W.A. Rasic Construction Co., Inc.BIDDER:W•A. 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cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and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 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
Ten percent Dollars ($ 109 ) 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
$�
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
$ Ile, 'too Oa
1'
TOTAL BID SCHEDULE IN WORDS -Y/t 4EW4E 1[4ieo� �occr
Huwcfa D //ass a w( �o C'&A
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
Ten percent Dollars ($ 109 ) 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
BIDDERY -A. Rasic Construction 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. /VOnG
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
I
Signature I / I
Walter A. Rasic, Sr.
Type or Print Name
Vice Pres. /Secretary
Title
Bidder's /Contractor's State of Incorporation:
Partners or Joint Venturers:
Bidder's License Number(s):
BIDDER:W.A. Rasic Construction Co., Inc.
4150 Lon¢ Beach Blvd.
Business Street Address
Lone. Beach, CA 90807
City, State and Zip Code
(562) 928 -6111
Telephone Number
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
GENLRAL ENGINEERRJG CONTRACTOR
RESOLVED that
CORPORATE RESOLUTION
PETER L. RASIC
FRANK A. RASIC
WALTER A. BASIC, IR.
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 anv Proposals or Agreements or to execute
Contracts on behalf of this corporation.
W A. Rwuc Construction Company, Inc. is authorized to act upon this resolution.
Peter L. Rasic, President Frank A_ Rasic, CEO
Walter A. B is r., Vice President
Secretary and reasoner
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, We 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 regularly 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 full 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
WaA K. Basic
7314 Scout Avenue Bell Gardens, California 90201 562 - 928 -6111 phone 562 - 928 -7339 fax www.warasic.com
state contractors license BA368761
BIDDER:W.A. Rasic Construction Co., Inc.
SECTION 2
BID DATA FORMS
CBF -4
BIDDER:W.A. Rasic construction co., Irc.
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 is properly
identified with the Bidder's name and page number.
Bond No. WARAS -234
2.A BID BOND
KNOW ALL MEN BY THESE PRESENTS:
THAT W.A. Rasic Construction Cc., Inc. as
Principal, and Liberty Mutual Insurance Company
, as Surety, are held finely bound unto the
CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of
Ten percent of Amount Bid
($ lo% 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 April 14tH 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 bythe 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
maybe 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 attorneys' fees to be fixed by the
court.
SIGNED AND SEALED, this 14th day of April , 2014 .
Liberty Mutual Insurance
W.A. Rasic Construction Co inc.(SEAL) Com an _(SEAL)
Principal Sure
By, BY:
Sig aUre Signature A- Ayala
Walter A. Ra is, Jr. Attorney
Vice Pres.I ecretary
*Installation of Connector Pipe Screens Full Capture Trash Systems
In The City And County Catch Basins - Project No. 45464
CBF -5
CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT
STATE OF CALIFORNIA
On 4/14/14 before me, Karen L Ritto N tary Public
oar. Pe Insart Al em nue at m. Offer
personally appeared Arturo
who proved to me on the basis of satisfactory evidence to
be the persons) whose name(s) is /= subscribed to the
within instrument and acknowledged to me that he /sInalteeq
executed the same in his/hmrblb& authorized capacity(m),
and that by hisMenittim signature(s) on the instrument the
persorl or the entity upon behalf of which the person(t
acted, executed the instrument.
._.._
I certify under PENALTY OF PERJURY under the laws of
y'
the State of California that the foregoing paragraph is true
and correct.
II � -
1, '. r -... .. -.
Witness my had n �fidg seal.
Signature
Place Nerary Seal Above
A1r.rw or r ary 7r. L -a.A
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: Bid Bond
Document Date: 4 /14/14
Signers) Other Than Named Above:.
Capacity(ies) Claimed by Signer(s)
Signer's Name: Arturo Ayala
❑ Individual
❑ Corporate Officer Title(s):
❑ Partner — ❑Limited ❑General
lZ Attorney in Fact ='
❑ Trustee
❑ Guardian or Conservator Top of thumb here
❑ Other'.
Signer is Representing'.
