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HomeMy WebLinkAboutFord Signs Inc; 2014-08-13; PWM14-57PKSPWM14-57PKS CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT VILLAGE OF CARLSBAD PARKING LOT IDENTIFICATION MONUMENT SIGNS CONTRACT NO. 40171 This agreement is made on the day of Av<^<-^'ST!^ , 2014, by the City of Carlsbad, California, a municipal corporation, (hereinafter called "CityYand Ford Signs Inc., a Galifornia corporation whose principal place of business is 1605 Ord Way, Oceanside, CA 92056 (hereinafter called "Contractor"). City and Contractor agree as follows: DESCRIPTION OF WORK. Contractor shall perform 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: Kyle Lancaster (City Project Manager) PREVAILING WAGES NOT REQUIRED. The City of Carlsbad is a Charter City. Carlsbad Municipal Code Section 3.28.130 supersedes the provisions of the California Labor Code when the public work is not a statewide concern. Payment of prevailing wages is at Contractor's discretion. 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 Carlsbad 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. VILLAGE OF CARLSBAD PARKING LOT Page 1 of 7 City Attorney Approved 2/7/13 IDENTIFICATION MONUMENT SIGNS CONTRACT NO. 40171 PWM14-57PKS 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 the City of Carlsbad to disqualify the Contractor or su^ontractoflfrom participating in contract bidding. Signature: Print Name: 0 fjffXCiJ^ ^SY^. 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 ofwork. The minimum limits of liability insurance are to be placed with insurers that have: (1) a rating in the most recent Best's Key Rating Guide of at least A-:V and (2) are admitted and authorized to transact the business of insurance in the State of Califomia by the Insurance Commissioner. Commercial General Liability Insurance of Injuries including accidental death, to any one person in an amount not less than $500,000 Subject to the same limit for each person on account of one accident in an amount not less than $500,000 Property damage insurance in an amount of not less than $100,000 Automobile Liability Insurance in the amount of $100,000 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. 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 including attorneys' fees for litigation, arbitration, or other dispute resolution method. JURISDICTION. 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 14 working days after receipt of Notice to Proceed. Completion: Contractor agrees to complete work within 6-8 weeks after receipt of Notice to Proceed. VILLAGE OF CARLSBAD PARKING LOT Page 2 of 7 City Attorney Approved 2/7/13 IDENTIFICATION MONUMENT SIGNS CONTRACT NO. 40171 PWM14-57PKS CONTRACTOR'S INFORMATION. FORD SIGNS INC. (name of Contractor) 717137 (Contractor's license number) C-45 (license class, and exp. date) Expires 6-30-15 1605 ORD WAY (street address) OCEANSIDE, CA 92056 (city/state/zip) 760-631-1936 (O) 619-300-3422 (C) (telephone no.) 760-631-4987 (fax no.) AltUi(P^Ji^ciarK 'bigii@j.bcglobal.nct ^ ^^^^ i^i(^fl\ (e-mail address) 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 terms and conditions of this Agreement. CONTRACTOR FORD SIGNS INC., a California corporation f(print name/title) CITY OF CARLSBAD, a municipal corporation of the Statebf California By: Assistant City Manager, Deputy City Monagor or Department Director as authorized by the City Manager Kathryn B. Dodson By: ATTEST: (sign here) (print name/title) BARBARA ENGLESOfvj City Clerk 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, ^ity Attorney BY: JQ, Assistant City Attorney! VILLAGE OF CARLSBAD PARKING LOT IDENTIFICATION MONUMENT SIGNS CONTRACT NO. 40171 Page 3 of 7 City Attorney Approved 2/7/13 ALL-PURPOSE ACKNOWLEDGMENT State of Califomia County of AKf^j)/r^() SS. On ^y/> ?. 