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Patriot Contracting & Engineering Inc.'kOSEMEAD CIVIC CENTER PROJECT PHASE DOWNTOWN PLAZA PROJECT i[ =CONTRACT BID FORMS Patriot Contracting & Engineering Inc. BIDDER'. CONTRACT BED FORMS TABLE OF CONTENTS SECTION 1 BID SCHEDULE ............ ............................... SECTION 2 BID DATA FORMS ........................... ............................... 2.A BID BOND_ .................................................... I ........ I ....... 2.13 LIST OF PROPOSED SUBCONTRACTORS ................. SECTION 3 NON - COLLUSION AFFIDAVIT .................... 1 ....... ........................I....1. 5 .......................... 6 ............................. 7 ....... 10 CBF -14 Patriot Contracting & Engineering Inc. CBF -1 BIDDER: Patriot Contracting & Engineering Inc. BID SCHEDULE SCHEDULE OF PRICES FOR ROSEMEAD CIVIC CENTER PROJECT PHASE III — DOWNTOWN PLAZA BASE BID SCHEDULE PROJECT No. 31004 CBF -2 UNIT OF EST. UNIT ITEM NO. ITEM DESCRIPTION MEASURE QTY. PRICE COST 1 Clearing & Grubbing per plans LS 1 35 E5 and specifications. See technical provisions TP -2, TP -3 & TP -4. 2 Disposal of Waste Materials LS 1 1-45,00 4S,7o° 3 Demolition Per Plans and LS 1 C S ©()(� �(� r o p Specifications Complete. 4 Construct Grading Per Plans and LS 1 ✓JI ��) �Sla Specifications Complete. 5 Construct Erosion Control per LS 1 Plans and Specifications D 1 Complete. 6 Relocate Existing Pine tree as EA 1 ��� (�Q(� 1 Q 1 V0 V i )dicated on the Plans. 7 Construct4- Inches Colored SF 14,487 Concrete Paving Midnight Glitter, Ocean Buff and Rosemead Buff as indicated on Sheet L1.01 & 1-1.02 Complete per Glynn Construction. Contact Person: Patrick Glynn (818) 957 -7474. Or Approved Equal 8 Construct 6- Inches Colored Concrete Paving Midnight Glitter, SF 1,513 • 0o 14 01 �� I Ocean Buff and Rosemead Buff as indicated on Sheet 1-1.01 & 11.02 Complete per Glynn Construction. Contact Person: Patrick Glynn (818) 957 -7474. Or Approved Equal. 9 Construct 8- Inches PCC Curb & LF 205 . ©(� "Y Q o -zoo Gutter per SPPWC Std. Plans CBF -2 BIDDER: Patriot Contracting & Engineering Inc. CBF -3 UNIT OF EST. UNIT ITEM NO. ITEM DESCRIPTION MEASURE QTY. PRICE COST 10 I Construct ADA Ramp as shown SF 850 5-00 in plans and described in ,0• I specifications 11 Construct PCC Curb Ramp per EA 1 1 ®QQ O ®( SPPWC Std. Plans I 12 Construct Raised Planters er p LF 269 i o'' S1,110 Plans and Specifications / Complete. 13 Construct Seat Walls per Plans LF 161 �5. Q® �'�tCJO�— and Specifications Complete. 14 Install Tree Wells & Grates per EA 21 5 vvti I S SPPWC Std. Plan 519 -3 Complete. 15 Furnish and install LF 257 l ,/j �� Y��7 �/ ,^, oo Handrails /Guardrails per Plans � `L �J and Specifications Complete, 16 Water Feature (Upper Plaza) Per LS 1 Plans and Specifications Complete. 17 Water Feature (Lower Plaza) Per LS 1 ��� 0 (v 1 rVo Plans and Specifications Complete. 18 Install City of Rosemead LS 1 C i ® 7 7 Fountain Mosaic provided by City per Plans and Specifications Complete, 19 Furnish and install Interactive LS 1 at aob q'0 om Splash Pad per Plans and r Specifications Complete. 20 Install Irrigation System per LS 1 L1 / SLY/ Plans and Specifications i Complete. 3s M0 36 -000 21 Install Landscape per Plans and LS 1 G � 7 ' Specifications Complete. 1 S OP 22 Install Pedestrian Lighting, Landscape Lighting and LS 1 /`�� 1 00 1 `�. 0 �oo( 0 o V Electrical System per Plans and Specifications Complete. 