Kasa Construction' • . it
-•
CONTRACT BID FORMS
TABLE OF CONTENTS
SECTION 1 BID SCHEDULE ................................................ ...............................
SECTION 2 BID DATA FORMS ........................................... ...............................
2.A BID BOND ......................................................... ...............................
2.B LIST OF PROPOSED SUBCONTRACTORS .. ...............................
SECTION 3 NON - COLLUSION AFFIDAVIT ..................... ...............................
................... 1
................... 5
................... 6
................... 7
................. 10
CBF -15
BIDDER: �L jA { ;q A� - I i,LA
CBF -1
BIDDER:
BID SCHEDULE
SCHEDULE OF PRICES FOR
ROSEMEAD COMMUNITY RECREATION CENTER AND LIBRARY PARKING LOT PROJECT
PROJECT No. P83529
BASE BID SCHEDULE
9
CBF -2
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
1
Clearing & Grubbing per plans and
See technical
LS
1
specifications.
provisions TP -2, TP -3 & TP-4.
2
Removal, Haulaway & Disposal of
Waste Materials.
LS
1
3
Earthwork, Roadway, Excavation
and Export.
CY
1,877
4
Compacted Selected Fill
LS
1
oGC7
5
Demolition Per Plans and
LS
1
Specifications Complete.
'
z 3o ! o o i;)
6
Construct 1 -inch Thick AC
Tons
325
Pavement "D1 -PG 64 -10" as
indicated on the plans.
i
7
Construct 3 -inch Thick Pavement
Tons
950
"C2 -PG 64 -10" as indicated on the
plans.
1
8
Remove, Dispose Existing and
Tons
1,800
Construct 4 -inch Thick Crushed
Miscellaneous Base (CMB) 95%
Relative Compaction Over 95%
� . 00
/ ' 2 j,HDC)
Compacted Native per Plans and
Specifications.
9
Construct 6 -Inch Thick PCC
SF
7.385
Pavement "520 -A- 2500" per Plans
Specifications
j
y `J�
)
and
10
Construct 8 -Inch Thick PCC
SF
15,100
Pavement "520 -A- 2500" per Plans
UU
�'
� t�- 1 5 �)
and Specifications
1
11
Construct 4 -Inch Thick PCC
Sidewalk "520 -C- 2500"
SF
6,750
0 �'
per
SPPWC Std. Plan 113 -2.
9
CBF -2
BIDDER: t_ZP� UV - \5t (_1A6VV 0V
CBF -3
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
12
Construct 4 -Feet Wide PCC Swale
Plans and Specifications.
LF
770
1~1 0 (1
y
!�
per
t o I
13
Construct PCC Alley Intersection
SF
800
per SPPWC Std. Plan 130 -2.
I `>
j i I< C)
14
Construct PCC Curb Ramps per
EA
6
SPPWC Std. Plan 111 -4.
0
15
Construct 6 -Inch PCC Curb and 6-
LF
260
Inch PCC Gutter per SPPWC Std.
Plan 120
�
-2.
1
16
Construct 6 -Inch PCC Curb Only
SPPWC Std. Plan 120
LF
2,540
C
per -2.
9 J ,
,ice
17
LF
400
2 Gu ter per SPPWC Std.
a `
,
18
Construct 6 -Inch Thick PCC
SF
450
Driveway Approach per SPPWC
Std. Plan 110 -2; Type C.
i
19
Construct 6 -Inch PCC Curb and
LF
285
24 -Inch PCC Gutter per SPPWC
Std. Plan 120 -2.
d
20
Construct Cross and Longitudinal
SF
445
t
Gutter per SPPWC Std. Plan 122 -2.
29
21
Adjust Sewer Manhole to Grade per
SPPWC Std. Plan 205
EA
2
J
C) {
-2.
j
22
Construct 4 -Inch PVC (SDR 35)
LS
1
Perforated Pipe over Crushed
Rock, 10 Feet Wide x 20 Feet Long
1C)l OC)(D
x 4 Feet Deep per Plans and
Specifications Complete,
23
�eanout per SPPWC
LS
1
,-> 0 ('ma)
Std Plans 204-
' J
i
24
Construct Drain Inlet WfTraffic
EA
3
Grate, with Flo -Guard Plus Insert
(Fossil Filter) per Plans and
, ,
U
Specifications Complete.
j
25
Construct 4 -Inch Diameter PVC
LF
150
Schedule 40 per Plans and
2 (�
>
Specifications Complete.
