Valley Slurry Seal Company1
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CITY OF ROSEMEAD
ANNUAL 2010 -2011 SLURRY SEAL PROJECT
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Valley Slurry Seal Company
BIDDER:
CONTRACT BID FORMS
TABLE OF CONTENTS
SECTION 1
BID SCHEDULE ....................................................................... ...............................
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SECTION 2
BID DATA FORMS ................................................................... ...............................
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2.A
BID BOND ................................................................................. ...............................
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2.6
LIST OF PROPOSED SUBCONTRACTORS .......................... ...............................
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SECTION 3
NON - COLLUSION AFFIDAVIT .............................................. ...............................
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BIDDER: Valley Slurry Seal Company
SECTION I - BID SCHEDULE
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Valley Slurry Seal Company
BIDDER:
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):$ C�ICX9 C7?Q
Two . Sz .. tom( -t-� a ,,sc,. L to( I o.rs C. L
Dollar amount in written form ZQ- -o C-E V.} s
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UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
1
Clearing & Grubbing per plans and
specifications.
LS
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1 nrx7. M 0
1 ooC� (9
2
Disposal of Waste Materials
LS
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3
Crack Sealing
LS
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4
Slurry Seal Type II - See exhibit
"A" & "B" per street locations &
areas.
ELT
1,050
(1 (, �p
IZ9 Ff ao
5
Traffic Striping and Pavement
Markers - See exhibit "C' per
details.
LS
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I'3,000-oa
6
Paint Home Addresses (Curb
Numbering)
EA
1,980
1 S.C70
t - f c o.O6)
TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ C�ICX9 C7?Q
Two . Sz .. tom( -t-� a ,,sc,. L to( I o.rs C. L
Dollar amount in written form ZQ- -o C-E V.} s
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141 9111 01
ALTERNATE BID ITEM 1
Valley Slurry Seal Company
NO.
ITEM DESCRIPTION
UNIT OF
MEASURE
EST.
QTY.
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
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00.00
SI 0070
TOTAL ALTERNATE BID # 1 PRICE (SCHEDULE BID PRICE): $ S I , UOd.bO
Dollar amount in written form
TOTAL AMOUNT INCLUDING BASE PRICE AND ALTERNATE: $ 7 J UDO. DD
Dollar amount in written form
' The undersigned agrees that these Contract Bid Forms constitute a firm offer to the Owner which
cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and
after the bid opening date, or until a Contract for the Work is fully executed by the Owner and a third
' party, whichever is earlier. The undersigned also agrees that if there is a discrepancy between the
written amount of the Bid Price and the numerical amount of the Bid Price, the written amount shall
govern.
' 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
1048 Dollars ($ 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
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.
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BIDDER: Valley Slurry Seal Company
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 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. Ivor¢-,
The Bidder understands and agrees that the Total Bid Price is inclusive of all labor, materials, and
equipment or supplies necessary to complete the Work as described in the Bid Documents. If this
bid is accepted, the undersigned Bidder agrees to enter into and execute the Contract with the
' necessary bonds and accept the Total Bid Price as compensation in full for all Work under the
contract.
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' BIDDER: Valley Slurry Seal Com pany
By:
3785 Channel Drive
lgnatureV Business Street Address
Wo 's , WEST SACRA CA 9569
Type or Print Name City, State and Zip Code
' %(Y� 616) 373 - 156 0
Title Telephone Number
Date
Bidder's /Contractor's State of Incorporation:
Partners or Joint Venturers: N ��
Bidder's License Number(s):
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.
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March 8, 2011
To Whom It May Concern:
VOLLey
SLUrry seaL CO.,
I, Diane M. Minor, duly - elected Secretary of Valley Slurry Seal
Company, state that the following resolution is a true and exact copy of that
resolution adopted by the Board of Directors of Valley Slurry Seal Company,
March 1. 1988.
.......................................... ...............................
"NOW, THEREFORE, be it resolved that Alan S. Berger as duly elected
Vice - President, be authorized to sign any and all bids and /or contracts, and /or I
legal documents for Valley Slurry Seal Company, a California Corporation, and
that his signature shall be binding on the corporation."
