Robert D. Gosney Constructionw ey
. • V
BIDDER: A 6 0, WEY (f o,/57
SECTION ? - BID SCHEDULE
CBF -0
BIDDER: Aaekr D. 605njBr Lv rsr.
BID SCHEDULE
SCHEDULE OF PRICES FOR
CITY HALL WINDOW REPLACEMENT PROJECT
PROJECT No. P82629
BASE BID SCHEDULE
TOTAL BASE BID PRICE (SCHEDULE BID PRICE): $ `q i t DO. O 0
j eveory r-7oig- . Pmatt-- tavrJOezp
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.
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cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and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 forthe 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
govem.
Attached hereto is a certified check, a cashier's check or a bid bond in the amount of
#U Dollars ($ 56i," said amount being not less than ten percent (10 %) of the Total
Tt9v 5ANQ A/ p> 6Pry.
CBF -1
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY_
PRICE
COST
1
Clearing $ Grubbing per plans and
LS
1
specifications.
;L 000
'2 0 O, Oa
2
Disposal of Waste Materials.
LS
1
3(000
S1 000.00
3
Remove, Dispose and Replace
LS
1
Existing Windows and Doors
6 0 t ' 900
/ u �
(O 1
(Including Frames) per Plans
1
(Shoot 1 and 2) see Appendix A
and Specifications Complete.
TOTAL BASE BID PRICE (SCHEDULE BID PRICE): $ `q i t DO. O 0
j eveory r-7oig- . Pmatt-- tavrJOezp
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.
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 forthe 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
govem.
Attached hereto is a certified check, a cashier's check or a bid bond in the amount of
#U Dollars ($ 56i," said amount being not less than ten percent (10 %) of the Total
Tt9v 5ANQ A/ p> 6Pry.
CBF -1
BIDDER : IZywar D• �ey �oJSz
Bid Price_ The undersigned agrees that said amount shall be retained bythe 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 Letterof Award for
the Contract, and will deliverto 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 Bidders California contractors 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. t
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 : 6 . 8 eK r D. 4�ey 6,jS
By:
Signature
4 t' p. 94we y
Type or Print Name
6 WNeyc--
Title
197-15 02AA166 ST•
Business $treat Address
rvt ®f L: f o. do># No3b89
H eViXIA CA 117-3110
City, State and Zip Code
7 9(o`d -7
Telephone Number
Bidder's /Contractor's State of Incorporation: Wtr T�Q (09100 P -f7-4 � - W
Partners or Joint Venturers:
dV ��
Bidder's License Number(s): S
NOTES:
1)
2)
3)
By its signature on this Bid, the Bidder certifies under penalty of perjury the accuracy of the
representations made on the Contract Bid Forms.
If Bidder is a corporation, enter State of Incorporation in addition to Business Address
If Bidder is a partnership or joint venture, give full names of all partners or joint
venturers.
As further discussed in the Instructions to Bidders, Bidder will be required
to provide evidence that the person signing on behalf of the corporation,
nartnershio or iomt venture has the authority to do so.
CBF -3
BIDDER: �� "•' D• y��V� Go�rST
I •
:$-n
BIDDER: JZ0Qr—T p• 60S)UBy C" 4 fr-
2.B 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
Biddershall provide the information requested belowforeach subcontractorwho will perform
work, laboror render service to Bidder in orabout 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 orten thousand dollars ($10,000),
whichever is greater, and shall furtherset forth the portion of the Work which will be done by
each subcontractor. Bidder shall list only one subcontractor for anyone 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, otherthan 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 forthe 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.