2JO^^ before me, ^/J^AJ ^/?iff^A^ ' Notary Public, DATE y personally appeared ^rOr/^^Z/^ , who proved to me on the basis of satisfactory evidence to be the person(8) whose namej^) is/arg^ubscribed to the within instrument and acknowledged to me that hc/she/they executed the same in hiS/her/their authorized capacity(iesr), and that by bis/her/th©ir signature(«^ on the instrument the person(s^, or the entity upon behalf of which the person(«5^ 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. riiRTIS DANIELS v, , Si (ft / SAN D/GO COUN" -I UV COMM. EXP. tJ^B^iLilj:^ WITNESS my hand and official seal. NOTARY'S SIGNATURE PLACE NOTARY SEAL IN ABOVE SPACE HHHMHH OPTIONAL INFORMATION The information below is optional. However, it may prove valuable and could prevent fraudulent attachment of this form to an unauthorized document. TITLE(S) CAPACITY CLAIMED BY SIGNER (PRINCIPAL) • INDIVIDUAL • CORPORATE OFFICER • PARTNER(S) • ATTORNEY-IN-FACT • TRUSTEE(S) • GUARDIAN/CONSERVATOR • OTHER: DESCRIPTION OF ATTACHED DOCUMENT /^/>}/^/ A/:4/^/f c Mjor/U- t^jiT^rccA TITLE OR TYPE OF DOCUMENT NUMBER OF PAGES DATE OF DOCUMENT OTHER SIGNER (PRINCIPAL) IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) RIGHT THUMBPRINT OF SIGNER 01/2008 Check a License - License Detail - Contractors State License Board Page 1 of 2 DEPARTIVIENT OF CONSUMER AFFAIRS . Contractors State License Board Contractor's License Detail - License # 717137 DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware ofthe following limitations. -# CSLB complaint disclosure is restricted by law (B&P 7124.6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. •• Per B&P 7071.17 , only construction related civil judgments reported to the CSLB are disclosed. Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. •• Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. License Number Business Information Entity Issue Date Reissue Date Expire Date License Status Classifications Bonding 717137 Extract Date 6/18/2014 FORD SIGNS INC Business Phone Number: (760) 631-1936^ 1605 ORD WAY OCEANSIDE, CA 92056 Corporation 01/08/1996 06/19/2003 06/30/2015 ACTIVE This license is current and active. All information below should be reviewed. CLASS DESCRIPTION C45 FLECTRICAL SIGNS CONTRACTOR'S BOND This license filed a Contractor's Bond with WESTERN SURETY COMPANY. Bond Number: 69896603 Bond Amount: $12,500 Effective Date: 01/01/2007 Contractor's Bond History BOND OF QUALIFYING INDIVIDUAL https://www2.cslb.ca.gov/0niineServices/CheckLicensell/LicenseDe... 6/18/2014 Check a License - License Detail - Contractors State License Board Page 2 of 2 Workers' Compensation Miscellaneous Information 1. The Responsible Managing Officer (RMO) FORD COLIN LEROY certified that he/she owns 10 percent or more ofthe voting stock/equity ofthe corporation. A bond of qualifying individual is not required. Effective Date: 06/19/2003 WORKERS' COMPENSATION This license has workers compensation insurance with STATE COMPENSATION INSURANCE FUND Policy Number: 9098966 Effective Date: 05/09/2014 Expire Date: 05/09/2015 Workers' Compensation History DATE DESCRIPTION 06/19/2003 LICENSE REISSUED TO ANOTHER ENTITY Personnel List Conditions of Use | Privacy Policv Copyright © 2010 State of California https://www2.cslb.ca.gov/0nlineServices/CheckLicensell/LicenseDe... 6/18/2014 PWM14-57PKS 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 be Subcontracted Business Name and Address License No., Classification & Expiration Date %of Total Contract Total % Subcontracted: VILLAGE OF CARLSBAD PARKING LOT IDENTIFICATION MONUMENT SIGNS CONTRACT NO. 40171 Page 4 of 7 City Attorney Approved 2/7/13 PWM14-57PKS EXHIBIT B Project work Includes the fabrication and installation of non-Illuminated horizontal (2 each) and vertical (5 each) orientation monument signs in the orientation and location as shown on Attachments A through 06. JOB QUOTATION ITEM NO. UNIT , DESCRIPTION PRICE 1 2 Fabrication and installation of non-illuminated horizontal orientation monument sign, removal and disposal of existing sign. 2 5 Fabrication and installation of non-illuminated vertical orientation monument sign, removal and disposal of existing sign. 3 1 Contractor's material list as shown on Carlsbad Village Parking Details dated May 26, 2014. TOTAL* $44,907.22 *lncludes taxes, fee's, expenses and all other costs. PAYMENT Payment to the Contractor will be made in accordance with the following schedule: 1. 