23 Furnish and install Trash Receptacles per Plans and EA 10 qCV , 0 fr 0 0o o Specifications Complete. CBF -3 BIDDER: Patriot Contracting & Engineering Inc. TOTAL BASE BID PRICE. (SCHEDULE BID PRICE):$ I � 5 / 9 ° �cf� +� nil t �h I �t,��d��d Se nJ� ��� 42 l� J c. Yld�'e tn�, � 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 a bid bond in the amount of $10% of T otal Bid Price Dollars ($ $ 1 0 % P OpTOdI) 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. (Note: see attached bid bond) CBF -4 UNIT OF EST, UNIT ITEM NO. ITEM DESCRIPTION MEASURE QTY. PRICE COST Furnish and install Drinking fountain Plans and ` „n � I V � 9 t �/ OCD 24 per Specifications Complete. EA 1 25 Furnish and install Benches per EA 4 2 , � POO Plans and Specifications v 1 Complete, 26 Furnish and install Bicycle Racks EA 10 C,�%t J l S 00 o per Plans and Specifications s i Complete. 27 Furnish and install (3) Flagpoles LS 1 with in- ground lighting and V Foundations per Plans and Specifications Complete. TOTAL BASE BID PRICE. (SCHEDULE BID PRICE):$ I � 5 / 9 ° �cf� +� nil t �h I �t,��d��d Se nJ� ��� 42 l� J c. Yld�'e tn�, � 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 a bid bond in the amount of $10% of T otal Bid Price Dollars ($ $ 1 0 % P OpTOdI) 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. (Note: see attached bid bond) CBF -4 BIDDER: Patriot Contracting & Enginee Inc. 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, E=ndorsements of Insurance, Performance Bond, Payment Bond and all other documentation and certification required by the Contract. The undersigned offers and agrees that if this bid is accepted, it will assign to the purchasing body all rights, title, and interest in and to all causes of action it may have under Section 4 of the Clayton Act (15 U.S.C. Section 15) or under the Cartwright Act (Chapter 2 of Part 2 of Division 7 of the Business and Professional Code), arising from purchases of goods, materials or services by the Bidder for sale to the purchasing body pursuant to the bid. Such assignment shall be made and become effective at the time the purchasing body tenders final payment to he Contractor. Bidder understands and agrees that, when requested by Owner, he shall provide: (1) evidence satisfactory to the Owner of Bidder's California contractor's license(s) in good standing; (2) evidence that the person signing this Bid is authorized to bind Bidder to this Bid and to a contract resulting therefrom; and (3) any other information and documentation, financial or otherwise, needed by Owner to award a Contract to the lowest responsible and responsive bidder. Bidder 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. None 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 -5 subject to the terms and conditions described in the Contract Form and the Contract Documents. BIDDER: Patriot Contracting & Engineering Inc. M Title 22855 Savi Ranch Parkway, Suite A, Business Street Address Yorba Linda, CA 92887 City, State and Zip Code (714)974 -1833 Telephone Number Bidder's /Contractor's State of Incorporation: Califo Partners or Joint Venturers: Bidder's License Number(s): 971096 None CLASS: B, A, C -12, C32, C -34, C -36, C-42 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 -6 President/Secretary (Holds all Offices) BIDDER: Patriot Contracting & Engineering Inc. SECTION 2 BID DATA FO R M S CBF -7 BIDDER: Patriot Contracting & Engine Inc. Bidder shall submit its Bid data in accordance with the format shown on each of the following Bid Data Forms. Bidders shall prepare and use as many sheets as are necessary to adequately provide the information required. Bidder shall ensure that every page of its Bid Data Forms are properly identified with the Bidder's name and page