Excel Paving CompanyBIDDER: migm
EXCEL NU t;UYwrmW
SECTION 1- BID SCHEDULE
CBF-1
PW.. INC.DBA
BIDDER: G E oMl~ 1R_ IM111AJy
BID SCHEDULE
SCHEDULE OF PRICES FOR
HELLMAN AVENUE RESURFACING PROJECT
PROJECT No. P82729
BASE BID SCHEDULE
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
1
Clearing & Grubbing per plans and
LS
1
specifications-See technical
J ~s~
3 3 S~
provisions TP-2, TP-3 & TP-4.
2
Disposal of Waste Materials.
LS
1
3
Cold mill 2-inches thick exsting
t
SF
76,590
30
pavemen
.
4
Cold mill 3-inches thick existing
a
ement
SF
96,102
3~
1e
' g 79~
p
v
.
,
.
5
Cold mill 4-inches thick exsting
t
SF
69,840
2
3/g
pavemen
.
'
6
Construct variable thickness
TONS
3,250
pavement overlay ARHM-GG-C
(PG 64-16) as indicated on the
plans.
7
Construct variable thickness
TONS
1280
Asphaltic Leveling course D1 (PG
64-10) as indicated on the plans.
7
8
Remove 8-inches of exsbng
SF
500
pavement and replace it with 6-
inches of AC B-PG 64-10 Base
Course over compacted native.
9
Install Survey Well Monument per
EA
21
City of Rosemead Std. Plan S08-
001. See Section 2-9 Surveying of
the General Provision-7 per details
(Cover, Sleeve & Dome will be
provided by the City at no cost).
10
Adjust Sewer Manhole to Grade
EA
31
per APWA Std. Plan 205-1 and
7 OO
206-1.
11
Adjust Water Valve/Gas Valve to
Grade
EA
38
! i
'
/
.
rw
CBF-2
PALP. INC.DBA
BIDDER: EXCEL PAVING COMPAW
F
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
12
Install Traffic Striping, Traffic
LS
1
Signal Loops, and Pavement
Markers per Plans and
Wszv-~
~FSSOO. /
Specifications Complete.
13
Prepare a Storm Water Pollution
LS
1
Prevention Plan (SWPPP)
39f~.
3g~j,
14
Paint Home Addresses (Curb
EA
100
Numbering)
A/~
~
15
Provide a Traffic Control Plan
LS
1
prepared and stamped by a
registered Traffic Engineer for
p
approval.
~o
TOTAL BASE BID PRICE (SCHEDULE BID PRICE): $ 5LI ~L 3(n.2. Tot.
amount in writte4f form
"-e, ILGo~
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.
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.
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 bid bond in the amount of
Dollars /0 ) 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.
1
CBF-3
PW.. INUBA
BIDDER: P ^ nA%nnln nnnelaws
V VY.Y.I V MW VVIYII"Da
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.
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
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-4
PALP, INC.DBA
BIDDER: M..FI PALmin fl~`r1A/lom
2230 LEMON AVENUE
By: I ~nw✓ i nNr; RFACH. CA 90806
Signature Business Street Address
C,p, DROWN, PRESIDENT
Type or Print Name City, State and Zip Code
(562) 599-5841
Title Telephone Number
Bidder's/Contractor's State of Incorporation: CALIFORNIA
Partners or Joint Venturers:
STATE LIC. 688659'A"
Bidder's License Number(s):
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.
CBF-5
CALIFORNIA ALL-PURPOSE
CERTIFICATE OF ACKNOWLEDGMENT
On
State of California
County of Los Angeles
SEP - 81010
beforeme, C. PHILLIPS, NOTARY PUBLIC
IHae uuat tome and sae of Ne omcer)
personally appeared PALP 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/are subscribed to
the within instrument and acknowledged to me that heYChle7t dy executed the same in hisAtWAW authorized
capacity(ies), and that by hisoherAkeis signature(s) on the histrument 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.
