a public works contract, Contracto r or S ub co ntracto r offers a nd agree s to ass ig n to the awarding body all rights , title and interest in a nd to a ll causes of action it may have under Section 4 of the C lay ton Act ( 15 U.S.C. § 15) or under th e Cartwri g ht Act (Chapter 2 (co mm e nc in g with Section 16700) of Part 2 of Di v is ion 7 of the Busin ess and Professions Code ), arising from purchases of goo ds, serv ices or materi a ls purs ua nt to the public works contract or t he s ubcontract. This assignment s ha ll be ma de and become effecti ve at t he time City tenders final payment to Co ntracto r, w ithout further ack nowledg me nt by the pa rti es. 7.6 Copies of the genera l preva iling rates of per diem wages for each craft, c lass ifi cation , o r ty p e of wo rker needed to execute the Co ntract, as determined by Director of t he State of California Department of Indu strial Rel a tions, are deemed included in the Contract Docum e nts a nd o n file at C ity's office, o r may be obtained of the State of California web s ite http://www.dir.ca .gov/DLS R/PWD/N orthern.html a nd sha ll be m ade available to any interested pa rt y on request. Purs uant to Sectio n 1861 of the Labor Code, Co ntractor re presents that it is aware of the provisions of Sect ion 3700 of the Labor Code w hich require every employer to be in s ured against liability for wo rkers' compensation or to unde1i a ke se lf-in s ura nce in accordance with th e prov is ions of that Code, and Contractor s hall comply with s uch pro v ision s befo re commencing the performance of the Work of the Contract Documents . 7. 7 Should any pa rt , term or prov is ion of thi s Co ntract o r any of the Contract Docum e nt s, o r any document required herein or therein to be executed or deli ve red , be declared in va lid , vo id or unenforceable, all remaining parts, terms and provisions sha ll re ma in in full fo rc e a nd effect and shall in no way be invalidated, impaired or affected thereby. If th e pro v is ion s of any law ca usi ng suc h in validi ty, illegality or unenforceability may be waived , th ey are here by wa iv ed to the end th at thi s Contract a nd the Contract Do c um e nts may be deemed valid and binding contracts , e n fo rceable in accord ance w ith th e ir term s to th e g re atest extent permitted by applicable law. In the event a ny prov is ion not otherwise includ ed in the Contract Documents is required to be included by an y applicable law, th at provision is deemed included herein by thi s reference(or, if such provision is required to be included in any paiiicular portion of the Contract Documents, that prov is io n is deemed included in tha t po1iion). 7 .8 This Contract a nd the Co nt ract Documents s ha ll be dee me d to have be e n e ntered into in the County of Santa Clara, Sta te of Cali fo rnia, a nd governed in a ll respects by Californi a law (exc luding c hoice of law rules). The exclusive ven ue for all disputes o r liti gatio n he re und er s ha ll be in Santa C lara Co un ty. Both parti es he reby waive their rights under Ca li fo rnia Code of C iv il Procedure Section 394 to file a motio n to tra nsfer an y actio n or proceeding arisi ng out of the Co ntract Documents to another venue. Co ntractor accepts the Claims Procedure in Docu ment 00700, Articl e 12 , esta bli s hed under th e California Governm e nt Co de, Title I , Di vis ion 3.6, Part 3 , C hapter 5. City of Cup ertino 00520 -4 Co ntrac t City Hall I.T. Te nant Impro ve ment Proj ect Project No. 20 17-22 IN WITNESS WHEREOF the parties have executed th is Contract in q uadruplicate the day and year first a bo ve written. CITY HALL I.T. TENANT IMPROVEMENT PROJECT CITY: C ITY OF CUPERTINO, a Municipal Corporation of the State of California Attest:__ C\. ;J e31~tJJ- C ity C lerk: Grace Schmidt 'L., -( b -{ 1 Approved as to form by City Atto rn ey: ~M ~ City A1torney: Randolph Stevenson Hom l hereby certify , under penalty of pe,j ury, that David Brandt, City Manager of the City of Cupertin o was du ly authorized to execute this document on beha lf of th e City of C upertino . Dated: ::2 fro /t 1 I I ~'"'•" of th, c ;1y of Cop ,rt;oo,, t Municip a l Corporation of t he State of Cali fo rni a Des ignated Representative: Name: T im m Borden Title: Director of Public Works Address : I 0300 Torre Ave., Cupertino, CA 950 14 Phone: 408 -777-3354 Facsimi le: 408-777-3333 AMOUNT: $ 96,380 ACCOUNT NUMBE R: I00-83 -807-900-990-CIV 005-03-01 F IL E NO.: 20 17 -22 CONTRACTOR: PAVEL CHERNYY [Please print name here] [Please print name here] Title: ___ S_E_C_R_E_T_A_R_Y ________ _ [If Corp oration: Secretary, Assistant Secretary, Chief Financial Officer, or Ass ista nt Treasurer] 959719 B ,C-33 State Contractor's License No . C lassification 10/31/2017 Exp iratio n Date Taxpayer ID No . __ 4_7-_4_2_0_9_3_3_0 ______ _ Name: __ P_A_V_E_L_C_H_E_R_N_Y_Y _______ _ T itl e: __ P_R_E_S_I_D_E_N_T _________ _ 22 16 CEMO CIRCLE SUITE B Address: RANCHO CORDOVA CA 95670 Phone: __ 9_1_6_-9_7_0_-0_0_9_7 ________ _ Facsim il e: 916 -2 22 -1478 NOTARY ACKNOLE DG EMENT IS REQUIRED. IF A CORPO RATION, CORPORA TE SEAL AND CO RPOR ATE NOT ARY ACKN OW LE DEMENT AND FE DERAL TAX ID ARE REQUIRED . IF NO T A CO RPORATIO N SOCIAL SECU RITY NO. IS REQUIRED EN D OF DOCUMENT City of Cupertino 00520 -5 Contract City Hall l.T. Tenant Improv ement Project CALIFORNIA ALL PURPOSE CERTIFICATE OF ACKNOWLEDGEMENT A notary public or other completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached , and not the truthfulness , accuracy, or validity of that documents. State of California County of Sacramento On ()-t,\ \)~\ \1 .. ( before me, Sabrina Alvarado, Notary Public , personally appeared ~~~, -------, proved to me on the basis of satisfactor dence to be the person0D whose name i are subscribed to the within instrument and acknowledged to me that{fi~he/they executed the same i hi er/their authorized capacity(t,fs ), and that by@rlher/their signaturev6 on the instrument the person(5), or the entity upon behalf of which the person(J{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 seal. Signature _ _____.._~___,,__~Iv\_. ¾&-++-'--~----(Seal) ============================Other Information--------------------------- Document ldentification:.1.. , .• .t-. () -i>, 1--· n,.(J\ 1,,..<'} l-- Name/Type Lw l\)'>W\ \\' I \.Al\ I" (Titl e or Desc ription of Attached Doc um ent ) Document Date : Q'1/ Number of Pages :--=~_.---__ _ Additional Information : Signer Information Name: ------------------------- ------------------------------- Capacity Claimed by the Signer: Ind1vidual(s) __ Corporate Officer: Title _____________ _ Partner(s) __ Attomey-in-F act __ Trustee(s) Other __________________ _ DOCUMENT 00610 CONSTRUCTION PERFORMANCE BOND Project No. 2017 -2 2 Bond No. 704984P Premium. $2,410.00 Premium is for contract term and is subject to adjustment based on final contract price . THIS CONSTRUCTION PERFORMANCE BOND ("Bond") is dated February 7th, 2017, is in the penal sum of Ninety Six Thousand Three Hundred Eighty and 00/100 Dollars ($96 ,380.00) ___ [which is one hundred percent of the Contract Price), and is entered into by and between the parties listed below to ensure the faithful performance of the Construction Contract listed below. This Bond consists of this page and the Bond Terms and Conditions, paragraphs 1 through 12, attached to this page. Any singular reference to Pro-Ex Construction Inc ("Contractor"), Indemnity Company of California ("Surety"), the City of Cupertino, a Municipal Corporation of the State of California ("City") or other party shall be considered plural where applicable. CONTRACTOR: SURETY: Pro-Ex Construction Inc Indemnity Company of California Name 2216 Cerna Cir# B Address Rancho Cordova, CA 95670 City/State/Zip CONSTRUCTION CONTRACT Name 17771 Cowan Ste 100 Principal Place of Business !Nine , CA 92614 City/State/Zip CITY HALL I. T. TENANT IMPROVEMENT PROJECT PROJECT NUMBER 2017-22 at Cupertino, California. DATED February 7th , 20 ..2_?_ in the Amount of$_$_9_6_,3_B_O_.O_O _______ (the "Penal Sum") Company: SURETY Company: BOND TERMS AND CONDITIONS ny of California I. Contractor and Surety, jointly and severally, bind themselves, their heirs , executors, administrators, successors and assigns to City for the complete and proper performance of the Construction Contract, which is incorporated herein by reference. 2. If Contractor completely and properly perforn1s all of it s obligations w1cler the Constrnction Contract, Surety and Contractor shall have no obligation under thi s Bond . 3. If there is no City Default, Surety's obligation under this Bond shall arise after: 3. I City has declared a Contractor Default under the Constrnction Contract pursuant to the terms of the Construction Contract; and 3. 2 City has agreed to pay the Balance of the Contract Sum: 3.2.1 To Surety in accordance with the terms of this Bond and the Construction Contract; or City of Cupertino 00610 -1 Construction Performance Bond City Hall LT Tenant Improvement Project Project No. 2017 -22 3.2.2 To a contractor selected to perform the Construction Contract in accordance with the terms of this Bond and the Construction Contract. 4. When City has satisfied the conditions of paragraph 3 , Surety shall promptly (witlrin 30 days) and at Surety's expense elect to take one of the following actions: 4. 1 An-ange for Contractor, with consent of City, to perform and complete the Construction Contract (but City may withhold consent, in which case the Surety must elect an option described in paragraphs 4.2, 4.3 or 4.4, below); or 4. 2 Undertake to perform and complete the Construction Contract itself, through its agents or through independent contractors; provided, that Surety may not select Contractor as its agent or independent contractor without City's consent; or 4 .3 Undertake to perform and complete the Construction Contract by obtaining bid, from qualified contractors acceptable to City for a contract for performance and completion of the Construction Contract, and, upon deteffnination by City of tl1e lowest responsible bidder, an-ange for a contract to be prepared for execution by City and the contractor selected with City's concun-ence, to be securecl with performance and payment bonds executed by a qualified surety equivalent to the bonds issued on tl1e Construction Contract; and, if Surety 's obligations definecl in paragraph 6, below, exceed the Balance of the Contract Sum, then Surety shall pay to City the amount of such excess; or 4.4 Waive its right to perform and complete, anange for completion, or obtain a new contractor and with reasonable promptness under the circumstances, and, after investigation and consultation with City, deteffnine in good faith its monetary obligation to City under paragraph 6 , below, for the performance and completion of the Construction Contract and, as soon as practicable after the amount is deteffnined, tender payment therefor to City with full explanation of the payment's calculation. If City accepts Surety 's tender under tlris paragraph 4.4, City may still hold Surety liable for future damages then unknown or unliquidated resulting from the Contractor Default. If City disputes the amount of Surety's tender under tlri s paragraph 4.4 , City may exercise all remedies available to it at law to enforce Surety's liability under paragraph 6, below. 