Gentry Brothers Inc. I I
CITY OF ROSEMEAD
i RESIDENTIAL ROADWAY RESURFACING PROJECT
I PROJECT NO. P46022
CONTRACT BID FORMS
BIDDER: GINW6RMERS.INC
CONTRACT BID FORMS
TABLE OF CONTENTS
SECTION 1 BID SCHEDULE 1
SECTION 2 BID DATA FORMS ..................................................................................................5
2.A BID BOND ................................................................................................................6
2.13 LIST OF PROPOSED SUBCONTRACTORS 7
SECTION 3 NON-COLLUSION AFFIDAVIT .............................................................................10
1
SECTION 1 -BID SCHEDUL
1
BIDDER:
GENTRY BROTHERS, INC
BID SCHEDULE
SCHEDULE OF PRICES FOR
RESIDENTIAL ROADWAY RESURFACING PROJECT
PROJECT No. P46022
BASE BID SCHEDULE
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
UNIT
CITY.
PRICE
COST
1
Perform Clearing & Grubbing per
LS
1
plans and specifications. See
J
technical provisions TP-2.
30 00'~
36
'
2
Disposal of Waste Materials.
LS
1
2 o v
J
°
Z
e
~
3
Place Compacted Selected Fill.
CY
100
4
Earthwork, Roadway, Excavation
&Fill
LS
1
~
-
~
.
,pov
y
,O,o 00
5
Apply Crack Sealant
LS
1
-
7o~U
o
6
Cold mill variable thickness 2-inch
SF
142,620
L
to 0-inch header cut.
7
Construct 1-1/2 inch thick
TONS
2,920
pavement overlay ARHM-GG-C
(PG 64-16)
5'
7
,
r
.
.
000
8
Construct 1/2 inch thick Asphaltic
TONS
940
Leveling course D1 PG 64-10.
Z
S~ Zoo
9
Remove 4-inches of existing
SF
11,100
pavement and replace it with 4-
inches of AC (B-PG 64-10) Base
" a
Course over compacted native.
10
Construct PCC Curb Ramp per
EA
40
i
t
APWA Std. Plan 111-3.
G
C 0 0
11
Construct PCC longitudinal cross
Plan 122-1
utter
er APWA Std
SF
4,560
L11
g
p
.
.
C)
12
Install 4-inch thick PCC Sidewalk.
SF
7,166
Z ` e
13
Construct PCC Driveway
SF
1,780
,
Approach per APWA Std. Plan
110-1.
I Z
14
Construct PCC Curb and Gutter
LF
450
per APWA Std. Plan 120-1.
2~0
CBF-1
BIDDER: GWW&RW HERS. INC
15
Construct PCC variable height
1
"
"
LF
300
) per APWA
retaining curb (6
-
2
Std. Plan 120-1.
16
Install Survey Well Monument per
EA
26
City of Rosemead Std. Plan S08-
001. See Section 2-9 Surveying of
the General Provision-7 per
"
details (Cover, Sleeve & Dome will
G~p t)
J
~o
be provided by the City at no cost).
17
Adjust Sewer Manhole to Grade
EA
50
per APWA Std. Plan 205-1 and
206-1.
0 0
/010 0 0
18
Adjust Water Valve/Gas Valve to
EA
34
Grade.
?
O
19
Install Traffic Striping, Traffic
LS
1
Signal Loops, Pavement Markers
-
u i
per Plans and Specifications
C
l
t
--7 S~c~
7 So
omp
e
e.
0
TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$
All
Dollar amount in written form
ALTERNATE BID ITEM 1
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
20
Install 24-inch box Parkway Trees
EA
170
1
L
as indicated on the plans including
90 calendar days maintenance
/~Q ri
E,? 0 1 000
period.
TOTAL ALTERNATE BID ITEM 1 PRICE:
$ ~Dd
CBF-2
BIDDER: (1'RY BROTHERS. INC
ALTERNATE BID ITEM 2
FGLFV AVENUE STREET RECONSTRUCTION - SEE SHEET 2 OF 12
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
21
Earthwork, roadway, excavation
I
(
and removals.
r
l v
~~Q c
22
Remove and dispose existing
TONS
963
pavement and Reconstruct with fl-
inch thick AHRM-GG-C (PG 64-
67 L
16).
7 0
-1t o
23
Construct 6-inch thick Crushed
TONS
1450
Miscellaneous Base (CMB) over
90% compacted native soil.
/ %
Z 3 Z
24
Install 4-inch thick PCC Sidewalk.
SF
140
25
Construct PCC Driveway
SF
135
Approach per APWA Std. Plan
J
-
n
110-1.
7
26
Construct PCC Curb Ramp per
EA
12
APW A Std. Plan 111-3.
/211.0
C
27
Adjust Sewer Manhole to Grade
EA
3
per APWA Std. Plan 205-1 and
206-1.