number, 2.A RID BOND KNOW ALL MEN BY THESE PRESENTS: THAT Patriot Contracting & Engineering, Inc. as as Surety, are held firmly bound unto the CITY OF ROSEMEAD (hereinefter called the OWNER) in the sum of (10 %) Ten percent of bid amount ($ 10.0 %ofbid ) , being not lass then 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, sold Principal has submitted a bid to the OWNER to perform all Work required for the Rosemead Civic Center Project Phase III — Downtown Plaza as set forth In the Notice Inviting Bids and accompanying Bid Documents, dated May 22, 2013 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 sold 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 obligatton shall be null and vold; otherwise it shall remain in full force and effect. In the event suit Is brought upon this bond by the OWNER and judgment Is recovered, said Surety shall pay all costs Incurred by the OWNER In such suit, including reasonable attorneys' fees to be fixed by the court. SIGNED AND SEALED, this 17th day of May , 20 13 Patriot Contracting & Engineering, Inc. (SEAL) The Hanover Insurance Principal S q ty . _ By: Signature' N 'hard 7; o1Ftie signatures k ephani reside CBF -8 CALIFORNIA ALL-PURPOSE ACKNOWLE a .a wva. �. n ,- .•a ntw, •. » at a..ar_a a.. mss_ w� .a ac- .a ,. ae � .�..a a. n. a�_ a. a _ w _a State of California 1 County of Orange �7 J } On � 1 « before me, Barbara Copeland, Notary Public neat Here Insert Name and Tille of the Officer personally appeared Stephanie Hoang Name(s) of Signer(s) rB ]j � •^^ - "�'T ARBARA COPELAND 1 •+= Commission N 2016316 =r' Notary Public - CNIf iffft Ontga CouiNr Place Notary Seal Above who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is /are subscribed to the within instrument and acknowledged to me that he /shetthey executed the same in his/her /their authorized capacity(ies), and that by his/her /their 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. WITNESS my and and official seal. Signature Signs of Notary Public OPTIONAL though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Stephanie Hoang Signer's Nat ❑ Individual ❑ Individual ❑ Corporate Officer— Title(s): ❑ Partner — ❑ Limited ❑ General N Attorney in Fact ❑ Trustee Top of thumb here ❑ Guardian or Conservator O Other: Signer Is Representing: Number of Pages: ❑ Corporate Officer — Title(s): ❑ Partner — O Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: RIGHTTHDMBPRINT OF SIGNER Lm-- ®200r National Notary Association-iM0 De Soto Am., P.O.BOx 2402•Chalsaorth,CA 9131 &24(12- www.NetionalNOtaryor9 Ile.45907 Reomer Call Tol[- Freel-aODe]& 7 THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA POWERS OF ATTORNEY 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 Stale 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 Mark Richardson, Shawn Blume, Eric Lowey, Stephanie Hoeing and /or Jennifer Grenrood of Costa Mesa, CA and each is a true and lawful Attomey(s) -in -fact to 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 otherwritings obligatory in the nature thereof, as follows: Any such obligations In the United States — in any amount — and said companies hereby ratify and confirm all and whatsoever said Aftorney(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 they are hereby authorized and empowered to appoint Attorneys -in -fact of the Company, in its name and as its ads, 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 April 14, 1982 - Massachusetts Bay Insurance Company; Adopted September 7, 2001 - Cit¢ens 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 4th day of November 