Environmental Construction Inc.I
i
CBF -1
BID SCHEDULE
SCHEDULE OF PRICES FOR
ROSEMEAD COMMUNITY RECREATION CENTER AND LIBRARY PARKING LOT PROJECT
PROJECT No. P83529
BASE BID SCHEDULE
CBF -2
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
1
Clearing & Grubbing per plans and
specifications. See technical
LS
1
S
,
-;kA 37q, �2.
provisions TP -2, TP -3 & TP4.
2
Removal, Haulaway & Disposal of
LS
1
v"
$ c C3
Waste Materials.
3
Earthwork, Roadway, Excavation
CY
1,877
and Export
4
Compacted Selected Fill
LS
1
"a o
c
5
Demolition Per Plans and
Specifications
LS
1
6? 3
4f 7 �
Complete.
6
Construct 1 -inch Thick AC
"D1
Tons
325
S- f 7 }
Pavement -PG 64.10" as
indicated
indicated on the plans.
7
Construct 3 -inch Thick Pavement
"C2
Tons
950
F7
I 37
-PG 64 -10" as indicated on the
plans.
8
Remove, Dispose Existing and
Tons
1,800
Construct 4 -inch Thick Crushed
d-1. j
3 u
)
Miscellaneous Base (CMB) 95%
> %
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
j
and Specifications
,
10
Construct 8 -Inch Thick PCC
"520
SF
15,100
r3
0 71,
Pavement -A- 2500" per Plans
• 7
�`
and Specifications
11
Construct 4 -Inch Thick PCC
"520-C-2500"
SF
6,750
U
)q 1)
Sidewalk per
.
SPPWC Std. Plan 113 -2.
CBF -2
NO.
ITEM DESCRIPTION
UNIT OF
MEASURE
EST.
QTY.
UNIT
PRICE
ITEM
COST
12
Construct 4-Feet Wide PCC Swale
Plans Specifications.
LF
770
per and
13
Construct PCC Alley intersection
SF
800
per SPPWC: Std_ Plan 130 -2,
3 a•
14
Construct PCC Curb Ramps per
SPPWC
EA
6
Std. Plan 111 -4.a�t
15
Construct 6 -Inch PCC Curb and 6-
LF
260
Inch PCC Gutter per SPPWC Std.
yo .
Plan 120 -2.
r
16
Construct 6 -Inch PCC Curb Only
SPPWC
LF
2,540
? y
1 v
per Std. Plan 120 -2,
17
Construct 8 -Inch PCC Curb and
LF
400
24 -Inch Gutter per SPPWC Std.
Plan 120 -2.
18
Construct 6 -Inch Thick PCC
SF
450
Driveway Approach per SPPWC
° e
, L( 7-V,
Std. Plan 110 -2; Type C.
19
Construct 6 -Inch PCC Curb and
LF
285
24 -Inch PCC Gutter per SPPWC
Std. Plan 120 -2.
20
Construct Cross and. Longitudinal
Gutter
SF
445
I J
3 3? 'u
per SPPWC Std, Plan 122 -2,
/
21
Adjust Sewer Manhole to Grade per
EA
2
Q)
SPPWC Std. Plan 205 -2.
22
Construct 4 -Inch PVC (SDR 35)
LS
1
Perforated Pipe over Crushed
Rock,
� j G
�� 7d
10 Feet Wide x 20 Feet Long
•
x 4 Feet Deep per Plans and
Specifications Complete.
23
Install Sewer Cleanout per SPPWC
LS
1
7 > 0
Std Plans 204-1.
f�
24
Construct Drain Inlet W1Traffic
EA
3
Grate, with Flo-Guard Plus Insert
G;
�{ Fv L
(Fossil Filter) per Plans and
Specifications Complete.
25
Construct 4 -Inch Diameter PVC
LF
150
Schedule 40 per Plans and
19
d
Specifications Complete.
CBF -3
TOTAL BASE BID PRICE (SCHEDULE BID PRICE).$
Dollar amount In written form
Cram!
UNIT OF
EST.
UNIT
ITEM
NO,
ITEM DESCRIPTION
MEASURE
CITY.