Zo
(ry d
28
Adjust Water Valve/Gas Valve to
EA
1
Grade.
2 v
o
29
Install Survey Well Monument per
EA
4
City of Rosemead Std. Plan S08-
001. See Section 2-9 Surveying of
the General Provision-7 per
u J
details (Cover, Sleeve & Dome will
„
5
be provided by the City at no cost).
30
Install Traffic Striping, Traffic
LS
1
Signal Loops, Pavement Markers
=
Q,
per Plans and Specifications
Complete
~p c
S
p
.
TOTAL AL
Dollar amount in written
CBF - 3
BIDDER: GE TRY BROTHERS. ING
ALTERNATE BID ITEM 3
EARLE AVENUE STREET RECONSTRUCTION - SEE SHEET 8 OF 12
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
31
Earthwork, roadway, excavation
C S
and removals.
I
yv o C-0
~~D c
32
Remove and dispose existing
TONS
1,030
pavement and Reconstruct with 4-
inch thick AHRM-GG-C (PG 64-
16).
p
7,3
33
Construct 6-inch thick Crushed
TONS
1,550
Miscellaneous Base (CMB) over
~
90/o compacted native soil.
(r
Z L(l g ~ J
34
Install 4-inch thick PCC Sidewalk.
SF
4,096
76 '
35
Construct PCC Driveway
APWA Std
Pl
h
SF
580
Approac
per
.
an
110-1
.
36
Construct PCC Curb Ramp per
EA
2
o
APWA Std. Plan 111-3.
l ~fGv
$o v
37
Construct PCC Curb and Gutter
LF
150
'
per APWA Std. Plan 120-1.
2 5~
3 7~ O
38
Adjust Sewer Manhole to Grade
EA
5
per APWA Std. Plan 205-1 and
Z v v
206-1.
't o v
39
Adjust Water Valve/Gas Valve to
EA
5
Grade.
40
Install Survey Well Monument per
EA
2
City of Rosemead Std. Plan S08-
001. See Section 2-9 Surveying of
v ;
the General Provision-7 per
details (Cover, Sleeve & Dome will
o 0
be provided by the City at no cost).
41
Install 24-inch box parkway tree
EA
22
Pyrus Kawakamii (Evergreen
Pear) per APWA Std. Plan 520-3
including 90 calendars days
, U
1/
o
maintenance period.
6
TOTAL
Dollar
1V1111
CBF-4
' BIDDER: (SENTRY BROTHERS, INC
zJ
GRAND TOTAL (BASE BID AND ALTERNATES) $ Gl 3 • I S
1 '
' Dollar amount in riff form
Note: The City of Rosemead reserves the right to reduce or increase the quantities of any items in
' the schedule of bid items above, within the limits define in Section 3-2.2.1 of the Standard
Specifications, to stay within the budgeted amount of this project.
' The undersigned agrees that these Contract Bid Forms constitute a firm offer to the Owner which
cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and
after the bid opening date, or until a Contract for the Work is fully executed by the Owner and a third
' party, whichever is earlier. The undersigned also agrees that if there is a discrepancy between the
written amount of the Bid Price and the numerical amount of the Bid Price, the written amount shall
govern.
' If the Bid Documents specify alternate bid items, the following Alternate Bid amounts shall
be added to or deducted from the Total Bid Price entered above. The owner can choose to
include one or more of the alternates in the Total Bid Price of the Project. If any of the
Alternate Bids are utilized by the Owner, the resulting amount shall be co 'dered the Total
Bid Price for the Project.
Attached hereto is a certified check, a cashier's check or bid bo in the amount of
Dollars said amount being not less th to rcent (10%) of the Total
Bid Price. The undersigned agrees that said amount shall be retained by the Owner if, upon award,
we fail or refuse to execute the Contract and furnish the required bonds, certificates and
endorsements of insurance and other certifications within the time provided.
If awarded a Contract, the undersigned agrees to execute the formal Contract, which will be
prepared by the Owner for execution, within five (5) Calendar Days following the Letter of Award for
the Contract, and will deliver to the Owner within that same period the necessary original Certificates
' of Insurance, Endorsements of Insurance, Performance Bond, Payment Bond and all other
documentation and certification required by the Contract.
The undersigned offers and agrees that if this bid is accepted, it will assign to the purchasing body
all rights, title, and interest in and to all causes of action it may have under Section 4 of the Clayton
Act (15 U.S.C. Section 15) or under the Cartwright Act (Chapter 2 of Part 2 of Division 7 of the
' Business and Professional Code), arising from purchases of goods, materials or services by the
Bidder for sale to the purchasing body pursuant to the bid. Such assignment shall be made and
become effective at the time the purchasing body tenders final payment to he Contractor.
