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CA Professional EngineeringBIDDER: Cc Alilmin &(e zj0 ( -j C�yir, r i� Y lr C . SECTION 1- BID SCHEDULE CBF -0 BIDDER: GI �� SSIbhgl G VIg vtee H i lvvJ nC. BID SCHEDULE SCHEDULE OF PRICES FOR SAFE ROUTE TO SCHOOL PROJECT CBF -1 UNIT OF EST. UNIT ITEM NO. ITEM DESCRIPTION MEASURE QTY. PRICE COST 1 Clearing & Grubbing per plans and LS 1 specifications. 3 �DOU 13 I (fit 2 Traffic Signal Modification per Plans and Specifications LS 1 3 Furnish and Install Solar In -Road EA 5 Pavement Lighting System Complete per Plans and Specifications. 5 Locations with a 4" 32 1 `90D 1 WA CX)p Total of 50 In -road Pavement Lights. 4 Furnish and Install Solar Speed EA 6 Feedback Sign System Complete -A _2_11 t 12g,g p er Plans and Specifications. 5 Furnish and Install Signing and LS 1 Striping per Plans and j � l �� I 000 S Specifications. i I 67 Furnish and Install Pedestrian EA 128 Count Down Heads Complete per $ (C� I 1 �4 i q4-� Plans and Specifications. 7 Remove Existing and Install 4- SF 6,525 Inches Thick PCC Sidewalk per SPPWC Std. Plan 113 -2. See (o ?A Appendix "A" per Locations. 1 15D 8 Remove Existing and Install 6- LF 110 Inches PCC Curb and 24- Inches ,5 PCC Gutter per SPPWC Std. Plan 120 -2. 9 Remove Existing and Install 8- LF 270 Inches PCC Curb and 24- Inches PCC Gutter per SPPWC Std. Plan 120 -2. 10 Remove Existing and Install PCC SF 385 Cross Gutter per SPPWC Std. -'s t `7 - 1 0o Plan 1252 -2. 11 Install PCC Curb Ramp per EA 3 SPPWC Std Plan 111 -4.Zi 12 Remove Existing and Install 6- SF 3579 Inches Thick AC Pavement (C2 PG 64-10). 13 Adjust SewerlStorm Drain EA 2 4 1 GID Manhole to Grade I i 14 Cold Mill 1 -Inch Existing Pavement SF 810 43 Z Li 3b CBF -1 BIDDER: CclliFprN1g k S \olrQl C-Y \hc TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ (051 13 sr *Ylc\w FI+N_ kv(w - WOOL av\A 1 1)we �Ummj - -eery oktu 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. 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 bid bond '' the amount of Dollars ($ said amount being not less tha nt (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 fumish 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 lioense(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. CBF -2 BIDDER: PCOQS S16ho�J 6�4i �een>^ol , l hr 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. pme 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 0 BIDDER: (J_011:6Prn0 1'rz 5�l j Vv- 00 -Y nC !12 QM hbe Ivy PNP . V v ll jz Business Street Address W N •gw-rme , C-P\ 91 1 , A5 City, State and Zip Code (02(p) X10 Telephone Number Bidder's /Contractor's State of Incorporation: CG � librhr q Partners or Joint Venturers: Bidder's License Number(s): 1 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: �Q�1�'Y�IG� �'rt�RSS c- �c�lheer���l SECTION 2 BID DATA FORMS CBF -5 California Professional Engineering, Inc. dba BIDDER: California Professional Electric Engineering 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 aril page number. 2.A BID BOND KNOW ALL MEN BY THESE PRESENTS: California Professional THAT Engineering, Inc. dba California Professional Electrical Engineering as Principal, and The Hanover 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 Bid Amount DOLLARS ($ 10% ) , being not less than ten percent (10 %) of the Total Bid Price; for the payment of which sum will and truly to be mode, 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 SAFE ROUTE TO SCHOOL PROJECT as sefforth in the Notice Inviting Bids and accompanying Bid Documents, dated June 20, 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 allomeys' fees to be foxed by the court. SIGNED AND SEALED, this 15TH day of JUNE 20 12 Califnrnia Prnfoccinnal Fnninerarinn Inc dha The Hano sur c ty ,_ V� Siortat Yuno T CBF - 6 Attorney -in -Fact CALIFORNIA ALL - PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California County of Los Angeles On y� / W�D�L before me, Olivia