S
CBF -3
BIDDER:
TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$
a 9J1x y�75o1�
Dollar amount in written form V "
NZIM
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 unfiltered Area Drain,
Saddle Connection, Wye, LACDPW
Fee, Bedding and Pavement
� ) 01) ` )
) l[�>
Complete per Plans and
Specifications.
27
Construct New Masonry Trash
LS
1
Enclosure including Gates per
Plans and Specifications Complete.
F
0 0C)
8
28
Install Book Return Container per
EA
2
Contempra 60 Series Book Return
Model # 00 -0860 Complete.
�)�
'
29
Install Pavement Markers and
LS
1
Striping per Plans and
Specifications Complete.
)
$})>
30
Install Irrigation and Landscape per
LS
1
Plans and Specifications Complete.
l 51 6�,
L f o o o
31
Install Parking Lighting and
LS
1
Electrical System per Plans and
Specifications Complete.
32
Install Erosion Control per Plans
LS
1
and Specifications Complete.
< DOS.
33
Install Tree Well per SPPWC Std.
EA
4
Plan 519 -3.
34
Install Survey Well Monument per
EA
9
City of Rosemead Std. Plan S08-
001. See Section 2 -9 Surveying of
the General Provision -7 per
/��L�j
�-/LJ.
" ] 0o
details (Cover, Sleeve & Dome will
be provided by the City at no cost).
TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$
a 9J1x y�75o1�
Dollar amount in written form V "
NZIM
MAYOR:
GARY TAYLOR
MAYOR PRO TEM:
STEVEN LY
COUNCIL MEMBERS:
SANDRA ARMENFA
MARGARET CLARK
POLLY LOW
June 30, 2011
8838 E. VALLEY BOULEVARD ® P.O. BOX 399
ROSEMEAD, CALIFORNIA 91770
TELEPHONE 1626) 569 -2100
FAX (626) 307 -9218
P R O JECT
P
(Bid Opening Date: July 6` 2011)
To All Prospective Bidders:
Please note the following revisions on the specifications for the above project:
i f
TOTAL ALTERNATE BID PRICE $ V C1
IV�IELL lJAA,1 & ILA ?� VYVL I_ j -)' �Ut e X16 / a .lit Yt�F E p }
Dollar amount in written form c'a't v � " v) r �
TOTAL PRICE INCLUDING BASE AND ALTERNATE $ 6 d 1 D
1 n.'0, : rm A r) I JaAw V\ t f r -k i elD . 'AAA Okk 50 VIA Vi\ V\, 0- tl'w tvtct'!a
Dollar amount in written form — "t"oX aa�5 "Z Wro CO-VA7
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.
(, o
36
Earthwork, Roadway, Excavation and Export.
Cy
360
37
Construct 6 -inch Thick Pavement "C2 -PG 64-
Tons
100
10" as indicated on the p lans.
p
0`"
S 7 �.
TOTAL ALTERNATE BID PRICE $ V C1
IV�IELL lJAA,1 & ILA ?� VYVL I_ j -)' �Ut e X16 / a .lit Yt�F E p }
Dollar amount in written form c'a't v � " v) r �
TOTAL PRICE INCLUDING BASE AND ALTERNATE $ 6 d 1 D
1 n.'0, : rm A r) I JaAw V\ t f r -k i elD . 'AAA Okk 50 VIA Vi\ V\, 0- tl'w tvtct'!a
Dollar amount in written form — "t"oX aa�5 "Z Wro CO-VA7
Page 1 of 2
06/29/2011 11:14 FAX
IM002/002
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
7
J c_ �
Dollar amount in written form
V
f5
2. Construction Note No. 15 on sheet Al of At shall read as follows: "Construct 4- inches pia.
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 trul yo urs,
- Fajardo
Associate Civil Engineer
Acknowledqement:
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.
--) CICI
7
Construct 3 -inch Thick Pavement "C2 -PG
Tons
950
64 -10" as indicated on the plans.