' Bidder understands and agrees that, when requested by Owner, he shall provide: (1) evidence
satisfactory to the Owner of Bidder's California contractor's license(s) in good standing; (2) evidence
that the person signing this Bid is authorized to bind Bidder to this Bid and to a contract resulting
therefrom; and (3) any other information and documentation, financial or otherwise, needed by
Owner to award a Contract to the lowest responsible and responsive bidder.
' CBF - 5
BIDDER: (Y BROTHERS, INC
Bidder understands and agrees that liquidated damages shall apply to this Contract in the amounts
and subject to the terms and conditions described in the Contract Form and the Contract
' Documents.
Bidder acknowledges that data submitted with its Contract Bid Forms which it requires to be
' incorporated into a Contract arising out of this Submittal has been so identified by Bidder. Bidder
further acknowledges that the Owner may, at its discretion, incorporate any of the remaining data
submitted herewith into a contract arising out of this Bid.
' The undersigned acknowledges receipt, understanding and full consideration of the following
addenda to the Contract Documents.
' Addenda Nos. , Z-
The Bidder understands and agrees that the Total Bid Price is inclusive of all labor, materials, and
' equipment or supplies necessary to complete the Work as described in the Bid Documents. If this
bid is accepted, the undersigned Bidder agrees to enter into and execute the Contract with the
necessary bonds and accept the Total Bid Price as compensation in full for all Work under the
contract.
1
1
' CBF-6
By: 14d
ign ure
N t C-5 -n-
Type or Print Name
SQL , i 2f 5
Title
Bidder's/Contractor's State of Incorporation:
Partners or Joint Venturers:
BIDDER: MNTf EFWHERS~ [NO
3r~Li L-z J~
Business Street Address
TCwz,,J 4 h--- C_(, 't 17 0
City, State and Zip Code
L2-~- -7S7-9C3
Telephone Number
G Ph-
Bidder's License Number(s):
NOTES:
ct 7LA- Z A,
1) By its signature on this Bid, the Bidder certifies under penalty of perjury the accuracy of the
representations made on the Contract Bid Forms.
2) If Bidder is a corporation, enter State of Incorporation in addition to Business Address
3) If Bidder is a partnership or joint venture, give full names of all partners or joint
venturers.
As further discussed in the Instructions to Bidders, Bidder will be required
to provide evidence that the person signing on behalf of the corporation,
nartnershiu or ioint venture has the authority to do so.
CBF-7
7
BIDDER: GENTRY BRO MERS. [NC
SECTION 2
BID DATA FORMS
CBF - 8
BIDDER:
GENM gF{p IMM [NO
1 2.13 LIST OF PROPOSED SUBCONTRACTORS
' In compliance with the "Subletting and Subcontracting Fair Practices Act," Sections 4100
through 4114 of the California Public Contract Code, and any amendments thereto, each
Bidder shall provide the information requested below for each subcontractor who will
' perform work, labor or render service to Bidder in or about the construction of the Work in an
amount in excess of one-half of one percent (greater than 0.5 of the Bidder's Total Bid
Price, or, in the case of bids or offers for the construction of streets or highways, including
bridges, in excess of one-half of 1 percent of the Contractor's total bid or ten thousand
dollars ($10,000), whichever is greater, and shall further set forth the portion of the Work
which will be done by each subcontractor. Bidder shall list only one subcontractor for any
one portion of the Work.
' Pursuant to Public Contract Code Section 4104, the Owner has determined that it will allow
_ Bidders twenty-four (24) additional hours after the deadline for submission of bids to submit
the information requested by the Owner about each subcontractor, other than the name and
location of each subcontractor.
If the Bidder fails to specify a subcontractor for any portion of the Work to be performed
under the Contract, it shall be deemed to have agreed to perform such portion itself, and
shall not be permitted to subcontract that portion of the Work except under the conditions
hereinafter set forth below.
Subletting or subcontracting of any portion of the Work in excess of one half of one percent
(greater than 0.5%) of the Total Bid Price or, in the case of bids or offers for the construction
of streets or highways, including bridges, in excess of one-half of 1 percent of the
Contractor's total bid or ten thousand dollars ($10,000), whichever is greater, for which no
subcontractor was designated in the original bid shall only be permitted in cases of public
I emergency or necessity, and then only after Owner approval
1 CBF-10
BIDDER:
2.13 LIST OF PROPOSED SUBCONTRACTORS (continued)
["Duplicate Next 2 Pages if needed for listing additional subcontractors."]
Name and Location Description of Work
of Subcontractor to be Subcontracted
<< 1-' ~CJf
Name: C N C.
