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Superior Paving Company Inc - Aka United Paving Co.! 1 Superior Paving Company, Inc. BIDDER: Ahs rI d n_.:__.._ Pay BID SCHEDULE SCHEDULE OF PRICES FOR WHITMORE STREET RESURFACING PROJECT - PHASE 11 CDBG PROJECT No. P84429 BASE BID SCHEDULE CBF -1 UNIT OF EST. UNIT ITEM NO. ITEM DESCRIPTION MEASURE QTY. PRICE COST 1 Clearing & Grubbing per plans and specifications Complete. See TP -2, TP -3 & TP-4 per details. LS 1 2 Disposal of Waste Materials. LS 1 3 Place Compacted Selected Fill. CY 150 v 4 Earthwork, Roadway and Excavation. LS 1 ^n !L ILL ul \011\J 5 Construct 2 -Inch ARHM GG -C (PG 64 -16). TONS 155 , A D 6 Construct 2 -Inch AC Pavement (B — PG 64 -10). TONS 155 CL 7 Construct 6 -Inch Crushed Miscellaneous Base 95% Relative Compaction over 90% Compacted Native. �1 TONS 450 8 Remove and Construct 4 -Inch Thick PCC Sidewalk. SF 3,665 �, 9 Remove and Construct 6 -Inch PCC Curb and 24 PCC Gutter -Inch per SPPWC Std Plan 120 -2. LF 865 U/ 10 Remove and Construct Variable High PCC Curb (6" to 9 ") and 24- U Inch PCC Gutter per SPPWC Std Plan 120 -2. LF 25 11 Remove and Construct PCC Driveway approach per SPPWC Std Plan 110 -2, Type B. SF 1,482 6 12 Remove and Construct PCC Curb Ramps per SPPWC Std. Plan 111 -4. EA 2 v CBF -1 BIDDER: Superior Paving Company, Inc. pang TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ �� L OM �VJ Dollar amount in written `.VI �-euM UM o,\ - WAN- ftuy c-YS CBF -2 UNIT OF EST. UNIT ITEM NO. ITEM DESCRIPTION MEASURE CITY. PRICE COST 13 Remove and Construct PCC Cross and Longitudinal Gutters per SPPWC Std. Plan 122 -2. SF 425 Lyy 1 14 Construct Parkway Drain per u; SPPWC Std. Plan 151 -2, Type 1, S =48 ". v LS 1 Ii 1Q,�I\ 15 Install Survey Well Monument per City of Rosemead Std. Plan No. S08 -001 see appendix "A" per detail. The Survey Well Monument Cover, Sleeve and Dome Concrete Marker �1 will be obtained from the Public L J�rl I D.O Works Department at no cost. EA 2 ^) LIJr 16 Construct Bio-swale per details as shown on sheet 3 of 6 complete w including cleaning existing 8 -inch pipe from inlet to outlet approximate �\S �d I�� ✓ 20 LF. LS 1 6 17 Remove and Construct Metal Beam Guard Wood Block) 2006 Calt w 2006 Std. per a Plan A77A1 as shown on the plans. LF 35 18 Adjust Sewer /Storm Manhole to Grade. ( U EA 4- 19 Adjust Water /Gas Valve to Grade. ��o „ _` 'JL,Aw EA 3 20 Install Traffic Striping, Street Signs, 04 Regulatory Signs, Pavement Markers and others indicated on the 11(10 — construction plans. LS 1 UG 21 Paint Home Addresses (Curb Numbering) EA 5 Z _� 23 TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ �� L OM �VJ Dollar amount in written `.VI �-euM UM o,\ - WAN- ftuy c-YS CBF -2 Superior Laving Company, Inc. BIDDER: dba L Inited paving Com pan y ALTERNATE BID ITEM 1 TOTAL ALTERNATE BID # 1 PRICE (SCHEDULE BID PRICE) �\ \`�-e, Dollar amount in 0 $ 011) 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 afterthe 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. 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. .Attached hereto is a certified check, a cashier's check or a bid bond in the amount of _ Dollars ($ said amount being not less than ten percent (10 %) of the Total id Price. The undersignecr9g6aes 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 A7 323 TOTAL AMOUNT INCLUDING BASE PRICE AND ALTERNATE: $_ UNIT OF EST. UNIT ITEM NO. REM DESCRIPTION MEASURE QTY. PRICE COST 22 Install Irrigation System and Landscape per sheet 5 and 6 and specifications complete. LS 1 TOTAL ALTERNATE BID # 1 PRICE (SCHEDULE BID PRICE) �\ \`�-e, Dollar amount in 0 $ 011) 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 afterthe 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. 