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HomeMy WebLinkAboutAyala Engineering; 2017-07-24; PWM17-136UTILRECORDED REQUESTED BY CITY OF CARLSBAD AND WHEN RECORDED PLEASE MAIL TO: City Clerk City of Carlsbad 1200 Carlsbad Village Drive Carlsbad, California 92008 DOC# 2018-0108030 111111111111 lllll 11111111111111111111111111111111111111111111111111111 Mar 19, 2018 04:55 PM OFFICIAL RECORDS Ernest J. Dronenburg, Jr., SAN DIEGO COUNTY RECORDER FEES: $0.00 (SB2 Atkins $0.00) PAGES: 1 Space above this line for Recorder's use. PARCEL NO: n/a ~--------- NOTICE OF COMPLETION Notice is hereby given that: 1. The undersigned is owner of the interest or estate stated below in the property hereinafter described. 2. The full names of the undersigned are City of Carlsbad, a municipal corporation. 3. The full address of the undersigned is 1200 Carlsbad Village Drive, Carlsbad, California 92008. 4. The nature of the title of the undersigned is: In fee. 5. A work or improvement on the property hereinafter described was completed on Jan. 16, 2018. 6. The name of the contractor for such work or improvement is Ayala Engineering. 7. The property on which said work or improvement was completed is in the City of Carlsbad, County of San Diego, State of California, and is described as follows: Project No. 5503 (PWM17-136UTIL), Sewer Manhole Modification and Rehabilitation at Four Locations. 8. The street address of said property is on Ocean Street in the City of Carlsbad. fJtfo'::Je, VERIFICATION OF CITY CLERK I, the undersigned, say: I ~m the Ci~y Clerk of the Cit~ of _Carlsbad, 1JO0 Carlsbad Village Drive, Carlsbad, California, 92008;_ the City/Executive Manager of said City on '71 Vi.. A..C h lp , 20_[£__, accepted the above described work as completed and ordered that a Notice of Completion be filed. I declare under penalty of perjury that the foregoing is true and correct. Executed on ·n/CJ.f.6 2, 20 /g, at Carlsbad, California. , er, OF CARLSB?1 • \ ~/v'(lcJ-o. If_. 1il d~~Lr. BARBARA ENGLESON {r '-- City Clerk Q:\Public Works\PW Common\CAPITAL-ACTIVEIPWM17-136UTIL Sewer Manhole Modification and Rehabilitation at Four Locations\NOC (Public and Private) -revised 2018-02-15.doc CITY OF CARLSBAD ACCEPTANCE OF PUBLIC IMPROVEMENTS COMPLETION OF PUBLIC IMPROVEMENTS Ayala Engineering has completed the contract work required for Project No. 5503 (PWM17- 136UTIL), Sewer Manhole Modification and Rehabilitation at Four Locations. City forces have inspected the work and found it to be satisfactory. The work consisted of: IMPROVEMENTS (Specify if City or CMWD) Sewer manhole modifications VALUE $39,825 CERTIFICATION OF COMPLETION OF IMPROVEMENTS CITY MANAGER'S ACCEPTANCE OF PUBLIC IMPROVEMENTS The construction of the above described contract is deemed complete and hereby accepted. The City Clerk is hereby authorized to record the Notice of Completion and release the bonds in accordance with State Law and City Ordinances. is hereby directed to commence maintaining the above described APPROVED AS TO FORM: CELIA BREWER, City Attorney By: Deputy City Attorney Q:\Public Works\PW Common\CAPITAL-ACTIVEIPWM17-136UTIL Sewer Manhole Modification and Rehabilitation at Four Locations\API (Public Works) -revised 2018-02- 15.doc Tracking#: PWM17-136UTIL CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT SEWER MANHOLE MODIFICATION AND REHABILITATION AT FOUR LOCATIONS CONT. NO. 5503 This agreement is made on the Lt{~ day of :I J \~ , 2017, by the City of Car1sbad, California, a municipal corporation, (hereinafter called "City), and Ayala Engineering, a Sole proprietorship whose principal place of business is 8482 E. Meadowridge St., Anaheim, CA 92808 (hereinafter called "Contractor''). City and Contractor agree as follows: DESCRIPTION OF WORK. Contractor shall perfoon all work specified in the Contract documents for the project described by these Contract Documents (hereinafter called "Project"). PROVISIONS OF LABOR AND MATERIALS. Contractor shall provide all labor, materials, tools, equipment, and