30% Initial payment, based on total referenced above, upon full execution of contract, assignment of City purchase order and receipt of Invoice from contractor for initial 30% payment. 2. 35% progress payment, based upon total referenced above, upon successful completion of invoiced Items 30 days after the commencement of work 3. 35% final payment, based upon total referenced above, upon successful completion and acceptance by City Project Manager at the conclusion of all work performed. Total not to exceed amount: $44,907.22 VILLAGE OF CARLSBAD PARKING LOT IDENTIFICATION MONUMENT SIGNS CONTRACT NO. 40171 Page 5 of 7 City Attorney Approved 2/7/13 ReSUEST FOR P!^POSAL Proposat Due: 5/26/14 FOR Viiage of Carisbad Parking Lot identiflcatton Monument Signs The City of CarteiDad is requesting proposals for 'Paricing Lot Idenific^n Monument ^ps." Proposal pric^ nmsA indude l^biication, installation and mrnmi of ejcBing signage. The uni price must IfKiude all co^, inchjcing fabrication, ins«aion, temo^iQ! and cisfX)s^ of €9d^ng signage (please irKlude sales tax). The spiage locations are in landscape aims and/or planter ^eas in tie Caitsbad Vllage. Specify in your proposal the installation methodology that wi be used. All fciJs must show a footing detail and/or installation detai as proposed the fabricator. All woric within the dty's r^ht^-vray will require the ^u^ice cf a right-of-way p^nit Attadvnent A: provides an ov^l "ttTenre bomf to prowJe ir^ight to the defied aesthetic of tte Partdr^ Lot Wenlificatkjn Mcmurr^ Sgns. Attadwfient B: (pages B1-B8) ^jecifies the design, size, aid matmafe to be used in tte fatocation ctf the Forking Lot WeriMcatioii Montrrient Spis. Attachment C: (pages C1-C2) provides the tocatiorB for installation of the horizontal Paridng Lot Identification Monimait Sgns- Attachment D: (pages D1-D7) piovides the locations for ^stallalion of the vertical Paridng Lot Identification MonuT^it Signs. No siAstitution® for the Isted iterrs will he accepted. By submitiing a proposal you atfe makir^ an offer to stipply goods arxi ssrvioes to tte Ciy of Carlsbad. Item Qty Descrpion Unit F^ce Sales TSK Extend«l Amount 1 2 Fabrication and instaiaticfi of non- illuminated horizontel orientation monoment sign, TGmyml and disport of existing sign. $ 7965.00 $ 15,930.00 2 5 Fabrication and installation of non-illuminated vertical orentation monument spi, renroval and disposal of existing sign- Removal of all existing signs & all footings $6311.00 $31,555.00 7 Fabrication and installation of non-illuminated vertical orentation monument spi, renroval and disposal of existing sign- Removal of all existing signs & all footings SUBTOTAL ( $ 435.00 ) $ 47,485.00 ($ 3,045.00 ) (discount) REV. TOTAL CA. SALES TAX $ 44,440.00 $ 1,117.22 DISCOUNT $ 45,557.22 ($ 650.00 ) TOTAL $ 44,907.22 c I I i 3 M I 2 » f il s m 2 CO S 8 t il 3^ 0) E O ra S o 0) > a CJC > m WD SI 13 CS CS u m C 0) E .c u ra % <3 re T3 (U !