5. If Surety does not proceed as providecl in paragraph 4, above, then Surety shall be deemed to be in default on tlris Bond ten days after receipt of an additional written notice from City to Surety demanding that Surety perform its obligations under tlris Bond. At all times City shall be entitled to enforce any remedy available to City at law or under the Construction Contract including, without limitation, and by way of example only, rights to perform work, protect work, mitigate damages, advance critical work to mitigate schedule delay, or coordinate work with other consultants or contractors. 6. Surety's monetary obligation under tlris Bond is limited by the Amount of tlris Bond identified herein as the Penal Sum. This monetary obligation shall augment the Balance of the Contract Sum. Subject to these limits, Surety's obligations under tlris Bond are commensurate with the obligations of Contractor under the Construction Contract. Surety's obligations shall include, but are not limited to: 6.1 The responsibilities of Contractor under the Construction Contract for completion of the Construction Contract and con-ection of defective work; 6.2 The responsibilities of Contractor under the Const:rnction Contract to pay liquidated damages , and for damages for which no liquidated damages are specified in the Construction Contract, actual damages caused by non-performance of the Construction Contract including, but not limited to, all valid and proper backcharges, offsets, payments , indemnities , or other damages; 6.3 Additional legal , design professional and delay costs resulting from Contractor Default or resulting from the actions or failure to act of the Surety tmder paragraph 4 , above (but excluding attorney 's fees incurred to enforce tlris Bond). 7. N o right of action shall accrue on this Bond to any person or entity other than City or its successors or assigns. City of Cupertino 00610 - 2 Construction Performance Bond City Hall I.T. Tenant Improvement Project Project No. 2017-22 8. Surety hereby waives notice of any change, alteration or addition to the Construction Contract or to related subcontracts , purcha~e orders and other obligations, including changes of time. Surety consents to all terms of the Constrnction Contract, including provisions on changes to the Contract. No extension of time, change, alteration, modification, deletion, or addition to the Contract Documents, or of the work required thereunder, shall release or exonerate Surety on this Bond or in any way affect the obligations of Surety on this Bond. 9. Any proceeding, legal or equitable, under this Bond shall be instituted in any comt of competent jurisdiction where a proceeding is pending between City and Contractor regarding the Construction Contract, or in the courts of the County of Santa Clara, or in a court of competent jurisdiction in the location in which the work is located. Communications from City to Surety under paragraph 3.1 of this Bond shall be deemed to include the necessary contracts under paragraph 3. 2 of this Bond unless express! y stated otherwise. I 0. All notices to Surety or Contractor shall be mailed or delivered (at the address set forth on the signature page of this Bond), and all notices to City shall be mailed or delivered as provided in Docmnent 00520 (Contract). Actual receipt of notice by Surety, City or Contractor, however accomplished, shall be sufficient compliance as of the date received at the foregoing addresses . 11. Any provision in this Bond conflicting with any statutory or regulato1y requirement shall be deemed deleted herefrom and provisions conforming to such statutory requirement shall be deemed incorporated herein. 12. Definitions. 12.1 Balance of the Contract Smn: The total amount payable by City to Contractor pursuant to the terms of the Construction Contract after all proper adjustments have been made under the Construction Contract, for example, deductions for progress payments made, and increases/decreases for approved modifications to the Construction Contract. 12.2 Construction Contract: The contract between City and Contractor identified on the signature page of this Bond, including all Contract Docmnents and changes thereto . 12.3 Contractor Default: Material failure of Contractor, which has neither been remedied nor waived, to perfo1m or otherwise to comply with the terms of the Construction Contract including, but not limited to, "default" or any other condition allowing a terrnination for cause as provided in Docmnent 00700 (General Conditions). 12.4 City Default: Material failure of City, which has neither been remedied nor waived , to pay Contractor progress payments clue under the Construction Contract or to perfo1m other material terms of the Construction Contract, if such failure is the cause of the asserted Contractor Default and is sufficient to justify Contractor termination of the Construction Contract. END OF DOCUMENT City of Cupertino 00610 -3 Construction Perfonnance Bond City Hall I.T. Tenant Improvement Project POWER OF ATIORNEY FOR DEVELOPERS SURETY AND INDEMNITY COMPANY INDEMNITY COMPANY OF CALIFORNIA PO Box 19725, IRVINE, CA 92623 (949) 263-3300 KNOW ALL BY THESE PRESENTS that except as expressly limited, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, do each hereby make, constitute and appoint: ·**Matt Foster, William Rapp, Anthony Clark, Jason March, Lori Cooknick, jointly or severally .. * as their true and lawful Attomey(s)-in-Fact, to make, execute, deliver and acknowledge, for and on beha~ of said corporations, as sureties, bonds, undertakings and contracts of suretyship giving and granting unto said Attorney(s)-in-Fact full power and authority to do and to perform every act necessary, requisite or proper to be done in connection therewith as each of said corporations could do, but reserving to each of said corporations full power of substitution and revocation, and all of the acts of said Attorney(s)~n-Fact, pursuant to these presents, are hereby ratified and confirmed. This Power of Attorney is granted and is signed by facsimile under and by authority of the following resolutions adopted by the respective Boards of Directors of DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA. effective as of January 1st, 2008. RESOLVED, that a combination of any two of the Chairman of the Board, the President, Executive Vice-President. Senior Vice-President or any Vice President of the corporations be, and that each of them hereby is, authorized to execute this Power of Attorney, qualifying the attorney(s) named in the Power of Attorney to execute, on behalf of the corporations, bonds, undertakings and contracts of suretyship; and that the Secretary or any Assistant Secretary of either of the corporations be, and each of them hereby is, authorized to attest the execution of any such Power of Attorney; RESOLVED, FURTHER, that the signatures of such officers may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures shall be valid and binding upon the corporations when so affixed and in the future with respect to any bond, undertaking or contract of suretyship to v.tiich it is attached. IN WITNESS WHEREOF, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by their respective officers and attested by their respective Secretary or Assistant Secrelary this January 29, 2015. Br,~~ Daniel Young, Senior Vice-President By:~~ Mark Lansdon, Vice-President A notary public or other officer completing this certificate verifies only the identity of the individual who signed the State of California County of Orange document to which this certificate is attached, and not the truthfulness, accurac , or validi of that document. On ____ ,,Ja:,.:n=,ua""ry'---'2'-"9-'--', 2'-"0-"15=------before me, ____________ _,,_Lu,,_,ceeill,,_e'--'Ra,,,ym"""o"'nd,,_, =No,,ta,,,ryL!.CPu,,,,b""lic=---------------- oate Here Insert Name and TiUe of the Offur personally appeared _________________ ...:D:c:accn"'ielc..Y:.::o=un""gc::a::;.nd,:.M::,:a:::.rk:c.:::La:::n::c:sd"'o"-n __________________ _ Nano{,) of SlgnO"(S) Place Notary Seal Above 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 PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Lucill CERTIFICATE The undersigned, as Secretary or Assistant Secretary of DEVELOPERS SURETY AND INDEMNITY COMPANY or INDEMNITY COMPANY OF CALIFORNIA, does hereby certify that the foregoing Power of Attorney remains in full force and has not been revoked and, furthermore, that the provisions of the resolutions of the respective Boards of Directors of said corporations set forth in the Power of Attorney are in force as of the date of this Certificate . This Certificate is executed in the City of Irvine, California, this 7th day of February , 2017 . ID-1380(Rev.01/15) ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness , accuracy , or validity of that document. State of California County of Sacramento On 2/7/2017 before me , Sarah Otto -Notary Public (insert name and title of the officer) personally appeared _M_a_tt_F_o_s_t_e_r _____________________ _ 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 PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature ~ C)/(; r · · ~-~ · · · · ·sARA~ oiro' • • E :-:@· COMM. #2053715 m u, • Notary Publlc•Callfomla ~ W . . SACRAMENTO COUNTY ,. J My Comm. Eicp . OEC. 29, 2017 ( J C b O 4 W • f ... ¥ .... , I t P O O ; 4 + (Seal) DOCUMEN T 00620 CONSTRUCTION LABOR AND MATERIAL PAYMENT BOND Project No. 2017-22 Bond No. 704984P Premium. lnclud in Perf Bond THIS CONSTRUCTION LABOR AND MATERIAL PAYMENT BOND ("Bond") is dated February ?th , 2017 , is in the penal sum Ninety Six Thousand Three Hundred Eighty and 00/100 Dollars ($96,380 .00) [ one hundred percent of the Contract Price], and is entered into by and between the parties listed below to ensure the payment of claimants under the Construction Contract listed below. This Bond consi sts of this page and the Bond Terms and Conditions, paragraphs 1 through 14 , attached to this page. Any singular reference to Pro-E x Construction Inc ------·----("Contractor"), Indemnity Company of Califo_r_n_ia ____ _ ("S urety"), the City of Cupertino, a Municipal Corporation of the State of California ("City") or other party shall be considered plural where applicable. CONTRACTOR Pro-Ex Construction Inc N ame 2216 Cerna Cir# B Address Rancho Cordova, CA 95670 City/State/Zip CONSTRUCTION CONTRA CT: SURETY Indemnity Company of California N ame 17771 Cowan Ste 100 Principal Place of Business Irvine , CA 92614 City/State/Zip CITY HALL I. T. TENANT IMPROVEMENT PROJECT PROJECT NUMBER 201 7-22 at Cup erti no, California. DA TED __ F_e_br_u_a_ry_7_t_h ____ , 20 ~ in the Amount of $ __ $_9_6_,3_8_0_.o_o ________ (the "Penal Sum") CONTRAC';'OR AS PRIN Co mpany: (Corp. SURETY Company: BOND TERMS AND CONDITIONS of California I. Contractor and Surety, jointly and severally, bind themselves, their heirs , executors, administrators, successors and assigns to City and to Claimants, to pay for labor, materials and equipment furnished for use in the performance of the Construction Contract, which i s inco rporated herein by reference. 