2011. THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY k l �" ° °" CITIZENS INSURANCE POMPANY OF AMERICA ... rTfMl Wit ` fYr� � Robert Thomas. Vice President V i THE COMMONWEALTH OF MASSACHUSETTS) ar Vice OF WORCESTER ) ss. On this 4th day of November 2011 before me came the above named Vice Presidents of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America, to me personally known to be the individuals and 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 Corporations. a a k. 8AR:AA A GAeltCI( ttarery PVUrt r`8 nrnrznetM0 T aaasood , WGw*sreimaaFySep.n.MiA Barbara A. Garlick, Notary Public My Commission Expires September 21, 2018 I, the undersigned Vice President of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America, hereby certify that the above and foregoing is a full, true and correct copy of the 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 Attorney and certification in respect thereto, granted and executed by the President or any Vice President in conjunction with any Vice President of the Company, shall be binding on the Company to 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 Amerca) GIVEN under my hand and the seals of said Companies, at Worcester, Massachusetts, this 17th day of May 2013 THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA glgnn Margosian, Vice President BIDDER: P atriot Contracting & Engineering Inc. 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 afterthe deadline for submission of bidsto submit the information requested by the Owner about each subcontractor, otherthan 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 -9 BIDDER: Pat riot Contracting & Enginee Inc. 2.13 LIST OF PROPOSED SUBCONTRACTORS (continued) rriwicate Next 2 Pages it needed for listing additional subcontractors. "] Name and Location Description of Work of Subcontractor to be Subcontracted Name: Address: _ Name and Location Description of Work of Subcontractor to be Subcontracted Name: CLOVER LEAF LANDSCAPING LANDSCAPING Address. 32620 MISSION TRA L LAKE ELSINORE, CA 92530 Name and Location Description of Work of Subcontractor to be Subcontracted rr^�RrpT}t n 1 t E Name: N Address; � Name aria Location of Subcontractor Description of Work to be Subcontracted PACIFIC DESIGN DIRECTIONS INC ELECTRICAL Name: dba P C Address: 8171 EAST KAISER BLVD ANAHEIM HILLS, CA 92808 Name and Location of Subcontractor Name: PATRIOT CONTRACTING & ENGINEERING INC Address: 22855 SAVI RANCH PARKWAY SUITE A, YORBA LINDA, CA 92887 Description of Work to be Subcontracted PLUMBING CBF -10 BIDDER: Patriot Contracting & Enginee Inc. 2.13 LIST OF PROPOSED SUBCONTRACTORS (continued) I "nupnfate Next 2 Pages if needed For Ilsting addillonal suhcvnt2ctors. "] Name and Location Description of Work of Subcontractor to be Subcontracted GLYNN CONSTRUCTION Name: Address: 2653 MARY ST LA CRESCENT& CA 91214 — eete13E - B CONCRETE Name and Location Description of Work of Subcontractor to be Subcontracted FOUNTAIN Name: CALIFORNIA WATERS DEVELOPMENT INC Address: 2909 WEST WARNER AVENUE SANTA ANA, CA 92704 Name and Location of Subcontractor Name: - 0u5 }In SMI+l r Equipmen} Address: 22-421 Bafian RoaGl #Sc Grand -rerrace / CA 02313 Description of Work to be Subcontracted Demo / Grac jn g Name ar d Location of Subcontractor Name: Address: Description of Work to be Subcontracted Name and Location of Subcontractor Name. Address: Description of Work to be Subcontracted CBF -10 BIDDER: Patriot Contracting & Enginee Inc. 2.13 LIST OF PROPOSED SUBCONTRACTORS (continued) I 'Duplimie Next 2 Pages IF needed For listing additional subcontractors.. "J 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 Name and Location of Subcontractor Name: Add ress: Description of Work to be Subcontracted Name and Location of Subcontractor Name: Address: Description of Work to be Subcontracted Name and Location of Subcontractor Name: Address: Description of Work to be Subcontracted CBF -10 BIDDER: Patriot Contracting & Engineering Inc. 