Woodcliff CorporationJ
SECTION 1 -BID
No
Co�� -eS
J
nlnDra: V�/D6pG� -IFS CoR.R3¢PTiorl
BID FOR
ROSEMEAD PARK AQUATIC FACILITY
PROJECT NO. P53129
BASE BID SCHEDULE
TOTAL BASE
Dollar amount in written form
ALTERNATE BID ITEM NO. 1, 2, 3, & 4
NO.
ITEM DESCRIPTION
UNIT OF
MEASURE
EST.
QTY.
UNIT
PRICE
TOTAL
ITEM
COST
1
Shade Structures
SF
20
& 0
20'x 20'x 20' Module
2
Solar System
LS
1
11491mo
1141"01
3
Bleachers
EA
8
/Z Sp0
IN000
14
Entry Marquee
Sign /Supports
LS
1
�Pj 70
3Iq Ono
TOTAL ALTERNATE BID ITEMS PRICE:
67&
Dollar amount 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
l
BIDDER: WOODC-lf=F CbePOIZ-aTI,'-)1J
the Greenbook shall apply to this Project except as may be modified by other provisions of
the Contract.
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which cannot be withdrawn for the number of Working Days indicated in the Notice Inviting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
Iat31.r, song 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
131DD1-_a:\Y/00DCLtF'F Cn2PoR.ccnolJ
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. 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
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By: WE4� -o
Signature
gp.3pK �EiioW-A,>�
Type or Print Name
"LEES1
Title
V94R S,4klrbt c� BLVD. SuifE ,gl O
Business Street Address
143 Ak6lF=Lrr S OA-.9400 25
City, State and Zip Code
3i�_31Z -14�
Telephone Number
Bidder's /Contractor's State of Incorporation: ELI FOW-JV I At
Partners or Joint Venturers:
Bidder's License Number(s):
NOTES:
1)
2)
3)
a Y K3
By its signature on this Bid, the Bidder certifies under penalty of perjury the accuracy
of the representations made on the Contract Bid Forms.
If Bidder is a corporation, enter State of Incorporation in addition to Business
Address
If Bidder is a partnership or joint venture, give full names of all partners or
joint venturers.
CBF -4
SECTION 2
BID DATA FORMS
CBF -5
�i
BIDDER: Woodcliff Corporation
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 Woodcliff Corporation
as Principal, and Great American insurance
, 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---------------------------------------------------- - - - - --
------ --- -- -- - ---- -- ----- - - - - -- DOLLARS
($ 10%ofthe Bid ), 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 November 3, 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 1st day of November ,2010
Woodcliff Corporation (SEA
Principal
By: By:
Signature Alin fdF F`-1
7
CBF -6
Great American Insurance Company (SEAL)
Surety
Signature- Edward N. Hackett, Attorney -in -Fact / ;=
.k�
ACKNOWLEDGMENT
............................................................ ...............................
Stale of California
County of Orange )ss.
NOV 0 1 2
On
before me, C. Maestas Notary Public, personally
appeared Edward N. Hackett
who proved to me on
the basis of satisfactory evidence to be the person(s) whose name(s) is/efe subscribed to the within
instrument and acknowledged to me that he/she/they executed the same in his/her/+heir authorized
capacity(ies.), and that by his/her their signatures(s) on the instrument the person(e), 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.
C. MAESTAS
COmmISSIOn 0 1705595
Notary Public - California
19 we Orange County
Carom• Ar112011
(seal)
............................................................ ...............................
Date of Document
Type or Title of Document
Number of Pages in Document
Document in a Foreign Language
OPTIONAL INFORMATION
NOV 0 1 2010
Thumbprint of Signer
Type of Satisfactory Evidence:
_ Personally Known with Paper Identification
_ Paper Identification
_ Credible Witness(es)
Capacity of Signer:
Trustee
X Power of Attorney
_ CEO /CFO /COO
_ President / Vice - President / Secretary/ Treasurer
Other:
Other Information:
50
❑ Check here If
no thumbprint
or fingerprint
is available.