PRICE
COST
26
Construct 6 -Inch Diameter VCP
LS
1
Sewer Lateral including 12 -Inch x
12 -inch unfiltered Area Drain,
�, V32,
Y, ,
u
Saddle Connection, Wye, LACDPW
Fee, Bedding and Pavement
Complete per Plans and
Specifications.
27
Construct New Masonry Trash
LS
1
i
(fir r f
t
Enclosure including Gates per
77.
13
Plans and Specifications Complete.
28
Install Book Return Container per
EA
2
Contempra 60 Series Book Retur
9e to L"
Model # 00 -0860 Complete.
29
Install Pavement Markers and
LS
1
'
�y�`
Striping per Plans and
Specifications Complete.
30
Install Irrigation and Landscape per
Plans and Specifications
LS
1
r rr d °L
®•`�
t�
Complete.
.�
31
Install Parking Lighting and
Electrical System per Plans and
LS
1
3U
33� .5`2 .-
3
3 aid S 7D
Specifications Complete.
32
Install Erosion Control per Plans
LS
1
B 0
C�3
and Specifications Complete.
33
Install Tree Well per SPPWC Std,
EA
4
Plan 519 -3.
34
Install Survey Well Monument per
Fes.
9
City of Rosemead Std. Plan S08-
001. See Section 2 -9 Surveying of
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).$
Dollar amount In written form
Cram!
06/30,2011 12:57 FAX
MAYOR:
GARY TAYLOR
MAYOR PRO TEM:
STEVEN LY
COUNCIL MEMBERS:
SANORAARMENTA
MARGARET CLARK
POLLY LOW
June 30, 2011
(i ltIpI y OS(;f3 ead
8836 E. VALLEY BOULEVARD • P.O. BOX 399
ROSEMEAD, CALIFORNIA 91770
TELEPHONE (626) 569.2100
FAX (626) 307.9218
ADDENDUM No. 2
ROSEMEAD COMMUNITY RECREATION CENTER AND LIBRARY PARKING LOT
PROJECT
PROJECT No. P83529
(Bid Opening Date: July e, 2011)
To All Prospective Bidders:
Please note the following revisions on the specifications for the above project:
1.
ALTERNATE BID ITEM No. 1
10001/002
TOTAL ALTERNATE BID PRICE -. $ - 74 f .4 U i f
Dollar amount in written form
TOTAL PRICE INCLUDING BASE AND ALTERNATE $ P
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.
r'�t3';
(9 (/,
36
Earthwork, Roadway, Excavation and Export.
CY
360
?
37
Construct 6 -inch Thick Pavement "C2 -PG 64-
Tons
100
10" as indicated on the plans.
L
TOTAL ALTERNATE BID PRICE -. $ - 74 f .4 U i f
Dollar amount in written form
TOTAL PRICE INCLUDING BASE AND ALTERNATE $ P
Dollar amount in written form
Page 1 of 2
06/29/.2011 11:06 FAX
MAYOR:
GARY TAYLOR
MAYOR PRO TEM:
STEVEN LY
COUNCIL MEMBERS:
SANDRAARMENTA
MARGARET CLARK
POLLY LOW
June 28, 2011
U001/002
itr� .� oses�eac�
8838 E. VALLEY BOULEVARD • P.O. BOX 399
ROSEMEAD, CALIFORNIA 91770
TELEPHONE (626) 569 -2100
FAX (626) 307 -9218
ADDENDUM No. 1
ROSEMEAD COMMUNITY RECREATION CENTER AND LIBRARY
PROJECT
PROJECT No. P83529
To All Prospective Bidders: (Bid Opening Date: July e, 2011)
Please note the following revisions on the specifications for the ove project:
1.
ALTERNATE BID ITEM No. 1
TOTAL ALTERNATE BID
Dollar amount in written
TOTAL PRICE INCLUDING BASE AND ALTERNATE
Dollar amount in vyfitten form
Page 1 of 2
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
35
Construct 6 -Inch Thick PCC Pavement "52 -A-
SF
57,385
3250" Plans and Specifications Complete
36
Earthwork, Roadway, Excavation 7port.
