Hardy & Harper, Incr
CITY OF ROSEMEAD
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GARVEY AVENUE STREET RESURFACING PROJECT
FROM NEW AVENUE TO DEL MAR AVENUE
PROJECT No. P45729
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1 7 CONTRACT BID FORMS
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BIDDER: Hardy
& Harper, Inc.
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CONTRACT BID FORMS
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TABLE OF CONTENTS
SECTION 1
BID SCHEDULE
.............................1
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SECTION 2
BID DATA FORMS
............................5
2.A
BID BOND
............................7
2.B
LIST OF PROPOSED SUBCONTRACTORS
.....8-9
2.C
REFERENCES
.....10
SECTION 3
NON-COLLUSION AFFIDAVIT
..........................12
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SECTION 1- BID SCHEDULE
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BIDDER: Hardy & Harper, Inc.
BID SCHEDULE
SCHEDULE OF PRICES FOR
GARVEY AVENUE STREET RESURFACING PROJECT
PROJECT No. P45729
BASE BID SCHEDULE
EST.
UNIT
REM
NO.
REM DESCRIPTION
UNIT
QTY.
PRICE
COST
1
Perform Clearing & Grubbing per
plans and specifications. See
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21 000_
Q-1 000-
technical provisions TP-2, TP-3 &
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TP-4.
2
Disposal of Waste Materials.
LS
1
3
Place Compacted Selected Fill.
CY
100
50--
S 0 o U -
4
Earthwork, Roadway, Excavation &
Fill
LS
1
21
K)
K)
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obb _
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5
Cold mill 3-inch thick AC Pavement
SF
156,738
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2 G 3 T5~ 1
6
Construct 2 inch thick pavement
TONS
2,000
1 S 10 oc)
overlay ARHM-GG-C (PG 64-16).
7
Construct 1 inch thick Asphaltic
TONS
980
( Q f~
Leveling course D1-PG 64-10.
IUIO
/ U/ U V
lD l
8
Remove 10-inches of e>asting
pavement and replace it with 8-
SF
250
I 0
S-00 -
inches of AC B-PG 64-10 Base
J V
Course over compacted native.
9
Construct PCC Curb Ramp per
EA
18
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APWA Std. Plan 111-3.
10
Install 4-inch thick PCC Sidewalk.
SF
3,578
} -
25 O H lCI
11
Construct PCC Driveway Approach
per APWA Std. Plan 110-1.
SF
180
1 D
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12
Construct PCC Curb and Gutter
1
APWA Std
Plan 120
LF
50
O
000-
.
.
-
per
'
13
Construct 8-inches PCC Curb and
8-inches Gutter per Detail on Sheet
LF
250
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11
l n S D _
L
3of 15.
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BIDDER: Hardy & Harper, Inc.
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
UNIT
QTY.
PRICE
COST
14
Construct PCC Cross and
Longitudinal Gutter per APWA Std.
SF
300
I _
1 '
LFl U
Plan 122-2.
15
Install Survey Well Monument per
EA
5
City of Rosemead Std. Plan S08-
001. See Section 2-9 Surveying of
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the General Provision-7 per details
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(Cover, Sleeve & Dome will be
provided by the City at no cost).
16
Adjust Sewer/Storm Drain Manhole
FA
23
VV till
to Grade per APWA Std. Plan 205-
u (f
1 and 206-1.
17
Adjust Water Valve/Gas Valve to
EA
23
5 O 0 -
Soo
t 1
Grade.
/
18
Install Traffic Striping, Traffic
Signal Loops, Pavement Markers
LS
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o
52 ~j2 p~U(p
S Z
S Z
per Plans and Specifications
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Complete.
19
Provide a Traffic Control Plan
prepared and stamped by a
LS
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O~tt1~ V
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registered Traffic Engineer for
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approval.
20
Remove e>asting and Install
LS
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Landscape and Irrigation at Garvey
Avenue Medians per plans and
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o
90
specifications complete. See
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sheets 6, 7, 8, 9, 10, 14 & 15.
