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YakarI 1 1 1 1 .1 1 1 1 1 l BIDDER: SECTION 1 - BID SCHEDULE CBF-0 OR161AA1. I 1 1 I BIDDER: BID SCHEDULE SCHEDULE OF PRICES FOR RAMONA NORTH BEAUTIFICATION PROJECT PROJECT P83129 UNIT OF EST. UNIT ITEM NO. ITEM DESCRIPTION MEASURE QTY. PRICE COST 1 Clearing & Grubbing. See Section 02230 per details. LS 1 , 0Q V Z 09,9 2 Disposal of Waste Materials LS 1 M.A to r+.A o.o 3 Furnish and install Ackertstone Traditional Pavers 6" x 6" Oak Creek Blend per Plans and F 560 ( q 6 0 Specifications S , 0 4 Furnish and install irrigation system per Plans and Specifications. LS 1 1 0-0 5 Furnish and install Mulch per Plans and Specifications. SF 4,350 0 1/010 6 Furnish and Install 5-gallons Shrubs Coprosma Rpens "Rainbow Surprise" per plans and E 66 S' `I~JO specifications. a 7 Furnish and Install 5-gallons Shrubs Correa Pulchella per plans and specifications. Ea 43 8 Furnish and Install 5-gallons Shrubs Osmanthus Fragans per plans and specifications. Ea 14 % _ 9 Furnish and Install 5-gallon Shrubs Parthenocissus Tricuspidata per plans and specifications. Ea 58 /S $ -J o 10 Furnish and Install 1-gallon Groundcover Arctostaphylos Emerald Carpet per Plans and 1 0 p D 6 Specifications. Ea 7 U 11 Furnish and Install 1-gallon ground cover Cotoneaster Dammeri per 19 7 L Plans and Specifications. Ea p / CBF-1 I 1 i 1 L1 1 1 1 1 i 1 1 wk, BIDDER: 12 Furnish and Install 1-gallon ground cover Heuchera Maxima per Plans gg c and Specifications. Ea 37 O 2 t 6 13 Furnish and Install 1-gallon ground cover Linope Muscari per Plans E 45 $ 3 ) and Specifications. a 6c 14 Furnish and install flats ground cover Gazania Rigens Yellows E 7 B S6 0 approximate 36 plants a 15 Furnish and install flats ground cover Osteospermum Fruticosum 8 Purple approximate 36 plants Ea 16 Furnish and install 24-inch box tree Cards Occidentalis. Ea 18 2 -lo 7 v 17 Furnish and install 24-inch box tree E 10 Y~0 l / 7 ~o'~ Cotinus Coggygria Royal Purple. a TOTAL ~B[ID~ PRICE $ Y y3~C D&ar aMouMn written form The undersigned agrees that these Contract Bid Forms constitute a firm offer to the Owner which cannot be withdrawn for the number of Calendar Days indicated in the Notice Inviting Bids from and after the bid opening date, or until a Contract for the Work is fully executed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. 1 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 1 Alternate Bids are utilized by the Owner, the resulting amount shall be considered the Total Bid Price for the Project. Project will be awarded on Base Bid Schedule. i 1 1 1 / Atta~ d heret9- i a certified check, a cashiers check or a bid bond in the amount of y'~~/(~b0~n.+ f'Do ars o ) said amount being not less than ten percent (10%) of the Total o ' Bid rice. The undersigned grees 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. CBF-2 I IJ 1 I BIDDER: 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 th 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 BidI 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 agreesithat liquidated damages shall apply to this Contract in the amounts and subject to the terms an 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 acknowledg I s receipt, understanding and full consideration of the following addenda to the Contract Documents. Addenda Nos. I 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. CBF-3 I By: I BIDDER: ~ 15 0 . A,-r-~ Business Street Address City, State and Zip Code A o 4511611 - I to 1 2)- elephone Number Type or Print Name Title I Bidder's/Contractor's State of Incorporation: 1 Partners or Joint Venturers: 1 I 1 I I 1 ~~18 Bidder's License Number(s): ~0 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, partnership or joint venture has the authority to do so. CBF-4 I I BIDDER: SECTION 2 BID DATA FORMS CBF-5 r BIDDER: YAKAR 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 YAKAR as Principal, and FIRST NATIONAL INSURANCE COMPANY OF AMERICA , as Surety, are held firmly bound unto the CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of TEN PERCENT OF THE AMT. BID , OF BID AMT. being not less 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 Ramona North Beautification Project as set forth in the Notice Inviting Bids and accompanying Bid Documents, dated- 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 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 1st day of DECEMBER , 20 09 FIRST NATIONAL COMPANY OF AMERICA MICHAELko STONG ATTORNEY-IN-FACT CBF-6 CALIFORNIA ALL-]PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California County of RIVERSIDE On-) 1 before me, R. NAPPI "NOTARY PUBLIC" (Here insert name and title oflhe officer) personally appeared MICHAEL D. STONG who proved to me on the basis of satisfactory evidence to be the person,(.trjwhose name(o is/are-subscribed to the within instrument and acknowledged to me that he/slieMmy executed the same in his/hen4heir authorized capacity(ic4 and that by his/herlthair signaturcKon the instrument the personJt. or the entity upon behalf of which the person(Kacted, executed the instrument. 