/3 0) o _ t/l •—I re c o ^ cZ D 2 o ft 3» a OQ c 0) E .c o re I Of tju i ffl C 0) E .c u re S IO m c 0) E £ U I ffl a> E .c o re I z: o Ixi ffl E U re 00 ffl c o E .c u re I Attachment 01 Type: Horizontal. Location: North east corner of Roosevelt Street and Carlsbad Village Drive. Installation Notes: Replace existing sign. Attachment 02 Type: Horizontal. Location: Washington Street, east side, between Carlsbad Village Drive and Oak Street. Installation Notes: Replace existing sign. Attachment D1 Type: Vertical. Location: Roosevelt Street, east side, between Carlsbad Village Drive and Grand Avenue. Installation Notes: Replace existing sign. Attachment D2 : Type: Vertical. Location: Roosevelt Street, east side, between Carlsbad Village Drive and Grand Avenue. Installation Notes: Remove existing sign, locate new sign on north side of drive apron. Attachment D3 Type: Vertical. Location: Carlsbad Village Drive, north side, between Roosevelt Street and Madison Street. Installation Notes: Replace existing sign. Attachment D4 Type: Vertical. Location: State Street, west side, between Carlsbad Village Drive and Oak Avenue. Installation Notes: locate in center of planter area, 3 feet from sidewalk. Attachment D5 : Type: Vertical. Location: Carlsbad Village Drive, south side, between rail road tracks and State Street. Installation Notes: Replace existing sign (sign is missing.) PWM14-57PKS EXHiSir C Bond Humbei Bd 740172 LABOR AND MATERIALS BOND WHERGiAS, the City of Carlsbad, State of Califonna, has adniimsltistively awardmS to Tord Signs Inc. [hereinafter dasigriated ss the 'Pfiiicipal"), a Contract for VtLUGE OF CARLSBAD PARKING LOT iDENTIPICATfON MONUMENT SIGNS CONTRACT NO.40-!71 in (he City ol Caf!sl?ad, ir; ;;trict conformity vWth tbe drawings and sfxscifTcatlono, and other Cont.ract Documents now on fHa in ths Office of the City Cferk nf the Clt>' cif Carisibad antJ at) of which are incorporated herein ny this reference. WHEREAS, Pfincipal ha$ execuled or is about to execute 93id Contract and tho terms thereof requiro ttm furnishing of a bond. provfdinQ that if Principal or any of iis subcontracto.'TS etialt fail to pay for any materials, provisions, provender or other supplies or teams used in, upon or about tho parformance of tha wc-rk agrond to be dene, or for any wcrk or labor dono thereon of any kind, Sunsty on this bond will pay ttie seme to thfc extent hereinafter set forth. NOW, THE.REFORE, WE, FORO SIGNS !NC.. as Principa). (hereinafter designated as (he "Contractor"), and Nationwide Muto^ PO Box 1820 La Mesa, CA 91944 as Surety, are held firmly bound unto the City cf Carisbad iri tiie 3un) of Forty Four Thousand Nine Hundred Seven Dollars and Twenty Two Cents ($44,907.22), said sum being an amcLjnl equal to; One hundred percent (100%) of the tolal amount payable under the tetrrts of the Contraci by Ihe Ciry of Carlsbad, and for which payment well and truly to be rr^ide we tjind ourselves, our heirs, executors and administrators, successors, or assigns, jointly and severally, (Irmly by ibesa presentsr. THE CONDmON OF TMIS OBLIGATION IS SUCt^ ttiat if the Contractor or his/her subcont actors fsi! to pay for any materiate, pro'/isions, provender, supplies, or team.'; used in, upon, for, or about the perfomianea of the ivork contracted to be done, or for any ottier work or (abor thereon of any kind, consistent wth Calffornia Civil Code section 9100, or for amounts due under Ihe Unernploynieni tnsurarxie Code with re.'ipact !o the work or latKir perfonried under thi.s Contract, or for any amounts required to be deducted, vv'ithheld, and paid over to tha Ernploytnent Developrnont Department from the wages of employees of the contractor and subcontractors pursuant to secliof* 13020 of the Unemptoymsnt Insurance Code with respoct to the work and labor, that tno Surety wll pay for the same, and. also, In case suit i.s brought upon th« bond, reasonable attornev's fess. to be fixed by the court consistent vvilfi California Civil Code section 9554. This bond shal! Inure to the bertefit of any of Ihe parsons natriad in California Civil Code section 6100, so 'e>3 to give <9 lifihl of action to tt'iose persons or their assigns in any suit brought upon