Cyrcon Builders IncCITY OF ROSEMEAD
GARVEY PARK AQUATIC FACILITY
PROJECT No. P53129
CONTRACT BID FORMS
TABLE OF CONTENTS
SECTION1 BID SCHEDULE .......................................................... ............................... 1
SECTION 2 BID DATA FORMS ...................................................... ............................... 4
2.A BID BOND ............................. .............................. ......................... 5
2.13 LIST OF PROPOSED SUBCONTRACTORS .............. ............................... 7
SECTION 3 NON - COLLUSION AFFIDAVIT ................................. ............................... 10
SECTION 1 - BID
Cyrcon Builders LP
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which cannot be withdrawn for the number of Working Days indicated in the Notice Inviting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 certified check, a cashier's check or a bid bond in the amount of
1M- of Total Bid Price 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 -1
L1IllDElt: Cyrcon Builders LP
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. 1, Supplement to Addendum 1, Clarification No. 2
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 -2
BIDDER: Cyrcon Builders LP
By:
tur
Gary Melnik
Type or Print Name
President / CEO
Title
Bidder's /Contractor's State of Incorporation:
2255 Barry Avenue
Business Street Address
Los Angeles, CA 90064
City, State and Zip Code
(310) 481 -2023
Telephone Number
Partners or Joint Venturers: Marshall A. Rockwell, Partner
Laura H. Rockwell, Partner
Bidder's License Number(s): B - 929070
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.
CBF -3
RIDDI- R:_Cyrcon Builders LP
SECTION 2
BID DATA FORMS
CBF -4
BIDDER: eyp-eonJ PjLI/GQE/LS LI
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 Cyrcon Builders, LP ,
as Principal, and Berkl py Regional Tnsuran Company
as Surety, are held firmly bound unto
the CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of
Not to exceed 10% of total bid amount
DOLLARS
($ -------- - - - - -- ), 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 forthe Garvey Park Aquatic Facility as set forth in the Notice
Inviting Bids and accompanying Bid Documents, dated 11 /3/1 0
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 28th dayof October 12010
Berkley Regional
Cyrcon Builders, LP (SEAL)Insurance Company (SEAL)
Principal Surety
By: By: -- —
at Signature Jamie Ayres, 4
Attorney in Fact
l
CBF -5
CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT
State of California 1 1
County of L-d�'s A ��1�.
On -2 - /O' before me, �l< 4. ,
Date Here Insert Name and Title of the Officer
personally appeared
Nameis) of Signers)
TILAK A. THANARATNAM
,` commission # 1757430
,.`m :_ ,) Notary Public - California a
€�`�i, Los Angeles County
O
My ConvrL P�W'IresAUg 13, 2011
Place Notary Seal Above
who proved to me on the basis of satisfactory
evidence to be the person ose name(s)-is�
subscribed to the within instrument and acknowledged
to me that he /,SY»JfF1ep' executed the same in
his /h,?FRbeiT authorized capacity and that by
his/4~ signature,(sY on the instrument the
person or the entity upon behalf of which the
personW'acted, executed the instrument.
I certify under PENALTY OF PERJURY under the
laws of the State of California that the foregoing
paragraph lue and correct.
WITNESS and a official seal. —
Signature:
otary Public
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.
Description of Attached D current _
Title or Type of Document: �tii� ^�% &',0
Document Date: //-.1 - /
d - Number of Pages:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Individual
❑ Partner — ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
RIGHT THUMBPRINT
OF SIGNER
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Individual
❑ Partner — ❑ Limited ❑ General Top of thumb here
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing
02009 National Notary Association • NationalNotary.org • 1. 800 -US NOTARY H- 800 -8]6 -682]) Item #590-,
ACKNOWLEDGMENT
.......................................... ...............................
State of California
County of Los Angeles } ss.
