contract summary sheet -...

CONTRACT SUMMARY SHEET

TO: THE OFFICE OF THE CITY CLERK,COUNCIUPUBLIC SERVICES DIVISIONROOM 395, CITY HALL

DATE: 5/18/10

BOARO OF PUBliC WORKSRoom 355, City Hall '\200 North Spring Street .~

FROM(DEPARTMENT): -4l~9~~A~n~~ml~~,~C~amnm~mmla&g~OO~f2~-------------------

CONTACT PERSON: _MA_RY_C_A_R_T_ER PHONE: __ 21_3_-_9_7_8_-0_2_6_2__

CONTRACT NO.: C-117258 COUNCIL FILE NO.: _

ADOPTED BY COUNCIL: _o NEW CONTRACTD AMENDMENT NO.D ADDENDUM NO. -D SUPPLEMENTAL NO.D CHANGE ORDER NO.=

DATEAPPROVED BY BPW: 5/14/10

DATE

CONTRACTOR NAME: MACKONE DEVELOPMENT. INC

TERM OF CONTRACT: 450 CALENDAR DAYS THROUGH: 08/26/11--~~------------

TOTAL AMOUNT: $9.594.158 m 00

PURPOSE OF CONTRACT: SOUTH LOS ANGELES ANIMAL CARE CENTER

NOTE: CONTRACTS ARE PUBLIC RECORDS ~SCANNED AND UPLOADED TO THE INTERNET

oms"DOCUMENT

1'\" _ South Los Angeles Animal Care Center...ERTIFICAJ E OF LlABIUTY fNSURANCE

APPROVED AND ON FILE. W.O. E170825F

@mnmnllt~[BID PROPOSAL

PARTIOFN

L.£ j IpcJ TT"'·.34-23-ro

Approved

In and for the

City of Los AngelesCalifornia

TYPE OF CONTRACT _C=A~SH=." ~~

PROPOSAL ATTACHMENTS Plan Drawings Index No. MF300118 (210 sheets)

SPECIFICA TIONS General Conditions, General Requirements; Technical Specifications,Appendices including Geotechnical Report, Standard Specifications forPublic Works Construction Green Book 2008 Edition (Parts 2 through6*), and Brown Book 2008 Edition *.

PROJECT LOCATION 1998 Thomas Guide page no. 673-H6

COMPLETION TIME _4..:,:5:.,:O;,...c:..:a=-le::..::D::..::d:.::a:.::.,r...=d:.::a"-..:.ys=--- _

LIQUIDATEDDA~GES ~$2~,~00~0:....p~e::..::r~c:.::a~le:.::n:.::d=a~r~d~ayL_ _

BID DATE Bids must be received no later than 2:00 p.m. ODJanuary 6, 2010 at Los Angeles City Hall;200 North Spring Street, Room 355; Los Angeles, California 90012.

Firm Name:

Mackone Developm.ent~Inc.Address:

2244 Beverly Blvd. Los Angeles~" CA 90057Telephone Number ( 213 ) 252-9506 Fax Number ( 213) 252-9527Contractor's License Number: Classification: Expiration Date:

562773 A,. B~ C33 3-31-11~ egistration Certificate (BTRC) No. 782503-08

* Part 1 of the Greenbook and Brown Book are"not a part ofthe Specifications.

(MlWBE) Rev. 3/04/081-1

SCHEDULE OF WORK AND PRICES

Revised 12-16-2009

City of los Angeles - Department of Public Works b Bureau of Engineering

SOUTH lOS ANGELES ANIMAL CARE CENTERW.O. No. E170825F

1

Construct the project entitled "South LosAngeles Animal Care Center" (W.O. E170825F)per the plans, specifications, and appendicesexcept for Bid Item Nos. 2 to 5

fqqqc"o--!

2 Allowance for Building Permits per General LSRequirements, Section 01292

3Allowance for Differing Site Conditions perGeneral Requirements, Section 01253

100,000.00

300,000.00

10,000.00

TOTAL BID AMOUNT:

Unit abbreviation: LS=lump sum

1-2

4 Allowance for City Inspection per GeneralRequirements, Section 01453

5 Demolition, including site preparation

NOTES

A. FIXED COST ITEMS: Bid Item Nos. 2 to 4 are considered Fixed Cost Items at the time of bid. Thepre-printed dollar amounts in figures listed in the SCHEDULE OF WORK AND PRICES shall not bechanged or deleted.

B. ENHANCED ELECTRICAL SAFETY CRITERIA: Required on this project for all worksite electricallabor per Bid Proposal, Part IV "General Instructions and Information for Bidders", Subsections 14d and16b.

Revised December 21, 2009

w.o. No. E170825F

CONSTRUCTIONCITY OF LOS ANGELES

RESPONSIBILITY QUESTIONNAIRE

RESPONSES TO THE QUESTIONS CONTAINED IN THIS QUESTIONNAIRE MUST BE SUBMITTED ON THIS FORM.In responding to the Questionnaire, neither the City form, nor any of the questions contained therein, maybe retyped, recreated, modified, altered, or changed in any way, in whole or in part. Bidders or Proposersthat submit responses on a form that has been retyped, recreated, modified, altered, or changed in anyway shall be deemed non-responsive.

The signatory of this questionnaire guarantees the truth and accuracy of all statements and answers to theQuestions herein. Faifure to complete and return this questionnaire, any false statements, or failure to answer (a)question(s) when required, may render the bid/proposal non-responsive. All responses must be typewritten orprinted in ink. Where an explanation is required or where additional space is needed to explain an answer, usethe Responsibility Questionnaire Attachments. Submit the completed form and all attachments to the awardingauthority. Retain a copy of this completed form for future reference. Contractors must submit updatedinformation to the awarding authority if changes have occurred that would render any of the responses inaccuratein any way. Updates must be submitted to the awarding authority within 30 days of the change(s).

A. CONTACT INFORMATION

CITY DEPARTMENT INFORMATION

City of LA - Dept. of Public Works Bureau of EngineeringCity Department/Division Awarding Contract City Contact Person Phone

W.o. I EI70825F South Los Angeles Animal Care Center 011 06 I 10City Bid or Contract Number and Project Title (If Applicable) Bid Date

BIDDER/CONTRACTOR INFORMATIONMackone Development~ Inc. I 562773

Bidder/Proposer Business Name Contractor's License Number

2244 Beverly Blvd~ Los Angeles CA 90057Street Address City State Zip

(213)252-9527Contact Person, Title Phone Fax

Scott Yang - President (213)252-9506

TYPE OF SUBMISSION:The Questionnaire being submitted is:

o An initial submission of a completed Questionnaire.o An update of a prior Questionnaire dated __ '__ /__ .~ No change. I certify under penalty of perjury under the laws of the State of California that there has been

no change to any of the responses since the last Responsibility Questionnaire dated__ 9_/ 29 / 09 was submitted by the firm. Attach a copy of that Questionnaire and sign below.

Scott Yang - President 1-6-10Print Name, Title Date

TOTAL NUMBER OF PAGES SUBMITTED, INCLUDING ALL ATTACHMENTS: _

Responsibility Questionnaire (Rev. 10/24/03)

w.o. No. E170825F

CONSTRUCTIONB. BUSINESS ORGANiZATION/STRUCTURE

Indicate the organizational structure of your firm. "Firm" includes a sole proprietorship, corporation, joint venture,consortium, association, or any combination thereof.

IXCorporation: Date Incorporated: __ 3_'~'~ State of incorporation: CaliforniaList the corporation's current officers.

President: Scott Yang

Secretary; Scott Yang

Vice President: NI A

Treasurer: Scott Yang

o Check the box only if your firm is a publicly traded corporation.List those who own 5% or more of the corporation's stocks. Use Attachment A if more space is needed. Publiclytraded corporations need not list the owners of 5% or more of the corporation's stocks.

N/A

o Partnership: Date formed: __ ,__ ,__ State of formation: _List all partners in your firm. Use Attachment A if more space is needed.

N/A

o Sole Proprietorship: Date started: __ '__ 1__List any firm(s) that you have been associated with as an owner, partner, or officer for the last five years.Use Attachment A if more space is needed. Do not include ownership of stock in a publicly tradedcompany in your response to this question.

N/A

o Joint Venture: Date formed: __ '__ 1__List: (1) each firm that is a member of the joint venture and (2) the percentage of ownership the firm willhave in the joint venture. Use Attachment A if more space is needed. Each member of the JointVenture must complete a separate Questionnaire for the Joint Venture's submission to beconsidered as responsive to the invitation.

N/A

1-3bResponsibility Questionnaire (Rev. 10/24/03)

w.o. No. E170825F

CONSTRUCTIONC. OWNERSHIP AND NAME CHANGES

1. Is your firm a subsidiary, parent, holding company, or affiliate of another firm?

DYes Dr No

If Yes, explain on Attachment A the relationship between your firm and the associated firms. Include informationabout an affiliated firm only if one firm owns 50% or more of another firm, or if an owner, partner or officer of yourfirm holds a similar position in another firm. HI A

2. Has any of the firm's owners, partners, or officers operated a similar business in the past five years?

DYes IX No

If Yes, list on Attachment A the names and addresses of all such businesses, and the person who operated thebusiness. Include information about a similar business only if an owner, partner, or other officer of your firm holdsa similar position in another firm. HI A

3. Has the firm changed names in the past five years?

DYes IX No

If Yes, list on Attachment A all prior names, addresses, and the dates they were used. Explain the reason foreach name change in the last five years. HI A

4. Are any of your firm's licenses held in the name of a corporation or partnership?

DYes IX No

If Yes, list on Attachment A the name of the corporation that actually holds the license. HI A

Bidders/Contractors must continue on to Section D and answer all remaining questions contained in thisQuestionnaire.

The responses to the remaining questions in this Questionnaire will not be posted on the Internet but willbe made available to the public for review upon request. Contact the appropriate DesignatedAdministrative Agency.

1-3cResponsibility Questionnaire (Rev. 10/24/03)

W.O. No. E170825F

CONSTRUCTIOND. FINANCIAL RESOURCES AND RESPONSIBILITY

5. In the past five years, has your firm ever been denied bonding?

o Yes ~ No

If Yes, explain on Attachment B the circumstances surrounding each instance.

6. Is your firm now, or has it ever been at any time in the last five years, the debtor in a bankruptcy case?

DYes rn No


7. Is your company in the process of, or in negotiations toward, being sold?

DYes 171 No

DYes ~ No

If Yes, explain the circumstances on Attachment B.

E. INSURANCE

8. In the past five years, has any bonding company made any payments to satisfy any claims madeagainst a bond issued on your firm's behalf?

If Yes, explain the circumstances on Attachment B the circumstances surrounding each instance.

9. Indicate whether your firm currently has a Workers' Compensation insurance policy in effect, whetherit is legally self-insured, or whether it currently has no Workers' Compensation insurance policy ineffect.

~ Workers' Compensation Insurance Policy Currently in Effecto Legally Self~lnsuredo No Workers' Compensation Policy Currently in Effect

If you have no worker's compensation insurance policy currently in effect, and you are not legally self-insured, provide an explanation on Attachment B.

10. List the Experience Modification Rate (EMR) issued to your firm annually by your Workers'Compensation insurance carrier for the last three years. Begin with the most recent year (YR 1) thatan EMR rate was issued (EMR-1). If any of the rates for the three years is or was 1.00 or higher,you may provide an explanation on Attachment B.

YR. 1: 2008 EMR-1: 0.90 YR. 2: 2007 EMR-2: 0.72 YR. 3: 2006 EMR-3: 0.78

11. Within the past five years, has your firm ever had employees but was without Workers'Compensation insurance or state approved self-insurance?

DYes w: No

If Yes, explain on Attachment B the circumstances surrounding each instance. If No, attach a statement fromyour Workers' Compensation insurance provider that you have been continuously insured for the past five years.

Responsibility Questionnaire (Rev. 10/24/03)1-3d

W.O. No. E170B25F

CONSTRUCTION

F. PERFORMANCE HISTORY

12. How many years has your firm been in business? 20 Years.------

13. Has your firm ever held any contracts with the City of Los Angeles or any of its departments?

DYes ~ No

If Yes, list on Attachment B ali contracts your firm has had with the City of Los Angeles for the last 10 years. Foreach contract listed in response to this question, include: (a) entity name; (b) purpose of contract; (c) total cost;(d) starting date; and (e) ending date.

14. list on Attachment B all contracts your firm has had with any private or governmental entity (other than theCity of Los Angeles) over the last five years that are similar to the work to be performed on the contract forwhich you are bidding or proposing. For each contract listed in response to this question, include: (a) entityname; (b) name of a contact and phone number; (c) purpose of contract; (d) total cost; (e) starting date; and(f) ending date.

o Check the box if you have not had any similar contracts in the last five years.

15. In the past five years, has a governmental or private entity or individual terminated your firm's contract prior tocompletion of the contract?

o Ves 'f/J.. No

If Yes, explain on attachment B the circumstances surrounding each instance.

16. In the past five years, has your firm used any subcontractor to perform work on a government contract whenyou knew that the subcontractor had been debarred by a governmental entity?

o Ves ~ No

If Yes, explain on attachment B the circumstances surrounding each instance.

17. In the past five years, has your firm been debarred or determined to be a non-responsible bidder orcontractor?

DYes rA No


G. DISPUTES

18. In the past five years, has your firm been the defendant in court on a matter related to any of the following issues? Forparts (a) and (b) below, check Yes even if the matter proceeded to arbitration without court litigation. For part (c), checkYes only if the matter proceeded to court litigation. If you answer Yes to any of the questions below, explain thecircumstances surrounding each instance on Attachment B. You must include the following in your response: the nameof the plaintiffs in each court case, the specific causes of action in each case; the date each case was filed; and thedisposition/current status of each case.(a) Payment to subcontractors?o Yes ~ No

(b) Work performance on a contract?


1-3e

WO. No. E170825F

CONSTRUCTIONDYes fA No

(c) Employment.related litigation brought by an employee?o Yes ~ No

19. Does your firm have any outstanding judgements pending against it?

DYes r$, No

If Yes, explain on Attachment B the circumstances surrounding each issue.

20. In the past five years, has your firm been assessed liquidated damages on a contract?

DYes ~ No

If Yes, explain on Attachment B the circumstances surrounding each instance and identify all such projects,the amount assessed and paid, and the name and address of the project owner.

H, COMPLIANCE

21. In the past five years, has your firm or any of its owners, partners or officers, ever been investigated, cited,assessed any penalties, or been found to have violated any laws, rules, or regulations enforced oradministered, by any of the governmental entities listed on Attachment C (Page 10)? For this question, theterm "owner" does not include owners of stock in your firm if your firm is a publicly traded corporation.

DYes ~ No

If Yes, explain on Attachment B the circumstances surrounding each instance, including the entity that wasinvolved, the dates of such instances, and the outcome.

22. If a license is required to perform any services provided by your firm, in the past five years, has your firm orany person employed by your firm, been investigated, cited, assessed any penalties, subject to anydisciplinary action by a licensing agency, or found to have violated any licensing laws?

DYes '¢. No

If Yes, explain on Attachment B the circumstances surrounding each instance in the last five years.

23. In the past five years, has your firm, any of its owners, partners, or officers, ever been penalized or given aletter of warning by the City of Los Angeles for failing to obtain authorization from the City for the substitutionof a Minority-owned (MBE), Women-owned (WBE), or Other (aBE) business enterprise?

DYes ~ No

If Yes, explain on Attachment B the circumstances surrounding each instance in the last five years.

24. Provide on Attachment B, the name(s), address(s) and telephone number(s) of the apprenticeship programsponsor(s) approved by the California Division of Apprenticeship Standards that will provide apprentices toyour company for use on any public works projects that you are awarded by the City of Los Angeles.

Provide on Attachment B, the name(s), address(s) and telephone number(s) of the apprenticeship programsponsor(s) approved by the California Division of Apprenticeship Standards that have provided apprentices toyour company on any public works project on which your firm has participated within the last 3 years.


w.o. No. E170825F

CONSTRUCTION

I. BUSINESS INTEGRITY

25. For questions (a), (b), and (c) below, check Yes if the situation applies to your firm. For these questions, theterm "firm" includes any owners, partners, or officers in the firm. The term "owner" does not include owners ofstock in your firm if the firm is a publicly traded corporation. If you check Yes to any of the three questionsbelow, explain on Attachment B the circumstances surrounding each instance.

DYes ¢. No

(a) Is a governmental entity or public utility currently investigating your firm for making (a) false claims) ormaterial misrepresentations(s)?

(b) In the past five years, has a governmental entity or public utility alleged or determined that your firm made (a)false claimts) or material misrepresentation(s)?

DYes :l& No

(c) In the past five years, has your firm been convicted or found liable in a civil suit for making (a) false claim(s)or material misrepresentation(s) to any governmental entity or public utility?

DYes JQ No

26. In the past five years, has your firm or any of its owners or officers been convicted of a crime involving thebidding of a government contract, the awarding of a government contract, the performance of a governmentcontract, or the crime of fraud, theft, embezzlement, perjury, bribery? For this question, the term "owner" doesnot include those who own stock in a publicly traded corporation.

