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CWS Systems Inc.cm Systems, Inc. 3II14 E Colorado Blvd BIDDER: r }�� ui') Pasadena CA 9'107 BID SCHEDULE SCF:7DtR -E OI- PRICES FC2 ROSEkkEb.D COk1d,UPITY RECRFPXIOId CLI,!1 Ef E.`:FL.IdSIO[d G.I2D :' /- .GI.IJEI Id P I,0VL -: ,El", PnO.1FC'i PROJECT Edo. I1001 BASE BID SCHEDULE DIVISIOR 170. ITEk4 DESCRIPTION ITEMIZED COST DIVISIOl7 COST TOTAL 1 General Requirements 2 Site Work Demolition 4-}� 3P2 ono Site Clearing /� GroU Grading 7,040 Site Utilities I P �00 Asphaltic Concrete Paving X42 "o Portland Cement Concrete Site work sy mo Landscaping 71-0t 000 12,000 Irrigation Site Furnishings -22,0.0 Hardscape 35,0 u /0,000 Other Site Work 3. Concrete Footings /Foundation/ Slab (l4r (5--) U 4. Masonry 32, 00v 5 Metals Mlsc Steel 1 Lr6,00c 24'f/000 Stainless Steel Countertops 2 4 cb0 Metal Ladders rf, cao D Other Metals r{O,m CBF -1 �V E E C>n1S Sy,tema Inc ygl4 �. � :olorado Rlv�i BIDDER: fi i`e 109 a,7scclenc C ` y 6 Woods & Plastics Rough Carpentry 00 Interior Finish Carpentry Architectural Woodwork (Cabinets) 3Q,o60 Acrylic Solid Surfacing Countertops Other Woods & Plastics gZ9,00, 7 Thermal & Moisture Protection Fiberglass Building Insulation (,,w V L1 1 00o 3yu, 000 98 000 �rSL 22,V.0 k7� 97000 21 000 Sorc,00 o� Water - Resistive Air Barrier Membrane Aluminum Metal Plate Wall Panels PVC Thermoplastic Membrane Roofing Flashing and Sheet Metal Peel and Stick Flashing Roof Hatches With Safety Pole Other Thermal & Moisture Protection. 8 Doors & Windows Hollow Metal Doors And Frames 2 Oo U L Zlz, you Aluminum Windows, Doors And Frames Storefront 7 2, R9u Aluminum Folding Door System 3-7 Finish Hardware Solar Tubular Daylighting System 12, evo Other Doors & Windows Zp you CBF -2 6 c1P18 Svstems, Inc, s8�4E. -olcladoRP/d 102 BIDDER Suite BIDDER, rA 411717 9 Finishes —� Metal Framing And Furring 4 0 �E i 3�$,00J Lath And Portland Cement Plaster Z_-Z' OoJ Gypsum Board -4 moo Ceramic Tile LZ /'w Acoustical Ceiling Systems Acoustical And Tackable Wall Systems (f. 000 Linoleum Sheet Flooring I4, oo- Anti - Graffiti Coating t DtO'V Painting Other Finishes o 10 Specialties Marker Boards lo�oo 0 lot, ooU Toilet Partitions i 1 bo J Signage 12<ab� Atomic Wall Clocks (p(oov Fire Extinguishers And Cabinets Toilet And Bath Accessories t U Oo p Other Specialties Fire Alarm Z "p o 11 Equipment 12 Appliances 19,000 g[Qc a Furnishings Entrance Cleaning Mats SU, ODU Roller Shades ZS� ood 13 Special Construction Not Used 14 Conveying Systems Not Used CBF -3 -/ M Cws Systems, Inc 3814 F, Colorado Blvd suite 102 BIDDER" Dng(7denc CA 91107 15 Mechanical 4 Plumbing �$I (VDU HVAC �$ JUU Other ldiechanical jVx DOU 16 Electrical Rough Electrical 3 �� JpJ kpE S V �S{ 2a coi✓ Finish Electrical ( (Ar co O Lighting Fixtures q2 0,p Exterior Pole Lighting Lgr tza Fire Alarm System L� N00 Intrusion Detection And Security Access Controls stems 12, voo Other Electrical I (a 000 Finish Electrical rYi ) W s TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ 3i3°ji'f, ado '[free !lion - k)ree "tjdr yi Nr7e%-�Vr- 4(3VSnnctl Dollar amount In written form 4 CBF -4 CWS Systems, Inc 3814 F. Colorado Blvd BIDDER: SUi'fz 1U2 Pasa Bna dy ALTERNATE BID ITEM 1 NO. iTEiP, DESCRIPTIOK Ul"ITor WCASURE EST. Ply. UNfi I'RPCE ITCIS COSY 17 Removal and replacement of all LS 1 0p lU` exterior storefront windows /door SODO system in existing RCRC building with new storefront that matches the storefront system in the new building (e.g model, EA 11 L,� Zzx oo0 stile, door, color, glazing etc). Work includes all hardware, remedial work & all other appurtenances needed for a full and complete installation. Any modifications including repair, restoring or replacement of existing interior and exterior finishes (e.g. paint, soffits, gyp board, flooring, ceiling, thresholds, etc) for a finished appearance is part of this bid alternate. TOTAL ALTERNATE