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Excel Paving CompanyCITY OF ROSEMEAD DEL MAR AVENUE RESURFACING PROJECT PROJECT No. P43629 C,O'NTRA ROOM FORMS BIDDER: PALP.INC.09A EXCEL PAVING COM N BID SCHEDULE `SCHEDULE OF PRICES FOR DEL MAR AVENUE RESURFACING PROJECT PROJECT No. P43629 BASE BID SCHEDULE UNIT OF EST. UNIT ITEM NO. REM DESCRIPTION, MEASURE QTY. PRICE COST 1 Clearing & Grubbing per plans and LS 1 specifications. See technical provisions TP-2, TP-3 & TP-4. 2 Disposal of Waste Materials. LS 1 ar,~ ~000 3 Construct Compacted Selected Fill CY 50 g 0, YOM . o 4 Cold mill variable thickness 2.5 SF . 144,600 inches at the edge of gutter (T 2 3 3 , transition) to 2.0-Inches epsting i pavement. 5 Construct 2.0 inch thick pavement TONS 1,850 n ~ overlay ARHM-GG-C (PG 64-16). d P • ! S9 (0,9 6 Construct 1/2 inch thick Asphaltic TONS 475 n~ d Y Leveling course D1 (PG 64-10). 7 Remove 4-inches of epsting SF 18,023 pavement and replace it with 4- 3fl a , / 9© SZ ! inches of AC B (PG 64-10) Base . , 7 T Course. 8 Install 4-inch thick PCC Sidewalk APWA Std Pl 113 1 SF 500 per . an - . 9 Construct PCC Driveway Approach SF 300 per APWA Std: Plan 110-1. 10 Construct PCC Curb and Gutter perAPWAStd Plan 20-1 LF 25 pp ? 2ds0 . . ? ao • p 11 Install Survey Well Monument per EA 5 City of Rosemead Std: Plan S08- 001. See Section 2-9 Surveying of the General Provision-7 per details O IoOD (Cover, Sleeve & Dome will be provided by the City at no cost). CBF-1 . PALP. INC.DBA BIDDER: EXCEL PAVING COMPANY 12 Adjust Sewer Manhole to Grade EA 22 per APWA Std. Plan 205-1 and ' 206-1. 13 Adjust Water Valve/Gas Valve to G d EA 17 ra e. 14 Install Traffic Striping, Traffic LS 1 Signal Loops, and Pavement Markers per Plans and ~g jLt2, ~a° 300, Specifications Complete. 15 Prepare a Storm Water Pollution SWPPP P ti Pl LS 1 ) reven on an ( TOTAL BASE BID PRICE (SCHEDULE BID PRICE): $ 3 qa 8 70o9 o Dollar amount in writt6 form ALTERNATE BID ITEM 1 UNIT OF EST. UNIT REM NO. ITEM DESCRIPTION MEASURE QTY. PRICE COST 16 Install 24-inch box Bradford Pear EA 50 Parkway Tree per APWA Std. Plan 520-4 including 90-days ~S~t7 / a SQQ. maintenance period. TOTAL ALTERNATE BID ITEM #1 PRICE Dollar arrf6unt in written form F TOTAL BASE BID PRICE,INCLUDINC. ALTERNATE BID ITEM #1 $ 31P S 37 0, 90 qv e00 Dollar amount in written f rm-• 00 Note: The City of Rosemead reserves the right.to. reduce orincrease ,thequantities 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. 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 considered the Total Bid Price for the Project. CBF-2 MP. tAIC.08A BIDDER: EXCEL PAVING coMpAPJy 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. Attached hereto is a certified check, a cashier's check or a 12id bond in the amount of Dollars 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 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 contractors 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. 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. N VN 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 PALP. INC.DBA BIDDER: EXCEL PAVING COMPAMY (VLv-~ By: ( `U Signature C. F, BROWN, PRESIDENT Type or Print Name Title 2230 LEMON AVENUE LONG BEACH, CA 90806 Business Street Address City, State and Zip Code (5621599-5841 Telephone Number Bidder's/Contractor's State of Incorporation: f;ALIFOSBMoA Partners or Joint Venturers: oxh Bidder's License Number(s): NOTES: STATE LIC. 688659 W 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 An. 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. 44, CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California County of Los Angeles On -APR-7 2910 before me, C. PHILLIPS, NOTARY PUBLIC (Here insert rum: and title of the ofncm) personally appeared PALP DBA EXCEL PAVING C014PANY BY C.P. BROWN, PRESIDENT who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/artif subscribed to the within instrument and acknowledged to me that he7 %M*6yl executed the same in his/t1WAWdi: authorized capacity(ies), and that by his/treskhwit signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the Stale of California that the foregoing paragraph is true and correct. G, PHILLIPS COMM. #1809758 n WI SS my hand and official seal. .e Notary PubllcLallfarnia PAY LOS ANGELES COUNTY Comm, Expim Aug. 16, 2012 2 Signer of Notary Public (Notary SW) ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUNE14T (Title or description of attached doawnent) (Tine or description of attached document continued) Number of Pages Document Date (Additional information) CAPACITY CLAIMED BY THE SIGNER ❑ Individual (s) ❑ Corporate Officer 0illc) ❑ PPrmer(s) J Attorney-in-Pact EI Trustee(s) U Other INSTRUCTIONS FOR COMPLETING THIS FORM Any acknowlecigmew completed in California saws couarn verbiage exactly err appeon above in the rotary session or a separate acbrmvledgmer# form saws be property com pleted and anoched to that document the only eacep(lon rs if a daeumew L to be recorded maside ofCalifo. a in arch into ices, any alternative acbrm•ledgmen t verblege at may be printed on such a dacwneat so' long an the verbiage does not mgdre the rotary to do something that is #legal Jar o notary In Caffiesno (i.e. cerWying the audwised rapacity of r)w signer). Pleat, check the doeutnenl carefully for proper notarial wording and attach thb farm Ifrequired • State and County irdermalion muff be the State and County where the docuusenl signet(s) personally appeared before the notary public for acknowledgment. • Date of notarization mun be the date that the signer(s) personally appeared which most also be the sense date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her wmmmion followed by a warms and then your tide factory public). • Print the name(s) of document signer(s) who personally appear at the tune of notarization. • Indicate the Coates singular or plum] forms by crossing off incorrect forms (Le. hdshdNVrt u Im) or circling dse correct fonns. Failure to correctly indicate this information may lead to rejection of document recording. • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges, re-seal if a sufficient area permits, otherwise complete a different acknowledgment form. • Signature odic notary public most match the signsture on file wide the office of die county clerk. Additional infomialion is not required but could help to emure this ackmwtnignwni in not misused or attached to a different document. Indicate title or type of attached docunvmt, aunilier of pages and dale. Indicate the capacity claimed by we signer If die claimed wpocity is n coiporate officer, indicate the ddc (i.e. CIiO, CFO, Sccrtu y). • Securely attach this document to the signed document 2008 Version CAI'A x12.10.07 800-877-9865 mvs NotsryClassn_com BIDDER: - . . rv Mrwr SECTION 2 BID DATA FORMS CBF-5 PALP Inc. dba BIDDER: Excel Paving Company 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 zre 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 PALP Inc. dba Excel Paving Company as Principal, and Federal Insurance Company as Surety, are held firrnty bound unto the CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of Ten percent of the total amount of the bid 10^i being not less than tan percent (10%) of the Total Bid Price; forthe payment of which sum will and trulyto be m ade, we bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, finely by these .presents. WHEREAS, said Principal has submitted a bid to the OWNER to perform all Work required for the Del Mar Avenue Reaurfaeing Project or set forth in the Notice Inviting Bids and accompanying bid Documents, dated April 7, 2010 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 attomeys' fees to be fixed by the court. SIGNED AND SEALED, this 301h , day of March 20 10 PALP Inc. dba Excel Paving Company (SEAL) Principal By / . BY. Signature C.P. BROWN, PRESIDENT Federal Insurance Company (SEAL) Sul e I'gnature Timothy D-Rap Attorney in Fact CBF-6 CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California County of Orange On 03/30/2010 before me, Debra Swanson, Notary Public (Here insat name and tide of dic officer) personally appeared . Timothy D Rapp who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/ape subscribed to the within instrument and acknowledged to me that he/she #wy executed the same in his/IwA4eip authorized capacity(4&), and that by his/her/ signat=(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the'instrwent. 