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YakarCITY OF ROSEMEAD WHITMORE STREET RESURFACING PROJECT - PHASE II CDBG PROJECT No. P84429 CONTRACT BID FORMS TABLE OF CONTENTS SECTION 1 BID SCHEDULE ....................... SECTION 2 BID DATA FORMS .......... ............................... 2.A BID BOND ........................ ............................... 2.6 LIST OF PROPOSED SUBCONTRACTORS SECTION 3 NON - COLLUSION AFFIDAVIT CBF -13 5 ............... ............................... 6 ............... ............................... 7 ................ 10 SECTION 1 - BID SCHEDULE BIDDER: Y'QWG-- BID SCHEDULE SCHEDULE OF PRICES FOR WHITMORE STREET RESURFACING PROJECT— PHASE II 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, qs"Z�o q TP -3 & TP -4 per details. LS 1 2 Disposal of Waste Materials. LS 1 12500 12SGv 3 Place Compacted Selected Fill. CY 150 �6 7 r00 4 Earthwork, Roadway and Excavation. LS 1 5 Construct 2 -Inch ARHM GG -C (PG 64 -16). TONS 155 6 Construct 2 -Inch AC Pavement (B — / ZS PG 64 -10). TONS 155 7 Construct 6 -Inch Crushed Miscellaneous Base 95% Relative Compaction over 90% Compacted Zy 3 5-0 Native. TONS 450 8 Remove and Construct 4 -Inch Thick S• PCC Sidewalk. SF 3,665 9 Remove and Construct 6 -Inch PCC Curb and 24 -Inch PCC Gutter per Z� Zi 220 SPPWC Std Plan 120 -2. LF 865 10 Remove and Construct Variable High PCC Curb (6" to 9 ") and 24- Inch PCC Gutter per SPPWC Std 4 S Z SCUD Plan 120 -2. LF 25 11 Remove and Construct PCC Driveway approach per SPPWC Std B. Plan 110 -2, Type SF 1,482 1 2 b Remove and Construct PCC Curb Ramps per SPPWC Std. Plan 111 -4. Z3 �3 It v 6 EA 2 CBF -1 BIDDER: 7l�"4:191Z ZOO' /Y9.OS TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ A, , h /7/'A GG CBF -2 UNIT OF EST. UNIT ITEM NO. ITEM DESCRIPTION MEASURE QTY. PRICE COST 13 Remove and Construct PCC Cross and Longitudinal Gutters per 7-81 �� x%00 SPPWC Std. Plan 122 -2. SF 425 14 Construct Parkway Drain per SPPWC Std. Plan 151 -2, Type 1, 2,5-55 0 ?,S-V'Q S =48 ". LS 1 15 Install Survey Well Monument per City of Rosemead Std. Plan No. 508 -001 see appendix "A" per detail. The Survey Well Monument Cover, Dome Concrete Marker( Sleeve and will be obtained from the Public Works Department at no cost. EA 2 16 Construct Bio -swale per details as shown on sheet 3 of 6 complete including cleaning existing 8 -inch ��V Q S-0 C) pipe from inlet to outlet approximate 20 LF. LS 1 17 Remove and Construct Metal Beam Guard Railing (Wood Post with Wood Block) per 2006 Caltrans Std. QZ Z Plan A77A1 as shown on the plans. LF 35 18 Adjust Sewer /Storm Manhole to Grade. 6 6 S Z 6� EA 4 19 Adjust Water /Gas Valve to Grade. EA 3 7 20 Install Traffic Striping, Street Signs, Regulatory Signs, Pavement Markers and others indicated on the p construction plans. LS 1 21 Paint Home Addresses (Curb Numbering) EA 23 ZOO' /Y9.OS TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ A, , h /7/'A GG CBF -2 BIDDER: i IC-19'Q ALTERNATE BID ITEM 1 TOTAL ALTERNATE BID # 1 PRICE (SCHEDULE BID PRICE): $ Sev'eAte•f -A- written form TOTAL AMOUNT INCLUDING BASE PRICE AND ALTERNATE: $ 4W,3 /Lt wil a —SIaC klwasomw 51"X `j�nc/ied I dine CCO�IG�� W/ Dollar amount in written form n 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 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 fio;4 nPerceAf OH6ehAv1wJ8,'JAro,IDollars ($ ffl Pi o said amount being not less than ten percent (10 %) of the Total Bid Price. The undersigned agrees that said amount shall be retained by the Owner if, upon award, we fail or refuse to execute the Contract and furnish the required bonds, certificates and endorsements of insurance and other certifications within the time provided. 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 CBF -3 UNIT OF EST. UNIT ITEM NO. ITEM 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): $ Sev'eAte•f -A- written form TOTAL AMOUNT INCLUDING BASE PRICE AND ALTERNATE: $ 4W,3 /Lt wil a —SIaC klwasomw 51"X `j�nc/ied I dine CCO�IG�� W/ Dollar amount in written form n 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 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 fio;4 nPerceAf OH6ehAv1wJ8,'JAro,IDollars ($ ffl Pi o said amount being not less than ten percent (10 %) of the Total Bid Price. The undersigned agrees that said amount shall be retained by the Owner if, upon award, we fail or refuse to execute the Contract and furnish the required bonds, certificates and endorsements of insurance and other certifications within the time provided. 