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. .Attached hereto is a certified check, a cashier's check or a bid bond in the amount of _ Dollars ($ said amount being not less than ten percent (10 %) of the Total id Price. The undersignecr9g6aes 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 A7 323 TOTAL AMOUNT INCLUDING BASE PRICE AND ALTERNATE: $_ BIDDER: p 5u eriar paving Company, Inc. 8 United y 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 Bidders 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 of $500.00 dollars if project is not completed on 45 calendar days 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 Co tra 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 -4 Superior Paving Company, Inc. BIDDER: dba United Paving Company By: Al � Siign � atu � ree \1, �`lI.J1 �A,II��� \U Type or Print Name' yctWo - Titer 'WA V Business Street Address � is Nww \ ,c c City, State and Zip C�ii de - \ \- ltc\ - /Lub Telephone Number Bidder's /Contractor's State of Incorporation: Partners or Joint Venturers: Bidder's License Number(s): J 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, partnership or joint venture has the authority to do so. CBF -5 - I - . - - • F State of California r� Kevin Shelley Secretary of State STATEMENT OF INFORMATION (Domestic Stock Corporation) IMPORTANT - Read instructions before completing this form. 1. CORPORATION NUMBER, NAME AND ADDRESS OF RECORD C2707200 SUPERIOR PAVING COMPANY, INC. DAVID A. WIDERMAN 250 N. GOLDEN CIRCLE, STE. 109 SANTA ANA, CA 92705 CALIFORNIA CORPORATE DISCLOSURE ACT (Corporations Code section 1502.1.1) A publicly traded corporation must file with the Secretary of State a Corporate Disclosure Statement (Form SI PT) annually, within 150 days after the end of its fiscal year. Please see instructions for additional information regarding publicly traded corporations. If there has been no change in any of the information contained in the last Statement of Information filed with the Secretary of State, check the box and proceed to Item 14. If there have been any changes to the information, or no.Statement of Information has been previously filed, the form must be completed in its entirety. 2. STREET ADDRESS OF PRINCIPAL EXECUTIVE OFFICE (DO NOT USE PO BOX) ADDRESS 353 NORTH CYPRESS STREET CITY STATE ZIP CODE COUNTRY ORANGE zCA :92866 UNITED STATES 3. STREET ADDRESS OF PRINCIPAL BUSINESS OFFICE IN CALIFORNIA, IF ANY (DO NOT USE PO BOX) ADDRESS 353 NORTH CYPRESS STREET CITY STATE ZIP CODE ORANGE CA. 92866 LIST THE NAMES'AND`COMPLETE ADDRESSES OF THE OFFICERS (The corporation must have these three officers.) CHIEF EXECUTIVE OFFICER FIRST MIDDLE LAST SABAS TRUJILLO ADDRESS https:// businessfilings. ss.ca.gov /fnnDetaiI.asp ?corpid= 02707200 12/1/2004 , 2311 RED CLOUD COURT � � .``--`—,---—_.���`--,,`=—``,,' � � ____ [ITY ZIP CODE COUNTRY NORC0 CA 82850 UNITED STATES 5^ SECRETARY - IRST MIDDLE LAST ''--'''''----.. �''—.------'' --�--'—'' SABAS �:TRUJ|LLO 1 RED CLOUD COURT CITY STATE ZIP CODE COUNTRY NORCO CA 92860 UNITED STATES 6. CHIEF FINANCIAL OFFICER FIRST MIDDLE LAST ADDRESS 2311 RED CLOUD COURT CITY STATE ZIP CODE COUNTRY NORCO CA :92860 UNITED STATES F (The corporation must have at least one director.) NORCO COUNTRY . ............ — UNITED STATES httpsi//busineysft\io-,s.00.cu.,-ov/frmDetui}.uop?corpid=07707700 12/11/2004 Superior Paving Company, Inc. BIDDER: Aha Iinited Paving Com pany SECTION 2 BID DATA FORMS CBF -6 Superior Paving Company, Inc. BIDDER: dba United Paving Co. 