C. PHILLIPS
_ COMM, #1809758 n
PAS Notary PuhllcCalifornltt m
WITNESS my hand and official seal. My LOComm, ExPres S ANGELES COUNTY
ze z~
Signature irotary Public Mowry Seal)
ADDITIONAL OPTIONAL INFORMATION
DESCRIPTION OF THE ATTACHED DOCtltr¢NT
(Additional information)
CAPACITY CLAIMED BY THE SIGNER
❑
Individual (s)
❑
Corporate Officer
ll.itlc)
❑
Partner(s)
C1
Atlorney-in-Fact
Cl
1'nlstee(s)
IJ
0dICr
(Title or description of attached documi
(Tide or description of attached docurneal continued)
Number of Pages Document Dale
INSTRUCTIONS FOR COMPLETING THIS FORM
Any acknowledpwrif co"Wltttd in Cal(forms. mwr curuain verbiage es.etly ar
appeon above in the rotary steeon or a separate acbmowleelgrnent form raw( be
property completed and attached to that Jocv m. 7M only exception is if a
docwment I, ra her remrded oraside of Californs. in such nurnsai arty ahemarive
aclstoeledgmen rerblage our may be printed on such a docvmeN u' long ace the
verbiage doss nor mquirt the rotary to do something rim is dirgai for a notary in
edlfMila Ac cerfWng dw adhorited cgwcily of the slgrmer). Pleare cheek IM
documem carefully for proper noearsal wording mad attach w, farm (fregWred
• State and County inforrrution must be the State and County where the document
signa(s) PersoWy appeared before Ne notary public for acknowledgment.
• Date of notarization must be the data that the signer(s) personally appeared which
must also be tlu same date the acknowledgment Is completed.
• The notary public must print his or her name as it appears within his or her
commotion followed by a comma and then your lido (notary, public).
• Print the rounds) of document signer(s) who personally appear at the time of
,
notarization
• Indicate the coned singulu or plural forms by crossing on incorrect forms (i. e.
hdsherNrt u lw ) or circling the correct forms. Failure to comedy indicate this
infomution may iced to rejection of document recording.
• The notary sal impression must be clear and plwtograpmcally reproducible
Impre»ion mast not cover text or lines. If seal impression smudges, re-seal if e
sufficient era permits, otherwise complete a different acknowledgment form.
• Signature of aK notary public must match the sigrulme on file Aida die office of
the county clerk.
Additional information is not required but could help to ensure this
eckrowlcdgnsent is not miv»ed or attached to a diflcant docwnent
Indicate title or t)'1~ of altnehtd documonL number of pages and dole.
Indicate the capacity claimed by die signet. If the claimed upoeity is a
co(Nwe officer, indicate the due (i.e. CEO, (PO, Se carry).
• Securely attach this document U. the signed document
2W8 VCrvion CAPA 02.1M07 800-873-9865 mow, NotsrvClasses. con)
BIDDER: PALP. IINC.I)BA we nnpp
EXCEL AVW 4Vw
SECTION 2
BID DATA FORMS
CBF-6
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 are necessary to adequately provide
the information required. Bidder shall ensure that every page of its Bid Data Forms are properly
identified with the Bidders 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 Commanv
as Surety, are held firmly bound unto the CITY
OF ROSEMEAD (hereinafter called the OWNER) in the sum of
Ten percent of the total amount of the bid
tm% being not less than ten percent (10%) of the Total Bid
Price; forthe payment of which sum will and truly to 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 Hellman Avenue Resurfacing Project as set forth in the Notice
Inviting Bids and accompanying Bid Documents, dated September a, 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 attorneys' fees to be fixed by the
court.
SIGNED AND SEALED, this 2nd day of September , 20 io .