DYes ~ No

Scott Yang - President


CERTIFICATION UNDER PENALTY OF PERJURY

I certify under penalty of perjury under the laws of the State of California that I have read and understandthe questions contained in this questionnaire and the responses contained on all Attachments. I furthercertify that I have provided full and complete answers to each question, and that all information providedin response to this Questionnaire is true and accurate to the best of my knowledge and belief.

1-6-10Print Name, Title Date


w.o. No. E170825F

CONSTRUCTION

ATTACHMENT A FOR SECTIONS A THROUGH C

Where additional information or an explanation is required, use the space below to provide theinformation or explanation. Information submitted on this sheet must be typewritten. Include the numberof the question for which you are submitting additional information. Information submitted on thisAttachment in response Questions in Sections A through C will be posted on the internet for publicreview. Make copies of this Attachment if additional pages are needed.

page~3

EI Camino BookstoreEI Camino Community College District16007 Crenshaw Blvd. Torrance, CA 90506TeL (310)532-3670$ 4,899,000.00II Months

Attachment - B (Item-F, #14)

Glendale High SchoolGlendale Unified School District1440 E. Broadway Glendale, CA 91204Tel. (818)241-3ll1$ 12,042,400.0024 Months

Job Order Contracts # 77, 81, 82, 83,84,85,86ISD, County of Los Angeles1100 N. Eastern Avenue Los Angeles, CA 90063Tel. (323)267-2251$ 24,000,000.00 (4 Million per each JOC)12 Months

Job Order Contracts # 71, 72, 73ISD, County of Los AngelesllOO N. Eastern Avenue Los Angeles, CA 90063Tel. (323)267-2251$ ll,400,000.00 (3.8 Million per each JOC)12 Months

Name of Project:Owner:

Contract Amount:Duration:







Responsibility Questionnaire (Rev. 10/24/03)1-3h

w.o. No. E170825F

CONSTRUCTION

ATTACHMENT A FOR SECTIONS A THROUGH C


Page .2 D{: 3

Job Order Contracts # 64, 66, 67lSD, County of Los Angeles1100 N. Eastern Avenue Los Angeles, CA 90063Tel. (323)267-2251$ 11,400,000.00 (3.8 Million per each JOC)12 Months

Attachment - B (Item-F, #14)









Job Order Contracts # 607, 608,609, 610, 617County of Los Angeles, Department of Public Works900 S. Freemont Avenue Alhambra, CA 91803Tel. (626)458-2588$ 15,600,000.00 (3.9 Million per each JOC)12 Months

Job Order Contracts # 714, 715, 717, 718County of Los Angeles, Department of Public Works900 S. Freemont Avenue Alhambra, CA 91803Tel. (626)458-2588$ 15,600,000.00 (3.9 Million per each JOC)12 Months

Castaic Animal ControllSD, County of Los Angeles1100 N. Eastern Avenue Los Angeles, CA 90063Tel. (323)267-2251$ 118,301.002 Months


w.o. No. E170825F

CONSTRUCTION

A IT ACHMENT A FOR SECTIONS A THROUGH C


pageW

Agoura Hill Animal ShelterlSD, County of Los Angeles1100 N. Eastern Avenue Los Angeles, CA 90063TeL (323)267-2251$ 81,605.001 Month

Attachment - B (Item-F. #14)

Downey Animal ShelterlSD, County of Los Angeles1100 N. Eastern Avenue Los Angeles, CA 90063Tel. (323)267-2251$ 16,700.001Week

Responsibility Questionnaire (Rev. 10/24/03)1-3h





w.o. No, E170825F

CONSTRUCTION

A IT ACHMENT A FOR SECTIONS A THROUGH C


PageW

Attachment - B (Item-H. #24)

1) Construction Laborers Trust1385 W. Sierra Madre AvenueAzusa, CA 91702(626)610-1700

2) Carpenters Trust Fund533 South Fremont Avenue Ste. 803Los Angeles, CA 90071-1706(213)312-9239


w.o. No. E170825F

CON S T Rue T ION'

ATTACHMENT B FOR SECTIONS D THROUGH H

Where additional information or an explanation is required, use the space below to provide theinformation or explanation. Information submitted on this sheet must be typewritten. Include the numberof the question for which you are submitting additional information. Information submitted on thisAttachment in response Questions in Sections 0 through H williiot be posted on the internet, but will bemade available to the public for review upon request. Make copies of this Attachment if additional pagesare needed.

Page _

Responsibility Questionnaire (Rev. 10/24/03)1-3i

w.o. No. E170825F

ATTACHMENT C: GOVERNMENTAL ENTITIES FOR QUESTIONS No. 21CONSTRUCTION

Check Yes in response to Question No. 21 if your firm or any of its owners, partners, or officers, have ever beeninvestigated, cited, assessed any penalties, or found to have violated any laws, rules or regulations enforced oradministered, by any of the governmental entities listed below (or any of its subdivisions), including but not limitedto those examples specified below. The term "owner" does not include owners of stock in your firm if your firm isa publicly traded corporation. If you answered Yes, provide an explanation on Attachment B of the circumstancessurrounding each instance, including the entity involved, the dates of such instances, and the outcome.

FEDERAL ENTITIES

Federal Department of Labor.,. Americans with Disabilities Act.,. Immigration Reform and Control Act.,. Family Medical Leave Act* Fair Labor Standards Act.,. Davis-Bacon and laws covering wage requirements

for federal government contract workers.,. Migrant and Seasonal Agricultural Workers.. Protection Act;, Immigration and Naturalization Act.,. Occupational Safety and Health Act.,. anti-discrimination provisions applicable to

government contractors and subcontractors.,.whistleblower protection laws

Federal Department of Justice.,. Civil Rights Act., Americans with Disabilities Act.,. Immigration Reform and Control Act of 1986.. Bankruptcy fraud and abuse

Federal Department of Housing and UrbanDevelopment (HUD).,.anti-discrimination provisions in federally

subsidized/assisted/sponsored housing programs* prevailing wage requirements applicable to HUD

related programs

Federal Environmental Protection Agency., Environmental Protection Act

National Labor Relations Board., National Labor Relations Act

Federal Equal Employment OpportunityCommission.,. Civil Rights Act.,. Equal Pay Act.,. Age Discrimination in Employment Act.,. Rehabilitation Act.,. Americans with Disabilities Act


STATE ENTITIES

California's Department of Industrial Relations.,. Wage and labor standards, and licensing and

registration.,. Occupational safety and health standards.,. Workers' compensation self insurance plans.,.Workers' Compensation Act.,.wage, hour, and working standards

for apprentices." any provision of the California Labor Code

California's Department of Fair Employmentand Housing

.,. California Fair Employment and Housing Act

.,. Unruh Civil Rights Act" Ralph Civil Rights Act"California Department of Consumer Affairs.,. Licensing, registration, and certification

requirements.,.Occupational licensing requirements administered

and/or enforced by any of the Department'sboards, including the Contractors' State LicensingBoard

California's Department of Justice

Local Entities

City of Los Angeles or any of its subdivisions forviolations of any law, ordinance, code, rule, orRegulation administered and/or enforced by theCity, including any letters of warning or sanctionsissued by the City of Los Angeles for anunauthorized substitution of subcontractors, orunauthorized reductions in dollar amountssubcontracted.

OTHERS

Any other federal, state, local governmentalentity for violation of any other federal, state, orlocal law or regulation relating to wages, labor, orother terms and conditions of employment.

1-3j

w.o. No. E170B25F

CITY OF LOS ANGELES

PLEDGE OF COMPLIANCE WITH CONTRACTOR RESPONSIBILITY ORDINANCE

Los Angeles Administrative Code (LAAC) Section 10.40 et seq. (Contractor Responsibility Ordinance) providesthat, unless specifically exempt, City contractors working under service contracts of at least $25,000 and threemonths, contracts for the purchase of goods and products of at least $100,000, contracts for the purchase ofgarments of at least $25,000, and construction contracts of any amount; public lessees; public licensees; andcertain recipients of City financial assistance or City grant funds, shall comply with all applicable provisions ofthe Ordinance. Upon award of a City contract, public lease, public license, financial assistance or grant, thecontractor, public lessee, public licensee, City financial assistance recipient, or grant recipient, and any itssubcontractor(s}, shall submit this Pledge of Compliance to the awarding authority.

The contractor agrees to comply with the Contractor Responsibility Ordinance and the following provisions:

(a) To comply with all federal, state, and local laws in the performance of the contract, including but not limitedto laws regarding health and safety, labor and employment, wage and hours, and licensing laws, whichaffect employees.

(b) To notify the awarding authority within 30 calendar days after receiving notification that any governmentalagency has initiated an investigation which may result in a finding that the contractor did not comply withany federal, state, or local law in the performance of the contract, including but not limited to laws regardinghealth and safety, labor and employment, wage and hours, and licensing laws, which affect employees.

(c) To notify the awarding authority within 30 calendar days of all findings by a governmental agency or courtof competent jurisdiction that the contractor has violated any federal, state, or local law in the performanceof the contract, including but not limited to laws regarding health and safety, labor and employment, wageand hours, and licensing laws which affect employees.

(d) If applicable, to provide the awarding authority, within 30 calendar days, updated responses to theResponsibility Questionnaire if any change occurs which would change any response contained within theResponsibility Questionnaire and such change would affect the contractor's fitness and ability to continuethe contract.

(e) To ensure that subcontractors working on the City agreement (including contractors or subcontractors of apublic lessee, licensee, sublessee, or sublicensee that perform or assist in performing services on theleased or licensed premises) shall comply with aUfederal, state, and local laws in the performance of thecontract, including but not limited to laws regarding health and safety, labor and employment, wage andhours, and licensing laws, which affect employees.

(f) To ensure that subcontractors working on the City agreement (including contractors or subcontractors of apublic lessee, licensee, sublessee, sublicensee that perform or assist in performing services on the leasedor licensed premises) submit a Pledge of Compliance.

(g) To ensure that subcontractors working on the City agreement (including contractors or subcontractors of apublic lessee, licensee, sublessee, or sublicensee that perform or assist in performing services on theleased or licensed premises) shall comply with paragraphs (b) and (c).

Failure to complete and submit this for.m to the Awarding Authority may result inwithholding of payments by the City Controller, or contract ter.mination.

Hackone Development~ Inc. 2244 Beverly Blvd. Los Angeles~ CA 90057 (213)252-9506Company Name, Addr ss and Phone Number

1-6-10rtzed Representative

Scott Yang- PresidentDate

Print Name and Title of Officer or Authorized Representative

City of Los Angeles California Department of Public Works Work Order I E170825FAwarding City Department Contract Number

eRO Pledge of Compliance (Rev. 09113/01)

w.o. No. E170825F

Bidder .:Cerlification·. CECForm50··

City Ethic$Commission200 N Spring· Street .City Hall-24th Floo~LOS Angeles, cA ·90012Mail Stop .129(213) 978·1960

I)Bid/Contract Number:

W.O. I E170825FDepartment:

Department of Public Works Bureau of EngineeringName of Bidden

Kackone Development~ Inc. I Pllon(~13) 252-9506Address:

2244 Beverly Blvd. Los Angeles~ CA 90057I Email:

[email protected]

CERTIFICATION

I certify the following on my own behalf or on behalf ofthe entity named above, which I am authorized torepresent:

A. I am a person or entity that is applying for a contract with the City of Los Angeles.

B. The contract for which r am.applying is an agreement for one of the following:1. The performance of work or service to the City or the public;2. The provision of goods, equipment, materials, or supplies;3. Receipt of a grant of City financial assistance for economic development or job growth, as further de-

scribed in Los Angeles Administrative Code § IOAO.l(h) [see reverse]; or4. A public lease or license of City property where both of the following apply, as further described in

Los Angeles Administrative Code § 10.37.1(i) [see reverse]:a. [provide services on the City property through employees, sublessees, sublicensees, contractors, or

subcontractors, and those services:i. Are provided on premises that are visited frequently by substantial numbers of the public; orii, Could be provided by City employees ifthe awarding authority had the resources; oriii. Further the proprietary interests ofthe City, as determined in writing by the awarding authority.

b. Iam not eligible for exemption from the City's living wage ordinance, as eligibility is described inLos Angeles Administrative Code § 1O.37(i)(b).

C. The value and duration of the contract for which I am applying is one ofthe following:I. For goods or services contracts-a value of more than $25,000 and a term of at least three months;2. For financial assistance contracts-a value of at least $100,000 and a term of any duration; or3. For construction contracts, public leases, or licenses=-any value and duration.

D. I acknowledge and agree to comply with the disclosure requirements and prohibitions established in theLos Angeles Municipal Lobbying Ordinance if I qualify as a lobbying entity under Los Angeles Munici-pal Code § 48.02.

Date: __ 1_-_6_-_1_0 _Signature: ----q~--f.+-------------

Scott YangName:

PresidentTitle:

Under Los Angeles Municipal Code §48.09(H), this form must be submitt€ld to the awarding authority withyour bid or proposal on the contract noted above,

1-31

W.O. No. E170825F

(h) "City Financial Assistance Recipient" means any person who receives from the Citydiscrete financial assistance in the amount of One Hundred Thousand Dollars ($100,000.00)or more for economic development or job growth expressly articulated and identified bythe City, as contrasted with generalized financial assistance such as through tax legislation.

Los Angeles Administrative Code § lOAO.l(h)

Categories of such assistance shall include, but are not limited to, bond financing, planningassistance, tax increment financing exclusively by the City, and tax credits, and shall notinclude assistance provided by the Community Development Bank. City staff assistanceshall not be regarded as financial assistance for purposes of this article. A loan shall not beregarded as financial assistance. The forgiveness of a loan shall be regarded as financialassistance. A loan shall be regarded as financial assistance to the extent of any differentialbetween the amount of the loan and the present value of the payments thereunder,discounted over the life of the loan by the applicable federal rate as used in 26 U.S.c.Sections 1274(d), 7872(f). A recipient shall not be deemed to include lessees andsublessees.

Los Angeles Administrative Code § lO.37.1(i)

(i) "Public lease or license".(a) Except as provided in (i)(b), "Public lease or license" means a lease or license of City

property on which services are rendered by employees of the public lessee or licenseeor sublessee or sublicensee, or of a contractor or subcontractor, but only where any ofthe following applies:(1) The services are rendered on premises at least a portion of which is visited by

substantial numbers of the public on a frequent basis (including, but not limitedto, airport passenger terminals, parking lots, golf courses, recreational facHities);or

(2) Any of the services could feasibly be performed by City employees if the awardingauthority had the requisite financial and staffing resources; or

(3) The DAA has determined in writing that coverage would further the proprietaryinterests of the City.

(b) A public lessee or licensee will be exempt from the requirements of this article subjectto the following limitations:(1) The lessee or licensee has annual gross revenues of less than the annual gross

revenue threshold, three hundred fifty thousand dollars ($350,000), from businessconducted on City property;

(2) The lessee or licensee employs no more than seven (7) people total in thecompany on and off City property;

(3) To qualify for this exemption, the lessee or licensee must provide proof of itsgross revenues and number of people it employs in the company's entireworkforce to the awarding authority as required by regulation;

(4) Whether annual gross revenues are less than three hundred fifty thousand dollars($350,000) shall be determined based on the gross revenues for the last tax yearprior to application or such other period as may be established by regulation;

(5) The annual gross revenue threshold shall be adjusted annually at the same rateand at the same time as the living wage is adjusted under section 10.37.2 (a);

(6) A lessee or licensee shall be deemed to employ no more than seven (7) people ifthe company's entire workforce worked an average of no more than one thousandtwo-hundred fourteen (1,214) hours per month for at least three-fourths (3/4) ofthe time period that the revenue limitation is measured;

(7) Public leases and licenses shall be deemed to include public subleases andsublicenses;

(8) If a public lease or license has a term of more than two (2) years, the exemptiongranted pursuant to this section shall expire after two (2) years but shall berenewable in two-year increments upon meeting the requirements therefor at thetime of the renewal application or such period established by regulation.

w.o. No. E170825F

SIGNATURE SHEET AND AFFIDAVIT

IlWe, S_c_o_t_t_Y_a_n~g,--..,...,...,_";"7' depose and say that I amlWe are P_r_e_s_i_d_e_n_t _Insert Name(s)

of Mackone Development, Inc.,(T.[n""'se;;;rt"'''''SC::-o[r=eTOr.;w;O;:;n:=:er''"'','''''''u;pa;;;rt+';n:=:er:'ITIi,""""'Pr;:;;e;:;'sl::r.de;;:;n"'t"--;,e:'i:tc,...,.)r---------rr(1n;:';s:';;,ert firm name and address of bidder)

Contractor's License No. 562773 , License Classification A~R,C33 ,Expiration Date 3-31-11who submit this proposal to the Board of Public Works and hereby declare:

(1) That IlWe have read this proposal and have abided by and agree to the conditions herein and have carefully examined the projectplans and read the specifications and IlWe hereby propose to furnish all materials and do all the work required to complete thework in accordance with the plans and specifications, for the unit prices or lump sums named in the Schedule of Work and Prices.Furthermore, IIWE have read and understand Ordinance No. 173677 ofthe "Determination of Contractor Responsibility Policy" ofthe City of Los Angeles and I!WE understand my/our obligations under this policy as a bidder and as a contractor should thiscontract be awarded to my/our firm,

(2) That this proposal is genuine, and not sham or collusive, nor made in the interest or in behalf of any person not herein named, andthat I1We have not directly or indirectly induced or solicited any other bidder to put in a sham bid, or any other person, firm orcorporation to refrain from bidding, and that I!We have not in any manner sought by collusion to secure for myself/ourselves anadvantage over any other bidder.