2. With re spect to City, thi s obligation shall be null and void if Contractor: 2.1 Promptly makes payment, directly or indirectly, for all s um s due Claimants ; and 2.2 D efends, indemnifies and holds harml ess City from all claims, demands, liens or suits by any person or entity who furnished labor, materials or equipment for use in tl1e performance of the Construction Contact, provided City has promptly notified Contractor and Surety (at the address set forth on the signature page of thi s Bond) of any claims, demands, liens or s uit s and tendered defense of such claims, demands, liens or suits to Contractor and Surety, and provided there is no City Default. 3. With re spect to Claimants, this obligation shall be null and void if Contractor promptly makes payment, directly or indirectly through its Subcontractors, for all sums due Claimants . If Contractor or its Subcontractors, however, fail to pay an y of the persons named in Section 3181 of the California Civil Co de, or amounts due under the Unemployment Insurance Co de with respect to Work or labor pe1formed under the Contract, or for City of Cupertino 00620 -I Constrnction Lab or and Material Payment Bond City Hall LT Tenant Improve ment Project Project No. 2017-22 any amounts required to be deducted, withheld, and paid over to the Employment Development Department from the wages of employees of Contractor or Subcontractors pursuant to Section 13020 of the Unemployment Insurance Code, with respect to such Work and labor, then Surety shall pay for the same, and also, in case suit is brought upon this Bond, a reasonable attorney's fee, to be fixed by the court. 4. Consistent with the California Mechanic 's Lien Law, Civil Code §3082, et seq., Surety shall have no obligation to Claimants under this Bond unless the Claimant has satisfied all applicable notice requirements. 5. Surety's total obligation shall not exceed the amount of this Bond, and the amount of this Bond shall be credited for any payments made in good faith by Surety under this Bond. 6. Amounts due Contractor under the Construction Contract shall be applied first to satisfy claims, if any, under any Construction Performa11ce Bond and second, to satisfy obligations of Contractor and Surety under this Bond. 7. City shall not be liable for payment of any costs, expenses, or attorney's fees of any Claimant under this Bond, and shall have under this Bond no obligations to make payments to, give notices on behalf of, or othenvise have obligations to Claimants under this Bond. 8. Surety hereby waives notice of a11y change, including changes of time, to the Construction Contract or to related subcontracts, purchase orders and other obligations . Surety further hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Construction Contract, or to the Work to be performed thereunder, or materials or equipment to be f1m1ished thereunder or the Specifications accompanying the sa1ne, shall in any way affect its obligations under this Bond, and it does hereby waive any requirement of notice or any such change, extension of time, alteration or addition to the terms of the Construction Contract or to the Work or to the Specifications or any other changes. 9. Suit against Surety on this Bond may be brought by a11y Claimant, or its assigns, at any time after the Claimant has furnished the last of the labor or materials, or both, but, per Civil Code §3249, must be commenced before the expiration of six months after the period in which stop notices may be filed as provided in Civil Code §3184. 10. All notices to Surety or Contractor shall be mailed or delivered (at the address set forth on the signature page of this Bond), and all notices to City shall be mailed or delivered as provided in Document 00520 (Contract). Actual receipt of notice by Surety, City or Contractor, however accomplished, shall be sufficient compliance as of the date received at the foregoing addresses. 11. This Bond has been furnished to comply with the California Mechanic's Lien Law including, but not limited to, Civil Code §§3247, 3248, et seq. Any provision in this Bond conflicting with said statutory requirements shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirements shall be deemed incorporated herein. The intent is that this Bond shall be construed as a statutory bond and not as a common law bond. 12 . Upon request by any person or entity appearing to be a potential beneficiary of this Bond, Contractor shall promptly furnish a copy of this Bond or shall permit a copy to be made. 13. Contractor shall pay to persons perfomling labor in and about Work provided for in the Contract Documents an an10unt equal to or more than the general prevailing rate of per diem wages for (1) work of a similar character in the locality in which the Work is performed and (2) legal holiday and overtime work in said locality. The per diem wages shall be an amount equal to or more than the stipulated rates contained in a schedule that has been ascertained and detemrined by the Director of the State Department of Industrial Relations and City to be the general prevailing rate of per diem wages for each craft or type of workman or mechanic needed to execute this Contract. Contractor shall also cause a copy of this determination of the prevailing rate of per diem wages to be posted at each Site. City of Cupertino 00620 -2 Construction Labor and Material Payment Bond City Hall I.T. Tenant Improvement Project Project No. 2017-22 14. Definitions. 14.1 Claimant: An individual or entity having a direct contract with Contractor or with a Subcontractor of Contractor to furnish labor, materials or equipment for use in the performance of the Contract, as further defined in California Civil Code §3181. The intent of this Bond shall be to include without limitation in the te1ms "labor, materials or equipment" that part of water, gas, power, light, heat, oil , gasoline, telephone service or rental equipment used in the Construction Contract, architectural and engineering services required for perfo1mance of the Work of Contractor and Contractor's Subcontractors, and all other items for which a stop notice might be asserted. The term Claimant shall also include the Unemployment Development Department as referred to in Civil Code §3248(b). 14.2 Construction Contract: The contract between City and Contractor identified on the signature page of this Bond, including all Contract Documents and changes thereto. 14.3 City Default: Material failure of City, which has neither been remedied nor waived, to pay the Contractor as required by the Construction Contract, provided that failure is the cause of the failure of Contractor to pay the Claimants and is sufficient to justify termination of the Construction Contract. END OF DOCUMENT City of Cupertino 00620 -3 Construction Labor and Material Payment Bond City Hall I.T. Tenant Improvement Project POWER OF ATIORNEY FOR DEVELOPERS SURETY AND INDEMNITY COMPANY INDEMNITY COMPANY OF CALIFORNIA PO Box 19725, IRVINE, CA 92623 (949) 263-3300 KNOW ALL BY THESE PRESENTS that except as expressly limited, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, do each hereby make , constitute and appoint: ***Matt Foster, William Rapp, Anthony Clark, Jason March, Lori Cooknick, jointly or severally*** as their true and lawful Attomey(s)-in-Fact. to make, execute, deliver and acknowledge, for and on behaff of said corporations, as sureties, bonds, undertakings and contracts of suretyship giving and granting unto said Attomey(s)-in-Fact full power and authority to do and to perform every act necessary, requisite or proper to be done in connection therewith as each of said corporations could do, but reserving to each of said corporations full power of substib.Jtion and revocatioo, and all of the acts of said Attomey(s)~n-Fact, pursuant to these presents , are hereby ratified and confirmed . This Power of Attorney is granted and is signed by facsimile under and by authority of the following resolutions adopted by the respective Boards of Directors of DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, effective as of January 1st, 2008. RESOLVED, that a combination of any two of the Chairman of the Board, the President, Executive Vice-President. Senior Vice-President or any Vice President of the corporations be, and that each of them hereby is, authorized to execute this Power of Attorney, qualifying the attomey(s) named in the Power of Attorney to execute, on behalf of the corporations, bonds, undertakings and contracts of suretyship ; and that the Secretary or any Assistant Secretary of either of the corporations be. and each of them hereby is, authorized to attest the execution of any such Power of Attorney; RESOLVED, FURTHER , that the signatures of such officers may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures shall be valid and binding upon the corporations when so affixed and in the future with respect to any bond, undertaking or cootract of suretyship to IW'lich it is attached, IN WITNESS WHEREOF. DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by their respective officers and attested by their respective Secretary or Assistant Secretary this January 29 , 2015. ru~ Br -------,~~~,__- Dan iel You ng, Senior Vice-President By:~~ Mark Lansdon, Vice-President A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this cert ificate is attached , and not the truthfulness, accurac , or validi of that document. State of California County of Orange On ____ J=a~nu=a~ry_2~9,~2~0~15~---before me , -------------=Lu==c""ill"'-e""Ra:.ym=o"'nd,,_, ~No""'ta"'ry-'-'-'Pu==b""licc._ ___________ _ Oate Ho,e Insert Name Md Title of the Officer personally appeared ------------------'D""a"'n~ie'-1 ~~o""un"'g-"a"'"nde-Mc..ca"'rk"'"L"'a"'nsccdc.coc...n __________________ _ Nano(•) of Signe,(,) Place Notary Seal Above 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, execu ted the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and cooect . WITNESS my hand and official seal. Lucill CERTIFICATE The undersigned, as Secretary or Assistant Secretary of DEVELOPERS SURETY AND INDE MNITY COMPANY or INDEMNITY COMPANY OF CALIFORNIA, does hereby certify that the foregoing Power of Attorney remains in full force and has not been revoked and, furthermore , that the provisions of the resolutions of the respective Boards of Directors of said corporations set forth in the Power of Attorney are in force as of the date of this Certificate. This Certificate is executed in the City of Irvine, California , this 7th day of February . 