personnel to perform the work specified by the Contract Documents unless excepted elsewhere in this Contract. CONTRACT DOCUMENTS. The Contract Documents consist of this Contract, exhibits to this Contract, Contractor's Proposal, the Plans and Specifications, the General Provisions, addendum(s) to said Plans and Specifications, and all proper amendments and changes made thereto in accordance with this Contract or the Plans and Specifications, all of which are incorporated herein by this reference. When in conflict, this Contract will supersede terms and conditions in the Contractor's proposal. LABOR. Contractor will employ only skilled workers and abide by all State laws and City of Carlsbad Ordinances governing labor. GUARANTEE. Contractor guarantees all labor and materials furnished and agrees to complete the Project in accordance with directions and subject to inspection approval and acceptance by: Don Wasko {City Project Manager) WAGE RATES. The general prevailing rate of wages for each craft or type of worker needed to execute the Contract shall be those as determined by the Director of Industrial Relations pursuant to Sections 1770, 1773 and 1773.1 of the Labor Code. Pursuant to Section 1773.2 of the Labor Code, a current copy of the applicable wage rates is on file in the Office of the City Engineer. Contractor shall not pay less than the said specified prevailing rates of wages to all workers employed by him or her in execution of the Contract. Contractor shall be responsible for insuring compliance with provisions of section 1777.5 of the labor Code and section 4100 et seq. of the Public Contracts Code, "Subletting and Subcontracting Fair Practices Act." The City Engineer is the City's "duly authorized officer" for the purposes of section 4107 and 4107.5. The provisions of Part 7, Chapter 1, of the Labor Code commencing with section 1720 shall apply to the Contract for work. A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, unless currently registered and qualified to perform public work pursuant to Section 1725.5. This project is subject to compliance monitoring and enforcement by the Department of Industrial Relations. Contractor and any subcontractors shall comply with Section 1776 of the California Labor Code, which generally requires keeping accurate payroll records, verifying and certifying payroll records, and making them available for inspection. Contractor shall require any subcontractors to comply with Section 1776. SEWER MANHOLE MODIFICATION & REHABILITATION AT FOUR LOCATIONS CONT. NO. 5503 Page 1 ofB City Attorney Approved 9/27/16 Tracking#: PWM17-136UTIL FALSE CLAIMS. Contractor hereby agrees that any contract claim submitted to the City must be asserted as part of the contract process as set forth in this agreement and not in anticipation of litigation or in conjunction with litigation. Contractor acknowledges that California Government Code sections 12650 et seq., the False Claims Act, provides for civil penalties where a person knowingly submits a false claim to a public entity. These provisions include false claims made with deliberate ignorance of the false information or in reckless disregard of the truth or falsity of the information. The provisions of Car1sbad Municipal Code sections 3.32.025, 3.32.026, 3.32.027 and 3.32.028 pertaining to false claims are incorporated herein by reference. Contractor hereby acknowledges that the filing of a false claim may subject the Contractor to an administrative debarment proceeding wherein the contractor may be prevented from further bidding on public contracts for a period of up to five years and that debarment by another jurisdiction is grounds for 1he City of Carlsbad to disqualify 1he Conlracla 77°' from parlicipaling in contract bidding. =:: .. t=#:f REQUIRED INSURANCE. The successful contractor shall provide to the City of Carlsbad, a Certification of Commercial General Liability and Property Damage Insurance and a Certificate of Workers' Compensation Insurance indicating coverage in a form approved