GREAT AMERICAN INSURANCE COMPANY®
Administrative Office: 580 WALNUT STREET ° CINCINNATI, OHIO 45202 0 513- 369 -5000 ° FAX 513- 723 -2740
The number of persons authorized by
this power of attorney is not more than TWO
No. 014555
POWER OF A'FFORNEY
KNOW ALL MEN BY THESE PRESENTS: That the GREAT AMERICAN INSURANCE COMPANY, a corporation organized and existing under
and by virtue of the laws of the State of Ohio, does hereby nominate, constitute and appoint the person or persons named below, each individually if more than
one is named, its true and lawful attomey -in -fact, for it and in its name, place and stead to execute on behalf of the said Company, as surety, any and all bonds,
undertakings and contracts of suretyship, or other written obligations in the nature thereof; provided that the liability of the said Company on any such bond,
undertaking or contract of suretyship executed under this authority shall not exceed the limit stated below. -
Name
EDWARD N. HACKETT
CHRISTINE MAESTAS
Address
ALL OF
IRVINE,
CALIFORNIA
Limit of Power
ALL
$75,000,000.00
This Power of Attorney revokes all previous powers issued in behalf of the attomey(s }in -fact named above.
IN WITNESS WHEREOF the GREAT AMERICAN INSURANCE COMPANY has caused these presents to be signed and attested by its appropriate
officers and its corporate seal hereunto affixed this 15t day of, SEPTEMBER, 2010.
Attest
A" w mm S...... r
GREAT AMERICAN INSURANCE COMPANY
QA�d 0 A-/'/)4
lJirl,rinnal.irninr t'h " l'rrnirlrm
STATE OF OHIO, COUNTY OF HAMILTON - ss: DAVID C. KITCHM(513- 4124602)
On this 15' day of SEPTEMBER, 2010, before me personally appeared DAVID C. KITCHEN, to me known, being duly swom, deposes and says that he
resides in Cincinnati, Ohio, that he is a Divisional Senior Vice President of the Bond Division of Great American Insurance Company, the Company described in and
which executed the above instrument; that he knows the seal of the said Company; that the seal affixed to the said instrument is such corporate seal; that it was so
affixed by authority of his office under the By -Laws of said Company, and that he signed his name thereto by like authority.
-fl, NOTARY PUBLIC, STATE OF OHIO
MY COMMISSION EXPIRES 02 -20-11
This Power of Attorney is granted by authority of the following resolutions adopted by the Board of Directors of Great American Insurance Company
by unanimous written consent dated June 9, 2008.
RESOLVED: Thal the Divisional President, the several Divisional Senior Vice Presidents, Divisional Vice Presidents and Divisional Assistant Vice
Presidents, or any one of them, be and hereby is authorized, from time to time, to appoint one or more Attorneys -in -Fact to execute on behaljof the Company,
as surety, any and all bonds, undertakings and contracts of suretyship, or other written obligations in the nature thereof,' to prescribe their respective duties
and the respective limits of their authority; and to revoke any such appointment at any time.
RESOL VED FURTHER: That the Company seal and the signature of any of the aforesaid officers and any Secretary or Assistant Secretary of the
Company may be affixed by facsimile to any power of attorney or certificate of either given jor the execution of any bond, undertaking, contract of suretyship,
or other written obligation in the nature thereof, such signature and seal when so used being hereby adopted by the Company as the original signature ojsuch
officer and the original seal of the Company, to be valid and binding upon the Company with the same force and effect as though manually ti fxed.
CERTIFICATION
I, STEPHEN C. BERAHA, Assistant Secretary of Great American Insurance Company, do hereby certify that the foregoing Power of Attorney and
the Resolutions of the Board of Directors of June 9, 2008 have not been revoked and are now in full force and effect.