CY
360
TOTAL ALTERNATE BID
Dollar amount in written
TOTAL PRICE INCLUDING BASE AND ALTERNATE
Dollar amount in vyfitten form
Page 1 of 2
06/29/2011 11:06 FAX
Z002/002
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
e " V
Dollar amount i written form v P /;
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 tru yo ur
afael Fajardo
Associate Civil Engineer
Acknowledgement: /1 f
Bidder:
Title:
B
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
y
PG 64 -10" as indicated on the plans.
� r 7
�:
7
Construct 3 -inch Thick Pavement "C2 -PG
Tons
950
F,7
75 371 PG
64 -10" as indicated on the plans.
TOTAL CREDIT AMOUNT
e " V
Dollar amount i written form v P /;
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 tru yo ur
afael Fajardo
Associate Civil Engineer
Acknowledgement: /1 f
Bidder:
Title:
B
Page 2 of 2
06/30/2011 12:58 FAX
2.
LQJ UUZ /UUZ
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 urs,
afael Fajardo
Associate Civil Engineer
Acknowledgement:
Vipw
I: i i �:\ 1 i�..1►1. 1. � .
ALTERNATE BID ITEM No.1
ALTERNATE BID ITEM No. 1 BID
Dollar amount in written form
TOTAL PRICE INCLUDipfG BASE AND ALTERNATE
Dollar amount in ritten form
Note: The ity of Rosemead reserves the right to reduce or increase the quantities of any items in
the sch ule of bid items above, within the limits define in Section 3 -2.2.1 of the Standard
Specifi tions, to stay within the budgeted amount of this project.
If th id documents specify alternate bid items, the City has the option to award the contract
to a lowest bidder based on the base bid only, or based on the base bid combined with any
C bination 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 contract time, 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.
U
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
IGE
COST
35
Construct 6 -Inch Thick PCC
SF
57,38
Pavement "520 -A -3250' Plans and
Specifications Complete.
ALTERNATE BID ITEM No. 1 BID
Dollar amount in written form
TOTAL PRICE INCLUDipfG BASE AND ALTERNATE
Dollar amount in ritten form
Note: The ity of Rosemead reserves the right to reduce or increase the quantities of any items in
the sch ule of bid items above, within the limits define in Section 3 -2.2.1 of the Standard
Specifi tions, to stay within the budgeted amount of this project.
If th id documents specify alternate bid items, the City has the option to award the contract
to a lowest bidder based on the base bid only, or based on the base bid combined with any
C bination 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 contract time, 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
after the bid opening date, or until a Contract for the Work is fully executed bythe 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 bid bond 'n the amount of
Dollars ($ ^) said amount being not less than en 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.
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 (80) 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. 144
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.
By:
ignatur
t 550 fit, -e 1 Dsc
l JX Cr0, r�r,d� k s�3(0
Business Street Address
C
BIDDER ,J iti Mo n= A
l
Date
-Mot-
Bidders/Contractor's State of Incorporation: " C A n a� w J
Partners or Joint Venturers: U
Bidder's License Number(s): `T" ta(p�l�
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 Jolnt venture has the authority to d«
CBF -7
SECTION 2
BID DATA FORMS
reel
SIDDER; Environmental Construction, I nc.
Bidder shall submit ifs 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 necessaryto adequately provide
the information required. Bidder shall ensure that every page of its Bid Data Forms are properly .
identified with the B"rddees name and page number.
ZA B DI BOND -
KNOW ALL MEN BY THESE PRESENTS;
THAT Environmental Construction, Inc. as
Principal, and Vigilant Insurance Company
. as Surety, are held firmly bound unto the .
CITY OF ROSEMEAD (hereinafter called the OWNER) to the sum of
(10 %) Ten percent of the total attached bid amount
($ 10.0% of 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 those 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
June 16._ 011
NOW, THEREVORP, 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.Docuioents, 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) fumishes the required
Insurance certificates and endorsements, and furnishes any other certifications as
may be required by the Contract, then this obligation shag be null and volt; othenerise
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 shag pay all costs incurred by
the OWNER In such suit, including reasonable attorneys' fees to be fixed by the
court.
SIGNED AND SEALED, this 30th day of June 20 11
Environmental Construction, Inc. (SEAL) V'gil t Insurance Company ( BEAU
Principal A 91 lrety�
By " By.