(3) This contract is expressly made for the benefit ofthe signatory parties only. It is not the intent of any ofthe signatory parties tocreate or discharge any duty, express or implied, to any party other than the signatory parties. Any benefit derived from thiscontract by a third party is unintended and incidental to the purpose for which this contract is made.

(4) That I1Weas principal(s), acknowledge myself/ourselves as being bound by the accompanying Bid Bond when completed by theSurety.

(5) That I have read and understand the provisions of the Pollution Control- Sewage Spill Prevention and Response Requirementsand the Board of Public Work's Policy of "Zero Spill" requirements as contained in this Proposal. Ifawarded this contract, IIWeagree to furnish all of the materials, supplies, tools, equipment, labor and other services necessary for the containment and clean upof any sewage or other pollutants spills or leaks occurring during the performance of this contract. I!WE further agree to actimmediately, without instructions from City staff, to contain and clean up any spill in any way involved with my/ our activities onthis project without concern for who or what caused the spill.

ADDENDA - This proposal is submitted with respect to the changes to the contract included In Addenda numbers:

(Fill in Addenda received) z.. ,

THE CITY OF LOS Af'JGELESacting by and through its

BOARDO~"ORK;:'1l..._By~ ft1 t ~

lAY 1'.4"02010

I/We certify or declare under penalty of perjury that the foregoing is true andcorrect, and that if only one signature is provided, it is provided in accordancewith Note 8 in the General Instructions and Information for Bidders of thisproposal.

1. President 1-6-10Title Date

2.Second Signature Title Date

TNESSED BY TARY

, ,4--M I/b/ID

07/03/061-4

CALIFORNIA JURAT WITH AfFIANT STATEMENT.~!:!See Attached Document (Notary to cross out lines 1-6 below)o See Statement Below (Lines 1-5 to be completed only by document signer[s], not Notary)

:l

...,Signature of Document Signer No, 1 Signature 01 Document Signer No, 2 (If any)

Subscribed and sworn to (or affirmed) before me on this

&1f'--day of ,jaJ'1A.,./..?t-rlJ.-Dale Month V

(1 )1--~s~ce;~Tl2.r--;:N:--am~'fr~1s'Lc!Z;::::", f-I -----

proved to me on the basis of satisfactory evidenceto be the person who appeared before me (.) i)(

State of California

County of --=Lo---=~~ft1;J--+{::...:.{---=iS__

ANAMAYENCommission /I 1836254Notary Public ~ California

Los Angeles CountyComm. Expires Mar 12. 2013

,20~,byYear

(2)1_~===:~:========:~ __Name of Signer

-proved'te !flO eft t~e aeGis ef satisfactory QViElellcete-.Q", the person wbO appeared before roe,f

Signature ~~s;g;tUre of N01llIYI"

Place Notary Seal Above

opnONAL----------~------------Though the information below is not required by law, it may provevaluable to persons relying on the document and could prevent

fraudulent removal and reattachment of this form to another document.

Further Description of Any Attached Document

RIGHTTHUMBPRINTOFSIGNERI;!1

Title or Type ol.Document: ~ _

Top 01 thumb here

Document Date: ~~ Number of Pages: ~~~

Signer(s) Other Than Named Above: __ ~_~~ _

RIGHTTHUMBPRTNTOF SIGNER 112

Top 01 thumb here

•© 2007 National NolalY Assoclaton- 9350 De Soto Ave., P,O, Box 2402 <Chatsworth, CA 91313·2402 - www.NatlonaINotary,org Item #5910 Reorder: Cali TolI·Free 1-800-876·6827

w.o. No. Ei70825F

BID BOND

South Los Angeles Animal Care Center

W.O. No. E170825F

(Not necessary when certified check or cashier's check accompanies bid)

We, the principal and undersigned Surety, acknowledge ourselves jointly and severally bound to theDepartment of Public Works of the City of Los Angeles, for an amount not less than ten percent (10%) of thetotal bid, to be paid to said Department if the proposal shall be accepted and the proposed contract awarded tothe principal, and the principal shall fail to execute the contract within the time specified by the generalinstructions in the proposal; and to furnish the required faithful performance and labor and material bonds,within the time specified. It is hereby agreed that bid errors shall not constitute a defense to forfeiture, exceptas provided by the State of California Public Contracting Code Sections 5 to 1 through 5105, or as they may beamended.

WITNESS our hands this _7T_H day of DECEMBER ,20~

By: Scott YangPrint Name of Owner or President of Corporation/Company

L ~'SlgIlature

HARTFORD FIRE INSURANCE COMPANYPrint Surety's Name

ONE POINTE DRIVE BREA, CA 92821Mailin,B"Address

Date

PresidentTitle

DECEMBER 7TH, 2009Signature

Second Signature Title2.

Second Signature Title Title

Second Signature Date Title

NOTE: SIGNATURE OFTHE AUTHORlZED AGENT OF THE SURETY MUST BE WITNESSED BY A NOTARY, Ira bid bond is-- submitted on a form other than this form, the bid bond may not be acceptable. See Note 9 in the General Instructions and

Information for Bidders of this proposal for more information,

1-507/03/06

POWER OF ATTORNEY-Direct Inquiries/Claims to:

THE HARTFORDBOND, T-4

690 ASYLUM AVENUEHARTFORD, CONNECTICUT 06115

call: 888-266-3488 or fax: 860-757-5835Agency Code: 72-185719KNOW ALL PERSONS BY THESE PRESENTS THAT:

CD Hartford Fire Insurance Company, a corporation duly organizedunder the laws of the Stateof Connecticut

CD Hartford Casualty Insurance Company, a corporationduly organizedunder the laws of the Stateof Indianao Hartford Accident and Indemnity Company, a corporationduly organized under the laws of theStateof Connecticuto Hartford Underwriters Insurance Company, a corporationduly organized under the laws of the Stateof Connecticut

D Twin City Fire Insurance Company, a corporation duly organizedunder the laws of Ihe Stateof Indianao Hartford Insurance Company of Illinois, a corporationduly organizedunder the laws 0 f the StateofI\!inoiso Hartford Insurance Company of the Midwest, a corporationduly organized under the laws of tile Slateof Indiana

D Hartford Insurance Company of the Southeast, a corporationduly organized under the laws of the Stateof Florida

having their home office in Hartford, Connecticut, (hereinafter collectively referred to as the "Companies") do hereby make, constitute and appoint,up to the amount of unlimited:

Philip E. Vega, Frank Moronesor

Brea, CAtheir true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign its name as surety(ies) only asdelineated above by lSI, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in thenature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts andexecuting or guaranteeing bonds and undertakings required or permitted in any actions Of proceedings allowed by law.

In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on July 21, 2003 the Companieshave caused these presents to be Signed by its Assistant Vice President and its corporate seals to be hereto affixed, duly attested by its AssistantSecretary. Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they areand will be bound by any mechanically applied signatures applied to this Power of Attorney.

Paul A. Bergenholtz, Assistant Secretary David T. Akers, Assistant Vice President

STATE OF CONNECTICUT}ss.

COU tHY OF HARTFO RD

On this 23rd day of July, 2003, before me personally came David T. Akers, to me known, who being by me duly sworn, did depose andsay: that he resides in the County of Hampden, Commonwealth of Massachusetts; that he is the Assistant Vice President of the Companies, thecorporations described in and which executed the above instrument; that he knows the seals of the said corporations; that the seals affixed to thesaid instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of said corporations and that he Signedhis name thereto by like authority.

Hartford

,./) .=. _j-::"'l./:::~:)..~.... __ l.."",/IJ c. I "_OR ,.1"r.,""

Scou E. PasckuNotary Public

My Commission Expires October J 1,2007

I, the undersigned, Assistant Vice President of the Companies, DO HEREBY CERTIFY that the above anrl foreqoinq is a true and correctcopy of the Power of Atlorney executed by said Companies, which is still in full force effective as of DECEMBER 7TH, 2009

Signed and sealed at the City of Hartford.

GaryW. Slurnper, AssistantVicePresident

CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT

State of California

County of Los Angeles

On _-,-1 =2 .....1-",,0-::.7.,<-/....:::0:...;:9,--_ before me,Dale

}Monica Blaisdell, Notary

Hera Insert Name end fille of me "aWwr. ---'

personally appeared __ ....JPl-Uh11JiliLj-JpL\lL./eu:g~a<L- ---;==;-;;;;;;=:-- _Name{') or 1;l'Ig081ls)

MONICA BLAISDELLCommission 1# 11'9407.I III Notary PUbliC - CQldomla i

Orange County -

i..,..Jt~=~2$-tpt2.1

who proved to me on the basis of satisfactory evidence tobe the person~ whose name~) islj(~ subscribed to thewithin instrument and acknowledged to me thathe/~executed the same in hi~/lOOjJ<authorizedcapacity(~~ and that by hisIR~ignatureOO<on theinstrument the personw), or the entity upon behalf ofwhich the person(ll) acted, executed 1he instrument.

l certify under PENALTY OF PERJURY under the lawsof the State of California that the foregoing paragraph istrue and correct.

WITNESS my hand and official seal.

Signature~l.%AiAU ~.LlJ~ra 01 Notary Public

---------------------OPTIONAL------------------------Though tne Information below is not required .by law, it may prove valuable to persons reJj;ing on the document

and could prevent fraudulent removal and reattachment of thiB form to ana/her document.

Place Nolary Baal Above

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: _o 'Individualo Corporate Officer - Title(s):o Partner - 0 LImited 0 Generalo Attorney in Facto Trusteeo Guardian.or Conservatoro Other: _

•Top of thumb hare

Signer Is Representing: _

SIgner's Name: _o Individualo Corporate Officer - TIt/e(s): _o Partner - 0 Limited 0 Generalo Attorney in Facto Trusteeo Guardian or Conservatoro Other: _

Signer Is Representlng; ~

Top of thumb here

~ '¢ t' r. Ii'@;®2QQ7 Nanona! Notary Assoolation' 9351) po &Ito AV<l., P.O. Box 24OZoGhatswortli. CA 91313-2402 ·1'IWW.N,,~oroa!NDlary.org llam g5907 Reoraer;Call Toll·Fre81~&6827

CAD 818516ISSUE,D IN THREE (3) ORIGINALCOUNTERPARTS BOND NUMBER: 72BCSFR0075

aIontrl-tctnr's ~01tbedt J1i.en hU tilcs.e It:1t-Csetti5:

n·.·.· _ _._ _ _ _.•__ _._.......•..... _._ ._ _.._ _ as PRI \lei PAL.

and HARTfORD FIRE; INSURANGE COMPANY _ _ _ _ __ , U corporurion

\lrg.i.lnizl~d under (hI: b\\"s \'If llw Slille lll"'. - _ _, ,..'"..__., arid duly authorized Io

transact business under the laws of the State of California, as surety. are held and firmly bound unto THECITY OF LOS ANGELES, ,A MUNICIPAL CORPORATION. as obligee, in the just and full slim of

_N.;I;!:§ ..~#,+'~,r, ...F.I.YE.,.~~~~ ..!'lI~ ....~ ..~~,_.~ ..~.~_O' ...~~ ..~!~~..~ ...?~!.~~?~,~,~.,_.....-------------------------------------------------------------- 0 9 594 158 00

, •••••••••• -, ••••••• , •••• _ '_ _ .. , ••••• , •••••••••• _ •• _ ••••• _._ •••••••••• 0 ••• , ••••••••••••••••• _ ••••••• _ •• 0 ••••••••••••••••••••• Dollars [$ ._..~._ ~., ,.~ ),fClr ihc payment whereof well and truly to be made said principal and surely bind themselves, their heirs, executors,administrators, successors, and assigns, joi ntly and severally firmly by these presents.

THE CONDlT10N of the foregoing obligation is such, that whereas, the above bounded principal i:; about to enter intoa contract, attached hereto, with said obligee to do and perform the following, to-wit:

...... ,~.:~'''~. __~.,~~ ..~,.~ __~ ..::-.._~.~S?~.~.~P~.~~.~.~" _ _ _ _ .

us will more fully appear from said contruct, reference to which is hereby made, and which said contract and all documentsincorporared therein by re11!renee are express 1)..' made a part hereof

The said surety, fix value received, hereby stipulates and agrees that no change, extension of time, alteration or addition1.\0\ anna of the contract, \11' to the work to be performed thereunder shall in anywise affect its obligations on this 11l.'nJ.andit dues hereby \V,I ivc notice of any such change, exrensi on of time, alterur ion or addit ion ro the terms of the contract or thewnrK.

NC)W. TI-j EREFORE, if the above bounded principal shall well audtru ly perform the work contracted to be done undersaid contract. and shall fully and faithfully carry out and perform all of the terms, covenants and conditions of saidcontract upon its or his part to be performed, then this obligation to he null and void, otherwise to remain in full forcearid effect,

No right of action shall accrue under this bond to or for the usc of any person other than the obligee named herein.

Signed ami sealed this ..,~.?:!.tL.,_, ,.,.day of../\~R!.L _ _., , o ••• , _' _ A. D. 20 _~.~.._,

ACCEPTEDRISK MANAGEMENT

CITY ADMINISTRATIVE OFFICE

Surety,

COREDRATE SF.AI.

C(J11~()/u(iolJor Individual principal must lit/lie Sigll,l(IINS acklCtl\\'!,~dgedin the uppropriate blank: (lJl lite rew~!'se hereo].

Corporate Seal must be impressed hereon in case ofcorporation.FO(iT11153a

CALIFORNIA ALl"PURPOSE ACKNOWLEDGMENT•State of California

County of __ L_o_s=--An~gLe,""l;c.;e;.;;;;s,-- _

On 4/28/2010Date

before me,Here Insert Name and TItle ot the Officer

}Ana Mayen, N6tary Public

personally appeared -=S:..::c:..::o:...::t:..::t:....-=.Y,:::a:;::n.a8__ -----;,.,.....,..,-;-:-;:-....-=,..,.,--:;--;-- _

Name(s) at Signer(s)

@ ANAMAYENCommission /I 1836254

~' Notary Public· CaliforniaLos Angeles County

My Comm. Ex ires Mar 12, 2013


who proved to me on the basis of satisfactory evidence tobe the person(X} whose name~) ishrB:subscribed to thewithin instrument and acknowledged to me thatheJ~ executed the same in his/Bll!ldmlf authorizedcapacity_ and that by his/biooXltIK signature~) on theinstrument the person\X), or the entity upon behalf ofwhich the person(X) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the lawsof the State of California that the foregoing paragraph istrue and correct.

WITNESS my hand an

Signature ---L£...::........::....:.....,,,,--...,...:..--.-:~a:-.:-;;-:------

opnONAL------------------------~Though the information below is not required by law, it may prove valuable to persons relying on the document

and could prevent fraudulent removal and reattachment of this form to another document.