BID ITEM #5 PRICE $ ((0,600 amount in written form ALTERNATE BID ITEM 2 NO. ITEM DESCRIPTION UNITOF MEASURE EST. QTY. UNIT PRICE ITEM COST 18 A. Modify existing downlight fixtures at EA 23 0p Z Oo 0 3 overhang of existing RCRC building. All work required to install Fixture AA -1 as described in electrical drawings B. New Building B: Substitute Fixture EA 11 L,� Zzx oo0 AA (11 total) with the following Light Fixture: Rebelle - 8000 HC 2000 35K VOLT PR CG FINISH TOTAL ALTERNATE BID ITEM #2 PRICE $ Lis /Co0 Dollar amount ih written form CBF -5 CWS Systems, Inc 3814 E, Colorado Blvd Suiie 102 BIDDER: Pasadena CA 91107 ALTERNATE BID ITEM 3 1?C. iTE16 DESCRIP'i 10P UItIT CF VEkSURE EST. C7Y. ul PRICE ITEiL COST 19 A. Existing exposed electrical conduits (5) LS 1 7 �J'�co✓ or/ oo r/ on East elevation: Remove existing exposed conduits and reinstall / relocate concealed within building wall. Patch & paint as necessary to fully conceal within building assemblies. B. Existing exposed downspout and leader LS 1 y( OD✓ raj oO p box (1) on West elevation: Remove existing exposed downspout & leader box and install new drain line concealed within building wall and terminating through exterior wall at bottom. Provide concrete splash pan. Patch & paint as necessary to fully conceal within building assemblies. TOTAL ALTERNATE BID ITEM #2 PRICE $ 3 (i ooa UklUd, J Ncu�J�C��.�lns�z� Dollar amount in written form TOTAL BASE BID PRICE INCLUDING ALTERNATE BID ITEM No. i, No. 2 & No. 3 3 -S'p Z.ne" — rr!e rwr'lli< Dollar amount in written form in Ck. 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 City 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 City, the resulting amount shall be considered the Total Bid Price for the Project The undersigned agrees that these Contract Bid Fortes constitute a firm offer to the City 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 City and a third party, whichever is earlier. The undersigned also agrees that if there is a discrepancy CBF -6 CWS Syslems, 'rro 381 e 1 -. Cclorado Blvd Sslde 10'. BIDDER Pasadena -A 91107 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 cashiers check or a bid bond in the amount of Dollars ($ (J& ) 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 City 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. If awarded a Contract, the undersigned agrees to execute the formal Contract, which will be prepared by the City for execution, within five (5) Calendar Days following the Letter of Award for the Contract, and will deliver to the City 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 City, he shall provide: (1) evidence satisfactory to the City of Bidder's California contractors 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 there from; and (3) any other information and documentation, financial or otherwise, needed by City 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 City 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. s MIT -FI. 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 -7 r.. JVd JJS'iC1r$. 'nc 3814 6 (-,oloraoo Blvd S1de 102 PQSaderO CA 91 ) 07 BIDDER: By: 381y `� Colornido l3llvj tae Sig Lure Business Street Address Rhea_ EI- Abo�tr pc-A aCldr A. Type or Print Name City, State and Zip Code Pre") Cis i Vz- --7O I1 Title Telephone Number Bidder's /Contractor's State of Incorporation: Ca r r) i c I Partners or Joint Venturers: Bidder's License Number(s): S I-t & (1 n NOTES: 1) By its signature on this Bid, the Bidder certifies under penalty of perjury the accuracy of the representations made on the Contract Bid Forms, 2) If Bidder is a corporation, enter State of Incorporation in addition to Business Address 3) If Bidder is a partnership or joint venture, give full names of all partners or joint ventures. As further discussed in the Instructions to Bidders, Bidder will be required to provide evidence that the person signing