On OCT 2 8 2010 before me, Tina Lucero , Notary Public,
personally appeared Jamie Ayres , 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 /she /they executed the same in his /her /their
authorized capacity(ies), and that by his /her /their signatures(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
S na ure
.,, TINA LUCER0
Commission # 1069279
Notary Public - California
Los Angeles County
M Comm Expires Nov 21, 2013 r
(seal)
.......................................... ...............................
OPTIONAL INFORMATION
Date of Document
Type or Title of Document
Number of Pages in Document
Document in a Foreign Language
Type of Satisfactory Evidence:
X 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: Berkley Regional Insurance Company
Thumbprint of Signer
Check here if
no thumbprint
or fingerprint
is available.
2008 Allstate Notary Preparation. Inc. - (800) 689 -8456 - w ,allstatenotary.com
No. 7923a
POWER OF ATTORNEY
BERKLEY REGIONAL INSURANCE COMPANY
WILMINGTON, DELAWARE
NOTICE: The warning found elsewhere in this Power of Attorney affects the validity thereof. Please review carefully.
KNOW ALL MEN BY THESE PRESENTS, that BERKLEY REGIONAL INSURANCE COMPANY (the "Company "), a
r corporation duly organized and existing under the laws of the State of Delaware, having its principal office in Urbandale, Iowa,
tihas made, constituted and appointed, and does by these presents make, constitute and appoint: Scott Salandi, Michael J. Lahn,
2 Tina Lucero or Jamie Ayres of Berkley Surety Group, LLC of Glendale, CA its true and lawful Attomey -in -Fact, to sign its
name as surety only as delineated below and to execute, seal, acknowledge and deliver any and all bonds and undertakings, with
r the exception of Financial Guaranty Insurance, providing that no single obligation shall exceed Fifty Million and 00 /100 Dollars
v (550,000,000.00), to the same extent as if such bonds had been duly executed and acknowledged by the regularly elected officers
of the Company at its principal office in their own proper persons.
z This Power of Attorney shall be construed and enforced in accordance with, and governed by, the laws of the State of Delaware,
without giving effect to the principles of conflicts of laws thereof. This Power of Attorney is granted pursuant to the following
Tc resolutions which were duly and validly adopted at a meeting of the Board of Directors of the Company held on August 21, 2000:
� J
"RESOLVED, that the proper officers of the Company are hereby authorized to execute powers of attorney authorizing and
- qualifying the attorney -in -fact named therein to execute bonds, undertakings, recognizances, or other suretyship obligations
on behalf of the Company, and to affix the corporate seal of the Company to powers of attorney executed pursuant hereto;
3 and further
e RESOLVED, that such power of attorney limits the acts of those named therein to the bonds, undertakings, recognizances,
E or other suretyship obligations specifically named therein, and they have no authority to bind the Company except in the
manner and to the extent therein stated; and further
F RESOLVED, that such power of attorney revokes all previous powers issued on behalf of the attorney -in -fact named; and
2 further
o eo RESOLVED, that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any
a� power of attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or
it other suretyship obligation of the Company; and such signature and seal when so used shall have the same force and effect as
U - though manually affixed. The Company may continue to use for the purposes herein stated the facsimile signature of any
person or persons who shall have been such officer or officers of the Company, notwithstanding the fact that they may have
ceased to be such at the time when such instruments shall be issued."
°_— IN WITNESS WHEREOF, the Company has caused these presents to be signed and attested by its appropriate officers and its
o corporate seal hereunto affixed this L, day of J tkz/AA �vl 2010.
x Attest:
/" Berkley 'onalInst, mpany
v (Seal) By i BY
Ira S. Lederman Robert P. Cole
r Senior Vice President R. Secretary Senior Vice President
L WARNING: THIS POWER INVALID IF NOT PRINTED ON BLUE " BERKLEY" SECURITY PAPER.