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 CBF -3 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 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 Contract Documents. Addenda Nos The Bidder understands and agrees that the Total Bid Price is inclusive of all labor, materials, and equipment or supplies necessary to complete the Work as described in the Bid Documents. If this bid is accepted, the undersigned Bidder agrees to enter into and execute the Contract with the necessary bonds and accept the Total Bid Price as compensation in full for all Work under the contract. CBF -4 By: 4 Signature Alll/cfl40 AMA Type or Print Name - Title BIDDER: 111)1e -19w 113 .9 Aow0uo NwY Business Street Address seN 171 22-3 City, State and Zip Code 909 -5'V-9 -16/2 Telephone Number Bidder's /Contractor's State of Incorporation: CAI / F0 le y/ A Partners or Joint Venturers: Bidder's License Number(s): 90 ri r, ?'4 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. 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 State of California ) CALIFORNIA ALL-PURPOSE 11 County of CERTIFICATE OF ACKNOWLEDGMENT s i s On 4J �JI (� before me, _ (here insert nom Id title of the officer) i personally appeared KIVAY-ta Am2.1� i I t x who proved to me on the basis of satisfactory evidence to be the persons) whose names) 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 PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. ` JUDY ANDREA ARROYAVE 9 WITNESS my hand and official seal. COMM. #1 C If r, z� .� Notary Public - Calrfornia A Los Angeles County 7 ^ My Comm. Expires Oct. 9, 2013 s i Signature (Seal) OPTIONAL 9 OPTIONAL INFORMATION ) Although the information in this section is not required bylaw, it could prevent fraudulent removal and reattachment of this acknowledgment to an unauthorized document and may prove useful to persons relying on the attached document I Description of Attached Document The preceding Certificate of Acknowledgment is attached to a document Method of Signer Identification Proved to me on the basis of satisfactory evidence: t titled /for the purpose of ) Q form(s) of identification Q credible witnesses) k Notarial event is detailed in notaryjournal on: containing pages, and dated Page# Entry ? The signer(s) capacity or authority is /are as: Notary contact i ❑ Individual(s) Other i ❑ Attorney -in -Fact ❑ Additional Signers) ❑ Signer(s)Thumbr int(s) - ❑ Corporate Officef(s) riders) ❑ t i i ❑ Guardian /Conservator ) ❑ Partner - Limited /General i ' ❑ Tmtee(s) ) ❑ Other: i representing: Names) of Persons) or Entlty(ies) Signer is Representing ) F 1 I 0 Copyright 2007 Notary Rotary, Inc. 925 29th St, Des Moines, IA 503123612 Form ACK03. 10 107. To re - order, call tall -free 1-877-349 6588 or visit vs on the Internet at hup / /wwwnotaryrotary.cam BIDDER: Yi%/Glge SECTION 2 BID DATA FORMS CBF -6 BIDDER: YAKAR Bidder shag 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 streets as we necessaryto adequately pmvide the fniormation required. Bidder shall ensure that every page of its Bid Data Forms is properly identified with the Bidder`s name find page number. 2A BID BOND KNOW ALL MEN BY THESE PRESENTS: THAT _ principal, YAKAR America as Surety are held firmly bound undo as CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of (10 %) Ten Percent of the Attached Bid Amount (Ii 10.0% of Bid Amount ), being not less than ten percent (10%) of the Total Bid Price; for the payment of which sum oil l 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 nvluired for the Whitmore Street Resurfacing Project -- Phase 11 as set forth in the Notice Inviting Bids and accompanying Bid Documents, dated February 25, March 3, March 10 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 Ski 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 14th day of _ YAKAR (SEAL) Pf F I ey_ Br- Signature CBF - 7 March 20 11 First National Insurance Company of America (SEAL) Surety Signature Stephanie.Pham, Attomey -in -Fact CALIFORNIA ALL- PURPOSE ACKNOWLEDGMENT STATE OF CALIFORNIA Cou"nty:ofOrange 2 On J / ) q / (I before me, Irene Luong, Notary Public onto Here Insert Name and