Hardy & Harper, IncBIDDER: Hardy & Harper, I nc.
SECTION 1 - BID SCHEDULE
CBF -1
BIDDER: Hardy & Harper, In
BID SCHEDULE
SCHEDULE OF PRICES FOR
RESIDENTIAL STREETS RESURFACING PROJECT
PROJECT No. 21003
BASE BID SCHEDULE
I/
00
CBF -2
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
1
Clearing & Grubbing per plans
LS
1
and specifications. See technical
provisions TP -2, TP -3 & TP4.
Q OX, a,
30 000 • V
2
Disposal of Waste Materials.
LS
1
Ox 0
00 0- 0
3
Cold mill 2.0- inches thick existing
SF
533,020
/
pavement.
0 •
7 G
4
Construct 1 5 inches thick
TONS
5,000
pavement overlay ARHM -GG -C
(PG 64 -16) as indicated on the
6, �!
o,2.
7
plans.
5
Construct Pinches thick
TONS
1,788
Asphaltic Leveling course D1
(PG 64 -10) as indicated on the
El ,
yY .
plans.
6
Remove 6- Inches of existing
SF
7,200
pavement and replace it with 3.5-
inches of AC B-PG 64 -10 Base
a .
V`Ol IfA 01
Course over compacted native.
7
Remove, Dispose and Construct
SF
12,942
4- inches thick PCC Sidewalk per
SPPWC Std. Plan 1131.
('[`
8
Remove, Dispose and Construct
SF
2,500
PCC Driveway Approaches per
SPPWC Std. Plan 110-2.
7 r � /
9
Remove, Dispose and Construct
LF
533
8- inches Curb and 24- inches
Gutter per SPPWC Std. Plan
�l , �f 0
y t7
a �/ �lf ,•/
120 -2.
10
Remove, Dispose and Construct
LF
100
PCC Cross Gutter per SPPWC
Std. Plan
!� oo
123 -2.
I/
00
CBF -2
BIDDER: & Harper, I nc.
TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$
amount in written form
q, nJ- 7vd can '
9
LJ
N
CBF -3
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
11
Remove, Dispose and Construct
EA
22
PCC Curb Ramps per SPPWC
Std. Plan 111 -4.
t '
/u /QQ'
12
Adjust Sewer Manhole to Grade
EA
94
per APWA Std. Plan 205 -1 and
206 -1.
;,B Q
a6, Nei
13
Adjust Water Valve/Gas Valve to
Grade.
EA
84
/Q t7�
8y 0 eo
14
Install Survey Well Monument
EA
27
per City of Rosemead Std. Plan
SOB -001. See Sectlon 2 -9
Surveying of the General
Provision -7 per details (Cover,
Sleeve & Dome will be provided
�f'-*e
C , i ^
by the City at no cost).
15
Install Traffic Striping, Traffic
LS
1
Signal Loops and Pavement
Markers per the Striping Plans
376.
and Specifications Complete.
j b
t
16
Prepare a Storm Water Pollution
Prevention Plan (SWPPP)
LS
1
a D00. QQ
a QQQ. Q
17
Paint Home Addresses (Curb
Numbering).
EA
600
y 6Do . o
18
Install Truncated Domes Only
yellow color by Amorcast or
EA
8
n
3 DAQ.
Approved Equal.
TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$
amount in written form
q, nJ- 7vd can '
9
LJ
N
CBF -3
BIDDER: Hardy & Harper, I nc.
ALTERNATE BID ITEM No. 1
MUSCATELAVENUE
FROM RAM9t6A TO-GARYE -V AVENUE.
Y ~ISS 10 4 - CJY• 4sv0.w'p
//
i�
7�
J
0 M
i
CBF -4
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
19
Clearing & Grubbing per plans
LS
1
and specifications. See technical
provisions TP -2, TP -3 8 TP -4.
7 4040 , QO
7 d
20
Cold mill 2.0- inches thick existing
SF
74,160
pavement.
�/
0• I7
G�1
21
Construct 1.5 inches thick
TONS
700
pavement overlay ARHM -GG -C
(PG 64 -16) as indicated on the
g3,; Q
plans.
22
Construct yo inches thick
TONS
232
Asphaltic Leveling course D1
(PG 64 -10) as indicated on the
plans.
