Kalban, Inci
[1
1
r
I
I
I
I
I
i
r
r
1
r
r
r
1
r
BIDDER: B,4 p 1 AC•
SECTION 1- BID SCHEDUL
CBF -1
1
1
BIDDER: A gL 8,4AJ 1 . 2 ✓ C
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
CBF - 13
........1
5
6
7
10
I
1
i
1
1
1
1
I
I
I
BIDDER:
BID SCHEDULE
SCHEDULE OF PRICES FOR
SIDEWALK, CURB AND GUTTER REPLACEMENT PROJECT
PROJECT No. 24002
BASE BID SCHEDULE
q .�-v
TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ ! 1 0
a g e�n &65
Dollar amount in written f6m f A lV
' CBF -2
UNIT OF
EST.
UNIT
ITEM
NO,
ITEM DESCRIPTION
MEASURE
OTY.
PRICE
COST
1
Clearing & Grubbing per plans
LS
1
and specifications. See technical
provisions TP -2, TP -3 & TP -4.
2
Disposal of Waste Materials.
LS
1
"
3
Remove, Dispose and Construct
SF
21,000
flinches thick PCC Sidewalk per
/ by
SPPWC Std. Plan 113 -1.
/
CO
IIIQQQ
I ale DD —
4
Remove, Dispose and Construct
SF
500
PCC Driveway Approaches per
SPPWC Std. Plan 110 -2.
5
Remove, Dispose and Construct
LF
1,015
8- inches Curb and 24- inches
Gutter per SPPWC Std. Plan
1 20-2.
6
Remove, Dispose and Construct
LF
100
8- inches PCC Curb Only per
SPPWC Std. Plan 120-2.
I
7
Remove, Dispose and Construct
FA
1
PCC Curb Ramp per SPPWC
Std. Plan 111 -4.
3ocp
W
��-
8
Install Survey property and
EA
10
centerline tie Monument.
3eoo—
q .�-v
TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ ! 1 0
a g e�n &65
Dollar amount in written f6m f A lV
' CBF -2
BIDDER: / �, �i3�C•
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 following Alternate Bid amounts shall
be added to or deducted from the Total Bid Price entered above. The owner can choose to
include one or more of the alternates In the Total Bid Price of the Project. If any of the
Alternate Bids are utilized by the Owner the resulting amount shall be considered the Total
Bid Price for the Project.
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cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and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
) 25y SrVr/ 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.
I
I
I
I CBF -3
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.
BIDDER: It e Lg�� c T �/ C
' The undersigned acknowledges receipt, understanding and full consideration of the following
addenda to the Contract Documents.
Addenda Nos. 0'
' 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.
1
1
1
I
1
I
I
I
1
CBF -4
1
1
1
1
By: �—
Signature
--- Qt j er-
y0oa e c
Type or Print Name
U( C G
Title
BIDDER: '
Business Street Address
'Jj c/n t may, C/ t'135
City, State and Zip Code
Telephone Number
Bidder's /Contractor's State of Incorporation: CA[ 1" //'if
Pa5 s or Joint pakiMrs:
Bidder's License Number(s): 5 S :&
NOTES:
1)
2)
3)
By its signature on this Bid, the Bidder certifies under penalty of perjury the accuracy of the
representations made on the Contract Bid Forms. ✓
If Bidder is a corporation, enter State of Incorporation in addition to Business Address
If Bidder is a partnership or joint venture, give full names of all partners or joint
venturers.
As further discussed in the Instructions to Bidders, Bidder will be required
to provide evidence that the person signing on behalf of the corporation,
oartnershio or joint venture has the anfhnrity to do so_
CBF -5
1
1
1
1
1
1
1
1
1
1
1
1
1
BIDDER: !`Wle,,;;j ,
SECTION 2
BID DATA FORMS
CBF -6
i
i
i
i
1
i
i
i
i
i
01/31/2012 09:29 18185041067 KALHAN INC PAGE
BIDDER: Kalban, 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 1910 BDND
KNOW ALL MEN BY THESE PRESENTS:
THAT _
Principal
Kalban, Inc.
and
02/02
as Surety, are held fin
CITY OF ROSEMEAD (hereinafter called the OWNER)
as
bound unto the
in the sum of
F$ o% ), being not less than ten percent (109;) 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 Sidewalk, Curb and Gutter Replacement Project as set forth in
the Notice Inviting Bids and accompanying Bid Documents, dated
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 vold; 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 31st day of
Kalban, Inc.