O U
n.r STATE OF CONNECTICUT)
ss:
COUNTY OF FAIRFIELD )
s Sworn to before me, a Notary Public in the State of Connecticut, this f_:( day of �cVrwyc+iw) 2010, by Robert P. Cole and Ira
S. Lederman who are sworn to me to beige �enyo, \Fice;Er_ees nt, and the Senior Vice President and Secretary, respectively, of
o Berkley Regional Insurance Company. NOTARYP'UDLIC
MY COMMISSION EXPIRES JANE 30, 2012 c, /
i . °_ Notary Public, State of Connecticut
U
Z.: CERTIFICATE
Z ? I, the undersigned, Assistant Secretary of BERKLEY REGIONAL INSURANCE COMPANY, DO HEREBY CERTIFY that the
2 foregoing is a true, correct and complete copy of the original Power of Attorney; that said Power of Attorney has not been revoked
3 or rescinded and that the authority of the Attorney -in -Fact set forth therein, who executed the bond or undertaking to which this
Power of Attorney is attached, is in full force and effect as of this date.
-- - .Given under my hand and seal of the Company, this day of OCT 2 8 2010 ,
(Seal)
Steven Coward
BIDDER: Cyrcon Builders LP
2.13 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.
BIDDLR- Cyrcon_Builders_LP
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: G ,FNT� C-
Address: ZA)tt
Name and Location
of Subcontractor
Name: A16L
•• ress� �_ra-
Name and Location
of Subcontractor
Name: T Wyk -1 of 7
Address:' twklum
Name and Location
of Subcontractor
1
Address: ♦ Let mA
Name and Location
of Subcontractor
Description of Work
to be Subcontracted
Description of Work
to be Subcontracted
rrA -)�� o iv,.
Description of Work
to be Subcontracted
S its Lk T I lr l
Description of Work
to be Subcontracted
L)�CAsch?'
2.0 REFERENCES FOR BIDDER (Duplicate page as needed)
CBF -7
RIDDER:_Cyrcon Builders LP
2.13 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
FtNceS
Name: 15,x, C;UA-IN
Address:
Name and Location
Description of Work
of Subcontractor
to be Subcontracted
/sue
Name:__
Address: SIMI
Name and Location
Description of Work
of Subcontractor
to be Subcontracted
��IL.171Ny �tJL1�,i1 G
Name: e-,N/\
Address: __tA,-,A_Y_�s��'�r'j
Name and Location
Description of Work
of Subcontractor
to be Subcontracted
Mlrsac�L>
Name:
Address: M 1
Name and Location
of Subcontractor
Description of Work
to be Subcontracted
Name: CA F�N\tw
Address: I_�C =_L��}
2.0 REFERENCES FOR BIDDER (Duplicate page as
CBF - 7
needed)
BIDDLR.- Cyrcon Builders LID
2.13 LIST OF PROPOSED SUBCONTRACTORS (continued)
[ "Duplicate Next 2 Pages if needed for listing additional subcontractors.*']
Name and Location
of Subcontractor
Name: Cr
Address: zi,t 1 iA L f
Name and Location
of Subcontractor
Name:
Address:
Name and Location
of Subcontractor
Name:
Address: y 1!44
Name and Location
of Subcontractor
Description of Work
to be Subcontracted
Description of Work
to be Subcontracted
d5hL MT--T)%(,
Description of Work
to be Subcontracted
�'V-�
Description of Work
to be Subcontracted
6Lal� l r+ < S
Name: T3000A,
Address:
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name:��
2.0 REFERENCES FOR BIDDER (Duplicate page as needed)
CEF -7
BIDDER: Cyrcon Builders LP
2.B LIST OF PROPOSED SUBCONTRACTORS (continued)
[ "Duplicate Next 2 Pages if needed for listing additional subcontractors. "]
Name and Location
of Subcontractor
Address:
Name and Location
of Subcontractor
Name:_
Address: eA
Name and Location
of Subcontractor
Name: cam_ p(YJV
Address: [�t.11p61LA
Description of Work
to be Subcontracted
"PA1NT
Description of Work
to be Subcontracted
Description of Work
to be Subcontracted
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: pd9AOuc�71z c
Address: nAN 5S% Nt. N J%!F:l Is
Name and Location
of Subcontractor
Description of Work
to be Subcontracted
q^L
Name:_ 3 UN►-1 Ml E'er
Address: V/A4A�Li
2.0 REFERENCES FOR BIDDER (Duplicate page as needed)
CBF -7
BIDD[K: Cyrcon_Builders LP
2.13 LIST OF PROPOSED SUBCONTRACTORS (continued)
[ "Duplicate Next 2 Pages if needed for listing additional subcontractors. "]
Name and Location
of Subcontractor
Name:
Address: C- n- VLhlz�;64
Name and Location
of Subcontractor
Name:
Address:
Name and Location
of Subcontractor
Name:
Address:
Name and Location
of Subcontractor
Name:
Address:
Name and Location
of Subcontractor
Name:
Address:
Description of Work
to be Subcontracted
J-�Lv C.