0
( �
TOTAL CREDIT AMOUNT
7
J c_ �
Dollar amount in written form
V
f5
2. Construction Note No. 15 on sheet Al of At shall read as follows: "Construct 4- inches pia.
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 trul yo urs,
- Fajardo
Associate Civil Engineer
Acknowledqement:
Page 2 of 2
ALTERNATE BID ITEM No. 1
0
ALTERNATE BID ITEM No. 1 BID PRICE
Dollar amount in written
TOTAL PRICE INZLUDING BASE AND ALTERNATE
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
IT
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
C
35
Construct 6 -Inch Thick PCC
SF
57,385
Pavement "520 -A- 3250" Plans and
Specifications Complete.
ALTERNATE BID ITEM No. 1 BID PRICE
Dollar amount in written
TOTAL PRICE INZLUDING BASE AND ALTERNATE
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
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 truly yours, '
, Rafael Fajardo
e, ry Associate Civil Engineer
Page 2 of 2
BIDDER: ASA L bn - , >faic� b i
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 b ond in the amount of
o 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.
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 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. 1 a
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.
If
By:
Signature
Cv6 cow 3 3�1 II
Business Street Address
M 1�
BIDDER: V— N)Y�` )v� Vt6 - I OVA
l cky�a v-+asbctV
Type or Print Name
Title
Date
c✓
City, State and Zip Code
C 1 [)tai 31 - s7 0
Telephone Number
"316 t✓ . co e;Iaa
Bidder's /Contractor's State of Incorporation:
Partners or Joint Venturers:
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 authprity to do
SO.
CBF -7
CERTIFICATE, OF CORPORATE RESOLUTION
Of
KASA CONSTRUCTION INC.
1. DIANA KASBAR. — .................. ... President of KASA CONSTRUC INC.
i
organized and existing under the laws of the State of California and having its principal place of business
at 6339 FELIX Cf. CIJINO. CA 91710 hereby certify that the following is a true copy of a
resolution adopted by the Board of Directors of the Corporation at a meeting convened and held on
NOVEMBER 09, ?009, at which a quorum was present and voting throughout and that such resolution
is now in full force and effect and is in accordance vvith the provisions of the charter and by -laws of the
Corporation.
RESOLVED : That the DIRECTORS are hereby authorized and directed to certify to any
interested party that this resolution has been duly adopted, is in full force and effect, and is in
accordance with the provisions of the charter and by -laws of the Corporation.
i I further certify that this Corporation is duly organized and existing, and has the power to take the action
called for by the foregoing resolution.
DIRECTORS
DIANA K ASBAR ,t J L(Y ^ l -. 1]-09-09
President _
�l Date
SAM KASBAR
Vice President' y Date
SAIv9 KASBAR✓t 11 -09 -09
Secretary
Date
DIANA KASBAR yt�C w ti�- F - k I.I_09 -09
(Treasurer Date
1
Witness my hand seat of this Corporation on this 9''' day of Novem , 2009 .
BIDDER: CY15I ((,0y(b(
SECTION 2
BID DATA FORMS
•o
Bond No.: KASCO -135
BIDDER: Kass Construction, 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 Kasa Construciton, Inc. as
Principal, and Aegis Security Insurance 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 Bid
($ 10% of Bid ) , 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 Rosemead Community Center and Library Lot Project as set
forth in the Notice Inviting Bids and accompanying Bid Documents, dated
June 16, 2 3 & 30, 2011
- 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 attomeys' fees to be fixed by the
— court.
SIGNED AND SEALED, this 29th day of June 20 11 ,
Aegis Security
Kasa Construction, Inc. (SEAL) Insurance Company (SEAL)
Principal Su
By: By:`''�
Signature Signature Matthew R. Dobyns
_ Attorney -in -Fact
C��7
Power Certificate No. CA 106
AEGIS SECURITY INSURANCE COMPANY
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, THAT AEGIS SECURITY INSURANCE COMPANY does hereby make, constitute and
appoint: RANDY SPOHN AND MATTHEW R. DOBYNS
its true and lawful Attomey -in -Fact, to make, execute and deliver on its behalf surety bonds, undertaking and other instruments of similar
nature as follows: $2.5 MILLION
This Power of Attorney is granted and sealed under and by the authority of the following Resolution adopted by the Board of Directors of
the Company on the 4th day of February 1993.