(SEAL
Principal
By: �� B
S to ne
CBF -7
January 2CL 12
The Guarantee Company of North America USA
(SEAL)
Surety
y:
5lgnature
Patricia Ann Bauer, Attorney in Fact
CALIFORNIA ALL-PURPOSE ACKNOWLE
;,�c..>, . ._cv,i.�s,:..,:.., ;,� ; a> --.i zHZS .�.i;:�5;w,ai,_..:,_...;.a> a q�`at,� -�.5 - >e.�<,�<,n. a> �S,:n<�.as_.-
State of California l
County of Los Angelne J
On 1 - )Z before me, William Syrkin, Notary Publ
Dale Here Insert Name and TWO of the OHicer
personally appeared Patricia Ann Bauer
WILLIAM SYRKIN
E. Commission # 1839081
Notary Public - California n
i' ��� Los Angeles County
My Comm. Expires Mar 1, 2013 J
who proved to me on the basis of satisfactory evidence to
be the person(&) whose name( is/are subscribed to the
within instrument and acknowledged to me that
'he /she/they executed the same in hWher/Haeir authorized
capacity(!*, and that byfiis/hedt 4r 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.
WITNESS my hand - off' 'a1 al.
ure
Place Notary Seal Above Signat SI aWte of Nota ublic
OPTIONAL
Though the information below is not required by law, it may prove valuab ns 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:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
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:
Signers Net
❑ Individual
Number of Pages:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
RIGHT THUM E PRINT
OF SIGNER
L .:
THE GUARANTEE COMPANY OF NORTH AMERICA USA
Southfield, Michigan
POWER OF ATTORNEY
KNOW ALL BY THESE PRESENTS: That THE GUARANTEE COMPANY OF NORTH AMERICA USA, a corporation organized and existing under the
laws of the State of Michigan, having its principal office in Southfield, Michigan, does hereby constitute and appoint
William Syrkin, Sergio D. Bechara, Rebecca Ann Haas- Bates, Patricia Ann Bauer, Richard Leroy Adair
Millennium Corporate Solutions, Inc.
its true and lawful attomey(s) -in -fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of
indemnity and other writings obligatory in the nature thereof, which are or may be allowed, required or permitted by law, statute, rule, regulation, contract
or otherwise.
The execution of such instrument(s) in pursuance of these presents, shall be as binding upon THE GUARANTEE COMPANY OF NORTH AMERICA
USA as fully and amply, to all intents and purposes, as if the same had been duly executed and acknowledged by its regularly elected officers at the
principal office.
The Power of Attorney is executed and may be certified so, and may be revoked, pursuant to and by authority of Article IX, Section 9.03 of the By -Laws
adopted by the Board of Directors of THE GUARANTEE COMPANY OF NORTH AMERICA USA at a meeting held on the 31" day of December, 2003.
The President, or any Vice President, acting with any Secretary or Assistant Secretary, shall have power and authority:
1. To appoint Attorney(s) -in -fact, and to authorize them to execute on behalf of the Company, and attach the Seal of the Company thereto, bonds
and undertakings, contracts of indemnity and other writings obligatory in the nature thereof; and
2. To revoke, at any time, any such Attomey -in -fact and revoke the authority given, except as provided below
3. In connection with obligations in favor of the Kentucky Department of Highways only, It is agreed that the power and authority hereby given to
the Attorney -in -Fad cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner —
Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation.
Further, this Power of Attorney is signed and sealed by facsimile pursuant to resolution of the Board of Directors of the Company adopted at a meeting
duly called and held on the 31" day of December 2003, of which the following is a true excerpt:
RESOLVED that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any Power of Attorney or certification
thereof authorizing the execution and delivery of any bond, undertaking, contracts of indemnity and other writings obligatory in the nature thereof, and
such signature and seal when so used shall have the same force and effect as though manually affixed.
IN WITNESS WHEREOF, THE GUARANTEE COMPANY OF NORTH AMERICA USA has caused
aTEE
G�
this Instrument to be signed and its corporate seal to be affixed by its authorized officer, this 29th day
of April,
THE GUARANTEE NTEE COMPANY OF NORTH AMERICA USA
�AMEP�'
STATE OF MICHIGAN
Stephen C. Ruschak, Vice President
Randall Musselman, Secretary
County of Oakland
On this 29th day of April, 2010 before me came the individuals who executed the preceding instrument, to me personally known, and being by me duty
sworn, said that each is the herein described and authorized officer of The Guarantee Company of North America USA; that the seal affixed to said
instrument is the Corporate Seal of said Company; that the Corporate Seal and each signature were duly affixed by order of the Board of Directors of
said Company.
Cynthia A. Takai IN WITNESS WHEREOF, 1 have hereunto set my hand at The Guarantee
Notary Public, State of Michigan Company of North America USA offices the day and year above written.
County of Oakland
K °- "N = My Commission Expires February 27, 2012
"
.......... � Acting in Oakland County
I, Randall Musselman, Secretary of THE GUARANTEE COMPANY OF NORTH AMERICA USA, do hereby certify that the above and foregoing is a true
and correct copy of a Power of Attorney executed by THE GUARANTEE COMPANY OF NORTH AMERICA USA, which is still in full force and effect.