by the California Insurance Commission. The certificates shall indicate coverage during the period of the contract and must be furnished to the City prior to the start of work. The minimum limits of liability insurance are to be placed with California admitted insurers that have a current Best's Key Rating of not less than "A-:VII"; OR with a surplus line insurer on the State of California's List of Approved Surplus Line Insurers (LASU) with a rating in the latest Best's Key Rating Guide of at least "A:X~; OR an alien non-admitted insurer listed by the National Association of Insurance Commissioners (NAIC) latest quarterly listings report. Commercial General liability Insurance of Injuries including aecidental death, to any one person in an amount not less than ........ $1,000,000 Subject to the same limit for each person on account of one accident in an amount not less than ....... $1,000,000 Property damage insurance in an amount of not less than ........ $1,000,000 Automobile Liability Insurance in the amount of $1,000,000 combined single limit per accident for bodily injury and property damage. In addition. the auto policy must cover any vehicle used in the performance of the contract, used onsite or offsite, whether owned, non-owned or hired, and whether scheduled or non- scheduled. The automobile insurance certificate must state the coverage is for "any auto» and cannot be limited in any manner. The above policies shall have non-cancellation clauses providing that thirty (30) days written notice shall be given to the City prior to such cancellation. The policies shall name the City of Carlsbad as an additional insured. The full limits available to the named insured shall also be available and applicable to the City as an additional insured. WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY. Workers' Compensation limits as required by the California Labor Code. Workers' Compensation wiU not be required if Contractor has no employees and provides, to City's satisfaction, a declaration stating this. BUSINESS LICENSE. The Contractor and all subcontractors are required to have and maintain a valid City of Carlsbad Business License for the duration of the contract. SEWER MANHOLE MODIFICATION & REHABILITATION AT FOUR LOCATIONS CONT. NO. 5503 Page 2 of 8 City Attorney Approved 9/27/16 Tracking#: PWM17-136UTIL INDEMNITY. The Contractor shall assume the defense of, pay all expenses of defense, and indemnify and hold harmless the City, and its officers and employees, from all claims, loss, damage, injury and liability of every kind, nature and description, directly or indirectly arising from or in connection with the performance of the Contract or work; or from any failure or alleged failure of Contractor to comply with any applicable law, rules or regulations including those related to safety and health; and from any and all claims, loss, damages, injury and liability, howsoever the same may be caused, resulting directly or indirectly from the nature of the work covered by the Contract, except for loss or damage caused by the sole or active negligence or willful misconduct of the City. The expenses of defense include all costs and expenses induding attorneys' fees for litigation, arbitration, or other dispute resolution method. JURISDlCTlON. The Contractor agrees and hereby stipulates that the proper venue and jurisdiction for resolution of any disputes between the parties arising out of this agreement is San Diego County, California. Start Work: Contractor agrees to start within fifteen ( 15) working days after receipt of Notice to Proceed. Completion: Contractor agrees to complete work within thirty (30) working days after receipt of Notice to Proceed. CONTRACTOR'S INFORMATION. Ayala Engineering (name of Contractor) 959385 (Contractor's license number) A -General Engineering Contractor 3/31/19 (license class. and exp. date) Ill 1/1 1/1 1/1 Ill Ill Ill 1000005012 (DIR registration number) 6/30/17 (DIR registration exp. date) SEWER MANHOLE MODIFICATION & REHABILITATION