Ian Thomas GroupOil 0 n w 0
BIDDER:
CONTRACT BID FORMS
TABLE OF CONTENTS
SECTION 1 BID SCHEDULE....
SECTION 2 BID DATA FORMS ............................... ...............................
2.A BID BOND ............................................. ...............................
2.13 LIST OF PROPOSED SUBCONTRACTORS .....................
SECTION 3 NON - COLLUSION AFFIDAVIT ..... ...............................
....................... 1
.. ............................... 5
.. ............................... 6
.. ............................... 7
.................. 10
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1
BIDDER:
CBF -1
BIDDER: _1 cyl �ti C , cat;6S
BID SCHEDULE
SCHEDULE OF PRICES FOR
ROSEMEAD COMMUNITY RECREATION CENTER AND LIBRARY PARKING LOT PROJECT
PROJECT No. P83529
BASE BID SCHEDULE
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UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
1
Clearing & Grubbing per plans and
LS
1
specifications. See technical
C --
provisions TP -2, TP -3 & TP -4.
2
Removal, Haulaway & Disposal of
LS
1
Waste Materials.
3
Earthwork, Roadway, Excavation
CY
1,877
y_
l" 1F� F7 ` 1 -
and Export.
4
Compacted Selected Fill
LS
1
5
Demolition Per Plans and
Specifications Complete.
LS
1�
t
��
6
Construct 1 -inch Thick AC
Tons
325
Pavement "D1 -PG 64 -10" as
( r ` ^
indicated on the plans.
7
Construct 3 -inch Thick Pavement
Tons
950
"C2 -PG 64 -10" as indicated on the
plans.
8
Remove, Dispose Existing and
Tons
1,800
Construct 4 -inch Thick Crushed
L t<
c Z2
Miscellaneous Base (CMB) 95%
t
Relative Compaction Over 95%
Compacted Native per Plans and
Specifications.
9
Construct 6 -Inch Thick PCC
Pavement "520 -A- 2500" per Plans
SF
7,385
/ r
` _ (o
and Specifications
10
Construct 8 -Inch Thick PCC
Pavement "520 2500" Plans
SF
15,100
`� (�
C)
-A- per
.
C
and Specifications
11
Construct 4 -Inch Thick PCC
Sidewalk "520
SF
6,750
/
C 7 S
-C -2500" per
i
SPPWC Std. Plan 113 -2.
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BIDDER:
CBF -3
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
12
Construct 4 -Feet Wide PCC Swale
Plans Specifications.
LF
770
per and
13
Construct PCC Alley Intersection
SF
800
J L ,
tC tr G
per SPPWC Std. Plan 130 -2.
14
Construct PCC Curb Ramps per
EA
6�
C
SPPWC Std. Plan 111 -4.
15
Construct 6 -Inch PCC Curb and 6-
LF
260
Inch PCC Gutter per SPPWC Std.
Plan 120 -2.
16
Construct 6 -Inch PCC Curb Only
LF
2,540
.
c`-`"
S t
per SPPWC Std. Plan 120 -2.
I
17
Construct 8 -Inch PCC Curb and
LF
400
24 -Inch Gutter per SPPWC Std.
_2 C1
j
Plan 120 -2.
r
18
Construct 6 -Inch Thick PCC
SF
450
Driveway Approach per SPPWC
°c=
-
Std. Plan 110 -2; Type C.
6
/
$ ,
-
19
Construct 6 -Inch PCC Curb and
LF
285
24 -Inch PCC Gutter er SPPWC
p
'4
Std. Plan 120 -2.
20
Construct Cross and Longitudinal
Gutter SPPWC
SF
445
per Std. Plan 122 -2.
21
Adjust Sewer Manhole to Grade per
EA
2
SPPWC Std. Plan 205 -2.
22
Construct 4 -Inch PVC (SDR 35)
LS
1
Perforated Pipe over Crushed
Rock, 10 Feet Wide x 20 Feet Long
C" -
x 4 Feet Deep per Plans and
f
Specifications Complete.
23
Install Sewer Cleanout per SPPWC
LS
1
Std Plans 204 -1.
24
Construct Drain Inlet W/Traffic
EA
3
Grate, with Flo -Guard Plus Insert
Filter)
fZ
'S a)
(Fossil per Plans and
—
Specifications Complete.
