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AWI Builders Inci �a 1 cd��eS covi64 CITY OF ROSEMEAD ROSEMEAD PARK AQUATIC FACILITY PROJECT No. P53251 • CONTRACT BID FORMS • C� • • TABLE OF CONTENTS SECTION 1 BID SCHEDULE .......................................................... ............................... 1 SECTION 2 BID DATA FORMS ...................................................... ............................... 5 2.A BID BOND .................................................................... ..............................6 2.B LIST OF PROPOSED SUBCONTRACTORS .............. ............................... 7 SECTION 3 NON - COLLUSION AFFIDAVIT ................................. ............................... 11 C� n U • SECTION 1 - BID • r1 LJ n LJ BIDDER: PLt/��! U /l�J�QS� /A/L BID FOR ROSEMEAD PARK AQUATIC FACILITY PROJECT NO. P53129 BASE BID SCHEDULE TOTAL BASE BID PRICE: amount in written form ALTERNATE BID ITEM NO. 1, 2, 3, & 4 -rT ee V NO. ITEM DESCRIPTION UNIT OF MEASURE EST. QTY. UNIT PRICE TOTAL ITEM COST 1 Shade Structures SF 20 7)r 5 �9)/00 20'x 20' Module 2 Solar System LS 1 OOO 90100, 3 Bleachers EA 8 /5 O�O 13) 4 Entry Marquee LS 1 zg `�� esoro Sign /Supports TOTAL ALTERNATE BID ITEMS PRICE Dollar a7hount in written form Note: The City of Rosemead reserves the right to reduce or increase the quantities of any items in the schedule of values above, within the limits define in Section 3 -2.2.1 of the Standard Specifications, to stay within the budgeted amount of this project. INCORPORATION BY REFERENCE Notice Inviting Bids, Instructions to Bidders, General Conditions, Technical Specifications, Geotechnical Study Report (September 3, 2010) and addenda, Asbestos and Lead Paint Survey Report (August 5, 2010) and addenda, Bidder's Proposal, Plans, Standard Specifications for Public Works Construction 2009 Edition ( "Greenbook "), Drawings, Project Manual, Required Bonds and Forms, Permits, Addenda, and all applicable codes and regulations are hereby incorporated in and made part of this Contract. The provisions of CBF -1 �I BIDDCk: /2 'i /X/14,0.rk9, iN'L • the Greenbook shall apply to this Project except as may be modified by other provisions of the Contract. • n U The undersigned agrees that these Contract Bid Forms constitute a firm offer to the Owner which cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and after the bid opening date, or until a Contract for the Work is fully executed by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 ($ ) 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. CBF -2 BIDDER: fiLJ,(/2 /,9&/l.%JF'ieS 1A16- • 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 Ownerwithin 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 is 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 -3 131DDER:�rY/��%3�1L- /��ieS'j IA✓(_ • By. � Signature )P0,0rZF rz�esCY/ Type or Print Name Title Bidder's /Contractor's State of Incorporation: Partners or Joint Venturers: om/ J,edp Business Street Address U cn g00-4--f City, State and Zip Code 3,2315 .5111 Telephone Number r�ALi�O,P_.virr- Bidder's License Number(s): 9/B y9� _ C--23 , 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. is 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. • BIDDER: Ptz �X Ie J" /A/L • • SECTION 2 BID DATA FORMS CBF -5 BIDDER: BBSU 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. Wan :7i11171.211 N KNOW ALL MEN BY THESE PRESENTS: THAT AWI BUILDERS INC as Principal, and Arch Insurance Company as Surety, are held firmly bound unto the CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of Ten Percent of Amount Bid DOLLARS ($ 10% ), being not less than ten percent (10 %) of the Total Base 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 Rosemead Park Aquatic Facility as set forth in the Notice Inviting Bids and accompanying Bid Documents, dated 11/03/2010 . 