on behalf of the N corporation, partnership or loin[ yea[ure has the authority to do so. 1 CWS Systems, Inc Colorado Blvd Su ire 102 BIDDER: IcnadPna CA 9110/ SECTION 2 BID DATA FORMS CEF -9 Bond No.: CWSSY -115 Job /Bid No.: 2014 -08 CWS Syelems. nc. Bidder shall submit Its Bid data in accordance with the format shown on each of the following Bid Data Forms. Bidders shall prepare and use as many sheets as are necessary to adequately provide the Information required. Bidder shall ensure that every page of its Bid Data Forms are properly identified with the Bidder's name and page number. 2.A SID BOND KNOW ALL MEN BY THESE PRESENTS: THAT CWS Systems, Inc as Principal, and North American Specialty Insurance Company as Surety, are held finely hound unto the CITY OF ROSEMEAD (hereinafter caged Qre CRY) in the sum of Ten Percent OPI'he Total Amount Bid DOLLAR S ($ i y Bid ), being rat 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 CITY to perform all Work required for the Rosemead Community Recreation Center Expansion and Facade Improvement Project as set forth in the Notice Inviting Bids and accompanying Bid Documents, dated iYi c.� 7z t o 14 NOW, THEREFORE, It said Principal Is awarded a Contract for the Work by the CITY and, within the Lims and N the manner required by the above - referenced Bic! Docunnrena, enders into the written form of Contract bound with sell Bid Documents, furnishes the required bonds (one to guarantee IlIaN d perlarmarem and the other to guarantee payment for labor and makriale) furnishes ft required Insurance mAiflutes and endloreementfa, and ftan6Ms any other certification as may be required by fla Contract than this obligation shag be null and void; otherwise It shall remain in full force std effect. In the want suit is brought upon this bond by the CITY and jtdgmeM Is recovered, said Surely, stall pay dl cosh Incurred by the CITY In such suit. Inducing reasonable aitemeya' fees to be fixed by the cant SIGNED AND SFALED, this 611 day of June 20 14 77MM77merican peciaii- CWS Systems, Inc. (SEAL) Principal By: By. alure CBF -10 Insurance Com n (SEAL) su Signature Matthew R. Dobyns Attorney -in -Fact NAS SI, REIN GII P NORTH AVIFRICAN SPE(CI AC'f1 INSURANCE CONWAN't \VASI II NG ION INTERNATION kL INSURANCL ('ONIPAN) GENERAL POWER OF ATTORNEI KNOW ALL NIIiNHV 1111SI PRI :SINIS. HIM Nt 11 A encou SII lnsu",...( pm. ucnrpurmlotdtly c,,,,rocda,I under lu f flo share fN Imllodn d has Ing tp' ,pal (olive in the I ill ill M itsl N I vaIrvII and Nkah'c1 hurcurainall Imtratce('nnpan) . aerTaratun orgun ud, td e " ler the 'o, it II ilactl Ness I lirI and loo ngits principal olfec'tlhe Cos of Scltmurhurg. Illinois. each door hereby make. conslimte and appoint: RANDY SPOHN and MATTHEW R. DOB) NS OR SEVERALLY Its true and laelul Attorncy(e)it Fact_t irk c' t da dd 1 rmdo 'cb h II d t lundd d h d' or other Hire, .Fdi tp in the nature W u band on behaltofeachof slid ( n'tarou". it, :un1 on dnu:m at snrebsnpa' are ma be required or punaaed by Imy, regulation. contract ur othessise. provided that no bond or aodenaking or contract or oner —up executed under this authority shill exceed the amount aP. FIFTY MILLION 650,000,000 00) DOLLARS This facer of Attorney is granted and is signed by lacsimile under and by the authority of tire following Resolutions adopted by the Hoards of Directors of both North American Sm cialp Insurance ('ompmny and A ashinuwn Intematinnal Insurance Company at meetings duly called and held on the 9" of Mm. 2012: T21 S01 V I.D. that any tow of dh, P- :' I nos any Marsala, Din yr. . any Senior Vie P Ahem. any Vue president any \ ::aunt Vice President. the Secrelar\ or any Assistant Secretury be, and each or any nflhem herby is mtlanosed to exemne a PoIs er of Attorney yuahE mg the attorney named in the gn cn Prove, oMnnmey to e,rcr e on behalf ,fine Counters bonds. undenakin,r; and all contracts