AT FOUR LOCATIONS CONT. NO. 5503 Page 3 of8 8482 E. Meadowridge St. (street address) Anaheim, CA 92808 (city/state/zip) 714-823-7179 {telephone no.) 714-912-4571 (fax no.) Ricardo@Ayalaengineering.com (e-mail address) City Attorney Approved 9/27/16 Tracking #: PWM17-136UTIL AUTHORITY. The individuals executing this Agreement and the instruments referenced in it on behalf of Contractor each represent and warrant that they have the legal power, right and actual authority to bind Contractor to the tenns and conditions of this Agreement CONTRACTOR AYALA ENGINEERING, :v# By: (sign here) (print name/title) CITY OF CARLSBAD, a municipal corporation of the State of California By: If required by City, proper notarial acknowledgment of execution by Contractor must be attached. If a corporation, Agreement must be signed by one corporate officer from each of the following two groups: Group A Chairman, President, or Vice-President Group B Secretary, Assistant Secretary, CFO or Assistant Treasurer Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officer(s) signing to bind the corporation. APPROVED AS TO FORM: CELIA A. BREWER, City Attorney BY:~ Deputy City Attorney SEWER MANHOLE MODIFICATION & REHABILITATION AT FOUR LOCATIONS CONT. NO. 5503 Page 4 of8 City Attorney Approved 9/27/16 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 ORANGE :Ji,(iif /1-'t't , ~ ( J-: before me, YONGSEOK CHOI, NOTARY PUBLIC (insert name and title of the officer) On personally appeared AYALA RlCAf?t?O , who proved to me on the basis of satisfactory evidence to be the Rerson~) whose name(:s@are subscribed to the within instrument and acknowle~d to me that~ey executed the same in ~eJil;beir authorized capacityete:s), and that by(bj_~he?ttheir signature(ston the instrument the person(S'.j, or the entity upon behalf of which the person{-$} 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. (Seal) Tracking#: PWM17-136UTIL EXHIBIT A LISTING OF SUBCONTRACTORS BY GENERAL CONTRACTOR Set forth below is the full name and location of the place of business of each sub-contractor whom the Contractor proposes to subcontract portions of the Project in excess of one-half of one percent of the total bid, and the portion of the Project which will be done by each sub-contractor for each subcontract. NOTE: The Contractor understands that if it fails to specify a sub-contractor for any portion of the Project to be performed under the contract in excess of one-half of one percent of the bid, the contractor shall be deemed to have agreed to perform such portion, and that the Contractor shall not be permitted to sublet or subcontract that portion of the work, except in cases of public emergency or necessity. and then only after a finding, reduced in writing as a public record of the Awarding Authority, setting forth the facts constituting the emergency or necessity in accordance with the provisions of the Subletting and Subcontracting Fair Practices Act (Section 4100 et seq. of the California Public Contract Code). If no subcontractors are to be employed on the project, enter the word "NONE." SUBCONTRACTORS Portion of Project to Business Name and Address DIR Registration License No., %of be Subcontracted No. Classification & Total Expiration Date Contract I Jt)/J<I I Total% Subcontracted: ---/~---- The Contractor must perform no less than fifty percent (50%) of the work with its own forces SEWER MANHOLE MODIFICATION & REHABILITATION AT FOUR LOCATIONS CONT. NO. 5503 Page 5of8 City Attorney Approved 9/27/16 Tracking#: PWM17-136UTIL ITEM UNIT NO. 1 job 2 job 3 job 4 job EXHIBITB Sewer Manhole Modification and Rehabilitation at Four Locations JOB QUOTATION QTY DESCRIPTION 1 Sewer manhole #9A-4 at Ocean Street; install 8" debris box, new frame & cover, & repair existing polyurethane 1 Sewer manhole #41 D-20 at Whitecap Drive; install 1 O" debris box, no frame & cover, & or rehabilitation 1 Sewer manhole #380-10 at Trail; install 12" debris box, no frame & cover or rehabilitation 1 Sewer manhole# 380-30 at El Fuerte; install 