2017 ID-1380(Rev.01/15) ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached , and not the truthfulness , accuracy , or validity of that document. State of California County of Sacramento On 2/7/2017 before me , Sarah Otto -Notary Public (insert name and title of the officer) personally appeared _M_a_tt_F_o_s_t_e_r _____________________ _ who proved to me on the bas is 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 PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signatur~=----~~---_ 3, , •• , , ••• 'sAR~H one., E .... @-· -. COMM. #2053715 m in Notlry Pubtk::·Caltfomla ~ W . SACMMENTO COUNTY -" J $¢;US I$ o"'l~ee:i ~E:f+~'+~1~l (Seal) Project No. 2017-22 DOCUMENT 00630 G UA RANTY TO THE CITY OF CUPERTI NO, a Municipal Corporati o n of the State of California ("C it y"), for constructi o n of CITY HALL I.T. TENANT IMPROVEMENT PROJECT PROJECT NUMBER 2017-22 CU P ERTINO, CALIFORNIA The und e rs igned guarantees a ll constru ct ion performed on this Project and a lso g uarantees a ll material a nd equi pme nt in corporated therein. Contracto r hereby grants to City for a per iod of o ne yea r fo ll owin g the date of F in a l Acce pta nce, or s uch longer period s p ecified in the Co ntract Documents , its uncondition a l wa rranty of the qu a lity and adeq uacy of a ll of the Work including, without limitati o n , all labor, mate rial s and equipm ent provided by Contractor and it s S ubco ntractors of all tier s in co nnection w ith the Work. Neither final payment nor use or occupan cy of the Work performed by the Contractor shall constitute a n acce pta nc e of Work not done in acco rd a nce w ith thi s Guaranty or relieve Co nt ractor of liability in respect to a ny express warranties o r responsibilities for fa ulty material s or workmansh ip. Contracto r sha ll remed y any defects in the Work and pay for any damage res ultin g therefrom , w hi c h s hall appear w ithin one yea r , or lo nger if spec ified , from the date of Final Acceptance. If w ithin o ne year afte r the date of Fi nal Acceptance, o r s uc h longer period of time as may be prescribed by Jaws or regul at ion s, or by the terms of Co nt ract Doc um e nt s, a ny Work is fo und to be defecti ve, Con tra ctor s hall promptl y, w ithout cost to C ity a nd in acco rd ance w ith C ity's written in stru c tion s, co rrect s uc h defecti ve Work. Contractor s hall remove an y defecti ve Work rejected by City a nd replace it wit h Work that is not defective, a nd satisfactoril y correct or re move a nd replace any da mage to ot her Work or the work of others res ultin g th e refro m . If Contractor fa il s to promptly compl y w ith the te rm s of suc h in structions, or in a n emergency w he re del ay wo uld cau se se rious risk of lo s!> o r da m age, C ity may have the defecti ve Work corrected or th e rejected Work removed and replaced . Contractor sha ll pay fo r a ll c la im s, costs, lo sses a nd damages caused by or re s ulting from s uch remo val a nd replacement. Where Co ntracto r fa il s to correct defective Work , or defects are discovered outside th e correction period , City s hall have a ll rights a nd remedies gran t ed by law. In specti o n of the Wo rk s ha ll not re li eve Contractor of a ny of it s ob li gat ion s und e r the Co ntract Documents. Even thou gh equipment, material s, o r Work required to be pro v id ed und er t he Co ntract Documents have been in spected , accepted , and est imated for pa y ment, Contractor shall , at it s own ex pe nse, repl ace or repair any s uch equipment, material , or Work found to be defecti ve or o therwi se no t to compl y wi th the r eq uirements of the Co ntract Documents up to the end of th e g ua ran ty period. Al l abbrev iations a nd d e finitions of terms used in t hi s Agreement sha ll have th e meanings set fort h in the Contract Documents, including, without mean s of limitation , Section 00700 (General Co nditi ons). The foregoi ng Guaranty is in addit io n to a ny other warranties of Contractor contained in the Contract Documen ts, a nd not in lieu of, an y and a ll o th er liabi lity impo sed on Contractor under the Contract Docum ents and at law w ith respect to Contractor's duti es, obli gatio ns, and performance under the Contract Docu nts. In the event of any conflict or inconsistency betwee n the term s of this Guaranty a nd a ny warranty or obli f n of the Con tracto · der the Contract Documents or at Ja w , such inconsistency or conflict shall be resolved in a v r of the hi g he r l el f obligation of the Contractor. PRO-EX CONSTRUCTION , INC Contractor's Name 2216 CEMO CIRCLE SUITE B Ad dress RANCHO CORDOVA CA 9567 02/06/2017 C ity/State/Z ip Da te EN D OF DOCUMENT C it y of C upertino 00630 -I Guaranty C ity Hall I.T. Tenant Imp rovement Proj ect CITY OF a Project No. 20 I 7-22 CUPERTINO INSURANCE AGREEMENT A. Contractor is aware of the provisions of Section 3700 of the Labor Code, which requires every employer to be insured against liability for worker's compensation or undertake self- insurance in accordance with the provisions of that Code, and will comply with such provisions before commencing the performance of the work of this Contract. B. Contractor and all subcontractors will carry worker's compensation insurance for the protection of its employees during the progress of the work. The insurer shall waive its rights of subrogation against the City, the City 's officers , agents and employees and shall issue an endorsement to the policy evidencing same. C. Contractor shall carry at all times , on all operations hereunder, commercial general liability insurance, automobile liability insurance and builder 's all risk insurance. All insurance coverage shall be in amounts required by the City and shall be evidenced by the issuance of a certificate in a form prescribed by the City and shall be underwritten by insurance companies satisfactory to the City for all operations , sub-contract work, contractual obligations , product or completed operations , all owned vehicles and non-owned vehicles . Said insurance coverage obtained by the Contractor, excepting worker 's compensation coverage, shall name the City, its engineer, and each of its directors, officers, agents and employees, as determined by the City, as additional insureds on said policies. Insurers must be licensed to do business in the State of California. The Insurers must also have an "A " policyholder 's rating and a financial rating of at least Class VII in accordance with the current Best 's Guide Rating or that is otherwise acceptable to the City. D. Before Contractor perform s any work at, or prepares or delivers materials to , the site of construction, Contractor shall furnish certificates of insurance evidencing the foregoing insurance coverages and such certificates shall provide the name and policy number of each carrier and policy and that the insurance is in force and will not be canceled or modified without thirty (30) days written notice to the City. Contractor shall maintain all of the foregoing insurance coverages in force until the work under this Contract is fully completed. The requirement for carrying the foregoing insurance shall not derogate from the provisions for indemnification of the City by Contractor under this Contract and for the duration of the warranty period. Notwithstanding nor diminishing the obligations of Contractor with respect to the foregoing, Contractor shall maintain in full force and effect during the life of this Contract, the following insurance in amounts not less than the amounts specified and having a Best 's Guide Rating of A , Class VII or better or that is otherwise acceptable to the City. City o f Cup ertino 005 30 -2 In surance Fom1 s Cit y Hall l.T. Tenant Impro ve ment Proj ect Project No. 201 7-22 LIMITS Worker 's Compensation & Employers ' Liability General Liability -commercial general liability; including provisions for contractual liability, personal injury, independent contractors and products -completed operations hazard. Automobile Liability -comprehensive covering owned , non-owned and hired automobiles. Pro-Ex Construction, Inc (Contractor's Name) In accordance with the Worker 's Compensation Act of the State of California-Worker 's comp "statutory" per CA Law; Employers ' Liability $1 ,000 ,000 per occurrence. Combined single limit of $2.0 million per occurrence ; $4.0 million in the aggregate Combined single limit of $1.0 million per occurrence. Dated: ___ F_e_b_ru_a~ry_8 _____ 20 17 City o f Cup ertin o 00 53 0 -3 In s urance Fom1 s City Hall I.T. Tenant Improv ement Proj ect ~ I DATE(MMIOOll'YYYI ACORi::J C E RT IF IC AT E O F LI A B ILIT Y INSURANCE 2/7/2017 I.. ---- THJS CERTIFICATEIS ISSUED ASA MATTER OF INFORMATIONONLYANO CONFERS NO RIGHTS UPON THE CERTIFICATEHOLDER . THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENT ATIVIDR PRODUCER, ANO THE CERTIFICATE HOLDER. IMPORTANT: If the certificateholder is an AOOITIONAUNSURED,the policy(ies)Tiust be endorsed. If SUBROGATIONIS WAIVED, subject to the tenns andconditionsofthe pol lcy,:ertain policiesmayrequiroon endorsement.A statementon thiscertificatedocs not confer rights to the certificatcholdcr in l ieu of such endorsement(s). PRODUCER CONTACT Rob Winter NAME: GOLDEN STATE WEST INSURANCE SVCS PHONE (916)830-1042 I ~~.No): (916)880-4052 (A/C, No, Ext)· 11265 Sunrise Go ld Circle Ste L E-MAJL rob@goldenstatewest .com ADDRESS· Rancho Cordova , CA 95742 INSURER(SJ AFFORDING CO VE RAGE NAIC# OC84211 Security National Insurance Co INSURER A : INSURED Pro-Ex Construction Inc. INSURER 8 : United Financial Casualty Company 2216 Cemo Circle #B INSURERC State Compensation Insurance Fund Rancho Cordova , CA 95670 lNSURERD : National Union Fire Ins Co of Pittsburgh , PA 916-868-2137 INSURER E : JNSURERF : COVERAG E S CERTIFIC A TE NUMBER · REV I S I O N N U MBER · THIS IS TO CERTIFY TH AT THE POLICI ES OF INSURANCE LISTED BELON HAVE BEEN ISSU ED TO THE IN SUR ED NAMED .ABOVE FOR TH E PO.JCY PERI OD INDICATED. NOTWTHSTANOI NG ANY REQ UI REMENT, TERM OR CONDITION Of PNY CONTRACT OR OTHER DOCUME NT WTH RESPECT TO \M-ilCH THIS CERTIFICATE MAY BE ISSU ED OR MAY PERTAJN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREI N IS SUBJECT TO ALL THE TER MS, EXCLUSIONSAND CONDITIONS OF SUCH POUCI ES.U MITS SHO\l\oNMAY HAVEBEENREDUCEO BY PAJ D CLAIMS . IN511 I= ·~· POLICY EFF POLICY EXP "' TYPE OF INSURANCE "ffl -POLICY NUMBER MMl1)()('(YYYJ MMIDDIYYYYI LIMITS X COMMERCIALGENERAL LIABILITY EACH OCCURRENCE , 1,000,000 -D Cl.AIMS-MADE [Z]occuR ...,,..,,...,,,.....,c ,vnCl'IICI.I PREMISES (Ea occurrence) $ 100 000 - 05/15/2017 MEO EXP (Anyone person) ' 5 ,000 -NA 102436804 ::i /15/2016 A y PERSONAL & ADV INJURY $ 1,000 ,000 - GEN'L AGGREGATE LI MIT APPLIES PER: GENERAL AGGREGATE , 2 ,000 ,000 ~POLICY m ~T D LOC PRODUCTS -COMPIOPAGG , 2 ,000 ,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE UMIT , 1,000,000 (Eii ;,,ccident) -ANYAUTO BOOIL Y INJURY (Per person) ' -All O'NNEO -SCHEDULED B AUTOS X AUTOS BOOIL Y INJURY (Per accident) $ --NON-OWNED 03765585-0 05/15/2016 05/15/2017 PROPERTY D.AJMGE X HIRED AUTOS X AUTOS (Per accident) $ --$ UMBRELLA LIAS r-1 OCCUR EACH OCCURRENCE ' -EXCESS LIAB CLAJMS-MAOE AGGREGATE $ DED I I RETENTION $ $ VvORKERS COMPENSATION X I :~:TUTE I I OTH- AND EMPLOYERS'LIABIUTY ER V I N 90 12368 -2016 05/04/2016 05/04/2017 , 1,000 ,000 C Alt'/ P!WPRIETO!t"'A.1111/Ull'EJ.EC UI IV'E ~ NIA E.L . EACH ACCIDENT OfflCERNEMeER (~ClVOEO~ 1,000 ,000 (Mandatof'Yn NH) E.L. DISEASE -EA EMPLOYEE ' If yes. describe under , 1,000 ,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE-POLICY LIMIT $3 ,000 ,000 each occurrence D Excess Liability EBU 022179440 06/22 /2016 05/15/2017 $3 ,000 ,000 Genera l aggregate DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101 .Additronal Remarks Schedule . may be attached if mo(e space 1s requred) The City of Cupertino , a Municipal Corporation of the State of Ca lifornia , its City Council , and their employees , representatives , consultants , and agents , and Engineers are additional insured with respect to Genera l Liabi lity per endorsement 49-0108 07 11 . C E RTI FI CATE H O LOER CANC ELLA T IO N Cupertino City Hall , SHOULD mY OF THE !