Address: -E42 i- ti
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: . %A t & t.! C. p, C, y.: o 12.1 ev L-f,,j o H (t ~ j L
Address: N N a C- A
Name and Location
of Subcontractor
Name: P,&.J--S Ti-C- `Z S ► •2={~ ;-"J'---
Address:- Co2N.) A-
Description of Work
to be Subcontracted
I a- -.r p,7~ cr
Name and Location
of Subcontractor
Name:
Address:
Description of Work
to be Subcontracted
Name and Location
of Subcontractor
Name:
Address:
Description of Work
to be Subcontracted
0ENM BROTHERS, INC
CBF - 11
BIDDER: Gamy gROTHEM ING
2.C REFERENCES
The following are the names, addresses and telephone numbers for three public agencies for which BIDDER
has performed similar work within the past two (2) years:
1.
Name and Address of Owner
Name and telephone number of person familiar with project
Contract amount
2.
Type of Work
Date Completed
Name and Address of Owner
Name and telephone number of person familiar with project
Contract amount
3.
Type of Work
Date Completed
Name and Address of Owner
/
lv
Name and telephone number of person fa iliar
h project
Contract amount
4
Type of Work
Date Completed
.
Name and Address of Owner
Name and telephone number of person familiar with project
Contract amount
Type of Work
Date Completed
CBF-12
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1
Ge,nw BROTF m% INC
BIDDER:
SECTION 3
NON-COLLUSION AFFIDAVIT
CBF - 13
(;ENTRY BROTHERS.1NC
Bidder
Ir- INC
BIDDER: GENTRY BRMERS,
NON-COLLUSION AFFIDAVIT
In accordance with Public Contract Code Section 7106, the undersigned, being first duly
sworn, deposes and says that he or she holds the position listed below with the bidder, the
party making the foregoing bid, that the bid is not made in the interest of, or on behalf of, any
undisclosed person, partnership, company, association, organization, or corporation; that the
bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced
or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly
colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham
bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly
or indirectly, sought by agreement, communication, or conference with anyone to fix the bid
price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the
bid price, or of that of any other bidder, or to secure any advantage against the public body
awarding the contract of anyone interested in the proposed contract; that all statements
contained in the bid are true; and, further, that the bidder has not, directly or indirectly,
submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged
information or data relative thereto, or paid, and will not pay, any fee to any corporation,
partnership, company association, organization, bid depository, or to any member or agent
thereof to effectuate a collusive or sham bid. '1~a /
Signat re / I -
X-444 N -rtt
Typed or Printed ame
Si C , Tit S
Title
Subscribed and sworn before me
This day of
Notary Public in and for
the State of California
My Commission Expires:
20
(Seal)
CBF - 14
CALIFORNIA ALL-PURPOSE CERTIFICATE OF AKNOWLEDGMENT
State of: California
County of: Los Angeles
OnMaX 20, 2009 beforeme,N. Smith, Notary
(name and title of the officer)
personally appeared Wayne J. Gentry--------------------------------
who proved to me on the basis of satisfactory evidence to be the person (K) whose name(9) is/M
subscribed to the within instrument and acknowledged to me that he%isy executed the same in
his/her/their authorized capacity (Sad and that by his/bB** c signature(g) on the instrument the person(*
or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS mg hand and official seal
N.
MY
(Notary Seal)
=OPTIONAL INFORMATIONS--
Information below is NOT required by law however may deter fraudulent removal of this form.
Description of Attached Document
Number of Pages 1
Document Date: -N/A
Capacity Claimed by Signer(s)
❑ Individual(s)
b Corporate Officer
Non-Collusion Affidavit
❑ Partner
I type of document
❑ Attorney-in-Fact
❑ Trustee(s)
❑ Other
Additional information
BIDDER: Gentry Brothers, Inc.
Bidder shall submit its Bid data In accordance with the format shown on each of the following Bid
Data Forms. Bidders shall prepare and use as manysheets as are necessaryto adequately provide
the information required. Bidder shall ensure that every page of its Bid Data Forms are properly
identified with the Bidder's name and page number.
2.A BID BOND
KNOW ALL MEN BY THESE PRESENTS:
THAT
Brothers, Inc.
ae
CITY OF ROSEMEAD (hereinafter called
as
are held firmly bound unto the
OWNER) In the sum of
I n% being not lees than ten percent (10%) of the Total
Bid Price; for the payment of which sum will and truly to be made, we bind ourselves,
our heirs, executors, administrators, successors, and assigns, jointly and severally,
firmly by these presents.
WHEREAS, said Principal has submitted a bid to the OWNER to perform all Work
required for the Residential Roadway Resurfacing Project as set forth in the Notice
Inviting Bids and accompanying Bid Documents, dated May 1.1, 2009
NOW, THEREFORE, it said Principal is awarded a Contract for the Work by the
OWNER and, within the time and in the manner required by the above- referenced
Bid Documents, enters Into the written form of Contract bound with said Bid
Documents, furnishes the required bonds (one to guarantee faithful performance
and the other to guarantee payment for labor and materials) furnishes the required
insurance certificates and endorsements, and furnishes any other certifications as
may be required by the Contract, then this obligation shall be null and void; otherwise
It shall remain in full force and effect. In the event suit is brought upon this bond by
the OWNER and judgment is recovered, said Surety shall pay all costs Incurred by
the OWNER in such suit, including reasonable attorneys' fees to be fixed by the
court.