1 certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct: R. NAPPI WITNESS my hand and official seal COMM. #1798916 n NOTARY PUBLIC -CALIFORNIA RIVERSIDECOhe , n /,(tom //may, My Comm. ExDires June 7, 2012 6 Sigmturc of Notary Pu is (Notary Scan ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT (Tide or description of attached document) (Title 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 Am- acknowledgment completed in California mutt contain verbiage exactly as appears above in the notary section or a separate ackismrledgmenl form ,,,at be properly completed and attached to that document. The onh• exception is if a documeni is to be recorded maside of Califomia. In such instances. antsy alternative acknmrledgmesn verbiage as mar be printed on such a document so long as the verbiage does uol require the notary to do something' that. is illegal for a notary. in California (i.e. certifying the authorized capacity of the signer). Please check the. document carefully far proper notarial wording and attach this form tf required. • State and County information must be the Stale and County where the document signer(s) personally appeared before the notary, public for acknuwledgmcn6 • Date of notarization must be the date that the signer(s) personally appeared which must also be the same date the acknowledgment is completed. • The notary public most print his or her name as it appears within his or her commission followed by a comma and then your title (notary public). Print the name(s) of document signer(s) who personally appear at the time of nomrimion. • Indicate the coneci singular or plural forts by crossing off incorrect forms (i.c. helshd l%-t, is /ere ) or circling the correct forms. Failure to correctly indicate this information may lead to rejection of document recording. • The notary seal impression must be clear and photographically reproducible. Imprimsion must. not cover text or lines. If seal impression smudges, re-seal if a sufficient area permits, otherwise complete a different acknowledgment form, • Signature of the notary public must match the signature on file with the orrice of the county clerk. Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a diffcent document. Indicate title ortype of attached document, number of pages and dole. Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i.c, CEO, CFO, Secretary). • Securely attach this document to the signed document 2008 Version CAPA x12.10,07800-873-9865 www.NotaryClasscs.com erty oQtual. KNOW ALL BY THESE PRESENTS: POWER OF ATTORNEY No. 6966 First National Insurance Company of America 1001 4th Avenue Suite 1700 Seattle. WA 98154 That FIRST NATIONAL INSURANCE COMPANY OF AMERICA, a Washington corporation, does hereby appoint *****SHAWN BLUME; ROSEMARY NAPPI; JEREMY PENDERGAST; MICHAEL D. STONG: Riverside, CA*"***"* its true and lawful attorney(s)-in-fact, with full authority to execute on behalf of the company fidelity and surety bonds or undertakings and other documents of a similar character issued by the company in the course of its business, and to bind FIRST NATIONAL INSURANCE COMPANY OF AMERICA thereby as fully as if such instruments had been duly executed by its regularly elected officers at its home office. IN WITNESS WHEREOF, FIRST NATIONAL INSURANCE COMPANY OF AMERICA has executed and attested these presents this 21st day of March 2009 pacer Wr1 i Dexter R. Legg, Secretary Timothy A. Mikolajewski, Vice President CERTIFICATE Extract from the By-Laws of FIRST NATIONAL INSURANCE COMPANY OF AMERICA: "Article V, Section 13. - FIDELITY AND SURETY BONDS the President, any Vice President, the Secretary, and any Assistant Vice President appointed for that purpose by the officer in charge of surety operations, shall each have authority to appoint individuals as attorneys-in-fact or under other appropriate titles with authority to execute on behalf of the company fidelity and surety bonds and other documents of similar character issued by the company in the course of its business... On any instrument making or evidencing such appointment, the signatures may be affixed by facsimile. On any instrument conferring such authority or on any bond or undertaking of the company, the seal, or a facsimile thereof, may be impressed or affixed or in any other manner