Signed and sealed this NOV `O 1-201 O day of
Lni q i .I S"'
S 1029Y(10/08)
KAREN L. GROSHEIM
ON-
This Power of Attorney is granted by authority of the following resolutions adopted by the Board of Directors of Great American Insurance Company
by unanimous written consent dated June 9, 2008.
RESOLVED: Thal the Divisional President, the several Divisional Senior Vice Presidents, Divisional Vice Presidents and Divisional Assistant Vice
Presidents, or any one of them, be and hereby is authorized, from time to time, to appoint one or more Attorneys -in -Fact to execute on behaljof the Company,
as surety, any and all bonds, undertakings and contracts of suretyship, or other written obligations in the nature thereof,' to prescribe their respective duties
and the respective limits of their authority; and to revoke any such appointment at any time.
RESOL VED FURTHER: That the Company seal and the signature of any of the aforesaid officers and any Secretary or Assistant Secretary of the
Company may be affixed by facsimile to any power of attorney or certificate of either given jor the execution of any bond, undertaking, contract of suretyship,
or other written obligation in the nature thereof, such signature and seal when so used being hereby adopted by the Company as the original signature ojsuch
officer and the original seal of the Company, to be valid and binding upon the Company with the same force and effect as though manually ti fxed.
CERTIFICATION
I, STEPHEN C. BERAHA, Assistant Secretary of Great American Insurance Company, do hereby certify that the foregoing Power of Attorney and
the Resolutions of the Board of Directors of June 9, 2008 have not been revoked and are now in full force and effect.
Signed and sealed this NOV `O 1-201 O day of
Lni q i .I S"'
S 1029Y(10/08)
BIDDER: WQODCLIFF C'OQPO�IIb/�
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
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: \#00pCuIF -F C0QFb?0A7)o1j
2.6 LIST OF PROPOSED SUBCONTRACTORS (continued)
[ "Duplicate Next 2 Pages if needed for listing additional subcontractors. "]
Name and Location
of Subcontractor
Nan
Add
PMV 94—
Description of Work
to be Subcontracted
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name:
Address:
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: 115W4,4 77DAl
Address: /%6TlGA�Ur% GO�
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: 4 AqKlt(ptl /
Address: G"KGT71 6 4rx::�
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name:
416w4ez- /-N775Yx/ W. CDxJC
Address: 17f vr-204 1��
2.0 REFERENCES FOR BIDDER (Duplicate page as needed)
B I DDER:)?VO-O PC L- I E QQ062-194611 i0li
2.13 LIST OF PROPOSED SUBCONTRACTORS (continued)
[ "Duplicate Next 2 Pages if needed for listing additional subcontractors. * *]
Name and Location
of Subcontractor
Description of Work
to be Subcontracted
Name: QNO &-7z? /��
Address:7�t%'GG/!�/
Name and Location
Description of Work
of Subcontractor
to be Subcontracted
Name:
-
- —
Address:
!3V
Name and Location
Description of Work
of Subcontractor
to be Subcontracted
Name: ���/�
Address: 17AI
`. PIA( 1T
�/�,�u 7�
Uwf%jw/y
Name and Location
Description of Work
of Subcontractor
to be Subcontracted
IG
/ Ny
Name: v/i46-E7✓644
5'17-c-r-Z- AG57�
Address:
Name and Location
of Subcontractor
Description of Work
to be Subcontracted
Address:
2.0 REFERENCES FOR BIDDER (Duplicate page as needed)
BIDDER:)C0- 0PG-IF F COPf�9l2w 1 nl�
2.6 LIST OF PROPOSED SUBCONTRACTORS (continued)
[ "Duplicate Next 2 Pages if needed for listing additional subcontractors. "]
Name and Location
of Subcontractor
Description of Work
to be Subcontracted
Name:
Address:j��LL
Name and Location
of Subcontractor
6044WIAJ
Address:
Name and Location
of Subcontractor
Description of Work
to be Subcontracted
Description of Work
to be Subcontracted
iC AZ-(57-
Name:
Address: /
Name and Location
of Subcontractor
Description of Work