.......................................... ...............................
Di ne M. inor - ecretary
Valley Slurry Seal Company
A California Corporation
3785 Channel Drive
West Sacramento, CA 95691
P.O. BOX 981330 • WEST SACRAMENTO, CA 95798 • PHONE [916) 373 -1500
FAX NO. (916) 373 -1438 • CONTRACTOR'S LICENSE NO. 293727A
PAVEmEnT IT1RinTEnRnCE SPECIRLISTS
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BIDDER: Valley Slurry Seal Company
SECTION 2
BID DAT FORMS
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BIDDER: Valley Slurry Seal C ompany
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 property
identified with the Bidder's name and page number.
2.A BID BOND
KNOW ALL MEN BY THESE PRESENTS:
THAT Valley Slurry Seal Company as
Principal, and western Surety Company
, as Surety, are held firmly bound unto the
CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of
108 of Total Amount Bid
($ // ///////////////////1 , 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 Project as set forth in the Notice
Inviting Bids and accompanying Bid Documents, dated March i e 2n11
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 Stn day of March 20 11
V alley Slurr (SEAL)west Surety Company (SEAL)
Principal S
Alan S. Berger
By Vice President By .
Si ature Signature osalie A. t iszkiel,
Attorney -in -Fact
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ACKNOWLEDGMENT
State of California
County of Yolo
On March 14, 2010
before me,
Jamie Davis - Holtz, Notary Public
(insert name and title of the officer)
personally appeared Alan S. Berger
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.
WITNESS my hand and official seal.
Signature
JAMIE DAVIS -HOLTZ
Commission # 1733659
-m _ Notary Public - California
i . Yolo County
My Comm, E Wires Ap 21, 2011
(Seal)
ACKNOWLEDGMENT
State of California
County of Sacramento
On
March 9, 2011
before me, Patricia A. Gouker, Notary Public
(insert name and title of the officer)
personally appeared Rosalie A. Miszkiel
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.
WITNES and official seal. PATRICIAA.5MK'ER
COMM. 0195501i o
a Notary P tAft-CiNomia
i SACRAMENTO COUNTY
Signature _ _ lef (Se
r = Western Surety Company
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT
Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation
having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby
make, constitute and appoint
Thomas R Hucik Jo Anne Hucik, Rosalie A Miszkiel, P A Gouker, Individually
of Folsom, CA, its true and lawful Attomey(s) -in -Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf bonds,
undertakings and other obligatory instruments of similar nature
- In Unlimited Amounts -
and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said
Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed.
This Power of Attorney is made and executed pursuant to and by authority of the By -Law printed on the reverse hereof, duly adopted, as indicated, by
the shareholders of the corporation.
In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Senior Via President and its corporate seal to
be hereto affixed on this 3rd day of November, 2006.
e�rrrOO WESTERN SURETY COMPANY
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{ � Y
oe
Paul . Brutlat, Senior Vice President
State of South Dakota l
J t ss
County of Minnehaha
On this 3rd day of November, 2006, before me personally came Paul T. Brutlat, to me known, who, being by me duly swom, did depose and say: that
he resides in the City of Sioux Falls, State of South Dakota; that he is the Senior Vice President of WESTERN SURETY COMPANY described in and
which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was
so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his time thereto pursuant to like authority, and
acknowledges same to be the act and deed of said corporation.
My commission expires + "" ^ """ " " "^ " " "+
D. KRELL
November 30, 2012 NOTARY PUBLIC SEAL
r sEnt SOUTH DAKOTA r
+4 \4M14M144M1M1M1M144M144444444+
D. Krell, NoThry Public
CERTIFICATE
I, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hercinabove set forth is still in
force, and further certify that the By -Law of the corporation printed on the reverse hereof is still in fora. In testimony whereof 1 have hereunto subscribed
my name and affixed the seal of the said corporation this 9th day of Mar ch , 2011
WESTERN SURETY COMPANY
a+ e,
�, o q) i a 4
L. Nelson, Assistant Secretary
Form F4290-09 -06
' BIDDER: Valley Slurry Seal Company
' 23 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
1 emergency or necessity, and then only after Owner approval.