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: THAT Supe Paving Company, Inc. dba United Paving Co. , as o.:.,..:...,t --A AAnrrhnntc Rnnr6na f mmnanv /Mntnan Ten Percent of the Attached Bid as Surety, are held Firmly bound unto the called the OWNER) in the sum of ($ 10% of Bid Amount ) , being not less than ten percent (10 %) of the Total Bid Price; forthe 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 Whitmore Street Resurfacing Project— Phase II as set forth in the Notice Inviting Bids and accompanying Bid Documents, dated February 25th, March 3rd & I Oth, 2011 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 8th day of March , 20 11 Superior Paving Company, Inc. dba United Paving Co. (SEAL) Merchants Bonding Company (Mutuall EAQ Princip 5 lS By: By: 916oure nat a ephanie Pham, Attomey -in -Fact CBF -7 CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT STATE OF CALIFORNIA County of Orange On 3IR ( ( before me, Irene Luong, Notary Public Date Here Insert Name and Title of the Officer personally appeared Stephanie Pham Name(s) of Signer(s) IRENE LUONO Commission # 1883838 i ;=® Notary Public - California z z Orange County My Comm. Expires Mar 22.2014 Place Notary Seal Above who proved to me on the basis of satisfactory evidence to be the person(e) whose name( -5) is /are subscribed to the within instrument and acknowledged to me that he /she /they executed the same in his /her /their authorized capacity("), and that by h+s/her /their signature(&) on the instrument the person(&), 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 ffi 1 I seal. Signature Signatur 1 Notary 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 Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Stephanie Pham ❑ Individual ❑ Corporate Officer— Title(s): ❑ Partner ❑ Limited ❑ General ® Attorney in Fact ❑ Trustee ❑ Guardian or Conservator Signer Is Representing: Number of Signer's Name: ❑ Individual ❑ Corporate Officer — Title(s):_ ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: ��'. �. �ci��i` �c> cc• �ci> �. �i' �Ficc��i:^ ci �` �i � c.` r- t' SCC' �C. � ��. �,' cc5�i�i:' ac .�ri`�i;Cii�i.`�irZ?ti�`a.��c5c *200/ Nalional N61ary Assoclalicn • 9350 De Solo Ave.. P.D. Be. 2402 • Chalswoith. CA 91313 -2401 •.,, Na1cnalNolaryorg Ilem 4590] Rouldec Call Toll. Fce 1 -600- 676 -662] MERCHAN � BONDING COMPANY POWER OF ATTORNEY Know All Persons By These Presents, that the MERCHANTS BONDING COMPANY (MUTUAL), a corporation duly organized under the laws of the State of Iowa, and having its principal office in the City of Des Moines, County of Polk. State of Iowa, hath made, constituted and appointed, and does by these presents make, constitute and appoint Eric Lowey, Mark Richardson, Stephanie Pham, Shawn Blume of Costa Mesa and State of California its true and lawful Anomey -in -Fad, with full power and authority hereby conferred in its name, place and stead, to sign, execute, acknowledge and deliver in its behalf as surety any and all bonds, undertakings, recognizances or other written obligations in the nature thereof, subject to the limitation that any such instrument shall not exceed the amount of. SEVEN MILLION (57,000,000.00) DOLLARS and to bind the MERCHANTS BONDING COMPANY (MUTUAL) thereby as fully and to the same extent as if such bond or undertaking was signed by the duly authorized officers of the MERCHANTS BONDING COMPANY (MUTUAL), and all the acts of said Attorney -in -Fact, pursuant to the authority herein given, are hereby ratified and confirmed. This Powerof- Attomey is made and executed pursuant to and by authority of the following Amended Substituted and Restated By- Laws adopted by the Board of Directors of the MERCHANTS BONDING COMPANY (MUTUAL) on November 16, 2002. ARTICLE II, SECTION 8 - The Chairman of the Board or President or any Vice President or Secretary shall have power and authority to appoint Attorneys -in -Fact, and to authorize them to execute on behalf of the Company, and attach the Seal of the Company thereto, bonds and undertakings, recogn¢ances, contracts of indemnity and other writings obligatory in the nature thereof. ARTICLE II, SECTION 9 - The signature of any authorized officer and the Seal of the Company may be affixed by facsimile to any Power of Attorney or Certification thereof - authorizing the execution and delivery of any