Number of Pages: One
Signer's Name:
❑ Individual
❑ Corporate Off der Title(s):
❑ Partner — ❑ Limited O General
❑ Attorney in Fact =
❑ Trustee
❑ Guardian or Conservator Top of thumb here
❑ Other.
Signer Is Representing:
-cc`c2:Ci.'.wc - �RFwz "SCac"u>:G"sCicc"�4_ �Lc2:F1..r_LCiZ
CJ 2X7 Ni Notary PssoGa ton -9tio oe SOro Ave P- 0 Box 2402 • Chat —ilh CA 9131 32402 wwu. Narla.elNoloryo,g Il —xsam F.Ale, Call IDl4 Frea 1.8.A7AAd2l
THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND.
This Power of Attorney adults the acts Of those named herein, and May have no authority to bind Me Company except in Me manner and to the extent herein stated.
� CertGmte No. ��
American Fire and Cawaffy Company Liberty Mutual Insurance Company Bond No. WARAS -234
The Ohio Casually Insurance Company West American Insurance Company
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS: That American Free 8
IN State of New Hampshire, that Lroedy Mutual Insurance Company is e
is a mmorabo dulymanized under the laws of the Staemf Indiana (hel
and appoint. Andrew Waterbury, Arturo Ayala Daniel Huck
Company and The Obi Casualty Insurance Company are corporations duly oryamoed underthe laws of
m duly organized untlerthe laws o(the Stale gf Massachusetts,
and ANm Amerman Insurance Company
yvely called the "Companies], pursuanttoandbyautl Myhereinwtfodh,doesherebyname, constitute
wiam Reilly -.
all Oahe any of Orange state of CA each individually 4 there be more Mao one named. its true and lavful anomeyJu4not N make, execute seal, armcnale ige
and deliver for and on its behalf as surety and as its act ad deed, any and all undertakings, bonds, recomisances and other surety obligations. in pursuance of these presents and shall
be as binding upon the Companies as if they have been duly signed by the presdent and attested by the secretary of the Companies in their own proper persons.
IN WITNESS HEREOF, this Power of Attorney has been subscibed by an endorsed officer or official of the Companies and the mrporete seals of the Companies have been affixed
thereto thb ?eN payof Febmary 2014
American Fire and Casualty Company
The Ohio Casually Insurance Company
Liberty Mutual Insurance Company
Wedmencan Insurance Company
By:
David M. Care Aasistant Secretary
STATE OF PENNSYLVANIA ss
COUNTY OF MONTGOMERY
On this 26th day of February 2014 before me personalty appeared David M. Carey, who acknowledged himself robe Me Assistant Secretary of American Fire antl
Casualty Company. Liberty Mutual Insurance Company, The Ohio Casualty Insurance Company and WestAmer oar Insurance Company, and that he.. as such, being authorized so d dm,
execute the foregoing instrument for the puryoses therein contained by sgnirg on behagof the corporations by hostages a duly authorized officer
INWITNESSWHEREOF, Iha vehereuntosubscribed7narreandaffixedmynotarialsealm PtymouthA ting, Pennsylvania, mthedayadyearfi matttabbyo�ve ®ianI.
ay.