to be Subcontracted
E7 16�UVL
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name:
Address: %mil H2f�rl ' S
2.0 REFERENCES FOR BIDDER (Duplicate page as nee ed)�
CBF -8
BIDDER: WOOD 'U-! Fr- iV2PD?-AT!d4
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:
Los Angeles Community College District
Los Angeles Valley College - Gym Complex
1 " 5800 Fulton Avenue, Valley Glen, CA 91401
Name and Address of Owner
Nathan Chambers - 562- 277 -3463
Name and telephone number of public agency person familiar with project
$14M Public Works/New Construction May 2009
Contract amount Type of Work Date Completed
Los Angeles Community College District
2. Los Angeles Southwest College - Child Development Center
1600 W. Imperial Hwy. , Los Angeles, CA 90047
Name and Address of Owner
George Snead 323 - 241 -1750
Name and telephone number of public agency person familiar with project
$15.2M Public Works/New Construction August 2007
Contract amount Type of Work Date Completed
Citrus College Community Distrcit
3 Citrus College - Center for Innovation
1000 W. Foothill Blvd., Glendora, CA
Name and Address of Owner
Bob Bradshaw 626 - 857 -4113
Name and telephone number of public agency person familiar with project
$11AM Public Construction/New
Contract amount Type of Work
CBF -9
ect March 2008
Date Completed
l
BIDDER: 1? OODC W Fr- QVIZrj00,4T)4n4
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:
County of Orange
Tustin Family Campus
1 15405 Landsdowne Rd., Tustin, CA 92710
Name and Address of Owner
Steve Johsz 714- 667 -4918
Name and telephone number of public agency person familiar with project
$21M Public Works/New Project September 2009
Contract amount Type of Work Date Completed
2.
Name and Address of Owner
Name and telephone number of public agency person familiar with project
Contract amount Type of Work Date Completed
3.
Name and Address of Owner
Name and telephone number of public agency person familiar with project
Contract amount Type of Work Date Completed
CBF -9
J
BIDDERAVOODCI.l FF Coa-fbRAT1oN
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.
Name and Address of Owner.
Name and telephone number of public agency person familiar with project
Contract amount Project Name Date Completed
2.
Name and Address of Owner
Name and telephone number of public agency person familiar with project
Contract amount Project Name Date Completed
3.
Name and Address of Owner
Name and telephone number of public agency person familiar with project
Contract amount Project Name Date Completed
CBF -10
nJnnr_k:W000CV FF CDaAFMAT14)N
2.13 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
i contractor must have also, in the last five years, constructed at least three (3) commercially
i 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.
Name and Address of Owner.
Name and telephone number of public agency person familiar with project
Contract amount Project Name Date Completed
2.
Name and Address of Owner
Name and telephone number of public agency person familiar with project
Contract amount Project Name Date Completed
3.
Name and Address of Owner
Name and telephone number of public agency person familiar with project
1 Contract amount Project Name Date Completed
J
CBF - 10
C Rosemead Park WOODCLIFF CORPORATION
BIDDER: AQUA')), -�zst}NOtoateS 1849 Sawtelle Blvd., Suite 610
Los Angeles, CA 90025
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. P53129 Garvey 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 %q 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 5,000 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 NAVFaC
1322-Patterson Ave. SE, Suite 1000 Washington Navy Yard, D.C. 20374 -5065
Name and Address of Owner
Bob Sunbury (619) 726 -0916
Name and telephone number of public agency person familiar with project
$1,795,000.00 Miramar Combat Training Tank - 8/2/2010
contract amount Project Name Date Completed
2.