Chea, Notary Public (Here insert name and tide of the officer) personally appeared Van Nguyen who proved to me on the basis of satisfactory evidence to be the person(s) whose name Is subscribed to the within instrument and acknowledged to me that cf�hefthey executed the same in is authorized capacity( and that by is signature(s) on the instrument the person(s), or the enti ' ty 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. OLIVIA CHEA WITNESS my at ficial seal N CoMM 1931793 /p NOTARY P -CALIFORNIA Los ANGELES COUNTY MY Comm. Exp. APR, 8, 2M " - (Notary Seal) Signature of No is - - ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT (Title or description of attached document) (Title or description of attached document continued) Number of Pages _ Document Date (Additional information) CAPACITY CLAIMED BY THE SIGNER ❑ Individual (s) • Corporate Officer (Title) • Partner(s) • Attorney -in -Fact • Trustee(s) ❑ Other INSTRUCTIONS FOR COMPLETING THIS FORM Any acknowledgment completed in Caiifomia must contain verbiage exactly as appears above in the notary section or a separate acknowledgment form must be properly completed and attached to that document Tim only exception is jra document is to be recorded outside of California In such instances, any alternative acknowledgment verbiage as may be printed on such a document m long as the verbiage does not require the notary to do something that is illegal for a notary in California Ile. cernfybrg the authorized capacity of the signer). Please check the document carefully for proper notarial wording andattach this form ifrequired. • State and County information must be the State and County where the document signers) personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s) personally appeared which must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title (notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. • Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. hdshe is /are) or circling the correct forms. Failure to correctly indicate this information may lead to rejection of document recording. • The notary seal impression must be clear and photographically reproducible. Impression must not cover tent or lines. If seal impression smudges, re-seal if a sufficient area permits, otherwise complete a different acknowledgment form. • Signature of the notary public must match the signature on file with the office of the county clerk. {• Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a different document. d• Indicate title or type of attached document, number of pages and date. 4 Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the tide (i.e. CEO, CFO, Secretary). • Securely attach this document to the signed document 2008Vasion CAPAvl2.10. 07800 -873 -9865 www.NotaryClasses.com ACKNOWLEDGMENT State of California County of Orange ) On June 15, 2012 before me, Christine T. Hoang, Notary Public (insert name and title of the officer) personally appeared Yung T. Mullick who proved to me on the basis of satisfactory evidence to be the person(l) whose name() is /Zaw subscribed to the within instrument and acknowledged to me that he/jig(tbft executed the same in hisbherfte r authorized capacity**, and that by his/1nxCk ak signature(x) on the instrument the person(*), or the entity upon behalf of which the person(*) acted, executed the instrument. -I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS a d and official seal. Signature vAa' CNRI8TIN6 L HOMG N fi t* ` '• COMM. # 1827909 7D ® NOTAR! PUBUGCNJFORNIA ORANGE COUNTY My Caron 6tplre! DEC 23 2012 (Seal) THE HANOVER INSURANCE COMPANY - MASSACHUSETTS BAY INSURANCE COMPANY' -.' CITIZENS INSURANCE COMPANY OF AMERICA CERTIFIED COPY KNOW ALL MEN BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY, both being corporations organized and existing under the laws of the State of New Hampshire, and CITIZENS INSURANCE COMPANY OF AMERICA, a corporation organized and existing