25
Construct 4 -Inch Diameter PVC
LF
150
Schedule 40 per Plans and
Specifications Complete.
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BIDDER:
TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$
f
Dollar amount in written form
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UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
26
Construct 6 -Inch Diameter VCP
LS
1
Sewer Lateral including 12 -Inch x
12 -Inch unfiltere d Area Drain,
1 ,S C L }U. -
Saddle Connection, Wye, LACDPW
Fee, Bedding and Pavement
Complete per Plans and
Specifications.
27
Construct New Masonry Trash
LS
1
Enclosure including Gates per
Plans and Specifications Complete.
28
Install Book Return Container per
EA
2
Contempra 60 Series Book Return
t 6 6
Model # 00 -0860 Complete.
29
Install Pavement Markers and
LS
1
Striping per Plans and
Specifications Complete.
30
Install Irrigation and Landscape per
LS
1
7C
Plans and Specifications Complete.
�Z
c' C22t-
e
31
Install Parking Lighting and
LS
1
Electrical System per Plans and
t CZ'"3"'
Specifications Complete,
32
Install Erosion Control per Plans
LS
1
and Specifications Complete.
t
--
33
Install Tree Well per SPPWC Std.
Plan 519
EA
4
/U`C?..
-3.
34
Install Survey Well Monument per
EA
9
City of Rosemead Std. Plan S08-
001. See Section 2 -9 Surveying of
C
the General Provision -7 per
details (Cover, Sleeve & Dome will
be provided by the City at no cost).
TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$
f
Dollar amount in written form
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BIDDER:
ALTERNATE BID ITEM No. 1
ALTERNATE BID ITEM No. 1 BID
Dollar amount in written form
TOTAL PRICE INCLUDING BASE AND ALTERNATE
Dollar amount in written form
Note: The City of Rosemead reserves the right to reduce or increase the quantities of any items in
the schedule of bid items above, within the limits define in Section 3 -2.2.1 of the Standard
Specifications, to stay within the budgeted amount of this project.
If the bid documents specify alternate bid items, the City has the option to award the contract
to the lowest bidder based on the base bid only, or based on the base bid combined with any
combination of alternate bid items. If any of the alternate bid item(s) is considered by the
City, the resulting amount shall be considered the total bid price for the Project.
Since the time for the alternate bid items has already been factored into the contracttime, no
additional contract time will be awarded for any of the alternate bid items. Because the City
may elect to include one or more of the alternate bid items, or to otherwise remove certain
bid items from the project scope of work, each bidder must ensure that each bid item
contains a proportionate share of profit, overhead and other costs or expenses which will be
incurred by the Bidder. Bidders shall not unevenly weight or allocate their overhead and
profit to one or more particular bid items.
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
CBF -5
UNIT OF
EST.
UNIT
ITEM
NCB
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
35
Con t 6 -Inch Thick PCC
SF
57,385
Paveme t� 0 -A- 3250" Plans and
Specifications lete.
ALTERNATE BID ITEM No. 1 BID
Dollar amount in written form
TOTAL PRICE INCLUDING BASE AND ALTERNATE
Dollar amount in written form
Note: The City of Rosemead reserves the right to reduce or increase the quantities of any items in
the schedule of bid items above, within the limits define in Section 3 -2.2.1 of the Standard
Specifications, to stay within the budgeted amount of this project.
If the bid documents specify alternate bid items, the City has the option to award the contract
to the lowest bidder based on the base bid only, or based on the base bid combined with any
combination of alternate bid items. If any of the alternate bid item(s) is considered by the
City, the resulting amount shall be considered the total bid price for the Project.
Since the time for the alternate bid items has already been factored into the contracttime, no
additional contract time will be awarded for any of the alternate bid items. Because the City
may elect to include one or more of the alternate bid items, or to otherwise remove certain
bid items from the project scope of work, each bidder must ensure that each bid item
contains a proportionate share of profit, overhead and other costs or expenses which will be
incurred by the Bidder. Bidders shall not unevenly weight or allocate their overhead and
profit to one or more particular bid items.