the bond. Sufefy^aHfJUieies and agrees that no change, extension of ti.me, alteration or addition to the ten'ns of the Conlract, or'to tha work to be performed hereun.der or ths specifications accompanying Ihe same stiall affect its ObKgations on this bond, and 11 doas heneby waive rwtice of any change, extension of time, alterations or addiiicr^ to the terms of the contract or to the work or to the specifications. VILLAOE Gr CARLSBAD PARKING LOT f^ij-i *; cf v Ciiy .Attorney Approvad 2.7/1.3 fDewriFlfJATIL^ MONlv'.yONT SiGHS COi-(TRACT NO. -in-! "/1 PWM14-57PKS . day Executed by SURETY this. of day _.20_ In the event that Contractor is an individual, it is agreed that the death of any such Contractor shall not exonerate the Surety from its obligations under this bond. Executed by CONTRACTOR this. of (h^Jj^^ , 2o_/i. CONTRACTOR: (name of Contractor) By: G^lV-Jl ^ SURETY: (name of Surety) sign here) (plflnt name here) (titi© and organization fej signatory) (address of Surety) (telephone number of Surety) By:. (signature of Attorney-in-Fact) (sign here) (print name here) (printed name of Attorney-in-Fact) (attach corporate resolution showing current pow/er of attorney) (title and organization of signatory) (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 Attorn^ By: Assistant City Attorney VILLAGE OF CARLSBAD PARKING LOT IDENTIFICATION MONUMENT SIGNS CONTRACT NO. 40171 Page 7 of 7 City Attorney Approved 2/7/13 ALL-PURPOSE ACKNOWLEDGMENT 0OOOCX5OOOOOOOOOOOCXr>OC3OOOOOO<X3OOOO<SOCX> State of Califomia County of S^^.£),^C) } SS. On Ju/y ?/, before me, A^^AT , ^ A DATE personally appeared ^<9// W /h)rc/^ , Notary Public, who proved to me on the basis of satisfactory evidence to be the person(s) whose name(«) is/a#e subscribed to the within instrument and acknowledged to me that he/sbe/they executed the same in his/h^:/tfeeir authorized capacity(i€s), and that by his/h€*/their signature^ on the instrument the person(-«), or the entity upon behalf of which the person(-s^ acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. CURTIS DANIELS | COMM.# 1926623 w NOTARY PUBLIC-CAUFORNIA U' SAN DIEGO COUNTY WITNESS my hand and official seal. MY COMM. EXP. MAR. 17,2015 NOTARY'S SIGNATURE PLACE NOTARY SEAL IN ABOVE SPACE OPTIONAL INFORMATION The information below is optional. However, it may prove valuable and could prevent fraudulent attachment of this form to an unauthorized document. TITLE(S) CAPACITY CLAIMED BY SIGNER (PRINCIPAL) • INDIVIDUAL • CORPORATE OFFICER • PARTNER(S) • ATTORNEY-IN-FACT • TRUSTEE(S) • GUARDIAN/CONSERVATOR • OTHER: DESCRIPTION OF ATTACHED DOCUMENT TITLE OR TYPE OF DOCUMENT NUMBER OF PAGES DATE OF DOCUMENT 01/2008 ALL-PURPOSE ACKNOWLEDGMENT State of Califomia County of Sl:^^j)/r^O } SS. On ^/j/y f ZX)/V before me, A^.j^A/ J 2^iff^r DATE y personally appeared S''^A ''^'''^ , Notary Public, who proved to me on the basis of satisfactory evidence to be the person(.8) whose namej^) is/ar^ubscribed to the within instrument and acknowledged to me that be/she/tiicy executed the same in his*/her/th©k authorized capacity(iey), and that by bk/her/their signature(-s) on the instrument the person(«^, or the entity upon behalf of which the person(«^ acted, executed the instmment. 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. NOTARY'S SIGNATURE PLACE NOTARY SEAL IN ABOVE SPACE •^H^HHKi OPTIONAL INFORMATION The information below is optional. However, it may prove valuable and could prevent fraudulent attachment of this form to an unauthorized document. TITLE{S) CAPACITY CLAIMED BY SIGNER (PRINCIPAL) n INDIVIDUAL • CORPORATE OFFICER • PARTNER(S) n ATTORNEY-IN-FACT • TRUSTEE(S) • GUARDIAN/CONSERVATOR • OTHER; SIGNER (PRINCIPAL) IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) DESCRIPTION OF ATTACHED DOCUMENT TITLE OR TYPE OF DOCUMENT NUMBER OF PAGES DATEOF DOCUMENT OTHER RIGHT