8" debris box, Arrowlock rehabilitation, no frame & cover TOTAL* *Includes taxes, fees, expenses and all other costs. PRICE $10,450 $7,550 $7,550 $14,275 $39,825 SEWER MANHOLE MODIFICATION & REHABILITATION AT FOUR LOCATIONS CONT NO. 5503 Page 6of8 City Attorney Approved 9/27116 EXHIBITC LABOR ANO MATERIALS BONO Tracking#: PWM17-136UTIL Bond #381627-P WHEREAS,_the Cio/ Coun~il of the City of Carlsbad, State of California, has awarded to Ayala Engineering, a sole propnetorsh1p (hereinafter designated as the "Principal''), a Contract for: SEWER MANHOLE MODIFICATION AND REHABILITATION AT FOUR LOCATIONS CONTRACT NO. 5503 in the City of Cart~. in strict conformity with the drawings and specifications, and other Contract Documents now on file tn the Office of the City Clerk of the City of Carlsbad and all of which are incorporated herein by this reference. \NHEREAS. Principal has executed or is about to execute said Contract and the terms thereof require the furnishing Of a bond, providing that if Principal or any of its subcontractors shall fail to pay for any materials, provisions, provender or other supplies or teams used in, upon or about the performance of the work agreed to be done, or for any work or labor done thereon of any kind, the Surety on this bond wil pay the same to the extent hereinafter set forth. NOW, THEREFORE, \NE, Ayala Engineering, a sole proprietorship, as Principal, {hereinafter designated as the "Contractor"), and Indemnity Company of California as Surety, are held finnly bound unto the City of Carlsbad in the sum of Thirty Nine Thousand Ei(tlt Hundred Twenty Five Dollars ($39,825), said sum being an amomt equal to: One tu1dred penai (100%) of the total amount payable under the terms of the Contract by the City of Cansbad. and for which payment weH and truly to be made we bind ourselves, our heirs, executors and administrators, successors, or as..cugns. jointly and severally, finnly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH that if the Conlrador or hislher subcontractors fail to pay for any matenals, provisions, provender, supplies, or teams used in, upon, tor, or about the perfonnaice of the work contracted to be done, or for any other work or labor thereon of any kind. consistent with California Civil Code section 9100. or for amounts mJe \Dier lhe unemployment Insurance Code with respect to the work or labor performed under this Contract. or for any amounts required to be deducted, withheld, and paid over to the Employment Development Department from the wages of employees of the contractor and subcontractors pursuant to section 13020 of the Unemployment Insurance Code with respect to the work and labor, that the Surety will pay for the same, and. also. in case suit is brought upon the bond, reasonable attorney's fees, to be fixed by the court consistent with California Civil COde section 9554. This bond shall inure to the benefit of any of the persons named in California Civil Code section 9100, so as to give a right of action to those pecsons or ttleir assigns in any suit brought upon the oond. Sumty stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Contract. or to the work to be performed hereta'lder or the specifications accompanying the same shall affect its obligations on this bond, and it does hereby waive notice of any change, extensiOn of time, alterations or addition to the terms of the contract or to the work or to the specifications. SEWER MANHOLE MODIFICATION & REHABILITATION AT FOUR LOCATIONS CONT. NO. 5503 Page7of8 City Attomey Approved 9127116 Tracking#: PWM17-136UTIL In the event that Contractor is an individual, it is agreed that the death of any sueh Contractor shatl not exonerate the Surety from its obfigations under this bond, Executed by CONTRACTOR this _____ _ Executed by SURETY this ___ 2;;;;,;8::.:;th;.;.._ __ day dayot ___________ ,20 __ . CONTRACTOR: r) Ricardo Ayala (print name here) Owner (title and organization of signatory) (sign here) (print name here) (title and organization of signatory) of ___ ...:J:...::u~ne.:;__ ______ . 