>OOVE DESCRIBED POUCl ES BE CANCE ll.ED BEFORE 10300 Torre Avenue , TH E EXPIRATI ON DATE THEREOF, NOTICE \/IO U. BE DELIVERED IN Cupertino, CA 95014-3202 ACCORDANC E \M TH THE , -1. AUTHOR IZED REPRESENTATIVE I I ~ © 1988-201 4 ACORD CO RP ORATI ON. A ll rights rese rved . ACOR025 (2 01 4/0 1 ) The ACOR D na m e an d l ogo a re regis tere d marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY BLANKE T ADDITIONAL INSUREDS - OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under t he fo llowing: COMMERC IA L GENERAL LIABILITY COVERAGE PART SCHEDULE Policy Number: N Al02436804 Endorsement Effective 5/15 /20 I 6 12 :01 a.m . Named Insured PRO-EX CONSTRUCTION INC , DBA: PRO-EX Countersignedf;t' ~ ) /Jv,/rk t~ CONSTRUCTION INC SCHEDULE Name of Person or Oraanization : h d . d . bl . d b · f · t t · "lf:ny person or orgamzat1on matt e name insure 1s o 1gate y virtue o a written con rac or agreement to prov ide insurance such as is afforded by th is policy . Locat ion: (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. Section II -Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule , but only to the extent that the person or organization shown in the Schedule is held liable for your acts or omissions arising out of your ongoing operations performed for that insured . B. With respect to the insurance afforded to these additional insureds , the following exclusion is added: 2. Exclusions This insurance does not apply to "bodily injury" or "property damage" occurring after: (1) A ll work , including materials , parts or equipment furnished in connection with such work, on the project (other than service , maintenance or repa irs) to be performed by or on beha lf of the additional insured(s) at the site of the covered operations has bt.";en completed ; or · (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. The words "you " and "your" refer to the Named Insured shown in the Declarations . D. "Your work " means work or operations performed by you or on your behalf; and materials , parts or equipment furnished in connection with such work or operations. Primary Wording If required by written contract or agreement: Such insurance as is afforded by this policy sha ll be primary insurance, and any insurance or self-insurance maintained by the above additional insured(s) shall be excess of the insurance afforded to the named insured and shall not contribute to it. Waiver of Subrogation If required by written contract or agreement: We waive any right of recovery we may have against an entity that is an additional insured per the terms of this endorsement because of payments we make for injury or damage arising out of "your work" done under a contract with that person or organization . 49-0108 07 11 May Inc lude Copyrighted Material of Insurance Services Offices , Inc . Page 1 of 1 Used with permission C l.TY OF a CUPERTINO DATE: 3/17 /2017 Contractor: Pro-Ex Construction, Inc. 2216 Cerno Circle, Suite B Rancho Cordova, CA 95670 I.T. TENANT IMPROVEMENT PROJECT PROJECT NO. 2017-22 CONTRACT CHANGE ORDER No. 1 CCO# 1 P.O.# ~817 22 'Z-<) (~ -t./c>1 Acct.# 100-83-807-900-990-CIV 005-03-03 The following changes are hereby approved, notwithstanding language in any attachment to the contrary, Contractor agrees that tbe amount paid pursuant hereto is full and complete compensation for the work described herein for each and every entity involved in the project who is being compensated hereunder and that each and every claim for any cost for schedule impact such as a delay , impact, inefficiency, acceleration, extended overhead, increased supervision, compression and all other factors affecting cost arising from the subject of this Change Order is hereby re.leased and waived by all such Subcontractors and suppliers at all tiers. Change City Authorization Description $ 15,377.41 No. Type and No. 1 RFI #4/ PCO # l Correct unforeseen condition per RFI #4 response dated 2/28/17. Add 2 working days. $ 5,457.65 RFI #5/ PCO #2 Correct unforeseen condition per RFI #5 .1 response dated 3/1/17. Add 1 working dav . $ 2,327.86 RFI #6/ PCO #3 Remove existing wallpaper per RFI #6 response dated 2/28/17. Add I working day. $ 4,664.51 RF! #7 / PCO #4 Correct non-conforming electrical above ceilirnr oer RFI #7 resnonse dated 3/2/17 $ 1,596.69 RFI #4-#7 / PCO #5 Materials required for implementing RFI #4 - #7. $ 1,330.70 Page 1 cco 01 CITY OF II I.T . TENANT IMPROVEMENT PROJECT PROJECT NO . 2017-22 CONTRACT CHANGE ORDER No. 1 CUPERTlNO Total Change Order No.I Total Project: Orig ina l Contract $ 96 ,380.00 Change Order No.1 $ 15 ,377.41 Revised Contract $ Schedule Impact: Final Completion Date: REVIEWED BY: ·ty Project Manager Date: ff ane Bui lding Company Glenn Rock Project Exec/Manager Date : 3/20/17 111,757.41 4 working days 3/23/2017 Page 2 s 15,377.41 I $ 96 ,380 .00 $ 15 ,3 77 .4 1 Total Change Orders $ 15,3 77 .4 1 APPROVED BY : c ~-===2-·--- ~imrn Borden D ir ector of Pub lic Works Date: _ 3 /~/~rt I I ~ Pro-Ex Construction , Inc . Pave l Chernyy President Date : 3/20/2017 cco 01 Project No. Project Name: Contractor Name: 2017-22 Proposed Change Order SUMMARY Item No. RFI No. (or COR. CPR, etc.) Date: CITY HALL l.T. TENANT IMPROVMENT PROJECT PRO-EX CONSTRUCTION, INC PCO#l 4 3/14/2017 Description of Work: REMOVING EXISTING SUPPORTS FOR ELECTRICAL CONDUITS & PROVIDE NEW UNISTRUT SUPPORT SYSTE?v1 FOR ALL EXISTING CONDUIT TO REMAIN General Contractor Direct Costs -Breakdown No. (See attached breakdo1m) Total General Contractor Cost (General Comract Direct Cost plus OH&P) Subcontractor Cost Breakdowns (See attached.) Subcontractor Name ARP ELECTRICAL & LIGHTfNG Subcontractor Direct Costs Total (Sum column A) Breakdown No. 2 Subcontractor Direct Costs+ Subcontractor OH&P (Sum column C) A Total Direct Cost $ 1,363.53 $ 1,363 .53 General Contractor OH&P on Subcontractor Direct Cost at (Sum column A times General Contractor OH&P rate.) Total Subcontractor Costs ;ubcontractor Direct Co sts + OH&P + General Contractor OH&P) Change Order Subtotal ;um of Total General Contractor Costs and Total S ub co ntractor Costs) Perfom1ance and Payment Bond at (Change Order Subtotal lime s Performance and Payment Bond rate) Amount will be D increased D decreased D unchanged by (Sum of Change Order Subtotal and Performance and Payment Bond) Days will be 0 increased D decreased D unchanged by 33 % B OH&P 33 % % % % % % % % 5% % $ 2,671.80 $3,553.491 C Total A+(A X B ) $1,813.49 $1,813.49 $90.67 $1.904.16 $5,457.651 $5,457 .65 2 Proposed Change Order BREAKDOWN Breakdown No. Item No. RFI No . (or COR , CPR. etc .) Project No.: 2017-22 Date: Project Name: CITY HALL l.T. TENANT IMPROVMENT PROJECT ContractoriSubcontractor Name: PRO-EX CONSTRUCTION, INC Direct Cost of Work: A. \Vo rk Check he re if explained on the Comment Sheet l l STRAIGHT TIME LABOR D 2 OVER-TIMELABOR D " ., _______________ _ 4 ----------------5 ---------------- 6 7 ----------------- D D D D D Rate Hours 51.24 34 65.76 5 Add Labor Burden @ 29 % B. Materia l I ---·--------- 2 ----------------- 3 ------------------- 4 --- 5 ----------------- 6 ----------------7 ---------------- C. Equipment I 2 3 4 5 6 7 D D D 0 D D D D D D D D D D LABOR TOTAL Unit Price Unit l!nits Add Tax @ .MATERIAL TOTAL Unit Rate Unit Units Add Tax @ EQUIPrvIBNT TOT AL TOTAL DIRECT COST FOR THIS BREAKDO\VN: (Sum A , B & C) 2016 % % 1 PCOI 4 3/14/2017 Total Cost $1,742.16 $329 .00 $600.64 [_$2.671.80 Total Cost J Total Cost $2,671.80 Project No.: 2017-22 Proposed Change Order BREAKDOWN Breakdown No. Item No . RFI No. (or COR , CPR_ etc.) Date: Project Name: CITY HALL LT. TENANT IMPROVMENT PROJECT Contractor/Subcontractor Name: ARP ELECTRICAL & LIGH TING Direct Cost of Work: A. \Vork Check here if explained on the Comment Sheet l Rate Hours STRAIGHT TIME LABOR D 2 OVER-Tilv1ELAB0R D 3 _______________ D 4 _______________ D 5 6 7 ---------------- ---------------- ---------------- D D D 73.86 11 122.71 2 Add Labor Burden @ 29 % LABOR TOTAL B. Materia l Unit Price Unit Units l D 2 D - -- 3 D - -- 4 D --- 5 D - -- 6 D - - - 7 D - - - Add Tax @ MATERIAL TOTAL C. Equipment Unit Rate Unit Units l D 2 D 3 D 4 D 5 D 6 D 7 D Add Tax @ EQUIPMENT TOTAL TOTAL DIRECT COST FOR THIS BREAKDOVvN: (Sum A, B & C) 2 20 16 % % 2 PCOl 4 3/10 /2017 Total Cost $812.00 $245.00 $306.53 r $1.363.53 Total Cost Total Cost $1,363 .53 ~a-Ex CONSTRUCTION,INC DAILY T IM E & MATERIALS RECORD I 2216 CEMO CIRCLE SUITE B I RANCHO CORDOVA , CA 95670 I PH : 916-970-00 97 I FAX: 916-222-1478 I ATIN PM: GLENN ROCK PCO NO: _______ _ PROJEcrNAME: 20 17-22 CITY HALL I.T. IMPROVM ENT PROJECT CONTRACTOR:._-'-P'--'R=O_,·E=X-'---"'C=O-'-'N,.,,S'--'-T"""'R""U=C'--'-T--'-'IO=N'--'-'-'1_,__,N=C ______ _ DATE OF WORK: 2/28/17-3/2 /17 WORK STATUS: D MORE TO FOLLOW [xi COMPLETE SCOPE OF WORK: REMOVING EXISTING SUPPORTS FOR EL ECTRICAL CONDU ITS & PROVIDE NEW UNISTRUT SUPPORT S YSTEM FOR ALL EXISTI NG CONDUIT TO REMAIN REFERENCE DOCUMENTS An ACHED : __ P_ER_R_F_I _# 4_A_P_P_Ro_v_E_D_O_N_2_12_s1_20_17 _______________ _ THE WORK DESCRIBED ABOVE IS PERFORMED ON A TIME & MATERIAL BASIS . UNITS OF LABOR, MATERIALS AND EQUIPMENT SHALL BE TABULATED BELOW ON A COPY OF THIS FORM. 2/28 3/1 3/2 MATERIALS QUANTITY EMPLOYEE NAME ST HOURS CHANNE LS VENIAMIN SHISHKOVSKY 4 4 CEILING SCR EVVS YAKOVBANAR 4 .. 318 TH RED ED ROD ANDREY KLIMOV 4 VADIM CH ERNYY 4 7 VIKTOR CHYZ H 4 3 --· SUB: ARP ELECT RICAL & LI GHTI NG ~RO SLAV DEMYAMIK 4 7 TOTAL: 45 EQUIPMENT 2/28 3/1 OT HOURS 1 1 1 1 1 1 1 7 Hrn IRS SUBMITTED BY: __ D_M_IT_R_IY_LA_G_O_D_A _______________ _ DATE : 3/09i2017 VERIFIED/APP ROVED BY: ______________________ _ DATE:. ________ _ LABOR LABOR LABOR LABOR LABOR ELECTRIAN PA GE_1_0 F_1 __ Pro ject No. Project Name: Contractor Name: Proposed Change Order SUMMARY Item No. RFI No. (or COR. CPR, etc .) Date: 2017-22 CITY HALL l.T. TENANT IMPROVMENT PROJECT PRO-EX CONSTRUCTION , INC PC0#2 5 3/14/2017 Description of Work: DEMO, REMOVE & DISPOSE OF THE PLASTER CEILING DISCOVERED BETWEEN THE EXISTING GYPSUM BOARD CEILING & FRAMING. General Contractor Direct Costs -Breakdown No. (See attached breakdo1rn) Total General Contractor Cost (General Contract Direct Cost plus OH&P) Subcontractor Cost Breakdowns (See attached.) Subcontractor Name Subcontractor Direct Costs Total (Sum column A) Breakdown No. Subcontractor Direct Costs + Subcontractor OH&P (Sum column C) A Total Direct Cost $ General Contractor OH&P on Subcontractor Direct Cost at (Sum column A times Genera l Contractor OH&P rate. ) Total Subcontractor Costs (Subconiractor Direct Costs+ OH&P + General Contractor OH&P) Change Order Subtotal (Sum of Total General Contractor Costs and Total Subcontractor Costs) Performance and Payment Bond at (Change Order Subtotal times Performance and Payment Bond rate) Amount will be 0 increased D decreased D unchanged by (Sum of Change Order Subtotal and Performance and Payment Bond) Days will be 0 increased D decreased D unchanged by $ 1,750.27 33 % $2,327.861 B C OH&P Total (Max 15%) A+(A X B) % % % % % % % % % $2,327.861 % $2,327 .86 Proposed Change Order BREAKDOWN Breakdown No. Item No. RFI No. (or COR, CPR, etc.)5 Project No.: 2017-22 Date: Project Name: CITY HALL LT. TENANT IMPROVMENT PROJECT Contractor/Subcontractor Name: PRO-EX CONSTRUCTJON, JNC Direct Cost of Work : A. \Vork Check here if explained on the Comment Sheet l l STRAIGHT TIME LABOR D 2 OVER-TIMELABOR D ,, _., _______________ _ 4 ----------------5 _______________ _ 6 ----------------7 ----------------- D D D D D Rate Hours 51.24 20 65 .76 5 Add Labor Burden @ 29 % LABOR TOTAL B. Material Unit Price Unit · Units l 0 1.00 I 2 D --.. -- 3 D --- 4 D --- 5 D -- - 6 D -- - 7 D -- - Add Tax @ --- :MATERIAL TOT AL C. Equipment Unit Rate Unit Units 1 D 2 D 3 D 4 D 5 D 6 D 7 D Add Tax@ --- EQUIPMENT TOTAL TOTAL DIRECT COST FOR THIS BREAKDO\¥N: (Sum A, B & C) 1 2016 % % 1 PC02 3/14 /2017 Total Cost $1,028 .00 $328.80 $393.47 $1. 