Roy Allen Slurry Seall .
BIDDER: v U Al �� J't V i c J A I
I L
BID SCHEDULE
(� SCHEDULE OF PRICES FOR
ANNUAL 2011 -2012 SLURRY SEAL PROJECT
PROJECT No. 21002
BASE BID SCHEDULE
r
1
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1
1
' TOTAL BASE BID PRICE (SCHEDULE BID PRICE):
�_w V%kA
Dollar amount in
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1
1
1
i
$ 223 3 l . q0
form / % h � ' -�V
CBF -1
dale j
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
CITY.
PRICE
COST
1
Clearing & Grubbing per plans and
A
2 0 Oo,w
ic
60•0 O
specifications.
LS
1
-S,
2
Disposal of Waste Materials
LS
1
I l ow,0 0
OQ7• 0v
3
Crack Sealing
LS
1
S5 750.0a
S ?SO
4
Slurry Seal Type II - See Exhibit
"A" on Appendix per street
LZk • ��
/ t70� 06/ �c 10
0 �O - 1
locations & areas.
ELT
760
5
Traffic Striping and Pavement
Markers -See Exhibit "A" on the
Appendix details.
LS
I S QX
is, 0
per
1
J
' TOTAL BASE BID PRICE (SCHEDULE BID PRICE):
�_w V%kA
Dollar amount in
i
1
1
1
i
$ 223 3 l . q0
form / % h � ' -�V
CBF -1
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I
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1
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ALTERNATE BID ITEM No. 1
BIDDER: A h J111L✓w/
ALTERNATE BID PRICE: $ 541 I so
TOTAL BASE BID AND ALTERNATE BID PRICE: $
IWAVA" �v-eA SeEi.v%4\4 SaiA L-, 90Y0rakf4ij . R9 fj AJ4g, A IL,
Dollar amount in written for o -6k w'%V%A-�
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cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and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.
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
Attached he eto is a certified check, a cashier's check or a bid bond in the amount of
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. '
CBF -2
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
6
Clearing 8 Grubbing per plans and
�,Ud
Aso, 0
specifications.
LS
1
7
Disposal of Waste Materials
LS
1
4 . 0 , 00
1 7S0 , 60
8
Crack Sealing
LS
1
0(9.(
p
4 O S 00.00
9
Slurry Seal Type II — See Exhibit
"B"
on the Appendix per street
locations
1
,1
& areas.
ELT
175
10
Traffic Striping and Pavement
Markers — See Exhibit "B" on the
Appendix details.
Soo. 0o
I
4j 6'0-00
per
LS
1
ALTERNATE BID PRICE: $ 541 I so
TOTAL BASE BID AND ALTERNATE BID PRICE: $
IWAVA" �v-eA SeEi.v%4\4 SaiA L-, 90Y0rakf4ij . R9 fj AJ4g, A IL,
Dollar amount in written for o -6k w'%V%A-�
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.
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
Attached he eto is a certified check, a cashier's check or a bid bond in the amount of
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. '
CBF -2
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.The undersigned offers and agrees that if this bid is accepted it will assign to the purchasing body
all rights, title, and interest in and to all causes of action it may have under Section 4: of the Clayton
Act (15 U.S.C. Section 15) or under the Cartwright Act (Chapter 2, of Part 2 of Division 7 of the
Business and Professional Code), arising from purchases of goods, materials or services by the
Bidder for sale to the purchasing body pursuant to the bid. Such assignment shall be made and
become effective at the time the purchasing body tenders final payment to he Contractor.
Bidder understands and agrees that, when requested by Owner, he shall provide: (1) evidence
satisfactory to the Owner of Bidder's California contractor's license(s) in good standing; (2) evidence
that the person signing this Bid is authorized to bind Bidder to this Bid and to a contract resulting
therefrom; and (3) any other information and documentation, financial or otherwise, needed by
Owner to award a Contract to the lowest responsible and responsive bidder.
Bidder understands and agrees that liquidated damages shall apply to this Contract in the amount of
$500.00 per calendar day and subject to the terms and conditions described in the Contract Form
and the Contract Documents if project is not completed in thirty (30) calendar days.
Bidder acknowledges that data submitted with its Contract Bid Forms which it requires 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.
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 -3
BIDDER: k (00 I�CIt J V deU 1 ,
GV� ✓
By: 1t�'122 13l go n -fi -r 1�1. AW4,
Signature : ; , :; ,- ; Business Street Address : ;r' �•:. ; •'_w
Type or Print Name City, State and Zip Code
Title Telephone Number
' S- 1 -1eL—
Date
Bidder's /Contractor's State of Incorporation: CcKk \ �y\kn
Partners or Joint Venturers:
Bidder's License Number(s): S7 2- 9 9
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 II
to provide evidence that the person signing on behalf of the corporation,
partnership or joint venture has the authority to do so.
