Moment Construction Co Inc•
SECTION 1 - BID
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BIDDER: — A /h_L_y �a-hl / ✓!/` /idv� ca, =h cr.
• BID FOR
GARVEY PARK AQUATIC FACILITY
PROJECT NO. P53129
BASE BID SCHEDULE
TOTAL BASE BID PRICE:
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
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which cannot be withdrawn for the number of Working Days indicated in the Notice Inviting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 ceitified check, a cashier's check or a bid bond in the amount of
/a % o�/„ % Dollars ($ (o % ) 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.
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I3IDDEK:_tlo ,,, C�r� ✓cam/ 0 r_.
• 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
go 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.
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• By.
Signature '
5�ycl 5J
Type or'Print Name
Title
(6 Sa6✓l/ /e *�
Business Street Address
oL, A, eA 9oaas
City, State and Zip Code
�'�lo) 31.E_6n7a
Telephone Number
Bidder's /Contractor's State of Incorporation: C8 (, I n, r
Partners or Joint Venturers:
y
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.
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BIDDER: 10r''��n� Lstij / �i/v oa ls-• L
SECTION 2
BID DATA FORMS
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BIDDER: Moment Co nstruction Co., Inc.
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 Moment Construction Co., Inc.
as Principal, and Ullico Casualty Company
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% ) , being not less than ten percent (110 %) 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 forthe Garvey 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 attomeys' fees to be fixed by the
court.
SIGNED AND SEALED, th' day of October 20 10
Moment Construction Co nc. (SEAL) Ullico Casualty Company (SEAL)
Princi al Su(ret)r rr
By: r By: \ , rmn�('illne't1 [,
Sig re Signature Linda D.Coats, Attorney in Fact
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I .
CALIFORNIA
ALL - PURPOSE ACKNOWLEDGEMENT
State of California
County of Orange
On OCT 2 9 2 010
before me, Adelaide C. Hunter, Notary Public
(insert name and title of the officer)
pemonallyappeared Linda D. Coats
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 he/shc/they executed the
same in his/herlt ieir authorized capacity(-ies), and that by hislher/their signature(s) on the
instrument the person(s), or the entity upon behalf ofwhich the persons) 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.
ADELAIOE 0. HUNTER
Notary Public 118087ni
Notary Pu611c - California
Signature ! t Orange county
W Comm. Expires Aug 8,11012
ulllco 1625 Eye ULLICO Casualty Company
Stns. N.W. Washington D.C.20006
Power or Attorney
KNOW ALL PERSONS BY THESE PRESENTS: That ULLICO CASUALTY COMPANY. (the Company), a corporation organized and existing under the laws
of the State of Delaware. does hereby constitute and appoint: Linda D. Coats, Matthew J. Coats , Douglas'A. Rapp, & Timothy. D. Rapp of Linda D.
Coats Surety Insurance Services, Inc.
Its true and lawful Attorney (s) in fact with full authority to execute on its behalf bonds, undertakings, iecognizances and other contiacLs of indemnity and writings .
obligatory in the nature thereof, issued in the course of its business and to bind the Company thereby, in an amount not to exceed 35,000,000.00.
This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following"Resc lulion adopted by the Board of Directors
of ULLICO Casualty Company at a meeting duly called the 15th day of July, 2009.
RESOLVED: That the Board of Directors hereby authorizes the President or my Vice President of
the Company to: (1). Appoint Attomey(s) in Fact and authorize the Auomey(s) in
Fact to execute on behalf of the Company bonds and undertakings, conuucts:of
indemnity and other writings obligatory in the nature thereof and to attach the seal of
the Company thereto; end (2) Lo remove, at anytime, any such Attorney -m -Fact and.
revoke the authoritygiven. And be it
FURTHER
RESOLVED: That the signatures of such offices and the seal of the Company may be affixed to
any such Power of Attorney or, certificate relating thereto by facsimile, and any. such
Power of Attorney so and certified by facsimile signatures and facsimile
seal shall be valid and biding upon the Company in the future with the respect to any
bond or undertaking to which it is attached.
IN TESTIMONY WHEREOF, ULLICO CASUALTY COMPANY: has caused this instrument fo tic signed md;its corporate seal to be affixed by its
audmrizedoffice this 29th dayof October 20 10 .
SIOENT
Daniel Aronowitz
President ULLICO Casualty Company, a Delaware Corporation.
On this 16th day of July 2009 before me came the individual who executed the preceding instrument, tome personallyknown, and being by me duly
swom said that he is the therein described and authorized officer of the ULLICO CASUALTY COMPANY; that the seal affixed to said instrument is the
Corporate seal of said Company, that the said Corporate Seal and his signature were duly affixed.
1, Ta em E. Valentine; Senior Vice President, General Counsel and Secretary of ULLICO Casualty Company, Ho herby certify that the foregoing resolution of the
Board of Directors and this Power of Anomey issued pursuant thereto on this 16tH day of July .2009 are true and correct and are still in full force and effect.I do
further certify that that DanielAronowili,.who executed the Power of Attorney as President, was on the date of execution of the attached Power of Attomeythe
duly elected President of ULLICO Casualty. Company,
In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this W day of July 2009.