"Resolved, That the President, any Vice President, the Secretary and any Assistant Secretary appointed for that purpose by the officer in
charge of surety operations shall each have authority to appoint individuals as Attorney -in -Fact or under other appropriate titles with
authority to execute on behalf of the Company, fidelity and surety bonds and other documents of similar character issued by the Company in
the course of its business. On any instrument making or evidencing such an appointment, the signatures may be affixed by facsimile. On
any instrument conferring such authority or on any bond or undertaking of the Company, the seal or facsimile thereof may by imposed or
fixed or in any other manner reproduced; provided, however, that the seal shall not be necessary to the validity of any such instrument or
undertaking."
"Resolved, That the signature of each of the following officers; President, Vice President, any Assistant Vice President, any Secretary or
Assistant Secretary and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any Certificate relating thereto,
appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -in -Fact for the purpose only of executing and attesting
bonds and undertaking and other writings upon the Company and any such power required and certified by such facsimile signature and
facsimile seal shall be valid and binding on the Company in the future with respect to any bond or undertaking to which it is attached."
IN WITNESS WHEREOF, AEGIS SECURITY INSURANCE COMPANY has caused its official seal to be hereunto affixed, and these
presents to be signed by its President this 20th day of April, 2011.
AEGIS SECURITY INSURANCE COMPANY
BY:
DARLEEN J. FRITZ
President
Commonwealth of Pennsylvania }
} s.s.: Harrisburg
County of Dauphin }
On this 20th day of April, 2011, before me personally came Darleen J. Fritz to me known, who being by me duly sworn, did depose and say
that she is President of AEGIS SECURITY INSURANCE COMPANY, the corporation described herein and which executed the above
instrument; that she knows the seal of the said corporation, that the seal affixed to the said instrument is such corporate seal; that it was so
affixed by order of the Board of Directors of said corporation and that she signed her name thereto by like order.
atRtb�4ZL
REBECCA LIDDICK
Notary Public
My Commission Expires July 25, 2013
I, the undersigned, Assistant Secretary of AEGIS SECURITY INSURANCE COMPANY, a Pennsylvania corporation, DO HEREBY
CERTIFY that the foregoing and attached Power of Attorney remains in full force and has not been revoked: and furthermore that the
Resolution of the Board of Directors, set forth in the said Power of Attorney, is now in force.
Signed and sealed at the City of Harrisburg, in the Commonwealth of Pennsylvania, dated this 29 thday of June, 2011.
DEBORAH A. GOOD
Secretary
State of CALIFORNIA
County of ORANGE
O June 29th, 2011 before me ERIKA GUIDO, NOTARY PUBLIC,
personally appeared MATTHEW R. DOBYNS
® who proved to me on the basis of satisfactory evidence to be the persons)
whose name(4 is /are subscribed to the within instrument and
acknowledged to me that he /she/they executed the same in his/her/theif
authorized capacity fies), and that by his /heF/their signature(s) on the
instrument the person(s), or the entity upon behalf of which the person
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.
ERIKA QUIDO
COMM. # 1843731
NOTARY P ilur, CALIFORNIA
ORANGE COUNTY
m ramm. exaires May 5, 2013
Though the data below is not required by law, it may prove valuable to persons relying on the document and
could prevent fraudulent reattachment of this form.
CAPACITY CLAIMED BY SIGNER
❑ INDIVIDUAL
❑ CORPORATE OFFICER
❑ PARTNER(S) ❑ LIMITED
® ATTORNEY -IN -FACT
❑ TRUSTEE(S)
❑ GUARDIAN /CONSERVATOR
❑ OTHER:
DESCRIPTION OF ATTACHED DOCUMENT
SIGNER IS REPRESENTING:
NAME OF PERSON(S) OR ENTITY(IES)
WITNESS my hand and official seal.
State of California
County of San Bernardino
On 7/6/2011 before me, He ctor Zav Notar Public
_ r - -� -- — - -- --
Dale Her= inert Name antl Lae al toe 08ire1
personally appeared Diana Kasbar
�s HECTOR ZAVALA
commission 1868453
g "-w Notary Public - California z
MyMyComm.Expires
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 h d official seal.
Signature _..
Flaaa Notary $gal Above O Sv'ah;, r tJotary PSh(e
4L
Though the information below is not regarod by taw, it may prove valuable to persons retying on the document
and could prevent fraudulent ramoval and n=adachment of this form to another docurnent.
Description of Attached Document
Title or Type of Document:
Document Data
Signer(s) Other Than Narned Above: —
Gapacity(ies) Claimed by Signer(s)
Signer's Name:_
Individual
Corporate Officer - -- Trie(s):
?