D
23
Remove, Dispose and Construct
SF
3,318
4- inches thick PCC Sidewalk per
SPPWC Std. Plan 113 -1
L, �
1 SS"
24
Remove, Dispose and Construct
SF
595
PCC Driveway Approaches per
SPPWC Std. Plan 110 -2.
y rya.
25
Remove, Dispose and Construct
EA
9
PCC Curb Ramps per SPPWC
Std. Plan 111 A.
4"5-0'00
nn LL//rr
�0
7V�•
26
Adjust Sewer Manhole to Grade
EA
6
per 206 -1. AStd. Plan 205-1 and
206 -1.
. ao
/CJY`L/
/l /I
Oc
27
Adjust Water Valve]Gas Valve to
EA
6
Grade.
/0 00
6a• Do
28
Install Survey Well Monument
EA
5
per City of Rosemead Std. Plan
S08-001. See Section 2 -9
Surveying of the General
Provision -7 per details (Cover,
^ ?5
p(, �J .
Sleeve & Dome will be provided
by the City at no cost).
29
Install Traffic Striping, Traffic
LS
1
Signal Loops and Pavement
Markers per the Striping Plans
/
and Specifications Complete.
//
i�
7�
J
0 M
i
CBF -4
BIDDER: Hardy & Harper, I nc.
U4c
TOTAL ALTERNATE BID PRICE No. 1 (SCHEDULE BID PRICE): OOO Q
amount in written
ilJp Corr
ALTERNATE BID ITEM No. 2
TREE PLANTING
UNIT OF
EST.
UNIT
ITEM
NO,
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
30
Install Truncated Domes Only
EA
2
yellow color by Amorcast or
t7Q
7 ✓ Gf QQ
Approved Equal.
✓��
TOTAL ALTERNATE BID PRICE No. 1 (SCHEDULE BID PRICE): OOO Q
amount in written
ilJp Corr
ALTERNATE BID ITEM No. 2
TREE PLANTING
PEI
TOTAL ALTERNATE BID PRICE No. 2 (SCHE DULE BID PRICE):$ 7, . Og�l /
�c ✓en1./ �[/-C ^- A6JSe / cYeIle*eC Giro/ IV6 GC41T
Dollar
TOTAL BASE & ALTERNATE BID PRICE $ 3, Q 00 . co
T� -
OAe "I //;0r] , C ., , / -- Awn %/ — wo 4-hn-c ,
'tA U u .CS a n.1 d o// n r.r w. *V J C e -�.
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 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.
C8F - 5
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
CITY.
PRICE
COST
31
Install 24 -Inch Box Parkway Tree
EA
200
"Chinese Pistache" Including 90-
days maintenance period and
t7Q
7 ✓ Gf QQ
tree wells.
PEI
TOTAL ALTERNATE BID PRICE No. 2 (SCHE DULE BID PRICE):$ 7, . Og�l /
�c ✓en1./ �[/-C ^- A6JSe / cYeIle*eC Giro/ IV6 GC41T
Dollar
TOTAL BASE & ALTERNATE BID PRICE $ 3, Q 00 . co
T� -
OAe "I //;0r] , C ., , / -- Awn %/ — wo 4-hn-c ,
'tA U u .CS a n.1 d o// n r.r w. *V J C e -�.
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 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.
C8F - 5
BIDDER: Hardy & Harper, I nc.
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
Dollars ($ 10 ° 1 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 A 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.
The undersigned acknowledges receipt, understanding and full consideration of the following
addenda to the Contract Documents.
Addenda Nos.
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.
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 Hardy & Harper, I nc.
By: 1312 E. Warner Ave.
Sig re Business Street Address
Steve Kirschner
Type or Print Name
Vice President
Title
Santa Ana, CA 92705
City, State and Zip Code
714- 444 -1851
Telephone Number
Bidders/Contractors State of Incorporation: California
Partners or Joint Venturers:
Bidders License Number(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,
partnership or joint venture has the authority to do so.
CBF -7
BIDDER: Hardy & Harper, I nc.
SECTION 2
BID DATA FORMS
BIDDER' Hardy & Harper, 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 necessaryto 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
Bond No. HARHA -799
SIGNED AND SEALED, this 16th day of march 2012
KNOW ALL MEN BY THESE PRESENTS:
THAT
as
, as Surety, are hold tkmly bound unto the
CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of
'Ten Percent of Amount Bid
($ i o _ _ _ _ _ _ _ _ _ • 1 , being not less than ten percent (10 %) of the Total
Bid Price; for the payment of which sum will and truly to be made, via bind ourseJves,
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 Residential Streets Resurfacing Projeetas setferth in the Notice
Inviting Bids and accompanying Bid Documents, dated March 21, 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) fumishea 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.