Pechanga Hand of Luiseno Indians
12705 Pechanga Rd. #320 Temecula, CA 92592
Name and Address of Owner
Donna Barron (909) 214 -9471
Nomc and telephonc number or public eyur ;uy person familiar With project
$7„104,866.00 Pechanga Recreation Center 8/31/2009
contract amount Project Name Date Completed
3_ Irvine Company
550 Newport Center Drive Newport Beach, Ck 92660
Name and Address of Owner
Tom Sestak (949) 697 -4784
Name and telephone number of public agency person familiar with project
$1,944,533.00 Pelican Hill Villa Clubhouse 12/17/2008
Contract amount Project Name Date Completed
CBF -9
BIDDER: NAM:�2 I NC e
Rosemead Park
LVOODCI6IFF CORPORATION
1849 Sawtelle Blvd., Suite 610
Los Angeles, CA 90025
2.1) 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. P53129 Garvey Aquatic Center). is to be the responsiblllty 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 5,000 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 NAVFAC
1322.Patterson Ave. SE, Suite 1000 Washington Navy Yard, D-C. 20374 -5065
Name and Address of Owner
Bob Sunbury (619) 726 -0916
Name and telephone number of public agency person familiar with project
$1,795,000.00 Miramar Combat Training Tank - 8/2/2010
Contract amount Project Name Date Completed
2.
Pechanga Band of Luiaeno Indians
12705 Pechanga Rd. #320 Temecula, CA 92592
Name and Address of Owner
Donna Barron (909) 214 -9471
Nomc and telephonc number of put�lic agency L�erson famlfla{ Wltn project
$7„104,866.00 Pechanga Recreation Center 8/31/2009
Contract amount Project Name Date Completed
3_ Irvine Company
550 Newport Center Drive Newport Beach, CA 92660
Name and Address of Owner
Tom Sestak (949) 697 -4784
Name and telephone number of public agency person familiar with project
$1,944,533.00 Pelican Hill Villa Clubhouse 12/17/2008
Contract amount Project Name Date Completed
CBF -9
BIDDER:.
2:D REFERENCE
i� (Duplicate page as
f N C . 1900®C61F? CORPORATION
1849 Sawtelle Blvd., Suite 610
Los Angeles, CA 90025
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
swinming 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
designedmunicipal 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 CATE SCHOOL: 1960 CATE MESA RD., CARPENTERIA, CA 93013
Name and Address of Owner
C/O HARTIGAN/ FOLEY: DOUG (805) 340 -8505
Name and telephone number of public agency person familiar with project
% $804,323: CATE SCHOOL AQUATIC COMPLEX AUGUST 2010
Contract amount Project Name Date Completed
2. SAN BERNARDINO CCD: (CRAFTON HILLS CCD) 11711 SAND CANYON ROAD, YUCAIPA, CA
Name and Address of Owner
C/O TILDEN- COIL CONSTRUCTORS: MATT BREYER (909) 389 -4646
Name and telephone number of public agency person familiar with project
$1,246,268: CRAFTON HILLS COLLEGE AQUATIC CENTER JUNE 2010
Contract amount Project Name Date Completed
3. CITY OF WASCO: 746 8TH ST. WASCO, CA
Name and Address of Owner
DANIEL ESPETIA, (661) 978 -8719
Name and telephone number of public agency person familiar with project
$421,072: BARKER PARK COMMERCIAL POOL 2006
Contractamount ProjectName Date Completed
CBF - 10
BIDDER: , iY11G�COVy1YV��G1A, Ppou.S WOODCLIIFFCORPORATION
1849 Sawtelle Blvd., Suite 610
Los Angeles, CA 90025
2.D REFERENCI
(Duplicate page as
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 contractorwith a C -53 license, which can be eitherthe 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 feast 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 the
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.
' 1Ulnp V - v3 0 _s C A �lo2GS
Name and Address of Owner
Name and telephone number of public agency person
2 - A La
ontract amount Project Name
2.
G' L
Name And Address of Owner
Name and telephone number
With project
Date Completed
Public agency person familiar with project
3.
Name an
Name al
Contract
Address of Owner
telephone number of public agency person familiar with project
Name
CBF -10
Date Completed
32 !off
NOV -02 -2010 TUE 02;45 PM Waterworks Industries FAX NO. 7078377997 P. 02102
iveollcurr POATION
B1I)DF R: _IA x [! 16�C�� TJ��i , r j rI QS� .
l RR
I 1849 Sawtelle vd., Suite 610
Los Angeles, CA 90025
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. P53129 Garvey 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 5,000 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.
