K & J Air Conditioning, IncCITY OF ROSEMEAD
ROSEMEAD COMMUNITY RECREATION CENTER
HVAC REPLACEMENT PROJECT
PROJECT No. 31002 -1
BIDDER: kkT C®uDiac�oI
CONTRACT BID FORMS
TABLE OF CONTENTS
SECTION 1 BID SCHEDULE .. ...............................
SECTION 2 BID DATA FORMS ................. ...............................
2 .A BID BOND ............................... ...............................
2.13 LIST OF PROPOSED SUBCONTRACTORS.......
SECTION 3 NON - COLLUSION AFFIDAVIT .............
1 nX-•
................... ............................... 1
.. ............................... 5
............................... 6
............................... 7
............................ 10
CBF -12
SECTION 1 - BID SCHEDUL
BIDDER: iO-S AtK- 6oLzrRGwu N (r i , rJ< <
REVISED BID SCHEDULE
SCHEDULE OF PRICES FOR
ROSEMEAD COMMUNITY RECREATION CENTER
HVAC REPLACEMENT PROJECT
PROJECT No. 31002 -1
HVAC BID SCHEDULE
TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ A I 1� LB, 74c�• 6-S
QK,P, (4U -oFA--'D SI4kt`r C4&iW - tt-tdusn,.m SEv€N 14V1.AACO Qat.AttS
Dollar amount in written form
CBF -1
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
CITY.
PRICE
COST
1
Clearing and Grubbing
LS
1
�°� Oa�
2
Demolition of existing RTU units,
LS
1
including all auxiliary components
& disposal of waste materials
ILI bib , �'
'k Iy wo , 0 —�'
3
Wood Framing Under New Curbs
LS
1
Jel 5 as
J61 2
4
New Roof Top Units (RTU) &
LS
1
Curbs
�Ily Ocd.�
�li`I om,`
5
Ductwork, Pipe, Conduit and All
LS
1
Mechanical Components Including
Air balancing and relocation of
Existing Exhaust Fans
B 4& ACIA
ji; ONA4 °=
1 6
1 Electrical Work
LS
1
'99"CoJ.-
�.
TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ A I 1� LB, 74c�• 6-S
QK,P, (4U -oFA--'D SI4kt`r C4&iW - tt-tdusn,.m SEv€N 14V1.AACO Qat.AttS
Dollar amount in written form
CBF -1
BIDDER: KIS AV- fAn101Tlo�lNtr, vC
BID SCHEDULE
SCHEDULE OF PRICES FOR
ROSEMEAD COMMUNITY RECREATION CENTER
HVAC REPLACEMENT PROJECT
PROJECT No. 31002 -1
HVAC BID SCHEDULE
TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$
Dollar amount in written form
CBF -1
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
1
Clearing and Grubbing
LS
1
2
Demolition of existing RTU units,
LS
1
including all auxiliary components
& disposal of waste materials
3
Wood Framing Under New Curbs
LS
1
4
New Roof Top Units (RTU) &
LS
1
Curbs
5
Ductwork, Pipe, Conduit and All
LS
1
Mechanical Components Including
Air balancing and relocation of
Existing Exhaust Fans
6
Electrical Work
LS
1
7
Asbestos Abatement
SF
8
Lead Paint Abatement
SF
TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$
Dollar amount in written form
CBF -1
BIDDER: Kk;S A14 QOuDITioFllut+�
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.
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
yJGri Lq " g&w"" "�o�ars ($ 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 amounts
of five hundred dollars ($500.00) if project is not completed in forty -five (45) calendar days. The
Contract Time will begin to run ten (10) Working Days from the date of the Notice of Proceed 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. . #1
CBF -2
BIDDER: k VS ML IAUDriioNltifr iNC .
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 undersi ned Bidder agrees to enter into and execute the Contract with the
necessary bonds and ac the Total Bid Price as compensation in full for all Work under the
contract. A A//
CBF -3
By: 60iflA A
Sign ure
S�w—a� APTO u tJ
Type or Print Name
Title
Bidder's /Contractor's State of Incorporation
Partners or Joint Venturers:
BIDDER: WAiR CouDtTlotJlN(r, I C..
W1 %Se;NITe pR.
Business Street Address
B Uf✓ NA, PAaaC U • 90t-
City, State and Zip Code
(5 14 - 3916
Telephone Number
C,AUroa. iiA
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 authority to do so.