bond, undertaking, recognizance, or. other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed. In Witness Whereof, MERCHANTS BONDING COMPANY (MUTUAL) has caused these presents to be signed by its President and its corporate seal to be hereto affixed, this 19th day of January , 2010. .' o�NG COQ:•, MERCHANTS BONDING COMPANY (MUTUAL) STATE OF IOWA COUNTY OF POLK as. BY /-.r,7 7,7x, P resident On this 19th day of January , 2010 , before me appeared Larry Taylor, to me personally known, who being by me duly swom did say that he is President of the MERCHANTS BONDING COMPANY (MUTUAL), the corporation described in the foregoing instrument, and that the Seal affixed to the said instrument is the Corporate Seal of the said Corporation and that the said instrument was signed and sealed in behalf of said Corporation by authority of its Board of Directors. In Testimony Whereof, I have hereunto set my hand and affixed my Official Seal at the City of Des Moines, Iowa, the day and year first above written. r CINDY SMYTH F Commission Number 173504 • �� My Commission Ex fires March 16, 2012 STATE OF IOWA COUNTY OF POLK as. Po� Notary Pubic, Polk County .Iowa I, William Warner, Jr., Secretary of the MERCHANTS BONDING COMPANY (MUTUAL), do hereby certify that the above and foregoing is a true and cored copy of the POWER -0F - ATTORNEY executed by said MERCHANTS BONDING COMPANY (MUTUAL), which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Company on this 8th day of March , 2011, POA 0001 (1109) ���NG • Cp�A • ; 9'. • a: 1933 ; C: • • Secretary •z: -o- a 3 : :y�.• 1933 : c: • ti. ;d�,W.......•v�ac BY /-.r,7 7,7x, P resident On this 19th day of January , 2010 , before me appeared Larry Taylor, to me personally known, who being by me duly swom did say that he is President of the MERCHANTS BONDING COMPANY (MUTUAL), the corporation described in the foregoing instrument, and that the Seal affixed to the said instrument is the Corporate Seal of the said Corporation and that the said instrument was signed and sealed in behalf of said Corporation by authority of its Board of Directors. In Testimony Whereof, I have hereunto set my hand and affixed my Official Seal at the City of Des Moines, Iowa, the day and year first above written. r CINDY SMYTH F Commission Number 173504 • �� My Commission Ex fires March 16, 2012 STATE OF IOWA COUNTY OF POLK as. Po� Notary Pubic, Polk County .Iowa I, William Warner, Jr., Secretary of the MERCHANTS BONDING COMPANY (MUTUAL), do hereby certify that the above and foregoing is a true and cored copy of the POWER -0F - ATTORNEY executed by said MERCHANTS BONDING COMPANY (MUTUAL), which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Company on this 8th day of March , 2011, POA 0001 (1109) ���NG • Cp�A • ; 9'. • a: 1933 ; C: • • Secretary CALIFORNIA ALL- PURPOSE ACKNOWLEDGMENT State of California County of e2 \ eS On I l I2� l \ before me, L 0.JUXGV N arc. Date Here Inser Name and Title al he OPoCer personally appeared SCA�x \ \r6\ LAURA M. FITZPATRICK Commission p 1832501 = e: Notary Public - California z Z .� Los Angeles County s M Comm. Ex ires Jan 20, 2013 who proved to me on the basis of satisfactory evidence to be the person(.$) whose name( is/ere subscribed to the within instrument and acknowledged to me that he /shelFhey executed the same in his /herftheir authorized capacityO, and that by his /her/their signature(o on the instrument the person(S), or the entity upon behalf of which the person(A) 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. Signature Place Notary Seal Above Signature of Notr Public OPTIONAL Though the information below is not required by law, it may prove va abl 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: ❑ Individual ❑ Corporate Officer— Title(s): — El Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: RIGF1ToTNUMBPRINr, OF SIGNER; Number of Pages: Signer's Name: ❑ Individual ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: RIGRTTRUMBPRINT OF SIGNER'. 