21
Remove I)dsting and Install
LS
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Landscape and Irrigation at
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Triangle Park per Plans and
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Specifications Complete. See
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sheets 10, 11, 12 & 13.
22
Remove and dispose wdsting tree
(1) complete as indicated on the
LS
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57
V
plans. See TP 14 & 15 per details.
23
Remove trash, debris by Water
LS
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blast epsting sidewalk and walls to
remove any graffiti, garbage, soil
(1
(11 DUOi(t
[ U p
within the limits of project (property
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line to property line)
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BIDDER: Hardy & Harper, Inc.
NO.
ITEM DESCRIPTION
UNIT
EST.
QTY.
UNIT
PRICE
ITEM
COST
24
Furnish and install Side-Opening
EA
10
Door Waste Containers from
Quickcrete or approved equal
including Seal from the City,
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DOD
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anchor bolts. Final design to be
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approved by the City prior ordering
and installation.
25
Prepare a Storm Water Pollution
Prevention Plan (SWPPP).
LS
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Ube-
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31 0V U
TOTAL BASE BID PRICE (SCHEDULE BID PRICE):
'S'ky' h
SlX -~hpsnnlk A6a\rs -ve✓►
Dollar amount in written form
Note: The City of Rosemead reserves the right to reduce or increase the quantities of any items in
a 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
7 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
FA Alternate Bids are utilized by the Owner, the resulting amount shall be considered the Total
Bid Price for the Project.
Attached hereto is a certified check, a cashier's check or a bid bond in the amount of
Dollars 10 s ) said amount being not less than ten percent (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
n 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
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BIDDER: Hardy & Harper, Inc.
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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 contractors license(s) in good standing; (2) evidence
j 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.
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.
The Bidder understands and agrees that the Total Bid Price is inclusive of all labor, materials, and
ra 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.
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By:
Sign
r^ Steve Kirschner
Type or Print Name
7 Vice President
Title
BIDDER: Hardy & Harper, Inc.
1312 E. Warner Ave.
Business Street Address
Santa Ana, CA 92705
City, State and Zip Code
714-444-1851
Telephone Number
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Bidder's/Contractor's Slate of Incorporation: California
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Partners or Joint Venturers:
Bidder's License Number(s): 215952
NOTES:
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,
nartnershin or ioint venture has the authoritv to do so.
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BIDDER: Hardy & Harper, Inc.
SECTION 2
BID DATA FORMS
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BIDDER: HARDY & HARPER, INC.
Bidder shall submit its Bid data in accordance with the format shown on each of the following Bid
Data Farms. 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 HARDY & HARPER, INC. 1@5
Principal, and INTERNATIONAL FIDELITY INSURANCE COMPANY
, as Surety, are hell firmly bound unto the CITY
OF ROSEMEAD (hereinafter called the OWNER) in the sum of
TEN PERCENT OF THE TOTAL AMOUNT BID
($10% being not less than ten percent (10%) of the Total Bid
Price; forthe payment of which sum will and trulyto be made, we bind ourselves, our
heirs, executors, administrators, successors, and assigns, jointlyand severally, firmly
by these presents.
WHEREAS, said Principal has submitted a bid to the OWNER to perform all Work
required for the Garvey Avenue Street Resurfacing Project as set forth in the Notice
Inviting Bids and accompanying Bid Documents, dates DECEMBER 2. 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) furnishes the required
insurance certificates and endorsements, and fumishes 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 1ST day of DECEMBER 20o,
,tNTERNATIONAL FIDELITY INSURANCE
HARDY & RPER, INC. (SEAL) COMPANY (SEAL)
Prin al Surety
By: By: _
ure t Ve Kirschner Signature DWIGHT REILLY, ATTOR Y-IN-FACT
Vice President
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of California
County of
December 2, 2009 Jo-Ann Lyons, Notary Public
On before me,
Date Here Insert Name and Tide of the Officer
personally appeared Steve Kirschner
who proved to me on the basis of satisfactory evidence to
be the person(Ig whose nan-l is/tee subscribed to the
within instrument and acknowledged to me that
he/sLte/*My executed the same in histlkWA M authorized
capacity(i69), and that by his/i¢>ar/tlnntr signature(O on the
instrument the person(a), or the entity upon behalf of
JO-ANN LYONS which the person(a/ acted, executed the instrument.
