Pavement Coatings Co..I
CITY OF ROSEMEAD
ANNUAL 2011 -2012 SLURRY SEAL PROJECT
PROJECT No. 21002
CONTI�ACTBID FORMS
BIDDER: Pavement Coatings Co.
CONTRACT BID FORMS
TABLE OF CONTENTS
SECTION1 BID SCHEDULE ... ............................... . ....... ........................ . .......... I ... ... ......... ......... 1
SECTION2 BID DATA FORMS ................................................................... ............................... 5
2.A BID BOND ................................................................................. ............................... 6
2.13 LIST OF PROPOSED SUBCONTRACTORS ...... ................. :................................. 7
SECTION 3 NON - COLLUSION AFFIDAVIT ............................ . ... . ....................................... I.... 10
BIDDER: Pavement Coatings Co.
SECTION 1 - BID SCHEDULE
BIDDER: Pavement Coatings Co.
BID SCHEDULE
SCHEDULE OF PRICES FOR
ANNUAL 2011 -2012 SLURRY SEAL PROJECT
PROJECT No. 21002
BASE 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
CITY.
PRICE
COST
1
Clearing & Grubbing per plans and
Op
3 �,
specifications.
LS
1
2
Disposal of Waste Materials
LS
1
SOAP,
3
Crack Sealing
LS
1
Cj 3
4
Slurry Seal Type II — See Exhibit
"A" on Appendix per street
y 00
l j `( O Oil
locations & areas.
ELT
760
1
b 1Ut i
5
Traffic Striping and Pavement
Markers — See Exhibit "A" on the
Appendix per details.
LS
1
TOTAL BASE BID PRICE (SCHEDULE BID PRICE):
Dollar amount in written form
CBF -1
$
BIDDER: Pavement Coatings Co.
ALTERNATE BID ITEM No. 1
ALTERNATE BID PRICE: $
TOTAL BASE BID AND ALTERNATE BID PRICE: $ 11i O I.0 0
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cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and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
govem.
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.
anoruint of
Attached h reto is a certified check, a cashier's check or bid bond in the
r-OAX Dollars ($ ) said amount being not less than ten percent o
i rice. he undersigned agrees that said amount shall be retained by the Owner if, upon award,
we fall or refuse to execute the Contract and fumish the required bonds, certificates and
endorsements of insurance and other certifications within the time provided.
DI
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
CITY.
PRICE
COST
6
Clearing & Grubbing per plans and
J�
j
specifications.
LS
1
7
Disposal of Waste Materials
LS
1
OD
pp �,
8
Crack Sealing
LS
1
�c Ov
�p
80
9
Slurry Seal Type 11— See Exhibit
"B" on the Appendix per street .
C 6 D
U 0
locations & areas.
ELT
175
J
�` I
10
Traffic Striping and Pavement
Markers — See Exhibit "B" on the
Appendix per details.
LS
1
v
ALTERNATE BID PRICE: $
TOTAL BASE BID AND ALTERNATE BID PRICE: $ 11i O I.0 0
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
govem.
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.
anoruint of
Attached h reto is a certified check, a cashier's check or bid bond in the
r-OAX Dollars ($ ) said amount being not less than ten percent o
i rice. he undersigned agrees that said amount shall be retained by the Owner if, upon award,
we fall or refuse to execute the Contract and fumish the required bonds, certificates and
endorsements of insurance and other certifications within the time provided.
DI
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
BIDDER: Pavement Coatings Co.
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 tothe Owner of Bidder's California contractor's license(s) in good standing; (2) evidence
that the person signing this Bid Is authorized to bind Bidder to this Bid and to a contract resulting
therefrom; and (3) any other information and documentation, financial or otherwise, needed by
Owner to award a Contract to the lowest responsible and responsive bidder.
Bidder understands and agrees that liquidated damages shall applyto this Contract in the 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 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. 40
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
By:
Signature
Doug Ford
Type or Print Name
President
Title
Date
Bidder's /Contractor's State of Incorporation:
Partners or Joint Venturers:
Bidder's License Number(s):
NOTES:
BIDDER: Pavement Coatings Co.
10240 San Sevaine Way
Business Street Address
Jurupa Valley, CA 91752
City, State and Zip Code
714 - 826 -3011
Telephone Number
California
303609 A; C32
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
RESOLUTION OF BOARD OF DIRECTORS OF
PAVEMENT COATINGS COMPANY
RESOLVED, That all officers of the Company (being the President, Douglas Ford; the
Secretary, Richard Gove; the Assistant Secretary, Van P. Duncan; and the Treasurer,
Bernard Hale) are hereby authorized and empowered to enter into contracts, sign bid
documents and otherwise execute agreements in the normal course of business and upon
such terms and conditions as may be agreed by the Company and the counterparty (ies).
I, Doug Ford, do hereby certify that I am the duly elected and qualified President and
keeper of the records and corporate seal of Pavement Coatings Company, a corporation
organized and existing under the laws of the State of California, and that the above is a
true and correct copy of a resolution duly adopted at a meeting of the Board of Directors
thereof, convened and held in accordance with the Bylaws of said Corporation on the 13`h
day of June, 2007, and that such resolution is now in full force and effect.
IN WITNESS WHEREOF, I have affixed my name as President and have caused the
corporate seal of said Corporation to be hereunto affixed, this 2 "`I day of May, 2012
Doug Ford, President
Pavement Coatings Co.
BIDDER:
SECTION 2
BID DATA FORMS
CBF -5
Pavement Coatings Co
I
:Z BIDDER Pavement Coatings Co.