SIGNED AND SEALED, this 12th day of may , 20_2.
Gentry Brothers, Inc. ,(SEAL)
Principal
By: By:
ign re
Federal Insurance g2gEp MEAL)
Su
Signature Linda D. Coats
Attorney in Fact
CBF-9
CALIFORNIA ALL-PURPOSE
CERTIFICATE OF ACKNOWLEDGMENT
State of California
County of Orange
On May 12, 2009 before me, Adelaide C. Hunter, Notary Public
(Here insert name and tide of the officer)
personally appeared
Linda D. Chats
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is4w@i-subscribed to
the within instrument and ackn6wledged to me that4tWshe/dwr. executed the same in+is~herlOwiw- authorized
capacity(ies), and that by his%er/u4eitsignature(s) on the instrument the person(s), or the entity upon behalf of
which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph
is true and correct.
WITNESS my hand and official seal.
Signature of Notary Public
0 ADELAIDE C. HUNTER
Commission g 1808799
Notary Public - California
(Notary Sal) Orange County
M Comm. Expires Au 8, 2012
ADDITIONAL OPTIONAL INFORMATION
DESCRIPTION OF THE ATTACHED DOCUMENT
(Tide or description of attached document)
(Tide or description of attached document continued)
Number of Pages Document Date
(Additional information)
CAPACITY CLAIMED BY THE SIGNER
❑
Individual (s)
❑
Corporate Officer
(Title)
❑
Partner(s)
❑
Attorney-in-Fact
❑
Trustee(s)
❑
Other
INSTRUCTIONS FOR COMPLETING THIS FORM
Airy adnowledaera completed in Cal(fornla must con h+ verbiags cmaly at
aippew: above In the wiloy seetlm or a separate acbwirledgmtnr form muu be
proptrty eomplsod and atsad , to that coarsen. flu owdv escepdon is .V a
doemm* is to be recorded out" of CalUbrnla In such Insamscu, any dternartw
acbmnk%* mV mbragr as may be prbe on arch a dociopwa so fang as the
vwbilar dote not ►rqumt dw softy to do m neA ft that it lAegd for a notary in
CalVomb owr6tmtg do amisortred cgmdty tlf for slgsw). Pleau cheat the
documm c+a VWty fo► proptr nowrid wordbig and mw this farm (f required
• State and County information must be the State and County where the document
signer(s) personally appeared before the notary public for scimowlodpmment.
• Date of nouriation must be the date drat die signet(s) personally appeared which
must also be the same dale the aclmowfedpot Is completed.
• Tiro notary public must print his or ber name as it appears within his or her
commission followed by a comma and dm your title (notary public).
• Print the name(s) of document signer(s) who personally appear at the time of
notarization.
• Indicate the correct singular or plural forms by crowing off incorrect forms (i.e.
intsh lwjsr is Ara) or cuding the correct forms. Failure to correctly indicate this
infortmuim may lad b rejection of doamreat recording.
• The notary seal impression must be clear and phoo p#dcally reproducible.
impression must not cover tend or liner. If seal impression smudges, re-sal if a
sufficient ares permits, otherwise complete a diRarent acimowiedgirrnt forth
• Sigature of the notary public must match the signature on file with the office of
the county clue.
4 Additional information is not required but could help to ensure this
aclaowledgnex b not misused or attached m a different doauneaL
O Indicate We or type of attached document, number of pages and due.
O Indiate the capacity claimed by dw signer. If the claimed capacity is a
corporate officer, mdicate the title (i.e. CEO, CFO, Secretary).
• Securely attach this document to the signed document
2008 Version CAPA v12.10.07 800-673-9865 www.NobwyC6ssm.com
Chubb POWER Federal Insurance Company Attn: Surety Department
OF Vigilant Insurance Company 15 Mountain View Road
Surety ATTORNEY Pacific Indemnity Company Warren, NJ 07059
Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE
COMPANY, a New York corporation, and PACIFIC INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and
appoint Linda D. Coats, Matthew J. Coats, Douglas A. Rapp and Timothy D. Rapp of Laguna Hills, California
each as their true and lawful Anomey- nn- Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behad as surety
Vereon or otherwise, bonds and undenaknQs and other writings obligatory in the nature thereof (other than bail bonds) given or executed to the course of business. and any
instruments amending or altering Ve same, and consents to the modification or alteration d any utstrument referred to In said bonds or obligations.
M Witness Whereof, said FEDERAL INSURANCE COMPANY, VIUM.ANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY have each executed and attested
these presents and affixed theilr corporate seals on this 30th day d March, 2009.