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 29th day of October AWI BUILDERS INC. (SEAL) Arch Insurance Company (SEAL) Principal Surety t,, By. �� Y gnature Signatu CBF -6 E. Vega, Attorney -In -Fact n O c Z O m 2 r D m m co r D co cn D m m O m V m Z Z to D Z D W cn m D N CD a m J a (7 m m a n N C v 0 0 m 0 O 3 m J m � c 0 0 m N a O o m m m o N C CD O C7 0 n obi O J m �N! 6l � N a J N N 3 0 CD 0- m m n m n N n O 0 (D m 0 m m x x a S (D W D 0 Z= m N CD'a 0 m ao CO �mvm r °1 7 -p m m = m a, O a m 0 m 03 oa c CD co ego �J mL=CD rn _ n '<� y m m o � m, m NZ D So m C c N 2 m Z a m oy — m o v 0 { -W D Z Jid0o ? 3 = p Cm J m Z O N O N d N .Z O , � O . DJ JOm J m z N a n CD Q am CD CD CDp m S -- ��3 0m C p� � < m tD m ^• m 7. 3 n O a'o. S a m. (O m 0 =� m O m w O= p D O. * N -w a a +, 7. a rS m a c ro m< m tip (7 m c� = =, '< 9 v g J J m m Q A 3 .p o C7 J' CD m Xm p m e'.anz0 e y m m� N D. O. m `< M 0 'N O rn D `JG m N .0 .> 0? J m m <� m oJi Q n a.p:v < v Z wu O N m' m� d' N J CD 7.D. 3'• :m,m n cF� n,. >. J m 3 .y m D �l< :n =, 0),:c =•2 > m.m o N .pp 3 m me U D1 oo tom m d .d (] .J Ep m Or # J m. S y � � j Z O W m _ m • m?, . == C D 'CD m .m+ 7 0. O a m O m Q J-0 J II m, p >l< CD � J m ,� n o m — N m --I 2 O. y X 0 m m 0 m •,. �..Q7 a N y0 L 7• c _ CD CD m A F� m 3'� o���� CD m C � m i o m 6 p a 7 O 2 w m S �j Z 'O m y m ii C -O O m 0 c m' C N J' N Q N Z mF ° 3�'�v °0 o � Zm maN(o eq 47 3y N m 'm a�:y'<� mm m mo X K�c.. Dv J O m tyBa S V p y C N (D Q ° O .� CD a O. CD N _ 0 .� .-. � J N 'O CD h N n m J m C N y p N m N( N Q a o c y _ 0 CL 0 0 M. J (D J CO D j 0 0 z m `< m a- m S.. O n O. ' .m.. N C7 J m n 3 O a m O O CrJ C C y `<. m N C CD in m J p ciZ m.m a J m p m D J CD J m 0 n O c Z O m 2 r D m m co r D co cn D m m O m V m Z Z to D Z D W cn m D N CD a m J a (7 m m a n N C v 0 0 m 0 O 3 m J m � c 0 0 m N a O o m m m o N C CD O C7 0 n obi O J m �N! 6l � N a J N N 3 0 CD 0- m m n m n N n O 0 (D m 0 m m x x a S (D CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT State of California county of Los Angeles On 10 / 2 g/ 2 n 1 n before me, Monica Blaisdell, Notary Dale rot I..d Name an T.He o f 0. Offi., personally appeared Philip Vega Hama¢ a sgaena MONICA BLAI9DELL Commission # 1794078 Notary Public • California £ Orange County Comm. Mar26,2012 Plot Nolay Seel Adove who proved to me on the basis of satisfactory evidence to be the person(t(1 whose name *) isloW subscribed to the within Instrument and acknowledged to me that he/RV/ executed the same in his/WQ40y(authorized capachy(IOX and that by h!s)hVAVgjWignaIure0kkon the instrument the person(), or the entity upon behalf of which the person(S) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature ^ / 817 l M a Notary P C OPTIONAL Though the information below is not required by law, it may prove Valuable to persons retying on the document and could prevent fraudulent removal and reattachment of this form io another document. Description of Attached Document Title or Type of Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ 'Individual ❑ Corporate Officer — Title(s): — ❑ Partner — ❑Limited ❑General ❑ Attorney in Fad 0 Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: pl(',YTTHUAiRPRINT OF SIGNER Number of Pages: Signer's Name: • Individual • Corporate Officer — Title(s): • Partner — ❑ Limited ❑ General ❑ Attorney in Fad • Trustee • Guardian or Conservator ❑ Other: Signer Is Representing: RIGHTTHUMSPRINT Or SIGNM 02007 Nedonal Notary A%oda n•835R De bolo Aw, P.O. em 2d@•Cha *, CA 91313�402,x .NajwalNO rjoq Ilem1159V RWdar:CWTaIInae1E068r66 BIDDER: 9Gd E 134014.01FRV, 1Atr • 2.113 LIST OF PROPOSED SUBCONTRACTORS In compliance with the "Subletting and Subcontracting Fair Practices Act," Sections 4100 through 4114 of the California Public Contract Code, and any amendments thereto, each Bidder shall provide the information requested below for each subcontractor who will perform work, labor or render service to Bidder in or about the