'18ture St ohanie Pham, Attomev -in -Fact
GBF -9
CALIFORNIA ALL- PURPOSE ACKNOWLEDGMENT
STATE OF CALIFORNIA
County of Orange J
On G V before me, Irene Luong, Notary Public
Date I Here Insert Name and Title of the Officer
personally appeared Stephanie Pham
Name(s) of Signers)
-a
,�°� IRENE LUCNG
. ,8� "'°a� Commi
Notary ssion # 1063038
a� < Public -California z
z 0 ° Orange County r
My Comm. Expires Mar 22, 2014
Place Notary . Seat Above
who proved to me on the basis of satisfactory evidence to
be the person(e) whose name(s) is /are subscribed to the
within instrument and acknowledged to me that he /shelthay
executed the same in Ws /her /their authorized capacity(iss),
and that by his /her /their signature(e) 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 an fici e
Signature
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:
Document Date: Number of Pages:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name: Stephanie Pham
❑ Individual
❑ Corporate Officer— Title(s):
❑ Partner —❑ Limited ❑ General
N Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Signer's Name:
❑ Individual
❑ Corporate Off icer— Title(s)
❑ Partner— ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
�.` c- �.'c(.zsi`�c?�� `�'lj�`v_%C'; ���X. �ti`�i'�u'�?= t�ti`�k�i`��w`?✓•i> F- <�vCi"ri =2."c
h02007 National Notary Associalion • 9350 Dc Solo Avo_ Pe, Box 2402 • Chat oonh. CA 91313 -2402 • ww cNat,.naINota,vm Item 85907 Reorder Call Toll -Free 1 -800- 876 -6027
Chubb POWER Federal Insurance Company Ann: buretyuepartment
OF Vigilant Insurance Company 15 Mountain View Road
Surety ATTORNEY pacific Indemnity Company Warren, NJ 07059
Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE
COMPANY, a. Now York corporation, and PACIFIC INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and
appoint Shawn Blume, Eric Lowey, Stephanie Pham and Mark Richardson of Costa Mesa,
each as their two and lawful Attomey- in- Fact to execute under such designation In their names and to affix their corporate seals to and deliver for and on their behalf as surety
thereon or otherwise, bonds and undertakings and other writings obligatory in the nature thereof (other than bail bonds) given or executed In the course of business, and any
Instruments amending or attodng the same, and consents to the modification or alteration of any Instrument referred to in said bonds or obligations.
In Witness Whereof, said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY. have each executed and attested
these presents and affixed t heir corporate seals on this 15th day of January, 2010. y
� �� G �� a . .l�P. /il �.✓- /A.r�� � tail ? -d � !NL
enneth C, ManderAmIllent Secretary De . Norris, Jr., Vice Presl
STATE OF NEW JERSEY
ss.
County of Somerset.
On this 15th day of January, 2010 before me, a Notary Public of New Jersey, personally came Kenneth C. Wendel, tome
known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY, the companies which
executed the foregoing Power. of Attorney, and the said Kenneth C. Wendel, being by me duly sworn, did depose and my that huts Assistant Secretary of FEDERAL
INSURANCE COMPANY,: VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof, that the seals affixed to the
foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of the By- Laws of said Companies; and that he signed said Power of Attorney as
Assistant Secretary of mid Companies by like aulhodty; and that he is acquainted with David B. Norris, Jr.; and knows him to be Vice President of sold Companies; and that the
signature of David S. Norris, Jr., subscribed to said Power of Ahomey is in the genuine handwriting of David B. Norris, Jr., and was thereto subscribed by authority of said Ity-
Laws and in deponent's presence.