Partner - -i ; Limped General _
Attorney in Fact
} �eostae r:r, rt,,,u rime
Guardian or Conservator
Other:..... .. .. ....... - - ----
i
Signer is Representing:
- - -- ------------------ l
Number of Pages:
Signer's Name: — ---
Li individual
Li Corporate Officer— Title(s):
Partner —f ' Limited !L General _
C] Attorney in Fact
;] Trustee a a t mmb �0rm £
C Guardian or Conservator
I l Other:
Signer Is Representing:........_
'.) ,
%a Z N vffi , t�A""' or'W 24Wh &Y- f, :L, i ,� w_q Ite .05 om r__xrVd"�T`:" w e 6
4� =1�0 Oaf, ^ai VCfary ASSr�:inl inn - 3;3,50 DC SCta A4e;.,Pp fx;x 2d02 •Chat. �mth CA UI313:4J1 tw ^,w N;aU<a_INClaryory Itch pS£6T Rrrer<1cer: Cell Tnll -8rne t- P,Cp�6Tfi -G82T
BIDDER: lfG}g
2.B LIST OF PROPOSED SUBCONTRACTORS
In compliance with the "Subletting and Subcontracting Fair Practices Act," Sections 4100
through 4114 of the California Public Contract Code, and any amendments thereto, each
Bidder shall provide the information requested below for each subcontractor who will
perform work, labor or render service to Bidder in or about the construction of the Work in an
amount in excess of one -half of one percent (greater than 0.5 %) of the Bidder's Total Bid
Price, or, in the case of bids or offers for the construction of streets or highways, including
bridges, in excess of one -half of 1 percent of the Contractor's total bid or ten thousand
dollars ($10,000), whichever is greater, and shall further set forth the portion of the Work
which will be done by each subcontractor. Bidder shall list only one subcontractor for any
one portion of the Work.
Pursuant to Public Contract Code Section 4104, the Owner has determined that it will allow
Bidders twenty -four (24) additional hours after the deadline for submission of bids to submit
the information requested by the Owner about each subcontractor, other than the name and
location of each subcontractor.
If the Bidder fails to specify a subcontractor for any portion of the Work to be performed
under the Contract, it shall be deemed to have agreed to perform such portion itself, and
shall not be permitted to subcontract that portion of the Work except under the conditions
hereinafter set forth below.
Subletting or subcontracting of any portion of the Work in excess of one half of one percent
(greater than 0.5 %) of the Total Bid Price or, in the case of bids or offers for the construction
of streets or highways, including bridges, in excess of one -half of 1 percent of the
Contractor's total bid or ten thousand dollars ($10,000), whichever is greater, for which no
subcontractor was designated in the original bid shall only be permitted in cases of public
emergency or necessity, and then only after Owner approval..
CBF -10
BIDDER: V-Af R &YYAXC Ae�60A
2.B LIST OF PROPOSED SUBCONTRACTORS (continued)
["Duplicate Next 2 Pages if needed for listing additional subcontractors.`*1
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: N\C,A (i"mc ) s biz
Address: _ 8 i) SG I A
Name and Location
of Subcontractor
Name: ` / D
Address: & �—
Description of Work
to be Subcontracted \
li t,czU'vvt /)
Name and Location
of Subcontractor
Name:
Address
Description of Work
to be Subcontracted
Name and Location
of Subcontractor
Name: Q LAYU41 � CSC. _
Address:
Name and Location
of Subcontractor
Name:
Address:
Description of Work
to be Subcontracted
Description of Work
to be Subcontracted
CBF -11
BIDDER: Dyh5b - yy�w i.
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:
Tress of Owner
tUtl(CAIJ (�` 0
phone number of person far
2.
3.
4.
Name
IU - `2177
with project
6r6yl ' 1fMA i C
Type of Work
Pat V
of Owner
a telepnone number of person familiar with project
amount Type of Work Date G
9-01
Date Completed
c 2_W,1
' k CC q ° 13 I S S
CBF -12
Name N 'and Address of Owner
0
Name and telephone number of person familiar with project
Name and telephortehiumber of oeYson familiar with nrniart
..
isiluffaml
SECTION 3
NON-COLLUSION AFFIDAVIT
CBF -13.