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. SiViiarse of Notwy Public rR• DEBRASWANSON N J ° COMM, 9 1822117 NOTARlPUWUAL)FORNIA A Ir x' C ORANGE COUNTY N _ M (Notary Seal) y Corm Expires WV 11% 2012 ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT fride or dexnpmon ofaawbod document) (Tide or deatpuon of amohod docutarnt coatiauod) Number of Pages _ Document Date (Additiond information) CAPACITY CLAIMED BY THE SIGNER ❑ Individual (s) ❑ Corporate Officer (Tide) ❑ Partner(s) ❑ Attorncyin-Fact ❑ Trustee(s) ❑ Other INSTRUCTIONS FOR COMPLETING THIS FORM .4iV acbrowltdgatrN completed in Cal(fornia mum contain verbiage esacify ar appears above N dw notary section or a nparete aebswlsdgmwt /non non( be pr+sperb cowpletd and amscArd to rear do umwnr nu ordy acepdon u if a doeronrrv Is to be recorded outside of Cal(fsenta In such instant", any alren.aire aebpwladgmw verblage ar may be printed on such a document sa long as in, verbiage does nor require the notary to do something Char a illegal for a notary in Cal(fornia (4e. cerrr ydrg the trudwised cgoacoy of the signer). Please check the docvwenr aarr/dly/or proper notarial wording and anach This form if required • Stove aM County ialoraaUOa must be the suite std County wtrac die doe" nr signor(s) personally appeared bottom the notary public for xknowtodgmens • Date of notwiutiaa must be the data that the signer(s) peraotW ly appmrcd wt,ich must also be the same dart the ackrowledgmcnt is comple od. • The notary public must print his or her name w it appear within his or her commission followed by a cottum and tern your tide (wary public). • Print the tame(s) of document signer(s) who personally appear u the time of nousumuoa • ld"p the cormct singular or plural fora" by crossing off incorrect forms (i.c. b&W* Yyr it /me) or ckclimg the correct foam. Ftaure to correctly wdicatt this id'otmadoes may lad to rejection of document reoar rW4. • The rotary sal impression must be clear and photographically reproducible. Impression must not cover tw or line, If sal impression smudges, rt-seal if a sufficient era permits, othcrwix complete a different sctnowlcdgrrcni form. • Slpranme of the notary public mum notch the sigruture on file with fire office of the county ckrt 4, O Addaiomal imforraation u nor required but could help to =we this w4mowLedgmeut is not ntisusod or attached to a ditiaent docwtrcn 8 Indicate tide or type of attached document, number of pager and due. 8 Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the tide (i.c. CFA, CFO, Smetary). • Securely attach this document to the signed document 2008 Vmim CAPA v12.10.07 WO-i77.9g65 www.NotaryCWM.cum 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---- e i, as dxir h ua ard lawful Anurrwy- In- Facl t. axocut. w,Jer such Juslgnabw, in mei, r,nnres and tuaaix Iheir co,pu,ale seals m ard deliver le, armor, their lue ll as surety thereon or olhar mse, bonds and undertakings and other writings obligatory In the nature thereof (other than ball bonds) given or executed In the course of business, and any instruments amending or altering the same, and consents to the modification or aheration of any Instrument referred to in said bonds o cbligetlons. In Witness Whereof, said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY have each executed and attested these presents and affixed their corporate seals on this 16th day oi November, 2009. c` kL nndh Wendel, Assistant Secretary ~ u"w . Nonis, Jr., Ywe Pled em STATE OF NEW JERSEY Cerny of Somerset On this 16th day of November, 2009 before me, a Notary Public 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 foregoing Power of Attorney, and the sad Kenneth C. Wendel. being by m, duty swam, did depose and say that he is Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knows tree corporate Seals thereof, that the seals affixed to the foregoing Power of Attorney are Si corporate seals and were thereto affixed by authority of the By- Laws of said Companies; and that he signed said Fewer of Attorney as Assistant Secretary of said Companies by like authority, and that he is acquainted with David B. Nonis, Jr., and knows him to be Vice President of said Companies: and that the signature of David B. Noels, Jr., subscribed to said Power of Attorney is in the genuine handwntlrg of David B. Norms, Jr., and was the rate subscribed by authority of said By. Laws and in deponent's presence. Notarial Seat KATHERINE I ADEIAAR em,~L NOTARY PUBLIC OF NEW JERSEY ~J1NO 2316685 el %Ommi,u:en E-P rr J uly 16, 4016 Notary Public CERTIFICATION Exbeet from the Dy. Lenmcc COMPANY, VIGILANT INDurl COMPANY, am PACinc INDEMNITY COMPANY: "AII powers of attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company; either by the Chairman or the President or a Vice President or an Assistant Vice President, jointly with me Secretary or an Assistant secretary, undo, their rempecdve designations. The signature of such oil"* may be engraved, printed a lithographed. The signature of each of the followrg officers Chairman, President, any Vice President, any As Suir l Vlce Pigment, any 8acmuiry, any Assistant secretary and the seal bl rho Company may be. aMXx by facsimile.io any power or anomey or Io any comf orim retaing thereto appointing Assistant Secretaries or Attorneys. In- Fact for purposes only of executing end attesbng bonds and undertakings and other writings obligatory In the nature thereof, and any such power of attorney or cerflicate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power. so executed and certified by such facsimile signature . and famimile Seal shal be valid and binding upon the Company win respect to any bond or undertaking to which It is attached." I, Kenneth C. Wendel, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY (the "Companll do hereby certify that (i) the foregoing extract of the By. Laws of the Companies is true and correct, pp 1'.. CVnrydnles era dwy (.,,,.d a„d .,Broth w Inurri aurery business In an sp or me unnee Steel a %niel and me Dtsmer or Columba and are authorized by the U.S. Treasury Department: further, Federal and Vigilant are licensed in Puerto Rico and the U.S. Virgin Islands, and Federal is licensed in American Samoa, Guam, and each of the Provinces of Canada except Prince Edward Island: and (iii) me foregoing Power of Attorney is true, correct and In lull force and effect Given under my hand and seals of and lgmpanles at Warren, NJ this March 30, 2010 ~'WANS t r •~h'YaP~' Kennet 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 (908) 903- 3493 Fax (908) 903- 3&;i6 e-mail: surenty0chubb.com Form 15-10-022513-1.1 (Ed. 5- 03) CONSENT CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California County of Los Angeles On ADR -7 1~ before me, C. PHILLIPS, NOTARY PUBLIC (If= alien rune and tide of the amiss) personally appeared P.ALP DBA EXCEL PAVING COMPANY BY C.P. BROWN, PRESIDENT who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/me subscribed to the within instrument and acknowledged to me that heYA4tn6yf executed the same in hisnt~ authorized capacity(ies), and that by hisMeWmir signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, 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. 