PALP Inc. doe Excel Paving Company (SEAL) Federal Insurance Company L
Principal rety
r
By:
Signature C.P. BROWN
PRESIDENT
By:
-1 nature Timothy D. R
Attorney in Fact
r
CBF-7
CALIFORNIA ALL-PURPOSE
CERTIFICATE OF ACKNOWLEDGMENT
State of California
County of Orange
On
09/02/2010
before me, Debra Swanson, Notary Public
(Here insert lane amd title of the officer)
personally appeared . Timothy D Rapp
who proved to me on the basis of satisfactory evidence to be the person(a) whose name(s) is/*" subscribed to
the within instrument and acknowledged to me that hels1wJO ey executed the same in his/4ff authorized
capacity(tea), and that by hisAw/ 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 State of California that the foregoing paragraph
is true and correct.
WITNESS my hand and official seal.
1~.D'~Cl l9~ tiCT An (lcN\
Sip atiue of NotaryPublic
AS 01 rq DEBRA SWANSON
N rt COMM. 0 1822117
m NOTARY PUSUGCALIFORNIA X
(Nary Seal) ORANGE COUNTY W
Wy Comm. tr{+Ires NOV 10, 2012
ADDITIONAL OPTIONAL INFORMATION
DESCRIPTION OF THE ATTACHED DOCUMENT
(Tide or description of anacred document)
(Tide or description of atuched document cominuod)
Number of Pages _ Document Date
(Additionsl infomatios)
CAPACITY CLAIMED BY THE SIGNER
❑
Individual (s)
❑
Corporate Officer
Critic)
❑
Partner(s)
❑
Attorney-in-Fact
❑
Trustee(s)
❑
Other
INSTRUCTIONS FOR COMPLETING THIS FORM
,i,a aebsowledownt coniplred In California must contain verbiage exactly at
apprari above in W !fumy seaiwn or a separate acbsowledgww /mm mutt ar
properly completed and attached to char document. The wily caption u if a
doamsaa Is to be recorded osasld` of California In such Inman", any alrernahve
acknowledgment wrblage ar may be prived os such a dot-anew so long as the
verbiayr doer nil mquire the rotary to do somrding that it illegal for o hoary in
California (I.e. eerr(7ymg the authorised capacity of the signer). Please check the
doewrest carefully for proper notarial wading and arrach this form ,f requfred
• Suet end County iafomale a must be the Stare end Counry what the documcrn
signor(-) panoaaay appeared before the rotary public for acknowledgmcnL
• Date of rwhriatlea resat be the Use eta Cc sipses(s) persorW ly sppcered which
runt also be the sure date the acknowledgment is compered.
• The rotary public most print his or her sane u it appcars within his or her
commission followed by s comets srsd dien your tide (notary public).
• Print the tunic(s) of document signer(s) who pertorully appear u the time of
notarinuoa
. Indicate the con-act singulu or plural forms by cressini; off incorrect fours (ix,
1 "W/160yr• 6Iarm ) or circling the coned toms. Failure to correctly iodi w this
ioformstlon may lead to rejection of docwseot recording.
• The weary seal impression must be clear ud photographically reproducible.
Impression mutt not cover text or line. If seal impression smudges, tc-scal if a
sufficient sees permits, otherwise complete a different scknowledgment form.
• Sipubue of the wary pudic most match the sigudurp on file with the office of
tbe, county cl"L
O Additional infonn•tioo u not required but could help to attune this
6eimow4edpmnt is not misused w attached to s dlticrent daumroL
O Indicate tide or type of attached documast, rumba of pages and daft.
0 Indicate the etpachy claimed by the signer. If the claimed cepscity u a
corporate officer, indicate the title (i.e. CFA, CFO, Smcwy).
• Securely attach this document to die signed document
2006 Varian CAPA v12.10.07 800.4719865 www.NotaryClaues.oom
KI Chubb POWER Federal Insurance Company Ann: 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 Anorney- br Fact to execute under such desigiragurr in their names and to after than corporate seals to and deliver for and on their behalf as surety
thereon or otherwise, bonds and undertakings and other writings obligatory in the nature thereof (other than bail bonds) given or executed in the course of business, and any
instruments amending or altering the same, and consents to the modification or alteration of any instrument referred to In mid bonds or obligations.