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
CBF -5
MAYOR:
GARY TAYLOR
MAYOR PRO TEM:
STEVEN LY
COUNCIL MEMBERS:
SANDRA ARMENTA
MARGARET CLARK
POLLY LOW
June 28. 2011
Ro sc m c ad
8836 E. VALLEY 13OULFVARD a P.O. BOX 399
ROSEMEAD, CALIFORNIA 91770
TELEPHONE (626) 569 -2100
FAX (626) 307 -9218
PR OJECT
' 2*. )� 'I
(Bid Opening Date: July 6 2011)
To All Prospective Bidders:
Please note the following revisions on the specifications for the above project:
1.
Dollar amount in written form
o r,
Dollar amount in written form
Page 1 of 2
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
35
Construc -Inch Thick PCC Pavement "520 -A-
SF
57,385
3250" Plans a Specifications Complete.
36
Earthwork, Roadway, cavation and Export.
CY
360
Dollar amount in written form
o r,
Dollar amount in written form
Page 1 of 2
If Alternate Bid Item No. 1 is considered by the City, Bid Item 6 & 7 shall be deleted. Credit shall
be the same for Bid Items 6 & 7 as indicated on the Base Bid Schedule.
TOTAL CREDIT AMOUNT $ LzZ - �..
Dollar amount in written form
2. Construction Note No. 15 on sheet Al of Al shall read as follows: "Construct 4- inches Dia
PVC Schedule 40 including elbow connections."
The addendum No. 1 forms a part of the Contract Documents for the above described project
and shall supplement or supersede referenced sections of original plans and specifications. This
Addendum No. 1 must be signed by the Bidder and submitted along with the Bidder's Proposal.
Failure to acknowledge receipt of addendum will disqualify the Bidder.
Very trua��urs
'Rafael Fajardo
Associate Civil Engineer
Acknowledgement:
Bidder. Zh
Date: ��P1�C>ti
Title:
Page 2 of 2
UNIT OF
EST.
UNIT
NO.
ITEM DESCRIPTION
MEASURE
QTY,
PRICE
CREDIT
6
Construct 1 -inch Thick AC Pavement "D1-
Tons
325
PG 64 -10" as indicated on the plans.
Er
7
Construct 3 -inch Thick Pavement "C2 -PG
Tons
950
64 -10" as indicated on the plans.
_
3 C`r 6m,
TOTAL CREDIT AMOUNT $ LzZ - �..
Dollar amount in written form
2. Construction Note No. 15 on sheet Al of Al shall read as follows: "Construct 4- inches Dia
PVC Schedule 40 including elbow connections."
The addendum No. 1 forms a part of the Contract Documents for the above described project
and shall supplement or supersede referenced sections of original plans and specifications. This
Addendum No. 1 must be signed by the Bidder and submitted along with the Bidder's Proposal.
Failure to acknowledge receipt of addendum will disqualify the Bidder.
Very trua��urs
'Rafael Fajardo
Associate Civil Engineer
Acknowledgement:
Bidder. Zh
Date: ��P1�C>ti
Title:
Page 2 of 2
MAYOR:
GARY TAYLOR
MAYOR PRO REM:
STEVEN LY
COUNCIL MEMBERS:
SANDRA ARMENTA
MARGARET CLARK
POLLY LOW
June 30, 2011
8838 E. VALLEY BOULEVARD • P.O. BOX 399
ROSEMEAD, CALIFORNIA 91770
TELEPHONE (626) 569 -2100
FAX (626) 307 -9218
PRO
PROJECT No. P83529
(Bid Opening Date: July 6 2011)
To All Prospective Bidders:
Please note the following revisions on the specifications for the above project:
1.
s � �
Dollar amount in written form
$ T
( .
TOTAL PRICE INCLUDING BASE AND ALTERNATE $
CJ
Dollar amount in written form
Page 1 of 2
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
35
Construct 6 -Inch Thick PCC Pavement "520 -A-
SF
57,385
3250" Plans and Specifications Complete.'
36
Earthwork, Roadway, Excavation and Export.
CY
360
L
37
Construct 6 -inch Thick Pavement "C2 -PG 64-
Tons
100
10" as indicated on the plans.
s � �
Dollar amount in written form
$ T
( .