under the laws of the State of Michigan, do hereby constitute and appoint 1 . James W.Motlanen, Yung T. Mullick, andlor Jennifer C. Qnaya of Mission Viejo, CA and each is a true and lawful. Attorney(s)- in- factto sign, execute, seal, acknowledge and deliver for, and on its behalf, and as its act and deed any place within the United States, or, if the following line be filled in, only within the area therein designated any and all bonds, recognizances, undertakings, contracts of indemnity or other writings obligatory in the nature thereof, as follows: Any such obligations in the United States, not to exceed Ten Million and No /100 ($10;000,000) in any single instance and said companies hereby ratify and wnfrm all and whatsoever said Attorney(s) -in -fact may lawfully do in the premises by virtue of these presents. These appointments are made under and by authority of the following Resolution passed by the Board of Directors of said Companies which resolutions are still in effect: "RESOLVED, That the President or any Vice President, in conjunction with any Vice President, be and theyare hereby authorized and empowered to appoint Attorneys4n -fact of the Company, in its name and as its acts, to execute and acknowledge for and on its behalf as Surety any and all bonds, recognizances, contracts of indemnity, waivers of citation and all other writings obligatory in the nature thereof, with power to attach thereto the seal of the Company. Any such writings so executed by such Attorneys -in -fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company in their own proper persons." (Adopted October 7, 1981 -The Hanover Insurance Company; Adopted Apn114,1982 - Massachusetts Bay Insurance Company; Adopted September 7, 2001 - Citizens Insurance Company of America) - IN WITNESS WHEREOF, THE HANOVER INSURANCE COMPANY, MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals duly attested by two Vice Presidents,' this 3rd day of January 2012. THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY (De CITIZENS SURANCE OMPANY OF AMERICA . Robert Thomas. Vice Nesident j THE COMMONWEALTH OF MASSACHUSETTS ) COUNTY OF WORCESTER ) ss. toe, r nsYrom. le President On this 3rd day of January 2012 before me came the above named Vice Presidents of The Hanover Insurrance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America, to me personally known to be the individuals arid officers described herein, and acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America, respectively, and that the said corporate seals and their signatures as officers were duly affixed and subscribed to said instrument by the authority and direction of said Corporalions. a BARB ARAA. FILJA( - Notary PUMIO �CenmmwWp }OrTTY }6}ChWOtl} ; TLlGIJII//11 1 ..� .ZAP �/ —?'4� lf} Cammglon Epay 5}q. Z1, Z0r} Barbara A. Garlick, Notary Public My Commission Expires September 21, 2018 1, the undersigned Vice PresidentofThe Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America, hereby certify thatthe above and foregoing is a full, true and correct copy ofthe Original Power of Attorney issued by said Companies, and do hereby further certify that the said Powers of Attorney are still in force and effect. This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America. ' RESOLVED, That any and all Powers of Attorney and Certified Copies of such Powers of Attorneyand certifcafion in respect thereto, granted and executed bythe President or any Vice President in conjunction with any Vice President of the Company, shall be binding on the Companyto the same extent as if all signatures therein were manually affixed, even though one or more of any such signatures thereon may be facsimile! (Adopted October 7, 1981 - The Hanover Insurance Company; Adopted April 14,1982 - Massachusetts Bay Insurance Company; Adopted September 7,2001 -Citizens Insurance Company" of America) 15th :June 12 GIVEN under my hand and the seals of said Companies, at