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 days November, 2009.
Kenneth C. Wendel. Assistant Secretary Oar' . Nanis, Jr., Vlce Pyef ant
STATE OF NEW JERSEY
ss.
County 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 Anorney, and the said Kenneth C. Wendel, being by me duty sworn, did 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, that the seals affixed to the
foregoing Power of Anomey are such corporate seals and were thereto affixed by authority of the By- Laws of said Companies; and that he signed said Power of Attorney as p
Assistant Secretary of said Companies by like authority; and that he Is acquainted with David U. Noms, Jr., and knows him to be Vice President of said Companies; and that the
signature of David S. Norris, Jr., subscribed to said Power of Attoney is in the genuine handwriting of David B. Norris, Jr., and was thereto subscribed by aulhonty of said By-
Laws and in demnei presence.
Notarial Seal KATHERINE J. ADEIAAR
QIED NOTAPY PUBLIC OF NEW JERSEY No 23166 85 Cammiuien Expires July 16, 2014
Notary Public
CERTIFICATION
Extract from the By- LaRANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY:
"All powers of ettomey 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 the Secretary or an Assistant Secretary, under their respective designations. The
signature of such officers may be engraved, printed or lithographed. The signature of each of the following officers: Chairman, President, any Vice President, any
Assistant Vice President, any Secretary, any Assistant secretary and ine seal of the Company may oe mixed by facsimile to any power or ettomey or to any
certificate relating thereto appointing Assistant Secretaries or Attorneys- in- Fact for purposes only of executing and attesting bonds and undertakings and other
writings obligatory in the nature thereof, and any such power of anomeyor certificate beating such facsimile signature or facsimile seal shag be valid and binding
upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shag 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, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY
(the "Companies") do hereby certify, that
(i) the foregoing extract of the By- Laws of the Companies Is true and correct,
(n) Me Companies are duty licensed and auttai to transact surety business in all 50 of the United States of America and the District of Columbia 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) the foregoing Power of Attorney is true, correct and in full form and effect.
Given under my hang antl mats of mid Companies at Warren, NJ this September 02, 2010
o y ~
9F •Y ' ~
aL'gAN0. • y ir~~ ~41Y W0.1-
Kenneth C. Wendel, Assistant t 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- 3656
e-mail; surety®chubb.com
Form 15-10-02258-U (Ed.5-03) CONSENT
CALIFORNIA ALL-PURPOSE
CERTIFICATE OF ACKNOWLEDGMENT
State of California
County of Los Angeles
On SEP - 81010
beforeme, C. PHILLIPS, NOTARY PUBLIC
(Hasa Meet nunw std tide of the omcer)
personally appeared PALP 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) istme subscribed to
the within instrument and acknowledged to me that hefttlt 6y executed the same in hisAMMO authorized
capacity(ies), and that by his/herAhkir 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 Stale of California that the foregoing paragraph
is true and correct.
my hVd and official seal.
C. PHILLIPS
COMM. #1609758 ~
a Notary PublicCaliiornle C
LOS ANGELES COUHIY u
My Gomm: E,®irea AUg. 46:1011
(Rotary seal)
mtbtec
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
❑
Partner(s)
❑
Attorney-In-Fact
Trustee(s)
❑
other
INSTRUCTIONS FOR COMPLETING THIS FORM
Any acinow/tdgmew completed in Calt(omw mtur contain verbiage erectly ar
appear, above as the rotary seenon or a separae acknowfedgment form metal be
property comptrred send attached to (hat dxwunr. rM only secessionists ii Is' a
docvmem is to be recorded amide o/Caljsan. d. In such hdriaeru, arty drernatfve
ackiewledgmem rwbiage as may be primed on such a documeid so' long as the
verbiage does mat require the rotary ro do something neat b Illegal for a notary In
CdfJoresk (s.t. certthang tin aeuhorited capacity of lhr signer). Pleare check the
documents careNlyfor proper nemar at wording and attach dh(sfuror {!required.