Teresa Pastella Notary Pubic
This Power ofAtromey s made said executedporsruybt to ofd by Whir AN feliowing By -laves and Authorizations ofAmencan Fire and Casualty Company The Ohio Casualty Insurance
Company, Liberty Mutual Insurance Company, ad Wt3l American Inwmnce Company which resolutions are now in all force and effect hemang as lolbws:
ARTICLE IV- OFFICERS - Section 12. Fewer o[Mtt y. Any officer or other official ofthe Corporation eNhodze! fmrtha pongee b wiling by the Chairman or the President and subject
to such lmlfaion as Me Chairman or the President may prescribe, shall appoint such Alumeys+n -fact . as may nd necessary to act in behalf of the Camorelion b make, execute, seal,
acknowledge antl delisell h surety any Maier all h! the Corporation bonds. remgr signces antl o executety of anyim c Such meats and toad, aubjectrm the seat f tset fob in their Men so
powers of such instruments shall have a II power d bird the Corporation by their t and and execution of any such instruments and 1m attach thereto the seal of the ramorelon. Wren under
executed such inswrrems shat be as binding as rfsgned by the Presitlem and attested to by Me Secretary Any paweroraAhordy granted to any representative or atlomeyin -fact other
Me pmwsions dNis aNcb maybe revoked a anybm by the Beard, Me Chairman, the President or by the offmroroffr m granting such power or authonty
ARTICLE XIII- Execubnof Contracts- SECTION 5. Surely Bolls all Undertakings. Any officer of the Company aRlorized for Me purpose in arming by the charman or the president,
andsubfeorto such Iiductonsoremecbdimtln W mepresdentmayprescdae, wallappolrnetcharyorney nW. as treybe necessarytoxminbehalfofthe Companym make execute,
sear, acero dedge antl bidder as sunny any aatl At undertakings, bolls, maegnizances and other surety oblgaAons. Such adorn rysan -fact subject to the limitations set forth in Vain
respective powers of attorney, shall have lull power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company Menw
executed such insimrems shall W as binding as Ksigned by the president and attested by de secretary.
Cedlficate of Des,gnai. -The Pesdm of pm Company acting sunshades the Syless of the Company, authorizes David M. Carey. Amid Secretary to appoint srrch atomeys-in-
f m maybe necessary to act on behad of the Company M make, execute, anal, ackrrowedge antl delver as surety any and all undertakings, bonds, fawgnizarces and other surety
Oblgaions.
Comedy odere- vBey r uanpapneiamnorg us upon s cecNtte ed copy y anof yas n y B pooawrd e or f o Df airedorney tissued by the cCompany Nn a ct ofencnseimctiiok n o v ith sym y ra blarly dresp, roduced sgnaure of any assistant secretary of the
shall be vatl and binding upon the Company with
the same Pone and effect as though manually affued.
I, Gregory W. Davenport , the investigated Assistant Secretary , of American Fin and Casualty Company, The Ohio Casualty Inwwm Company, Ubedy Mutual Insurance Company, and
Met Amencan Insurance Company W hereby certify that the original power of Attorney of which the faegmng is a full, time all coned mpy of the Power of Attorney executed by sad
Companies, is in full farce and effect and has not ham revoked.
IN TESTIMONY WHEREOF,I have hereuntosel myhwd and aNxstl the wasofsaid Comparewsitis 14th tabor April 2014
By �i�_ LL�JL plat
Gregory W Davenpo_RrAssistant Secretary
lea 13e]3 1.M' 83 of 150
CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT
STATE OF CALIFORNIA
County of Los Angeles
On 4/14/14 before me, Tanya C. ROmeroa None Irl ll m onmer
Dare
personally appeared Walter A. Rasic, Jr
Namelsi er sie�e,ls/
TANVA C. ROMERO
Commission # 1929020 i
i.wNotary Public - California
z Los Angeles County
My Comm. Expires Mar 10, 2015'
Place Nolary Seal Abuve
who proved to me on the basis of satisfactory evidence to
be the person(ay whose name W is /are subscribed to the
within instrument and acknowledged to me that he /aped
executed the same in his /bertlJpw authorized capacity(ies),
and that by his /J)er /tl7rrir signatur%in on the instrument the
person(W, or the en lty upon behalf of which the persoq(sj
acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of
the State of California that the foregoing paragraph is true
and correct.
Witness my hand and /official s at
Signature / ° `
simlaW e, of NOJrar � udlc
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: Bid Bond
Document Date: 04/14/14 Number of Pages: One
Signers) Other Than Named Above:_ Liberty Mutual Insure ce Company
Capacity(ies) Claimed by Signer(s)
Signer's Name Walter A. Rasic. Jr.
❑ Individual
1/ Corporate Officer —Title (a): V.P. /Secretary
❑ Partner — ❑Limitetl ❑General
❑ Attorney in Fact -'
❑ Trustee a -
u Guardian or Con
servator Top of thumb here
❑ Other:
Signer is Fepresentng i
W.A. Rasic Construction CO. Inc.