[(QM) COMM. x1841329 NotaryPublic-California a I certify under PENALTY OF PERJURY under the laws
ORANGE COUNTY of the State of California that the fore9oin9 Para9raPh is
00111111. Expires Apr. 17,2013
true and correct.
WITNES my nd and o 'Ctal seal.
Place Notary Seal Above Signature Signature of Notary blic
OPTIONAL
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.
Description of Attached Document
Title or Type of Document: Bid Bond
Document Date: December 1, 2009 Number of Pages:
Signer(s) Other Than Named Above: Dwight Reilly
Capacity(ies) Claimed by Signer(s)
Signer's Name: Rfove K'rcchner
Individual
Signer's Nal
❑ Individual
Corporate Officer-Title(s): \1cearpgrlcnt ❑CorporateOfficer-Title(s):
Partner - ❑ Limited ❑ General ❑ Partner - ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Ha,dy R H,,rp,r Inn
Top of thumb here
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Top of thumb here
02007 National Notary Association-9350 De Soto Ave., P.O. Box 2402 •Chalsvmrlh,CA 91313-2402-w NatlonalNOtary_org Item iB00] Reorder Call Toll-Free 1-8009]6£62]
ACKNOWLEDGMENT
State of California
County of ORANGE
On DECEMBER 1, 2009
before me, SUSAN PUGH, NOTARY PUBLIC
(insert name and title of the officer)
personally appeared DWIGHT REILLY
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(R) is/Ape
subscribed to the within instrument and acknowledged to me that he%hRRka r executed the same in
his/l )t)( authorized capacity", and that by his/XXXX4Pat signature(s) on the instrument the
person(k, or the entity upon behalf of which the person(A) 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 (Seal)
SUSAN PUGH
SUSAN PUGH
r Commisston # 1734680
m
e Notary Public - Callfornla
Orange County
MVCornrn. F~Ires Mar28, 2011
Tel (973) 624-7200 POWER OF ATTORNEY
INTERNATIONAL FIDELITY INSURANCE COMPANY
HOME OFFICE: ONE NEWARK CENTER, 20TH FLOOR
NEWARK, NEW JERSEY 07102-5207
FOR BID BOND/RIDER/CONSENTS/AFFIDAVITS
KNOW ALL MEN BY THEIE PRESENTS: That VMRNATTONAL FWELITY INSURANCE COMPANY, a corporation organized end existing
laws of the Slate of New Jersey, and having its principal office in the City of Newark, New Jersey, does hereby constitute and appoint
DWIGHT REILLY, HAL DUECK
Anaheim, CA.
its vie and lawful anarnry(s)-in-fact to execute, seal and deliver for and on its behalf as surety, Any and all bards red undertakings, cop[nets of indemnity and
other writings obligatory in the nature thereof, which am or nay be allowed, required or pemurm by law, suture rule reggulation, tohtnet or otherwise and
the execution of much instrument(s) in pursuance of these presents, shall be as boding upon the said INTIRNATIf1NAL PJDELITY INSURANCE
COMPANY, as fully and amply, to all intents and purposes, as if the seine had been duly executed and acknowledged by its regularly elected officers at in
principal nffice. ,
This Power of Aman yis executed, and mayy be revoked pursuant to and by authority of Article 3-Section 3, of the By-Laws fldaptod by the Board of
Directors of INTERNATIONAL FIDELITY INSURANa COMPANY at a meeting called and held on the 7th day of Pcbmary, [976.
Tim President or any vice President, executive Via President, Secretary or Assistant Secretary, shall have power and authority
(1) To appoint Attorneys-in-fact, and to authorize them to execute on behalf of the Company, and attach the Seat of the Company thereto, bonds and
undertakings, contracts of indemnity and other writings obligatory in the riamm thereof and,
(2) Tn remove, at any time, any such attorney-in-fact and revoke the authority given.