BIDDER: +�'�
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.
Bidder
Subscribed and sworn before me
This day of �xk" 1 201_
(Seal)
HECTOR ZAVALA
Commission # 1868453
Z ; -rs Notary Public - California n
Z -' Los Angeles County
My Comm. Expires Oct 28, 2013
CBF -14
LCC3 Construction Service, Inc
DSA Testing & Inspe c[ion o LC.B.O Testing & inspection o Envifomnental Services
Geotechnicaf Services a Labor Compliance Services e Program Management
Construction Management
October 6, 2010
Mr. Sam Kasbar
Kasa Construction
316 N. Corona Ave.
Ontario, Ca 91764
Dear Mr. Kasbar,
It is with great pleasure that I write this testimonial for Kasa Construction. As Vice President of
Construction for LCC3 Construction Services, Inc, I have been afforded the opportunity to benefit
firsthand from the talents of the Kasa Construction project team. This testimonial is best exemplified
in the following example.
In June of 2010 Kasa Construction started a project for the Pomona Unified School District which
was being managed by me as owner's agent. This project consisted of reconstructing a hill slope
which had started to fail and was causing damage to one of the district's elementary school
campuses. The project was scheduled to complete under a tight time line and reduced budget.
Larry Edwards, Project Superintendent, and his support team's relentless commitment to cost
containment; schedule recovery and customer satisfaction truly made the difference in the
successful completion of the above mentioned project. I am pleased to share that not only did the
project complete under budget, but do to Mr. Edward's commitment to the success of the project it
came in on schedule with no disruption to any school programs.
Kasa Construction's project team always searched for the best solution whenever possible and kept
the goal of the project in sight. I found the project team to be professional, courteous, and very
organized.
I have added Kasa Construction to our contractor list and I look forward to working with the Kasa
Construction team in the near future.
Sincerely,
Brian Watt
Vice President, Construction
LCC3 Construction Services, Inc
Cc: File
4295 Jurupa Street It 203
Ontario, Ca 91761
Office: (909) 390 -0500 o Fax (800) 420 -3407
KASA Construction
316 North Corona Ave.
Ontario, CA 41764
Subject: Letter of Recommendation;Taft Ave. Median Project and Lemon Street Trail and
Median Project
To Whom It May Concern:
KASA Construction has completed the subject projects in the City of Villa Park. KASA
completed the projects in a most satisfactory way. The work was done in the time frame allowed
even thought we experienced rain delays. The staff from KASA was very responsive replying to
our requests on a same day basis. The field team was great to work with and kept the job sites in
a very clean and safe condition.
I am pleased with the final proect results and we have received many compliments from
residents in the commwrity.I would certainly recommend KASA for future projects.
Very truly yours
L�r -t,
Joe O'Neil P.E.
City Engineer
City of Villa Park
W. RICHARD (TA�it?tt. Nlay)r • BRAD RIJ. SF:; M, ywr Pro Tem
l�c1i�E�, i d�.'iliil�U.i, C'ounciln�reo.E = S�< ". 6SLL 19:�c C= uunci[nru�ther � C�4ISCiI;!hEt f Al 1.5'. i::c�ura �(s,ler�t�er
C �y of
Villa
Park
1 Sd71PMIg() 11 ult.vard, t if a I ( 81djLs7TZdLl �e��;�1 -41,,;% ._� �. Iv"V1Y_PF(1Cpark npg
f. 14) 99,N 150 1st1;
(`1 _k) Qq�N_1)j),�
February 23, 2011
KASA Construction
316 North Corona Ave.
Ontario, CA 41764
Subject: Letter of Recommendation;Taft Ave. Median Project and Lemon Street Trail and
Median Project
To Whom It May Concern:
KASA Construction has completed the subject projects in the City of Villa Park. KASA
completed the projects in a most satisfactory way. The work was done in the time frame allowed
even thought we experienced rain delays. The staff from KASA was very responsive replying to
our requests on a same day basis. The field team was great to work with and kept the job sites in
a very clean and safe condition.
I am pleased with the final proect results and we have received many compliments from
residents in the commwrity.I would certainly recommend KASA for future projects.
Very truly yours
L�r -t,
Joe O'Neil P.E.