L
' /
Kennet C Wendel, Assistant Secretary Davd s, Jr., Vie Pre, nt
Notarial Sam
KJ.THOWE KAULOCHIR
NOTARY KSUC OF NEW JERSEY
a_Z NpTARy R, No. 231668.5
Ca>wtli aim ~M July 8, 2009
pU B L Notary Public
~FIVJEPS~ CERTIFICATION
Extras from the By- Laws of FEDERAL INSURANCE COMPANY. VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY:
STATE OF NEW JERSEY /
Courtly of So"(sat ss.
On this 30th day of March, 2009 before me, a Notary Pubfic of New Jersey, personally came Kenneth C. Wendel, to me
known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY, the companies which
executed the loregoirg Power of Attomey, and the said Kenneth C. Wendel, being by me duly swum. dd depose and say that he is Assistant Secretary of FEDERAL
INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof. Val the seals aKtxed to the
loregorg Power of Attorney are such corporate seals and were thereto affixed by authority of the By- Laws of I" Conparwes; and that he signed said Power of Attorney as
Assistant Secretary of said Companies by Oka audxxW,, and that he is aoaralnted with David S. Norris, Jr., and knows him so be Vice President of said Companres; and that the
signature of David S. Norris. Jr., subscribed to said Power of Attorney is in the genuine handwriting of David B. Norris, Jr., and was thereto subscribed by authority of said By-
Laws and in deponenrs Dresence.
'AN powers of attorney lot and on behalf of the Company may and shall be executed in the name and on behalf of the Company, either try the Chairman or the
President or a Vice President of an As"ani Vice Pnaidwq. Jointly with the Seaetary or an Assistant Secretary, under their respective designations. The
signature of such offkws may be engraved, prkried or lithographed. The signature of each d the following offlcars. Chairman. President, any Vice President, any
Assistant Vice President, any Secretary, any Assistant Secretary and the "al of the Company may be affixed by feaknlle to any power of attorney or to any
cenifceate relOteg thereto appointing Assistant Secretaries or Attorneys- ln- Fact for purposes only of executing and site" bonds and undertakings and other
wnWVs oblgsoy in the nature thereof, end arty such power of attorney or tarttlode bearing such faalmYe signature or facsimile seal shad he vstld are binding
upon the Camparry and any such power so executed and clrtilled by such facsknda signature and faeslmW a" shall be valid and binding upon the Company
with respect to any bond or undertaking to which it is attached.'
I, Kenneth C. Wendel. Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGII. ANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY
(the 'Companies') do hereby cer* that
(i) the foregonrg extract of the By- Laws of the Companies Is true and correct.
(III the Companies are duly Ikensed and authorized to transact surety business In all 60 of the UnW States of America and the District of Columbia and are
authorized by the U.S. Treasury Depart nertt; hither. Federal and Vigiiant are licensed in Puerto Rico and the U.S. Virgin Islands, and Federal is licensed In
American Samoa. Guam, and each of the Provhces of Canada except Prince Edward island: and
(nk) the foregarg Power of Attorney is true. correct and in IIA farce and a fec.
Gtwn under my hand and seals of said Companies at Warren. NJ this 12th day of May, 2009
YoRw•
omwth C. Waft del. Assistant Secretary
IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM, VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER
MATTER, PLEASE CONTACT US AT ADDRESS LISTED ABOVE, OR BY Telephone (We) 903 3493 Fax (908) 903- 3656
e-mail: surety®chubb.com
Form 15.10- 02258- U (Ed. 5. 03) CONSENT
r S
BIDDER:Gentry Brothers, Inc.
Bidder shall submit its Bid data in accordance with the format shown on each of the following Bid
Data Forms. Bidders shall prepare and use as many sheets as are necessary to adequately provide
the information required, Bidder shall ensure that every page of its Bid Data Forms are properly
identified with the Bidder's name and page number.
2.A BID BOND
KNOW ALL MEN BY THESE PRESENTS:
THAT Gentry Brothers, Inc. as
Principal, and Federal Insurance Company
, as Surety, are held firmly bound unto the
CITY OF ROSEMEAD (hersinaftsr called the OWNER) In the sum of
(5 - i p being not lees than ten percent (10%) of the Total
Bid Price; for the payment of which sum will and truly to be made, we bind ourselves,
our heirs, executors, administrators, successors, and assigns, jointly and severally,
firmly by these presents,
WHEREAS, said Princlpal has submitted a bid to the OWNER to perform all Work
required for the Residentlal Roadway Resurfacing Project as set forth in the Notice
Inviting Bids and accompanying Bid Documents, dated May 130 2009
NOW, THEREFORE, if said Principal is awarded a Contract for the Work by the
OWNER and, within the time and In the manner required by the above- referenced
Bid Documents, enters Into the written form of Contract bound with said Bid
Documents, furnishes the required bonds (one to guarantee faithful performance
and the other to guarantee payment for labor and materials) fumishes the required
insurance certificates and endorsements, and furnishes any other certifications as
may be required by the Contract, then this obligation shall be null and void; otherwise
It shall remain in full force and effect. In the event suit is brought upon this bond by
the OWNER and judgment is recovered, said Surety shall pay all costs incurred by
the OWNER in such suit, including reasonable attomeys' tees to be fixed by the
court.
