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W.A Rasic ConstructionBIDDER: Rasic Construction Co., Inc. BID SCHEDULE SCHEDULE OF PRICES FOR INSTALLATION OF CONNECTOR PIPE SCREENS FULL CAPTURE TRASH SYSTEMS IN THE CITY AND COUNTY CATCH BASINS PROJECT No. 45464 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 The undersigned agrees that these Contract Bid Forms constitute a firm offer to the Owner which cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and after the bid opening date, or until a Contractfor the Work is fully executed by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 F;ffmo Thousand Dollars ($ ISab_ 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. CBF -1 UNIT ITEM NO. ITEM DESCRIPTION UNIT QTY. PRICE COST 1 Furnish and install connector pipe EA 200 $ 750,00 $ 6 Screens (CPS), including flow deflector on top of the CPS units. And painting of staff gauges on the catch basin wall, and per LACDPW encroachment permit requirements. TOTAL BID SCHEDULE IN FIGURES $ lr$9 /1r I �V �7_ TOTAL BID SCHEDULE IN WORDS O° 14mikeJ F iN o -sand 4. {� 664 - .S dAd IW l_L1SS Note: The City of Rosemead reserves the right to reduce or increase the quantities of any items in the schedule of bid items above, within the limits define in Section 3 -2.2.1 of the Standard Specifications, to stay within the budgeted amount of this project. If the Bid Documents specify alternate bid items, the following Alternate Bid amounts shall be added to or deducted from the Total Bid Price entered above. The owner can choose to include one or more of the alternates in the Total Bid Price of the Project. If any of the Alternate Bids are utilized by the Owner, the resulting amount shall be considered the Total Bid Price for the Project. The undersigned agrees that these Contract Bid Forms constitute a firm offer to the Owner which cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and after the bid opening date, or until a Contractfor the Work is fully executed by the Owner and a third party, whichever is earlier. The undersigned also agrees that if there is a discrepancy between the written amount of the Bid Price and the numerical amount of the Bid Price, the written amount shall govern. Attached hereto is a certified check, a cashier's check or a bid bond in the amount of F;ffmo Thousand Dollars ($ ISab_ 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. CBF -1 BIDDER: W.A. Rasic Constructio Co., 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, 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 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. NoNFj 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 -2 terms and conditions described in the Contract Form and the Contract Documents. By: /I /�// d Sig lure Walter A. Rasic, Sr. Type or Print Name Vice Pres. /Secretary Title BIDDER: Rasic Constructio Co., Inc. 4150 Long Beach Blvd. Business Street Address Long Beach, CA 90807 City, State and Zip Code (562) 928 -6111 Telephone Number Bidder's /Contractor's State of Incorporation: California Partners or Joint Venturers: N/A Bidder's License Number(s): 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 -3 GENERAL ENGINEERING CONTRACTOR CORPORATE RESOLUTION RESOLVED that PETERL. BASIC FRANK A. RASIC WALTER A. RASIC, JR whose signatures appear below, or any of them, are hereby authorized, directed and empowered for, and on behalf of, this corporation and in its name to sign any Proposals or Agreements or to execute Contracts on behalf of this corporation. W.A. Rasic Construction Company, Inc. is authorized to act upon this resolution. Peter L. Rasic, President Frank A. Rasic, CEO - A�XZ Wafter A. l is r., Vice President Secretary and reasurer I, Walter A. Rasic, Jr., Secretary of W.A. Rasic Construction Company, Inc., a California corporation, do hereby certify that the resolution appearing above is full, true and a correct copy of a resolution of the Board of Directors of said corporation duly regularly passed and adopted at a meeting of the Board of Directors of said corporation which was duly and reelarly called and held in all respects as required by law and the bylaws of said corporation on the 6 day of January 2004 and that the signatures appearing on the above mentioned copy of said resolution and authorized to act on behalf of said corporation as set forth in said resolution. I further certify that said resolution has not been amended or revoked and is still frill force and effect. IN WITNESS WHEREOF, I have hereunto set my hand as such Secretary and affix the corporate seal of said corporation this 6" day of January, 2004. 