THUMBPRINT OF SIGNER PWM 14-57 PKS In the event that Contractor is an individual, it is agreed that the death of any such Contractor shall not exonerate the Surety from its obligations under this bond. •ti\. Executed by CONTRACTOR this. day Executed by SURETY this ? day of of X ^20 / V CONTRACTOR: (name of Contractor) ((jign here) SURETY: —— (^^fVsfcKi. (name of Surety) (address of Surety) (^int name here) (telephone number of Surety) By:. (titte alid organization Oj signatory) Ci^i^ By: (signap/re of Attorney-in-Fact) (sign here) (printed name of Attorney-in-Fact) (attach corporate resolution showing c of attorney) (print name here) (title and organization of signatory) (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 oniy 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 Attorney By: Assistant City Attorney VILLAGE OF CARLSBAD PARKING LOT IDENTIFICATION MONUMENT SIGNS CONTRACT NO. 40171 Page 7 of 7 City Attorney Approved 2/7/13 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California nf l^hbi-e^ County ^ 1 On personally appeared before me, .9P)G/7/^, B A^/)rA //dUrb l^bkc Here Insert Name and Title of the Office/ J Name(s) of Signer(s) \ STEMNM B.BACA ComminiM «1999466 NolarfPiiMie-California f San Oiaio CiNmly \ who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of Galifornia that the foregoing paragraph is true and correct. WITNESS my hand ^d official seal. Place Notary Seal Above Signature. OPTIONAL Signature of Notary Public Though the information below is not required by law, it may prove valuable to persons relying on ttie document and could prevent fraudulent removal and reattachment of this form to another document Description of Attached Document Title or Type of Document: _ ^ Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: • Individual • Corporate Officer — Title(s): • Partner — • Limited • General • Attorney in Fact • Trustee • Guardian or Conservator • Other: Signer Is Representing: RIGHTTHUMBPRINT OF SIGNER Top of thumb here Signer's Name: • Individual • Corporate Officer — Title(s): • Partner — • Limited • General • Attorney in Fact • Trustee • Guardian or Conservator • Other: RIGHTTHUMBPRINT OF SIGNER Top of thumb here Signer Is Representing:. © 2007 National Notary Association • 9350 De Soto Ave., RO. Box 2402 • Chatswortti, CA 91313-2402 • www.NationalNotary.org Item #5907 Reorder; Call Toll-Free 1 -800-876-6827 KNOW ALL MEN BY THESE PRESENTS THAT: Nationwide Mutual Insurance Company, an Ohio corporation Farmland Mutual Insurance Company, an Iowa corporation Nationwide Agribusiness Insurance Company, an Iowa corporation Power of Attorney AMCO Insurance Company, an Iowa corporation Allied Property and Casualty Insurance Company, an Iowa corporation Depositors Insurance Company, an Iowa corporation hereinafter referred to severally as the "Company" and collectively as the "Companies," each does hereby make, constitute and appoint: JAMES L. LEACH STEPHEN L. COVIELLO LOUIS J. COVIELLO, JR. SAN DIEGO CA each in their individual capacity, its true and lawful attorney-in-fact, with full power and authority to sign, seal, and execute on its behalf any and all bonds and undertakings, and other obligatory instruments of similar nature, in penalties not exceeding the sum of ONE MILLION AND NO/100 DOLLARS $ 1,000,000.00 and to bind the Company thereby, as fully and to the same extent as if such instruments were signed by the duly authorized officers of the Company; and all acts of said Attorney pursuant to the authority given are hereby ratified and confirmed. This power of attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the board of directors of the Company: "RESOLVED, thatthe president, or any vice president be, and each hereby is, authorized and empowered to appoint attorneys-in-fact ofthe Company, and to authorize them to execute and deliver on behalf