City Engineer
City of Villa Park
W. RICHARD (TA�it?tt. Nlay)r • BRAD RIJ. SF:; M, ywr Pro Tem
l�c1i�E�, i d�.'iliil�U.i, C'ounciln�reo.E = S�< ". 6SLL 19:�c C= uunci[nru�ther � C�4ISCiI;!hEt f Al 1.5'. i::c�ura �(s,ler�t�er
MAVa
MAYOR PROTHA:
CgiY'AV I *F.
COUNCIL MVMaERS:
SPJ,DrA AFI1MF I A
t +(T Y Lb:Y
August 25, 2010
KASA Construction Inc.
Attn: Sam Kasbar
316 N. Corona Ave.
Ontario, CA 91764
i,
Rev mcad
383z3 E VALl.B.Y BOULEVARD . P 0, BOX 3J3
R4 5L (DEAD, CALIFORNIA °1770
` E-LEPHON.4:'62 569
rAX iG25 -W13
Project : Rosemead / Walnut Grove Median Beautification and Traffic Congestion
mpeovements
Subject : Letter of Recommendation
1 would like to thank KASA Construction for a job well done. When the job was awarded, the
Agency was a little concerned due to the fact that KASA was a rather new company. Now that
thejob is done, you have far surpassed the commits initially made and in -turn, the City of
Rosemead has received an exceptional finished project. Not only was the quality of work
outstanding, the project was completed before schedule and under budget.
The project was constructed on a main city artery which exposed the work to potential political
criticism. Fortunately, City Council, Staff, and the Community had nothing but positive
comments. I truly hope you win more project with the City of Rosemead as it has been a
pleasure working with KASA Construction.
Sincerely,
Rafael Fajardo
Project Manager
City of Rosemead
PAUL KTAN&N4
TASHA CERDA, Mayor Pro Tom
RONALD K. IKEJIRI, Councilinember
RACHEL C, JOHNSON, Councilmernber
1n* WEST 1armarnssr/mxoosmy CALIFORNIA ooe47-3r,o/(310)o1p95wo/ FAX (310) 217-611,
City of Gardena
MARIA £hA City Clerk
TSUKIYAMA City Treasurer
MITCHELL G,LANSDELL,(Jfty MJoeyet
PErERLW4LUN,City Axnnmy
August 19
KA8& Construction Inc.
3l6N. Corona Ave,
Ontario, CA9|7h4
Po`ject : At6u/ Johnson Park —R*sroomo Facility, I@8l9
1200 W� 170Uh Street
Subject : Letter of Recommendation
To Whom 11 Mav Concern:
The City ofGardeni would like to thank your company, KASA ('Onstruciion Inc., for the job well
done and oucunoofn||y completing the Ar Johnson Park Re»ionnon Facility D Juc{!non<cda{]2o0
VY, 178 SL, {;o'donu, [�8 90247, Within the |{2 ca\tudox days u8ocu\cd for file pn!jtoi your
cornpany has shown clue difigence and dedication to Finish the work 36 Days ahead ofschedule, which
U/`:udyhunafit*d the community.
The City of Gardena also acknowledged that the pro�jccr was complex due to the clectrical, mechanical
and other ud|itƒcrirob|arr4ui(nd8}rfhootionJiL},bowertr,ynnru&ooiiuutotbru0exificsoftilo
construction in detail as well as proper scheduling has been very remarkable, resulting to a job well
done,
In addition to (he I level of professional And quality workmanship in ifie field, KASA have proven
{u.ouiniuiu the omTie high level uf service on the Project &8unuecmtniuud&doduis\oati'vrpurtiooxnf
the project.
Akairn would like 0u express my gratitu io providing your ]!0%)iu completing this mnbneede
cci for the City o[Gar We would not hesitate Nrcft�r KASA Construction Inc. k`other
organizations who are also in need of quality service front such a dedicated and hard working
cornparly
sincmtiv
Jubo - e|bc I-iointnr
Public Works I)epartment
September 13, 2010
KASA Construction Inc,
316 N. Corona Avenue
Ontario, CA 91764
Project: Citrus College Campus Safety Landscape Project
To Whom It May Concern:
CITRUS COM iIAUNI f Y COLLEGE DISTRICT
BOARD OF TRUSTEES
Mrs. Susan M. Kwk, President
ClaremondAxusa.fa Veme=Pomona Repmsenrarivc
Dr. Gary L. Aloods, 4Ace Pre;idew
Amsa /Coauia /GlendocaA... mdale Reprcwnrarire
Dc Parncm Rasmunsan, ClerklSecre;ary
GlendoralAzusa/San Dimas Represcavatwe
Mrs.loamre Monrgomery, Member
MonroviaBradbury/Uuarre Representative
Dr. Edward C. Orrell, Mcoiber
Duartcrr \rcadia /r`.n�ssLblonrovia Represenrarm
Ms. Karine Pone¢ Student Represertntiee
Dc Grrald;'ne M. Perri, St;periwendew1Preslde,t
I am writing this letter of referral to thank your company, KASA Construction Inc., for the due
diligence and dedication in successfully completing the Campus Safety Landscape Project
located at Citrus Community College, 1000 West Foothill Boulevard, Glendora, CA 91741.