4 Wal r . Rasi�, 7314 Scout Avenue Bell Gardens, California 90201 562- 928 -6111 phone 562- 928 -7339 fax www.warasic.com state contractor's license #A368761 BIDDERM Rasic Construction Co., Inc. SECTION 2 BID DATA FORMS AMME, BIDDER: W.A. Rasic Construction Co.. I nc. 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 is properly identified with the Bidder's name and page number. 2.A . BID BOND Bond No. WARAS -227 KNOW ALL MEN BY THESE PRESENTS: THAT W.A. Rasic Construction Co. Inc. as Principal, and Liberty Mutual Insurance Company as Surety, are held firmly bound unto the CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of Ten Percent of Amount Bid ($ of Amount 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 (PROJECT TITLE) as set forth in the Notice Inviting Bids and accompanying Bid Documents, dated February 19th, 2014 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 bythe Contract, then this obligation shall be null and void; otherwise it shall remain in full force and effect. In the event suit is brought upon this bond by the OWNER and judgment is recovered, said Surety shall pay all costs incurred by the OWNER in such suit, including reasonable attorneys' fees to be fixed by the court. SIGNED AND SEALED, this 14th day of February , 2014 Liberty Mutual Insurance W.A. ..EtilS1C, CQnstrldction Co.. Ind (SEAL) Company Principal Surety By: GG By. .- l57nature ature Arturo Ay i�aYter A. Ras' c, Jr. Attorney Vice Pres. /Secretary -- CBF -5 CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT STATE OF CALIFORNIA County of Orange On 2/14/14 before me, Susan Pugh Notary Public Date Hare Insert Name and Title of the Officer personally appeared Arturo SUSAN PUGH Co MM. *1934229 Notary Publlc- California i '- ORANGE COUNTY Co m. Fx ire &Apr 292015. Place Notary Seal Above TS :els 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: who proved to me on the basis of satisfactory evidence to be the person(g) whose name(g) is /me subscribed to the within instrument and acknowledged to me that he /sbzeAbErg executed the same in his/hecAb& authorized capacity(fea), and that by his /kxAh& signature(s) on the instrument the person( &), or the entity upon behalf of which the person(m) acted, executed the instrument. 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 Signature of Notary Public SUsen OPTIONAL Signer(s) Other Than Named Above: None Capacity(ies) Claimed by Signer(s) Signer's Name: Arturo Ayala ❑ Individual ❑ Corporate Officer— Title(s): ❑ Partner— ❑ Limited ❑ General 66 Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Number of Pages: One Signer's Name: ❑ Individual ❑ Corporate Officer —Title(s):— ❑ Partner ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: 0 2007 National Notary Associalion • 9359 De Solo Ave., P.O. Box 2402 • Chalsworlh, CA 91313 2402 • wwmNadoaalNalary.ory Item #5907 Reorder: Call Tall -Free 1- 800 -B]6 -682] I WITNESS WHEREOF this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed eret6 this 23rd day of May 2013 American Fire and Casualty Company The { f ~ ibe�y Mutual In Company any i t`= =tee •"'° ; { ! f,:ij West American Insurance Company s < By 5 TATE OF WASHINGTON ss Gregory W. Davenport, Assistant Secretary OUNTY OF KING n this 23rd day of May 2013 before me personally appeared Gregory W. Davenport, who acknowledged himself to be the Assistant Secretary of American R A. i2 and Casuall ; Co Mutual Insurance Co The Ohio Casua Co antl West American Insurance C and that he, as such be authonzed so to do, Y P& Y , p Y. Y 9 :6 Kecute the foregoing instrument: for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. J WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at Seattle, Washington on the day and year first above written.0 r r B y' KD Riley, No Public d n his Pourer ofAtlomeyis made and executed prlrsuantio and by authority ofthe following Bylaws and Authorizations ofAmencan.Fire and Casualty Company The Ohio Casualty Insurance -u ;ompany, Liberty Mutual Insurance Company, antl West American insurance Company which resolutions are now in full tome and effect reading as follows r by the officer or officers granting such power or authority.I: attorneys-in-fact as may be neces: -other surety obligations. Authorization -By unanimous coi Company, wherever appearing upc the same force and effect as thoug : .I, David M. Carey, the undersigned 'American Insurance Company do h is in full force and effect and has ni IN TESTIMONYWHEREOF Ihaw 1 y t0 sF��� qty -LMS 12873 092012 Colrpenys Floam of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the i