SIGNED AND SEALED, this 12th day of May 20 09
Gentry Brothers, Inc. (SEAL) Federal Insurance gcE2 r~SEAL)
Principal Surety
By: By:
Signature Signature Linda D. Coats
Attorney in Fact
CBF-9
CALIFORNIA ALL-PURPOSE
CERTIFICATE OF ACKNOWLEDGMENT
State of California
County of
On May 12, 2009 before me, Adelaide C. Hunter, Notary Public ,
(Hen insert name and title of the officer)
personally appeared
Linda D. Coats
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is4me-subscribed to
the within instrument and acknowledged to me that4bWsh&*wr- executed the same in+Wher/Vwir- authorized
capacity(ies), and that by hWher4etrsignature(s) on the instrument the person(s), or the entity upon behalf of
which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph
is true and correct.
WITNESS my hand and official seal.
Signature of Notary Public
ADE= C. HUNTER
C&TWOW" t♦ 1 t11007W
1§9 "o " Pubk • CatiNOr""
(Notary Seal) Cattet ~ Ex*m Avg C 6 2012
ADDITIONAL OPTIONAL INFORMATION
DESCRIPTION OF THE ATTACHED DOCUMENT
(Title or description of attached document)
(ride or description of attached document continued)
Number of Pages Document Date
(Additional information)
CAPACITY CLAIMED BY THE SIGNER
❑
Individual (s)
❑
Corporate Officer
(Title)
❑
Partner(s)
❑
Attorney-in-Fact
❑
Trustee(s)
❑
Other
INSTRUCTIONS FOR COMPLETING THIS FORM
Any aebwwledSmenu completed In Caltrmtia w-i eosin verbiage emcdy as
appear abow br the nomy motion or a separate acbwwledgnwru john nuuu be
property cox0oad and anact ad to that dacrmwm. M exception Is _(f a
dociom mr k to be rrcar+drd oatsidr of Caftfornla In such husanm anry alternarfve
ack w kdp ano wrbiarsr err any be printed on such a doctenere so lartg err the
vabiagr dots mat require dt notary to do sormed tg dw to illegdfor a notay in
C41Vornia (Le. arroft dr au dkvi ed capadry elf At siyrwr). Please check d w
doeum w cargidly jar proper notarial wording and arasch 1Ms forna (f requdnd
• State and Canty information mutt be the Stan and County where the document
signer(s) personally appeared before the notary public for acbwwtodgmenL
• Iete of noteriatim must be the date that the signals) personally appeared which
must also be the sane date the acfmowledpnau Is completed.
• The notary public must print his or her name as it appears within his or her
commission followed by a comma and than your title (notary public).
• Print the name(s) of document signer(s) who personally appear at the time of
notarization
• Indicate the correct singular or plural forms by crowing off incorrect forms (i.e.
Wshe/tltyr is /we ) or circling the correct forms. Failure to correctly indicate this
information may Wed to rejection of document nwrding.
• The notary sal impreation must be claw and photographically reproducible.
Impression must not cover text or lines. If seal irttp ession smudges, re-sal if a
sufficient are permits, otherwise complete a different w4mowledgment form
• Signature of the notary public must match the signature on file with the office of
the cotmty clerk
g' 4 Additional information is root required but could help to ensure this
aclmowfedpnau is not misund or iltached to a ditfaent docvrnent.
O Indicate title or type of attached doommk number of pages and date.
O Indicate the capacity claimed by the signer. Er the claimed capacity is a
corporate offitxr, Wdieate the tide (i.e. CEO, CFO, Secretary).
• Securely attach this document to the signed document
2008 Version CAPA v12.10.07 800-873-9865 www.NouryCWssm.com
Chubb POWER Federal Insurance Company Attn: Surety Department
OF Vigilant Insurance Company 15 Mountain View Road
Surety ATTORNEY Padfic Indemnity Company Warren, NJ 07059
Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE
COMPANY, a New York corporation, and PACIFIC INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and
appoint Linda D. Coats, Matthew J. Coats, Douglas A. Rapp and Timothy D. Rapp of Laguna Hills, California-------
each as their true and lawful Attorney- in- Fact to execute under such designation In their names and to affix their corporate seats to and deliver for and on their behalf as surety
thereon or othenwse. bonds and undertakings and oft( writings obligatory in the nature thereof (other than ball bonds) given or executed in the course of business, am any
instruments amerx8ng or altering the same. and consents to the moddicaWn or afterelion of any instrument referred to In said bonds or obligations.