750.27 Total Cost Total Cost $1,750.27 ?no-Ex CONSlRUClfON,!NC DAILY TIME & MATERIALS RECORD I 2216 CEMO CIRCLE SUITE B I RANCHO CORDOVA, CA 95670 I PH: 916-970-0097 I FAX: 916 -22 2·1478 I AITN PM : __ ~G~L=E~N~N~R~O~C~K __________________ _ PROJECT NAME: 2017-22 CITY HALL I. T. IMPROVM ENT PROJECT CONTRACTOR : PRO-EX CONSTRUCTION INC PCO NO : __ z ______ _ DATE OF WORK:_3_/1_/_17 ____ _ WORK STATUS: D MOR E TOFOCLOW [xi COMPLETE SCOPE OF WORK: __ D_EM_o_._R_E_Mo_v_E_&_o 1_sP_o_s_E_O_F_T_H_E_P_LA_S_T_ER_cE_I_LI _NG_D_1s _c o_v_E_R_E_D_B_ET'l'_,E_E_N_T_H_E_Ex_1_sT_I_NG_G_YP_s_u_M_B_O_A_RD_c __ EI_LI_NG_&_F_R~_'~_,1_NG_. ______ _ REFERENCE DOCUMENTS AITACHED: __ P_E_R _R_Fl_#_5_.1_A_P_PR_o_v_E_D_O_N_3_10_11_20_1_1 ______________________ _ THE WORK DESCRIBED ABOVE IS PERFORMED ON A TIME & MATERIA L BASIS . UNITS OF LABOR , MATERIALS AND EQUIPMENT SHALL BE TABULATED BELOW ON A COPY OF THIS FORM. MAT ERIALS QUANTITY EMPLOYEE NAME ST HOURS OT HOURS GARBAGE BAGS VENIAMIN SHISHKOVSKY DISPOSAL YAKOVBANAR -· ANDREY KLI MOV - VADIM CHERNYY V IKTOR CHYZH TOTAL: EOlllPMENT -· ,... SUBM IITED BY : __ D_~_i,_TR_I_Y_LA_G_O_D_A ________________ _ VERIFI ED/APPROVED BY : _____________________ _ 4 4 4 4 4 20 1 1 1 1 1 5 I-Int JR<; DATE: 31091201 7 D A T E: ________ _ LAB O R LA BOR LABOR LABOR LABOR PA GE _1_0F_1_ Project No. Project Name: Contractor Name : 2017-22 Proposed C h ange Order SUMMARY Item No . RFI No . (or COR. CPR, etc.) Date: CITY HALL I.T. T ENANT IMPROVMENT PROJECT PRO-EX CONSTRUCTION , INC PC0#3 6 3/14 /2 017 De sc ription of Work: REMOVE EX IS T IN G WALLPAPER IN IT'S ENTIRETY ON THE BACK WALL. PATCH, FLOAT & SAND WALL TO PROVIDE SEAMLESS TRANSITION. General Contractor Direct Costs -Breakdown No. (See attached breakdo1\11) Total General Contractor Cost (General Contract Direct Cost plus OH&P) Subcontractor Cost Breakdowns (S ee attached.) 1 Subcontractor Name Breakdown No. ----------·------ Subcontractor Direct Costs T otal (Sum col umn A) Subcontractor Direct Costs+ Subcontractor OH&P (Sum coltmm C) $ A Total Direct Cost Genera l Contractor OH&P on Subcontractor Direct Cost at (Sum c0lumn A times General ContractClf 01-!&P rate.) Total Subcontractor Costs (Subcontractor Direct Costs+ OH&P + Genera l Contractor OH&P) Change Order Subtotal (Sum of Total General Contracto r Co sts and Total S ubcontractor Costs) Perfomrnnce and Payment Bond at (Change Order Subtotal ti mes Performance and Payme nt Bond rate) Amo unt will b e 0 inc;reasecl D decreased D unchanged by (Sum of Change Order Subtotal and Performance and Payment Bond) Days will be 0 increased D decreased D unchanged by 33 % B OH&P (Max 15%) % % % % % % % % % % $ 3,507.15 $4,664.511 C Total A+(A X B) $4,664.511 $4,664 .51 Proposed Change Order BREAKDOWN Breakdown No. Item No. RFI No. (or COR , CPR, etc.) Project No.: 2017-22 Date: Project Name: CITY HALL LT. TENANT IMPROVMENT PROJECT Contractor/Subcontractor Name: PRO-EX CONSTRUCTION, INC Direct Cost of Work: A. \Vork Check here if explained on the Comment Sheet l l STRAIGHTTIMEDRY-WALL _____ D 2 OVER-TIMELABORDRY-WALL D 3 4 5 6 7 ----------------- ---------------- ----------------- ----------------- D D D D D Rate Hours 73.86 16 96.06 16 Add Labor Burden @ 29 % LABOR TOTAL B. Material u nit Price Un it Units I D 2 D -- - 3 D - - - 4 D - - - 5 D - -- 6 D - -- 7 D - - - Add Tax@ .MATERIAL TOT AL C. Equipment Unit Rate Unit Units 1 D 2 D 3 D 4 D 5 D 6 D 7 D Add Tax@ EQUIPMENT TOTAL TOTAL DIRECT COST FOR THIS BREAKD0\1/N: (Sum A, B & C) 1 2016 % % I PC03 6 3/14 /2017 Total Cost $1,181.76 $1,536.96 $788.43 $3.507 .15 Total Cost Total Cost $3,507.15 .?Ro-Ex CON SrR UCTJON,INC DAILY TIME & MATERIALS RECORD I 2216 CEMO CIRCLE SUITE B I RANCHO CORDOVA , CA 95670 I PH : 916 -970-0097 I FAX : 916-222-1478 I ATIN PM : ____ G=LE=N-"N'-'-'-R,.,O'""C""'K-'--------------------PCO N0:._-=.3 _____ _ PRO JECT NAME: 2017 -22 CITY HALL I.T. IMPR OVMENT PRO JECT DATE OF WORK :. 3/3/17-3/4/2017 WORK STATUS : D MORE TO FOL LOW [x] COMPLETE CONTRACTOR : PRO-EX CONSTRUC T ION INC SCOPE OF WORK : REMOVE EXISTING WALL PAPER IN IT'S ENTIR ETY ON THE BACK WA LL. PATCH , FLOAT & SAND WAL L TO PROVIDE SEAMLESS TRANSI TION . REFERENCE DOCUMENTS An ACHED: __ P_E_R_R_Fl _#_6_A_P_PR_o_v_E_D_O_N_2J_·2_s1_20_1_1 ______________________ _ THE WORK DESCRIBED ABOVE IS PERFORMED ON A TIME & MATERIAL BASIS . UNITS OF LABOR, MATERIALS AND EQUIPMENT SHALL BE TABULATED BELOW ON A COPY OF THIS FORM. FRI· 313/2016 SAT · 3'4/2017 MATERIALS QUANTITY EMPLOYEE NAME ST HOURS OT HOURS DRYWALL TOPPING MUD , SAND PAPER VE NIAMIN SHI SHKOVS KY 4 4 YAKOVBANA R 4 ANDRE Y KLIMOV 4 6 VA LE NT IN YEREMUK 4 6 TOTAL: 16 16 EnlllPMa:NT Hf'II 11)1;: SUBMITIED BY :. __ D_M_I_TR_I_Y_LA_G_O_D_A ________________ _ DATE : 3109/2017 V ER IF IED/APPR OV ED BY : _______________________ _ DATE: ________ _ DRYWALL DRYWALL DR YWA LL DRYWAL L PA GE _1_0F_1_ GENERAL PREVAILING WAGE DETERMINATION MADE BY THE DIRECTOR OF INDUSTRI AL REL;\ TIONS PURSU ANT TO CALfFORNIA LABOR CODE PAR T 7, CHAPTER I, ART ICLE 2, SECTIONS 1770, 1773 AND 1773.1 FOR COMl\·1ERCIAL BUILDING, HIGHWAY. HEAVY CONSTRUCTION AND DREDGING PROJ ECTS CRAFT: #DRYWALL INSTALLER/LATHER (CARPENTER) DETERMINATION: NC-31-X-16-2016-1 ISSUE DATE: August 22, 2016 EXPlR<\TION DATE OF DETER'VIINATION: June 30. 2017** The rate to be paid for work pe1fonned after this date has been deiellllined. If work will extend past this da te. the new rate must be paid and shou.ld be incoqJorated in contracts entered into now. Contact a,e Office of the Director -Research Unit for specific rates at (415) 703-4774. LOCALITY: A ll localities within Alameda, Alpine. Amador, Butte, Calaveras, Colusa, Contra Costa, Del Norte, El Dorado, Fresno, Glenn, Humboldt, Kings, Lake, Lassen , Madera, Maiin, Mariposa, Mendocino, Merced, Modoc, Monterey, Napa, Nevada, Placer, Plumas , Sacramento, San Benito, San Francisco, San Joaquin, Sao !vlateo , Santa Clara, Santa Cruz, Shasta, Sierra, Siskiyou, Solano. Sonoma, Stanislaus, Sutter, Tehama, Trinity, Tulare, Tuolwnne, Yo lo and Yuba counties. Employer Payments Strni2ht-Time Ove1time H ourlv Rate CLASSIFICATION (Joume)1Jerson) 'Area 1 D rywall lnstall er/ Lather Stocker, Scrapper" Stocker, Scrapper b Area 2 Drywall Installeri Lather Stocker, Scrapper'' Stocker, Scrapper 'Area 3 D1ywall lnstaller/ Lather Stocker, Scrapper' Stocker, Scrnpper d Arca 4 Drywall 1.nstaller/ Lather Stocker, Scrnpper' S locker, Scrapper Basic Hourly Rate :$44.40 22.20 22.20 38.52 19.26 19.26 39.02 19.5 1 19 .5 1 37 .67 18.84 18.84 Health and Welfare $11.20 11.20 I l.20 l l.20 11.20 ll.20 11.20 I 1.20 11.20 11.20 11.20 11.20 Pension .1$12.25 f5.45 1.10 r12.2s '5.45 l.10 .. 12.25 f5_45 l.10 ,.12.25 f5.45 l.10 Vacation/ Holiday" $4.32 4.27 4.27 4.32 4.27 4 .27 4.32 4.27 4.27 4.32 4.27 4.27 Trnining $0.77 0 .77 077 0 .77 Other Payments .$0.92 0 .92 0.92 0.92 Total Hourly Hours Rate 8 8 8 8 8 8 8 8 8 8 8 8 $73.86 43.12 38.77 67.98 40.18 35.83 68.48 40.43 36.08 67.13 39.76 35.41 Daily I l /2X "$96.06 "54.22 h49.87 "87.24 h49.8 1 h45.46 h87.990 h50. I 85 1145.8 35 1,8 5.965 1,49.18 "44.83 Saturday I l /2X h$96.06 h54 .22 "49.87 h87.2 4 "49.8 1 1,45.46 "87.990 h5o. 1s5 h45.835 h85.965 h49.18 1,44.83 Sunday and Holiday $] 18.26 65.32 60.97 106.50 59.44 55.09 107.50 59.94 55.59 104.80 58 .6 0 54.25 #Indi cates an apprenticeable craft. ·111e cwTent apprentice wage rates are availab le on the Internet @ http://www.dir.ca.!!O \'!OPRUPWAppWa2e/PWAppWa2eSta1t.as p. To obtain any apprentice wage rates as of July I , 2008 and prior to September 27 , 2012, please contact the Division of A pprenticeship Standards or refer to the Division of Apprenticesh ip Standards' website at http ://www.dir.ca.eovi das!das.html . 'Ana J -Alameda, Contra Costa, Marin, Napa, San Francisco, San Mateo, Santa Clarn, Solano and Sonoma counties. 0 Area 2 -Monterey, San Benito, and Santa Crnz Coimties. 'Area 3 -E l Dorado', Placer', Sacrnmento, San Joaquin, and Yo lo Cow,ties. d Area 4 -Alpine, Arnador, Butte, Cala"eras, Colusa, Del N01te , El Dorado', Fresno, Glenn, Humboldt, Kings, Lake, l.,1s sen, Madera, Mariposa, Mendocino, Merced, Modoc, Nevada, Placer'. Plumas , Shasta, Sienn, Siskiyou, Stanislaus. Sutter, Tehama. Trinity, Tulare, Tuolumne. and Yuba Counties. 'Employed by the same contractor for 2000 hours (consecutively or cumulatively). ,. Includes an amount for Annuity Trnst Fund. '' Includes an amount for Work Fees. hRa te appl ies to the first 4 ove1time hours l\llonday through Friday and the first 8 ho urs on Sattrrday. All other time is paid at the Stmday and Holiday overtime rnte. Sa turdays may be worked at straight tim e if job is shut down during lv1onday through Friday due to inclement weather or major mechanical breakdo\\~1. 'A.rea 3 includes th e portion of Placer County west of and including Highway 49 and the µ01iion of El Dorado County west of and including Hi ghway 49 and the teITitory inside the city limits of Placerville. Area 4 includes the pmtions of Placer and El Dorado Counties not covered in Area 3. RECOGNIZED HOLIDAYS : Holidays upon wh ich tl,e general pn~vailing hourly wage rate for Holiday work shall be paid , shall be all holidays in the col lective bargaining agreement, applicab le to a,e panicular craft, classification, or type of worker employed on the project, which is on file with the Director oflndustria l Relations. lfthe preva iling rate is not ba sed on a collectively bargain ed rate, the ho lida ys upon which the prevailing rate shall be paid shall be as provided in Section 6700 of the Government Code . You may obtain the holiday provisions for th e current detenninations on the Int ernet ai http://www.dir.ca.eov/OPRL.iPWD . Holiday provisions for ctITTent or su perseded detenninations may be obtained by contacting the Oftice of tl1e Director -Research Unit at ( 415 ) 703-4 774. TRA \/EL AND/OR SUBSISTENCE PA Y.MENT : In accordance with Labor Code Sections 1773.1 and 1773.9, contrnctors shall make travel andior subsistence pay111ents to each worker to execute the work. You may obtain the travel andior subs istence provisions for the cUirent detenninations on the Internet at http:.,.1www.dir.ca.gov,-C:>PRUP\VD. Travel andior subs istence requirements for current or superseded detenninations may be obtained by contacting the Office of the Director -Research Un it at (415) 703-4774. 