Air-Ex Air Conditioning, inc.BIDDER Air -Ex Air Conditioning, Inc.
BID SCHEDULE
SCHEDULE OF PRICES FOR
ROSEMEAD CITY HALL HVAC REPLACEMENT PROJECT
PROJECT No. 31002
BASE BID SCHEDULE
TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$_ 41 6 1 4 1 7 * O �'
Dollar amount in written form
Note: The City of Rosemead reserves the right to reduce or increase the quantities of any items in
the schedule of bid items above, within the limits define in Section 3 -2.2.1 of the Standard
Specifications, to stay within the budgeted amount of this project.
If the Bid Documents specify aiternate bid items, the following Alternate Bid amounts shall
be added to or deducted from the Total Bid Price entered above. The owner can choose to
Include one or more of the alternates in the Total Bid Price of the Project. If any of the
Altemate Bids are utilized by the Owner, the resulting amount shall be considered the Total
Bid Price for the Project.
The undersigned agrees that these Contract Bid Forms constitute a firm offer to the Owner which
cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and
after the bid opening date, or until a Contract for the Work is fully executed by the Owner and a third
party, whichever is earlier. The undersigned also agrees that if there is a discrepancy between the
written amount of the Bid Price and the numerical amount of the Bid Price, the written amount shall
govern.
Attached hereto is a certified check, a cashier's check or a bid bond in the amount of
Ten Pe of Bid Dollars ($ i o % ) 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,
lii3irm
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
1
Clearing & Grubbing
LS
1
2
Disposal of Waste Materials.
LS
1
_63 p GL)
j t' C", t,0
3*
Remove and Dispose Existing AC
LS
1
Unit Complete. Install new HVAC
Unit as indicated on the Plans and
�
1 � 1 ( ( - 7 ,
S ecif!cations Complete.
TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$_ 41 6 1 4 1 7 * O �'
Dollar amount in written form
Note: The City of Rosemead reserves the right to reduce or increase the quantities of any items in
the schedule of bid items above, within the limits define in Section 3 -2.2.1 of the Standard
Specifications, to stay within the budgeted amount of this project.
If the Bid Documents specify aiternate bid items, the following Alternate Bid amounts shall
be added to or deducted from the Total Bid Price entered above. The owner can choose to
Include one or more of the alternates in the Total Bid Price of the Project. If any of the
Altemate Bids are utilized by the Owner, the resulting amount shall be considered the Total
Bid Price for the Project.
The undersigned agrees that these Contract Bid Forms constitute a firm offer to the Owner which
cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and
after the bid opening date, or until a Contract for the Work is fully executed by the Owner and a third
party, whichever is earlier. The undersigned also agrees that if there is a discrepancy between the
written amount of the Bid Price and the numerical amount of the Bid Price, the written amount shall
govern.
Attached hereto is a certified check, a cashier's check or a bid bond in the amount of
Ten Pe of Bid Dollars ($ i o % ) 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,
lii3irm
BIDDER: Air -Ex Air Con ditioning, Inc.
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 amounts
and subject to the terms and conditions described in the Contract Form and the Contract
Documents.
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. t iN
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.
CBF -2
By: La
Signature
Robert H. Carder
Type or Print Name
P resident
Title
Bidders /Contractor's State of Incorporation:
Partners or Joint Venturers:
BIDDER: Air -Ex Air Conditioning, Inc.
157 Gentry Street
Business Street Address
Pomona, CA 91767
City, State and Zip Code
909 - 596 -6856
Telephone Number
ifornia
Bidder's License Number(s): 418
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 w ifl be required
to provide evidence that the person signing on behalf of the corporation,
partnership or Joint venture has the authority to do .m.
CBF -3
BIDDEfi: Air -Ex Air Conditionin Inc.
B ID
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BIDDER: Air -Ex Air Conditioning, 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 is properly
identified with the Bidder's name and page number.
2.A BID BOND
KNOW ALL MIEN BY THESE PRESENTS:
THAT Ai
Principal,
r -Ex Air
and I
Inc.
C6TY OF ROSEMEAD
[ ty" 61
as
CA
as Surety, are held firmly bound unto the
called the OWNER) in the sum of
Amount
DOLLARS
($ 10 0 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 forthe ROSEMEAD CITY HALL HVAC REPLACEMENT PROJECT as set
forth in the Notice Inviting Bids and accompanying Bid Documents, dated
October 19 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, inctau"Wig reasonable attorneys' fees to be fixed by the
court.
SIGNED AND SEALED, this 14th day of OCTOBER , 2011 .