Worcester, Massachusetts, this day of 20_ THE HANOVER INSURANCE COMPANY MASSACHUSETTS. BAY INSURANCE COMPANY .. CITIZENS INSURANCE COMPANY OF AMERICA sMA_ ( in Margosian, Vice President BIDDER: CL_A Vb'hi( L rbfy S (o vii ) Ehgyheer >70 ,Ir\CC. 2.13 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 ($10,000), whichever is greater, for which no subcontractor was designated in the original bid shall only be permitted in cases of public emergency or necessity, and then only after Owner approval. CBF -7 BIDDER: Coll 1ft�rt11ct _�1�y1 p�$ZCW1Gt� 2.13 LIST OF PROPOSED SUBCONTRACTORS (continued) l [ Next 2 Pages if needed for listing additional subcontraclors." i Name and Location Description of Work of Subcontractor to be Subcontracted Name: k Retie fsph(A�t CIVIC uvOr�k Address i4UU r. Sh COYMA� CA `jISJ$ Name and Location Description of Work of Subcontractor to be Subcontracted Name: cln��sP Compgn� S\� \Q1Y1C - Address: 22`60 'Sr uIAC P(ge - N0bMiiA64`n 0 q?0t(p Name and Location Description of Work of Subcontractor to be Subcontracted Name: V t l2Cf�IC I Address :Vo l ) - h UV� Wta CA Name and Location of Subcontractor Name: Address: Name and Location of Subcontractor Name: Address: Description of Work to be Subcontracted Description of Work to be Subcontracted CBF -8 BIDDER: Cal i�brn ICI Pi O{2s ovicf l G �i►�1�rihC) 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: y! <12Q,Ce c'ee cr C Name and Address o Owner 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. Name and Address of Owner Name and telephone number of person familiar with project Contract amount Type of Work Date Completed 4. Name and Address Name and telephone number of person familiar with project Contract amount Type of Work Date Completed CBF -9 q I.� Job References PROJECTS: Polv High School Traffic Signal Amount: $126,076 Owner: Riverside Unified School District Project Manager: Chuck Stockton Contact Phone #: (909) 947 -3768 Status: Completed Traffic Signal Installation at Main Street and Citron Street Amount: $273,994 Owner: City of Corona Project Manager: Clint Herrera Contact Phone #: (951) 739 -4888 Status: Completed Installation of Traffic Signa at 19` Street and Jasper Street Amount: $161,526 Owner: City of Rancho Cucamonga Project Manager: John Gillespie Contact Phone #: (909) 477 -2740 ext. 4051 Status: Completed Riverdale and Finch Safe Route t School Signalized Street Amount: $189, 000 Owner: City ofAnaheim Project Manager: Robert Luciano #: (714) 765 -5176 Completed ..................... Last Updated 9/14/2011 929 Otterbein Ave., Unit E La Puente, CA 91748 Ph: (626) 810-1338 Fax: (626) 810-1322 www.cpengineeringinc.com June 19, 2012 Page 2 Traffic Signal System Upgrade Phase V-VIII Amount: $292,175.99 Owner: City of Santa Ana Project Manager: William Albright Contact Phone #: (714) 647 -5029 Status: Completed BIDDER: CMR)rhi Pr SS16"A) C �ihePrinc�,l►,c. SECTION 3 NON - COLLUSION AFFIDAVIT CBF -10 BIDDER: GlhfbnniGg SS\ {� NON - COLLUSION AFFIDAVIT GM4h ,�V)C 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. Typed or Subscribed and sworn before me This 0 day of -\-�J \P z0 \a (Seal) NotaryTvablic in and fi the State of California My Commission Expires: k, OLIVIA CHEA N COMM .# 1931113 NOTARY PUBLIC - CALIFORNIA LOG ANGELES COUNTY My Comm. EAP, APR, B, 20% CBF -11 c IhC, BIDDER: (�Ali�bfnio 'Pr e lohaj El hgj"C. CONTRACT BID FORMS TABLE OF CONTENTS SECTION1 BID SCHEDULE ........... .............. :............................................. ............................... 1 SECTION 2 BID DATA FORMS... .................. 5 2.A BID BOND ................................................................................. ............................... 6 2.B LIST OF PROPOSED SUBCONTRACTORS .......................... ............................... 7 SECTION 3 NON - COLLUSION AFFIDAVIT ......................... .......... ............................... 10 CBF -12 Gncjlhf' Yl�n , 3 , IY)c.