construction of the Work in an amount in excess of one -half of one percent (greater than 0.5 %) of the Bidder's Total Bid Price, or, in the case of bids or offers for the construction of streets or highways, including bridges, in excess of one -half of 1 percent of the Contractor's total bid or ten thousand dollars ($10,000), whichever is greater, and shall further set forth the portion of the Work which will be done by each subcontractor. Bidder shall list only one subcontractor for any one portion of the Work. Pursuant to Public Contract Code Section 4104, the Owner has determined that it will allow Bidders twenty -four (24) additional hours after the deadline for submission of bids to submit the information requested by the Owner about each subcontractor, other than the name and location of each subcontractor and description of work to be subcontracted. 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 one percent of the Contractor's total bid or ten thousand ($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 BIDDER: 9W-1 04-0141� ,E.2S, 11�-/C- 0 2.6 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 peYr�11-�ior, Name: Ayypi I C rok— c;ji Am Address: g460 Fawn -do amia CR I:331 Name and Location of Subcontractor Name and Location • of Subcontractor I ilk FTii0- Name and Location of Subcontractor Description of Work to be Subcontracted .. p+ \e CAf Description of Work to be Subcontracted sleets -�ca\ Description of Work to be Subcontracted Mebt reviee 4 Wts R y k*%, M&N� IYbrd�++rf_ Name and Location Description of Work of Subcontractor to be Subcontracted 1-0r45CO,� I Name: Pnop -Q [nY&-,(ar-P • Address:73a K Oirarn)Y)C Bor, , Mownon8 bob CA 2.0 REFERENCES FOR BIDDER (Duplicate page as needed) MXMI .1 BIDDER: 2.13 LIST OF PROPOSED SUBCONTRACTORS (continued) [*'*Duplicate Next 2 Pages if needed for listing additional subcontractors.' *] Name and Location of Subcontractor Name:_ Address: Name and Location of Subcontractor Description of Work to be Subcontracted cvvvr--_� IIATk ry Description of Work to be Subcontracted QOPa5( guvyv,, Name: Address: Rc_ybo-h1C Phi 0..3% Name and Location Description of Work of Subcontractor to be Subcontracted S�9Y� Name: S Address: LIM Hurt Ave_ Lrf, ]e3 Q� Ol£X n Name and Location of Subcontractor Description of Work to be Subcontracted Name: Mu q- t-SC�(� AecessorieS Address: ?Q,i �I l- 0��11' o C _m1/l�lvr� C g220(0 u` "c'1 s r�ex�s Name and Location Description of Work of Subcontractor to be Subcontracted � ` L' I Name: (.`)Y' A u oyn cg-&-O COC��CXak� Y) Address:2$5l Som \ is , cam) 2.0 REFERENCES FOR BIDDER (Duplicate page as needed) : BIDDER: t9Wr L IQ�� /AIC� • The following are the names, addresses and telephone numbers for at least three public agencies for which BIDDER has performed similar work within the past four (4) years: 1. My ��pu5TkaEs I 3121t d4vvia- IccaN .,ui Name and Address of Owner -916>1'73,'5'-10'7-7 Name and telephone number of pu agency person familiar with project New CB✓lSX�a, a✓/ vrrr c� ortlo8 Contract amount Type of Work Date Completed 2. ZDx /Nax�s�.�rES x /02 I d lq� AcoN/e/i-_gv sO/ , MWrl /c/s- Name and Address of Owner • Qty; ;iv cc; a ('31 of 73 9 yO 77 Name and telephone number of,public agency person familiar with project X/0- 300- Qyo 02�00 Contract amount Type of Work Date Completed 3. zOV <a/ous-F�U r=s, SVQA,rn AiC, 90-30 —vim i �cir Name and Address of Owner Name and telephone Contract amount E /9/0) 739 vo7� public agency person familiar with project SPe�va✓QA-71�10 /V'o/ ?eOe16 /N CG Type of Work CBF -9 Date Completed BIDDER: 2.D REFERENCES FOR SWIMMING POOL CONTRACTOR (C -53 LICENSE) (Duplicate page as needed) All of the work in sections 13151 -13158 (of the Project Manual for City of Rosemead Project No. P53251 Rosemead Aquatic Center) is to be the responsibility of one experienced swimming pool contractor with a C -53 license, which can be either the bidder or a