Name acid Address of Owner
telephone number
� t �c•a 1 cz-
agency person familiar with project
amount Project Nile Date
Name and telephone number of
'$l ' % � l--
amount Protect Name
and Address of
agency person familiar with project
Date Completed
Name and telephone number of public agency person familiar with project
�1pa,r ¢IIc.LI�C Jf�I" ���� t -L Alm i'c
Contract amount Project Name Date Completed
— - CBF -9
.4f, CA
iq93�
BIDDER: \#ooPc -w •= F cov&i24-nn lj
2.6 LIST OF PROPOSED SUBCONTRACTORS (continued)
[ "Duplicate Next 2 Pages if needed for listing additional subcontractors. "]
Name and Location
of Subcontractor
Na
Ad
me:
dress: T
Name and Location
of Subcontractor
Description of Work
to be Subcontracted
Description of Work
to be Subcontracted
ii
d
Name and Location Description of Work
of Subcontractor / to be Subcontracted
Name: Lo.
Address: �Iel- 25&AA7
Name and Location
of Subcontractor
Description of Work
to be Subcontracted
Name: /". U / �/��L` / "7`' / #IA-L
Address: f,�
Name and Location
of Subcontractor
Name:
Description of Work
to be Subcontracted
2.0 REFERENCES FOR BIDDER (Duplicate page as needed)
BiDDLa:WObDCLtFt C�Ip,nV,an9=1�j
SECTION 3
NON - COLLUSION AFFIDAVIT
CBF - 11
BIDDER:\%/OOVC4IFF CD0A±1CATip>j.1j
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 Coll ive or sham bid.
Signature
BA�K CIE Noiz�./
Typed or Printed Name
1 T
Title
\Y1-oDpcuFF noRPbOcrign11J
Bidder
Subscribed and sworn before me
This day of 20
Notary Public in and for
the State of California
My Commission Expires:
(Seal)
X See Attached Document (Notary to cross out lines 1 -6 below)
❑ See Statement Below (Lines 1 -5 to be completed only by document signer[s], not Notary)
_... -- - - --- - - - -- - — - - - - - - — - - -- - - - - - - - - - - - - - - - - - --
2-------------------- --- -- ----- -._._..- -- - -- - --
3- ------- -- - - -- - -- --- --- - - - - --
4--- --- -- ---- - ------ -----
5-- ---- - - - - -- ---- - - - - - - - - --- - - - - - - - - - - - — - - ---I- - - - - - - - - — - - - -
Sigma rre of Document Signer No. 1
State of California
County of &)f *✓6r«S
ALLAN U.
Cpronb-W- I1
1 ' L''cw �
Co"�rr.. iui !01!
Signature of Document Signer No. 2 (it any)
Subscribed and sworn to (or affirmed) before me on this
3e-p day of A6kX-116&l 20 �V by
Date Month Year
(1) il.%6fi AfA ,
Name of Signer
proved to me on the basis of satisfactory evidence
to be the person who appeared before me (.),(J,(
(a(id
Name of Signer
proved to me on the basis of satisfactory evidence
to be the person who appeared before me.)
Signature
are of Ny ry Public
Place Notary Seal Above
OPTIONAL
Though the information below is not required by law, it may prove
valuable to persons relying on the document and could prevent
fraudulent removal and reattachment of this form to another document. Top of thumb here Top of thumb here
Further Description of Any Attached Document
Title or Type of Document:
Document Date: Number of Pages:
Signer(s) Other Than Named Above:
02007 National Notary ASSOCiat —9350 De Soto Ave., P.O. Box 2402 • Chatsi CA 91313 -2402• vmw.NatioralNotary.org Ilemm5910 ReoNer. Call Tdl- Free1- B00.8]fiUF2]