Title or Type of Document: _



Capacity(ies) Claimed by Signer(s)

Signer's Name: _

o Individualo Corporate Officer - Title(s):o Partner - 0 Limited 0 Generalo Attorney in Facto Trusteeo Guardian or Conservatoro Other: _

RIGHTTHQMBPRINT. OF SIGNER

Top of thumb here


~~~~~~~~© 2007 Nattonal Notary Association· 9350 De Soto Ave., P.O. Box 2402· Chatsworth, CA 91313-2402. www.NaUonaINotary.org Item ~5907 Reorder: Call Toll-Free 1·8oo-876-6B27

Signer's Name: _

o Individualo Corporate Officer - Title(s): _o Partner - 0 Limited 0 Generalo Attorney in Facto Trusteeo Guardian or Conservatoro Other: _

RtGHTTHUMBPRINTOF SIGNER

Top of thumb here


CALIFORNIA All-PURPOSE ACKNOWLEDGMENT:'<X.~~~~"R~"®~~"0.<:.-~~~'ilb~~~~~~~~~~~~~~~~~'@;.,,%,%~~

STATEOF CALIFORNIA

County of LOS ANGELES

On 04/27/2010

}Dale

before me, PHILIP VEGA, NOTARY PUBLICHere Insert Name and Thle of the Officer

personally appeared ....:..F....:..Rc::...Ac::...N.:.:.K..:....M:..:.:....::O"-R.:...:O:..:.N..:..:E::..:S::.......,==~=:;_:;_---------~---Name(s) ot Signer(s)

PHI UP VEGACommission # 1799866Notary Public - CaJifornia ~

Los Angeles County ~My Comm. Expires May 31,2012


who proved to me on the basis of satisfactory evidence tobe the person(l!) whose name(X) isbJtlse<subscribedto thewithin instrument and acknowledged to me that he/~executed the same in his/&0tX~thorized capaclty~and that by his/~gnature~) on the instrument theperson(l{), or the entity upon behalf of which the persorus)acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws ofthe State of California that the foregoing paragraph is trueand correct

Witness my hand and official

SignatureS~ig~n~al~ur-e~of~N~m~ar~y~P~ub~Ii~~------------------

----------------------OPTIONAL----------+-----------Though the information below is not required by law, it may prove valuable to persons r lying on the document



Signer's Name: __D IndividualD Corporate Officer -- Title(s),--: _D Partner -- 0 Limited 0 Generalo Attorney in Facto Trusteeo Guardian or Conservator Top of thumb hereo Other: _


Signer(s) Other Than Named Above: __


Signer's Name: _o Individualo Corporate Officer - TitJe(s): _o Partner -- 0 Limited 0 Generalo Attorney in Facto Trusteeo Guardian or Conservator Top of thumb here

o Other: ---------------

RIGHTTHUMBPRINT.,::';J?F SI~,r-;lE~ ;':i

Signer Is Representing:

RIGHTTHUMBPRINT'·OF-SIGNER ,'".", .' ~ <: "," "<' ;


x;x.~~'¢<.:.~~~~~~~0-g;.~q:;x.'@C~~~~~~~~~~&"£A;.'@.,"ill::~~~~"M~~© 2001 National Notary Asscciatlon • 9350 De SOlO Ave" P.O, Box 2402 • Chatsworth, CA 91313-2402' www,NationalNatary,arg Item -#5907 Reorder; Call Tall-Free 1-800-876·6827

POWER OF ATTORNEYDirect Inquiries/Claims to:



call: 888m266-3488 or fax: 860-757-5835

Agency Code: 72-185719KNOW ALL PERSONS BY THESE PRESENTS THAT:

EX] Hartford Fire Insurance Company, a corporation duly organized under the laws of the State of Connecticut

[J[J Hartford Casualty Insurance Company, a corporation duly organized under the laws ofthe State of Indiana

c=J Hartford Accident and Indemnity Company, a corporation duly organized under the laws of the State of Connecticut

[==:J .Hartford Underwriters Insurance Company, a corporation duly organized under the laws of the State of Connecticut

c=J Twin City Fire Insurance Company, a corporation duly organized under the laws of the State of Indiana

c=J Hartford Insurance Company of Illinois, a corporation duly organized under the laws of the State of Illinois

c::J Hartford Insurance Company of the Midwest, a corporation duly organized under the laws of the State of Indiana

c::J Hartford Insurance Company of the Southeast, a corporation duly organized under the laws of the State of Florida


Philip E. Vega, Frank Moronesof

Brea, CAtheir true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign its name as surety(ies) only asdelineated above by 0, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in thenature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts andexecuting or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law.

In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on July 21, 2003 the Companieshave caused these presents to be signed by its Assistant Vice President and its corporate seals to be hereto affixed, duly attested by its AssistantSecretary. Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they areand will be bound by any mechanically applied signatures applied to this Power of Attorney.


STATE OF CONNECTICUT}ss, Hartford

COUNTY' OF HARTFORD .

On this 23rd day of July, 2003, before me personally came David T. Akers, to me known, who being by me duly sworn, did depose andsay: that he resides in the County of Hampden, Commonwealth of Massachusetts; that he is the Assistant Vice President of the Companies, thecorporations described in and which executed the above instrument; that he knows the seals of the said corporations; that the seals affixed to thesaid instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of said corporations and that he signedhis name thereto by like authority.

Scott E. PasekaNotary Public

CERTIFICATE My Commission Expires October 31, 2007

I, the undersigned, Assistant Vice President of the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correctcopy of the Power of Attorney executed by said Companies, which is still in full force effective as of 04/27/2010.


4~)lV~{'Yt.~/t-I' ( . f! !l ,-

Gary W. Stumper,Assistant Vice President

POA 2004

CAO 918516EXECUTED IN THREE (3)ORIGINAL COUNTERPARTS BOND NUMBER: 72BCSFR0075

lE1&YUt£l-tt ~Olt.O_ 1.... .•

J!f~.UJJhJ all 4lf(Clth~ tf1£se llrc5cn±s:

THAT WF MACKaJE DEVEI.o~l1ENl', INC. a corporat ion•• ., •• _~"_ ••• , ". ••••• _.. • •• ,,_. + •• P_ ••• r~_, •••• H •• q __ •• _< •• 0> < , •• """ >.u •• _ ••••• 0 __ • __ +.+0 •• +., ~•• , + • ..,. + ~"_._._._._.

as principal ~ , and .,'. ~~~!..C()~.~.~~~~.~.~~~.~~~.~.~..~g.~~~~.~ __ .

<1;; S\l!"l'tY. ~ " arc held and firmly bound unto the CITY OF LOS AN<::iELES. Cali forn ia, a municipal

corporation. ill the sum of ..~.~ ..!'1:I.L!~.I:~~....~~ ...~~~ ..~ ...~ ...~ ......~ ...~~~ ...~.~," .....

EI~ ~ 00Il~O~ ~-.-.-:-:-~:-:-:--:-~:::-:-:.~.~~:~:-::..: -:::::::::~.:.:.~:..::::::::-:::~:::.::-:.:.:::-:~::-:::::::-::::::::~:::.~:-:.::::.:::::~::.::-::~:-:..:·.::::-..::1)o IIars

($ 9.;.~9.4.iJ?Jt~.o.q __ ) lawful money of the United States, for which, payment well and truly to be made, we bind

curse Ives. j oi nt.ly and severally, firmly by these presents.

Signed, scaled and elated ~~.f3!.~..?!..! " ".. "'" 20.~.~ .

The coriditi ons of' the above obligation is such that, whereas said princ ipal has been awarded and is about to enter info

a written contract with the C'ily or Los Angeles for ..11·m;..§q.m,·L~."~~".~ ..~ g;m~ ..:: ..... ~:.9~..~~.~7.9.~~2.~' .

which is hereto attached, and to which reference is hereby made for all particulars, and is required by said city \0 give thisbond in connection with the execution of said contract;

. .

N()~\·. therefore. if said principal as contractor ill said contract, or " " ,. ., .

.............................................................................. subcontractor, fails to pay for any materials, provisions, provender or othersupplies or teHI11S used in, upon or for or about the performance of work contracted to be done, Or for any work or labordone thereon of any amounts due under the Unemployment Insurance Act with respect to such work or labor, or forany kind or for amounts required to be deducted withheld, and paid over to the Franchise Tax Board from the wages ofemployees of the principal and his subcontractors pursuant to sec, 18806 of the Revenue and Taxation Code of the State of

Cal ilorniu with respect 10 such work and labor, said surer ., .\ViI! pay the same in an amount not exceeding the sum set forth above, and also in case suit is brought upon this bond, areasonable attorney's fee to be fixed by the court. This bond shall insure to the benefit of any and all persons, cornpan iesand corporations entitled to file claims under and by virtue of the applicable provisions of Division !II, Part 4, Title IS(commencing with Section No. 3(82) of the Civil Code of the State of California, or their assigns.

WITNESS ollr hands this day of ., H •• • ••• •• H 20.· ..····.

CORPORATE SEAL ~CN::...D.F.::v:BLOPMENr IN:.•...~ GQ;g;J9XfJ.ti9.D. '" .I't"indplli.

Cr!J'/)I)!UfiOIl, Panners UJ" ludivkluul Principal n ust haw: signatures (/"kl1o\v!edged1 the appropriate blank on the reverse hereof

If a Corporation - Corporate Seal must be impressed hereon.

CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT:~«~~'<X"-Q:;,~~~~~~~~%''ili:.~~~~~~~~~~~~'!X.~~~~~'@;,'Q(:~~~~

STATE OF CALIFORNIA

County of LOS ANGELES

On 04/27/2010

}Date

before me, PHILIP VEGA, NOTARY PUBLICHere Insert Name and Hie of the Officer

personally appeared ....:.F....:.R.::..A.::..N.:..:.K..:....:..:.:M~O:..:...R.:..:O::..:N...:.:E=..:S:::..,==.".,....".,.".,..,,_,;_:;_-------------Name(s) of Signer(s)

PHIUP VEGACommission # 1799866Notary Public· Cafifornia

Los AngeJes County !My Comm. ExpiresMay 31, 2012


who proved to me on the basis of satisfactory evidence tobe the person(K) whose narnets) ishue<.subscribed to thewithin instrument and acknowledged to me that he~executed the same in his/~thorized capacity~and that by his/~gnature~) on the instrument thepersonts), or the entity upon behalf of which the person (X)acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws ofthe State of California that the foregoing paragraph is trueand correct.

Witness my hand and official s

Signature=-----:-_;-:-;-:--..",--,...".--,hln.. _Signature of Notary Publi

OPTIONAL----------~---------Though the information below is not required by Jaw, it may prove valuable to persons .

and could prevent fraudulent removal and reattachment of this form to anoth


Title or Type of Oocument _

Document Oale: Number of Pages: _

Signer(s) Other Than Named Above: _


Signer's Name: _

o Individualo Corporate Officer - Title(s):. _

o Partner - 0 Limited 0 Generalo Attorney in Facto Trusteeo Guardian or Conservator Top of thumb hereo Other: _


Signer's Name: _

o Individualo Corporate Officer - TiUe(s),-: _

o Partner - 0 Limited 0 Generalo Attorney in Facto Trusteeo Guardian or Conservator Top of thumb here

D Other:--------

RIGHTTHUMBPRINT. .- OF SIGNER .', ..,

, , •.• : o.:F: J. '.' s: •. ::,'


s:x:,~~~~~~~~'Q.:~~i.%'Qi,;~'€'4"§Z''§{.~~~~~~'@.."'t~.,~~"';.:QW~:~<;-~© 2007 National Notary Association. 9350 De So to Ave., P.O. Sox 2402· Chatsworth. CA91313-2402' www.NaticnaINotary.org Item #5907 Reorder: CallToll-Free 1-800-876-6827

}CALIFORNIA ALLnpURPOSE ACKNOWLEDGMENT•State of California

Coun~of L_o_s__ An~g~e_l~e~s~ __

On 4/28/2010Dale

before me,Here Insert Name and TItle at the OHicer

Ana Mayen, Notary Public

personally appeared s=.c=.o=.t=.t=--y:;:::a:;:::n=gt:::l..-_'----:-:-=-,--;=--;-c;-- _Name(s) af Signer(s)

ANA MAVENCommission :# 1836254Notary Public· California

los Angeles CountyM Comm. ExpiresMar 12, 2013

who proved to me on the basis of satisfactory evidence tobe the person(X) whose name(llll) ish'!m:ksubscribed to thewithin instrument and acknowledged to me thathe/MU~ executed the same in his/ll.Ulbk authorizedcapaci~(ie¢ and that by his/BdRat signaturei) on theinstrument the person(X}, or the entity upon behalf ofwhich the person(X} acted, executed the instrument.

I certify under PENALTY OF PERJURY under the lawsof the State of California that the foregoing paragraph istrue and correct.

WITNESS my hand and official seal.

Signature ~.~

OPTIONAL-------------------------Though the information below is not required by law, it may prove valuable to persons relying on the document


Place Notal)' Seal Above


TltIe or Type of Document: ~ _


Document Date: ~ Number of Pages: __

Capacity(ies) Claimed by Signer(s}

Signer's Name: _

o Individualo Corporate Officer - Title(s):o Partner - 0 Limited 0 Generalo Attorney in Facto Trusteeo Guardian or Conservatoro Other: _

RIGHTTHUMBPRINT: OFSrGNER

Top of thumb here


~i"::k;ge:!Ng<$!!,l6gl$:g<M<I§M;g$gf;;@$g(~:g;\,l;g~~<.#.@$jg"Ml·g;e%'M.W'@<l@3%U!,$,l.'§rogfU;:;;,:§U'IY:>~i¥M©2007 National Notary Association' 9350 De Solo Ave., RO.Box 2402 • Chatsworth, CA 91313-2402' www.NatianaINotary.org Item #5907 Remdec Call Toll-Free 1-800-876-6827

Signer's Name: _

o individualo Corporate Officer - Title(s): _o Partner - 0 Limited 0 Generalo Attorney in Facto Trusteeo Guardian or Conservatoro Other: _

RIGHTTHUMBPRIN1'. OESIGNER

Top of thumb here


POWER,OF ATTORNEYDirect Inquiries/Claims to:



call: 888-266-3488 or fax: 860-757-5835Agency Code: 72-185719KNOW ALL PERSONS BY THESE PRESENTS THAT:

[R=:J Hartford Fire Insurance Company, a corporation duly organizedunder the laws of the Stateof Connecticut

[R=:J Hartford Casualty Insurance Company, a corporation duly organizedunder the laws of the Stateof Indiana

c=J Hartford Accident and Indemnity Company, a corporation duly organizedunder the laws of the Stateof Connecticut

c=J Hartford Underwriters Insurance Company, a corporation duly organizedunder the laws of the Stateof Connecticut

c=J Twin City Fire Insurance Company, a corporation duly organizedunder the laws of the Stateof Indiana

c=J Hartford Insurance Company of Illinois, a corporation duly organizedunderthe laws of the Stateof Illinois

c=J Hartford Insurance Company of the Midwest, a corporation duly organizedunder the laws of the Stateof Indiana

c=J Hartford Insurance Company of the Southeast, a corporation duly organizedunder the laws of the Stateof Florida


Philip E. Vega, Frank Moronesof

Brea, CAtheir true and lawful Attorney(s}-in-Fact, each in their separate capacity jf more than one is named above, to sign its name as surety(ies} only asdelineated above by [2], and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in thenature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts andexecuting or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law.

In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on July 21, 2003 the Companieshave caused these presents to be signed by its Assistant Vice President and its corporate seals to be hereto affixed, duly attested by its AssistantSecretary. Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they areand will be bound by any mechanically applied signatures applied to this Power of Attorney.


STATE OF CONNECTICUT}ss. Hartford

COUN1Y OF HARTFORD

On this 23rd day of July, 2003, before me personally came David T. Akers, to me known, who being by me duly sworn, did depose andsay: that he resides in the County of Hampden, Commonwealth of Massachusetts; that he is the Assistant Vice President of the Companies, thecorporations described in and which executed the above instrument; that he knows the seals of the said corporations; that the seals affixed to thesaid instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of said corporations and that he signedhis name thereto by like authority.

Scott E. PasekaNotary Public

CERTIFICATE My Commission Expires October 31, 2007

I, the undersigned, Assistant Vice President of the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correctcopy of the Power of Attorney executed by said Companies, which is still in full force effective as of 04/27/2010.


/' .. "l-:o.,:,~(V}yt;... JI'- .(I U l'

GaryW. Stumper,AssistantVice President

POA 2004

w.o. No. E170825F

LIST OF SUBCONTRACTORS

Use pages 1·6 and 1"7 to list subcontractors including manufacturers, truckers and equipment rental companies.Use page 1·8 to list vendors and/or suppliers and brokers.

To be eligible for award ofthis project, the Board of Public Works requires the bidder to subcontract a minimum of its bid, as discussed inthe Mandatory Subcontracting Minimum (MSM) Requirement paragraph on the important Notice page of the Proposal, to any qualifiedavailable Subcontractor(s). Failure to list subcontractors and subcontracting amounts on pages 1·6 through 1-8 with the bidsufficient to meet or exceed the MSM may cause the bid to be rejected by the Board of Public Works as non-responsive,

In accordance with provisions pertaining to the listing of Subcontractors, the bidder shall list herein each first tier Subcontractor to whom itproposes to subcontract portions of the work in an amount in excess ofY2 of 1% of the Contractor's total bid or $10,000.00, whichever isgreater, and the dollar value of each listed subcontract. However, the bidder must list any additional subcontractor and dollar value to thesubcontract, regardless of amount, if the bidder wishes to have the subcontract amount credited toward meeting both the MSM andMBEIWBE levels of participation for this project. Note the following when calculating the pledged levels of participation:

MSM credit will not be given to ajoint venture partner listed as a Subcontractor by ajoint venture.

Listed vendors and/or suppliers will be limited to 60% of their listed dollar value toward achieving both the MSM andthe anticipated MBEfWBE levels of participation for this project, unless the vendor and/or supplier manufactures orsubstantially alters the materials/supplies.

Bidders are encouraged to use MBE/WBE firms whenever there is a need to subcontract portions of the work. No MBEIWBEdl 'n be zl I h b t db' r d 1 6 h h 1 8ere It WI e zrven un ess t e su eon ractor an su contracttua amounts are lste on pages ~ t rOU2J ~

Subcontractor Name, Business Address, Telephone State Contractor's CertificationNumber, and Contact Person License Number Agency and Dollar Value of Subcontract

and Exp. Date Certification # (1)

()~\k9- Gvw~V\~ License Number: LA CT MTA $ l/fJioov.....,.

t533J-f ~ ~'e;-1i50iCJ, ~LA'?U&-n€"

Expiration Date: Cert # Expiration Date:

MBE I WBE Gender/Ethnicity:

Description of work: t>~1 ~ Bid Item Nos .•

1'\2.\·~v ~u\ (toNk'{)'6lt~l~v\V;~ License Number: LA CT MTA$7-DtS"'co 0o}...l"\i.\ \'0\ V 6qq 10/ I


MBE I WBE GenderlEthnicity:

Description of work: lJ~Ln"'o /7'. ~ ..I.'~ Bid (tern Nos.

A'f~Tl'.>4i'\ ?y~~~ License Number: LA CT MTA$ 51, rt".7~WS /Jl'-~~ 38"lor'1-

Expiration Date: Cert# Expiration Date:

MBE I WBE GenderlEthni city:

Description of work: (>\.L"<1...s\- Co\\a..d1 ~""U\ Bid Item Nos.

(I) Specify Certifying agency: LA - City of Los Angeles. Bureau of Con trait AdministrationCT - State of California, Department of Transportation (Caltrans)MTA - Los Angeles County Metropolitan Transportation Authority

1-6

07/03/06

W,O, No, E170825F

LIST OF SUBCONTRACTORS (continued)

Subcontractor Name, Business Address, Telephone State Contractor's Certification Dollar Value of SubcontractNumber, and Contact Person License Number Agency and

and Exp, Date Certification # (I)

~\z'1lt-Jt \7$16\x t*E T1 A a. License Number: LA CT MTA $

"fLn(~-n'A ~(.'4.f17 bL72,t(100. COI



Description of work: S~\Lu.+,\,-\its Bid Item Nos.

'\'tUW ";'r(os;-, OON~-fN, • '~c. License Number: LA CT MTA $