KASA Construction worked well within an active campus setting and construction activity.
Product deliveries were coordinated in a manner which was supportive of ongoing campus
business. I have also been pleased with your approach which constantly recognizes the
College's best interest.
KASA Construction provided a safe and clean environment when working on campus and when
students were present. The project was completed on time. We would not hesitate to refer
KASA Construction to other agencies. Your team has remained positive and pro - active
throughout our association in this project administratively and in the field.
It has been a pleasure to work with your team on this project and we look forward in working
with KASA in the future.
Sincerely,
d �
Rol�rt J. B dshaw
Construction Progrann Manager
Citrus College
RJB:Ia
ixo West Foothill Boulevard
Glendora, CA gx74r -tBy9
Ter: tia6.961.031;
www.citrusco llege.edu
June 20, 2011
KASA Construction
316 North Corona Avenue
Ontario, CA 91764
Subject: Letter of Recommendation; Terrace Park Improvements Project.
To Whom It May Concern:
On Behalf of the City of Redlands, we would like to thank KASA Construction for their
exemplary performance in completing the Terrace Park hmprovements project.
KASA Construction completed this project with diligence and commitment, maintaining
the highest level of professionalism, attention to detail and work ethic. The project
management team always kept the City's best interest in mind and if a problem or issue
were to arise. KASA always resolved it in a quick and efficient manner.
The City could not be more pleased with the final project results. It has been a pleasure
working with KASA and we would not hesitate to recommend their outstanding services
to others. We would like to express our gratitude for a job well done and look forward to
working together again.
"Preserving the Past, Protecting the Future"
P.O. BOX 3005 a REDLANDS, CA 92373
" `z2'si y ^, iaiiau n ti j °. �`! �-` 'RS `y °l.vu.vl`•�r£'''+3 r1 st
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1111 101 M lig
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City of
SANTA CLARrm
23920 Valencia Boulevard • Suite 340 - Sanra Clarita, California 91355-2196
Phone: (661) 259 -2489 o FAX: (661) 259 -8125
wuw.sa nta- clarita. com
January 4, 2011
KASA Construction
316 North Corona Avenue
Ontario, CA 91764
Subject: Letter of Recommendation; Valencia Industrial Center Median Improvements,
Project B1008
To Whom It May Concern:
On behalf of the City of Santa Clarita, we would like to thank KASA Construction for their
exemplary performance in completing the Valencia Industrial Center Median Improvements,
Project B 1008, located on Avenue Stanford and Avenue Scott.
KASA Construction completed this project with diligence and commitment, maintaining the
highest level of professionalism, attention to detail, and work ethic. The project management
team always kept the City's best interests in mind and if a problem or issue were to arise, KASA
Construction always resolved it in a quick and efficient manner.
KASA Construction's scheduling and coordination was extremely smooth, which was further
perpetuated by their closely- monitored traffic control and safety precautions. They maintained an
excellent relationship with the City inspection team, and kept the job running in a compliant and
organized fashion. In many instances, KASA Construction went beyond the City's expectations
in order to assure that the project was delivered at the highest standard possible,
The City could not be more pleased with the final project result. It has been a pleasure working
with KASA Construction and we would not hesitate to recommend their outstanding services.
We would like to express our gratitude for ajob well done and look forward to working together
again soon.
Sincerely.
Franctsco J. Lujan
Project Manager
FJL:dp
SIP \Y NGLNN .... OKP,, rccammcnAntimi Iv aov
cc: Curtis L. Nay, Assistant City Engineer
Harry Corder, Senior Engineer