of the Company any and all bonds, forms, applications, memorandums, undertakings, recognizances, transfers, contracts of indemnity, policies, contracts guaranteeing the fidelity of persons holding positions of public or private trust, and other writings obligatory in nature thatthe business of the Company may require; and to modify or revoke, with or without cause, any such appointment or authority; provided, however, that the authority granted hereby shall in no way limit the authority of other duly authorized agents to sign and countersign any of said documents on behalf of the Company." "RESOLVED FURTHER, that such attorneys-in-fact shall have full power and authority to execute and deliver any and all such documents and to bind the Company subject to the terms and limitations of the power of attorney issued to them, and to affix the seal of the Company thereto; provided, however, that said seal shall not be necessary for the validity of any such documents." This power of attorney is signed and sealed under and by the following bylaws duly adopted by the board of directors of the Company. Execution of Instruments. Any vice president, any assistant secretary or any assistant treasurer shall have the power and authority to sign or attest all approved documents, instruments, contracts, or other papers in connection with the operation of the business of the company in addition to the chairman of the board, the chief executive officer, president, treasurer or secretary; provided, however, the signature of any of them may be printed, engraved, or stamped on any approved document, contract, instrument, or other papers of the Company. IN WITNESS WHEREOF, the Company has caused this instrument to be sealed and^duly attested by the signature of its officer the 13" day of February. 2014 . Terrance Williams, President and Chief Operating Officer of Nationwide Agribusiness Insurance Company and Farmland Mutual Insurance Company; and Vice President of Nationwide Mutual Insurance Company, AMCO Insurance Company, Allied Property and Casualty Insurance Company, and Depositors Insurance Company ACKNOWLEDGMENT STATE OF IOWA, COUNTY OF POLK: ss On this 13"* dav of February., 2014. before me came the above-named officer for the Companies aforesaid, to me personally known to be the officer described in and who executed the preceding instrument, and he acknowledged the execution of the same, and being by me duly sworn, deposes and says, that he is the officer of the Companies aforesaid, that the seals affixed hereto are the corporate seals of said Companies, and the said corporate seals and his signature were duly affixed and subscritjed to said instrument by the authority and direction of said Companies. ^(SEALjfj ^^im0^ SEAL Sandy Alitz Notarial Seal - Iowa Commission Nnmhcr 152785 Mv Commission Expires March, 24,2017 Notary Public My Commission Expires CERTIFICATE March 24, 2017 I, Robert W Horner III, Secretary of the Companies, do hereby certify that the foregoing is a full, true and correct copy of the original power of attorney issued by the Company thatthe resolution included therein is atrue and correct transcript from the minutes of the meetings ofthe boards of directors and the same has not been revoked or amended in any manner; that said Terrance Williams was on the date of the execution of the foregoing power of attorney the duly elected officer of the Companies, and the corporate seals and his signature as officer were duly affixed and subscribed to the said instrument by the authority of said board of directors; and the foregoing power of attorney is still in full force and effect. IN WITNESS WHEREOF, I have hereunto subscribed my name as Secretary, and affixed the corporate seals of said Companies this —29 th day of July .20 14 Secretary This Power of Attorney Expires 07/31/17 BDJ 1(03-14) 00 06888