In witness Whered, said FEDERAL INSURANCE COMPANY, Y)GMNT INSURANCE COMPANY. and PACIFIC INDEMNITY COMPANY have each executed and attested
fhese presents and affixed their corporate seats on this 30th day d March, 2009.
L
Kenn eth C. Wendel, Assistant Secretary f David . Jr., Vice Prsa nl
STATE OF NEW JERSEY
ss
County of Somerset
On this 30th day of March, 2009 before me, a Notary Public of New Jersey, personally came Kenneth C. Wendel, to me
known to be Assistant SeaeWy or FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY, the companies whooh
executed the lonagoirg Power of Attorney, and the said Kenneth C. Wendel. being by me duly swum, did depose and say that he is Assistant Secretary of FEDERAL
INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knows the corporate seats hered, that the seals affixed to the
"org Power of Attorney are such corporate seals and wen thereto affixed by aWtortty of the By- Laws of said Companies; and that he signed said Prover of Attorney as
Assistant Secretary of said Companies by like authority, and that he Is acquainted with David B. Norris, Jr., and knows hum to be Vxe President of said Companies; and that the
signature of David B. Moms, Jr., subscribed to said Power of Attorney b In the genuine handwriting of David B. Notes, Jr., and was thereto subscribed by authority of said By-
Laws and in deponenrs presence.
Notarial Seal
KATFf NEW
~ NOTARY PUBLIC OF Of NE1N X IM
NO TAR Y s No. 2316685
:,t PUBL1~- Cawn"on bpkM A 8r 2oog Notary Public
JEAI 'j<r. CERTIFICATION
Extract from the By. Laws of FEDERAL INSURANCE COMPANY. VKGILMT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY:
-All powers of attorney for and on behalf of the Company may and Nett be executed in the name and an behalf of the Company, either by the Chairman or ft
President or a Vice President or an Assistant Via Preaidaft loirray with the Secretary or an As istard Secretary, under their respective designations. The
signature of such daces may be engraved, printed or Whographed. The signature of each of Me following officers: Charman, President, any Vice President, any
Assistant Vice President, any Secretary. any Assistant Secretary and the seal of this Campany may be afNxad by facsimte to any power of aComay or a any
certif tale relit,ing herelo appointIN Assistant Secretaries or ACENreys- In- Fact for purposes only of exacvtirp and attesting bonds and undertakings and o0 w
wrrongs obligatory in the nature thereof, and arry such power of attorney or certificate bearing such facalmae signature or facsimile seal shall he veld and binding
upon the Company and any such power so executed end certified by such facsimffa signature and faaimile seal shall be valid and binding upon the Company
with respect to any bond or undertaking to which It is attached.'
t, Kervreth C Wendel. Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC NDEMNITY COMPANY
(the T""nies-) do hereby certify that
(i) she foregoing extras of the By- Laws of the Companes Is true and correct.
(ip aid Companies am duly licensed and auUwrtzod to transact surety business In all 50 of the United States of America and the Distract of Columbia and are
■ultwized by the U.S. Treasury Department; further, Federal and Vtgilent are acenaed in Pueblo Rico and the U.S Virgin Islands. and Federal is licensed in
American Samoa. Guam, and each of the Provrrces of Canada except Prince Edward Island; and
(ik) the foregoing Power of Attorney Is We, correct and in kA force and effect.
Given under rrry hand and seals of said Companies at Warren. NJ this 12th day of May, 2009
*awl' * c ~~iir YoRwe
r ~ ~auL~%fititt~
-lKenneth C. Wendel, Assistant Secretary
IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM, VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER
MATTER, PLEASE CONTACT US AT ADDRESS LISTED ABOVE. OR BY Telephone (we) 903- 3493 Fax (908) 903. 3658
e-mail: surety@chubb.com
Form 15-10- 02258- U (Ed. 5- 03) CONSENT
CALIFORNIA ALL-PURPOSE CERTIFICATE OF AKNOWLEDGMENT
State of California
County Of: Los Angeles
On May 20, 2009 ,before me, N. Smith, Notary-----------------------
(name and He of the officer)
personally appeared Wayne J. Gentry--------------------------------
who proved to me on the basis of satisfactory evidence to be the person (9) whose name(g) is/me
subscribed to the within instrument and acknowledged to me that hel aV executed the same in
his/her/their authorized capacity (M~and that by his/bacl mk signature(s) on the instrument the person(O
or the entity upon behalf of which the persons) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hard and official seal
(Notary Seal)
-OPTIONAL INFORMATIONS °m
Information below is NOT required by law however may deter fraudulent removal of this form.
Description of Attached Document
Number of Pages 1
Document Date:
IMI
Capacity Claimed by Signer(s)
❑ Individual(s)
❑ Corporate Officer
i
Bid Bond----------------
❑ Partner
Ti r type of document
❑ Attorney-in-Fact
❑ Trustee(s)
❑ Other
Additional information