CBF -4
BIDDER: 1<15 All, CAwDtTwOIkjr,, WC.
SECTION 2
BID DATA FORMS
CBF -5
BIDDER: K & J 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 are properly
identified with the Bidder's name and page number.
2.A BID BOND
KNOW ALL MEN BY THESE PRESENTS:
THAT K & J Air Conditioning, Inc.
Principal, and Contractors Bonding and nsurance o mpany as
, as Surety, are held firmly bound unto the
CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of
Ten Percent of total amount bid
( 'u /e - -- ) , 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 Recreation Center HVAC Replacement
Project as set forth in the Notice Inviting Bids and accompanying Bid Documents,
dated 02/23/2012
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 attorneys' fees to be fixed by the
court.
SIGNED AND SEALED, this 21st day of February 20 12
K & J Air Conditioning, Inc. (SEAL) Con tractors Bonding and Insurance C ompany (SEAL)
Principal Surety _.-
By: B
Signature Signature Edith Garibay, Attorney -in Fact
CBF -6
CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT
STATE OF CALIFORNIA
County of Orange
On G2 -21 -21)12 before me, R. Rivas, Notary Public ,
Date Here Insert Name and Title of the Officer
personally appeared Edith Garibay ------------------------- — ------------------------------------ --
Name(s) of Signer(s)
Commission N 1954551
_ '� Notary Public - California i
Orange County
My Comm. Expires Oct 28, 2015
who proved to me on the basis of satisfactory evidence to
be the person($) whose name(z) is/awsubscribed to the
within instrument and acknowledged to me that hertshe /tbey
executed the same in blsr/her /)bear authorized capacity(lee),
and that byP4her�befr signatureW on the instrument the
person(,s,), or the entity upon behalf of which the persorjkW
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 r lal seal.
Signature
Place Notary Seal Above Signature of Notary Public
OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attached Document
Title or Type of Document:
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Nan
❑ Individual
❑ Corporate Officer— Title(s):
❑ Partner — ❑ Limited ❑ General
9 Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Number of
Signer's Name:
❑ Individual
❑ Corporate Officer — Title(s)
❑ Partner— ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
POWER OF ATTORNEY
Contractors Bonding and Insurance Company
That this Power of Attorney is not valid or in effect unless attached to the bond which it authorizes executed, but may be detached by the
approving officer if desired.
Tbat Contractors Bonding and Insurance Company, a Washington corporation, does hereby make, constitute and appoint:
John F. Momoe, Edith Garibay, Eugene T. Zondlo, Rosa E. Rivas, jointly or severally
in the City of Irvine , State of California its true and lawful Agent and Attorney in Fact, with full
power and authority hereby conferred, to sign, execute, acknowledge and deliver for and on its behalf as Surety, the following described
bond.
Any and all bonds, undertakings, and recognizances in an amount not to exceed Ten Million and 00 /100
Dollars ( $10,000,000.00 I for any single obligation.
The acknowledgment and execution of such bond by the said Attorney in Fact shall be as binding upon this Company as if such bond had
been executed and acknowledged by the regularly elected officers of this Company.
The Contractors Bonding and Insurance Company further certifies that the following is a true and exact copy of the Resolution
adopted by the Board of Directors of Contractors Bonding and Insurance Company, and now in force to -wit:
"AB bonds, policies, undertakings, Powers of Attorney or other obligations of the Corporation shall be executed in the
corporate name of the Corporation by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by
such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant
Secretary, or the Treasurer may appoint Attorneys in Fact or Agents who shall have authority to issue bonds, policies or
undertakings in the name of the Corporation. The corporate seal is not necessary for the validity of any bonds, policies,
undertakings, Powers of Attorney or other obligations of the Corporation. The signature of any such officer and the corporate
seal may be printed by facsimile or other electronic image."
IN WITNESS WHEREOF, the Contractors Bonding and Insurance Company has caused these presents to be executed by its Vice
President with its corporate seal affixed this 22nd day of June , 2011
Cont ractors Bonding and Insurance Company
cbic
1213 Valley Street
1213
P.O. Box 9271
.�numnM.or
Seattle, WA 98109-0271
Know All Men by
These Presents:
POWER OF ATTORNEY
Contractors Bonding and Insurance Company
That this Power of Attorney is not valid or in effect unless attached to the bond which it authorizes executed, but may be detached by the
approving officer if desired.