(A('-;6 WVQj t'-\:t 7E 1/03- 5bO VOO~DOI



Description of work: Si;-, 1 ~ L"'" -..r;. Bid Item Nos.

5-))tML'tl)M;;- ~S·\ License Number: LA CT MTA $

)~.6VR~ ~"6'C$ 71q-(ro /'?-<f; 600· 0-0I



Description of work: -Y\.t... Ct.rr (o~ wR Bid Item Nos.

5G~ ~L -G~\Dv(.. License Number: LA CT MTA $30~ooo-LA 1''-\ C/} <y\ v /:.,. q3q 1).3



Description of work: S\t,.. SLU -I' Bid Item Nos.

'fp..¥--(S C6 \~Al'ltrt License Number: LA CT MTA $

'r-uotV'\\+ ~L~W()O'O 53'2.-S'5'3 /&;'(\) 00,00I



Description of work: r A~.....nv\<.. Bid Item Nos.- , , -

1-7

(1) Specify Certifying agency: LA - City of Los Angeles, Bureau of Contract AdministrationCT - State of California, Department of Transportation (Caltrans)MTA - Los Angeles County Metropolitan Transportation Authority

Bidders must photocopy this page if additional subcontractors are to be listed.

LIST OF SUBCONTRACTORS (continued)07/03/06

w.o. No. E170825F




1Y~cL Rw'~r; ....b- ?i;8 tID' License Number: LA CT MTA $

CoWOt--U 67(2-l?j 2tq~(OQO--Expiration Date: Cert# Expiration Date:


Description of work: ~M M Csu 5u (,t,j \l7O ~' ) Bid Item Nos.

(___LA~~ (~f='r:-'. Go . License Number: LA CT MTA s?---G'l\) LAN IS:",) 76r-'~rr liS( of) '0 .-



Description of work: Kt- ..lIA Q. ~{ Bid Item Nos.

C~6s ~'/'-71 'l-L-. License Number: LA CT MTA sYOtJ-ADN /"'. ;)SO/fIV 3~'D(.}O ~('0D



Description of work: C ~ f..-tJu..1, Bid Item Nos.

Npl1\A~r\S A Vo>S License Number: LA CT MTA srlOR1l4- t\'o\..-lJ-... Wt)-oG") rifif{/J-,/ Cf J/UV (}~O o

!Expiration Date: Cert # Expiration Date:


Description of work: ~/II 7:VYJ\. Bid Item Nos.

CA5A U;;:;N.'ti~Uut1j..JB License Number: LA CT MTA $

b'>CoN(Vl(7,O g6oJ.-O(. '377 (JfJfJ --I



Description of work: J.1,jJ ,)U /(~-Ih~.J Bid Item Nos .. , . ,

(1) Specify Certifying agency: LA - CIty of Los Angeles. Bureau of Contract AdministrationCT· State of Califomla, Department of Transportation (Caltrans)MT A - Los Angeles County Metropolitan Transportation Authority


1-7


W.O. No. E170825F



and Exp, Date Certification # (1)

f2.t'tt-l-\-I'I.0Cl ~'-fD ·'({lp~tifJ\J...-{t:~ License Number: LA CT MTA $

/~l)IA\k~l (~At--[)E?N'- 4~:.q1)qZ J 37§&5l>1 o/(J

/



Description of work: p~~ Bid Item Nos.

~\J ~byL. -t-'I \..;,E7 License Number: LA CT MTA s\/b N Nl..iv.'S ~q1'£iJ- 44c(@l)L 00

!r ""/



Description of work: l~i~ Bid Item Nos.

HtJ,.A\ l'W i'-\ etC. Sy~s;~1 License Number: LA CT MTA s~\iJau.;;;-\ 0 e· r 78"1)'% 3 S>'u:ru ,Q VLA _ I



Description of work: ~\\vy Bid Item Nos.V"

MC-iW"; L '5'\?O~S ~~ (/€tr License Number: LA CT MTA $ 37 OVO·-GA tLJ\) -frl-(1l b7660~ /



Description of work: .~ bM·',y..,y. /8AMIIOO 4=lu:- Bid Item Nos.

\< ,~. PA1'N,lN C .&. License Number: LA CT MTA sLos. 6Ntr~LEr? 9:13gGV /O~D€H),1)U



Description of work: '?t1J.\·Arv Bid Item Nos.

(l) Sped fy Certifying agency: LA - City of Los ijngeles, Bureau of Contract AdministrationCT. State of California, Department of Transportation (Cal trans)MTA· Los Angeles County Metropolitan Transportation Authority


1-7


w.o. No. E170825F




(eMs;;,-f t--I ' W~·};G- License Number: LA CT MTA $

Tf-VO'-i& 7~3,[)O~ .:2/. G'GD \ Ot)!



Description of work: -r:\~t }s;wf<~ Bid Item Nos.

Cifi?4{L sd&f\..1·-\' ~O?:s'7f:.,..J License Number: LA CT MTA $

~1't M/J·rl.-C-o S 7iFJ-qsY G1eOO,a-U



Description of work: SllJM.,\" Bid Item Nos.

:5~M~\'\N ~>t\. C6~ WA5~ ~~IIf· License Number: LA CT MTA $

~twZ- f~f\Q{ tOLU,tll'1/~oD.-



Description of work: ~ ~ (~~c\"'trL) Bid Item Nos..?~- L)'}--t-C- License Number: LA CT MTA $ ,t b~/7ro-¥4N?.6S a-\-, ¥-s·

(Expiration Date: Cert# Expiration Date:


Description of work: J.kt~ ~ Cs Uf'Y'.A-s?-) Bid Item Nos.

A, I @..'J.6lJ,':-t-t .'b UN\) s· License Number: LA CT MTA $

-S 6.1'\ 9,'e;;u:-o 6q81)~tf '2'5, b ',)"'7Expiration Date: Cert # Expiration Date:


Description of work: S~ Bid Item Nos., . ..(I) Specify Certifying agency: LA· City of Los Angeles. Bureau of Contract Administration

CT - State of Cal ifornia, Department of Transportation (Caltrans)MTA - Los Angeles County Metropolitan Transportation Authority


1-7


W,O. No. E170825F




License Number: LA CT MTA s



Description of work: t ~\&lWJJt. --"1--') Bid Item Nos.

C::;12..S"BW" ~CW License Number: LA CT MTA s~ l't c.f~L\ R/Ii?'r::- 76) 'f~3 ? 5~ 6'EYD .-

f

-,'. Expiration Date: Cert # Expiration Date:


Description of work: h\.(... ~ I7fAW~ Bid Item Nos.

LA ~A 1>'rtA. ;::t I-\;b f'(\y, ~ ~0#../ License Number: LA CT MTA $

~ i?t\}M\~4 7S7CjqC 4/TS':fJO D.-f

WA""Lf'-( U\ Expiration Date: Cert # Expiration Date:


pl .!.

Description of work: r»; Bid Item Nos.

GeN~L ~Jl VA-Ae.- License Number: LA CT MTA $

[Q>~AM~~ q-1?-j-:Y/ $6(0 &0.t) .---Expiration Date: Cert # Expiration Date:


Description of work: t\\JkC , Bid Item Nos.

I+},::WIL e~~T~C· License Number: LA CT MTA $

>~N\iJ 'FC' ~ .t.~~ ~/b4)'~ 12,quDO.-Expiration Date: Cert# Expiration Date:


Description of work: Ctwtv;~ Bid Item Nos...(1) Specify Certifying agency: LA - City of Los Angeles, Bureau of Contract Administration

CT - State of California, Department of Transportation (Caltrans)MTA - Los Angeles County Metropolitan Transportation Authority


1-7


w.c: No. E170825F



and Exp, Date Certification # (1)

c: ~ ~ t CA_ ... '" License Number: LA CT MTA $a e...-J'Dr' -los AN 1;"';SO"L3tYS cr6~01-3- '71r;oo-() ~



Description of work: '~~ ~". • Bid Item Nos.0

License Number: LA CT MTA $



Description of work: Bid Item Nos.







MBE I WBE Gender/Ethni city:





Description of work: Bid Item Nos...(I) Specify Certifying agency: LA· City of Los Angeles. Bureau of eon tract Administration

CT· State of Cali fomia, Department of Transportation (Caltrans)MTA· Los Angeles County Metropolitan Transportation Authority


1-7


w.o. No. E170825F

VENDOR AND/OR SUPPLIER AND BROKER PARTICIPATION RECOGNITION

The bidder must list herein names of vendors and/or suppliers and brokers and the dollar amounts for which the bidder has obligated itself(list manufacturers on page 1-6 or 1-7).

Vendor/SupplierlBroker Name, Business Address, Telephone number, andContact Person

Exp.:

$

CertificationAgency andCertification # (1)

SupplierlBroker Subcontract Information

LA CT MTA Total Dollar Amount of Subcontract

Cert # $

MBE I WBE Dollar Am?un(ApplicableToward11----------~--------------I----.1...----4·,tv1BE!\YBE/MSMparticipationLev~ls

(np),.'»)· '<, :'", ;,.,'Description of materiallservice rendered:

MBE I WBEDollarAmotintApplicable Toward11- + .1..._ __ -1 'MBE/WBE/MSMParticipation,Levels

Exp.: .(2)(3L ',. ' " ",',

Gen.lEth.:


Description of material/service rendered:

MBE I WBEDdllarAmouhtApplicable'roward .11------------------------+---.L----I,MBErWBEfM:SMParticipationLe'leis,

(2}{3},:";,;,,,;>: ' '" '"

Cert #

Gen.lEth.: $

Description of material/service rendered:


Cert # $

Exp.:

Gen.lEth.:

(1) Specify Certifying agency: LA - City of Los Angeles, Bureau of Contract AdministrationCT - State of Cali fomi a, Department of Transportation (Caltrans)MTA - Los Angeles County Metropolitan Transportation Authority

(2) MBE/WBEIMSM participation credit for a vendor and/or supplier is LIMITED TO 60% of the amount paid, unless the vendor/suppliermanufactures or substantially alters the materials/supplies. Multiply the "Total Dollar Amount of Subcontract" by 0.6 if applicable.

(3) MBEIWBEIMSM participation credit for brokers is LIMITED TO THE FEE OR COMMISSIONcharged for providing the desired service. Multiply the "Total Dollar Amount of Subcontract" by thebroker's commission percentage.

BIDDER'S FAILURE TO ACHIEVE THE MSM PERCENTAGE MAy RESULT IN THE BOARDOF PUBLIC WORKS DECLARING THE BID NON-RESPONSIVE.

Scott Yang - PresidentNAME & SIGNATURE OF PERSON COMPLETING PAG

07/03/06

President (213)252-9506TITLE TELEPHONE NO.

1-8

w.o. No. E170825F

CERTIFICATION OF COMPLIANCE WITH CHILD SUPPORT OBLIGATIONS

The undersigned hereby agrees that Mackone Development, Inc.Name of Business

will:

1. Fully comply with all applicable State and Federal employment reporting requirements for itsemployees.

2. Fully comply with and implement all lawfully served Wage and earnings Assignment Orders andNotices of Assignment.

3. Certify that the principal owner(s) of the business are in compliance with any Wage and EarningsAssignment Orders and Notices of Assignment applicable to them personally.

5. This certification is a material representation of fact upon which reliance was placed when the partiesentered into this transaction

4. Certify that the business will maintain such compliance throughout the terms of the contract.

6. The undersigned shall require that the language of this Certification be included in all subcontracts andthat all subcontractors shall certify and disclose accordingly.

Upon signing below, the bidder by his/her signature affixed hereto declares under penalty of perjury thathe/she has read the Child Support Assignment Orders contained in the Cityes Ordinance No. 172401 andaccepts all the City's requirements contained therein throughout the duration of this project.

Si49 TitlePresident

Mackone Development, Inc.Company Name

1-6-10Date

07/03/06

1-9

vee: No, E170825F

HIRING OF ulOCAl~HIRE" PERSONNEL IN CITY PROJECTS

The City requests that each contractor state his/her respective willingness tovoluntarily provide training and employment opportunities for "at-risk" individuals inthe community as detailed in the MAYOR'S EXECUTIVE ORDER No, PE-6.

Please note that your participation is entirely voluntary and no special benefits orfavors will be granted to those who volunteer for this innovative initiative, The Citytakes no responsibility for the personnel nor any costs resulting from this hiring. Allexisting contract provisions and applicable laws remain in place.

Procedure for Contractors to hire SNAP Workers as ApprenticesI. The interested contractor contacts a LA SNAP JOBS Coordinator at the

City's Bureau of Contract Administration, Jose Ramirez at (213) 847-2629,Rodger Shimatsu at (213) 847-2656, or Manny Perez at (213) 847-2651 toobtain a list of qualified community based organizations.

II. After selecting the desired candidate(s), the contractor sends them to SergioRascon, Business Manager of Laborers' Local 300 to be initiated as anapprentice.

III. Sergio Rascon initiates them into the Union.IV. Sergio Rascon sends the initiation papers to the State for approval.V. The State returns the approved initiation papers to Sergio Rascon indicating

that the candidate is in an apprentice program certified by the State.VI. The candidate is now eligible to work as an apprentice.

Instructions: Please check the appropriate box. Print or type the. requiredinformation below. Sign and date the document. Turn in this formwith your bid proposal package.

vYes, we will participate in the voluntary program to provide training andemployment opportunities for "at-risk" individuals in the community asdetailed in the Mayor's Executive Directive No. PE-6.

D No, we will not participate in the voluntary program to provide training andemployment opportunities for "at-risk" individuals in the community asdetailed in the Mayor's Executive Directive No. PE-6.

Mackone Development~ Inc.Company Name

Print Name

S;9!:::fPresidentScott Yang

Title

1-6-10Date

10/31/071-10

W.Oe No. E170825F COMPLIANCECITY OF LOS ANGELESDepartment of Public Works

Bureau of Contract AdministrationOffice of Contract Compliance

1149 S. Broadway, 3rd Floor, Los Angeles, CA 90015Phone: (213) 847-1922 _Fax: (213) 847-2777

EQUAL BENEFITS ORDINANCE COMPLIANCE FORMYour company must be certified as complying with Los Angeles Administrative Code Section 10.8.2.1, EqualBenefits Ordinance, prior to the execution of a City agreement. This form must be returned to the City departmentawarding the agreement. If responding to a request for bid/proposal, submit this form with the bid/proposal.

City Dept. Awarding Contract: Deptvof Public Works Contact/Phone:

SECTION 1. CONTACT INFORMATIONCompany Name: MackoneDevelopment~ Inc.Company Address: 2244 Beverly Blvd.City: Los Angeles State: CA Zip: _9;<c;0~O:o.::5,,-!7 _Contact Person: Scott Yang Phone: (213)252-9506 Fax: (213)252-9527I am a one-person contractor, and I have no employees. DYes .Il No (if you answered "Yes," go to Section 3)Approximate Number of Employees in the United States:Are any of your employees covered by a collective bargaining agreement or union trust fund? D Yes UNo

SECTION 2. COMPLIANCE QUESTIONSHas your company previously submitted a Compliance Form and all supporting documentation? I:JYes 0 NoIf Yes, AND the benefits provided to your employees have not changed since that time, continue onto Section 3. IfNo, OR if the benefits provided to your employees have changed since that time, complete the rest of this form.

In the table below, check all benefits that your company currently provides to employees or to which youremployees have access. Provide information for each benefits carrier if your employees have access tomore than one carrier. Note: some benefits are available or apply to employees because they have a spouse ordomestic partner to whom the benefit applies, such as bereavement leave that allows an employee time offbecause of the death of a spouse or domestic partner; other benefits are provlded directly to the spouse ord tl rt h d' I' th th d r rt d domes ICpa ner, suc as me rca Insurance at covers e spouse or omes ICpa ner as a epen ent.

BENEFIT(S) YOUR This Benefit is This Benefit is Available/Applies Available/Appliesto DomesticCOMPANY CURRENTLY Not Offered Available to to Spouses of Partners ofOFFERS to Employees Employees Employees Employees

1 Health Insurance (List Name of Carrier(s))Health Carrier 1:Aetna Healthcare 0 :xx :xx :xxHealth Carrier 2: I 0 0 I 0 I 0Dadditional carriers on attachment. I I

2 Dental Insurance (List Name of OarrlertsnDenta! Carrier 1: :xx 0 I 0 I 0Dental Carrier 2: I 0 0 I 0 I 0o additional carriers on attachment.

3 Vision Plan (List Name of Carrier(snVision Carrier 1: xx: 0 0 0Vision Carrier 2: 0 0 0 0

4 Pension/401 (k) Plans Nat10nwide 0 XX 0 05 Bereavement Leave 0 XX 0 06 Familv Leave 0 xx: 0 07 Parental Leave :xx 0 0 08 Ernelovee Assistance Proaram XX 0 0 09 Relocation & Travel ft 0 0 0

10 Comoanv Discount Facilities & Events xx 0 0 011 Credit Union XX 0 0 012 Child Care n 0 0 013 Other: 0 0 0 014 Other: 0 0 0 0

aForm OCC/EBO·1 (Rev. 06/06) Page 1

w.o. No. E170825F COMPLIANCEYOU MUST SUBMIT SUPPORTING DOCUMENTATION TO VERIFY EACH BENEFIT MARKED. Without properdocumentation for each carrier and each benefit marked, your company cannot be certified as complying with theEBO. If documentation for a particular benefit does not exist, attach an explanation. Refer to the "Documentation toVerify Compliance with the Equal Benefits Ordinance" fact sheet for more information on the type of documentationthat must be submitted to verify compliance with the EBO.

If in the Table in Section 2 you indicated that your company does not provide all benefits equally throughout itsentire operations to all your employees with spouses and employees with domestic partners of the same anddifferent sex, you may:

o a. Request additional time to comply with the EBO. Provisional Compliance may be granted toContractors who agree to fully comply with the EBO but need more time to incorporate the requirements ofthe EBO into their operations. Submit the Application for Provisional Compliance (OCC/EBO-3) andsupporting documentation with this Compliance Form.

D b. Request to be allowed to comply with the EBO by providing affected employees with the cashequivalent. Your company must agree to provide employees with a cash equivalent. In most cases, thecash equivalent is the amount of money equivalent to what your company pays for spousal benefits that areunavailable for domestic partners, or vice versa. Submit a completed Application for Reasonable MeasuresDetermination (OCC/EBO-2) and supporting documentation with this Compliance Form.

o c. Comply on a Ocntract-by-Oontract Basis. Compliance may be granted on a contract-by-contract basisfor those Contractors who have multiple locations in the U.S. but cannot comply with the EgO throughoutthe Contractor's operations. Indicate below the compliance category you are reguesting:o Contractor has multiple operations located both within and outside City limits. Contractor will comply with

the EBO only for the operation(s) located within City limits and for employee(s) located elsewhere in theUnited States who perform work relating to the City agreement. Supporting documentation for theaffected operation(s)/employees must be submitted.

o Contractor has no offices within City limits but does have (an) employee(s) working on the Cityagreement located elsewhere in the United States. Contractor will comply with the EBO only foremployee(s) located elsewhere in the United States who perform work relating to the City agreement.Supporting documentation for the affected employee(s) must be submitted.

SECTION 3. EXECUTE THE DECLARATION AND SUBMIT THE FORM TO THE AWARDiNG DEPARTMENTThis form must be returned to the City department awarding the agreement. If responding to a request forbid/proposal, submit this form with the bid/proposal to the awarding department. The awarding department willforward the form to the Department of Public Works, Bureau of Contract Administration, Office of ContractCompliance for review.

DECLARATION UNDER PENALTY OF PERJURYI declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct, andthat I am authorized to bind this entity contractually.

Executed this 6t.h day of January , in the year 2010 ,at Los Angeles(City)

,~(State)

Signature2244 Beverly Blvd.

Mailing Address

Scott.Yang Los Angeles~ CA 90057Name of Signatory (please print) City, State, Zip Code

President. 95-4223422Tille FederallD Number

bForm OCC/EBO-i (Rev. 06/06) Page 2

w.o. No. E170825F COMPLIANCECITY OF LOS ANGELESDepartment of Public Works


1149 S. Broadway Street, 3rd Floor, Los Angeles, CA 90015Phone: (213) 847-1922 - Fax: (213) 847-2777

DOCUMENTATION TO VERIFY COMPLIANCE WITH THE EQUAL BENEFITS ORDINANCESection 2 of the Equal Benefits Ordinance Compliance Form (Form OCC/EBO-1) requires that you submitsupporting documentation to the Office of Contract Compliance to verify that all benefits marked in your response(s)are offered in a nondiscriminatory manner. This list is intended to be used only as a guide for the type ofdocumentation needed.

Health, Dental, Vision Insurance: A statement from your insurance provider that spouses and domestic partnersreceive equal coverage in your medical plan. This may be in a letter from your insurance provider or reflected intheeligibility section of your official insurance plan document. Note that "domestic partner" includes same-sex as wellas different-sex partners so that the definition of "domestic partner" contained in the plan document must includedifferent-sex partners.