subcontractor, primarily engaged in the construction of commercial public -use swimming pools. A swimming pool contractor shall be considered primarily engaged as required herein if the swimming pool contractor derived 50% of its annual revenue during the past five years from public -use swimming pool construction. The swimming pool contractor must have also, in the last five years, constructed at least three (3) commercially designed municipal and public -use swimming pools, each of which shall have incorporated a minimum size of 6,000 square feet of water surface area with a concrete and ceramic tile perimeter overflow gutter and self - modulating balance tank. The following are the names, addresses and telephone numbers for at least three completed projects as required: 1 2. 0 Name and Address of Owner Name and telephone number of public agency person familiar with project Contract amount Project Name Name and Address of Owner Date Completed Name and telephone number of public agency person familiar with project Contract amount Project Name Name and Address of Owner Date Completed Name and telephone number of public agency person familiar with project Contract amount Project Name CBF -10 Date Completed . 4 � fMALIBU LIBRARY RENOVATION PROJECT Location: 820 East Maple Park, Glendale, Ca Owner: City Of Malibu Amount: $ 3,907.300.00 Contact: Elizabeth Description: Renovation of library building, Restrooms, Fire Alarm & Fire Sprinkler system , major underground utilities as well as gas, water, kitchen, sewer and storm drain system tasks, structural steel, metal roof concrete work plumbing, electrical, mechanical, Flooring V, ,.RICHARD DEWEES SENIOR COMMUNITY CENTER PROJECT. Location: 1120 West Ocean Avenue, Lompoc, Ca 93436 Owner: City of Lompoc Amount: $ 3,365.000.00 Contact: Michael W. Luther, P.E. Description: Project involves underground water, sewer gas & storm drain system all require facilities as well as Kitchen, restrooms meeting and classroom , the task are heavy structural steel, metal roof wood floor fire alarm, sprinkler system plumbing electrical, casework, masonry and tile work, etc...... also exterior plaster, landscape and irrigation and concrete pavement. MAPLE PARK REVITALIZATION PROJECT Location: 820 East Maple Park, Glendale, Ca Owner: City Of Glendale Amount: $ 2,592.000.00 Contact: Adrine Golnazaryan Description: New building, Restrooms, Fire Alarm & Fire Sprinkler system , major underground utilities as well as gas, water, sewer and storm drain system tasks, CMU structural steel, metal roof concrete work plumbing, electrical, mechanical. WEINGART STADIUM EAST'ENDZONE PROJECT Location 1301 Avenida Cesar Chaves, Monterey Park, 91754 Owner LACCD Amount $ 2,149, 911.00 Completion in progress Contact Daniel Robb Person Description: ELAC East Los Angeles College project involves with major site improvements and landscape and irrigation also new terrace concrete paving new fencing, gates underground utilities, sewer, storm drain and new concession building. LA CANADA HIGH SCHOOL BUILDING "A" MODERNIZATION Location 4463 Oak Grove Drive, La Canada Ca 91011 Owner La Canada Unified School District Amount $3,894,911.00 Completion in progress Contact Bob Barker 818 - 952 -8373 Fax 866 - 700 -9994 Person Description: Modernization Involved general remodeling and updating the school building to ADA Code, update restrooms, ceiling, floors, casework, electrical, plumbing, communication fire alarm, HVAC, asbestos and lead abatement. Project FRED ROBERTS RECREATION CENTER. 