Notarial 5eal
M AO
NOT RY P INE J. F A DEL AAR
WJE ARV FUBUC OF NEW JERSEY firs No 2316685 Notary Public
C9RIIAt551fin bPlrm July 16, 2014
CERTIFICATION
Extract from the By- Laws of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY:
"All powers of attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company; either by the Chairman or the
President or a Vice President or an Asslstant Vice President, jointly with the Secretary or an Assistant Secretary, under their respective desfgnations. The
signature of such officers may be engraved, printed or lithographed. The signature of each of the following officers: Chairman, President any Vice President, any
Assistant Vice. President, any Secretary, any Assistant Secretary and the seal of the Company may be affixed by facsimile to any power of attorney or to any
certificate relating thereto appolnfing Assistant Secretaries or Attorneys- in- Fact for purposes only of executing and attesting bonds and undertakings and other
writings obligatory in the nature thereof, and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding
upon the Company and any such power so executed and certified by such faminiffe signature and facsimile seal shall be valid and binding upon the Company
with respect to any bond or undertaking to which It ks attached"
I, Kenneth C. Wendel, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY
(the "Compamw j do hereby minty that
(t) the foregoing extract of the By. Laws of the Companies is true and correct,
(if) the Companies are duty licensed and authorized to transact surety business in all 50 of the United States of America and the District of Columbia and are
authorized by the U.S. Treasury Department; further, Federal and Vigilant are licensed in Puerto Rico and the U.S. Virgin Islands, and Federal is licensed in
American Samoa, Guam, and each of the Provinces of Canada except Prince Edward Island; and
pa) the foregoing Power of Attorney is true, correct and in full force and effect.
Given under my hand and seals of said Companies at Warren, NJ this June 30, 2011
`T' Rµ Gp n ��
5 �
��MaIANA .re + alp YOA�'
Kenneth C. We W, Assistant Secretary
IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM, VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER
MATTER, PLEASE CONTACT US AT ADDRESS LISTED ABOVE, OR BY Telephone (908) 903.3493 Fax (908)903- 3656
e -mail' surety ®chubbcom
Form 1590- 0225B -U (Ed. 5 -03) CONSENT
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 afterthe 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.
CBF -10
2.13 LIST OF PROPOSED SUBCONTRACTORS (continued)
[^i7uplicate NeM 2 Pages if needed for listing additional subcontractors.'"]
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: - 1 1 --a
Address: tiW (4 y ° g y p e Aj P
Name and Location Description of Work
of Subcontractor to be S
Name: �? S ( EteA) /9 c'
Address: ;e 2 r
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:
Description of Work
to be Subcontracted
Description of Work
to be Subcontracted
C113:�
LCIL
2.0 REFERENCES
1.
4
3.
a
Name and Address of Owner
Name and telephone number of person familiar with project
Contract amount Type of Work Date Completed
CBF -12
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:
CBF -18.
BIDDER VLn_is_ n Y 1m
1
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.
a t I►a _ _ tti
Subscribed and swop4,before me
This 28 day of
2011
(Seal)
the State of
My Commission Expires: 119 -1 7, ,
BEVERLY PARKS
Cemmiealen # 1806841
m - Notary Public - California
. ' Los Angeles County
M Comm. Ex Tres Juf 19, 2012
CBF -14
CALIFORNIA ALL-PUR ACKNOWLEDGM
State of California
County of Ln Ancrai ns
O 3 before me, Beverly Parks, Notary Pnbl ; r
Data Here Insert Name an the of the Officer '
perso ally appeared
N me s o goer s)
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
BEVERLY PARKS capacity(ies), and that by his /her/their signature(s) on the
Commission W 1806841 instrument the person(s), or the entity upon behalf of
@My Notary Public • C oun ty arnla
Los Angeles Coun which the person(s) acted, executed the instrument.
Comm. Expires Jul 19, 2012
I certify under PENALTY OF PERJURY under the laws
of the Stater of California that the foregoing paragraph is
true and correct.
WITNES hand and official s al
Signature°
Place Notary Seal Above S n lure of Notary Public
OP T I ONAL
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: Number of Pages:
Signer(s) Other Than Named Above: _
Capacity(fes) Claimed by Signer(s)
Signer's Name:
❑ Individual
• Corporate Officer— Title(s): _
• Partner — ❑ Limited ❑ General
• Attorney in Fact
• Trustee
• Guardian or Conservator
❑ Other:
Signer Is Representing:
AIGNTTNUM6Pt31NT
OF5IGNER
Signer's Name:
• Individual
• Corporate Officer — Title(s):
• Partner — ❑ Limited ❑ General
• Attorney in Fact
• Trustee Top of thumb here
• Guardian or Conservator
• Other:
Signer Is Representing:
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