Ai -Ex Air Conditioning, Inc. (SEAL)
Principal
j f
By: By:
Signature Robert H. Carder
President
TRAVELERS CASUALTY AND
MICHAEk�p. STONG
ATTORNEY -IN -FACT
CBF -5
mulm •.. , ♦ 6 / ?�
State of California
County of
RIVERSIDE
On G0 ly before me, R. NAPP "NOTARY PUBLIC"
(Here insert name and title of the officer)
personally appeared MICHAEL D . STONG
who proved to me on the basis of satisfactory evidence to be the persoq(<whose nameWis /arc subscribed to
the within instrument and acknowledged to me that he /sheMtey executed the same in his / a r� authorized
capacity(-"e and that by his /hexlLlt k signature(<on the instrument the personfa'j, or the entity upon behalf of
which the personWacted, executed the instrument.
1 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. R. NAPPI
COMM. #1796916 s
NOTARY PUBLIC -CALIFORNIA
�+
a RIVERSIDE COUNTY
Signature of Notary Public (Notary Seal) M Comm. Expires June 7, 2012 R
ADDITIONAL OPTIONAL INFORMATION
DESCRIPTION OF THE ATTACHED DOCUMENT
(Title or description of attached document)
(Title or description of attached document continued)
Number of Pages Document Date
(Additional information)
CAPACITY CLAIMED BY THE SIGNER
❑
Individual (s)
❑
Corporate Officer
(Title)
❑
Partner(s)
❑
Attorney -in -Fact
❑
Trustee(s)
❑
Other
INSTRUCTIONS FOR COMPLETING THIS FORM
Any acknowledgment completed in California must contain verbiage exactly as
appears above in the notary section or a separate acknowledgment form must be
properly completed and attached to that document. The only exception is if a
document is to be recorded outside of California. In such instances, any alternative
acknowledgment verbiage as may be printed on such a document so long as the
verbiage does not require the notary to do something that is illegal far a notary in
California (i.e. certifying the authorised capacity of the signer). Please check the
document carefully for proper notarial wording and attach this form if required.
• State and County information must be the State and County where the document
signers) personally appeared before the notary public for acknowledgment.
• Date of notarization must be the date that the signer(s) personally appeared which
must also be the same date the acknowledgment is completed.
• The notary public must print his or her name as it appears within his or her
commission followed by a comma and then your title (notary public).
• Print the names) of document signer(s) who personally appear at the time of
notarization.
• Indicate the correct singular or plural forms by crossing off incorrect forms (i.e,
he /she /Nxy, is /are ) or circling the correct forms. Failure to correctly indicate this
information may lead to rejection of document recording,
• The notary seal impression must be clear and photographically reproducible.
Impression must not cover text or lines. If seal impression smudges, re -seal if a
sufficient area permits, otherwise complete a different acknowledgment form.
• Signature of the notary public must match the signature on file with the office of
the county clerk.
Additional information is not required but could help to ensure this
acknowledgment is not misused or attached to a different document.
. Indicate title or type of attached document, number of pages and date.
Indicate the capacity claimed by the signer. If the claimed capacity is a
corporate officer, indicate the title (i.e. CEO, CPO, Secretary).
• Securely attach this document to the signed document
2008 Version CAPA v12.10.07 800 - 873 -9865 v, w.NmaryClasses.com
POWER OF ATTORNEY
TRAVELERS Farmington Casualty Company St. Paul Mercury Insurance Company
Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company
Fidelity and Guaranty Insurance Underwriters, Inc. Travelers Casualty and Surety Company of America
St. Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company
St. Paul Guardian Insurance Company
Attorney -In Fact No. 222079 Certificate No. 00 4083983
KNOW ALL MEN BY THESE PRESENTS: That St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company and St. Paul Mercury Insurance
Company are corporations duly organized under the laws of the State of Minnesota, that Farmington Casualty Company, Travelers Casualty and Surety Company, and
Travelers Casualty and Surety Company of America are corporations duly organized under the laws of the State of Connecticut, that United States Fidelity and Guaranty
Company is a corporation duly organized under the laws of the State of Maryland, that Fidelity and Guaranty Insurance Company is a corporation duly organized under
the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters, Inc., is a corporation duly organized under the laws of the State of Wisconsin
(herein collectively called the "Companies "), and that the Companies do hereby make, constitute and appoint
Michael D. Stong, Rosemary Nappi, and Jeremy Pendergast
of the City of Riverside , State of California , their true and lawful Attorney(s) -m -Fact,
each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and
other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of
contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law.