CBF -6
ROBERT D. GOSNEY DBA
EIMER: ROBERT D. C.nSW rnN STRDCTION
Bidder shaii submit ifs Bid data in accordance with the format shown on each of the fotiowing Bit
Data Forms. Bidders shall prnparaand use as marry shoetsas ate necessaryto adequately provide
the iriomiation 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 BOND NO. 1000883120 -04
KNOW ALL MEN BY THESE PRESENTS:
THAT ROBERT D. GOSNEY DBA ROBERT D. GOSNEY CONSTRUCTION as
and accompanying Bid Documents,
if said Principal is awarded a
aid Dowmants, et terS the written form
Doouments, furnishes3he required bonds (one tt
the other to ptjtorapfee payment for labor and
0
914s1`IED AWJD $VALED; IWO 2ND . day of
ROBERT D. GOSNEY DBA
ROBERT D. GOSNEY CONSTRUCTION , (SEW
tinciptit
By:
ti�t�ilture? - �'
MF -5
p� �p� �^ in a aped .. f� .J, w in , ttfe M _.. oY
NOT % NN N� TEL SAND TH& HONDRE� FIFTY DOLLS
CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT
State of California 1
County of ORANGE J
On m R(`F1 97417, 907 7 before me, PAUL S. DITO, NOTARY PUBLIC
Date Here Insert Name and Title of the Officer '
personally appeared
` PAUL S. DITO
COmmisslon # 1756426
-n Notary Public • California
Orange County
L2tvlyCo Expires JU 12, 2011
Place Notary Seal Above
CHRIS TLIEVENY
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 signature(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 PERJ RY under the laws
of the State of California that the fo goi graph is
true and correct.
WITNESS my hand and official seal.
Signatu
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 Document
Title or Type of Document:
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name: CHRIS THEVENy Signer's Nat
❑ Individual ❑ Individual
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General _
%% Attorney in Fact
❑ Trustee Top of thumb here
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
AMERICAN CONTRACTORS
INDEMNITY COMPANY
BOND NO.1000883120 -04
Number of Pages:
❑ Corporate Officer — Title(s): _
❑ Partner — ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
RIGHITTHUMBPRINT
OF SIGNER
0
02007 National Notary Asseoltamn• 9350 De Soto Ave., P.O. BOX 2402 -Chatsworth, CA 913132402. www.NationalNatar"r, Item #5907 Reorder:Call Toll -Free i- 600-6]6 -682]
POWER.OF ATT
IN
AMERICAN CONTRACTORS DEMNITY COMP �MXA913"ING COMPANY
UNITED STATES SURETY COMPANY U.S. SPECIALTY INSURANCE COMPANY
KNOW AL L M BY THESE PRESENTS: That Am erican Contractors Indemnity Company, a California corporation, Texas
3ondmg.G_Gmpan3 an assumed n ame of- Amerrcan Indemnity, I Company, of theI State of Calif gti==CaHFeI
orparatzon, 7ni e states Surety t Ufa at��rporation and t�1 &
specialty I Ins'u #ance Company a a s�or at Sri
�o I9I)PCCbvr�}— ,tlz� "�mpanies "), d oh_ � se�resim�ce , constitutedandl I I I ' -- _
Paul S. Dire, Paula LaSalle, Denise Renderos, Chris Theveny, Khoi Tran, Freddy Anvari, Carmina Macias
or Maricela Lares of Orange, California
its true and lawful Attorney(s)-in-fact, each in their separate capacity if more than one is named above, with full power and authority
h ereby confer in its name, place and stead, to executg,1 acknowledge and d an and al recognizances, under
_ �ilbefinsiFxumeuts or contracts IofIsgretyshipl Include riders, a sjuiI of surety, p =bsml _
exceed iial I lil 11 I I.* * * *Threel iIlion * * * ** tglla * *3.000.080.4D0 *�
�hfs; 'ower - o Attomey shall expire without further action on December �9=2Th/I of Attorney is grarraxLunder a��y
authority of the following resolutions adopted by the Boards of Directors of the Companies:
Be it Resolved, that the President, any Vice - President, any Assistant Vice - President, any Secretary or any Assistant Secretary shall be
and-is herz vested with full power and autho rity4o a ppoin t any one or more suitable I persons�as Attomey(s) -in -Fa to represenYaud _
act er�nd Q ialTof the Compan s ectt�Iie�Iffi g provisions: 1 I i; _ -
�ey� may be given fiffff w �air� -a fhority for and in the inihie!of and 1 on'behalf of the CompI execute,
acknowledge and deliver, any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory
undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such
instruments so executed by any such Attorney -in -Fact shall be binding upon the Company as if signed by the President and sealed and
ef fected h e Gnorate Secretary.