Further this Power of Anomey is signed and sealed by facsimile pursuant to resolution of the Board of Directors of said Company adopted at a meaning
duly calQ and held on the 29th day of April. 1982 of which the following is a true excerpt:
Now therefore the signatures of such officers and die seal of the Company nay be affixed to any, much power of attorney or any cenifcate relating thereto by
facsunife, and any such power of aoomey or ar ifica t bearing men facsimile signatures or facshnde sear .hall be valid and binding upon the Company and any
such power so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any
bond or undertaking to which in is attached.
IN TESTIMONY WHEREOF, biTERNATIONAL FIDELITY INSURANCE COMPANY has caused this instrument to be
signed and in corporate seal to be affixed by its authorzed officer, this 29th day of August, A.D. 2003.
P7I'ERNATIONAL ELITY INSURANCE COWANY
STATE NEW JERSEY
County of [ Essex
Secrets
On this 29th day of August 2003. before me came the individual who executed the preceding instrument to me nona%y known and, being by me duly
swom, amid the he is the thcsein described and authorized offices of the INTERNATIONAL FIDELITY INSURANCE COMPAN~'1 Wt the seat affixed to
said instrument is the Corporate Seal of said Company; that the said Corporate Seal and his signature were duly affixed by order of the Board of Directors of
said Company.
p~aAFiQG IN TESTIMONY WHEREOF, 1 have hereunto set my hand affixed my Official Seal,
~P• at the City of Newark, New Jersey the day and year first above wdnen.
0
O NOTARY C-
~ PUBLIC ~ ~~_~►1~1/~yr-~~
y~I JERS~ A NOTARY PUBLIC OF NEW JERSEY
CERTIFICATION My Commission Expires Nov. 21, 2010
1, the undersigned officer of INTERNATIONAL FIDELITY INSURANCE COMPANY do hereby certify that I have compared the foregoing copy of the
Power of Attorney and affidavit, and the copy of the S"dou of the By-Laws of said Company as set forth In tad Power of Attorney, With the ORIGINALS ON
IN THE HOME OFFICE OF SAID COMPANY, and that the same are correct transcripts thereof, and of the whole of the said originals, and that the said Power
of Attorney has not been revoked and is now in full force and effect
IN TESTIMONY WHEREOF, 1 have hereunto set my hand this 1ST day of DECEMBER, 2009
Assistant Secretary
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BIDDER: Hardy & Harper, Inc.
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 foreach subcontractor who will perform
work, labor or fender service to Bidder in or about the construction of the Work in an amount
r' 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),
r4 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.
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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.
7 Subletting or subcontracting of any portion of the Work in excess of one half of one percent
(greaterthan 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
emergency or necessity, and then only after Owner approval.
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BIDDER: Hardy & Harper, Inc.
23 LIST OF PROPOSED SUBCONTRACTORS (continued)
I^Duplkate Neri 2Pages if needed for listing addalnnal suotonV==.' f
Name and Location kwev I(v1 yn C. Description of Work
ran of Subcontractor (v\ to be Subcontracted
Laindsc(,~ ~Tffv'k } On
Name: Q
Address: 10S esi Coh~S VL
Orah d / CH qz%(.0 -
Name and Location Description of Work
of Subcontractor to be Subcontracted
Svr~ev, welt monV~r en+
Name: CGSe~anc~ SU(Vf~)1~v\ Tnc. J
Address: N tC %
Ora~nc~tl cR q2
i FM Name and Location Description of Work
of Subcontractor to be Subcontracted
Glo~,l Seal n stns. I YU ~iC Loo~S
Name:
Address: 10 Z o` o h Ave-
rm Crw~.P A Cr YtJUe ~ ~ P ~Z B `J
;y
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name:
Address:
Name and Location Description of Work
of Subcontractor to be Subcontracted
f Name:
Address:
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BIDDER: Hardy & Harper, Inc.