Tbat Contractors Bonding and Insurance Company, a Washington corporation, does hereby make, constitute and appoint:
John F. Momoe, Edith Garibay, Eugene T. Zondlo, Rosa E. Rivas, jointly or severally
in the City of Irvine , State of California its true and lawful Agent and Attorney in Fact, with full
power and authority hereby conferred, to sign, execute, acknowledge and deliver for and on its behalf as Surety, the following described
bond.
Any and all bonds, undertakings, and recognizances in an amount not to exceed Ten Million and 00 /100
Dollars ( $10,000,000.00 I for any single obligation.
The acknowledgment and execution of such bond by the said Attorney in Fact shall be as binding upon this Company as if such bond had
been executed and acknowledged by the regularly elected officers of this Company.
The Contractors Bonding and Insurance Company further certifies that the following is a true and exact copy of the Resolution
adopted by the Board of Directors of Contractors Bonding and Insurance Company, and now in force to -wit:
"AB bonds, policies, undertakings, Powers of Attorney or other obligations of the Corporation shall be executed in the
corporate name of the Corporation by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by
such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant
Secretary, or the Treasurer may appoint Attorneys in Fact or Agents who shall have authority to issue bonds, policies or
undertakings in the name of the Corporation. The corporate seal is not necessary for the validity of any bonds, policies,
undertakings, Powers of Attorney or other obligations of the Corporation. The signature of any such officer and the corporate
seal may be printed by facsimile or other electronic image."
IN WITNESS WHEREOF, the Contractors Bonding and Insurance Company has caused these presents to be executed by its Vice
President with its corporate seal affixed this 22nd day of June , 2011
being by me duly swom, acknowledged that he signed the above Power of
Attorney as the aforesaid officer of the Contractors Bonding and
Insurance Company and acknowledged said instrument to be the voluntary
net and deed of said corporation.
Joseph B. Yuller Notary Public
Notary Public
State of Washington
JOSEPH B. MULLER
MV COMMISSION EXPIRES
March 29, 2012
Contractors Bonding and Insurance Company
a�L7 ---�
Roy C. Die Vice President
CERTIFICATE
I, the undersigned officer of Contractors Bonding and Insurance
Company, a stock corporation of the State of Washington, do hereby
certify that the attached Power of Attorney is in full force and effect
and is irrevocable; and furthermore, that the Resolution of the
Company as set forth in the Power of Attorney, is now in force. In
testimony whereof, I have hereunto set my hand and dri se of the
Contractors Bonding and Insurance Company this ZZ LL , day
of� 2n1
Contractors Bonding and Insurance Company
Roy C. Die Vice President
0475618032912 A0059511
SEAL;
a •. .
1979
State of Washington
SS
SHINGta�
County of King
„ryA
„•```�
On this 22nd day of June
2011
before me, a Notary Public, personally. appeared
Roy C. Die . who
being by me duly swom, acknowledged that he signed the above Power of
Attorney as the aforesaid officer of the Contractors Bonding and
Insurance Company and acknowledged said instrument to be the voluntary
net and deed of said corporation.
Joseph B. Yuller Notary Public
Notary Public
State of Washington
JOSEPH B. MULLER
MV COMMISSION EXPIRES
March 29, 2012
Contractors Bonding and Insurance Company
a�L7 ---�
Roy C. Die Vice President
CERTIFICATE
I, the undersigned officer of Contractors Bonding and Insurance
Company, a stock corporation of the State of Washington, do hereby
certify that the attached Power of Attorney is in full force and effect
and is irrevocable; and furthermore, that the Resolution of the
Company as set forth in the Power of Attorney, is now in force. In
testimony whereof, I have hereunto set my hand and dri se of the
Contractors Bonding and Insurance Company this ZZ LL , day
of� 2n1
Contractors Bonding and Insurance Company
Roy C. Die Vice President
0475618032912 A0059511
BIDDER: KCS AIR., �A�iTld1�LUG , 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
Principal, and
as
, as Surety, are held firmly bound unto the
CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of
($ ) , 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 Recreation Center HVAC 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 bythe 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 attorneys' fees to be fixed by the
court.
SIGNED AND SEALED, this day of , 20_
Principal
in
Signature
(SEAL)
Surety
Signature
CBF -6
BIDDER: K�_S Al(- (O0MGOL�* INC.
