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Mission Paving and Sealing Inc.' BIDDER: Missinn Paving and Seal Inc. 1 1 ' SECTION 1 - BID SCHEDULE 1 CBF -1 L I 1 I 1 BIDDER: Mission Paving and Se aling, Inc. BID SCHEDULE SCHEDULE OF PRICES FOR ANNUAL 2010 -2011 SLURRY SEAL PROJECT CDBG PROJECT No. P84129 BASE BID SCHEDULE ' TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ 325,241 .00 1 I i [] Three hundred twenty five thousand two hundred forty one dollars Dollar amount in written form CBF -2 UNIT OF EST. UNIT ITEM NO. ITEM DESCRIPTION MEASURE QTY. PRICE COST 1 Clearing & Grubbing per plans and specifications. LS 1 $ 6,250.00 $ 6,250.00 2 Disposal of Waste Materials LS 1 1,950.001 1,950.00 3 Crack Sealing LS 1 28 175.00 28 175.00 4 Slurry Seal Type II — See exhibit "A" & "B" per street locations & areas. ELT 1,050 212.92 223,566.00 5 Traffic Striping and Pavement Markers — See exhibit "C" per details. LS 1 45 500.00 45,500.00 6 Paint Home Addresses (Curb Numbering) EA 1,980 10.00 19,800.00 ' TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ 325,241 .00 1 I i [] Three hundred twenty five thousand two hundred forty one dollars Dollar amount in written form CBF -2 I I I I r ALTERNATE BID ITEM 1 BIDDER:M Paving and Seal Inc. NO. ITEM DESCRIPTION UNIT OF MEASURE EST. CITY. UNIT PRICE ITEM COST 7 Furnish and Install Street and Regulatory Signs, See Exhibit D on Appendix A per Quantities and Types. Contact Erick Gustafson at 213 - 798 -7024 from Zumar or approved equal. LS 1 $ 66,620.0 $ 66, 620.00 U TOTAL ALTERNATE BID # 1 PRICE (SCHEDULE BID PRICE): $ 66l6 20.00 U Sixty six thousand six hundred twenty dollars Dollar amount in written form TOTAL AMOUNT INCLUDING BASE PRICE AND ALTERNATE: $ 391 861 .00 Three hundred ninety one thousand eight hundred sixty one dollars 0 Dollar amount in written form U The undersigned agrees that these Contract Bid Forms constitute a firm offer to the Owner which cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and after the bid opening date, or until a Contract for the Work is fully executed by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 U 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. 0 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 D 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 id bon in the amount of 10R of B; d Dollars ($ said amount being not less tha n percent (10 %) of the Total Bid Price. The undersigned agrees that said amount shall be retained by the Owner if, upon award, n we fail or refuse to execute the Contract and furnish the required bonds, certificates and u 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. CBF -3 I BIDDERM Paving and Seal Inc. 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 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 amount of ' $500.00 per calendar day and subject to the terms and conditions described in the Contract Form and the Contract Documents if project is not completed in 45 calendar days. ' 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. None 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. U 1 I I 1 CBF -4 1 1 0 BIDDER: Mission Paving and Sea ling, Inc. 12747 Schabarum Ave. Si ure v Business Street Address Doug v Irwindale, CA. 91706 Type or Print Name City, State and Zip Code President (626) 452 -8200 Title Telephone Number 3/15/11 Date Bidder's /Contractor's State of Incorporation: California Partners or Joint Venturers: N/A Bidder's License Number(s): 624257 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 I I 1 1 1 1 I 1 1 1 1 1 1 1 BIDDER: Mission Paving and Seal Inc. SECTION 2 BID DATA F ORMS CBF -6 BIDDER: Mission Paving and Sea ling, Inc Bidder shall submit its Bid data in accordance with the format shown on each of the following Bid Data Forms. Bidders shall prepare and use as many sheets as are necessary to adequately provide the information required. Bidder shall ensure that every page of its Bid Data Forms are properly identified with the Bidder's name and page number. 