Pension/401 (k) Plans: Documentation should indicate that participating employees may designate a beneficiary toreceive the amount payable upon the death of the employee. Submit a blank beneficiary designation form.

Bereavement Leave: Your bereavement leave or funeral leave policy indicating the benefit is offered equally. Ifyour policy allows employees time off from work because of the death of a spouse, it should also allow for time offbecause of the death of a domestic partner. If the policy allows time off for the death of a parent in-law or otherrelative of a spouse, it must include time off for the death of a domestic partner's equivalent relative.

Family Leave: Your company's Family and Medical Leave Act policy. All companies with 50 or more employeesmust offer this benefit. Your policy should indicate that employees may take leave because of the serious medicalcondition of their spouse or domestic partner.

Parental Leave: Your company's policy indicating that employees may take leave for the birth or adoption of achild. If leave is available for step-children (the spouse's child) then leave should also be made available for thechild of a domestic partner.

Employee Assistance Program (EAP): The benefit typically refers to programs that allow employees and theirfamily members access to counselors who provide short-term counseling and referrals to assist in dealing withissues such as family problems, addiction, and financial and legal difficulties. Your company's EAP policy mustconfirm that spouses, domestic partners and their parents and children are equally eligible (or ineligible) for suchbenefits. If provided through a third party, a statement from the third party provider regarding eligibility is required.

Relocation & Travel: Your company's policy confirming that expenses for travel or relocation will be paid on thesame basis for spouses and domestic partners of employees.

Company Discounts, Facilities & Events: Your company's policy confirming that to the extent discounts, facilities(such as a gym) and events (such as a company holiday party) are equally available to spouses and domesticpartners of employees.

Credit Union: Documentation from the credit union indicating that spouses and domestic partners have equalaccess to credit union services.

Child Care: Documentation that the children of spouses (step-children) and children of domestic partners haveequal access to child care services.

Other Benefits: Documentation of any other benefits listed to indicate that they are offered equally.

Form OCC/EBO-1 (Rev. 06106) Page 3

c

WOo No. E170825FPROVISIONAL COMPLIANCE

CITY OF LOS ANGELESDepartment of Public Works


1149 S. Broadway Street, 3rd Floor, Los Angeles, CA 90015Phone: (213) 847n1922 ~ Fax: (213) 847-2777

APPLICATION FOR PROVISIONAL COMPLIANCE WITH EQUAL BENEFITS ORDINANCECOMPLETE AND SUBMIT THIS FORM ONLY IF APPLICABLE. Contractors entering into, amending, or biddingon a City contract who agree to comply with the Equal Benefits Ordinance ("EBO") but need more time toincorporate the requirements of the ESO into their operations must submit this form, and supporting documentation,to the Department of Public Works, Bureau of Contract Administration, Office of Contract Compliance ("OCC").(This form must be submitted with the ESO Compliance Form OCC/ESO-1.) The Contractor may be grantedadditional time to incorporate the requirements of the ESO only in the circumstances indicated below. Fill out allsections that apply. Attach additional sheets if necessary.

_X_A. OPEN ENROLLMENT FOR HEALTH, DENTAL AND/OR VISION iNSURANCE PLANSThe Contractor may be granted additional time to implement the requirements of the EBO if equal benefits cannotbe provided until after the first open enrollment process following the date the contract with the City is executed. Toqualify, the Contractor must submit evidence that reasonable efforts are being undertaken to implement therequirements of the EBO. Additional time granted may not exceed two years from the date the contract with the Cityis executed, and applies only to benefits for which an open enrollment period is applicable.

____ - Date domestic partner (same and different sex) coverage wlll become effective.

You must submit copies of correspondence between your company and your insurance provider(s)documenting your effort to obtain domestic partner coverage for same- and different-sex couples. Youshould also submit verification of the next open enrollment date or the date the benefits become available.

B. ADMINISTRATIVE ACTIONS AND REQUESTS FOR EXTENSIONThe Contractor may be granted additional time to implement the requirements of the EBO if the administrativeactions necessary to incorporate the EBO cannot be completed prior to the date that the contract with the City isexecuted. Additional time granted for the completion of the administrative action shall apply only to those benefitsthat require administrative actions and may not exceed three months. Upon written request by the Contractor and atthe discretion of the acc, the Contractor may be granted additional time to complete the administrative actions.Administrative actions may include personnel policy revisions and the development and distribution of employeecommunications.

Describe below or on an attachment the administrative actions needed and the anticipated completion dates.Attach supporting documentation such as the relevant portions of your current policy and the changes youplan to make.

N/A

If you are requesting an extension beyond three months, explain why more than three months is needed and attachany supporting documentation that may be relevant.

N/A

Form OCC/EBO-3 (Rev. 06/06) Page 1d

W.O. No. E170825FPROVISIONAL COMPLIANCE

C. COLLECTIVE BARGAINING AGREEMENTSCompliance with the EBO may be delayed until the expiration of a Contractor's current collective bargainingagreement(s) (CBA). When the CBA is renegotiated, the Contractor must propose to the union for incorporationinto the CBA the EBO requirements so that all benefits provided to employees with spouses are also extended toemployees with domestic partners. Provisional compliance status may be granted if all of the following conditionsare met.

1. The provision of some or all of the benefits offered to the Contractor's employees are governed by one or moreCBA(s) but domestic partner coverage for same- and different-sex couples is not offered under the CBA(s).

Required Information: Indicate below the name of each CBA for which Provisional Compliance is beingrequested and the time period the CBA covers.

Name of Bargaining Unit: __ -=N=J..=A=--- Start date: End date: _Name of Bargaining Unit: Start date: End date: _Name of Bargaining Unit: Start date: End date: _

2. The Contractor agrees to propose to the union that the EBO requirements be incorporated into each of theCBA(s) by signing the statement below.

When the CBA is renegotiated, we will propose to the union that the EBO requirements beincorporated into the CBA so that all benefits provided to employees with spouses will be extendedto employees with same or different sex domestic partners. After the CBA expires, we will provide,upon request by the City, reports on the status of the efforts to incorporate the EBO requirementsinto the CSA.

By the end of negotiations, we agree to notify the OCC of the result by submitting a statement whichwill indicate: (1) when the issue of same and different sex domestic partners was raised duringnegotiations; and (2) whether or not the EBO requirements was incorporated into the CBA. Weunderstand that a separate statement must be submitted for each CBA for which ProvisionalCompliance was requested.

NJAName of Signatory (Print) Signature Title Date

3. For benefits not strictly governed by a CBA, the Contractor must establish policies so that those benefits areprovided in accordance with the requirements of the EBO. For example, the Contractor may be required toexpand the existing bereavement leave policy to allow an employee with a domestic partner time off in event ofthe domestic partner's death even if the CBA does not require the employer to do so.

Required documentation: A listing of benefits not strictly governed by the CBA along with the Contractor'spolicies as they relate to those benefits.

EXECUTE THE DECLARATION AND SUBMIT THE FORM TO THE AWARDING DEPARTMENT: This form, andthe Equal Benefits Ordinance Compliance Form (Form OOC/EBO-1) must be returned to the City departmentawarding the agreement. If responding to a request for bid/proposal, submit this form with the bid/proposal to theawarding department. The awarding department will forward the form to the OCC for review.

DECLARATION UNDER PENALTY OF PERJURYIdeclare under penalty of perjury under the laws of the State of California that the foregoing is true and correct, andthat I am authorized to bind this entity contractually.

Executed this 6th day of January I in the year 2010 ,at Los Angeles(City)

,~(State)

Mackone Development~ Inc. Scott Yang PresidentName of Company Name of Signatory (Print) Title

Form OCC/EBO-3 (Rev. 06106) Page 2

e

WOo No. E170825FREASONABLE MEASURES

CITY OF lOS ANGELESDepartment of Public Works



APPLICATION FOR REASONABLE MEASURES DETERMINATION - CASH EQUIVALENT COMPLIANCE

Mackone Development, Inc. 95-4223422Nameof Company

2244 Beverly Blvd.FederallD Number

Los Angeles,. CA 90057Slreet Address

Scott Yang - PresidentCity,

(213)252;';;'9506State Zip

(213)252-9527ContactPersonlTitle TelephoneNumber FaxNumber

Before the Department of Public Works, Bureau of Contract Administration, Office of Contract Compliance (OCG) will approvea contractor's application to comply with the Equal Benefits Ordinance (EBO) by paying a cash equivalent, the acc mustdetermine that: (a) the contractor has made a reasonable yet unsuccessful effort to provide equal benefits; or (b) under thecircumstances, it would be unreasonable to require the contractor to provide benefits to domestic partners (or spouses ifapplicable). To apply, contractors must submit:

1. An explanation and documentation that demonstrates: (a) the Contractor has made a reasonable, yet unsuccessful,effort to provide equal benefits; or (b) under the circumstances, it would be unreasonable to require the contractor toprovide equal benefits rather than paying the cash equivalent. See EBO Regulation #2B(1 )(a) and #28(1 )(b).

2. This completed application. Fill in the company's information, then read and sign the acknowledgement below.3. A completed Equal Benefits Ordinance Compliance Form (Form OCC/EBO-1). Be certain that box "b" on page two of the

form is checked.4. A draft of the memorandum that will be distributed to affected employees informing them of the cash equivalent option.5. Copies of the revised policies, such as bereavement, for which the cash equivalent is not applicable.

If approved by the OCC, a contractor will be allowed to comply with the EBO by paying its employees with domestic partnersthe cash equivalent of benefits made available to the spouses of its employees. The cash equivalent is the difference betweenthe amount an employer pays to provide an employee with spousal or family coverage and the amount that an employer paysto provide an employee with employee-only coverage. For example, an employer pays $200 per month to provide benefits foran employee and his/her spouse, and $150 per month to provide benefits for an employee with employee-only coverage. Thecash equivalent that must be paid to the employee with a domestic partner is $50 per month.

For benefits for which a cash equivalent is not applicable, such as bereavement leave, the employer must amend its policies sothat domestic partners are treated in the same manner as spouses. For example, if the policy allows an employee three daysoff in the event of the death of a spouse or the spouse's parents, the policy must be amended to allow an employee three daysoff in the event of the death of a domestic partner or the domestic partner's parents.

ACKNOWLEDGEMENT REGARDING APPLICATIONI declare under penalty of perjury under the laws of the State of California that I am authorized to bind thecompany/entity listed above. I understand that this Application must be approved by the DCC before compliance bypaying the cash equivalent will be allowed. By signing below, I agree on behalf of the company that if this Applicationis approved by the DCC, the company will comply with the EBO by providing employees with domestic partners thecash equivalent of the benefits that are made available to employees with spouses. For those benefits to which thecash equivalent is not applicable, such as for bereavement leave or family leave, the company agrees to amend itspolicies so that the domestic partners of employees will be treated in the same manner as the spouse of an employee.The relatives of domestic partners will be treated in the same manner as relatives of spouses. The company furtheragrees to provide a memorandum notifying our affected employees of the availability of the cash equivalent option ifthey have domestic partners for whom equal benefits cannot be provided.

Executed this 6th day of JanuaryScott Yang

, in the year 2010 ,at _..:..L_o-'s:....,.:AnO,:--"g"-.e..:..l..:..e-'s'-- , _CA_(City) (State)

President 1-6-10Nameof Signatory(Print) Title Date

Form OCC/EBO-2 (Rev. 06/06)f

w.o. No. E170825F

CITY OF LOS ANGELESDepartment of Public Works



INSTRUCTIONS FOR COMPLETING EQUAL BENEFITS ORDINANCE FORMS

1. Start with the Equal Benefits Ordinance (EBO) Compliance Form (Form OCC/EBO~1). Your company must bedetermined to be in compliance with the ESO before a contract with the City may be executed. In Section 2 of theform, indicate what benefits your company currently offers its employees. If a benefit is not offered, indicate thebenefit is not offered.

If your company currently does not offer equal benefits to employees with spouses and employees with same ordifferent sex domestic partners, you may, on page two of the EBO Compliance Form, request one of the followingby checking the appropriate box on the form:

a, Request additional time to come into compliance with the EBO. This is available to contractors who agreeto fully comply with the EBO but need additional time to add domestic partner coverage, to change companypolicies, or to negotiate the addition of domestic partner coverage to a collective bargaining agreement.Complete the Application for Provisional Compliance (Form OCC/EBO-3) and return it with the EBOCompliance Form (Form OCC/ESO-1). You must submit supporting documentation to verify why additional timeis needed.

b. Request to be allowed to comply with the EBO by providing employees the cash equivalent. This isavailable to contractors who meet both of the following: (1) agree to provide employees with domestic partnersthe cash equivalent of the benefits offered to employees with spouses; and (2) have demonstrated that theyhave taken reasonable yet unsuccessful efforts to comply, or that it would be unreasonable under thecircumstances to require the contractor to provide equal benefits rather than pay the cash equivalent toemployees. Complete the Application for Reasonable Measures Determination (Form OCC/EBO-2) and returnit with the EBO Compliance Form (Form OCC/ESO-1). You must submit the supporting documentationrequested in the Reasonable Measures Form.

c. Request to be allowed to comply with the EBO on a contract-by-contract basis. If your company can onlycomply with the EBO for those locations or employees covered by the ESO, you may apply for compliance on acontract-by-contract basis. Contact the Department of Public Works, Office of Contract Compliance foradditional information. Check the appropriate box on the EBO Compliance Form (Form OCC/EBO-1) andsubmit supporting documentation regarding the locations and employees affected by the EBO.

2. Obtain supporting documentation. The City must verify that each benefit offered by your company is offeredequally. Refer to the EBO supporting documentation information sheet for the type of documentation that will berequired. You must submit supporting documentation for each benefit checked in Question 2 of the EBOCompliance Form (Form OCC/EBO-1 ).

Unless otherwise specified in the RFB/RFPJRFQ, you do not need to submit supporting documentation with thebid or proposal. However, because supporting documentation will be required if you are selected for award of acontract, you must have the supporting documentation readily available for submission. A delay in the submission ofdocumentation will result in a delay in the execution of your contract. If you have already been notified that youhave been selected for the award of a contract, supporting documentation must be submitted immediatelyto avoid delays.

3. Submit the EBO Compliance Form (Form OCC/EBO~1) to the awarding department. If you are requestingadditional time to comply or to be allowed to pay employees the cash equivalent, you must also submit theappropriate forms (see #1 above) and supporting documentation with the EBO Compliance Form.

4. The forms and documentation will be forwarded to the Office of Contract Compliance for review. If additionalinformation or supporting documentation is needed, the Contractor Enforcement Section will contact you to obtainthe information. Because your contract cannot be executed until you have been determined to be incompliance with the EBO, you must respond promptly to any request for additional information,

9Form OCC/EBO-1 0 (Rev. 06/06)

W.O. No. E170825F

BCA 168(06/11/07)

DEPARTMENT OF PUBLIC WORKS.Bureau of Contract Administration

ELEctRICAL SAFETY POLICY IMPLEMENTATION PLAN

PROJECT: South Los Angeles Animal Care Center W.O. E170825F

INSPECTOR: DATE: 1-6-10

THE CONTRACTOR SHALL: PLAN AND IMPLEMENT THE ELECTRICAL SAFETYPOLICY IN ACCORDANCE WITH THE BOARD OF PUBLIC WORKS POLlCY:

Electrical Work ts to be performed by Journeyman Electricians, Transportation System Electrician,Transportation System Technician, or Apprentices currently being trained in a California Approved ElectricalApprenticeship Program under the supervision of a Journeyman Electrician.

APPRENTICES AND JOURNEY-LEVEL WORKERS:

All apprentices will be registered in a State of Callfomia Approved Apprenticeship Program

The use of Journey-Level workers wJ!1comply with all State of California labor laws.

THE WORKFORCE OF PROJECTS DESIGNATED AS REQUIRING "ENHANCED ELECTRICALSAFETY CRITERIA" SHALL COMPLY WITH THE FOLLOWING

70% of all "Journeyman Wireman" will be graduates of a State of California Approved ElectricalApprenticeship Program or hold a valid C-10 California Contractor's License Issued by theState of California.

20% of the jobsite electrical workers will be OSHA 10-hour General Industry Safety and HealthCertified

At least one [obslte electrical worker will be OSHA 30-hour General Industry Safety and HealthCertified