02007 National Notary Association 9350 De Solo Ave., PO. Box 2402- Chatsaarth, CA 91313- 2402 -w ,Nahonafttary.org Itemp5907 Reorder, Call Toll-Free 1 800 -8]6 -682] BIDDER: Superior Paving Company, Inc. dba any 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 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. 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. Superior Paving Company, Inc. BIDDER: dba ijnitcd Pairing comp 2.6 LIST OF PROPOSED SUBCONTRACTORS (continued) [ Duplicate Neat 2 Pages if needed for listing additional subcontractors. "] Name and Location CAL V �� Description of Work 4r \ z ,� - of Subcontractor to be Subcontracted Name: Q `V1N . Address \.e t� Y e jAf, au �1 O • ` IRb Name and Location Description of Work 1 7 of Subcontractor to be Subcontracted LA-) Name and Location of Subcontractor 0 L.' "Ti Description of Work i l 4 kv 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 -9 BIDDER: Superior Paving Company, Inc. a Y 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: 2. 9 4. Name and Address of Name and telephone number of person familiar with project Contract amount Type of Work Date Completed CBF -10 Public Works References City Of South Pasadena 1414 Mission Street South Pasadena, CA. 91030 Project: Highland Street Contact Info Gabriel B. Nevarez PHONE # (626) 403 -7248 Orieinal Contract: $ 104,750.53 Revised Amount: $ 107,150.53 Start Date: 05/10/10 Completion: OPEN Job Description Remove and replace 900 LT of curb and gutter, 850 SY of driveway approach, and 180 ST of 4" thick concrete sidewalk. Cold mill 13,050 SY to a depth of r, City Of South Pasadena Project: Warwick Place Improvements Warwick Place and South Lane 1414 Mission Street South Pasadena, CA. 91030 Contact Info Gabriel B. Nevarez PHONE # (626) 403 -7248 Orieinal Contract: $83,484.80 Revised Amount: $ 79,324.23 Start Date: 05/01/10 Completion: OPEN Job Description Remove and replace 1,000 LT of curb and gutter, 1,000 ST of driveway approach. Grind and Overlay, crack fill, and installation of petromat. City Of Monterey Park 320 West Newmark Avenue Monterey Park, CA. 91754 Proiect: Improvement of Alley Project Fernfield Dr. & Gerhart Avenue Contact Info Rey Alfonso PHONE # (626) 307 -1320 Original Contract: $ 72,940.86 Revised Amount: $ 83,260.86 Start Date: 04/01/10 Completion: 05101110 Job Description Concrete excavation, Roadway excavation, Grind and overlay, Asphalt concrete pavement. City Of Brea: 1 Civic Center Circle Brea, CA. 92821 Proiect: KFC Parking Lot 334 Brea B1VD Contact Info Susan Lee PHONE # (714) 671 -4461 Original Contract: $ 18,438.00 Revised Amount: $ 19,003.00 Start Date: 10/01/09 Completion: 11/30/09 Job Description . Site # 1 1. Remove and dispose of dirt ( 2" deep x 3' wide ). 2. Remove and dispose of wood header 125 In ft. 3. Construct 2" A/C over native. ( 375 sq ft ) Site # 2 1. Clean debris from planter areas. 2. Construct 1" A/C over native in planter areas (325 sq ft) 3. Construct 3" A/C over native ( 2,343 sq ft ) Site # 3 1. Remove and dispose of debris. 2. Remove and dispose of chain link fence and all posts. 3. Remove and dispose of soil- 4" deep and all posts. 4. Construct 3" A/C over native, as indicated on plan. ( 4,830 sq ft ) City Of Rancho Santa Margarita: 22112 El Pasco Rancho Santa Margarita, CA 92688 Proiect: Robinson Ranch Road Contact Info Marc Hernandez PHONE #: (949) 635 -1800 Original Contract: $148,236.97 Start Date: 8 -23 -10 Revised Amount: $155,230.97 Completion: 9 -14 -10 Job Description In general, the work is comprised of clearing and grubbing, best management practices, removal and replacement failed pavement areas ( AC Dig- outs), Cold Milling of existing AC Pavement, Crackfilling, Asphalt rubber Hot mix surface course, Replacement of traffic striping and