2.A BID BOND KNOW ALL MEN BY THESE PRESENTS: THAT Mission Paving & Sealing, Inc. as Principal, and SureTec Insurance Company , as Surety, are held firmly bound unto the CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of 10% of amount bid ($ of bid amount ) , 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 by these presents. WHEREAS, said Principal has submitted a bid to the OWNER to perform all Work required for the Annual 2010 -2011 Slurry Seal Prdiect as set forth in the Notice Inviting Bids and accompanying Bid Documents, dated 3/16/1 _ 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 is 1 t h day of Mi io s avin & (S Princip I ' By: Signature ug, y, esid t CBF -7 March , 20 11 L) CumeTec Insurance (SEAL) Surety By: Signatu e David Noddle, Attorney in .Fact .'r , CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT State of California County of LOS ANGELES On MAR 15, 2 before me, ALEXANDRA LEE VILLA, NOTARY PUBLIC Dale Here Insert Name and Title of the Officer personally appeared DOUG SWEENEY, PRESIDENT who proved to me on the basis of satisfactory evidence to be the person(s� names) is/ft subscribed to the within instrument and acknowledged to me that he /she/they executed the same in his/htWtha, r authorized capacity(k k), and that by his /hW /their signatureN on the instrument the person(, or the entity upon behalf of which the person(sLacted, executed the instrument. � N RA LEE VILLA Commission • 1694494 ti Notary Public - California Los Angeles County M Comm. Egret Jul 3, 21114 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. A i , , /)—' n Place Notary Seal Above t/ `" / Signature of NotaWulahe / 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: ❑ Corporate Officer — Title(s): • Individual • Partner — ❑ Limited ❑ General Top of thumb here • Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Signer's Name: ❑ Corporate Officer — Title(s): • Individual • Partner — ❑ Limited ❑ General Top of thumb here • Attorney in Fact • Trustee • Guardian or Conservator ❑ Other: Signer Is Representing: 1J Number of Pages: 0 2009 National Notary Assaci8h0h • NalionalNolary.org • 1 -800-115 NOTARY (1-800.876.6827) Ito. u9ur ACKNOWLEDGMENT State of California County of Los Angeles ) On March 11, 2011 before me, Christopher John Rizzotti. Notary (insert name and title of the officer) personally appeared David Noddle 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 PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. CHRISTGPiiEG IG!li! CI7iGTTl comm. # 18i =1()43 ri WITNESS my Vn n d official seal cr ( IL WARY PUBLIC cA nn ma °�.. xi LOS ANGELES CM Y My Comm. Expires Jan. 17, 2014 ................ .------------------------ . ............................... t Signature (Seal) POA p: 510010 SureTec Insurance Company LIMITED POWER OF ATTORNEY Know All Alen by These Presents, That SURETEC INSURANCE COMPANY (the "Company "), a corporation duly organized and existing under the laws of the State of Texas, and having its principal office in Houston, Hams County, Texas, does by these presents make, constitute and appoint David Noddle its true and lawful Attorney -in -fact, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include waivers to the conditions of contracts and consents of surety, providing the bond penalty does not exceed Five Million Dollars and no /100 ($5,000,000.00) and to bind the Company thereby as fully and to the same extent as if such bond were signed by the President, scaled with the corporate seal of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attomey(s) -in -Fact may do in the premises. Said appoiniment shall continue in force. until 10/3lll2 and is made under and by authority of the following resolutions of the Board of Directors of the SureTec Insurance Company: Be it Resolved, that the President, any Vice - President, any Assistant Vice - President, any Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attomey(s) -in -Fact to represent and act for and on behalf of the Company subject to the following provisions: Atiornev -in -Fact may be given full power and authority for and in the name of and of behalf of the Company, to 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 effected by the Corporate Secretary. Be it Resolved, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile, and any power of attorney or certificate beuring facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted al a meeting held on 2e of April, 1999.) In Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its President, and its corporate seal to be hereto affixed this 28th day of October, A.D. 2008, SURETEC INS 'I�A CE COMPANY t f _ By: u y' B.J. Ki esident Slate of Texas u: County of Harris , On this 28h day of October, 2008 before me personally came B.J. King, to me known, who, being by me duly swam, did depose and say, that he resides in Houston, Texas, that be is President of SURETEC INSURANCE COMPANY; the company described in and which executed the above instmment: that he knows the seal of said Company; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said Company; and that he signed his name thereto by like order. I s i°. Michelle Denny nowry State wi Texas ,� oil o f hYU �pktq Auquk ar. aeta tV Michelle Denny, Notary Pt lic My commission expires August 27, 2012 