20Jl._ SURETY: Indemnity Company of California (name of Surety) 17771 Cowan #100 Irvine, CA 92614 { address of Surety) 714 784 0053 (telephone number of Surety) By 4t1/'---------__ (signature of Attorney-in-Fact) Frank Morones (printed name of Attorney-in-Fact) (attach corporate resolution showing current power of attorney) (Proper notarial acknowledgment of execution by CONTRACTOR and SURETY must be attached.) (President or vice-president and secretary or assistant secretary must sign for corporations. If only one officer signs, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering that officer to bind the corporation.) APPROVED AS TO FORM: CELIA A. BREWER City A~/ / ,,--.......__ By: ~ Deputy City Attorney SEWER MANHOLE MODIFICATION & REHABILITATION AT FOUR LOCATIONS CONT. NO, 5503 Page 8 of8 City Attorney Approved 9127/16 POWER OF ATTORNEY FOR DEVELOPERS SURETY AND INDEMNITY COMPANY INDEMNITY COMPANY OF CALIFORNIA PO Box 19725, IRVINE, CA 92623 (949) 263-3300 KNOW ALL BY TH!:S!: PRESENTS that except as expressly limited, DEVELOPEHS SURE rY AND INDEMNITY COMPANY and INDEMNll y COMPANY OF CALIFORNIA, do eacll hereby make, constitute and appoint: ***Frank Morones*** as their true an(l lawful Attorney(s)-in-Fact. to make, execute, deliver and acknowledge, for and on behalf 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 ils ench of s?.ict cor;,orntions could do, but reserving to each of said corporations full power of suhsfitution and revocation. and all of the ar.ts of said Attorrn,y(s)-in-F;ict, rursuant to thHSP. presents, are hereby ratified and confirmed, lhls 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 SUl~ETY 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 lhe Secretary or any Assistant Secretary of either of the corporations be, and each of them hereby 1s. 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 facs1m1le. 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 which 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 6th day of February, 2017. ''0~~~7- ,/:;,-~ ----~-7--/ 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 certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange On __________ , February 6,2017 ____ before me, ____________________ ,. ______ Lycille Raymond, N.9Jfil.Y.PJJ.b.UL .. Dat;.} Hero lnwrt Name nnrl TWn of thA Offlce-r personally appeared ______________ ,_________ __,_Daniel YouD!J and Mark l.ansdon ,. ______ _ --·---,·-····-"'"'"'""''--·-··------' - Place Nota1y Seal Above Namo(s) of Signo,(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authon,ed capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph 1s true and correct WllNESS_m_y_ha_n_d_and-of-fic-1a-ls-ea--l.---t'~~/-~~ c_~~-L-·---_I __ _ Signature _ _ _ ~~ Lucille R6y ond, Notary Public 1.-/ CERTIFICATE 1 he 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 28th day of June, 2017, ~-. By. ~ Cassie Jrrisford. Assistant Se ATS-1002 (02/17) CALIFORNIA ALL-PURPOSE ACKNOWLEDGMEN1" CIVIL CODE§ 1189 ---------·--·-·----····· P, notary public or other officer cmnpleting this certificate verifies only the identity of the individual who document to which this certificate is aitached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange On _ !,/72-,;,( /7 ___ ·-_··-·-be~:~: me, Late Lynn A. Slone~ _Notary_Public _ Here Insert Name and Title of the Officer personally appeared --·---·-----Frank Morones ------------------------------ Name(s) of Signer(s) the who proved to rne on the basis of satisfactory evldence to be the personts) whose r1ame(e-) is/fife subscribed to the within rnstnJrnent and acknowledged to me that he/she/tho'),' executed the ~~ame in his/her/their authorized capacity(tes), and that by his/her/their siQnature(-s) on the instn.11T1ent the person(,!";), or the ,c;ntity upon behalf of which the person(-s) acted, executed the instrument. I certify under F)ENALTY OF PERJURY under the laws of the State of Caltfornia that the foregoing paragraph is true and com·JcL WITNESS my hand and 9fficial sea:L _L::>, J /, Signature --:f2J#Jl2_1 __ t; <.::#()!