TOTAL PRICE INCLUDING BASE AND ALTERNATE $
CJ
Dollar amount in written form
Page 1 of 2
R
Bid Item No. 9 estimated quantity shall read 7,385 (seven thousands three hundred eighty five)
square feet.
The addendum No. 2 forms a part of the Contract Documents for the above described project
and shall supplement or supersede referenced sections of original plans and specifications. This
Addendum No. 2 must be signed by the Bidder and submitted along with the Bidder's Proposal.
Failure to acknowledge receipt of addendum will disqualify the Bidder.
Very tru [ly urs,'
--°" Associate Civil Engineer
Acknowledgement:
Bidder:
Date: `t
Title:
Page 2 of 2
BIDDER:
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.
Attached hereto is a certified check, a cashier's check or a bid bond in the amount of
Dollars ($ "9 id being not less than ten percent (10 %) of the Total
Bid Price. The undersigned a ree 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.
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 applyto 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 SIXTY (60) 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. � ,I
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.
t C ` 5 �.r c;; X1
Business Street Address
RUM
BIDDER:
Type or Print Name
Title
r-
: 19 -0I',
Date
City, State and Zip Code
L\.(�; - -)- �1 1. -) a-)
Telephone Number .,
JUL�f 3 "I,
2008
1FC)'''
Bidder's /Contractor's State of Incorporation:
Partners or Joint Venturers:
Bidder's License Number(s):
NOTES:
1)
2)
3)
By its signature on this Bid, the Bidder certifies under penalty of perjury the accuracy of the
representations made on the Contract Bid Forms.
If Bidder is a corporation, enter State of Incorporation in addition to Business Address
If Bidder is a partnership or joint venture, give full names of all partners or joint
venturers.
As further discussed in the Instructions to Bidders, Bidder will be
required to provide evidence that the person signing on behalf of
the corporation, partnership or joint venture has the authority to do
SO.
BIDDER:
•
BIDDER: Ian Thomas Group 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 Ian Thomas Group Inc. as
Principal, and Ullico Casualty Company
as Surety, are held firmly bound unto the
CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of
Ten percent of the total amount of the bid
DOLLARS
($ 10% Y , 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 Rosemead Community Center and Library Lot Project as set
forth in the Notice Inviting Bids and accompanying Bid Documents, dated
�3 3c)� otl
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
if shalfremain 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 attomeyW fees to be fixed by the
court.
SIGNED AND SEALED, this 29th day of June 20 11
Ian Thomas Group Inc. (SEAL)
Principal "
Ullico Casualty Company (SEAL)
Sure f
Signature. Linda D. Coats, Attorney in Fact
By:
JUO' 31
M
CBF -9
CALIFORNIA
State of California
County of Orange
On JUN 2 9 ?011 before me, Adelaide C. Hunter, Notary Public
(insert name and title of the officer)
personally appeared Linda D. Coats
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 A I"
ADELAIDE C BUNTER
r ..... Commission # 1808193
MLaglj lifornia n 8,.2012
ULLICO Casualty Company
vullico 1625 Eye Street, N.W. Washington D.C. 20006
Power of Attorney
KNOW ALL PERSONS BY THESE PRESENTS: That ULLICO CASUALTY COMPANY (the Company), acoiporation organized and existing under the laws
of the State of Delaware; does hereby constitute and appoint. Linda D. Coats, Matthew J. Coats, Douglas A- Rapp <&. Timothy D. Rapp of Coats:
Surely Insurance Services, Inc.
Its foie and lawful Attorney (s). in fact with full authority to execute on its behalf bonds, undertakings, recognizances and other contracts of indemnity and writings-
obligatory in the nature thereof, issued in the course of its business and to bind the Company thereby, in an amount not to exceed $5,000,000.00.
This Power of Attorney is granted and is signed and seated by facsimile under and by the authority of the following Resolution adopted by the Board of Directors
of ULLICO Casualty Company at a meeting . duly called. the 15th day. of July, 2009.
RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of
the Company to: (1) Appoint Attorney(s) in Fact and authorize the Attomey(s)'in
- Fact to execute on behalf of they Company bonds and undertakings, contracts of
indemnity and other writings obligatory in the nature thereof and to attach the seal of
the Company thereto; and (2) to remove, at any time, my such Attorney -in -Fact and
revoke the authority given. Andbeit
FURTHER
RESOLVED:. That the signatures of such officers and the seal of the Company may be affixed to
any such Power of Attorney or certificate relating thereto by facsimile, and my such
Power of Attorney so . executed and certified by facsimile signatures and facsimile..
seal shall be valid and biding upon the Company in the future with the respect to any
bond orundertaking to which it is attached.