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BIDDER:
2.6 LIST OF PROPOSED SUBCONTRACTORS (continued)
] "Duplicate Next 2 Pages if needed for listing additional subcontractors. — ]
Valley Slurry Seal Comp
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: s(✓� 4a ✓e v �
Address 1 c nl - T=n Pov
R S0.1Tc 7 La CL —7 6
Name and Location
of Subcontractor
Name: R cc L \.Jc> A<S . —C-c,
Address:
Name and Location
of Subcontractor
Name:
Address:
Description of Work
to be Subcontracted
Description of Work
to be Subcontracted
Name and Location
of Subcontractor
Name:
Address
Name and Location
of Subcontractor
Name:
Address
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Description of Work
to be Subcontracted
Description of Work
to be Subcontracted
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BIDDER:
Valley Slurry Seal Company
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2.0 REFERENCES
The following are the names, addresses and telephone numbers forth ree public agencies
for which BIDDER
has performed similar work the past two (2) years:
Name and Address of Owner
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Name and telephone number of person familiar with project
'
Contract amount Type of Work
Date Completed
2.
Name and Address of Owner
'
Name and telephone number of person familiar with project
'
Contract amount Type of Work
Date Completed
3.
'
Name and Address of Owner
t Name
and telephone number of person familiar with project
Contract amount Type of Work
Date Completed
'
4.
'
Name and Address of Owner
Name and telephone number of person familiar with project
Contract amount Type of Work
Date Completed
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VALLEY SLURRY
SEAL CO.
OWNER 909,rET
PROJECT PROJECT DATE
DESCRIPTION AMOUNT COMPLETE
2006
References
Cal -Trans
Sergio Mendoza
Microsurfacing
$833,965.00
Jul -06
P.O. Box 911
(530) 225 -3193
Route 299
Marysville, CA 95901
Shasta Count
City of Folsom
Dave Nugen
200512006
Jun -06
50 Natoma Street
(916) 355 -7247
Street Slurry Seal
1 $475,891.00
Folsom, CA 95650
City of Brisbane
Matt Lee
2006 Cape, Slurry
$412,174.00
May -06
50 Park Place
(415)508 -2132
& Crack Seal Project
Brisbane, CA 94005
City of Sacramento
Greg Smith
Seal Coat Project
1,679,542.00
Nov -06
915 1 St., Room 2000
916- 808 -8364
RM64
Sacramento, Ca. 95814 -2702
Cal -Trans
Luis Rivas
South Lake Tahoe
$916,988.00
3065 Blairs Lane
(530) 621 -0985
Placerville, CA 95667
Cityof Walnut Creek
Carlton Thompson
Slurry Seal, Cape Seal
$537,874.00
Oct -06
1666 North Main Street (2nd Floor)
(925) 943 -5899
Patch Paving of Various
Walnut Creek, CA 94596
Streets
City of Redwood City
Peter Delgado
2005/06 Slurry Seal
$633,465.00
Sep -06
P.O. Box 391
(650) 780 -7373
PROJECT
Redwood City, CA. 94064
City of Lompoc
Alex Chou
2006 Slurry Seal Project
$151,194.00
Oct -06
100 Civic Center Plaza
(805) 875 -8272
Lompoc CA. 93438 -8001
County of Santa Barbara
Chds Sneddon
2006107 County Wde Roads
$1,263,194.00
Dec -06
123 East Anapamu Street
(805) 681 -4966
Santa Barbara, CA 93101
2007
References
City of Sacramento
Greg Smith
2007Seal Coat Project
$2,859,167.00
Nov -07
915 1 St., Room 2000
916- 808 -8364
RM72
Sacramento, Ca, 95814 -2702
Cityof Walnut Creek
Carlton Thompson
2007 Slurry Seal
$296,768.00
Nov -07
1666 North Main Street
(925) 943 -5899
0617CP9714
Walnut Creek, CA 94596
City of Fairfield