The required workforce ratios will be determined by verifying the workforce composition on adaily basis

Electrical Work is defined as placement, installation, erection, or connection of any electrical wires, fixtures,appliances, apparatus, raceways, conduits, solar photovoltaic cells, or any part thereof, whicll generates, tranmits,transforms, or utilizes electrical energy in any form or for any purpose regardless of voltage.

FAILURE TO FULY IMPLEMENT AND MONITOR THE ELECTRICAL SAFETY POUCY MAYRESULT IN AN' ASSESSMENT OF PENALTIES AND/OR POSSIBLE SANCTIONS AGAINST THECONTRACTOR.

Distribution: ContractorJob FileProject Engineer

Date

As the contractor's representative, I understand and agree to complywith the above Electrical Safety Policy.

1-6-10

1-12

w.o. No. E170825F

SUBCONTRACTORS / SUBCONTRACTOR SUBSTITUTIONS

Project Name: South Los Angeles Animal Care Center

Work Order Number: ;:;;:E""1-'-70""8:;.:2""5;.:.F _

Contractor: MackoneDevelopment, Inc 0

Acceptance by the City of Los Angeles Board of Public Works of this Contractor's Bid does not indicateautomatic approval of the subcontractor(s) listed in the Bid-proposal.

By acknowledging with the signature of an authorized representative below, the Contractor understands that itmust obtain approval for all Subcontractors, at all levels, whether Bid-Listed or not, from the SRI Section of theGeneral Services Division of the Bureau of Contract Administration (BCA) prior to the Subcontractor(s)performing any work on this project.

The Contractor understands that no entity other than the SRI Section ofBCA has the authority to approve eitheran original request for approval or request for substitution of any subcontractor(s).

The Contractor further understands that Subcontractors approved for work on any other project for the City of LosAngeles does not constitute approval to work on this project also, and that there are no "blanket approvals" ofSubcontractors for this, or any other, project.

The Contractor also understands that it may not substitute any Subcontractor, at any level, whether Bid-listed ornot, without the approval of the SRI Section of BCA acting on behalf of the Board of Public Works.

The Contractor understands and acknowledges that there shall be a penalty assessed of no more than ten (10)percent of the subcontract amount of each Subcontractor for any of the following:

1. Failure to obtain approval for any Subcontractor(s), at any level, whether Bid-listed or not, from the SRISection ofECA prior to the subcontractor(s) beginning work on the project.

2. Performing the work of any subcontractor(s) at any level, whether Bid-listed or not, without the approval ofthe SRI Section ofBCA.

3. Reducing the Bid-listed and/or approved dollar amount of work to be performed by any Subcontractor(s), atany level, whether Bid-listed or not, for any reason, without the approval of the SRI Section of BCA.

4. Substituting for any Subcontractor(s), at any level, whether Bid-listed or not, without the approval of the SRISection ofBCA acting on behalf of the Board of Public Works.

5. Assigning the work of any Subcontractor(s), at any level, whether Bid-listed or not, to anyone other than saidSubcontractor, without the approval of the SRI Section ofBCA.

Scott Yang - PresidentAuthorized Contractor Representative (Print Name)

1-6-10Date

1- 13

W.O. No. E170825F

BID PROPOSAL

PART II

Print and submit Part II pages single-sided only

w.o. No. E170825F

PROPOSAL

PART II(Pages 2-1 thru 2-8)

THE CITY OF LOS ANGELESNON-DISCRIMINATION • EQUAL EMPLOYMENT PRACTICES. AFFIRMATIVE ACTIONREQUIREMENTS FOR CONSTRUCTION CONTRACTORS

Los Angeles Administrative Code (LAAC), Division 10, Chapter 1,Article 1,Section 10.8, requires entities doingbusiness with the City to comply with a Non-Discrimination/Affirmative Action Program.

Every contract which is let, awarded or entered into on behalf ofthe City of Los Angeles, shall contain by insertiontherein a non-discrimination clause, contained herein, obligating the Contractor not to discriminate during theperformance of this contract against any employee or applicant for employment because of the employee's orapplicant's race, religion, national origin, ancestry, sex, sexual orientations, age or physical handicap. All sub-contracts awarded under this contract shall contain similar non-discrimination clause.

If your company has not submitted a signed certificate and an affirmative action plan to the Office of ContractCompliance for approval, the bidder must submit one of the following with the bid:

Plan A - Los Angeles City Affirmative Action Plan (attached herewith); or

QPlan B - The signed certificate and the Bidder's own Affirmative Action Plan. The plan must contain at aminimum all of the elements of the City's plan.

If your company already has submitted and received an approval from the Office of Contract Compliance, pleaseindicate the date of approval below.

Date Ofapproval:~.

Note: A signed certificate and plan are effective for twelve (12) months from the date of approval by the Officeof Contract Compliance.

2-1

w.o. No. E170825FBCA Form (716/00) CITY OF LOS ANGELES

NONDISCRIMINATION. EQUAL EMPLOYMENT PRACTICES. AFFIRMATIVEACTION CONSTRUCTION & NONCONSTRUCTION CONTRACTORS (VENDORS, SUPPLIERS, CONSULTANTS)

Los Angeles Administrative Code (LAAC), Division 10, Chapter I, Article 1, Section 10.8 requires entities doing business with theCity to comply with a Nondiscrimination/Affirmative Action Program. (Refer questions regarding these requirements to the Bureau ofContract Administration, Office of Contract Compliance, Affirmative Action Section, at (213) 847-1922.) In order to comply, it isnecessary that the bidder/proposer/respondent complete, sign and return with the bid/proposal/response, the following:

A. For all contracts, the contractor agrees to adhere to the following Nondiscrimination Clause:1. The contractor agrees and obligates the company not to discnminate during the performance of this contract against any

employee or applicant for employment because of the employee's or applicant's race, religion, national origin, ancestry, sex,ag,ersexual orientation, disabiTity,marital status, domestic nartner status; or medical condition; and

2. Al subcontracts awarded under this contract shall contain a like Nondiscrimination Clause.

B. For construction contracts from $1,000 to under $5,000 and nonconstruction contracts from $1,000 to under $100,000, thecontractor agrees to:1. Adhere to the Nondiscrimination Clause above;2. Designate a management level Equal Employment Opportunity Officer as provided for in Section "E" below; and3. Adhere to Equal Employment Practices provisions as outlined in LAAC § 10.8.3 and on Page 2-4 ofthis document.

C. For construction contracts of $5,000 or more and non-construction contracts of $100,000 or more, the contractor agrees to:1. Adhere to the Nondiscrimination Clause above;2. Designate a management level Equal Employment Opportunity Officer as provided for in Section "E" below;3. Adhere to Equal Employment Practices provisions as outlined in LAAC § 10.8.3 and on Pages 2-S and 2-6 ofthis document;4. Complete the Ethnic Composition of Total Work Force Report provided on Page 2-3 of this document; and5. Sign and submit an Affirmative Action Plan. The bidder must submit one of the two following plans:

a. Plan A. Los An eles Ci Affirmative Action Plan ("Los Angeles City Affirmative Action Requirements") on Page 2-7an Page 2-8 w IC IS an approve F an reqmnng only signature of acceptance along with the Ethnic Composition ofWork Force (Page 2-3) and submitta to be effective; or,

b. Plan B. The Bidder's own Affirmative Action Plan for approval, which must contain at a minimum all of the elementsofthe City's Plan.

D. Subcontractors:1. The contractor shall require the same documents indicated above to be submitted for subcontractors of any contract awarded

~Ythe City; and2. The contractor shall be responsible for obtaining the Affirmative Action Plans from its subcontractors. Additional forms are

Available from the Office of Contract Compliance or the awarding authority.

E. Equal Employment Opportunity Officer:Please be advised that Scott Yang President: is hereby

NAMEOFDESIGNEE TITLE

designated as the Company's Equal Employment Opportunity Officer. The Officer has been given the authority to establish,disseminate and enforce the Equal Employment and Affirmative Action Policies ofthis firm to ensure nondiscrimination in all ofits employment practices. The Officer may be contacted at:

2244 Beverly Blvd. Los Angeles9 CA 90057 ( 213 )252-9506WORKADDRESS TELEPHONENO,

F. Signed Certification - The Contractor by its signature affixed hereto declares under penalty of perjury that:1. The contractor has read the Nondiscrimination Clause in "A" above and certifies that it will adhere to the practices in the

performances of all contracts;2. The contractor has read the Equal Employment Practices "provisions on Page 2-4 and certifies that it will adhere to the

practices in the performance of any construction contract $1,000 to under $S,OOO and nonconstruction contract $1,000 tounder $100,000;

3. The contractor has designated the Equal Employment Opportunity Officer as noted in Section "E" above;4. The contractor has read the Affirmative Action Program provisions on Pages 2-S and 2-6, certifies that it will adhere to the

practices in the performance of any construction contract of $S ,000 or more and nonconstruction contract of $100,000 ormore and submits an Affirmative Action Plan. Indicate which plan is submitted: 0 City Plan; 0 Company Plan.

S. The information contained herein is true and correct.All Certificates and Plans are effective for 12 months from date of approval by the Office of Contract Compliance.

Mackone Development, Inc. h"COMPANYNAME AUTHO~A--TU-R-E----------------------

2244 Beverly Blvd. Scott Yang - PresidentADDRESS NAMEANDTITLE(TYPEORPRINT)

Los Angeles, CA 90057 (213)252-9506 1-6-10CITY,COUNTY,STATE,ZIP TELEPHONE DATE

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w.o. No. E17DB25FBeA FOI111(7/&00)

EQUAL EMPLOYMENT PRACTICES PROVISIONSConstruction Contracts in excess of $1,000 or more but less than $5,000 and

Nonconstruction Contracts of$1,000 or more but less than $100,000

Sec. 10.8.3. Equal Employment Practices Provisions.

Every non-construction contact with or on behalf of the City of Los Angeles for which the consideration is $1,000 or more, and every construction contract for whichthe consideration is $1,000 or more, shall contain the following provisions, which shall be designated as the EQUAL EMPLOYMENT PRACTICES provision of suchcontract:

A . During the performance of this contract, the contractor agrees and represents that it will provide equal employment practices and the contractor and eachsubcontractor hereunder will ensure that in his or her employment practices persons are employed and employees are treated equally and without regard to orbecause of race, religion, ancestry, national origin, sex, sexual orientation, age, disability, marital status, domestic partner status, or medical condition.

1. This provision applies to work or service performed or materials manufactured or assembled inthe United States.2. Nothing in this section shall require or prohibit the establishment of new classifications of employees in any given craft, work or service category,3. The contractor agrees to post a copy of Paragraph A hereof in conspicuous places at its place of business available to employees and applicants for

employment.

B. The contractor will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receiveconsideration for employment without regard to their race, religion, ancestry, national origin, sex, sexual orientation, age, disability, marital status, domesticpartner status, or medical condition.

C. As part of the City's supplier registration process, and/or at the request of the awarding authority, or the Board of Public Works, Office of Contract Compliance,the contractor shall certity in the specified format that he or she has not discriminated in the performance of City contracts against any employee or applicant foremployment on the basis or because ofrace, religion, national origin, ancestry, sex, sexual orientation, age, disability, marital status, domestic partner status, ormedical condition.

D. The contractor shall permit access to and may be required to provide certified copies of all of his or her records pertaining to employment and to employmentpractices by the awarding authority or the Office of Contract Compliance for the purpose of investigation to ascertain compliance with the Equal EmploymentPractices provisions of City contracts. On their or either of their request the contractor shall provide evidence that he or she has or will comply therewith.

E. The failure of any contractor to comply with the Equal Employment Practices provisions of this contract may be deemed to be a material breach of Citycontracts. Such failure shall only be established upon a finding to that effect by the awarding authority, on the basis of its own investigation or that of the Boardof Public Works, Office of Contract Compliance. No such finding shall be made or penalties assessed except upon a full and fair hearing after notice and anopportunity to be heard has been given to the contractor.

F. Upon a finding duly made that the contractor has failed to comply with the Equal Employment Practices provisions of a City contract, the contract may beforthwith canceled, terminated or suspended, in whole or in part, by the awarding authority, and all monies due or to become due hereunder may be forwarded toand retained by the City of Los Angeles. In addition thereto, such failure to comply may be the basis for a determination by the awarding authority or the Boardof Public Works that the said contractor is an irresponsible bidder or proposer pursuant to the provisions of Section 371 of the Charter of the City of Los Angeles.In the event of such a determination, such contractor shall be disqualified from being awarded a contract with City of Los Angeles for a period of two years, oruntil the contractor shall establish and carry out a program in conformance with the provisions hereof.

G. Notwithstanding any other provision ofthis contract, the City of Los Angeles shall have any and all other remedies at law or in equity for any breach hereof.

H. The Board of Public Works shall promulgate niles and regulations through the Office of Contract Compliance, and provide necessary forms and requiredlanguage to the awarding authorities to be included in City Request for Bids or Request for Proposal packages or in supplier registration requirements for theimplementation of the Equal Employment Practices provisions of this contract, and such rules and regulations and forms shall, so far as practicable, be similar tothose adopted in applicable Federal Executive orders. No other rules, regulations or forms may be used by an awarding authority of the City to accomplish thecontract Compliance program.

I. Nothing contained in this contract shall be construed in any manner so as to require or permit any act which is prohibited by law.

1. At the time a supplier registers to do business with the City, or when an individual bid or proposal is submitted, the contractor shall agree to adhere to the EqualEmployment Practices specified herein during the performance or conducted of City Contracts.

K. Equal Employment Practices shall, without limitation as to the subject or nature of employment activity, be concerned with such employment practices as:1. Hiring practices;2. Apprenticeships where such approved programs are functioning, and other on-the-job training for non-apprenticeable occupations;3. Training and promotional opportunities; and4. Reasonable accommodations for persons with disabilities.

L. All contractors subject to the provisions of this section shall include a like provision in all subcontracts awarded for work to be performed under the contract withthe City and shall impose the same obligations, including but not limited to filing and reporting obligations, on the subcontractors as are applicable to thecontractor. Failure of the contractor to comply with this requirement or to obtain the compliance of its subcontractors with all such obligations shall subject thecontractor to the imposition of any and all sanctions allowed by law, induding but not limited to termination of the contractor's contract with the City.

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w.o. No. E170825F

AFFIRMATIVE ACTION PROGRAM PROVISIONSConstruction Contracts of$5,000 or More and

Nonconstruction Contracts of $100,000 or More

BCA Form (7/6/00)

Sec. 10.8.4. Affirmative Action Program Provisions.

Every non-construction contract with or on behalf of the City of Los Angeles for which the consideration is $100,000 or more and every construction contract with or onbehalf of the City of Los Angeles for which the consideration is $5,000 or more shall contain the following provisions which shall be designated as the AFFIRMATIVEACTION PROGRAM provisions of such contract:

A During the performance of a City contract, the contractor certifies and represents that the contractor and each subcontractor hereunder will adhere to an affirmativeaction program to ensure that in its employment practices, persons are employed and employees are treated equally and without regard to or because of race,religion, ancestry, national origin, sex, sexual orientation, age, disability, marital status, domestic partner status, or medical condition.

I. This provision applies to work or services performed or materials manufactured or assembled in the United States.2. Nothing in this section shall require or prohibit the establishment of new classifications of employees in any given craft, work or service category.3. The contractor shall post a copy of Paragraph A hereof in conspicuous places at its place of business available to employees and applicants for employment

B. The contractor will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receiveconsideration for employment without regard to their race, religion, ancestry, national origin, sex, sexual orientation, age, disability, marital status, domestic partnerstatus, or medical condition.

C. As part of the City's supplier registration process, and/or at the request of the awarding authority or the Office of Contract Compliance, the contractor shall certify onan electronic or hard copy form to be supplied, that the contractor has not discriminated in the performance of City contracts against any employee or applicant foremployment on the basis or because of race, religion, ancestry, national origin, sex, sexual orientation, age, disability, marital status, domestic partner status, ormedical condition.