N TESTIMONY WHEREOF, ULLICO CASUALTY COMPANY has caused this instrument to be signed and its corporate seal to be affixed by its
authorized office this 16th day of July, 2009.
i
SIpENT
Daniel Aronowitz
President ULLICO Casualty Company, a Delaware Corporation.
On this 16th day of July 2009, before me came the individual who executed the preceding instrument to me personally known, and tieing by me duly
mom said that he is the therein described and authorized office of the ULLICO CASUALTY COMPANY; that the seal affixed to said instniment is the
Corporate seat of said Company; that the said Corporate Seal and his signamrewere duly affixed..
Notary Public
CATHERINE M. OBRIEN
NOTARY PUBLIC STATE OF MARYLAND
MONTGOMERY COUNTY
MY COMMISSION EXPIRES JANUARY 21, 2012
CERTIFICATE.
I, Teresa E. Valentine, Senior Vice President, GeneralCounsel and Secretary of ULLICO Casualty Company, do herby certify that the foregoing resolution of the
Board of Directors and this Power of Attomeyissuedpunsuantthereto on this 29th day of June 20 11 are two and corrected
are still in full force and effect. I do further certify that that Daniel. Aronowitz, who executed the Power of Attorney as President; was on the date of execution of
the attached Power of Attorney the duly elected President of ULLICO Casualty Company,
In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Comp // any this 29th day of June 20 11
Teresa E. Valentine
Senior Vice. President Counsel & Secretary
ULLICO Casualty Company
BIDDER: _ -
S
2.121 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.
CBF -10
BIDDER: _ l C
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:
ms's
e —fie V�G
�eL F6�C�
Address
8rs
V-1, E� C �
b Cgg12U3
Name and Location
of Subcontractor
Description of Work
to be Subcontracted
" �
Name: �
Address 777 pro. c�i�t �e,CQ9®7Y4
L,c gol (074
Name and Location
of Subcontractor
Description of Work
11 to be Subcontracted C
Name: � (26\4S cA:U\N
Address _�S'29 �av '\ \J� L COL�IZt`i
Name and Location Description of Work
of Subcontractor to be Subcontracted
\\
Name: LG AZ U
IC���iP�Cc�,.f;3{uc�.Q. a= ?�(Je[�e
Address: q "k\2lV
t
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: PVVe
Address:
GC- '� S 2d 73T
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BIDDER: LS�
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:
1. 7(2 3 r1 �� J(�u6 kex , � ��T56ca'
Name and Address of Owner
(9((r 37(o - I(, -'�0
Name and telephone number of person familiar with project
t ))
500 - 6 - 0 �.`;r�tHC ��l��k: e �ct �V C� 6� �� � � 1 l 1'1 oo
Contract amount pp Type of W ork Date Completed
2. (' - J and
1s`� \4? is I C
D A,
and Address of OwneP p q / E I
\:Xk l C'�' C Ca (l 1'
Name and telephone number of person familiar with project \
1� ��ll`� �iIL)• Srrct�'�cailrorA CQ%n L�k�j\V ca�lzat �1 G11
Contract amount IJ Type of Worlk Date Completed
3.
and
c.
4.
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GC
Cl liav- � c l " -- 6 V 05 yP
Name and telephone numb r of person familiar with project /
J_2 tf
Contract amount JType of Wo ` Date Completed
Iv - � - IlSlitct �/r� A \{ -I 1 D f-.)
Name and telephone number of person familiar with project
BIDDER:
•
raM
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BIDDER: S C_L \
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, 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.
e
Typed or Printed Name
Title
Bidder
Subscribed and sworn before me
This y ` day of iri. lv; 20J_
C
Notary Public in and for
the State of California
My Commission Expires:
(Seal)
NADA•K t70N K. AWWAD
Commission 1951433
Notary Publlo • California
Los Angeles county
M Comm. Ex ires Ma 29, 2913 e
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