Bidder shall submit its Bid data in accordance with 'the format shown on each of the following Bid
Data Fortes. 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 Bld Data Fames are property
identified with the Bidder's name and page number.
2A BID RQND
KNOW ALL MEN BY THESE PRESENTS:
THAT Pavement Coatings Co. ,as
of America as Surety, are held firmly bound unto the
CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of
Ten Percent of Amount Bid
($10% of Amt Bid ), being not less than ten percent (10 %) of the Total
Bid Price; for the payment of which sum will and truly to be made, we bind ourselves,
our heirs, executors, administrators, successors, and assigns, jointly and severally,
firmly by these presents.
WHEREAS, said Principal has submitted a bid to the OWNER to perform all Work
required for the Annual 2011 -2012 Slum Seal Pnoi eot as set forth in the Notice
Inviting Blds 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 forth of Contract bound wM 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 cartifications as
maybe required by the Contract, then this obligation shall be null and void; otherwise
it shall remain in full force and affect 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 adomeys' fees to be fixed by the
court
SIGNED AND SEALED, this 26th dayof April , 2012 .
First Natiorl4l Insurance
Pavement Coatin s Co. (SEAL) Com an of n rica (S Ul
Principal Sur
By. By. /
Signature Signature -Richard L. e is
Attorney -in -Fact
CBF -8
CALIFORNIA ALL - PURPOSE ACKNOWLEDGEMENT
State of California,
County of Orange
On April 26. 2612 before me, Lynn A Beimer, Notary Public
Date Here Insert Name and TUe of the Officer
personally appeared Richard L. Wells
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to
be the perso whose name Is are subscribed to the
within instrument and acknowledged to me that&@she /they
executed the ame in hi /her /their authorized capaclty(ies ,
and that b his her /their signatureWon the instrument the
YCLYNN A. BEIMER personxor the entity upon behalf of which the person
ommission at 1980927 acted, executed the instrument.
Notary Public - California
Orange county I .certify under PENALTY OF PERJURY under the laws of
M Comm. EK tres Dec t8, 2015 the State of California that the foregoing paragraph is true
and correct.
WITNESS my hand and official 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 1
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Individual
❑ Corporate Officer—Title(s):
❑ Partner
Signer is Representing:
Top of thumb here
Number of Pages:
Signer's Name:
❑ Limited
Individual
❑ General
❑
Attorney in Fact
❑
Trustee
❑
Guardian or Conservator
❑
Other:
Signer is Representing:
Top of thumb here
Number of Pages:
Signer's Name:
❑
Individual
❑
Corporate Officer — Title(s):
•
Partner
❑ Limited
❑ General
•
Attorney in Fact
❑
Trustee
❑
Guardian or Conservator
❑
Other:
Signer is Representing:
Top of thumb here
BIDDER: Pavement Coatings Co.
Y.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: Pavement Coatings Co.
2.8 LIST OF PROPOSED SUBCONTRACTORS (continued)
r *oupilcate Next 2 Pages It needed for listing addillonal subcontractors. "]
Name and Location Description of Work
of Subcontractor (� to be Sub(c�ontracted``' t�r�
Name: CCtl "'r,I �1fa`iitC arJ 5 rtp�h� V trlaR�CcncK
Address: C') _ sK �6 Xuj lkA J J'
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: u�� Plc
Address: [i a.. t Cui
Name and Location
of Subcontractor
Name:
Address:
Name and Location
of Subcontractor
Name:
Address:
Name and Location
of Subcontractor
Name:
Address:
CBF -8
Description of Work
to be Subcontracted
Description of Work
to be Subcontracted
Description of Work
to be Subcontracted
BIDDER: Pavement Coatings Co.
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 City of Santa Barbara 630 Garden Street, Santa Barbara, CA 93102
Name and Address of Owner
Alan Chierici 805 - 966 -2224
Name and telephone number of person familiar with project
$1,011,716 Type II Slurry Seal 2011
Contract amount. Type of Work Date Completed
Z City of San Gabriel 425 South Mission Drive, San Gabriel, CA 91776
Name and Address of Owner
Bruce Blank 951 - 697 -1678
Name and telephone number of person familiar with project
$679,225 Type II Slurry Seal 2011
Contract amount Type of Work Date Completed
3 City of Bellflower 16600 Civic Center Drive, Bellflower, CA 90706
Name and Address of Owner
Frank Preciado 561- 804 -1424
Name and telephone number of person familiar with project
$272,322 Type II Slurry Seal 2010
Contract amount Type of Work Date Completed
4 City of Torrance 3031 Torrance Blvd, Torrance, CA 90509
Name and Address of Owner
Craig Bilezerian 310 -618 -0354
Name and telephone number of person familiar with project
$441,696 Type II Slurry Seal 2010
Contract amount Type of Work Date Completed
C�
BIDDER: Pavement Coatings Co.
SECTION 3
NON- COLLUSION AFFIDAVIT
CBF -10
BIDDER: Pavement Coatings Co.
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 belowwith 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 indirectiytnduced
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.
Signature
Doug Ford
Typed or Printed Name
President
Title
Pavement Coatings Co.
Bidder
Subscribed and sworn before me
This 30 day of .4 K 1 L .20 1?—
V� 11111-2L�c.C41CI....
Notary Public in and for
the State of California
My Commission Expires: 40a- 3010 /j/
CBF -11
(Seal)
VAN iP D# Commisson
Notary PpN IC - California i
Riversroe County
M Comm.Es uesocl30.20;4