35 Pro ject No. Project Name : Contractor Name : 2017-22 Proposed Change Order SUMMARY Item No. RFI No. (or COR, CPR, etc.) Date: .. CITY HALL I.T. TENANT IMPROVMENT PROJECT PRO-EX CONSTRUCTION, INC PC0#4 7 3/14/20 17 Description of Work: CAP ABOVE THE FINISHED CEILING ALL EXPOSED WIRING AND CO 1CEAL LOOSE WIRING IN THEIR EXISTING JUNCTION BOXES . PROVIDE MISS ING COVER PLATES. General Contractor Direct Costs -Breakdown No. (See attached breakdown) 1 Total General Contractor Cost (General Contract D irect Cost plus OH&P) Subcontractor Cost Breakdowns (See attached.) Subcontractor Name ARP ELECTRICAL & LIGHTING Subcontractor Direct Costs Total (Sum column A) Breakdown No . 1 Subcontractor Direct Costs+ Subcontractor OH&P (Sum column C) A Tota l Direct Cost $ 1,143.35 $ 1,143.35 General Contractor OH&P on Subcontractor Direct Cost at (Sum column A times General Contractor 01-!&P rate. ) Total Subcontractor Costs (Subcontractor Direct Costs+ OH&P + General Contractor 01-l&P J Change Order Subtotal (Sum of Total General Contractor Costs and Total Subcontracto r Costs) Perfomrnnce and Payment Bond at (Change Order Subtotal times Performance and Payment Bond rate) Amount will be 0 increased D decreased D unchanged by (Sum of Change Order Subtota l and Performance and Payment Bond) Days will be D increased D decreased IBJ unchanged by (Attach suppo rting dai a such as meteo rological report s) % B C OH&P Total (Max 15%) A+(A X B) 33 % $1 ,520.66 % % % % % % % $1,520.66 5% $76.03 $1,596 .69 $1,596.691 % $1,596.69 Project No.: 2017-22 Proposed Chan ge Order BREAKDOWN Breakdown No . Item No. RFI No. (or COR , CPJt etc.) Date: Project Name: CJTY HALL l.T. TENANT IMPROVMENT PROJECT Contractor/Su bcontractor Name: ARP ELECTRI CAL & LIGHTING Direct Cost of Work : A. \Vork Check here if exp lai ned on the Commen t Shee t l Rate Hours 1 STRAIGHTTIMEDRY-WALL D 2 ______________ D 3 4 5 6 7 ---------------- ---------------- ---------------- ---------------- ---------------- D D D D D 73.86 12 Ad d Labor Burden @ 29 % LABOR TOTAL B. Material Unit Price Unit Units l D 1.00 1 2 D -.. - 3 D - - - 4 D --- 5 D - -- 6 D -- - 7 D - - - Ad d Tax @ J\1ATERIAL TOTAL C. Equipment Un it Rate Unit Units I D 2 D 3 D 4 D 5 D 6 D 7 D Add Tax @ EQUIPMENT TOTAL TOTAL DIRECT COST FOR THIS BREAKDO\VN : (Sum A , B & C) 1 2016 % % 1 PC04 6 3/14 /20 17 Total Cost $886 .32 $257.03 $1.1 43 .35 ] Total Cost ------ Total Cost $1,143.35 ?no-Ex CONS TR UCTJON,INC DAILY TIME & MATERIALS RECORD I 2216 CE M O CIRCLE SUITE B I RA NCHO CORDOVA, CA 95670 I PH : 916-970-0097 I FAX : 916·222-1478 I ATIN PM : __ ~G=L=E~N~N~R-'-O~C~K ___________________ _ PROJECT NAME:__;2::.cO:....c1.:..7....:-2:.=2....:C:..clTY.:....:_c...:H:....;A=.:LL::...:.:..I. T'--'-. ...:.:IM.:..:.Pc.cRc..:.O.:::..V..:..;M=E'--'-NT..:..;..:..;P.c...R:-=O-=-J=EC.:::..T-'--_ CO NTRACTOR:_--'P'-'R-'-0=--"-E=X.,_C=O='-'N=S...cT'-'R=U=C...,_T.,_,10"-'N_,.,_,_IN~C ____________ _ PCO N0: __ 4~------ DATE OF WORK : __ 3_/_6_/1_7 ___ _ WORK STATUS: D MORE TO FOLLOW [X] COMPLETE SCOPE OF WO RK: CAP A BOVE T HE FINIS HED CEILI NG ALL EXP OSED WI RING AND CONCEAL LOOS E WI RING IN THEI R EXI STING JU NCTIO N BOXES PROVI DE MI SS ING COVER PLATES . REFERENCE DOCUMENTS ATIACHED: PE R RFI # 7 A PPROVED ON 312/2017 THE WORK DESCRIBED ABOVE IS PER FORMED ON A TIME & MATERIAL BAS IS. UN ITS OF LABOR, MATERIA LS AND EQUIPME NT SHALL BE TABULATED BELOW ON A COPY OF THIS FORM . MON : 31612016 MATERIALS QUANTITY EMPLOYEE NAME ST HOURS OT HOURS COVE R PLATE S S UB:ARP ELE CTRICAL & LIGHT ING : V I KT OR Y E R E MUK 6 YAROSLAV D EMYANIK 6 TOTA L: 12 l=nl IIPMl'l\ff HOURC. SUB MITIED BY : __ D_M_I~_, R_IY_LA_G_O_D_A ________________ _ DA TE : 3/091201 7 VER IFIED/AP PROVED BY:, _______________________ _ DATE: ________ _ ELECTRICIAN ELECTRICIA N PA GE _1_0F_1_ Project No. Project Name: Contractor Name: 20 17-2 2 Proposed Change Order SUMMARY Item No. RFI No . (or COR. CPR, etc.) Date: CITY HALL l.T. TENANT IMPROVMENT PROJECT PRO-EX CONSTRUCTION, INC PC0#5 3/15 /2017 Description of Work: CAP ABOVE THE FINISHED CEILING ALL EXPOSED WIRJNG AND CONCEAL LOOSE WIRING TN THEIR EXISTING JLTNCTION BOXES . PROVIDE MISSING COVER PLATES . General Contractor Direct Costs -Breakdown No. (See attached breakdown) l Total General Contractor Cost (General Contract Direct Cost plus OH&P) Subcontractor Cost Breakdowns (See attached.) Subcontractor Name ARP ELECTRICAL & LJGHTING Subcontractor Direct Costs Total (Sum column A) Breakdown No. 1 Subcontractor Direct Costs+ Subcontractor OH&P (Sum column C) A Total Direct Cost $ 280.70 $ 280.70 General Contractor OH&P on Subcontractor Direct Cost at (Sum column A times General Contractor OH& P rate. ) Tota l Subcontractor Costs (Subcontractor Direct Costs+ OH&P + General Contractor OH&P) Change Order Subtotal (Sum of Total General Conti-actor Costs and Total Subcontractor Costs) Performance and Payment Bond at (Change Order Subtotal rimes P erfo rmance and P ayme nt Bond rate) Amount will be 0 increased D decreased D unchanged by (Sum of Change Order Subtota l and Performance and Payment Bond) Days will be D increased D decreased 0 unchanged by (Attach supporiing data such as meteorological reports) $ 862.40 15 % $991.76 I B C OH&P Total A+(A XB) 15 % $322.80 % % % % % % % $322.80 5% $16.14 $338.94 $1 ,330.701 % $1,330.70 I.T. Tenant Improvement Project 2017-22 Pro-Ex mate rials costs Conduit repair and supp ort Vendor $ 128.96 Home depot 3/2 $ 158.34 Home Depot 2/28 $ 68.78 Home Depot 3/6 $ 256.16 Bell Elec 2/28 $ 612 .24 5.a ~-" -... float wall and skim $ 20.15 Home Depot 3/4 $ 21.90 Kelly-M oore 3/2 $ 42.05 5.b ---~ - plaster wall demo bags (HD 2/25/17) $ 50.61 Home Depot 2/25 $ 50.61 5.c disposal fees (Z anker) $ 15 7.50 Zanker 3/1 $ 157.50 5.d $ 862.40 subtotal $ 129.36 15% mark-up $ 991.76 Total GC $ 991.76 Subtotal GC $ 338.94 Subtota l Sub $ 1,330.70 Total PCO #5 PCO #5 BACK CHECK AND SUMMARY GBCo -3/17 /17 Subcontracto r materials costs Code corrections savings Total $ 49.57 -4.96 $ $ 49.57 -4.96 $ $ 39.40 0 $ $ 25 .00 0 $ $ 14.82 0 $ $ 9.76 0 $ $ 13.20 0 $ $ 8 .96 0 $ $ 12.44 0 $ $ $ $ $ 52.47 0 $ $ $ $ $ $ $ Note : Each Tag affiliated with mate ri als cost components are labeled with "5.a -5.e" and are keyed above. Vendor 44 .6 1 Home Depot dated 2/27 /17 44.61 39.40 25 .00 14.82 9.76 13.20 8.96 12 .44 212.80 15.43 Tax 7.25 % 228 .23 5.e 52.47 Home Depot d ated 3/1/17 52.47 5.e 280. 70 subtotal 42 .10 15% mark-up 322.80 subtotal 16.1 4 5% GC mark-up 338 .94 Total Sub More saving. More saving. More doingt' More doing.5'' 975 DE ANZA BLVD . -----------~A~hJQ;;~-9.'9.:J.-2-!J-=--2-t{}l---1-110 8 l 25'.3-3537 975 OE ANZA BLVD. SAN J(ISE, CA 95129-2707 (408)·~5:3 -:3!':i'.!7 fib35 00001 52520 CASHIER ISABEL 03/02/17 09: 07 /\M 0000-236·-714 '.i/SRODlO FT <A> THREADED ROD 3/8" X 10 ' 7@7.22 50.54 Totaj INSTANT VOL SAVINGS -8 .6 1 MM( REFUND VALtJE '.f,4100/7 t'i1b013120262 lLJG EGAL\/10' .:.A > 14 GA STRUT CHANNEL EGALV X 10' 2@18.03 36 .0 6 MAX REFUND VALUE $35. 2fi ·:;> 8874800036 11 \'iASHER <A> WASHER FL S/l.E SS 3/8" 4@1.18 4.72 MAX REFUND VAI .. UE $4.60 /4 8874fl00007 19 HEX MUT <A> HEX NUT SS 3/8"-16 6@1 .18 7.08 MAX REFUND VALUE $6.90/6 075 114013949 3/STHRDCOUPL <A> THREADED COUPLING 3/8" 3@7.22 21.66 MAX HEFUND VALUE $21.18 /3 616013 108352 WASHER <A> SQUARE WASHER SIL VLR 3/8" PK /5 2@4.93 9.86 MAX REFUND VALUE $9.64/2 -·· -·· -·· ·· --··· -· -PRO REW ARDS·· · -----·· ·· --· · -- 121 .31 Silver -2.73 MU ST RETURN ALL ITEMS FOP. A FULL REFUND SUBTOTAL SALES TA )( TOTAL XKXXXXXKXKX 1U03 AMEX 118.58 10 .38 $128.96 ...---;::---..._ cu~~ AL/TH CODE 838~125/2010472 Cl,i p Read AID A000000025010801 AMERICAN El(PRESS TVR 0000008000 IAD 06850103602002 TS! FBOO ARC CJO IMSTAMT VOL SAVINGS a;B .6 1 TOTAL SAVINGS $11 .34 rpo )<TRA MEMBER ST A TEMENT F'IW ){TRA #l/#·11#11-7573 SUMM~RY . THTS RECEIPT PO/JOB MAME · CUPF.RTINU PHO J(TR A SPEN D THIS VISIT: IMCUJOES: . Pr o RewEU'cls !i av i nq s 2Ci17 PRO XTRA. SPEND 0:3/01: INCLUDES: Pr ·o Rewa r·d~, 2lll 7 Savi nns $1lfl 58 $2 .7:i u;1. 922. n $3.06 As of 03/02/2017 voLu-· Pa i nt Rewards ' [(J' 8/)j t 6635 00002 94330 CASHIER VILMA 02/28 /17 02:05 PM 616013108093 UMVRSL CLMP "-A> PIPE CLAMP STRUT SILVER 2" EA 7@3.79 26.53 MAX REFUND VALUE $25 . 92/7·:'.:\ · 075114013949 3/8T HRDCOUPL <A> THREADED COUPLING 3/8" 5@7.22 36. 10 MAX REFUND VALUE $35.30/5 616013072608 ELEC ACCESSH -"A> PIPE CLAMP STRU T SILVER 3 " EA 4@4.41 17 .6 4 MA)( REFUND VALUE $17. 24 /4 616013069745 SPRING NUT <A> SPRING NUT 3/8" PK/5 7@4 .66 32.62 MA)( REFUND VALUE $31. 89/7 616013120262 14G EGALV10' •A> 14 GA STRUT CHANNEL EGALV X 10' 2@i8.03 36 .06 MAX REFUND VALUE $35.25/2 --------------PRO REWARDS--------------- 148_.95 Si Iver -3.35 MUSf RETURN ALL ITEMS FOR A FULL REFUND --.. --· ----- -·--·-·--------·------------- SUBTOT AL 145.fiO SA LES TAX 12 .74 ::;:x:::x:::;,1;::~97 ~~) Chip Read ~_....,.,.-- AID A000000025010801 AMERICAN EXPRESS IVR 0000008000 IAD 06850103602002 TSI F800 ARC 00 PFW XTRA MEMBEn STA TEMENT PRO XTRA ###-###-7573 SUMMARY ALtIS RECEIPT PO/JOB NAME: CUPERfINO CITY H PRO XTRA SPEND THIS VISIT · INCLUDES: . Pm Rewarcls Sav i ngs 20 17 PRO xrnA SPEND 02/27· INCLUDES: . Pr·o Rewards 2017 Sav I ngs $145.60 $3 3::i $1,922 .77 $~l .06 As of 02 /28/2017 y0ur· Pc1i nt Re~1ards level 1s P1~0 Xtra Paint _Re warcl s; Spend 2000 . 00 mo, ·e in qL1cll I N 1 ng pa 1 nt purchases.to earn Bronze (10.0% off) on se I ect paint Items . Thi s Burchas1, qua I i fies for· FUEL DI SCO NTS and 60 DAYS _ TO PAY on The Hom e Depot Comme ,-c I Eli CnJd It Car·cl. Ask an Asso ciate to learn more or go to hom edel)o t . co 111 /f i nanr:Ac-.nt inn s " \ \ More saving. More doing:"' 975 DE I\NZA BL VD . . __ SAN .JOSE, CA 95129-2707 (c.\Q8)25 ~J-:J537 6635 00005 48180 O~l/06/17 11: l6 AM ----------------~--'--------f,·ti-~HtER-d0S£fHc-_----- 075114013451 3/8ROD10FT <A> THREADED ROD 3/8" X 10 ' 3@7. 22 21. 66 MAX REFUND VALUE $21. 20/~i 6160 13108260 BR ACKE T cA ~ .. BRACKET 90DEG ANGLE 2~HOt'E. SJLVER 5@1.71 ""' 8.55 MAX REFUND VALUE $3. 35/5 . ' 61601310805 5 UNVRSL CLAMP •A> PIPE CLAMP STRUT SILVER 3/4" EA 12@1.60 19.20 MAX REFUND VALUE q;18. 73/12 61 60131 08048 PIPE CLAMP <A> PIPE CLAMP STRUT SJI __ VER 1/2" [A 10@1.53 15.30 MAX REFUND VALUE $1:4.97 /10 ----------------·----PRO RD/ARDS---· --· -------- 64 .71 Silver -1.46 · MU ST RETURN ALL ITEMS FOR /I FULL REFUND SUBTOTAL 63 . 25 SALES TAX 5 . 53 XXXXXXXXXXX1045 Af~~~L ~~::__" AUfH CODE 801901/8053588 ~~) Chip Read AID AOD0000025010801 AMERICAN EXPRESS TVR 0000008000 IAD 06490103602002 TSI F800 ARC DO PFlO XTRA MEMBER STATEMENT PRO XTRA ###-###-7573 SUMMARY THI S RE CEIPT PO / JOR NAME: CUPERI CI TY HALL PRO XTRA SPEMD TH IS VIS[ T : INC LUDES: P!'O Rewards Savings 2017 PRO XTRA SPEND 03/05: INCLUDES : Pi-o Re viarcls 2017 Sav I ngs $63.25 $1 .LJ6 $1 ,957 . LJ4 $3 .86 As of 03/06/2017 your Pc1 i nt Rewar·ds • lave l Is Pro Xt1'a Paint Reviarcl s; Spen d - 2000.00 mo1 'e in qualifying paint pu1 -c11ases to e,wn Bronze ( 10 . 0% off> on ,,elect paint Items . Tl Ii s 5ur·chi:lse 4Ua I i f I es for · FUEL DI SCO NTS and 60 DAY S TO PAY on The Home Depot Commer·c i al C1-ed it Ca1 'cl. Ask an Assoc I ate to l ea1 -n mo1'e or go to homeclepot.com /financeo ptions. 