1. h1. Brent Beaty, Assistant Secretary of SURETFC INSURANCE COMPANY, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said Company, which is still in full force and effect: and furthermore, the resolutions of the Board of Directors, set out in the Power of Attorney are in full force and effect. Given under my hand and the seal of said Company at Houston, Texas this 11 t h day of M a r c h , 20 11 , A.D. e I M/1 I A " M. Brent Beaty, Assts ant Secretary Any instrument Issued In excess of the penalty stated above Is totally vold and without any validity. For verification of the authority of this power you may call (713) 812 -0800 any business day between 8:00 am and 5:00 pm CST. 1 2.6 I i 1 I I BIDDERM Paving and Seal Inc. 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, 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 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. [: 1 1 1 1 BIDDERMission Paving and Sealing, Inc. 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 Name: California Weed Control Weed Killer Address: 8408 -A Loma Place, Upland, CA, 917 Name and Location of Subcontractor Description of Work to be Subcontracted Name: RCSI Address: 800 E_ Walnut Ave_, Ft,llertnn, CA_ 92831 Crackfiller Name and Location of Subcontractor Description of Work to be Subcontracted Name: PCI Address: 1105 East Hill St_ Long Beach, CA 90806 Striping Name and Location of Subcontractor Name: _ Address: Description of Work to be Subcontracted Name and Location of Subcontractor Name: Address: CBF -9 Description of Work to be Subcontracted I [1 BIDDER:M Paving and Seal Inc. 2.0 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: 1 Simi Valley Unified School District 875 E. Cochran St., Simi Valley, CA. 93 065 Name and Address of Owner Mike Handberg (805) 306 -4680 Jame and telephone number of person familiar with project $ 291,144.00 Contract amount & seal Type of Work 2 Norwalk -La Mirada Unified School District 12820 Pinoneer B1vd.,Norwalk,CA.90650 Name and Address of Owner ti; rc�o' ntia_nnz� Name and telephone number of person familiar with project $ 252,995.00 Asphalt paving and slurry seal application 11/12/08 Contract amount Type of Work Date Completed 3. Mountain View School District 2585 S. Archibald Ave., Ontario,-CA. 91761 Name and Address of Owner I I I Pete 909) 947 -2205 Name and telephone number of person $ 178,800.00 Asphalt paving installation and slurry application 8/21/09 Contract amount Type of Work Date Completed 4. Conejo Valley Unified School District 1400 East Janss Rd., Thousand Oaks,CA Name and Address of Owner Joe Putnam (805) 497 -9511 Name and telephone number of person familiar with project $ 210,500.00 Contract amount installation and and seal 0 ' CBF -10 BIDDER Miaainn Pavina and Sea l ing, Inc. 1 SECTION 3 NON - COLLUSION AFFIDAVIT 1 1 1 [1 I I I [1 CBF - 11 I 1 I 1 L 1 BIDDER Mission Paving and Seal Inc. NON - COLLUSION AFFIDAVIT In accordance with Public Contract Code Section 7106, the undersigned, being first duly sworn, deposes and says that he bf gh@ 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 aOsCbid price or any breakdown thereof, or the ents thereof, or divulged information or data relative thereto, or paid, and will not pa , an fee to any corporation, partnership, company association, organi� atl bi d deposi ry, or o any me r or agent thereof to effectuate a collusive or sham Did. Signature Typed or Printed Name President Title Mission Paving and Sealing, Inc Bidder Subscribed and sworn before me This 15 day of March 20 N tary Public in and for the State of California My Commission Expires: July 3, 2014 (Seal) ALEXANDRA LEE VILLA Commission • 1894494 y Notary Public - Cal0orbla Los Angeles County M Comm. EX Tres Jul 3 2014 ' 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 a 5 Signature of Document Signer No. 1 State of California County of LOS ANGELES ALE XA E VILLA S Commission O 1894494 ti Notary Public • Califomis Los Angeles County 4 Comm. Ea ires Jul 3, 2014 Place Notary Seal and /or Stamp Above Signature of Document Signer No. 2 (if any) OPTIONAL Signature of Though the information below is not required by law, it may prove valu- Top of thumb here Top of thumb here able 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: Document Date: Number of Pages: Signer(s) Other Than Named Above: Subscribed and sworn to (or affirmed) before me on this 15th day of MARCH 20 11 b Date Month Year (1) DOUG SWEENEY, PRESIDENT Name of 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 oerson who aooeared before me.) 0 2009 National Notary Association • Nationatblotaryong • NNA Members -Only Hotline 1.888.876 -0827 Item #5910