Robert D. Gosney1
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.' BIDDER:
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SECTION 1 - BID SCHEDULE
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BIDDER:
BID SCHEDULE
SCHEDULE OF PRICES FOR
CITY HALL WINDOW REPLACEMENT PROJECT
PROJECT No. P82629
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BASE BID SCHEDULE
TOTAL BASE BID PRICE (SCHEDULE BID PRICE): $ CD � L l o 0 . D D
Sr7�r�( JFvuk 1k4vSA- o -Goff 4�orth boikaus
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 bid items above, within the limits define in Section 3 -2.2.1 of the Standard
Specifications, to stay within the budgeted amount of this project.
1 If the Bid Documents specify alternate bid items, the following Alternate Bid amounts shall be
added to or deducted from the Total Bid Price entered above. The owner can choose to
' include one or more of the alternates in the Total Bid Price of the Project. If any of the
Alternate Bids are utilized by the Owner, the resulting amount shall be considered the Total
Bid Price for the Project.
' The undersigned agrees that these Contract Bid Forms constitute a firm offer to the Owner which
cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and
after the bid opening date, or until a Contract for the Work is fully executed by the Owner and a third
party, whichever is earlier. The undersigned also agrees that if there is a discrepancy between the
written amount of the Bid Price and the numerical amount of the Bid Price, the written amount shall
govern.
A a hed hereto is a certified check, a cashier's check or a bid bond in the amount of
Dollars ($ DD) said amount being not less than ten percent (10 %) of the Total
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UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
CITY.
PRICE
COST
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Clearing & Grubbing per plans and
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specifications.
loon
ZD'90,Oa
2
Disposal of Waste Materials.
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6wo
$ " Q . QO
3
Remove, Dispose and Replace
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Existing Windows and Doors
q
(Including Frames) per Plans
9 1 06 r 00
(Sheet 1 and 2) see Appendix A
and Specifications Complete.
TOTAL BASE BID PRICE (SCHEDULE BID PRICE): $ CD � L l o 0 . D D
Sr7�r�( JFvuk 1k4vSA- o -Goff 4�orth boikaus
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 bid items above, within the limits define in Section 3 -2.2.1 of the Standard
Specifications, to stay within the budgeted amount of this project.
1 If the Bid Documents specify alternate bid items, the following Alternate Bid amounts shall be
added to or deducted from the Total Bid Price entered above. The owner can choose to
' include one or more of the alternates in the Total Bid Price of the Project. If any of the
Alternate Bids are utilized by the Owner, the resulting amount shall be considered the Total
Bid Price for the Project.
' The undersigned agrees that these Contract Bid Forms constitute a firm offer to the Owner which
cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and
after the bid opening date, or until a Contract for the Work is fully executed by the Owner and a third
party, whichever is earlier. The undersigned also agrees that if there is a discrepancy between the
written amount of the Bid Price and the numerical amount of the Bid Price, the written amount shall
govern.
A a hed hereto is a certified check, a cashier's check or a bid bond in the amount of
Dollars ($ DD) said amount being not less than ten percent (10 %) of the Total
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BIDDER: Q0(3t T p, 1�05/VEY
' 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.
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. N 0'v 18
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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I By.
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NOW E
Business S}feoet AddXssyU3(oS9
M 4l Cam' 1"" t
t4eSPO-tA , cc, 6 1 7-3
City, State and Zip Code
7r0 o- g(oLl - ?162
Telephone Number
Bidders /Contractor's State of Incorporation: NOT" TNGo(Po�FtTttD
Partners or Joint Venturers:
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Bidder's License Number(s):
NOTES:
1)
2)
3)
Signature
GAIXT D. 6 osuE r
Type or Print Name
6WNe4
Title
BIDDER: P0601Z A C OS/JEy
5 �7782�
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.
As further discussed in the Instructions to Bidders, Bidder will he required
to provide evidence that the person signing on behalf of the corporation,
Partnership or joint venture has the authority to do so.
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' BIDDER: &beg - D • 605
' SECTION 2
BID DATA FORMS
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BIDDER: Fo&& - A • "NrY
' 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 is properly
' identified with the Bidder's name and page number.
2.A BID BOND
KNOW ALL MEN BY THESE PRESENTS: /n�
THAT C�og p. 90$N_ , f COW5TR- i1 C 1 q�'� as
' Principal, and _A6k�
as Surety, are held firmly bound unto the CITY
OF ROSEMEAD (hereinafter 4led t0q OWNER) in the sum of
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DOLLARS
' ($ ), being not less than ten percent (10 %) of the Total 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
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by these presents.
WHEREAS, said Principal has submitted a bid to the OWNER to perform all Work
required for the CITY HALL WINDOW REPLACEMENT PROJECT as set forth in the
� tice Wittin Bids and accompanying Bid Documents, dated
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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 SEALE his day of 20 .
(SEAL) CA S (SEAL)
Principal i3eRr. Surety
By: By: CASU
Sigrfature Signature
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I BIDDER: K Jt� D 6'#J
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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 foreach 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.
' If the Bidder fails to specify a subcontractor for any portion of the Work to be performed
under the Contract, it shall be deemed to have agreed to perform such portion itself, and
' shall not be permitted to subcontract that portion of the Work except under the conditions
hereinafter set forth below.
Subletting or subcontracting of any portion of the Work in excess of one half of one percent
' (greater than 0.5 %) of the Total Bid Price or, in the case of bids or offers for the construction
of streets or highways, including bridges, in excess of one -half of 1 percent of the
Contractor's total bid or ten thousand dollars ($10,000), whichever is greater, for which no
' subcontractor was designated in the original bid shall only be permitted in cases of public
emergency or necessity, and then only after Owner approval.
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BIDDER: (�o P,t�Rr �' °S►
2.13 LIST OF PROPOSED SUBCONTRACTORS (continued)
I "Duplicate Next 2 Pages if needed for listing additional subcontractors. "]
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: "' DC5'�* wi - 'DovJ A,0 (I n -
Address P.b. 60n FV
Name and Location
of Subcontractor
Name:
Address:
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:
Address:
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name:
Address:
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BIDDER: w<'06epr Q• r.
2.0 REFERENCES
The following are the names, addresses and telephone numbers for three public agencies for which BIDDER
has performed similar work within the past two (2) years:
Name and Address of Owner
4 k )c 4 W rT
Name and telephone number
r 2 '(9c,
of person familiar with project
Contract amount I Type of Work Date Completed
2. W i T F gj yW rC Cor- n ett L
Name and Address of Owner
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Name and telephone number of person familiar with project
Contract amount Type of Work Date Completed
r
Name and Address of Owner
Name and telephone number of person familiar with project
Contract amount Type of Work Date Completed
4.
Name and Address of Owner
Name and telephone number of person familiar with project
Contract amount Type of Work Date Completed
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I BIDDER: f.pbt(LT 1). "
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' SECTION 3
' NON- COLLUSION AFFIDAVIT
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BIDDER: F&Y D, 190SN
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, oron 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, orthe contents thereof, ordivulged
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
0oiIS 7 b, 6aSrtey
Typed or Printed Name
OwN QR-
Title
W 'W - T P • (O rn &r T
Bidder
SubscriW�g and sworn before me
This �?l "t day of C� 20
Not ry Public in and fo 0
the State of California
My Commission Expires: 19
(Sea))
KAREN / .611N N
GotmnNNOti 1779207
Notory hdNle - Catlfwnla_
km gerwdlno County
2. WCatm8"n6m7,2o1
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