I
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SECTION 2
BID DATA FORMS
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BIDDER: Roy Allan Slurry Seal, 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 property
identified with the Bidder's name and page number.
2.A
c
KNOW ALL MEN BY THESE PRESENTS:
THAW Roy Allan Slurry Seal, Inc. as
Principal, and Philadelphia Indemnity Insurance Company
, as Surety, are held firmly bound unto the
CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of
ten percent of the total amount of the bid
($ 10% ) , 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 Annual 2011 -2012 Slurry Seal Protect as set forth in the Notice
Inviting Bids and accompanying Bid Documents, dated May 2, 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 attomeys' fees to be fixed by the
court.
SIGNED AND SEALED, this 30th day of April . 20 I?
Roy Allan Slurry Seal, Inc. (SEAL)
Principal
c�—
BY�
Signature
Philad elphia Indemnity In
C }} om , p pa an n� A SEAL)
� Li.L;LJ. .
Signature Linda D. Coats, Attorney -in -Pact
A
C81F-6
CALIFORNIA
ALL - PURPOSE ACKNOWLEDGEMENT
State of California
County of Oran
On 317 V??' before me, Adelaide C. Hunter, Notary Public
(insert name and title of the officer)
personally appeared Linda D. Coats
who proved to me on the basis of satisfactory evidence to be the person(s) whose names) is /are
subscribed to the within instrument and acknowledged to me that he/she /they executed the
same in his /her /their authorized capacity(iesj, and that by his /her /their signature(s) on the
instrument the personH, or the entity upon behalf of which the personH 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 official seal.
Signature AAV"
ADELAIDE C. HUNTER
Commission a 1808193
Notary Public -- California €
.0 Orange County t
M Comm. Expires Aug 8, 2012
PHILADELPHIA
INSURANCE COMPANIES
A Memarr Mdm Tnko Mann Gmup
PHILADELPHIA. INDEMNITY INSURANCE COMPANY
231 St. Asaph's Rd., Suite 100
Bala Cynwyd, PA 19004 -0950
Power of Attorney
KNOW ALL PERSONS BY THESE PRESENTS: That PHILADELPHIA INDEMNITY INSURANCE COMPANY (the Company), a corporation organized and
existing under the laws of the Commonwealth of Pennsylvania, does hereby constitute and appoint: Linda D. Coats & Matthew J. Coats OF Coats Surety
Insurance Services, Inc.
Its true and lawful Attorney (s) in fact with full authority to execute on its behalf bonds, undertakings, reeognizanms and other contracts of indemnity and writings
obligatory in the nature thereof, issued in the course of its business and to bind the Company thereby, in an amount not to exceed $5,000,000.00.
This Power of Attorney is granted and is signed and scaled by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of
PHILADELPHIA INDEMNITY INSURANCE COMPANY at a meeting duly called the 11' day of July, 2011.
RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the
Company to: (1) Appoint Attomey(s) in Fact and authorize the Attomey(s) in Fact to
execute on behalf of the Company bonds and undertakings, contracts of indemnity and
other writings obligatory in the nature thereof and to attach the seal of the Company
thereto; and (2) to remove, at any time, any such Attomey -in -Fact and revoke the
authority given. And, be it
FURTHER
RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any
such Power of Attorney or certificate relating thereto by facsimile, and any such Power of
Attorney so executed and certified by facsimile signatures and facsimile seal shall be
valid and biding upon the Company in the future with the respect to any bond or
undertaking to which it is attached.
IN TESTIMONY WHEREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND
ITS CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS I P DAY OF JULY, 2011.
`OVORAT,S ••. 9
1 °
• m.'
o P:
'•;• �A'SYIVP
y o• db Christopher J. Maguire
President Philadelphia Indemnity insurance Company, a Pennsylvania Corporation.
On this 18 day of July 2011, before me came the individual who executed the preceding instrument, to me personally known, and being by me duly sworn said that he
is the therein described and authorized officer of the PHILADELPHIA INDEMNITY 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.
COMMONWEALTH OF PENNSYLV
Nowdal Sad
Ran[xdy A. kessteskt Notary PaNle
tower Marlon TwP. MMl2omery County
Myewnmtulon Expaaa Deo. 18.2012
Member, PMnaylvanla A93oda on of NQwma
� i, �i
w w.�
1, Craig P. Keller, Executive Vice President, Chief Financial Officer and Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY, do herby certify
that the foregoing resolution of the Board of Directors and this Power of Attorney issued pursuant thereto on this 18 " day of July 2011 are true and correct and we still
in full force and effect I do further certify that Christopher J. Maguire, who executed the Power of Attorney as President, was on the date of execution of the attached
Power of Attorney the duly elected President of PHILADELPHIA INDEMNITY INSURANCE COMPANY,
In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this 30th day of April 20 12 .