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 -7
BIDDER: Y,&'T Atf- CAUDvTwatl-fG I I ,r
2.13 LIST OF PROPOSED SUBCONTRACTORS (continued)
(•'Duplicate Next 2 Pages it needed for listing additional subcontractors."]
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: AtE- &bt-nt[.Pc
Address: 2 agO tJ JMt¢,9prJ ST. so rte 11
i'�AHE 1, h , Cft. 4 a 8 0 -4,
Alp- eAL.AI.IC — a-
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: WVLV'GDA C
Address: 4 18 S a W, K&je_ A.A Ave 0 33`I
Name and Location
of Subcontractor
Name:
Address:
Description of Work
to be Subcontracted
Name and Location
of Subcontractor
Name:
Address:
Description of Work
to be Subcontracted
Name and Location
of Subcontractor
Name:
Address:
Description of Work
to be Subcontracted
W.TI 3
BIDDER: kA --,, At2 CowTi tic.
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:
I. CAT`( 61 oF- AUfrr, 380 S, tAc -wM st. 0"U4ee� CA.
Name and Address of Owner
C ALAC_ �&t-t mk (31.8 c l 1'a - 8 09 q
Name and telephone number of person familiar with project
Con � 333 � c `�Sc�. ° = f-N/4e R.�Ptac.�r- ��tiri S�4nl, 3 f i Zcgr a
trat amount Type of Work Date Completed
2. SA" DiE(ro ULAgien Sc+trs7. DiSTRIGT" YBto 8,L+FA ST, SAO INCC°, CA. ` ftl
Name and Address of Owner
3
number or person
$ a0 4to.
Contrad amount
Type of
3. ABC (JNrFlt,O SC-Neztt- btST94 tT 16CD AZR4xAt*., atyo._ Ct $.o CA, q6763
Name and Address of Owner
Ttf-io FALrzvoc, (iG4) S -3810
Name and telephone number of person familiar with project
amount
of Work
U6-. ZA 11,
Date Completed
4. ABC 01-itFic SC+V bisT. )PICT 10CID Mej,✓Ac*9 BLuD, CtLXOZaS CA 3 6703
Name and Address of Owner
'ffnia FAcsrt� Cs '6a.) S - 3 a c%
Name and telephone number of person familiar with project
A 4is, 60®, ° —` t WAC. WLAC- EHc L'6y. 2010
Contract amount Type of Work Date Completed
CBF -9
SECTION 3
NON - COLLUSION AFFIDAVIT
CBF -10
BIDDER: K +S At2 i Dt
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.
Signa re
Tt AiJT(Sut ..l
Typed or Printed Name
'Ptf&ioe?JT -6w'A -Y
Title
Kt auc c4r4otTtoNitst E i ic.
Bidder
Subscribed and sworn before me
This day of 20
(Seal)
Notary Public in and for
the State of California
My Commission Expires:
CBF - 11
MAYOR:
STEVEN LY
MAYOR PRO TEM:
SANDRA ARMENTA
COUNCIL MEMBERS:
BILL ALARCON
MARGARET CLARK
POLLY LOW
i cy ose cad
8838 E. VALLEY BOULEVARD • P.O. BOX 399
ROSEMEAD, CALIFORNIA 91770
TELEPHONE (626) 569 -2100
FAX (626) 307 -9218
CITY OF ROSEMEAD
ROSEMEAD, CALIFORNIA
ADDENDUM NUMBER
To all prospective bidders under Bid Documents for the
ROSEMEAD COMMUNITY RECREATION CENTER
HVAC REPLACEMENT PROJECT
Project No. P31002 -1
You are hereby informed that Bid Schedule Items shall be deleted:
NO.
ITEM DESCRIPTION
UNIT OF
MEASURE
EST.
QTY.
UNIT
PRICE
ITEM
COST
7
Asbestos Abatement
SF
8
Lead Paint Abatement
SF
These items shall not be a part of this project. Please see the attached revised
bid schedule (Page CBF -1) for proposal submittal.
2. The rest of Bid Documents as originally issued shall be used in submitting bids, and
an acknowledgement of receipt of this Addendum Number 1 shall be entered on the
page CBF — 2 of the Contract Bid Forms. Failure to provide such
acknowledgement shall render the bid as non - responsive and subject to rejection.
BY ORDER OF THE CITY OF ROSEMEAD
Date: February 21, 2012.
By
Rafael Fajardo
Associate Civil Engineer