Title . of the Officer personally appeared Stephanie Pham Name(s) of Signer(s) IRENE LUONG - Commission # 1883838 z :-m < - Notary Public - California i 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(s) whose name(s) is /aFe subscribed to the within instrument and acknowledged to me that he /she /thsy executed the same in his/her/their authorized capacity(ies), and that by his/her /their signature(s) 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 'al seKl----') Signature D� Signature of 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: Signers) Other Than Named Capacity(ies) Claimed by Signer(s) Signer's Name: Stephanie Pham ❑ Individual ❑ Corporate Officer— Title(s): ❑ Partner ❑ Limited ❑ General ® Attomey in Fact ❑ Trustee ❑ Guardian or Conservator Top of thumb here [I Other, Signer Is Representing: 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: Top of thumb here :`�t> Gc:C.c,� i:` �' c'<,` �'" ���' �t, �ci?. T. �Cii' Ci.` cci�` �` �t.` �2SCii` �= c. �CC?�.` t`,"<:` �i�.` CC` �.` Ct>r✓ c. Cii` �.<: `�.`�t.`oc?�ti�SCSr- `ti'cti`C�,`c 6" 200' / National Notary Assmiatlon •9350 De Soto Ave., n0. Box 2402 • Chamvorth. CA 91313 -2402 • wwvj. NaronalNolary.org Item 45907 Rconl Call TOIbFree 1- 80U676-64t127 BIDDER: t #Kffjg� 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. 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. BIDDER: Y19' 0ox 2.B LIST OF PROPOSED SUBCONTRACTORS (continued) [—Duplicate Next 2 Pages if needed for listing additional subcontractors.'? Name and Location Description of Work of Subcontractor to be Subcontracted /� CuwC /� Name: Sik Jun c x rf, -e Address: . ®D 3 3 O eiv.Ax f ✓,r 701-01, le 1,0 V C Name and Location Description of Work of Subcontractor to be Subcontracted Name: ✓ /%fB4 Address 49 af: Id h1p C 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 Name: Address: CBF -9 Description of Work to be Subcontracted Description of Work to be Subcontracted BIDDER: dle- z 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. 3. 4. of Owner Name and telephone number of person familiar with project Contract amount Type of Work Date Completed Name and Address of Owner Name and telephone number of person familiar with project Contract amount Type of Work I Date Completed Name and Address of Name and telephone number of person familiar with project Contract amount Type of Work Date Completed Name and Address of Name and telephone number of person familiar with project Contract amount Type of Work CBF -10 • I .. La tic &Ic &IMt • .. cen�r:ra&_ con,,.rac,vrgm TECHNICAL ABILITY AND EXPERIENCE REFERENCES: 1. Name of City or Business City of Pasadena - Playhouse District Street Lighting Contact Person & Phone No. Bob Gardner- (626) 744-4643 Type of Work: Street Lighting, Concrete work and Trees Date Completed 04/2009 Total Contract Amount $ 964.000.00 2. Name of City or Business City of San Dimas Contact Person & Phone No. John Campbell _(909)394 -6240 Type of Work: Concrete Sidewalk, Curb & Cutter. Drive ways, Block Wall and Asphalt Paving Date Completed 10/2008 Total Contract Amount $ 260,000 3. Name of City or Business City of Pasadena - South Lake Ave Streetscape Contact Person & Phone No. Elvin one - (626) 744 -6912 Type of Work: Trees Up lights. Irrigation and Planting - Median Landscape Date Completed 12/2008 Total Contract Amount $ 755 000 00 4. Name of City or Business _City of Temecula Contact Person & Phone No. Bill McAteer (951) 694 -6411 Type of Work: Roller Hockey Rink Dasher Board Date Completed 0812008 Total Contract Amount $ 198,000 5. Name of City or Business City of Ontario Contact Person & Phone No. Cary Harms - (909)395 -2000 Type of Work: Dry wells Retrofit Date Completed 01/2009 Total Contract Amount $ 105 000 113 E. Arrow Hwy, San Dimas, CA 91773 Tel: 909 - 599 -1612 F a x : 800 - 750 -9094 ■ ■ 6iL SECTION 3 NON - COLLUSION AFFIDAVIT CBF -11 BIDDER: 1IVXA'V9 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, orthe 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. I yNcu Ui rnrnau immno Title Y Bidder Subscribed and swor a re me This_JQ 1,dayof 1"I(MINI 201E Notary ublic i nd for the State of Ca i ornia My Commission Expires: O q 1 CBF -12 (Seal) JUDY ANDREA ARROYAVE COMM. #1867628 � � : j' =� Notary Public California o x Z Los Angeles County a!� : My Comm. Expires Oct. 9, 2013