/__ 'if g;;;ture of Notary Public Place Notary Seal Above ----------------OPTIONAL Thougl, this section is optional, completing this information can cteter altfJration of the docurnent or fnwdufcnt rcattadmwnt of this forrn to an unintondod docw-nont. Description of Attached Document Title or Type of Docurnent ______________ Document Date: ______ _ Number of Pages: ___ Slgner(s) Ottier Than Named AL,ove: -------·-············----···-·····-··---··· Capacity{ies) Claimed by Signer(s} Signer's Name: ········--· __________ _ Corporate Officer --Tit!e(s): ________ _ Partner ---Urnited • Genera! . lndiviclual X Attorney in Fact . Trustee . Guardian or Conservator Other: __________ _ Si~;ner ls Representing: _________ _ Signer's Name; _ · Corporate Officer ---Title(s): ____ _ Partner ---· • Limited General Individual Trustee · Attorney in Fact Guardian or Conservator Other: ______________ _ Signer Is Representing: ___ _ :1,.*C,(;~?;(~~~)'(;'§"<:X:_:;(;.~~'$".~"!;;'!';:;>(,.'\s.:;,'t;,<:,'<;;i:;~:iq•;:,:<,,;::"',,K~~~(t.'<;.~'gi:;~~c<;,s;'!;;<:;~.:<;:<;;,;;,~c<;;v""*;l'.-~<,~</<e<;.c<,:"i¾)<,~X,'l'•X...'<:'.X/~.':s:l'--".JllFi<;.'<,';'-'q<;'< (i::)2014 Natlonal Notary Association• www.NationalNotary.org • l-800-US NOTARY (1-800-·876-6827) Item #5907 CALIFORNIA ALL-PURPOSE CERTIFICATE OF 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 Orange } on--:S\,J_\u\ t' 2,.0\-\ before me, M. Stingl, not(~IP.e~~!caiidtilleoltheofficer) personally appeared _\L,;;.__;:\~,c;.;;.a.~-...L..,1-...... _.ID.-. _________ _ who proved to me on the basis of satisfacto evidence to be the person(~ whose name(~ istye subscribed to the within instrument and acknowledged to fne that he/sb&'fflley executed the same in his/befltheir authorized capacity(id}, and that by his/hei:lffleir signature~) on the instrument the person(,r, or the entity upon behalf of which the person(~ 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. (Notary Public Seal) INSTRUCTIONS FOR COMPLETING TIIIS FORM L OPTIONAL INFORMATION This form complies with cwrent California stah1tes rega.-ding notary wording and. DESCRIPTION OF THE ATTACHED DOCUMENT if needed. should be completed and attached to the doc1L111ent. Acknowledgments from other states may be completed for documents being sent to that state so long as the wording does not require the California notary to violate California nota,y Jaw. (Title or description or attached document) (Trtle or description of attached document continued} Number of Pages __ Document Date. ___ _ CAPACITY CLAIMED BY THE SIGNER D Individual (s) D Corporate Officer (Title) O Partner(s) 0 Attorney-in-Fact o Trustee(s) 0 Other _________ _ 2015 Version www.NotaryClasses.com 800-873-9865 • State and County information must be the State and Cowity where the documeot signer(s) personally appeared before the nolary public for &Gknowledgment. • Date of notarization must be the date that the signer( s) personally appeared which must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her coomussioo followed by a comma and then yow-title (nolluy public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. • Indicate the correct singular or plum! forms by crossing off incorrect f011DS (i.e. lter'shc:Mtey, is /ere ) or circling the correct foims. Failure to correctly indicate this information may lead to rejection of docmnent recording. • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges, re-seal if a sufficient area pennits, otherwise complete a diffi:rent acknowledgment fonn. • Signature of the notary public must match the signature on file with the office of the county cleric. ,:-Additional infunnat:ion is not required but could help to ensure this acknowledgment is not misused or attached to a different document. ,:-Indicate title or type of attached document, number of pages and date. ,:-Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i.e. CEO, CFO, Secretary). • Securely attach this document to the signed document with a staple.