D. The contractor shall permit access to and may be required to provide certified copies of all of its records pertaining to employment and to its employment practicesby the awarding authority or the Office of Contract Compliance, for the purpose of investigation to ascertain compliance with the Affirmative Action Programprovisions of City contracts, and on their or either of their request to provide evidence that it has or will comply therewith.

E. The failure of any contractor to comply with the Affirmative Action program provisions of City contracts may be deemed to be a material breach of contract. Suchfailure shall onJy be established upon a finding to that effect by the awarding authority, on the basis of its own investigation or that of the Board of Public Works,Office of Contract Compliance. No such finding shall be made except upon a fuJI and fair hearing after notice and an opportunity to be heard has been given to thecontractor.

F. Upon a finding duly made that the contractor has breached the Affirmative Action Program provisions of a City contract, the contract may be forthwith canceled,terminated or suspended, in whole or in part, by the awarding authority, and all monies due or to become due hereunder may be forwarded to and retained by theCity of Los Angeles. In addition thereto, such breach may be the basis for a determination by the awarding authority or the Board of Public Works that the saidcontractor is an irresponsible bidder or proposer pursuant to the provisions of Section 371 of the Los Angeles City Charter. In the event of such determination, suchcontractor shall be disqualified from being awarded a contract with the City of Los Angeles for a period of two years, or until he or she shall establish and carry out aprogram in conformance with the provisions hereof.

G. In the eventofa finding by the Fair Employment and Housing Commission of the State of California, or the Board of Public Works of the City of 103Angeles, orany court of competent jurisdiction, that the contractor has been guilty of a willful violation of the California Fair Employment and Housing Act, or the AffirmativeAction Program provisions of a City contract, there may be deducted from the amount payable to the contractor by the City of Los angeles under the contract, apenalty ofTEN OOLLARS ($10.00) for each person for each calendar day on which such person was discriminated against in violation of the provisions of a Citycontract,

1. The public Works board of Commissioners shall promulgate rules and regulations through the Office of Contract Compliance and provide to the awardingauthorities electronic and hard copy forms for the implementation of the Affirmative Action Program provisions of City contracts, and rules and regulations andforms shall, so far as practicable, be similar to those adopted in applicable Federal Executive Orders. No other rules, regulations or forms maybe used by anawarding authority of the City to accomplish this contract compliance program.

H. Notwithstanding any other provisions of a City contract, the City of Los Angeles shall have any and all other remedies at law or in equity for any breach hereof.

J. Nothing contained in City contracts shall be construed in any manner so as to require or permit any act which is prohibited by law.

2-5

wo. No. E170825F

BeA Form (7/6/00)

K. The contractor shall submit an Affirmative Action Plan which shall meet the requirements of'this Chapter at the time it submits its bid or proposal or at the time itregisters to do business with the City. The plan shall be subject to approval by the Office of Contract Compliance prior to award of the contract The awardingauthority may also require contractors and suppliers to take part in a pre-registration, pre-bid, pre-proposal, or pre-award conference in order to develop, improve orimplement a qualifying Affirmative Action Plan. Affirmative Action Programs developed pursuant to this section shall be effective for a period of twelve monthsfrom the date of approval by the Office of Contract Compliance. In case of prior submission of a plan, the contractor may submit documentation that it has anAffirmative Action Plan approved by the Office of Contract Compliance within the previous twelve months. If the approval is 30 days or less from expiration, thecontractor must submit a new Plan to the Office of Contract Compliance and that Plan must be approved before the contract is awarded.

(I) Every contract of $5,000 or more which may provide construction, demolition, renovation, conservation or major maintenance of any kind shall in additioncomply with the requirements of Section 10.13 of the Los Angeles Administrative Code.

(2) A contractor may establish and adopt as its own Affirmative Action Plan, by affixing his or her signature thereto, an Affirmative Action Plan prepared andfurnished by the Office of Contract Compliance, or it may prepare and submit its own Plan for approval.

L. The Office of Contract Compliance shall annually supply the awarding authorities of the City with a list of contractors and suppliers who have developedAffirmative Action Programs. For each contractor and supplier the Office of Contract Compliance shall state the date the approval expires. The Office of ContractCompliance shall not withdraw its approval for any Affirmative Action Plan or change the Affirmative Action Plan after the date of contract award for the entirecontract term without the mutual agreement of the awarding authority and the contractor.

M. The Affirmative Action Plan required to be submitted hereunder and the pre-registration, pre-bid, pre-proposal or pre-award conference which may be required bythe Board of Public Works, Office of Contract Compliance or the awarding authority shall, without limitation as to the subject or nature of employment activity, beconcerned with such employment practices as:

I. Apprenticeship where approved programs are functioning, and other on-the-job training for non-apprenticeable occupations;2. Classroom preparation for the job when not apprenticeable;3. Pre-apprenticeship education and preparation.4. Upgrading training and opportunities;5. Encouraging the use of contractors, subcontractors and suppliers of all racial and ethnic groups, provided, however, that any contract subject to this ordinance

shall require the contractor, subcontractor or supplier to provide not less than the prevailing wage, working conditions and practices generally observed inprivate industries in the contractor's, subcontractor's or supplier's geographical area for such work;

6. The entry of qualified women, minority and all other journeymen into the industry; and7. The provision of needed supplies or job conditions to permit persons with disabilities to be employed, and minimize the impact of any disability.

N. Any adjustments which may be made in the contractor's or supplier's work force to achieve the requirements of the city's Affirmative Action Contract ComplianceProgram in purchasing and construction shall be accomplished by either an increase in the size of the work force or replacement of those employees who leave thework force by reason of resignation, retirement or death and not by termination, layoff, demotion or change in grade.

O. Affirmative Action Agreements resulting from the proposed Affirmative Action Plan or the pre-registration, pre-bid, pre-proposal or pre-award conferences shall notbe confidential and may be publicized by the contractor at his or her discretion. Approved Affirmative Action Agreements become the property of the City and maybe used at the discretion of the City in its Contract Compliance Affirmative Action Program.

P. This ordinance shall not confer upon the City ofLos Angeles or any Agency, Board or Commission thereof any power not otherwise provided by law to determinethe legality of any existing collective bargaining agreement and shall have application only to discriminatory employment practices by contractors or suppliersengaged in the performance of City contracts.

Q. All contractors subject to the provisions ofthls section shall include a like provision in all subcontracts awarded for work to be performed under the contract with theCity and shall impose the same obligations, including but not limited to filing and reporting obligations, on the subcontractors as are applicable to the contractor.Failure of the contractor to comply with this requirement or to obtain the compliance of its subcontractors with all such obligations shall subject the contractor to theimposition of any and all sanctions allowed by law, including but not limited to termination of the contractor's contract with the City.

2-6

LOS ANGELES CITY AFFIRMATIVE ACTION PLANLOS ANGELES CITY AFFIRMATIVE ACTION MANDATORY PROVISIONS

Notwithstanding any other provision of this Division to the contrary, every construction contract involving an expenditure of$5,000 or more of Cityfunds, except in cases of urgent necessity, as provided in Section 371 of the Charter of the city of Los Angeles and except as provided in Section 10.9of this Code, shall contain as part of the contract an Affirmative Action Plan substantially as set forth in this section and which by the contractor'ssignature affixed thereto, shall constitute and be established as the contractor's Affirmative Action Plan. The Plan, which may be aplan proposed bythe contractor or the City's proposed Plan prepared by the Office of Contract Compliance, shall be subject to the approval of the Office of ContractCompliance prior to award of the contract. The Plan may consist of a Plan approved by the Office of Contract Compliance within the previoustwelve months, If the previously approved Plan is 30 days or less from expiration, the contractor must submit a new Plan to the Office of ContractCompliance which shall be subject to approval before the contract may be awarded.

Sec. 10.13. Mandatory Provisions Pertaining to Nondiscrimination in Employment and Affinnative Action in Hiring Employees in thePerformance of Work on Certain City Construction Contracts.I. Construction Contracts Included.

The contractor shall not be eligible for an award of a City Construction Contract in excess of $5,000, unless the contractor has submitted as partof the bid a written Affirmative Action Plan embodying both (I) anticipated levels of minority*, women and all other staffing utilization, and(2) specific affirmative action steps directed at applying good faith efforts in a nondiscriminatory manner to recruit and employ minority,women and all other potential staff or is deemed to have submitted such a program pursuant to Subsection 3 of this secnon, Both theanticipated levels and the affirmative action steps must be taken and applied in good faith and in a nondiscriminatory manner to attempt to meetthe requirements of this section for all trades which are to be utilized on the project, whether subcontracted or not.*"Minority" is defined as the term "minority person" is defined in subsection (f) of section 2000 of the Califomia Public Contract Code.

2. Anticipated Utilization.The plan must set forth anticipated minority, women, and all other staffing utilization by the contractor and all subcontractors on each projectconstructed by the City using those trades within the area of jurisdiction of the Los Angeles Building and Construction Trades Council withinthe City of Los Angeles in each work class and at all levels in terms ofstaffhours. The anticipated levels of minority, women and other staffingutilization shall be the levels at which each of those groups are represented in the relevant workforce in the Greater Los Angeles Area asdetermined by the U. S. Bureau of the Census and made available by the Office of Contract Compliance. Attainment of the anticipated levelsof utilization may only be used as an indicia of whether the contractor has complied with the requirements of this section and has applied itsAffirmative Action Plan in good faith and in a nondiscriminatory manner. Failure to attain the anticipated levels of utilization shall not, byitself, disqualify the contractor for award of a contract or subject the contractor to any sanctions or penalties.In no event maya contractor utilize the requirements of this section in such a manner as to cause or result in discrimination against any personon account of race, color, religion, ancestry, age, disability, medical condition, marital status, domestic partner status, sex, sexual orientation, ornational origin.

3. An Affirmative Action Plan.The contractor certifies and agrees to immediately implement good faith efforts measures to recruit and employ minority, women, and otherpotential staff in a nondiscriminatory manner including, but not limited to, the following actions. The contractor shall:a Recruit and make efforts to obtain such employees through:

(I) Advertising employment opportunities in minority. and other community news media Notifying minority, women and othercommunity orgamzanons of employment opportunities.

(2) Maintaining contact with schools with diverse populations of students to notify them of employment opportunities.(3) Encouraging present minority, women and other employees to refer their mends and relatives.(4) Promoting after school and vacation employment opportunities for minority, women and other youth.(5) Validating all job specifications, selection requirements, tests, etc.(6) Maintaining a file of names and addresses of each worker referred to the contractor and what action was taken concerning such

worker.(7) Notifying the appropriate awarding authority of the City and the Office of Contract Compliance in writing when a union with

whom the contractor has a collective bargairung agreement has failed to refer a minority, woman or other worker,b. Continually evaluate personnel practices to assure that hiring, upgrading, promotions, transfers, demotions and layoffs are made in

nondiscriminatory manner so as to achieve and maintain a diverse work force.c. Utilize training programs and assist minority, women and other employees in locating, qualifying for and engaging in such training

programs to enhance their skills and advancement.d. Secure cooperation or compliance from the labor referral agency to the contractor's contractual affirmative action obligations.e. Establish a person at the management level of the contracting entity to be the Equal Employment Opportunity Office; such individual to

have the authority to disseminate and enforce the company's Equal Employment and Affirmative Action Policies.

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w.o. No. E170825F

seA Form (7/6100)

f. Maintain such records as are necessary to determine compliance with equal employment and affirmative action obligations, and makingsuch records available to City, State and Federal authorities upon request.

4. The contractor shall make a good faith effort with respect to apprenticeship and training program to:a Recruit and refer minority, women and other employees to such programs;b. Establish training pro@?l1lS within the company and/or its association that will prepare minority, women and other employees for

advancement opportunities.c. Abide by the requirements of the Labor Code of the State of California with respect to the provision of apprenticeship job opportunities.The contractor shall establish written company policies, rules, and procedures which shall be encompassed in a company-wide AffirmativeAction Plan for all its operations and contracts. Said policies shall be provided to all employees, subcontractors, vendors, unions and all otherswith whom the contractor may become involved infiilfilling any of its contracts. The company's Affirmative Action Plan shall encompass thereqairements contained herein as a minimum and shall be submitted with its bid to the appropriate awarding authority of the City and to theOffice of Contract Compliance of the City.Where problems are experienced by the contractor in complying with its obligations pursuant to this section, the contractor shall document itsgood faith effort to comply with the requirements by the following procedure. The contractor shall state:a. What steps were taken, how and on what date.b. To whom those efforts were directed.c. The responses received, from whom and when.d. What other steps were taken or will be taken to comply and when.e. Why the contractor has been or will be unable to comply.The contractor shall complete and file, and require each of its known subcontractors to complete and file with the contractor's bid for thesubject project an acceptable Affirmative Action Plan.The contractor shall submit and require each or its subcontractors to submit an Ethnic Composition of the Company's Total Work Force (byemployees) prior to the date of award of the contract.No contract shall be executed until the appropriate awarding authority of the City of Los Angeles, and the Federal funding agen0' (if Federalfunds are involved), has determined in writing that such contractor has executed and filed WIth the awarding authority and the CIty Office ofContract Compliance the required Affirmative Action Plan.It shall be no excuse that the union with which the contractor has a collective bargaining agreement providing for referral, exclusive orotherwise, failed to refer minority, women or other employees.

11. Subject to this subsection the contractor shall execute such further forms and documentation at such times and as may be required by theappropriate awarding authority of the City of Los Angeles.

12. Where the contractor has failed to comply with the requirements contained' in this section, any and all sanctions allowed by law may beimposed upon the contractor.

13. The Office of Contract Compliance within the Department of Public Works shall be responsible for administering the City'S ContractCompliance Program in the manner described in Sections 22.359 through 22.359.5 of this Code.

14. At! contractors subject to the provisions of this section shall include a like provision in all subcontracts awarded for work to be performedunder the contract with the City and shall impose the same obligations, including but not limited to filing and reporting obligations, on thesubcontractors as are applicable to the contractor. Failure of the contractor to comply with this requirement or to obtain the compliance of itssubcontractors with all such obligations shall subject the contractor to the imposition of any and all sanctions allowed by law, including but notlimited to termination of the contractor's contract with the City.

5.

6.

7.

8.

9.

10.

By its execution hereof, the contractor accepts and submits the foregoing as its Affirmative Action Plan.

1-6-10 ~~DATE ~OFR==C=E=R~'S~~~~~A~~=------------------------------

Mackone Development, Inc~ Scott Yang - PresidentFIRM NAME OFFICER'SNAME AND TIlLE(TYPEOR PRINT)

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