M r�-I e signature o1r any aaIIb Ti loffi'cer' and seal of thi�amp�r thercte o€ hereafter affixes � p o�
� orrwy branycertificate relatiing' thereto by :facsimile, and any power & omey Fur iticate bearing facsm r- 9ignat&
facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached.
IN WITNESS WHEREOF, The Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this
l51lslay aUune
AMERICAN CONTRAH'ORSIt UNITY COMPANYI I "TEXAS BOND)NG COMPANY-
UNITED STA U.S. SPECIALTY INSURANCE COMP NN _
Corporate Seals ,� suq� "DING PEn
1110mnlv'nro ISSEALg / 1/ T c By ,
- - 7OS ` —� Dani P. Aguilar, Vice Preside
to 0€ alrfmn �m *
Effo Afig�es SS:
On this 15" day of June, 2009, before me, V. Wright, a notary public, personally appeared Daniel P. Aguilar, Vice President of
American Contractors Indemnity Company, Texas Bonding Company, United States Surety Company and U.S. Specialty Insurance
Company who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument
an d ack me that he e th e-sam e ph is authorized capacity„ and that, by, his signature on t i nstrur nerI
=ersunft or*he°etiftty upon behalf e - f 7-WedtheTe�ed, executed The �inst*ent I
- I I
I certify under PENALTY OF PERJURY iin er the laws of the State of Callfordta that the foregoing paragraph is true=and correct.
t v w1uGNr
\' t i Gmm ilbatonk 10261A0
Signature � �� \. � _ .(Seal) gg m 7 NO Ia�y PubliaGall Pomia i
4 — ns A6gelea County
11 II I I i mm- Fxplma GaOU 2012 _
:F.J=mni,r L im, )Vssistant Secretay of Akg Ian CI opiraotors Indemmty 'ci- Bandt Company Unit dIStates -
7 �ompany and U.S. Specialty Insurance Cum do hereby certify that thalb nd foregoing is a true and correurcepy -of a Power
of Attorney, executed by said Companies, which is still in full force and effect; furthermore, the resolutions of the Boards of Directors,
set out in the Power of Attorney are in full force and effect.
BIDDER: gC)6 xi D. Gosmey Cw15
2.B LIST OF PROPOSED SUBCONTRACTORS (continued)
["Duplicate Nexl2 Pages g needed for IIsINg addigonal subconlractors.1
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: K1efi Wlr4bv"1 R&A.PVCAAjD F�eflA
Address 153
Hla.5 CA l 23�ta ll,�`NOcswS Pmt P6�>a,s} SPecs.
Name and Location
of Subcontractor _
Name:
Address:
Description of Work
to be Subcontracted
Name and Location
of Subcontractor
Name:
Address:
Description of Work
to be Subcontracted
Name and Location
of Subcontractor
Name:
Address:
Description of Work
to be Subcontracted
Name and Location
of Subcontractor
Name:
Address:
Description of Work
to be Subcontracted
CBF -7
BIDDER ITV &e . i tCLWGY CDJS7'
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:
�. jJo StMiLraL W cPL' 1 }�5 (3L'LrJ pflN �o� PU K-i
Name and Address of Owner
k.^ t'rlA t#A -rtAIE 1LAST Z Y2S,
TI+, LAAZ
Contract amount
2. FlXPL'�j C
Name and Address o
6-A.a z %(4&
Name and telephone
number of person familiar with project
Type of Work
W I - k+
of c
Date Cot
-e-t`A -L-
person familiar with project
Contract amount Type of Work Date Completed
i
3.