IN WITNESS WHEREOF, I have thereunto set my hand and attached the seal of said Company this 31 St day of January 2012
��pMTEEC °n
Randall Musselman, Secretary
a pp
'MAMEP�
r11 MM 1 11001 11 1 319091.3011
State of California
ss.
County of Los Angeles
On '2 " � - / 2 before me, Michael Edward Lifsey, Notary Public
personally appeared Dave Poole
MICHAEL EDWARD LIFSEY
Commission N 1065224
'a -� Notary PuWIC • California z
i Los Anpeles County
M Comm. Expires Me j 5, 2014
who proved to me on the basis of satisfactory evidence to
be the person whose name is subscribed to the within
instrument and acknowledged to me that he executed the
same in his authorized capacity, and that by his signature
on the instrument the person, or the entitiy 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.
WITNESS my hand and
OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document and could
prevent fradulent removal and reattachment of this form to another document.
Description of Attached Document
Title or Type of Document:
t D ' 6OAji>
Document Date: � - �3 1 - 1 2-- Number of Pages:
Signer Other Than Named Above: al;iere r,f 4,r/,// Mae
Capacity Claimed by Signer
Signer's Name:
El
0
El
El
El
El
Vice President
Signer is Representing:
Inc.
Dave Poole
Individual
Corporate Omcer - Title:
Partner
Attorney - in - fact
Trustee
Guardian
Other:
' BIDDER:
2.B LIST OF PROPOS S UBCONTRACTORS
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
the information requested by the Owner about each subcontractor, other than the name and
location of each subcontractor.
1 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.
1
1
1
CBF -8
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.
1 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.
1
1
1
CBF -8
1
BIDDER:
2.13 LIST OF PROPOSED SUBCONTRACTORS (continued)
t "DupllcMe Next 2 Pages 'd waded for lisgng additimal submnVactors. ")
Name and Location
Description of Work
of Subcontractor
to be Subcontracted
Name: C,LaA, a.CelitnfS
Sl1�CV e�
Address Co e Ca 41st P.
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name:
Address:
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:
CBF -9
Description of Work
to be Subcontracted
Description of Work
to be Subcontracted
1
1
1
1
1
BIDDER: x 1 '4z-0'4 -
2.0 REFERENCES
The following are the names, addresses and telephone numbers for three public agencies for which BIDDER
has performed similar work within the past two (2) years:
1. leer -eknen/c e &-'
Name and Address of Owner
Name and telephone number of person familiar with project
contract amount
2.
Name and Address
Type of Work Date Completed
Name and telephone number of person familiar with project
Contract amount Type of Work Date Completed
3.
Name and Address of Owner
Name and telephone number of person familiar with project
Contract amount Type of Work Date Completed
4.
Name and Address of Owner
Name and telephone number
amount
of person familiar with project
Type of Work
CBF -10
Date Completed
KALBAN, INC.
GENERAL ENGINEERING CONSTRUCTION
818 -504 -1065 Fax:818 -504 -1067
Recently Completed Projects and Reference List
City of Burbank
- Contact: Adam Salehi - 818 -238 -3946
2010 - 2011 Sidewalk Repair Program
Removal and Replacement of Damaged PCC Various Locations
$1,571,050.00
2009 - 2010 Sidewalk Repair Program
Removal and Replacement of Damaged PCC Various Locations
$334,000.00
2008 - 2009 Sidewalk Repair Program
Removal and Replacement of Damaged PCC Various Locations
$1,100,000.00
2007 CDBG Street Project
Removal and Replacement of Damaged PCC Various Locations
$120,000.00
2006 Sidewalk Repair Project
Removal and Replacement of Damaged PCC Various Locations
$535,230.00
2005 Oak St. & Bel Air Dr. Improvements
Street Reconstruction Asphalt Resurfacing, PCC Replacment
$720,000.00
2004 CDBG Street, Alley & Sidewalk
Replacement of Asphalt Street with Portland Cement Concrete
$598,010.00
2002 -2003 CDBG Street Project
Street Reconstruction Asphalt Resurfacing, PCC Replacment
$389,159.00
City of Anaheim - Contact: Dave Hernandez - 714 - 936 -4795
2010 Concrete R &R Services Annual
Removal and Replacement of Damaged PCC Various Locations
$1,060,000.00
2008 -2009 Resort Maintenance
Removal and Replacement of Damaged PCC Various Locations
$125,000.00
2007 -2008 Resort Maintenance
Removal and Replacement of Damaged PCC Various Locations
$260,000.00
2005 -2006 Resort Maintenance
Removal and Replacement of Damaged PCC Various Locations
$120,000.00
2002 Sidewalk Replacement Annual Contract
Removal and Replacement of Damaged PCC Various Locations
$333,000.00
City of Orange - Contact: Alan Throng - 714 - 744 -5544
2007 Annual Concrete Replacement
Removal and Replacement of Damaged PCC Various Locations
$500,000.00
2006 ADA Access Ramps
Construct Wheelchair Access Ramps, Various Locations
$1 32,276.00
2005 Annual Concrete Replacement
Removal and Replacement of Damaged PCC Various Locations
$400,000.00
2004 Annual Concrete Replacement
Removal and Replacement of Damaged PCC Various Locations
$204,000.00
City of Norwalk - Contact: Randy Hillman - 562- 929 -5719
2007 Local Street Project Street Reconstruction Asphalt Resurfacing, PCC Replacment $1,640,000.00
City of LaCanada Flintridge - Contact: Ying Kwan - 818-790-8882
2006 School Loading Bay Improvements
Parkway Re- Construction at Loading Zone
$131,978.00
Vista Del Valle /Haskell Intersection Recon.