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: Pomona Unified School Dis trict Purchasing Department, 800 S Garey Ave., Pomona, CA 9176633 Name and Address of Owner Ron Young, Program Manager, (909) 397 -4800, Ext. 3822 Email: Ronald.Young @pomona.k12.ca.us Name and telephone number of person familiar with project Tenant Improvement at Mendoza Elementary Jan., 2013 $631,453.91 School- Bid #01(12 -13)FP Contract amount Type of Work Date Completed 2 Carmichael -Kemp Architects 302 W. Foothill Blvd., Monrovia, CA 91016 Name and Address of Owner Jessica Morley, Project Architect Name and telephone number of person familiar with project Tenant Improvement at Mendoza Elementary $631,453.91 School -Bid #01(12 -13)RP Jan., 2013 Contract amount Type of Work Date Completed 3, Dept. of General Services DSA Los Angeles Regional Office 700 N. Alameda Street, Suite 5 -500 Name and Address of Owner Los Angeles, California 90012 Bob Harte, DSA Inspector 661- 809 -2312 Email: Icinsptr @dslextreme.com Name and telephone number of person familiar with project Tenant Improvement at Mendoza Elementary $631453.91 School-Bid #01 (1 2-13)FP Jan. 2013 Contract amount Type of Work Date Completed 4 COUNTY OF ORANGE, HALL OF ADMINISTRATION, 333 WEST SANTA ANA BLVD-SANTA ANA, CA Name and Address of Owner Chris Stieler, Supervising Construction Inspector 714 - 245 -4539 Email: Chris.Stieler @OCPW.00GOV.com Name and telephone number of person familiar with project $ 540,405.35 CONSTRUCTION OF SAN JUAN CREEK BIKE TRAIL AT PACIFIC COAST HIGHWAY T.B.D. Contract amount Type of Work Date Completed CBF -11 BIDDER: Patriot Contracting & Engine Inc. SECTION 3 - LUSION AFFIDAVIT CBF -12 BIDDER: Patriot Contracting & Engineering Inc. NON- COLLUSION AFFIDAVIT In accordance with Public Contract Code Section 7106, the undersigned, being first duly sworn, deposes and says that he or she holds the position listed below with the bidder, the party making the foregoing bid, that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. „ _ nature Richard J. Wolfioger / v Typed or Printed Name s' President/Secretary (Holds all Offices) Title Patriot Co & Engineering Inc. Bidder Subscribed and swo n before me This?1S day of , 20 3 Nawi, Not (y P&Ilb in and for the State of California My Commission Expires: QG4 S, 201 (Seal) KRISTINA NATALIA COM ... 1 990547 0 M °°� NOTARNGE CWryTyOflNIA Ed My Term Exp. October 5, 2015 CBF -13 / • �. ,' ,. '3 3'4 79 ENDORSED - FILEo In the office of Me Secretary of Slaie of the State of California Articles of Incot -Poration JAN 0 9 7012 Article 1 The name of this corporation is: Patriot Contracting 8r Engineering, fnc. Article 2. The purpose of the corporation is to engage in any lawful act or activity for which a corporation maybe organized under the General Corporation Law of California other than the banking business, the trust company business or the practice of a profession permitted to be incorporated by the California Corporations Code. Article 3 The name and address in the State of California of this corporation's initial agent for service of process is: Nacre: Ricbard I. Address: 22855 Savi Ranch Parkway, -T�xc City: Yorba Linda State: California Zip: 92887 Article 4 This corporation is authorized to issue