16th
IN WITNESS WHEREOF, the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this
day of February 2011
Farmington Casualty Company St. Paul Mercury Insurance Company
Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company
Fidelity and Guaranty Insurance Underwriters, Inc. Travelers Casualty and Surety Company of America
St. Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company
St. Paul Guardian Insurance Company
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State of Connecticut
City of Hartford ss.
By. J
Georg° Thompson, enior ice President
On this the 16th day of February 2011 , before me personally appeared George W. Thompson, who acknowledged
himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters,
Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety
Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he, as such, being authorized so to do,
executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer.
p.T�T
In Witness Whereof, I hereunto set my hand and official seal. TAq \ W! wA C .
My Commission expires the 30th day of June, 2011. t%/BU� t} Marie C. Tetnault, Notary Public
58440 -4 -09 Printed in U.S.A.
BIDDER: Ai -Ex Air Conditionin Inc.
23 LIST OF PROPOSED SUBCONTRACTORS
In compliance with the "Subletting and Subcontracting Fair Practices Act," Sections 4100
through 4114 of the California Public Contract Code, and any amendments thereto, each
Bidder shall provide the information requested below for each subcontractor who will
perform work, labor or render service to Bidder in or about the construction of the Work in an
amount in excess of one -half of one percent (greater than 0.5 %) of the Bidder's Total Bid
Price, or, in the case of bids or offers for the construction of streets or highways, including
bridges, in excess of one -half of 1 percent of the Contractor's total bid or ten thousand
dollars ($10,000), whichever is greater, and shall further set forth the portion of the Work
which will be done by each subcontractor. Bidder shall list only one subcontractor for any
one portion of the Work.
Pursuant to Public Contract Code Section 4104, the Owner has determined that it will allow
Bidders twenty -four (24) additional hours after the deadline for submission of bids to submit
the information requested by the Owner about each subcontractor, 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.
BIDDER: Air -Ex Air Conditioning, Inc.
2.B LIST OF PROPOSED SUBCONTRACTORS (continued)
[ "Duplicate Nett 2 Pages if needed for listing additional subcontractors."']
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: 6 A- Lflet.
Address t 4 1 1 ti' 1 l e ° T, 1 - d
Name and Location
of Subcontractor
Description of Work
to be Subcontracted
Name. L nda0 f)r'fC (KLCr L! LO (
Address: � I C - 'Ir 7 L r ,T( j,� c
Ht)^!Ca_f , Cc[ 6<9(M 4 )2"7 -36
Name and Location
of Subcontractor
Name: ix�a7�s1L-
Address: a. ii b i;&
Name and Location
of Subcontractor
Description of Work
to be Subcontracted
1/4 &Q_LAV)60
Description of Work
to be Subcontracted
Name:
Address:
Name and Location
of Subcontractor
Name:
Address:
Description of Work
to be Subcontracted
CBF -7
BIDDER: Air -Ex Air conditioning, Inc.
2.0
The following are the names, addresses and telephone numbers for three public agencies for which BIDDER
has performed similar work within the past two (2) years:
1 University of California, I rvine Irvine, CA
Name and Address of Owner
Michael Clayton (949) 824 -9485
Name and telephone number of person familiar with project
)lacement of Ai Hand linq Unit
Contract amount Type of Work
5/31/2011
Date Completed
2. MLK Hawkins B ldg MTM Construction Industry, CA
Name and Address of Owner
Kevin Kim (62 224 -8477
Name and telephone number of person familiar with project
8479,775 ^_ Replace 6 small AHUs 10/31/2010
Contract amount Type of Work Date Completed
3. Cal Poly Pomona Po CA
Name and Address of Owner
Bevans (909) 979 -5517
Name and telephone number of person familiar with project
$320,900 Insta of Boiler 5/31/2011
Contract amount Type of Work Date Completed
4. Santa Clarita Community College District Santa Clarita, CA
Name and Address of Owner
Chris Miner - Facilities & Services (661) 362 -3030
Name and telephone number of person familiar with project
5204,548 HVAC Replacement 6/15/2011
Contract amount Type of Work Date Completed
MM]
BIDDER: Air -Ex lair conditi Inc.
SECTI
CBF -9
BIDDER: Air -Ex Air Co nditioning, Inc.
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, orto 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 share bid.
By
Signature
Robert H. Carder
Typed or Printed Name
President
Title
Air -Ex Air Conditioning, I nc.
Bidder
Subscribed and sworn before me
This R' Iday of (Q ego pn 2 01__
Notary Public in a d for
the State of California
My Commission Expires: t-4��
(Seal)
KIMBERLY A. CARTER
Commission # 1840492
a Notary Public • California z = Los Angeles County
My Comm. Expires A r 11, 2013
CBF -10