Dwight Reilly
Attorney -In -Fact
CBF -8
Vice President
CALIFO ALL - PURPOSE ACKNOWLEDGMENT
State of California 1
County of Orange 1l
On March 20 2012 before me, Jo -Ann Lyons, Notary Public
Dale Here lean Name and TNe of the OfOCer
personally appeared Steve Kirschner
Nanre(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to
be the person(s) whose name(g) is/am subscribed to the
within instrument and acknowledged to me that
he /sMANgy executed the same in his/h@KAk& authorized
capacity(iM, and that by his/IS2r /tMP signaturel) on the
instrument the person(&), or the entity upon behalf of
which the person(!) acted, executed the instrument.
/
r . _ I certify under PENALTY OF PERJURY under the laws
�r of the State of California that the foregoing paragraph is
true and correct.
W IT NE my and and ffi ial seal.
Signa tu re
Place Notary Seal Above SlgneWre of Notary P.
OPTIONAL
Though the information below is not required by law, it may prove valuable to persons retying 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: March 16, 2012 Number of Pages: 1
Signer(s) Other Than Named Above Dwight Reilly
Capacity(ies) Claimed by Signer(s)
Signer's Name: Steve Kirschner
❑ Individual
q' Corporate Officer— Title(s): I President
• Partner —❑ Limited ❑ General
• Attorney In Fact MH
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer is Representing:
I-12rd R Nnr'nr Inr.
Top of thumb here
Signer's Name:
❑ Individual
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
• Guardian or Conservator
• Other:
Signer Is Representing:
RIGHTTHUMBPRINT
OFSIGNER
LE
ACKNOWLEDGMENT
State of California
County of o
On March 16, 2012 before me, Susan Pugh, Notary Public
(insert name and title of the officer)
personally appeared Dwight Reilly
who proved to me on the basis of satisfactory evidence to be the person(s) whose names) is /ate
subscribed to the within instrument and acknowledged to me that he /qhw y executed the same in
his /heWNteir authorized capacity(M), and that by his /hwMeir 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.
SUSAN PUGH
WITNESS my hand and official seal. ;` ,;, COMM. »1934229
Notary Public - California
'�' ORANGE COUNTY
My Comm. Expires Apr 29.2015
Signatur (Seal)
Susan Pugh
Tel (973) 624 -7200
POWER OF ATTORNEY
INTERNATIONAL FIDELITY INSURANCE COMPANY
HOME OFFICE: ONE NEWARK CENTER, 20TH FLOOR
NEWARK, NEW JERSEY 07102 -5207
KNOW ALL MEN BY THESE PRESENTS: That INTERNATIONAL FIDELITY INSURANCE COMPANY, a corporation organized and existing
laws of the State of New Jersey, and having its principal office in the City of Newark, New Jersey, does hereby constitute and appoint
DWIGHT REILLY, ARTURO AYALA, DANIEL HUCKAIM
Orange, CA.
its true and lawful attormy(s) -in -fact to execute, seal and deliver for and on its behalf as surery, an aid all bonds and undertakings, contracts of indemnity and
other writings obligatory . in the nature thereof, which are or may be allowed, required or permtmd by law, stature rule regulation, contract or otherwise, and
the execution of such rostrum m(s) in pursuance e e of the presents, shall be as bin mg upon the said NftRNAT NAL FIDELITY INSURANCE
COMPANY, 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 its
principal office.
This Power of Attorneyy is executed, and ma be revoked, pursuant to and by authority of Anicle 3- Section 3, of the % adopted by the Board of
Directors of INTERNA77ONAL FIDELITY INSURANCE COMPANY at a meeting called and held on the 7th day of February, 1974.
The President or any Vice President, Executive Vice President, Secretary or Assistant Secretary, shall have power and authority
(1) To appoint Anomeys -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 remove, at any time, any such attorney-In -fact and revoke the authority given.
Further, this Power of Anomey is st ned and sealed by facsimile pursuant to resolution of the Board of Directors of said Company adopted at a meeting
duly called and held on the 29th day of 1982 of which the following is a true excerpt:
Now therefore the signatures of such officers and the seal of the Company may be affixed to any such power of anorney or any certificate relating thereto by
facsimile, and any such power of attorney t r certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the Company and any
such power so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any
bond or undertaking to which it is attached.