only one class of shares of stock; and the total number of shares which this corporation is authorized to issue is 1000. airiciaA. Teunisse, Incorporator .1343:34-7 ENDORSED - FI ED In the office of the Secretary of State of the Stale of Callfomla Articles of Incorporation ®A 7M . Article 1 The name of this corporation is: Patriot Contracting & Engineering, Inc. Article 2 The purpose of the comoration is to engage in any lawful act or activity for whicha corporation may be organized under the General Corporation Law of California other than the banking business, the trust company business or the practice of a profession permitted to be incorporated by the California Corporations Cade. Article 3 The name and address in the State of California of this corporation's initial agent for service of process is: Name: Richard'I.Wolfinger Address: 22855 Savi Ranch Parkway , f -fc- City: Yorba Linda State: California Zip: 92887 Article 4 This corporation is authorized to issue only one class of shares of stocki and the total number of shares which this corporation is authorized to issue is 1,000.; r if_ A. Tennisse, ACTION BY UNANIMOUS WRITTEN CONSENT BY DRIECTORS OF PATRIOT CONTRACTING & ENGINEERING, INC- A California Corporation The undersigned, being all the directors of Patriot Contracting & Engineering, Inc., a California corporation, acting by unanimous written consent without a meeting pursuant to section 307(b) of the California Corporations Code and Article 111 Section 13 of the bylaws of the.corporation, consent to their election as directors, accept the resignation of the incorporator, and adopt the following resolutions: RESOLVED, that Richard J. Wolfinger, a resident of California, whose business address is 22855 Savi Ranch Parkway, Suite A, Yorba Linda, CA 92887, is appointed as this corpora- tion's agent for service of process in California as recpoired bill section 1502 ethe California Corporations Code. RESOLVED, that the bylaws adopted by the incorporator of this corporation are approved; and RESOLVED FURTHER, that the secretary of this corporation is authorized and directed to execute a certificate of the adoption ofthose bylaws, to insert those bylaws as so certified in the minute book of this corporation, and to cause a copy of those bylaws, as they may be amended from time to time, to be kept and maintained at the principal executive office of this corporation, in accordance with section 2t3 of the California Corporations Code, RESOLVED, that the following persons sball be appointed officers for the corporation as specified below: Name Office Richard 1. Wolfinger President, Treasurer, and Secretary to serve at the pleasure of the board. RESOLVED, that the corporate seal presented to this board of directors is adopted as the seal of this corporation; and RESOLVED FURTHER, that the secretary is directed to affix an impression of the corporate seal of this corporation to the minutes of this meeting in the margin opposite this resolution. RESOLVED, that the form of share certificate presented to this board of directors is adopted for use by this corporation, and the secretary is directed to insert a copy of that form of share certificate in the corporation's minute book immediately following the minutes of the i 1 34 an I ILK& Slate Of Caldania i 9 000NTRACTOnRS STATE LIC LICENSE SE BOARD 7 Chow, oig _ ,..971096 CORP e s PATRIOT CONTRACTING & ENGINEERING ING A B C72 C32 C34 C36 C42 e o+ 03/31/2014 www.csib.ca.gov INSURANCE CERTIFICATE: `; 23 13 05:20P P.I o CERTIFICATE OF LIABILITY INSURANCE " "' olrzz r2 3 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS BE C C ERT F CATE (INSURANCE OR DOES ROT CONST E XA T ECON ND OR BETW EN TH SSU ISSUING INSURER(S) HOR Z REPRESE OR PRODUCER, AND THE CERTIFICATE HOLDER: IMPORTANT: 1( the certificate holder is an ADDITIONAL INSURED, the pDIICy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to motorms and conditions of the policy, certain Policies may require an endorsement. A statement on this certificate does not confer rights to the r Hft -ale holder In lieu o1 such endomement(s)- .TI- PACIFIC INSURANCE AGENCY, INC. BOX 4073 INsu PATRIOT CONTRACTING & ENGINEERING, INC. 22855 -A SAVI RANCH PARKWAY THIS INDICATED_ CERTIFICATE EXCLUSIONS ILTB A IS TO CERTIFY THAT THE POLICIES NOTWITHSTANDING ANY REQUIREMENT, MAY BE ISSUED OR MAY PERTAIN, AND CONDITIONS OF SUCH POLICIES: TYPEOFNSURANCR eeNERFLLWRILIN ti/MMMMERUAL GENERAL UABIN tt CIANo""'DF ❑✓ OCCUR OF INSURANCE A DL THE B LISTED BELOW HAVE "tt- TERM OR CONDITION OF ANY INSURANCE AFFORDED BY THE LIMITS SHOWN MAY HAVE BEEN REDUCED POLICYNUMBER - - MGLO178332 mww ,u CONTRACT POLICIES BY PAID FOLIC 02110/2012 OR OTHER DOCUMENT DESCRIBED CLAIMS. PC MIMDD 02/10/2013 WITH RESPECT TO WHICH THIS HEREIN IS SUBJECT TO ALL THE TERMS, _ LFMT9 FACHOGGURRENCE to 1 0 00 N = a E I mA Info "I ,ma ... s 000 _ PERSONAL3ADVINJURY 61 -00 _ GENERALPfiGR s 00000 PRODUCTS- COMP /OPPGC 1200 DD - - - GENL AOCREOATE UMITAPPLIESPER: Fourx ✓ PRO- LOG AUTOMORILELIABRITY BNEnEINGELI 3 ,1 BOmLY1NJURY (Per porsonl 3 B PI{Y AUTO ✓ p LOVWED SCHED LED fros NONaWNED ✓ HIRED AUTDS ✓ AUNB 40 016545 - 10/0112012'10/0 17 2 01 3 _ BODBYINMY(ftrwMW) II - - P P nPMAGE - g -. - LIMRREIJA. VA-8 OCCUR - - EACHOCCURRENCE $ EXCESS LIAB CL MSJAADE '. AGGREGATE 8 WOnKER9 CCN�ENSATION Arro EMPLOYEgsuAmLIT! y /R PNYPROPRIEfOflR" TNEfLE%EGU IVE OFFF^w/ry'n I EACUIDEC9 FY ✓ WCSTATU - Oil {. IrAnS - C MIA - - NWC-C 43940a 10/0112012 10/01/2013,x. - E.L E4RI ACOIOEIJI' _ i. a D E.L.OISEASE -EA EMPLrTIF f 1. 000 0 E.L. D @EASE - POLICY LIMB S1 - w o 00o II JeeatlLa ender DESCRIPTION OF OPERATCr& Nelow DESCRIPTION OF dPERAIIdNSILCCATIDNSIVEWCLES tAMan ACORD tal,AtldillonM Ramerka 9agadel0.E mare vpAee la TnWlrttn - - 10 day noitce of cancellation for non-payment of premium. - - LCM1IIr14M 1 C RVLVCR - FOR INFORMATIONAL PURPOSES ONLY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION BATE THEREOF; NOTICE WILL BE DELAyff[p) IN ACCORDANCEWITH THE POLICY PROVISIONS.' - AB RWRESENTgT 6 - - ACORD 25 (2010105) The ACORIJ name and logo are reg!STerea marls 07 ALV RV .. S CERTIFICATION BidSyne: The State of California: patriot contracting &engineering,ine. 2 ff oG4(v General ervi �MM a - i UV hi :+41s 'ee(NF3f3vL 3a1' k1¢ Page I of 1 inc. - 4Fsi40 /-w!J SUPPLIER PROFILE Legal Business Name patriot contracting &engineering,inc. Doing Business As patriot mntraCLing &engineering,lnc. Address 22855 A- savl ranch parkway Phone (714) 974 -1833 YORBA LINDA, CA 92887 FAX (714) 974 -1839 Email dickCninatriotlnc us Business Types Construction Service AEas Los Angeles; Orange, Riverside, San Bernardino, Keywords General Contractor specializing in public works, commercial and residential construction Construction License Types A - General Engineering B - General Building Contractor C -12 - Excavation work and paving C -32 - Parking and Highway Improvement C -34 - Pipeline C -36 - Plumbing C -42 - Sanitation Systems Classifications 811015 - Civil engineering %ctive certifications TYPE STATUS FROM TO SB (Micro) Approved Oct 8, 2012 Oct 31, 2014 :ertification Histor TYPE STATUS FROM TO SB Denied 1 • - _ ._ mnv0c -O ACUO ,,. ] P,, n IP.Avs inn] iernid= 1722181 10/10/2012