768 N llfornla C =LOSANGELES S d and ofllcial seal.OUMY u . i6, 2012 Sigrdlaile of Notary Public (NotarrY Sal) ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT (Tide or description of attached document) (Tide or description Number of Pages document continued) Document Date (Additional information) CAPACITY CLAIMED BY THE SIGNER ❑ Individual (s) ❑ Corporate Officer (fine) ❑ Partrler(S) ❑ Attorney-in-Fact I--I I'rustee(5) ❑ other INSTRUCTIONS FOR COMPLETING THIS FORM Arq• ackrrowlea(gmew completed in California murr contain verbiage exactly ar appears above in the rotary section or a separate acklawlugment form mutt be property completed and attached to that document. The only exception is if a document Is to be recorded out/dc of Cafifom/a In such instincts. any dtern alive acknowledgment verbiage as may be pAnted on such a docwnenr to' long ar the verbiage does nor require the rotary to do smrrhi g clam is dfegd far a W(MY fn California rt.c ceroWng die mahonYed capacity of the signer). Pfearr check /he dociavena carefullyfor proper ruemfal wording and attach dil fwm((required • Slate and County information must be the Slade and County where the document signer(s) personally appeared before the notary public for acknowledgment. • Date of rtotarintion must be the date that the signer(s) personally appeared which must elm be the seine date the acknowledgment Is completed. • The notary public must print his or her name a it appears within his or her commission followed by a commit and then your tide (uti public). • Print the name(s) of document signer(s) who personally appear at the time of notarisation. • Indicate die comet singular or plural forms by crossing off incorrect forms (i.e. hdshdWey,- is late ) 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. Impfesslon must not cover text or lines. If seal impression smudges, te-seal if a sufficient area prints, otherwise complete a different acknowledgment form. • Signature of du notary public must mntch the signature on file with die office of the county drnk. Additional infomhalion is not required but could help to easurc this acknowledgment is not misused or attached to a different document Indicate title or tpro of aitched doeunicni, number of pages mid dm c. Indicate the capacity claimed by do signor. If die claimed capacity is a cospone officer, indicate the fide (i. c. C¢0, CFO, Secretary). • Securely attach this document to the signed document 2C-18 V,rsion ('Al'A ,,2.1007 800.87]-9865 w,w f1ri aryClassw.com PALP. INUBA BIDDER: cwrcr MINS f OMPA"Y 2.8 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 sef forth below:' Subletting or subcontractmg'of any portion of the Work in:excess of one half of one percent (greater than,0.5%o 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. CBF-7 PALP. INC.OBA BIDDER: FXCEL PAVING COMPANY 2.6 LIST OF PROPOSED SUBCONTRACTORS (continued) [-Duplicate Ne# 2 Pages if needed for listing additional subcontractors.' Name and Location Description of Work of Subcontractor to be Subcontracted Name: 6,9002 /hla,-X1~ I nei . v Address: O F. Cfr+~!-evm ~ Ea. f ZSo7 Name and Location of Subcontractor Name: S 7-APV- 6 Address: .2-5-70 6~Jp _ sty, Description of Work to be Subcontracted Name and Location of Subcontractor Name: L ~vw Address: U Description of Work to be Subcontracted s ;tom ~~.rw~ Name and Location of Subcontractor Name: C, &d Address: 103<- Q Oeaf ~J U. 9r7oz Name and Location of Subcontractor Name: Address: Description of Work to be Subcontracted Description of Work to be Subcontracted CBF - S PALP. 6N&MA BIDDER: cures n.... r. NON-COLLUSION AFFIDAVIT In accordance with Public Contract Code Section 7106, the undersigned, being firs; 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 oi, 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 staternents 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. „ Signature, C. P. BROWN, PRESIDENT Typed,orPrinted:Name Title PALP. INUBA EXCEI PAMNS CoAAPAPIY Bidder Subscribed and sworn before me This - day of APR - 7.20.10 , 20_ - (Seal) NotaryPu lic in a for the State of Califo is My Commission Expires: '31(D' vL =Notary _ 58 Y fornle UNTY . 16.2012 . CBF`_ 11