• Stele and County information must be the Seats: and County where the document
signer(s) personally appeared before die notary public for acknowledgment.
• Date of notarization must be the date that the signer(s) personally appeared which
must also be the acme dam the acknowledgment Is completed.
• The hoary public most print his or bar time as it appears within his or her
commission followed by a comma and then your tide (notary publk).
• Print the neonatal of document signer(s) who personally appear at the time of
notsrvetlon.
• Indicate the, sorted singular or plural forms by crossing on incorrect forms (i. e.
hdsheldley-u /see) or ciriling the correct forms. Failure to comedy indicate this
information may kind to rejection of document recording.
• The notary seal impression must be clear and photographically reproducible,
Impression most not cover text or lines. If seal impression smudges, rc-seal if a
sufllcienl ores perniu, otherwise complete a different acknowledgment form.
• Signature of d,c oou dy public must match the signature on file will, du office of
the county clerk.
Additional infom>alion is not required but could help to enturc this
acknowledgment is not misused of attached to e diflcrent document
Indicate title or tylr. of attached docunvmL nu nkr of pages and dote.
Indicate the capacity claimed by die signet. If the claimed cn)ncity is a
copwrato officer, indlcam the tide (i.c. CFO, ('170, Secretary).
• Securely attach this dOCUment to die signed document
2008 Vcrs on CAl' v!2.10,07 800 87) 980 www. NotarvClasacs. com
pW.. INUBA
BIDDER: EXCEL PAMNG COMPAW
2.6 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 subcontractorwho 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.
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
emergency or necessity, and then only after Owner approval.
CBF-8
PW.. INC.DBA
BIDDER: CNrct PAwmin rnixap,~r{
2.B 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
Pa4e r~ Ge eae
Name:
Address: /rgir(Q
-ALia.Zert, ~ Ca. gi7Sz
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: `YZ
Address: /g3 Y/ .
On 1!eL 9zg&8
Name and Location
of Subcontractor
Name:
Address:
Name and Location
of Subcontractor
Name:
Address:
Description of Work
to be Subcontracted
Description of Work
to be Subcontracted
Name and Location
of Subcontractor
Name:
Address:
Description of Work
to be Subcontracted
CBF-9
I
PALP. INC.OSA
EXCEL PAVING COMPANY
BIDDER:
EE ~nRCt1EQ
.
3
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
Date Completed
2.
Name and Address of Owner
Name and telephone number of person familiar with project
Contract amount Type of Work
Date Completed
3.
Name and Address of Owner
Name and telephone number of person familiar with project
Contract amount Type of Work
Date Completed
4.
Name and Address of Owner
Name and telephone number of person familiar with project
Contract amount Type of Work
Date Completed
CBF-10
BIDDER: PAI.B INC.DBA q~+f{
l,t PAN-Win- nnna®
SECTION 3
NON-COLLUSION AFFIDAVIT
CBF-11
PW.. INCMA
BIDDER: FXCE-1 PAVING COMPAIrJ~(
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; thatthe
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.
(2~ -
Signature
C.P. BROWN, PRESIDENT
Typed or Printed Name
Title PALP INUBA
EXCEL PAVING COMPAW
Bidder
Subscribed and sworn before me
This _ day of SEP - 8 2010 20_
No ary Pub is 'n and for
the State o lifornia
My Commission Expires: Pj'~W-12
(Seal)
C. PHILLIPS
COMM. #1809758 n
Notary Public-California
LOS ANGELES COUNTY n
My Comm. Etpires Aug. 16, 2012
CBF-12