Teresa & Valentine
Senior Vice President, General Counsel &Secretary
ULLICO Casualty Company
F
Notary Public
CATHERINE M. OBRIEN
NOTARY PUBLIC STATE OF MARYLAND
MONTGOMERY COUNTY
MY COMMISSION EXPIRES JANUARY 21, 2012
CERTIFICATE
1, Ta em E. Valentine; Senior Vice President, General Counsel and Secretary of ULLICO Casualty Company, Ho herby certify that the foregoing resolution of the
Board of Directors and this Power of Anomey issued pursuant thereto on this 16tH day of July .2009 are true and correct and are still in full force and effect.I do
further certify that that DanielAronowili,.who executed the Power of Attorney as President, was on the date of execution of the attached Power of Attomeythe
duly elected President of ULLICO Casualty. Company,
In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this W day of July 2009.
Teresa & Valentine
Senior Vice President, General Counsel &Secretary
ULLICO Casualty Company
131DDLR: j , _z1C.
• 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.
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BIDDER : v7 -TN
2.113 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: ✓cam! Al v �
Address: y
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Name and Location Description of Work
of Subcontractor D to be Subcontracted / 1
Name: gItp v// �7' �
Address: ��s� �^ 67 ,�� 1P��.�K le✓
Name and Location Description of Work
of Subcontractor to be Subcontracted 1
Name: l^kJ� w'J LenJJ. ✓ice, � S�,eei7e7�/
Address: 14.
Name and Location Description of Work
of Subcontract to be Subcontracted
Name: Ualy� nC✓v�c /epn.
Addres o f L..�7 Z
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: /TYV71w 4 00 , \C* , 4C- eat % �8,,�0
Address: �V rGtl�Ma G `
2.0 REFERENCES FOR BIDDER (Duplicate page as needed)
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BIDDER: l g ✓`° Co ,`h c_.
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
Name: ye.i /10 ( /.r
Address: (/
Name and Location
Description of Work
of Subcontractor
to be Subcontracted
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Sfiv�� ✓Pl/ fl2e/� //Cf�� ����
Name: (� ��
Address:
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Name and Location
Description of Work
of Subcontractor
to be Subcontracted
p
Name: Cy�i tsr n,I
/
Address: �T�p���E�i
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Name and Location
Description of Work
of Subcontractor
to be Subcontracted
Name: PIP P Pati
, "w�
Address:
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Name and Location
of Subcontractor
Description of Work
to be Subcontracted
I L 1
Name: li ��� l�� �� d 1� y 7� �c /. . 7
Address: ��� F� - —N ^a e,�
2.0 REFERENCES FOR BIDDER (Duplicate page as needed)
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BIDDER: I l6��n - ✓(' (//'B C ���
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
Name: el /v l
Address: /01 ccello ✓ %e,� /�L✓7i *�o�
z
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: � /U
Address: _ A CyJG a✓vi�
Name and Location
of Subcontractor
Description of Work
to be Subcontracted
Name: Gi /o 6; /, 4, - , - ✓i G
Address: 1 4 , 9! C, 4 (/
Name and Location
of Subcontractor
Description of Work
to be Subcontracted
Name:
C, C el
c etii /✓u ' ;o� frr ✓�_
� �en f rl � �Wincroli T /--
Address:
c✓aoll
% /, 4
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Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: (J
Addres ;,�,' �� ROY �en�
2.0 REFERENCES FOR BIDDER (Duplicate page as needed) �/
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BIDDER:
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: U• �� (� ��,�,� / f
Address
J (/
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name:
Address: �) 1 � ; G} OJy�� �C Pi�z✓� i,�t�
Name and Location Description of Work
of Subcontractoor . to be Subcontracted
Name: o) 6e �n
Address: Lo G,-eo
J
Name and Location
of Subcontractor
Name:_
Address:
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name:
Address:
2.0 REFERENCES FOR BIDDER (Duplicate page as needed)
Description of Work
to be Subcontracted
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BIDDER: _ p � ue ,
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SECTION 3
NON - COLLUSION AFFIDAVIT
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BIDDER:
• NON - COLLUSION AFFIDAVIT
In accordance with Public Contract Code Section 7106, the undersigned, being first
duly sworn, deposes and says that he or she holds the position listed below with the
bidder, the party making the foregoing bid, that the bid is not made in the interest of,
or on behalf of, any undisclosed person, partnership, company, association,
organization, 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 th r the
contents thereof, or divulged information or data relative thereto, or id, and w II not
pay, any fee to any corporation, partnership, company associaf organizaf n, bid
depository, or to any member or agent thereof to effectuate ollusive or am bid.
• Signature
'e_'Z e- (� S e
Typed or Prin ed Name
Title
/�
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Bidder '
Subscribed and sworn before me
This day of
20
(Seal)
Notary Public in and for
the State of California
My Commission Expires:
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