7777771 Location Los Angeles, Ca Owner Department of Recreation and Parks, City of LA Amount $3,251,000.00 Completio n 40% Year 2010 Contact Hoi Van Luc Person Project involves underground water, sewer gas & storm drain system new gymnasium, all Description: require facilities as well as Kitchen, restrooms meeting and classroom , the task are heavy structural steel, metal roof wood floor fire alarm, sprinkler system plumbing electrical, casework, masonry and tile work, etc...... also exterior plaster, landscape and irrigation and concrete pavement. Project WHITTIER HIGH SCHOOL NEW MULTI PURPOSE BUILDING Location 12625 E. Philadelphia Street, Whittier, Ca Owner Whittier Unified School District Amount 4,438,911.96 Completio City of Santa Monica n 100% Year 2009 Contact Doug Orndorff 562 - 698 -8121 x 1537 Person Sam Aslanyan Description: New Multi Purpose building, New Gymnasium, Restrooms, Fire Alarm & Fire Sprinkler system , major underground utilities as well as gas, water, sewer and storm drain system tasks, CMU structural steel, metal roof concrete work plumbing, electrical, mechanical Project SANTA MONICA PARKING STRUCTURE FA ADE 1 -6 Location Santa Monica, CA Owner City of Santa Monica Amount 3,291,911 Completion 2009 Contact 100% Person Sam Aslanyan Year 2008 Person Nick Diaz 310 - 412 -5289 Fax 310 - 412 -8865 Interior and exterior improvements for all 6 parking structural including painting Leed system, Description kiosks, 3 large exterior art work including combination of structural steel aluminum sheet s: metal, led liqhtinq system up to 85' heiqht at parkinq structure 2,4,5 I Protect SIMI,VALLEY BLEACHER MODERNIZATION I Location Simi Valley, CA Owner Simi Valley Unified School District Amount $1,994,485.00 Completio n 100% Year 2009 Contact Charlie Lingle 805 - 306 -4511 Person Description: Install 3000 seats of bleacher and major underground utilities as well as electrical storm drain system site improvements for lighting system ADA requirement for parking lots and DF Project LONG BEACH TRANSIT & VISITORS INFORMATION CENTER Location Long Beach, CA Owner Long Beach Transportation Co. Amount $2,715,911.00 Completio n 100% Year Contact Person Description: Project . Location Owner Amount Completion Year Contact Person Contact Person Project Location Owner Amount Completion Year Contact Person 2009 Steve Watt 562 - 808 -8802 Fax 562 - 808 -8803 Project with no exception architectural design involve with exterior curve walls and canopies system through tension cables. The building sets over the caissons, since the building is close to ocean. The tasks were structural steel metal roofing fire alarm, mechanical, electrical, plumbing, the exterior window (glasses) are bullet resistance RESIDENTIAL SOUND INSULATION RS1 # 6.18 Inglewood, CA City of Inglewood $953,569.00 100% $2,008.00 Diana Joe 310 - 412 -5289 Nicolas Diaz 626- 422 -1109 Fax 310 - 412 -8865 GLEARM POWER PLANT SEISMIC REPAIRS PHASE,II Pasadena, CA City of Pasadena $4,017,240.97 100% 2007 Mark Dubinsky PM 626 - 744 -3968 Fax 626- 744 -3724 Project consider as an historical with more than 80' height the nature of work: reinforcement the existing walls, epoxy ejection, replastering, major metal roof, at entire building replace and refurnish wood windows and wood doors, matching ceramic tile to meet about 100 year old ceramic tile were Description: installed at entire interior building with 6' height. Project LOS ANGELES VALLEY COLLEGE Location Valley Glen, CA Owner Los Angeles Community Colleges District Amount $1,966,369.11 Completion 100% Description: A new concession building and related facilities including a structural steel tower and two scoreboard project involved with underground utilities water power, storm and sewer system , the tasks: Electrical, Fire alarm, Fire Sprinkler, Masonry Block Wall, Concrete Paving Planting ect..... Project EMMA.SHUEY ELEMENTARY SCHOOL Location Rosemead CA Owner Rosemead School District Amount $1,249,017.00 Completion 100% Year 2007 Contact Person Juan Romero 909 - 615 -8005 Proiect RESIDENTIAL SOUND INSULATION I # 6.13 Location Inglewood, CA Owner City of Inglewood Amount $1,334,911.00 Completion 100% Year Contact Person Project Location 2007 Nick Diaz 626 - 422 -1109 Fax 310 - 412 -8865 r PAN PACIFIC SENIOR ACTIVITY CENTER. Los Aingeles, Ca