Craig P. Keller
Executive Vice President, Chief Financial Officer & Secretary
I
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BIDDER: b� S"Ul/ o[l
2.113 LIST OF PROPOSED SUBCONTRACTORS
„- i'
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
E
i BIDDER:
h ►"I S�.v i,4S& (1/—L
2.6 _1ST OF PROPOSED SUBCONTRACTORS (continued)
'
["Duplimte Ne# 2 Pages if needed for Ilsdng additional subcontractors."]
Name and Location
Description of Work
'
of S ubcontractor `�" `"
to be Subcontracted • -
n
Name: G�0 IA A t
C (t
Address 412
J
'
Name and Location
Description of Work
of Subcontractor
to be Subcontracted
Name: S(n OP, Iri0Y' ?( ..�1 i ej.
s� $ mkt 1 �/"
Address: 431? C4,jga I% S4-
J
yPss, C.710
Name and Location
Description of Work
of Subcontractor
to be Subcontracted
'
Name:
Address:
1
Name and Location
Description of Work
'
of Subcontractor
to be Subcontracted
Name:
Address:
Name and Location
of Subcontractor
Name:
Address:
Description of Work
to be Subcontracted
j
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BIDDER: �.t �V YAK ,�I�NV cYLo1�
of Owner
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. C !_ !9 lS , �. , ? '� ' I17Z1�1(l� l�(A f r L(• q0)
11
2.
C l 4, o � — M,, �2o W e lr - IV e.a 11 {% . �!•1 �l �� ji}
Name and Address of Owner
3. C; 1�1 0 P LA k 2 &-e � i ZS V t I TO h �2rk W" ly I ry
Name and Address of Owner
,- Iev Ste; 4A, C` gC1 FS 9S
Name and telephone number of person familiar with project
11014,2P).(rA- - 121 St I
Contract amount Type of Work Date Completed
c
a. C1 OV S912-19 Cy.,k—
Name and Address Owner
/UOV -( OV\, I mo,., (7 (o 0) X65 -6S 7 S
Name and telephone number of person familiar with project
� I, t al,
C J
ntract a ount Type o Work Date Complete
?-ffI
BIDDER:^
SECTION 3
' NON - COLLUSION AFFIDAVIT
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BIDDER: " mc� 1.4 n✓ j
'
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, 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.
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Signature
Lo,wrC,vtica- AkIx
' T or Printed Name
V i C-4 \ ; J P.�n
Title
P - �o� 4 A \ \C, A^'
Bidder I
Subscribed and sworn before me
This _ day of , 20_
(Seal)
Notary Public in and for
the State of California
My Commission Expires:
CBF - 11
State of California
County of Orange
Subscribed and sworn to (or affirmed) before me on this Z day
of (V1ay , 20 (2 , by Lawrence Allan
proved to me on the basis of satisfactory evidence to be the person(s) who
appeared before me.
ANN MARIE ALLAN ;
0 COMM. # 1939903
• NOTARY PUBLIC - CALIFORNIA n
A
ORANGE COUNTY .
.. COMM. EXPIRES JULY 3 2�_015J
(Seal)
SPECIAL RESOLUTION OF
THE SHAREHOLDERS OF
ROY ALLAN SLURRY SEAL, INC.
This is a special resolution unanimously approved by all of the shareholders
holding shares in ROY ALLAN SLURRY SEAL, INC. This resolution was approved at the
meeting of shareholders held on February 2, 2008, at 11922 Bloomfield Avenue, Santa
Fe Springs, California 90670. ROY ALLAN and GAY D. ALLAN, being the only
shareholders of the corporation, were in attendance and unanimously- approved the
following resolution:
WHEREAS it is deemed to be in the best interest of this corporation to provide
for continuity of activity and for the convenience of the officers of this corporation, to
provide authority so that either the President or the Vice President of this corporation
shall have authority to sign documents separately, and thereby bind the corporation.
IT IS THEREFORE RESOLVED that either the President or
The Vice President of ROY ALLAN SLURRY SEAL, INC.,
shall hereafter have the authority, when acting Alone,
to bind this corporation to the terms of any document
To which the President or Vice President shall affix his
Signature. The individuals presently acting in the capacity of
President and Vice President of this corporation are
ROY ALLAN and LAWRENCE ALLAN, respectively.
It is respectfully requested by the shareholders of this corporation, that any part
with whom this corporation has dealings, will recognize this resolution and accept the
signature of either the President or the Vice President of this corporation, acting alone,
on any document intended to bind this corporation legally.
By their signatures hereto, the shareholders of this corporation hereby waive
notice of the above - described meeting and consent to the resolution set forth above
Dated: February 2, 2008
Roy AllanL hareholder
Gay . Allan, Shareholder