copy of any power or attorney, issued by the Company in connection with surety bonds shall be valid and binding upon the Company with affixed Qecnstary ofAmencan Fire and Casualty Company, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, - and West y that the original power of allomeyof which the foregoing is a full, true and correct copy of the Power ofAttomey executed by said Companies, lked set my hand and affixed the seals of said Companies this 14t1y of February , 2014 r David M. Carey`Assistant Secretary 307 of 500 CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT STATE OF CALIFORNIA County of Los Angeles On 2/18/14 before me, Tanya C. Romero Notary Public Date Here Insert Name and ige of the Officer personally appeared Walter A. Rasic. Jr. .�,.:.., TANYA C. ROMERO Commission # 1929020 Z i rP m Notary Public - California i Z °'' Los Angeles County > My Comm. Expires Mar 18, 2015 Place Notary Seal Above who proved to me on the basis of satisfactory evidence to be the person(2) whose name(s) is /fwe subscribed to the within instrument and acknowledged to me that he /shd /thEy executed the same in his /l dr/tbeir authorized capacity(jes), and that by his /hier/tl*r signaturew on the instrument the personal, or the entity upon behalf of which the personjgl 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 apd-effi ss�dl. Signature Signatur of Notar 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 anotheY document. Description of Attached Document Title or Type of Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Walter A. Rasic, Jr. ❑ Individual G�Corporate Officer — Title(s): V.P. /Secretary ❑ Partner— ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: W.A. Rasic Construction Co. Inc Number of Mutual Insurance Signer's Name: ❑ Individual ❑ Corporate Officer— Title(s): ❑ Partner— ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: One BIDDER: Rasic Constructio Co., 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 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 -6 BIDDER: W.A. Rasic Constructio Co., Inc. 23 LIST OF PROPOSED SUBCONTRACTORS (continued) ["Duplicate Next 2 Pages if needed for listing additional subcontractors. "] Name and Location Description of Work of Subcontractor to be Subcontracted Name: 62 CO,)�RUCr10A) F VA �i INS « C PS v v I r5 Address: 1133.1 f RROFwt� < +2DNFi @l.yD. sTf. LC t;R Z&U 6awE, C41 q Name and Location of Subcontractor Description of Work to be Subcontracted Name: Address: 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: Address: Name and Location of Subcontractor Name: Address: Description of Work to be Subcontracted CBF -7 BIDDER: W.A. Rasic Construction Co., In 2.0 The following are the names, addresses and telephone numbers for three public agencies for which BIDDER has performed similar work within the past two (2) years: 1. clr of 11V61-fv✓00 QAT Mq GHE1f4e QLt /D 1N(L9WOOR. eA 90 , Name and Address of Owner Name and telephone number of person familiar with project X9.721- - -- cPs i RKS Contract amount Type of Work Date Completed Orolt 60TEw4✓ PL.92.A 2. LA C6uy! 1' MEM TT2tRANP Avnmay(Mra) Los 144rcks4, rot Re 3Z2. Name and Address of Owner C,LAJAtA rftPIAJ (310) f3N&- a-�100 Name and telephone number of person familiar with project Contract amount Type of Work Date Completed cos 'IAY l-ES 3. LDS R VG &FS VeJnP sotiooL 1)(&TR 1 QSr-i tv . 7n'� � 1;k Fti+a& CAF1 Name and Address of Owner MARUM- - SW6H C323)SbC - - D ° 00 Name and telephone number of person familiar with project A 1 11.4 000) u7u mia s cE►�ca SASt,! Ft0 P V1 pF�tt� 7pt1 Contract amount Type of Work Date Completed 4. Name and Address of Owner Name and telephone number of person familiar with project Contract amount Type of Work Date Completed BIDDERW Rasic Construction Co., Inca SECTION 3 NON - COLLUSION AFFIDAVIT CBF -9 BIDDER: W.A. Rasic Constructio Co., 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. N ' Signature Walter A. Rasic, Jr. Typed or Printed Name Vice Pres. /Secretary Title W.A. Rasic Construction Company, Inc. Bidder Subscribed and sworn before me This _ W day of Febr uar� 201 (Seal) N ub Ic in and for - ft "St St a of California raNVq c. HOMERO Commission # 1929020 a. -® My Commission Expires: 3', " I S i •r.� Notary Public - California Z Los Angeles County s My Comm. Expires Mar 18, 2015 CBF -10 BIDDER Rasic Construction Co., Inc. CONTRACT BID FORMS TABLE OF CONTENTS SECTION1 BID SCHEDULE ............. ..... ............................. ..... .............. ........... ... .............. ........ A 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 - 11