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. qee Arrac-hmenr A
Name and Address of Owner
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I Name and telephone number of person familiar with project
Contract amount Type of Work Date Completed
2.
rn Name and Address of Owner
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r~ Name and telephone number of person familiar with project
Contract amount Type of Work Date Completed
3
n•+ Name and Address of Owner
Name and telephone number of person familiar with project
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Contract amount Type of Work Date Completed
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4
Name and Address of Owner
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Name and telephone number of person familiar with project
Contract amount Type of Work Date Completed
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Attachment A
7fardy c0farper, Inc.
Owner/Agency Contact Project (Amount & End Date)
City of Tustin
John I lerrell, PE
Major Pavement
300 Centennial Way
(714)573-3134
D9aintenance Project
'J'ustin, CA 92780
1'. (714)259-8128
2008-2009
5 1,109,000.00 8/09
City of Cypress
Nick Mangkalakiri, PG
08/09 Overlay Project
5275 Orange Ave
(714)229-6729
Cypress, CA 90630
1'. (714) 229-0154
S 1.366.000.00 6/09
City of Carlsbad
Kevin Davis, PE
2008 Pavement Overlay
5950 EI Camino Reat
(760)602-2466
Project.
Carlsbad, CA 92008-7314.
1'. (760)602-8562
5 1,599,000.00 5/09
City of Indio
Celina Miller, AA
Avenue 16 Pavement
150 Civic Center Ball
(760)391-4017
Rehabilitation
Indio, CA 92201
Ciiiillci-@iii(lio.org
5 1,027,500.00 2/09
City of Santa Fe Springs
'Coin Lopez, PE
Washington Boulevard
11710 Telegraph lid.
(562)868-0511
Rehabilitation
Santa Fe Springs, CA
'I'oznl,opez asantafespruigs.org
8570500.00 2/09
90670
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BIDDER: Hardy & Harper, Inc.
SECTION 3
NON-COLLUSION AFFIDAVIT
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BIDDER: Hardy & Harper, Inc.
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 bidderor 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, r to any member or agent
thereof to effectuate a collusive or sham bid. ~/7 / A j
Steve Kirschner
Subscribed and sworn before me
This _ day of
Typed or Printed Name
Vice President
Title
Hardy & Harper, Inc.
Bidder
20
(Seal)
Notary Public in and for
the State of California
My Commission Expires:
CBF - 12
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of California
County of Orange
December 2, 2009
On before me,
Date
-I
Jo-Ann Lyons, Notary Public
Here Insert Name and Title of the Officer '
personally appeared Steve Kirschner
Name(s) of Signer(s)
JOANN LYONS
•
COMM. »1841329 n
EC
`
e
Notary Public-California
M
ORANGE COUNTY
y CmNa. Expires Apr. 17.2013
Place Notary Seal Above
who proved to me on the basis of satisfactory evidence to
be the person(o whose name(®) is/= subscribed to the
within instrument and acknowledged to me that
he/sW/tOy executed the same in hisi'MMO authorized
capacity(03), and that by his/tom/thM signature(s) on the
instrument the person(s), or the entity upon behalf of
which the person(0) 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.
WITNES Ind nd ga:ial seal.
nature
Sig SiwWra of Netar ublic
OPTIONAL
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.
Description of Attached Document
Title or Type of Document: NonCollusion Affidavit
Document Date: December 12009 Number of Pages: 1
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name: stave, K'rcrhne,r
❑ Individual
,I Corporate Officer -Title(s): i/,. pm., nenf
❑ Partner - ❑ Limited ❑ General _
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Hardy g Harper, Inc
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Signer's Name:
❑ Individual
❑ Corporate Officer - Title(s):
❑ Partner - ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Top of thumb here
02007 National Notary Association-9350 De Soto Ave., PO.Bm 2402•Cfatsionh.CA 91313-2402-wviw.NatioaalNotaryorg Item 05907 Reorder Call Tall-Free 1-600 876L27