Owner City of LA Department of Recreation & Parks Amount $2,771,700.00 Completion i 100% Year 2006 Contact 9595 Wilshire Blvd. Suite 501 Person Hamid Navid PM 818 - 554- 9656(work) 213 - 978 -1940 (cell) Owner City of LA Department of Recreation & Parks Project MAPLE PICO RETAIL AND PARKING STRUCTURE Location Los Angeles, Ca Owner California Properties Associates Contact Ali Mansouri 9595 Wilshire Blvd. Suite 501 Beverly Hills, Ca 90212 Amount $9,449,000.00 Completion 100% Year 2006 Contact Person Ali Mansorie 310 - 261 -5156 r r co v D D 3 3 3 3 � a D W 1 Cm (erry p ry - W ? d p N O co O ( O ry N A m ' = 0 3 ' $ n o O O o o O O O D o O � ❑ m o n c n cp n � ^ n o a Go = .r. 3 3 Z m m ' 0 o° 0 3 S N ' N 3 O a o m c m m CO ` 3 � a � m � � D m m x 3 d U) N m ti CD 3 r m r m r m r O ° CD n 12 � n O w o o 0 O O O N n N 3 O W W O Co C O O (NJ) L O O) O O N O W W 00 W O W O W O) J O O) 7 p O f (O O . W O Z O O O W N O 0) 0Nj W N O m ma 3o a Jiiv0 f_n o 3 EF> ', a 0, Q�Q X � 3 n m 3 f uj* x m y g o S'ry n D 0 J d Q) 6 y d_ ' d 11 n M pN 8 d w N O J 0 N y 'N W Oo N Q N � O O J -00-I o -ONi w 1 0 N N ° o O O °w O (n 6 0 N 0 6 3 co v - n 459 W W 1-9 c0 A fA N N O W y 0 N ID J U v -4 O O 7 N O p N N O W N O N OOi N O co O n f 2.13 LIST OF PROPOSED SUBCONTRACTORS (continued) _. [ "Duplicate Next 2 Pages if needed for listing additional subcontractors. "] Name and Location of Subcontractor Address: Description of Work to be Subcontracted �" \wn 1 1-1\1A Name and Location Description of Work of Subcontractor to be Subcontracted V-=\,5 CO3\1 I 1.�w -VJ1i Name: Lt Fr�m 1,my_e- Morm Address: Name and Location of Subcontractor Name: Address: Name and Location of Subcontractor Description of Work to be Subcontracted metre. SP'c+'��S CA, tw-oLf Description of Work to be Subcontracted d�aame: -(Zk�% �ldress: ?`1SS jjj ?jfm1BjQ l Aror)eCA100OD6 Name and Location of Subcontractor Description of Work to be Subcontracted 5 Haaress: 2.0 REFERENCES FOR BIDDER (Duplicate page as needed) • • • 13iunra: P�fXif /3u/og-.ES? /�vL SECTION 3 NON - COLLUSION AFFIDAVIT CBF -11 BIDDER: /71/�/ //V�c • NON - COLLUSION AFFIDAVIT In accordance with Public Contract Code Section 7106, the undersigned, being first duly sworn, deposes and says that he or she holds the position listed below with the bidder, the party making the foregoing bid, that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. • Signature /ewm77 /zez- i'<yip✓ Typed or Printed Name Title Bidder Subscribed and sworn before me This._, j day of %1/G?/ell� heV- 20 (Seal) ✓ Q�r�� / /(�t�t DANIELLE MARIEBOGDANOVICN Notary Public in and for NOTARY PUBLIC - CALIFORNIA ' the State of California z LOS ANGELES C0 NTY ?` a COMMISSION Y 1104351 MY COMM. EXPIRES NOV .14 2010 My Commission Expires: nhvembtr l2I2pIo n U ACKNOWLEDGMENT State of California County of (aJ Anoclu ) On r�c)ver4,t, 3,7010 before me, .Don;P.Qt Mcxvie eg�rdc Novi (,k (insert name and title of the officer) personally appeared 1 F Li . c who proved to me on the basis of satisfactory evidenc to be the personM whose name i w subscribed to the within instrument and acknowledged to me tha &/0&t1*� executed the same in jij@*tIje'jr authorized capacity(L is), and that by hi /I},4/tlir signatureM on the instrument the personw,, or the entity upon behalf of which the person(y) 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. DANIELLE MARIE BOGDANOVICH NOTARY PUBLIC- CALIFORNIA } '' ' WITNESS my hand and official seal. LOS ANGELES COUNTY 'z COMMISSIONt1704351 MY COMM. EXPLRES MOV.12, 2010 Signature a,iu,a/;'yy � -b eaq State of California County of (mot A*e.d Subscribed and sworn to (or affirmed) before me on this day of rlovemby 2010,by Vp,j } McCL1 an proved to me on the basis of satisfactory evidence to be the person() who appeared before me. DANIELLE MARE BOGDANOVICH ` NOTARY PUBLIC - CALIFORNIA z LOS ANGriESCOUNT a COMMISSION 01706351 1 MY COMM. EXPIRES NOV. 11 ZO1O r