Name and Address of Owner
Name and telephone number of person familiar with project
Contract amount Type of Work Date
4.
Name and
Name and telephone number of person familiar with project
Contract amount Type of Work Date Completed
BIDDER: fatef*- P - cue( 6"JS
SECTION 3
NON - COLLUSION AFFIDAVIT
WT-2m.
BIDDER: V• 60st-lt y coofSr.
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 for 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, 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.
Subscribed and sworn before me
This _ day of 1 20
(Seal)
Notary Public in and for
the State of California
My Commission Expires:
CBF -10
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of California
County of
On A AA�� n�
ff
Data
personally appeared
0207 National Notary Association• 9350 De Soto Ave., P.O. Box 2402-Chatsworth, CA 91313- 2402- ..NationalNotaryorg Item #5907 Reorder: Call Toll -Free 1- 800 -876 -682]
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 signature(s) on the
,.•.., CHRIS THEVENY
Commission # 1797107
instrument the person(s), or the entity upon behalf of
_
e -qty Notary Public - California
"<
which the persons acted, executed the instrument.
person
-
z ;•..
Orange County
tvlycomm.E;- piresivicy2,2012
S
I certify under PENALTY OF PERJURY under the laws
of the State of California t oregoing paragraph is
true and correct.°
WITNESS my nd offic'
Signature
Place Notary Seal Above
Signa o Notary Public r
p� p
ry°�- IONAL
O PT IO NA L
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 Document
Title Type ALGA
° Ca l , ! t t ! '
or of Document:
isj f Gf ,i
Document Date:
Number of Pages:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by�
Signer's Name: v 1 e
Signer's Name:
Individual
❑ Individual
❑ Corporate Officer— Title(s):
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General _
_ ❑ Partner — ❑ Limited ❑ General
❑ Attorney in Fact
• - El in Fact
El Trustee Top
Top of thumb here
of thumb here El Trustee
❑ Guardian or Conservator
❑ Guardian or Conservator
Other: tea y'
❑ Other:
S' er Is Rep
Signer Is Representing:
i // i
0207 National Notary Association• 9350 De Soto Ave., P.O. Box 2402-Chatsworth, CA 91313- 2402- ..NationalNotaryorg Item #5907 Reorder: Call Toll -Free 1- 800 -876 -682]
MAYOR:
GARY TAYLOR
MAYOR PRO TEM:
STEVEN LY
COUNCIL MEMBERS:
SANDRAARMENTA
MARGARET CLARK
POLLY LOW
February 23, 2011
itt � osemead
8838 E. VALLEY BOULEVARD • P.O. BOX 399
ROSEMEAD, CALIFORNIA 91770
TELEPHONE (626) 569 -2100
FAX (626) 307 -9218
ADDENDUM No.1
CITY HALL WINDOW REPLACEMENT
PROJECT No. P82629
(Bid Opening Date: March 2, 2011)
To All Prospective Bidders:
Please note the following revisions on the specifications for the above project:
1. Contractor shall perform water pressure testing on least 20% of the newly installed windows
(randomly selected by owner), simulating rain and consistent with the standards generally
recognized as being employed by professionals in the same discipline in the State of Calffomia.
The purpose of the water testing is to seek out and prevent potential water leaks during wind -
driven rain.
2. Contractor shall fox any disturbed /damaged window framing /contour occurred during construction
at no extra charge.
3. No Pre bid meeting is required for this project.
The addendum No. 1 forms are part of the Contract Documents for the above described project and shall
supplement or supersede referenced sections of original plans and specifications. This Addendum No. 1
must be signed by the Bidder and submitted along with the Bidder's Proposal.
Failure to acknowledge receipt of addendum will disqualify the Bidder.
Veryxruty- yqurs, ,
afael Fajardo
Associate Civil Engineer
Acknowledge ent:
Bidder Date: �' 1
Title:
Page 1 of 1