L
Signer's Name.
❑ Individual
❑ Corporate OfficerTltie(s):
❑ Partner — ❑ Limited El General
❑ Attorney in Fact -
-'
L1 Trustee
❑ Guardian or Conservator Top of thumb here
❑ Other:
Signer Is Representing.
BIDDERW.A• Rasic Construction Co., Inc.
2.6 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 Construction Co., Inc.
2.B LIST OF PROPOSED SUBCONTRACTORS (continued)
j "D akesle Next 2 Pages if needed to, liming additional subeontemi m" I
Name and Location Description of Work
of Subcontractor to be Subcontracted
F�zvrsd d rAJST&i -L
Name: (12 Con1STR�c'FrOitJ GQS UNITS
Address: tq G/tRO" ; ,Lyo a78-K
GAPObN 6W7vE, CO OMS43
Name and Location
of Subcontractor
Name:
Address:
Name and Location
of Subcontractor
Name:
Address:
Name and Location
of Subcontractor
Name:
Address:
Name and Location
of Subcontractor
Name:
Address:
CBF -7
Description of Work
to be Subcontracted
Description of Work
to be Subcontracted
Description of Work
to be Subcontracted
Description of Work
to be Subcontracted
BIDDER:W.A. Aasic Construction Co., Inc.
2.0 REFERENCES
The following are the names, addresses and telephone numbers forth ree public agencies for which BIDDER
has performed similar work within the past two (2) years:
t. Ctry OF w6LEK6aD ONE- MA'y5 STEM SLL-p uye L M2c 0— rA Y13:if
Name and Address of Owner
QoY! -RFSE oaHS [3tol Lj x71333 _
Name and telephone number of person familiar with project
I q9 X11- Cps 4. RRS vN r wsmLf saran/ 3vi
Contract amount Type of Work Date Completed
oNE &?Trwv+y PLAZ'i
2. LA rD ,rY 1F.T6W TRHNSP Fl✓M02iTY (Mr/9) 1-os RvGELEc , cH 900172-2c 52
Name and Address of Owner
CL•<NDIR rHRPfn/ C31v1 RLIb- 7-`+00
Name and telephone number of person familiar with project
SI %MtLLIo� + VnL1r1ES RELOCRny4/5 cPSioys I ,03rmt 01060('U (2
Contract amount Type of Work Date Completed
loss w. -/M Sr„ FLOo2,
3. LOS RN6ELE5 UNrF +EO scl3oor_ D15721GT_ hps RNSELES, CA %OOt2
Name and Address of Owner
1`7RRSNRLL SI.✓60 323) SbS- 3-° C .._
Name and telephone number of person familiar with project
obo' I)TILM&S c,?i &'kfal F1LrF.R w5rnu. 06""W 7o r1
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
l
BIDDER: W.A. Rasic Construction Co., Inc.
SECTION 3
NON - COLLUSION AFFIDAVIT
CBF -9
BIDDER:W•A. Rasic Construction 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, orcorporation; 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.
rN7 /
Sigridture
Walter A. Rasic, Jr.
Typed or Printed Name
Vice Pres. /Secretary
Title
W A Rasic Construction Co., Inc.
Bidder
Subscribed and sworn before me
This X*h day of APri l 20j�A_
Not P blic in and for
th St of California
My Commission Expires: 3 �! B�I -S
CBF - 10
(Seal)
.. TANYA C. NOMEBe
. Commission # 1929020
i :;� Notary Public - California z
Los Angeles County
My Comm. Expires Mar 18.2015
BIDDERY.A. Rasic Construction Co., Inc.
CONTRACT BID FORMS
TABLE OF CONTENTS
SECTION1
BID SCHEDULE ......................................................................... ..............................1
SECTION2
BID DATA FORMS ..................................................................... ..............................5
2.A
BID BOND .................................................................................. ..............................6
2.B
LIST OF PROPOSED SUBCONTRACTORS ............................ ..............................7
SECTION 3 NON - COLLUSION AFFIDAVIT ............................................... ............................... 10
CBF -11