markers and markings, and other miscellaneous improvements required to complete the work. City Of Lakewood 5050 Clark Avenue, Lakewood, CA. 90712 Proiect: Arbor Water Yard Pavement Rehabilitation Contact Info Steve PHONE # (562) 866 -9771 EXT: 2526 Original Contract: $221,184.06 Revised Amount: $233,262.64 Start Date: 06/11/2010 Completion: 09/21/2010 Job Description Concrete excavation, Roadway excavation, Grind and overlay, Asphalt concrete pavement. Emerald Bay Community Association 600 Emerald Bay, Laguna Beach, CA. 92651 Proiect: Construction of Phase XA street resurfacing in Emerald Bay Contact Info Bob McDonald PHONE # : (949) 494 -8571 OriLyinal Contract: $247,377.02 Start Date: 06/16/2010 Revised Amount: $247,377.02 Completion: 07/30/2010 Job Description The reconstruction of curb and gutter and the resurfacing of streets located within the E.B.C.A., as well as miscellaneous construction of concrete items, catch basins, drain pipes, manhole adjustments, valve adjustments, pavement markings, and curb painting. City Of Brea: 1 Civic Center Circle Brea, CA. 92821 Project: Alley Improvements Contact Info Brian Ingallinera PHONE # (714) 990 -7756 Original Contract: $ 48,567.62 Revised Amount: $ 54,132.40 Start Date: 07/06/2010 Completion: 07/16/2010 Job Description ASPHALT REMOVE AND REPLACE APPROX. 6400-S.F. IN (1) LOCATION(S)' 1.- Remove existing 6400S.F. of A C and haul to legal dump side 2.- Remove existing 400 S F aproach 8 40 LA of longitudianal putter. 3.- Remove existing palm tree and haul away. BIDDER: Superior Paving Company, Inc. dba United raving pa'Y SECTION 3 NON - COLLUSION AFFIDAVIT CBF - 11 BIDDER: IltipaPlor Paving Compa Inc. NON - COLLUSION AFFIDAVIT dba Uflitbd Paving Company 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. Signature Typed or Printed Name J �5�at!,� TitlP 90PON r Paving Company, Inc. Bidder Company- Subscribed and sworn before me This _ day of 20_ (Seal) p�e�e sze- Pc�c�nec� 5�ur Notary Public' nd for the State Commission Expires: CBF -12 CALIFORNIA JURAT WITH AFFIANT STATEMENT 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) 1 2 0_- 4 ' - - - - - --- - - - Signature of Document Signer No. I State of California n�� County of LO N Ci — LAURA M. FITZPATRICK Commission # 1832501 •s V Notary Public - California i Los Angeles County M Comm. Expires Jan 20.2013 r Place Notary Seal Above Signature of Document Signer No. 2 (if any) Subscribed and sworn to (or affirmed) before me on this TS At day of `lkc�—Nrn , 20 , by Date Month Year Name o Signer proved to me on the basis of satisfactory evidence to be the person who appeared before me (and ( Name of Signer proved to me on the basis of satisfactory evidence to be the person who appeared before me.) Signature Signature of N Lary P Ile 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. Further Description of Any Attached Document Title or Type of Document Date: Number of Pages: Signer(s) Other Than Named Above: RIGHTTHUMBPRINTM RIGHTTHUMBPRINT OF SIGNER #1 OFSIGNER'p2 Jill V 02007 National Notary Association •9350 De Soto Ave, PO. Box 2402 -Chatsworth. CA 91313- 2402•www.NationalNotary .org Itemk5910 Reorder Call Toll Free 1- 806876b827 Superior Paving Company, Inc. dba BIDDER: pang CONTRACT BID FORMS TABLE OF CONTENTS SECTION 1 BID SCHEDULE ....................................................................... ............................... 1 SECTION 2 BID DATA FORMS ................................................................... ............................... 5 2.A BID BOND ................................................................................. ............................... 6 2.13 LIST OF PROPOSED SUBCONTRACTORS .......................... ............................... 7 SECTION 3 NON- COLLUSION AFFIDAVIT .............................................. ............................... 10 CBF -13