ofsumty, and that each or airy of them hereby is until it to attest to the execution of any such Poster of Auumey and to attach therein then at ufthe Cuntpum : and i( is I I'R I111 R III SOINIll). Not the signature ofsuch o fe,, end the scat of the Con ip ano be affi,ed m any such Traver of All Omcy or to wty ecnilieare relating III by facsimie, and any such Fusser (it Mlornev or cenifcate heroin, such faaimile sipnamres or facsimile seal shill be hording upon the C'ampenv when su alllzed and in the ounce with regard to airy band. undertaking or cnmraet of surety to which it is lunched 4�be�WweSL W two i ? a By P _ a _ .rP ". d SEAL+_ ;' SEAL °. a fi 1913 F. b ,n.ax t w.wtx:� an..... by Q t.rwmm.......o-„�.�m.. P r &Mete bm,il— .tx.nry{�.enea xPe oLn�nxn1,( —Payee IN All [NESS WHEREOF North American Specialo Insurance Conali and Vrishington International Insurance ( onman, have caused their official : als to be hereunto affixed, and these p.,cuts to be sigucd by flicurath ur led officer, thb26th_da of .tune , 2012 North American Specialty Insurance Company W ushington International Imufanee Cnmpam State of Illinois Count ofCook ss' On this 2601 day of June , 2012 _ before mc. o Notary Public personally appeared Slcrco P. Anderson . Senior Vim President of Washington International Insurance Company and Scrim Vic: President of North American Specialty Insurance Company and David M. I ay u n . Vice President ul' Washington [international Insumnca Company and Vice President .1 North American Speoilky Insurance Company. personally known to me, who losing by ore duly sI.om. acknmvledecd Ihat thcy signed the abe,e Powcr of Attumex asomcers at and acknowledged said instrument to be the xolunmry act and deed al their respective companies. ONKAD.SXLENS Site Nlaaly Pah6c.SlatdNimla Donna D. SAlcns, Notary Public !U W15115 1 thethrel Goldbert, the dull elected Assistant Seaenn t Nonl An,,, - hurn Sp darn Install Company and N aangton International Insurance Gompanv do hereby cerYry' that the above and foregoing is it true and correct copy ofa Power of Attome given by said North American Specialty Insurance Company and Washington International Insurance Cromem. which is still in full force and e0bet. IN WIINISSS IN IH RIIOF, 1 hnxe set my hand and of,i l the seals of Campunics III bill day of June , 20 14 . m ee.t It w, is—r —I Ivni,rax..m, em...en sre..,ns w.,— I ls,rv... CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT State of CALIFORNIA County of ORANGE On June 6th, 2014 before me ERIKA GUIDO, NOTARY PUBLIC. personally appeared MATTHEW R. DOBYNS ® who proved to me on the basis of satisfactory evidence to be the persol whose names) is /are subscribed to the within instrument and acknowledged to me that he /she /they executed the same in his /heF /their authorized capacity oes), and that by his /her /their signature(s) on the instrument the person(s), or the entity upon behalf of which the persol 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. ...- ,.7 ERIKAGUIDO It WITNESS my hand and official seal. COMM. # 2022671 f � NOTARY PUBLIC CALIFORNIA o ORANGECOUNTY jl M nmm. e *fires May 5, 201�� n ure o to ih the data below is not required by law, it may prove valuable to persons relying on the document and prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ❑ INDIVIDUAL ❑ CORPORATE OFFICER ❑ PARTNER(S) ❑ LIMITED ® ATTORNEY -IN -FACT ❑ TRUSTEE(S) ❑ GUARDIAN /CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) 381 r:olnrad, R,uf Sun= i02 BIDDER_ PaSCICjPrO CA 911L. i' 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 City 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 City 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 ($10,000), whichever is greater, for which no subcontractor was designated in the original bid shall only be permitted in cases of public emergency or necessity, and then only after City approval. CBF -11 CBF - 12 CWS Systems, Oc 381A E Co.orado BP,d Suite 102 BIDDERi ,.. C 2.6 LIST OF PROPOSED SUBCONTRACTORS (continued) I "DuO.i In N.x 2Pages g r—e d roc ftt, eddi(nnel s..ntea.rs "I Name and Location Description of Work of Subcontractor to be Subcontracted Name. Ow e-14 �y'4 ,', fuu,G�� -1� Address: Rtvcrn� g2s0� Name and Location Description of Work of Subcontractor to be Subcontracted Name: (� Address Name and Location Description of Work of Subcontractor to be Subcontracted Name: �$� L�ych -. Address: 7c] 15 1 VOL C`J(iO✓LO,- 6,9 9z2'79 Name and Location Description of Work of Subcontractor to be Subcontracted Name: C oSc T— .^ Avo,w_ Address: 1 pr�C-L- (ft g2gzi Name and Location Description of Work of Subcontractor to be Subcontracted 11 Name: AR—A e�-irnn t"rrC �.; c,�C �wA C Address: f SI Sl rot rri p l aw ti,da P� Ct1- 40260 CBF - 12 BIDDER: (.WS 2.B LIST OF PROPOSED SUBCONTRACTORS )continued) r" pb a NM 2 Pages if needed br HAM additional suC nbaLt -1 Name and Location of Subcontractor Name: CA 9259 Name and Location of Subcontractor Description of Work to be Subcontracted 5 k� t,J vL(c Description of Work to be Subcontracted Name:0.uJK�NS �4v.G�SC��` �_aw ,JS — 1 Address: 4 J��" 1 ry ✓CkcCt C/i- Q I l'107 Name and Location of Subcontractor Description of Work to be Subcontracted Name: �CJ C Cd T C `. ,rU� � .. J:� � v,.iv ✓dr, Address: Q cZ IL ran l ' ✓V- 1 I C a r-A¢ G ro vp— CA- 9 28 I-1'> Name and Location of Subcontractor Description of Work to be Subcontracted NameC D'y (2-en l, I , Address: 25 S m10 (L -��� �aCL L 9!355` Name and Location of Subcontractor Name: J'n C-tLH Ca J4 Address: 'moors` w, CBF - 12 Description of Work to be Subcontracted C4�,;,�4 4 (k) 4,pi. CWSSisterrs. ^ 3814 r. Su,te BIDDER: PaS derlr1 411JJ 2.B LIST OF PROPOSED SUBCONTRACTORS [continued) ['13vo®te Nek 2 Pages it needed fw listing sulftral weoomrad is.-1 Name and Location Description of Work of Subcontractor to be Subcontracted Name: Address: Name and Location of Subcontractor Name: Name and Location of Subcontractor Name: Address: Name and Location of Subcontractor Name: Name and Location of Subcontractor Name: Address. CBF - 12 Description of Work to be Subcontracted Description of Work to be Subcontracted Description of Work to be Subcontracted Description of Work to be Subcontracted CWS Sysrems, Inc 3814 E Colorado Blvd Sjile 102 BIDDERS Pasadena CA 91 i 07 2.0 REFERENCES The following are the names, addresses and telephone numbers for three public agencies for which BIDDER has pert rmed similar work within the past two (2) years ,h7. o ' : C Q, f C- C' c so h 7oj f .CGr56XSf. 9074,' lUA Z(>. name ane Nooress or c¢y Name and telephone number of Contract amount Completed 2. V k -\+Vf 31 D) Z- project P o_r k COrv�mU/?r f CO/Q :y 103 DarlieLl Av-- Ccv/�I c�s�zot3 CK ✓✓L v n,' I (r7 `j 3010 D;'rk 3bhCS C,2s6 5l '9 s7•q)3 `{ Name and telephone number of person familiar with project r o V n tri I h Hal/ 0��2ojµ L6rory ko- >�6d-e1 r" � moo P`� C'o4e9e- Contrail amount Type of Work Date Completed 3. Name and telephone number of person familiar with project Contract amount Type of Work Date Completed 4. and Address and telephone number of person familiar with project Contract amount Type of Work Date Completed CBF - 13 -W5 Systems. Inc 3814 F Co:orndo Blvd Suite 102 BIDDER: Pcsodenn CA 91107 SECTION 3 NON - COLLUSION AFFIDAVIT CBF -14 CWS sys'. Pms, nc 38141`. Cdorcdo Blvd Suile 10:' BIDDER: PC CA "110/ 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 of 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. Signatur Abed fl Aboor Typed or Printed Name Title C\J 5 Sui 5totriS- / (-IC Bidder Subscribed and sworn before me This li dayof JVI -U-- , 20 14 (Seal) `Notary Public LnAnd for BBIGIG FAITH the State of California Connession s 201n Notuy Public - CaN1aM✓t My Commission Expires: MarC� ` % 10 LOS MOW COO" M ClMrtln.Min 4. f7 CBF - 15