Reconstruction of Intersections
$95,000.00
2002 - Verdugo Blvd Street Improvements
Street Improvements
$310,000.00
City of Pasadena - Contact: Reny Quijano - 626- 744 -4720
Street Reconstruction Avenue 64 Street Improvements $1,900,000.00
Site Improvements at Various Parks ADA Compliance PCC & Misc Structures $485,000.00
City of Huntington Park - Contact: Pat Fu - 323 -584 -6253
2010 Neighborhood St. Improvements
Misc Street Repairs
$436.167.51
2009 Alley Improvements
Reconstruct PCC Alleys
$231,129.00
2008 Alley Improvements
Reconstruct PCC Alleys
$356,230.00
2007 Alley Reconstruction Project
Reconstruct PCC Alleys
$308,993.20
City of Santa Clarita - Contact: Erven jasamilla - 661 - 225 -4344
2009 Traffic Circulation & Safety
Median Island Construction & ADA Access Ramps
$225,681.50
2006 Intersection Modification
Street Reconstruction Asphalt Resurfacing, PCC Replacment
$394,793.00
- 2003 -2004 Annual Concrete Rehabilitation
Removal and Replacement of Damaged PCC Various Locations
$231,600.00
2002 -2003 Annual Concrete Program
Street Reconstruction Asphalt Resurfacing, PCC Replacment
$396,000.00
Los Angeles County Department of Public Works - Contact: Issa Adawiya - 626- 458 -4942
2007 RDC 0012247 South Bay Bike Trail $425,000.00
2004 Project ID No. FCC0000856
Rubio Diversion Invert repair Project
$423,200.00
2003 Project ID NO. FCC0000703
- Ward Channel Invert and Connector Pipe Repair
$168,090.00
2002 Newburgh Street, ET AL
Street Reconstruction Asphalt Resurfacing, PCC Replacment
$298,000:00
City of Glendale - Contact: Sam Mody - 818 -548 -3945
2008/2009 ADA Curb Ramps
Removal and Replacement of Damaged PCC Various Locations
$1,234,404.00
2007/2008 ADA Curb Ramps
Removal and Replacement of Damaged PCC Various Locations
$1,038,000.00
2005/2006 ADA Curb Ramps
Removal and Replacement of Damaged PCC Various Locations
$1,071,000.00
San Fernando Corridor Street Improvements
Street Reconstruction Asphalt Resurfacing, PCC Replacment
$422,000.00
I
1
1
1
i
1
1
1
1
i
1
1
1
1
1
1
BIDDER:
SECTION 3
NON - COLLUSION AFFIDAVIT
CBF -11
0
BIDDER: 46 C 1;11
' NON - COLLUSION AFFIDAVIT
I
1
1
1
Subscribed and sworn before me
/
This - 1 day of FE re ,
901ary Public in
the State of Call
1 My
1
1
L_
Expires: �S = Z / Z
Signature
'-�4d6--- Odaae Typed or Printed Name
f�IC� A O�c�S !7 Eirr
Title
I rrm
20 ) 2 —
(Seal)
MICHAEL EDWARD LIFSEY
Commission * 1885224
g d Notary Public - California s
�i Los Angeles County
My Comni. E ires Ma 5, 2014 +
CBF -12
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 behaB of, any
undisclosed person, partnership, company, association, organization, orcorporation; thatthe
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
1
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.
I
1
1
1
Subscribed and sworn before me
/
This - 1 day of FE re ,
901ary Public in
the State of Call
1 My
1
1
L_
Expires: �S = Z / Z
Signature
'-�4d6--- Odaae Typed or Printed Name
f�IC� A O�c�S !7 Eirr
Title
I rrm
20 ) 2 —
(Seal)
MICHAEL EDWARD LIFSEY
Commission * 1885224
g d Notary Public - California s
�i Los Angeles County
My Comni. E ires Ma 5, 2014 +
CBF -12