6 �kT /fir IN TESTIMONY WHEREOF, INTERNATIONAL FIDELITY INSURANCE COMPANY has caused this instrument to be
� S(� signed and its corporate seal to be affixed by its authorized officer, this 16th day of October, A.D. 2007.
r pi �•"YJ• P9Z INTERNATIONAL FIDELITY INSURANCE COMPANY
� SEAL C'
y�soa � O STATE OF sse W JERSEY
�/ • �� Secretary !fr
On this 16th day of October 2007, before me came the individual who executed the receding instrument to me ppeerrssoonally known, and, being by me duly
swam, said the he is the therein described and authorized officer of the INTERNATIONAL FIDELITY INSURANCE COMPANY; that the seal affixed to
said instrument is the Corporate Seal of said Company: that the said Corporate Seal and his signature were duly affixed by order of the Board of Directors of
said Company.
° V.q,Z IN TESTIMONY WHEREOF, I have hereunto set my hand affixed my Official Seal,
, P� OG ��''.
G at the City of Newark, New Jersey the day and year first above written.
'�• �pTARy
• . i / /�"-
wq., A UBI.G g
'�''•.I-OFNEYI'� `�� A NOTARY PUBLIC OF NEW JERSEY
CERTIFICATION My Commission Expires March. 27, 2014
1, the undersigned officer of INTERNATIONAL FIDELITY INSURANCE COMPANY do hereby certify that 1 have compared the foregoing copy of the
Power of Attorney and affidavit, and the copy of the Section of the By -Laws of said Company as set forth in said Power of Anomey, with the ORIGINALS ON
IN THE HOME OFFICE OF SAID COMPANY, and that the same are correct transcripts thereof, and of the whole of the said originals, and that the said Power
of Attorney has not been revoked and is now in full force and effect
IN TESTIMONY WHEREOF. 1 have hereunto set my hand this 16th day of March, 2012
A 1�'� AW _ 429_
Assistant Secretary
BIDDER: Hardy & Harper, I nc.
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 shah 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.
M 4MIf,,
Name and Location Description of Work
of Subcontractor to be Subcontracted
�
Name: S �� c� : o/ / u ✓� msn {�CIrW -' n 9
Address k n n I '• �y
5 c /P ��� s4
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name:
Address:
CBF - 11
BIDDER: Hardy & Harper, I nc.
2.B LIST OF PROPOSED SUBCONTRACTORS
(continued)
r NE 2 Pagm lr nuedod fO lismo O d,u fw smmrhaUOR'1
Name and Location
Description of Work
of Subcontra
to be Subcontracted
Name: 'IrCe.p•e
Address: /Sl a .. T /
ch :"
FJ ✓n�a:n ya! /cry
Name and Location
of Subcontractor
Description of Work
to be Subcontracted
Name: F � I ! f lr . � r
��(�' �cl
�d� N2Gtn�a /eS
Address: fp /
Q
GoronC.
Name and Location
of SubcontractoF
Description of Work
to be Subcontracted
Name: S u / u c
$vY�z h2an•�[ m �•• �-r
Address: i_ , iii
O i-CL n
Name and Location Description of Work
of Subcontractor to be Subcontracted
�
Name: S �� c� : o/ / u ✓� msn {�CIrW -' n 9
Address k n n I '• �y
5 c /P ��� s4
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name:
Address:
CBF - 11
BIDDER: Hardy & Harper, I nc.
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. See Attachment A
Name and Address of Owner
Name and telephone number of person familiar with project
Contract amount Type of Work Date Completed
2.
Name and Address of Owner
Name and telephone number of person familiar with project
Contract amount Type of Work Date Completed
3.
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 of person Familiar with project
Contract amount Type of Work Date Completed
CBF - 12
Attachment A
Mardy etWarper, Inc.
Owner /Agency Contact Project (Amount & End Date)
County of Los Angeles
Hoda Hassan, PE
Colima Road et al.