Description of Work
to be Subcontracted
Description of Work
to be Subcontracted
Description of Work
to be Subcontracted
Description of Work
to be Subcontracted
2.0 REFERENCES FOR BIDDER (Duplicate page as needed)
CBF -7
131DD1_R:_Cyrcon_Bui1ders LP
2.13 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:_
Address
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name:
Address:
Name and Location
of Subcontractor
Name:_
Address:
Name and Location
of Subcontractor
Description of Work
to be Subcontracted
Description of Work
to be Subcontracted
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name:
Address:
2.0 REFERENCES FOR BIDDER (Duplicate page as needed)
BIDDER: Cyrcon Builders LP
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:
City of Riverside
1. Parks, Recreation & Community Services Department
3900 Main Street, 6th Floor, Riverside, CA 92522
Name and Address of Owner
Ewina Lau, Sr. Park Planner, (951) 826 -2012
Name and telephone number of public agency person familiar with project
Renck Community Center
$3.8 Million & Gymnasium at Hunt Park 11/2010
Contract amount Type of Work
Date Completed
2 San Bernardino City Unified School District
956 W 9th Street, San Bernardino, CA 92411
Name and Address of Owner
Nellie Karbum, Project Manager, (909) 388 -6100
Name and telephone number of public agency person familiar with project
SBCUSD Group 4 Schools Modernization
$5.7 Million Harmon /Arrowhead /Carmack /Kendall E.S. 9/2011
Contract amount Type of Work Date Completed
3. San Bernardino City Unified School District
956 W 9th Street, San Bernardino, CA 92411
Name and Address of Owner
Tomothy Deland, Facilities Officer, (909) 388 -6100
Name and telephone number of public agency person familiar with project
SBCUSD Group 7 Schools Modernization
Bradley /Marshal /Ramona - Alessandro/
$6.1 Million /Warm Springs Elementary Schools 11/2011
Contract amount Type of Work
IMM
Date Completed
11/01/2010 11:25 9093941630
2,1) REFERENci
(Duplicate page as
CAL COMM POOLS PAGE 06/06
Oyt-CVA) Bu1tb&Rs IP
TOOLS
S
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.
2
2.
= W_14Z�
and Address of
telephone number
public agency person familiar with project
Name
Date Completed
— v — I t
number of public agency person familiar with project
3.
Owner
Name aAd telephone number f
Project Name
agency person fami
CBF -9
Date
with project
Cl 025__`1 S�_
CA,
BIDDER: Cyrcon Builders LP
SECTION 3
NON - COLLUSION AFFIDAVIT
CBF -10
c
BIDDER: Cyrcon Builders LP
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.
Gary Melnik
Typed or Printed Name
President / CEO
Title
Cyrcon Builders LP
Subscribed and sworn before me
This -- daypf A9V
Notary Publ
the State of
My Commission Expires:
20!
(Seal)
TILAK A. THANARATNAM
Commission # 1757430
Notary Public - California =
Los Angeles County
MVComrn. P>rpl es"13, 2011
(Seal)