1111111 1111111111111111 111111111 1111111111 111111 1111 111 6635 05 48180 03/06/2017 8842 INVOICE Bell Electrical Supply, Inc. INVOICE Branch: 10 Bell Main Branch 5490004 316 Mathew Street Santa Clara, CA 95050 USA In vo ice Date I Page "Electrical Si.,pply 408-727-2355 Bill To: ***Cash Sale 3*** ca NO REII TRNS FINAL SALE 316 Mathew Street Santa Clara, CA 95050 USA Customer ID: 177003 PO Number DMITRIY 916-792-2093 Order Date Pick Ticket No 2/28/2017 10:16:54 3501732 Quantities Orderedl Shipped I Backorderedl UOM_ . Unit S,ze -~ Cl Terms Description Cash 2/28/2017 10:21 :4 1 j 1 of 2 ORDER NUMBER Ship To: ***Cash Sale 3*** c;a NO RETURNS FINAL SALE 316 Mathew Street Santa Clara, CA 95050 USA Net Due Date Disc Due Date 2/28/2017 2/28/2017 1438659 Discount Amount 0.00 Primary Salesrep Name Inside Salesman Santa Clara House Accounts DA VE_GUEV ARA Item ID Pricing UOM Unit Extended Item De scriptioll Price Price Unit Size Customer Note: NO RETURNS FINAL SALE Carrier: Will Call -Now Tracking#: 3 3 OE (001) IBQBII20 E 11.0354 33.i 1 1.0 GE THQBl 120 IP 20A 120V BOLT-ON CB 1.0000 so 50 OE (002) HMA38I 6WJ E 2.0774 103 .87 1.0 SEL HMA3816WJ WOOD DRILL SCR BTM MT 1.0000 150 150 OE (003) PSI46-3/8X!O-EG E 0.3284 49.26 1.0 P-STRUT PS-146-3/8-X-IO-EG 3/8" Thr. Rod 1.0000 Strut, Fittings & hangers 100 100 OE (004) ALl4J E 0.1882 18 .8 2 1.0 SEL ALI 4J FLAT HEAD HANGER SCREW 1.0000 1/4X3 ACOUS LAG SCREW IO IO OE (005) KS E 0.3712 3.71 1.0 ERC KS 1/2 CONDUIT CLIP 1.0000 0/S D06A3 10 10 OE (006) K12 E 0.4037 4.04 1.0 ERC KI2 3/4 CONDUIT CLIP 1.0000 0/S D06A3 10 10 OE (007 ) 4Z34 E 0.4122 4.12 1.0 ERC 4Z34 MULTI-FUNCTIONAL CLIP 1.0000 3 3. OE (008) PS67-3-EG E 6.3870 19.16 1.0 P-STRUT PS-67-3-EG 3" Conduit H anger 1.0000 Strut, Fittings & han gers ORIGINAL INVOICE Bell Electrical Supply, Inc . INVOICE Branch: 10 Bell Main Branch 5490004 Invoice Date I Page 212812017 10:21:41 I 2 of 2 ~ Electrical Supe!},_ 316 Mathew Street Santa Clara, CA 95050 USA ORDER NUMBER Ordered! 408-727-2355 Quantities Item ID Shipped ! Backorderedl uo.w: .. , .§' Item Description _Jj,llit-5/Zll-C'\ Card: American Express Tran Ty p e: Final Sale Name: Account Number: l 003 AuthorizationNumber: 141708 Refer en ce Number : 130368 B atch Number: 266 Merchant ID: 11 739823 Authorization Amount: 256. J 6 Retrieval Number: 1771463728 . X I agree to pay above total amount according to card issuer agreement Pricing UOM Unit Size Standard Terms and Conditions apply (Doc.# TCBOI, TCIOI). 1438659 Unit Price Total lines: 8 SUB-TOTAL: California State Sales Tax: County of Santa Clara Sa les Tax: American Express : AMOUNT DUE: VGINAL Extended Price 236.09 14.17 G1b U.S. Dollars \ ~-b More saving. More doing :" 975 DE ANZA BLVD . SAi~ .JOSE, CA 95 129 -2707 (408) 25:1 -3537 G63 5 00001 5918 5 03/04/11 12 :45 PM ---------,-----l;AS~IfJLCJ:1 _-~----- 0005163150 18 ,JT CO MPOUND <A:a HW GREEN DOT TOPPIN G JC 3.5 GAL 2@9 .48 18 .96 MA)( REFUND VALUE $1.8 . 53/2 ···-------------PRO REWARDs ~----------··--- 18.96 Silver -0 .43 MU ST RETURN ALL ITEMS FOR A FULL REFUND SU B[OTAL SA LE S TA X TOTAL !{l(X)(XliX)00(X 10o:3 AMEX 18 .53 1 .52 $20 .15 USO$ 20 .15 AUTH CODE 80 091 2/00 1077 5 TA Chip Reacl AID A0 00 000D2501081J1 AMEfUCAN EXPRESS TVR 000000 8000 IAD 06850103602 002 TSI F800 ARC 00 PRO xrnA ME:MBER STATEMENT Pr10 xrnA 11##-# ##-7573 SUMMARY rnrs RECEIPT PO /JOB NAM E: CUPERTINO CITY H AL L PRO XTRA SPEND THIS VISIT: INCLUDES: Pr·o Rewanl s Savings 20l 7 PRO XTRA SPEN D 03/03, IN CLUDES : P 1'0 Rewards 2017 Sav i nq s $18 .53 $0.43 $1,957 .44 $:3 .86 As of 03 /04 /20 17 yo ur· Paint Rewar ds l eve l is Pr-o Xtl"·a Pa int Rewanis; Spe nd 200 0.00 rn ore in qualifyi ng paint pur ·chases to ear ·n Bro nze (10 . m: uH) 0 11 select pa int items . T11 i s pur·c:;hase qua 1 i f i es for FUEL DI SC OUNTS and 60 DAY S TO PAY on Tl,e Home DerJot Commer·c i al c,-ed it Card. Ask an A;;soc i ate t o learn more 0 1·· go to homodepot .c:om /financeopt lons . II I I II I II I II I I IIIII II I I Ill I l II I I Il l I I II I II I II II I IIII I\I 6635 01 59186 03/04 /2017 3494 RETURN POLICY DEFINITIONS PO LI CY TO OAl'S POLICY EXPIR ES ON A 1 90 06 /02/2017 THE lm ME DEPOT Rf.SERVES THE RIGHT TO LIM IT / DENY RETURNS . PLEASE SEE THE RETURN POLICY SIG M I N STORES FOR DETAIL S. ENTER FO~ A C HAN CE -r , . .._ •-• T t-,1 A 9;~ 00() I ! I I I i I I I I I ! I I I I I I I I i l I i i I I I I ! I .I I I / I i 0 .b Ill llllllllllllllllll 11111111111 11111 ~ KELL'P-N/OORE San Jose-Saratoga Kelly-Moore Paint Company, Inc. 375 Saratoga Ave Suite C <...._PAINTS";> SAN JOSE, CA 95129 Manufacturers of Premium Quality Paints Phone (408) 454-5711 The Pa inter's Paint Sto re Fax (408) 454-5715 ' ~-~~~~~ s A I 1•11'1 Ir! • s ORDER# 826-30510854 MS H MS 1Nv01CE\S) 826 -DDITTm~5 LU3-AU9573 I 108 MORELLA COURT 108 MORELLA COURT p ROSEVI LLE, CA 9574'/ ORDER s ROSEVILLE, CA 95747 USA TYPE 0 T STATUS CLOSED L USA Phone 9164107573 Phone 9164107573 0 ORDER DATE 03/02/2017 D ~ 03/02/2017 -----------------------------TENDER DATE I 'f ORDER TAKER 0 Home S t ore : 203 PRINTED 3/2/17 11:06 AM ORDER CLERK JOSEGUEDA REQ DATE TENDER CLERK JOSEGUEDA SALES REP Alex Katiuzhinsky PO #/JOB NAME CUPERTINO AUTH PURCHSR MICHAEL DOVGAN I STATUS S ITE QT Y ITEM# IT EM DESCRIPTION U/M NET PRICE EXT PRICE TAX s I G N A T u R E DLV 826 2 6756 HML1'N ALL PRP RED oar 4 9# 47LB 1 0.07 20.14 T Custom mixed or tinted colors are NOT returnable for refu nd or excha nge. The customer is responsible to con fi r m the correct color and s hee n prior to appli ca tion . Ke lly-Moore w ill not be liable for the co st of labor to repai nt any surface. /l/~ PA YMEN T TENDERED TAXABLE $ 20.14 AMOUNT TYPE NON -TAXABLE $ 0.00 SUBTOTAL $ 20.14 21.90 AMERICAN EXP TAX AMOUNT $ 1.76 TAX RATE 8.75% ORDER TOTAL $ 2 1. 90 DIMITRI - 11 \ \ /¼s/v .: II t;3, 0 ·•-WC1v"'t -{)(rvtJ &gs More sa_ving. More doing:'' 1461 MEADOIN I EW ROAD SACRAMtNTO, CA 95832 <916)399-9905 -420 1003 00001 12433 o:u2s 1n 02: 28 PM CASHIER YEHYMISELL 073257005357 ROSKY 50CT <A> HUSKY 42G CONTRACTOR BAGS 50CT 2@25.97 51.94 MAX REFUND VALUE $116. 75/2 --------------MA LOYALTY 6---·---------- 51.94 Pro -10.0% -5.19 MUST RETURN ALL ITEMS FOR A FULL r~EFUND SUBTOTAL SAL ES TAX TOTAL XXXXXX)(XX)(X1003 AMEX AUTH CODE 867078/7010282 Chip Read AID A0000000250 10801 AMERICAN Ei<PRESS TVR 0000008000 IAD 06B50103602002 TSI F800 ARC 00 PRO XTRA MEMBER S1ATEMEMT PRO XTRA ##11-###-9997 SUMMARY THIS RECEIPT PO/JOB NAME: COPERTINO PRO XTRA SPEND THIS VI SIT: $46.75 2017 PRO XTRA SP END 02/24: ;~916. 832. 69 INCLUD ES: Pro Xtr-a 2017 Savings $291.50 Pro Xtra Paint 2017 Savings $6,490.64 This purchase qua 1 i f i es few FUEL DISCOUNTS and 60 DAYS TO PAY on The Home Depot Commer·c i al Credi t Carel. Ask an Associate to l earn more or go to homedepot.com/financeoptions. 111 11111 111 1111111 111 11111111 11111 11111 1111111 111 1111 11 1003 01 12433 02/25/20 17 6388 RETURN POLICY DEFINITIONS POLICY ID DAYS POLICY EXPIRES OM A 1 90 . . . 05/26/2017 THE HOME DEPOT RESERVES TH E RIGHT TO LIMIT / DENY RETURNS, PLEASE SEE THE RETURN POLICY SIGN IN STOHES FOR DETAILS, ENTER FOR A CHANCE TO WIN A $5,000 HUME DEPOT GIFT CARDI Tel 1 us about yoLr store visit! Complete our short su1-vev and enter for a c~1ance to wi n at: www.hornedepot.com /su1-vey , Ticket#: 20144336 3/11201 7 lf\J . 11 :38 A!Vl Out: 11 '38 AM Zanker Materials Processing Facility 675 Los Estems Rd San J ose C A , 95134 --' ---------·· ----------...... --' - Company: 1 -CASH Transaction Hauler: 0 Number · cooq Nurnber: \11/eJgh fV1a~ter In : ROBERT CONTRERAS Weigh Ma~ter Out ROBERT CONTRERAS Truck: 53979C2 Location., Cupertino . C $157.50 .......... _ -----~- 1 .. _.) \ ·17· \ ,. ,. JL . ' ,vv ' ' ·i . -·~ Mo,o ,av;ng, ~ More doing."' . ~ .... 975 DE ANZA BLVD. SAN JOSE, CA 95129-2707 (408)253-3537 66.35 . 00056 85656 03/01/17 07: 51 AM SELF CHECK OUT 616013108086 UNVRSL CLMP <A> PIPE CLAMP STRUT SILVER 1-1/2 ''. EA 4@3.37 . . 13.48 MAX REFUND VALUE $J2J3,.,_,/4c1--------,--- 616013108055 UNVRSL CLAMP <A> PIPE CLAMP STRUT SILVER 3/4" EA 5@1.60 8 .00 MAX REFUND VALUE $7.20/5 616013108048 PIPE CLAMP <A> PIPE CLAMP .STRUT SILVER 1/2" EA 21@1.53 32.13 MAX REFUND VALUE $28.92/21 ----------~---MA LOYALTY 6-------------- 53,61 Pro -10.0% -5.36 MUST RETURN ALL ITEMS FOR A FULL REFUND SUBTOTAL 48.25 SALES TAX 4.22 TOTAL $52.47 xxxxxxxxxxxxos39 visA r uS0$;~"> AUTH COOE 07777G/3563075 ~ Chip Read AID AOD0000003101D 4348415345205649534 TVR 0080008000 IAD 06010A03602002 TSI F800 ARC OD PRO XTRA MEMBER STATEMENT PRO XTRA ###-###-9997 SUMMARY THIS RECEIPT PO/JOB NAME: DIMA PRO XTRA SPEND THIS VISIT: $48.25 2017 PRO XTRA SPEND 02/28: $981,938.02 INCLUDES: Pro Xtra 2017 Savlngs $289.80 Pro Xtra ·Paint 2017 Savings $6,909.62 This purchase qual lYles for FUE L DISCOUNTS and 60 DAYS TO PAY on The Hom e Depot Commercial Credit Card. Ask an Assoclate to learn more or go to homedepot.com/flnanceoptlons. II IIIII IIIIIII IIIIIII IIIII I II I IIIII II II I II I II Ill I Ill Ill 6635 56 85656 03/01/2017 2871 RETURN POLICY DEFINITIONS POLICY ID DAYS• POLICY EXPIRES ON A 1 90 05/30/2017 THE HOME DEPOT RESERVES THE RIGHT TD LIMIT / DENY RETURNS. PLEASE SEE T.HE RETURN POLICY SIGN IN STORES FOR DETAILS. .•;,.· ··,;i1 ~ I 'L¥ -r , .__,:...; ,0)(-vv\~ 0 , e -:;::::::::::::-- More saving.· More doing :-' 0u.m b?e: \ow 21::Z. ~o t- 10001 FAIRWAY DRIVE ~ HOSEVILLE, CA 95678 (916) 787-0201 6G88 00007 '5 7509 CASHIER MANPREET . 02/27/17 12:45 PM /r~ 032886892738 12SOLTHHN500 <A~ 12 SOLID THHN BL C(-500 FT 0tal I STAN T VOL SAVINGS MAX REFUND VALUE $40.15 0:328 86892745 12SOLTHHN500 <A> 12 SOLID TJ-IHN WHITE-·500 FT Total INSTANT VOL SAVINGS MAX REF UND VALUE $40. 15 1 ··'9 "iI \ I (::,..,. ~,1 \ 1. ~ I \ -4.%_} --49.57 -4.96 032886892929 12STRTHHN500 <A> 55 .47 12 STRANDED TH HN BLUE -500 FT Total INSTANT VOL SAVINGS -5.55 MAX REFUND VALU[ $£14. 93 ~~ 032886892752 12SOL THHN500 <A> /~ \.'I 12 SOLID THHN RED -500 FT \ Tota 1 INST ANT VOL SAVINGS ~--4. 96 __,/ MAX REFU ND VALUE $40 .15 ----786692020020 EMT O. 75 10' •CA> 3/4" EMT CONDUIT X 10 ' . 8 10@3.94 39.40 MAX REFUND VALUE $35.46/10 786692020013 EM T 0 .5 0 10' <A> 1/2" EMT CON DUIT X 10' r:.·-...._ 10@2.50 . l .3~ MAX REFUND VALlJE $22.50/10 077680272973 CONDUIT <A> 100. 00 250' 12/2 MC LI TE CABLE MAX REFUNU VALUE $90.01 785991033946 CADDY CLIPS <A., CONDUIT HANGER FROM DROP CUP 5/IRE --... 3@4.94 14 .82 MAX REFUND VALUE $13.35/3 . 071798804026 HDXDUSTPAN <A> 3.97 ' HDX OUST PAN AND BRUSH SET MAX REFUND VALUE i3 . 57 · . 78599114 150 4 4"0CTBXCVFBL <A> 4" OC T. BOX COVER FLAT BLANK-1/2" 8@0.67 5 .36 MAX REFUl~D VALLIE $4. 80/8 785991138825 SQUARE COVER <A> 4" SQ COVER 5/8" RAISED 1 DEVIc0' ~ 8@1 .22 9.76 MAX REFUND vr1LUE $8. 80/8 785991164428 SQUA RE BOX <A> 4X 1-1 /2 SQBX 1/2&3/4 KO 4@1.08 4.32 MAX REmm VAL UE $3 . 88/4 785991165128 SQ BOX <A, 4" SQ BOX 1 1/2 DP FL BKT 1/2 & 3/4 3@ 1.29 3.87 MAX REFUMD VALUE $3.48/3 785991167351 4" SQ 80)( <A" 4"SQUARE BOX X 2-1/8" DEEP \'// .) BRKT 4@3.30 13 .20 MAX REFU ND VALUE $11. 88/ 4 78599 1167115 SO BOX <A> 4 SQ BOX 2 1/8 DP 1/2 & 8/4 K.O. 4@2.10 8.40 MA){ REFUl~D VALUE $7. 56/4 616013069745 SPRING NUT <A,. (;;) SPRING NUT 3/8" PK/5 . 2@4 . 48 . 8. 96 MAX REFUND VALUE $8.06/2 '\ 051411621803 3/8F1HS20D <A> 12.44 3/8 TN. FL.EX 1-HOLE STRAP S 200CT MAX r~EFUND VALUE $11 . 20 01899700077.:J MC CONN <A" ,12. 56 MC /B X SN AP2Il CONN ms 3/8" Pl(50 MAX REFUND VALUE $38.30 -------------~M A LOYALTY 6----·-·------- 475,8} Pro -10.0% 0 47 .58