reproduced; provided, however, that the seal shall not be necessary to the validity of any such instrument or undertaking." Extract from a Resolution of the Board of Directors of FIRST NATIONAL INSURANCE COMPANY OF AMERICA adopted July 28, 1970. "On any certificate executed by the Secretary or an assistant secretary of the Company setting out, (i) The provisions of Article V, Section 13 of the By-Laws, and (ii) A copy of the power-of-attorney appointment, executed pursuant thereto, and (iii) Certifying that said power-of-attorney appointment is in full force and effect, the signature of the certifying officer may be by facsimile, and the seal of the Company may be a facsimile thereof." I, Dexter R. Legg , Secretary of FIRST NATIONAL INSURANCE COMPANY OF AMERICA, do hereby certify that the foregoing extracts of the By-Laws and of a Resolution of the Board of Directors of this corporation, and of a Power of Attorney issued pursuant thereto, are true and correct, and that both the By-Laws, the Resolution and the Power of Attorney are still in full force and effect. IN WITNESS WHEREOF, I have hereunto set my hand and aff hired the facsimile seal of said corporation this I ,Yj day of o,r0AA SEAL }1928 ~0~1~ e._...a+' .a Dexter R. Le gg, Secretary S-10491DF 3/09 WEB PDF I 1 2.6 1 1 i II 1 1 BIDDER: 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 anyone 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. 1 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 1 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. 1 1 1 1 1 1 1 1 CBF-7 i 1 1 BIDDER: a~ 23 LIST OF PROPOSED SUBCONTRACTORS (continued) ["Duplicate Next 2 Pages if needed for listing additional subcontractors."J Name and Location Description of Work of Subcontractor to be Subcontracted Name: Address: Name and Location of Subcontractor Name: Address: Name and Location of Subcontractor Name: Address: Name and Location of Subcontractor Name: Address: Name and Location of Subcontractor Name: Address: CBF-8 Description of Work to be Subcontracted Description of Work to be Subcontracted Description of Work to be Subcontracted Description of Work to be Subcontracted 1 BIDDER: a 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 Type of Work 2. Date Completed Name and Address of Owner Name and telephone number of person familiar with project II Contract amount Type of Work 3 Date Completed . Name and Address of Owner Name and telephone number of person familiar with project Contract amount Type of Work 4. Date Completed Name and Address of Owner Name and telephone number of person familiar with project Contract amount Type of Work Date Completed CBF-9 ■ GBrlHnsaL COr"1TNnCTORS CHNICAL ABILITY AND EXPERIENCE REFERENCES: 1. Name of City or Business City of Pa5gdV^a Playhouse District Street Lighting Contact Person & Phone No. Bob Gardner- (,626) 744-4643 Type of Work: Street Lighting Concrete work and Trees Date Completed 04/2009 Total Contract Amount $ 964 000.00 2.* Name of City or Business City of San Dimas Contact Person & Phone No. lohn Campbell - (909)394-6240 Type of Work: Concrete Sidewalk Curb & Gutter. Drive ways Block Wall and Asphalt Paving Date Completed 10/2008 Total Contract Amount $ 260,000 3. Name of City or Business Cit_of Pasadena - South Lake Ave. Streetscaoe Contact Person & Phone No. Elvin liana (626) 744-6912 Type of Work: Trees Upligh Irrigation and Planting - Median Landscape Date Completed 12/2008 Total Contract Amount $ 755 000.00 4. Name of City or Business City of Temecula Contact Person & Phone No. Bill McAteer [9511694-6411 Type of Work: Roller Hocks Rink Dasher Boird _ Date Completed 08/2008 Total Contract Amount $ 198.00Q 5. Name of City or Business City of Ontario Contact Person & Phone No. Gary Harms - (909)395-2000 Type of Work: Dry wells Retrofit Date Completed 01/2009 Total Contract Amount $ 105.00Q 113 E. Arrow Hwy, San Dimas, CA 91773 Tel: 909 - 599-1612 F a x : 800 - 750 -9094 I 1 1 i 1 1 1 1 i 1 i 1 1 i 1 1 1 1 BIDDER: L SECTION 3 NON-COLLUSION AFFIDAVIT CBF - 10 ' BIDDER: 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, orcorporation; 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, orthe 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 d pository, or to any member or agent thereof to effectuate a collusive or sham bid. 1141 Sig ature Typed or Printed Name Title 'dd r Subs abed and sworn before me This dda/y off -Oe M 20 D q L (Seal) ' Nota (P 1ilic in and for R. M. HATTAR the Sta_fe f California COMM. # 1801547 L ~ I ~ NOTARY PUBLIC - GAi,!'ORNIAK Z My Commission Expires:. / SAN SERNAR,J!N: WNTY . '::My Camir!. ~,c-•r=., 2012 I ' CBF-11 CITY OF ROSEMEAD RAMONA NORTH BEAUTIFICATION PROJECT PROJECT No. P83129 CONTRACT BID FORMS