Bill Norvis
2007 Rubberized Chip
$1,018,735.00
Oct -07
420 Gregory Street
707428 -7403
& Slurry Seal Project
Fairfield, Ca. 94533 -5911
City of Daly City
Andy Tan
Street Slurry Seal 2007108
$655,377.00
Dec -07
333 90th Street
650 - 991 -8165
8 Southgate Ave. Bike Lanes
Daly City, CA 94015
City of San Mateo
Andrew Wong
2007 Citywide Slurry Seal
$861,780.00
Nov -07
330 West 20th Avenue
650 -522 -7316
& Cape Seal Project
San Mateo, CA 94403
City of Brisbane
Matt Lee
Pavement Maint. Project
$266,025.00
Dec -07
50 Park Place
(415) 508 -2130
2007- Project No. 9700
Brisbane, CA 94005
County of Del Norte
James Bernard
Runway Sealing 8
$631,504.00
Oct -07
981 H Street, Suite 110
707- 464 -7288
Marking, Jack MCNamara
Crescent City, CA 95531
Field Airport
City of Madera
Sam Schneider
Madera Municipal Airport
$289,075.00
Nov -07
205 W. 4th Street
559- 661 -3687
Crack Repair & Slurry Seal
Madera, CA 93637
County of Sonoma
Mike Shutt
Runway 14 -32 Surface
$391,762.00
Oct -07
575 Administration Drive
707- 526 -5010
Treatment & Pavement
Santa Rosa, CA 95403
Markin
City of Monterey
Jeff Krebs
Street Resurfacing (Slurry/
$1,048,604.00
Oct -07
580 Pacific, Room 7
831 - 646 -3921
Asphalt Rubber /Cape Seal
Monterey, CA 93940
Page 3 of 5
`- 1
City of Sacramento
Greg Smith
2010 Seal Coat Project
$2,263,449.91
9151 Street
916 - 808 -8364
Oct. 2010
Sacramento, CA 95814
Town of Truckee
Daniel Walkins
2010 Slurry Seal Prj.
10183 Truckee Airport Road
530- 582 -2902
CIP 60 -10 -01
$573,840.00
Aug. 2010
Truckee, CA 96161
Napa County
Anthony Morales
Road Surface Treatment
1195 Third Street
707- 253 -4351
RSD 10 -37
$664,680.31
Nov. 2010
Napa, CA 94558
Napa County
Anthony Morales
Road Surface Treatment
1195 Third Street
707 - 253 -4351
RSD 10 -38
$281,709.27
Nov. 2010
Napa, CA 94558
City of Woodland
Tamers Burnham
2010 ARRA Road Project
$351,950.68
300 First Street
530- 661 -5850
Aug. 2010
Woodland, CA 95695
City of San Luis Obispo
Mark Williams
Microsurfacing Summer 2010
$692,229.95
919 Palm Street
805- 781 -7200
Dec. 2010
San Luis Obispo, CA 93401
City of Dublin
Steve Yee
2010 Annual Slurry
$432,234.66
100 Civic Plaza
925- 833 -6630
Nov. 2010
Dublin, CA 94568
Page 5 of 5
BIDDER: Valley Slurry Seal Company
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SECTION 3
' NON - COLLUSION AFFIDAVIT
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' NON- COLLUSION AFFIDAVIT
Valley Slurry Seal Company
kin S c gox
Typed or Printed Name
Title
Valley Slurry Seal Company
Bidder
1
Subscribed and sworn before me
This � t' day of C 1 2011
tary u is in d for
I Sta e o California
My Commission Expires: ��:�_
(Seal)
JAMIE DAVIS -HOITZ It
Commission # 1733659
-o Notary Public - California
Yolo County
My Comm. E;xloIras Apr 21, 2011
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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
parry 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 deposit or to any member or agent
thereof to effectuate a collusive or sham bid.
kin S c gox
Typed or Printed Name
Title
Valley Slurry Seal Company
Bidder
1
Subscribed and sworn before me
This � t' day of C 1 2011
tary u is in d for
I Sta e o California
My Commission Expires: ��:�_
(Seal)
JAMIE DAVIS -HOITZ It
Commission # 1733659
-o Notary Public - California
Yolo County
My Comm. E;xloIras Apr 21, 2011
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