9000 S. Fremont Avenue
(626)458 -4955
Phase 2
Alhambra, CA 91803
hhassan @dpw.lacounty.gov
$ 1,186,000.00 7/11
City of Inglewood
Albert Mendoza, PE
Street Improvements
1 Manchester Blvd.
(714)595 -8563
FY 2010 -11
Inglewood, CA 90301
amendoza @cityofmglewood.org
$ 769,000.00 8/11
City of Redlands
Bassam Alzammar, PE
Resurfacing of Church,
35 Cajon Street
(909)798 -7584
Center & Alessandro
Redlands, CA 92373
balzammar @cityofredlands.org
Streets
$ 919,000.00 9/11
City of Palm Springs
Mike Lytar, Senior Inspector
2010 -11 Annual AC
3200 Tahquit.z Canyon Way
(760) 323 -8734
Overlay
Palm Springs, CA 92263.2743
mike.lytar @palmsprings- ca.gov
$ 1,345,000.00 9/11
City of Moreno Valley
Quang Nguyen, PM
2011 Pavement Resurfacing
14177 Frederick Street
(951)413 -3159
$ 1,441,000.00 10/11
Moreno Valley, CA 92552
quang @moval.org
2011 Local Street Pavement
Resurfacing Phase 1
$ 2,096,000.00 10111
BIDDER: Hardy & Harper, I nc.
SECTION 3
NON - COLLUSION AFFIDAVIT
CBF -13
BIDDER: Hardy & Harper, I nc.
NON - COLLUSION AFFIDAVIT
In accordance with Public Contract Code Section 7106, the undersigned, being first duly
swom, 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, orthe contents thereof, or divulged
information or data relative thereto, or paid, and will not pay, any fee to any corporation,
partnership, company association, organization, ' depository, or to any member or agent
thereof to effectuate a collusive or sha
Si ature ( / //
Steve Kirschner
Typed or Printed Name
Vice President
Title
Hardy & Harper, Inc.
Bidder
Subscribed and sworn before me
This day of . 20_
(Seal)
Notary Public in and for
the State of California
My Commission Expires:
CBF - 14
CALIFORNIA JURAT WITH AFFIANT STATEMENT
CXSee Attached Document (Notary to cross out lines 1-6 below)
❑ See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary)
---------------------- - - - - -- ----------------------------
2
3
4-
5 ----- - - - --I -- - - - - --
Signature of Document Signer No. t
State of California
County of
Orange
None
(1) Steve Kirschner
0,4yC ANN LYONS i
o CJ wi Not i.l -Caltl nia
P 'J'. ftvy ...m EquosAp, 17,2013
Place Notary Seal Above
Signature of Document Signer No. 2 (it any)
Subscribed and sworn to (or affirmed) before me
on this 20 12
day of March 20
Dare Momh Year
by
Name or signal
proved to me on the basis of satisfactory evidence
to be the person who appeared before me (.) (,)
(and
None
Name of Signer
proved to me on the basis of satisfactory a nce
to be th on who p red b r me.)
Signature
Signature of Notary Pub,'
OPTIONAL
Though the information below is not required by law, it may prove valu-
able to persons relying on the document and could prevent fraudulent
removal and reattachment of this form to another document.
Further Description of Any Attached Document
Non - Collusion Affidavit
Title or Type of Document:
Document Date:
March 20, 2012
Signer(s) Other Than Named Above:
Number of Pages:
RIGHT THUMBPRINT RIGHT THUMBPRINT
OF SIGNER $1 OF SIGNER $2
i iLl
0 2009 National Notary Association • NallonafNotary.org • 1 �US NOTARY (1 00"79.6827) Item $5910
03/20/2012 09:25 FAX
CITY OF ROSEMEAD
ROSEMEAD, CALIFORNIA
ADDENDUM NO.1
To all prospective bidders under Bid Documents for the
RESIDENTIAL STREETS RESURFACING PROJECT
PROJECT No. 21003
0002/002
1. You are hereby informed that the Bid Item No. 5 and Bid Item No. 22 shall read
as follows:
Construct 1/2 inches thick Asphaltic Leveling course D1 fPG 64-101 as
indicated on the plans.
The estimated tonnage quantity stays the same as in the original bid.
2. In addition, Alternate Bid Item No. 1 on page CBF — 4 shall read as follows:
ALTERNATE BID ITEM No. 1
MUSCATEL AVENUE
FROM MISSION DRIVE TO GRAND AVENUE
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 — 6 of the Contract Bid Forms. Failure to provide such
acknowledgement shalt render the bid as non - responsive and subject to
rejection.
BY ORDER OF THE CITY OF ROSEMEAD
Date: March 19 2012.
By
,Rafael Fajardo
Associate Civil Engineer